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Permit C ITY OF TIGARD PLUMBING PERMIT ° COMMUNITY DEVELOPMENT PERMIT #: PLM2008 - 00172 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/22/2008 PARCEL: 2S104CA -05900 SITE ADDRESS: 13601 SW WESTRIDGE TERR ZONING: R - 7 SUBDIVISION: HILLSHIRE LOT: 059 JURISDICTION: TIG PROJECT: HRIZUK Project Description: Replacing fixtures in hall bathroom. CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: R3 FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 0 URINALS: GREASE TRAPS: LAVATORIES: 1 OTHER FIXTURES: TUB /SHOWERS: 1 SEWER LINE: ft WATER CLOSETS: 1 WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES MICHAEL HRIZUK Description Date Amount 13601 NW WESTRIDGE TERRACE TIGARD, OR 97224 [PLUMB] Permit Fee 4/22/2008 $72.50 [TAX] 12% State Surch 4/22/2008 $8.70 Phone : Total $81.20 Contractor: MECHANICAL SERVICES INT. LLC 21185 NW EVERGREEN PKWY STE. 106 REQUIRED ITEMS AND REPORTS HILLSBORO, OR 97124 Contact # : PRI 503- 439 -9999 FAX 503- 439 -1999 Reg #: LIC 126015 PLM 37-421PB This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By: Permittee Signature: Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. r t n , C -- ,,'D Plumbing Permit Application (-(,,-\\,, %c6 ¢ � FOR OFFICE USE ONLY City of Tigard O , ; \ ' \ �\) ' -` ` � 11J Received Q �j Permit No.: L�,Yr /� J� � n ��/ .° ` a e Date/By �� �I S y D �/ / �' � 13125 SW Hall Blvd., Tigard, OR 97223 `� e fi - Plan Review Phone 503 639 4171 Fax: 503.598.1960 c t i il' jt\ Date/By Other Permit No : 24- Hour Inspection Line: 503.639.4175 l -. 1 Dace Read /B tens 0 See Page 2 for ®� '- el Ready /By Internet www.ci.tigard.or.us J Notified/Method. � Supplemental Information TYPE OF 'WORK 'I' . • - FEE* S CHEDULE _-`_ -• LI New construction ❑ Demolition For special information use checklist Descnption I Qty. I Ea- I Total Addition /alteration replacement ❑Other: New 1 - 2 - family dwellings (includes 100 ft. for each utility connection) CATEGORY OF ,CONSTRUCTION SFR (1) bath 249.20 XI- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi - family SFR (3) bath 399.00 ❑ Master builder Each additional bath/kitchen 45.00 ❑ Other: Fire sprinkler ( sq. ft.) Page 2 JOB LOCATION Site utilities Job site address: _ 0 ■ e. -- . ' Catch basin or area drain 16.60 • City /State/ZIP: L t G � © I N.. • c3 7 2, 23 Drywell, leach line, or trench drain 16.60 Suite/bldgiapt. no.: v I Project name: 14 r : 7 ,'� v...,5 Foot drain (no. linear ft. ) Page 2 Manufactured home utilities Cross street/directions to job site: 110.00 Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no linear ft.: ) Page 2 Storm sewer (no linear ft ) Page 2 Subdivision: I Lot no.: Water service (no. linear ft. ) Page 2 Tax map /parcel no.: Fixture or item Absorption valve 16.60 r'DESCRIPTION' 0P ORI{ Backtlow preventer Page 2 e. L - .. tS , • / ; Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 r� - _ ❑ Drinking fountain 16.60 PROP)�ItTY !`' - TENANT Ejectors /sump 16.60 Name: SA nit ` p 0 j C rorock_ Expansion tank 16.60 Address: l -- hc .' L "7 �l u /i r -Mj / T e Fixture /sewer cap 16.60 City /State/ZIP: f f / Floor drain /floor sink/hub 16.60 Phone: ( ) Fax: ( ) Garbage disposal 16.60 ❑ APPLICANT. ` -- - ; ': = ❑ CONTACT PERSON Hose bib 16.60 Ice maker 16.60 Business name: Interceptor /grease trap 16.60 Contact name: Medical gas (value: $ ) Page 2 Address: Primer 16.60 City /Stale /ZIP: - - - - - - Roofdiain (commercial) 16.60 ' Phone: ( ) Fax:: ( ) Sink/basin/lavatory l 16.60 oil Asa Tub /shower /shower pan 16 E -mail: { (4.51) Urinal 16.60 'CON1 RA'CTOR Water closet 16.60 /6-so Business name: 0 . c s , ,' s j 'r L L,d j Water heater 16.60 Address: 1 $ 5 - r � co Av Gv". rate J P � lc w2 J.. ti-/04 g4 Other. City /State /ZIP:14 oil ( 5 r00/ It " � Ct 7 1 Z Subtotal et 5 Minimum permit fee: $72.50 Phone: (st!J I{ 3 2 ^ ci et 1 at Fax: (501 4 1 31 -- l 9r 9 9 Residential backflow minimum permit fee: $36.25 -7 i it a CCB Lic.: . - Plumbing Lic. no.: 7 2 . 1. . Pa Plan review (25% of permit fee) a i Z State surcharge (.91% of permit fee) 1; Authorized signatur. • AI � • • • - �i \�l. TOTAL PERMIT FEE ` � � 2 . f1 1:1=11 ,M Date: - This permit application expires if a permit is not obtained thin 180 days after it has been accepted as complete. ^ *Fee methodology set by Tri -County Building Industry Service Board. • CITE. OF TIGARD . . BUILDING DIVISION PERMIT #: PLM2008.00172 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/22/2000 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 s_' "' I : L . INSPECTION WORKSHEET FOR DATE: 5/23/2008 TIME: 7:00AM' PAGE: 2.2 SITE ADDRESS: 13601 SWWESTRIDGE TERR CLASS OF WORK: SUBDIVISION: HILLSHIRE LOT #: 059 TYPE OF USE: PROJECT NAME: HRIZUK DESCRIPTION: Replacing fixtures in hall bathroom. OWNER: HRIZUK, MICHAEL PHONE #: CONTRACTOR: MECHANICAL SERVICES INT. LLG PHONE #: 503 - 439 - 9999 Inspection Request Scheduled For: Date: 5/23/2008 Pour Time: . Code # Inspection Description . Confirm # Contact # Message 399 . Plumbing final 070309-01 503. 439 -9999 • N Corrections/Comments/Instructions: • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: A V' Date: CS1 22 1 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: Pi_M200B -00172 13125 SW Hall Blvd., Tigard, OR 97223 � -DATE ISSUED: 4/2212008 Phone: (503) 639 -4171 �* 1 I L Inspection Requests (24 Hrs.): (503) 639 -4175 I I I INSPECTION WORKSHEET FOR DATE: 5/12/2008 TIME: 7:01AM PAGE: 34 SITE ADDRESS: 13601 SW WESTRIDGE TERR CLASS OF WORK: SUBDIVISION: HILLSHIRE LOT #: 059 TYPE OF USE: PROJECT NAME: HRIZUK DESCRIPTION: Replacing fixtures in hail bathroom. OWNER: HRIZUK, MICHAEL PHONE #: CONTRACTOR: MECHANICAL SERVICES INT. LLC PHONE #: 503.439-9999 Inspection Request Scheduled For: Date: 5/12/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 069656 -01 503- 439.9999 N Corrections /Co ments /Inst uctions: (kk A c_ ck S O 4/2-9(W) (3) - 4 , A ..,. / ".,L5___)Lcz._ c.st..-/ .--- ?A/Z—, PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: / c Date: (/l Zia Phone #: (503) .718 -'2-Y24 CITY- OF TIGARD - BUILDING DIVISION PERMIT #: PLM2008-00172 ' 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/22/2008 Phone: (503) 639 -4171 „11 yt�I(Il I Requests (24 Hrs.): (503) 639 -4175 ...'!+� °_ INSPECTION WORKSHEET FOR DATE: 4/25/2008 TIME: 7:01AIvi PAGE: 15 SITE ADDRESS: 13601 SW WESTRIDGE TERR CLASS OF WORK: SUBDIVISION: HI LL RE LOT #: 059 TYPE OF USE: PROJECT NAME: FIRILUK DESCRIPTION: Replacing fixtures in hall bathroom. OWNER: FIRILUK, MICHAEL PHONE #: CONTRACTOR: MECHANICAL SERVICES INT. LLC PHONE #: 503 Inspection Request Scheduled For: Date: 4/25/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 06891E -01 503. 209 -1598 N Corrections /Comments/ Instructions: X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: A\ v Date: (I1 (0151 Phone #: (503) 718-