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Permit { r 1 r w IN u CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00488 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/1/2007 PARCEL: 2 S 110 B D -00500 SITE ADDRESS: 11790 SW WILDWOOD ST ZONING: R -2 SUBDIVISION: SHADOW HILLS LOT: 003 JURISDICTION: TIG PROJECT: STEVENS Project Description: Replace 65' water service. CLASS OF WORK: OTR 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: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB /SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: 65 ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES MARLIN STEVENS 11790 SW WILDWOOD Description Date Amount TIGARD, OR 97224 [PLUMB] Permit Fee 11/1/2007 $72.50 [TAX] 8% State Surcha 11/1/2007 $5.80 Phone : 503- 624 -7946 Total $78.30 Contractor: AMERICAN PLUMBING SERVICES INC 5905 N INTERSTATE , OR 97217 PORTLAND, OR REQUIRED ITEMS AND REPORTS POR Contact # : PRI 503- 289 -6498 FAX 503- 2472429 Reg #: LIC 151062 PLM 26 -567PB 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: P ermittee Signature: �� a � � ern. Call 503.639.4175 by 7:00 a.m. for an inspection that business day. l ' 46(Le( 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. 1 .4 : r l ' -,i1 Plumbing Permit ADpl'c `I '.�. i t :_. FUR (II-Fl(I I tiI. 41N1 City of Tigard Received sp 2001 Date/By: l / 1) I , Permit N.. 61 i o - Cb ' ... 13125 SW Hall Blvd., Tigard, OR 9t4V 1 Plan Review Phone: 503.639.4171 F�� 598.1960 Date/By: Other Permit No.: r t ;, E< n Inspe Line: 503.639. 1 Y UI III TAT) Date Ready/By: r B! Bee Page 2 for Internet: www tigard Natrfied/Method • ��y� � .. F . ,�yn [ - l N D'"';'`.' 1 �I E A R s I P S ig -', IV. r r i 3 . 1t i F B 1 Information «,. z ..a , ', ia;, E ! 3 i. ',i.,.sse� n� 5 i i . ,,rI .aa. . , ::;1;-7,:.,41,..,,,,,,-......., ` -` a t . j_ �,� fit. - �� . ma c. _ ... Y _...:_ A »._ �,_. For spade! �ornraVion �e chec@11st ❑ New construction ❑ Demolition Description I Qty. I Ea. I Total o gr Addition/alteration/replacement ❑ Other , 1- 2- family dwellings (includes 100 ft. far each utility connection) e a s ��r w t w "� ' , k � m % `} s ,. t y:Yt . t ; <e i srci'it �. r #, ,f.£ bath 249.20 ce 3 .,tea.. -..- eZK t.. .- ,at.u.:.i:4•.. .'x. , ,., f +.ol.l..w�...r... � " z � � r�r` r . .2 .. SFR 01- and 2- family dwelling ❑ CommerciaVrndustrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi - family SFR (3) bath 399.00 ❑ Mastes builder ❑Other. Each additional bath kitchen 45.00 Fire ft Page 2 ' "h y.1 p r ,iT, F P I c 1 ' 4 i •* 19 'tI i'`' Y `. i + &yy 1 't i ��' y f ! 4 F; re sprinkler ( s tl• ) i:ei. ... .£.Ci_ :9.: � , .:7za _ <. ... .td } , ,s. {h., . . a ii .. ..t`Li .�., -A d if c:i _ . e . ;fn sa utilities Job site address: 1111 0 . 3w lei l t coo oc1 S4- Catch basin or arca drain 16.60 City/State/ZIP: T 1 r 1 t o . q -� as D,yweu, leach line, or trench drain 16.60 suite/bldgJapt. no.: `�j Project name: Footing drain (no. linear ft.: _) Page 2 Cross street/directions to job site: Manufactured home utilities 110.00 Manholes 16.60 Rain dram 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 9 2+0 Fixture or Item Tax map /pence! no : m Ord � - Er as 6' � �l � � 1 .�.- a-k � 4�,e a �f �k r r _ �r"� � ".�.'K� -' i Absorption valve 16.60 ... � re �, • - ;EIf;tr -',,l1 : .` r,:uii ':� c, r .. . 1 : �: ..�5- .t 1 ! . xy . K Backllow preventer Page 2 Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 , S N E J :5 th ! 1 tt1., 9 7 �9 $ F5 i5 3 : f if i is "w 'dt.1' t2. tl k'4 F , TN ' = Drinking fountain 16.60 q t : l -: t f 2;1 s.;: r 1, _ ! .,- �_it;1 t l . � r - ;, - .z'... ..a. t t r - -- - I +' ,. ' � -� _f:,.tr _ _ �./?... i3... = �,..�. +, �., :�.t. l t.,.._ ms/s Name: .1 A A 01Al I - J .� h , � -. Ejectors/sump �P 16.60 y V 1 Expansion tank 16.60 Address: Fixture/sewer cap 16.60 City /State/ZIP: Floor drain/floor sink/hub 16.60 Phone: (TV • '7' V61* I Fax: ( ) Garbage disposal 16.60 } ; s ^r i ` u,t '. > , r ' ce Hose bib 16.60 a t L " .. .�i f 1''� a F 'i :fir t' . . 9 &d 74.J,'Y 6:7 , t I i 'i3}:1. r.. <. : 2 ti .r �.ri � ;1 . i!til .. u. , x,,,,, ] .. _ , ,, ?t itri,..., ice maker 16.60 Business name: Interceptor /grease trap 16.60 Contact name: Medical gas (value: $ ) Page 2 Address: Primer 16.60 City/StatelZIP: Roof drain (commercial) 16.60 Phone: ( ) f Fax : ( ) Sink/basin/lavatory 16.60 E -mail: Tub/shower/shower pan 16.60 15 1 a a { I s {f '1 +C,1 -! "� ^r f r' '+ � Urinal 16.60 `s . .{[Er!ati d.. t ! °;4 .,,., .niz.. 1 1. i `' i ,;, - a , s ,,,,_p : - 34 Water closet 16.60 Business name: American Plumbing Services LP Water heater 16.60 Address: 5905 N Interstate Ave Other City/State/ZIP: Portland, OR 97217 Subtotal Minimum permit fee: $72.50 Phone: (503) 289 -6498 ' L Fax (503) 249 -2429 1 t p Residential backflow minimum permit fee: $3625 _ _ CCB Lic.: 151062 1 Plumbing Lie. no.: 26 -567PB Plan review (25%ofpemsit fee) ��� � � ) <-. State surcharge ($ %ofpermit fee) Authorized signature: _' TIrOT r epte m d as c PRMI7 FEE bs .j . „... Print name: Stephanie D pe application after it ezpares has been a pe 1s no obtained within Date:! (// l �'7 l This rmit 180 days om plete. *Fee methodology set by Tri- County Building Industry Service Bo 1 lBuadingTermw\PLi5.Perm @App.doe 06/26006 440- 461er(10ro2J0014mr1313) 0 -1 .3 2'd 621 -L -COS WH20 :L LOOZ TO AoW CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2007-004138 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1 1/ 112007 Phone: (503) 639-4171 f � Inspection Requests (24 Hrs.): (503) 639 -4175 " II— INSPECTION WORKSHEET FOR DATE: 11/6/2007 TIME: 7 :00AM PAGE: 38 SITE ADDRESS: 11790 SW WILDWOOD ST CLASS OF WORK: SUBDIVISION: SHADOW HILLS LOT #: 003 TYPE OF USE: PROJECT NAME: STEVENS DESCRIPTION: Replace 66 water service. 11/5/2007 Add bacldlow preventer. OWNER: STEVENS, MARLIN PHONE #: 503- 6247846 CONTRACTOR: AMERICAN PLUMBING SERVICES INC PHONE #: 503. 289.6498 Inspection Request Scheduled For: Date: 11/6/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 059080.01 503- 289.6498 N Corrections /Comments /Instructions: D-e v ► c Cate 94.1 5( PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Q�LI�.t,.I 1 '�A— Date: Y1' ( 6170 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2007- 00488 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/1/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 ° — INSPECTION WORKSHEET FOR DATE: 11/5/2007 TIME: 7 :01AM PAGE: 54 SITE ADDRESS: 11790 SW WILDWOOD ST CLASS OF WORK: SUBDIVISION: SHADOW HILLS LOT #: Q03 TYPE OF USE: PROJECT NAME: STEVENS DESCRIPTION: Replace 66 water service. OWNER: STEVENS, MARLIN PHONE #: 503- 624 -7946 CONTRACTOR: AMERICAN PLUMBING SERVICES INC PHONE #: 503 - 289 -6498 Inspection Request Scheduled For: Date: 11/5/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 058945.01 503-289-6498 Y Corrections /Comments /Instructions: ©k1 ,,ti Pe v 0-X1 D (4, GL -uA U 1/L - 2-9 v.; Vv.-) 1-1/4/40 , b 14 B a X b w Jete,A i c. 4—" ".e • • ❑ PASS ZI,PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL , ❑ CALL FOR INSPECTION . ❑ ADDITIONAL FEES ASSESSED Inspector: Date: /) I (� c77 Phone #: (503) 718-