Permit • -: t1R b FTiGARD
' .CITY PLUMBING PERMIT
- DEVELOPMENT SERVICES PERMIT #: PLM2006 -00122
1 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 4/7/2006
PARCEL: 1S133DB-04900
SITE ADDRESS: 13145 SW WINTERLAKE CT ZONING: R -12
SUBDIVISION: BRITTANY SQUARE NO. 4 LOT: 077 JURISDICTION: TIG
Project Description: Replace fixtures
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: 2 OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: 2 WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES •
SU T. ELLIOTT Descripti Date Amount
13145 SW WINTERLAKE CT
TIGARD, OR 97223 [PLUMB] Permit Fee 4/7/2006 $72.50
[TAX] 8% State Surcharl 4/7/2006 $5.80
Phone : Total $78.30
Contractor:
WESTERN PLUMBING
9460 SW TIGARD STREET REQUIRED ITEMS AND REPORTS
TIGARD, OR 97223
Contact # : PRI 503- 639 -5296 •
FAX 503- 684 -9015
Reg #: LIC 2439
PLM 34 -29PB
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- -6699 or 1- 800 - 332 -2344.
Issued : p. Permittee Signatq
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.
WESTERN PLUMBING 5036949015 04/05/06 04:28pm P. 002
•
• Plu Permit Application . FOR OFFICE USE ONLY •
D a ce tel i By d Plumbing �
Date/By: S AD /oz•
aBy: y � 0 �/ Permit �
Cit of Ti and EG D D enning Approval Sewer
y g Date/By: Permit No.:
13125 SW Hall Blvd. Plan Review Other
Tigard, Oregon 97223 *,,' � 2g�4 Date/Ely: Post - Review Land Use
Permit No.:
Phone: 503 - 639 -4171 Fax: 503 - 5 -196 /c;70,, , A . Date/By: Case No.:
Internet: www,ci.tigard.or.us o f
( .i x 1 c 1C�A G g r.. Contact Sec Page 2 for
24 hour Inspection Request: 5 tP:. . , ' 1Ii/ISIOiV Name /Method. // (% Supplemental Information.
_ ¢' ,',�• ti " � yy 1 L,i, .rfiti J * i '1(" ea �' °H•� ♦• rn � t � K ,�
^`':t,`:, i'r.: •• :: :',F Aigi4: ` _11V.E VAM.OR4ldil . '. :!•
,r:•; ; `,ik .411( , .: iita nt- $ I .A i iiit i -F�'e !if ?gt13.fi tigtiecklfst -! 1 : ' '
❑ New construction [ Demolition Descri don . ' . _Qty.] Fee(ea.) J Total
•.•' s `'� it-rf llT4 , t e gifere ,41i f r '"'�1C h ' s : #: �' 1
Addition/alteration/re�lacement Other: • i t 1 ,1: ;�. • -t, -A•_g.r -, �• , -. x r L s: ��`'P ' S •• •
, �;P t : 6� t' i; ,l (IIISI_ d d ierrci,cll i.a octikci_bu tto,i "be r iii -. -
: r' �i�i :( 4s�s�j.,` 3rQ:' �F0IJ�. STf1�; lJ. l�: :t1JV1;}k'a'er71�911�i�4( 2 •
& 2-Family dwelling i ` SFR (1) bath 249.20
I
J y g ❑ Commercial/Industrial SFR (2) bath 350.00
Accessory Building El Multi - Family SFR (3) bath 399.00
❑ Master Builder ❑•Other: Each additional bath/kitchen 45.00
'• ; ;' a• $rS. # O ' ► %•XV LOCA I bfli,:�hi'� ; K'.s'�; r,' .n Fire sprinkler - ft.: Page 2
Job site address: /3 /Vf SW 4'j tfiel- Of ' r - "`
Suite #: I Bldg. /Apt. #: Catch basin/area drain 16.60 .
�. Drywell/leach line/trench drain 16.60
Project Name: ..5 4o- ,'e P%rr•v�YC_ Footing drain (no. linear ft.) Page 2
Cross street/Directions to job site: Manufactured home utilities 110.00
Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear ft.) Page 2
Subdivision: I Lot #: Storm sewer (no. linear ft.) Page 2
Tax map/parcel #: Water service no. linear ft. r Pa• e 2
�. t e,.•• e: : 'j 'rt.' t . a 1 ' ' v t . 9r.''l�:r r - T P n. ... >,1 •
y "'' r J' r f 1 atiV a ;I 4 NO,,Y,l f ' ig e .tiNFOg Absorption valve 16.60
14: 'Y ' '1~3S f/)C7irq 1 a: °'‘)V5Thh1 " • Backflow preventer Page 2
Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
Drinking fountain 16.60
't'. WR p ItTR;Yi!OIVdOft PjliKO c0NOIi,? �,"= �1tY9�'s '. �'�'•; 16.60
Ejectors /sump
Name: T .E LL! tT Expansion tank 16.60
Address: Fixture/sewer cap 16.60
City/State/Zip: Floor drain/floor sink/hub 16.60
y p• Garbage disposal . 16.60
Phone: Fax: Hose bib 16.60
®'110-1'J614/01Vig. `�:r'g4.5 ,:; 3a CO TNC k't 5' `.OI (: r. Ice maker 16.60
Name: Interceptor /grease trap 16.60
Address: Medical gas - value: $ Page 2
• Primer 16.60
City /State /Zip: Roof drain (commercial) 16.60
Phone: I Fax: Sink/basin/lavatory _ 16.60 33, ze
E -mail: Tub /shower /shower pan 16.60
r Wtt g ,y Tta Y> q,e Urinal 16.60
1 ,1J J 4 v/PI /AC Water closet o? 16.60 33. -
BUSIneSS Name: Water heater 16.60
Address: 9 a / •,41i9 O/ Other:
City/State/Zip: 77 i4#I ' ?�,21 Other:
1 1 •`J ' K' Mr Y�1 �t
Phone: ��39 - -- 6 Fax: G3 ' -9olr 1" X143 - w iA I1 tl TO:T �t il'' 'c4, 4im, . r ?,>1 o ii
Subtotal $ a), 1 62
CCB Lic. #: ,25,39 Plumb. Lic. #: 3ya9pig • Minimum Permit Fee $72.50 $ 2
Authorized r ).- � - y //� Residential Backflow Minimum Fee $36.25 72
$36.25
Date: Plan Review (25% of Permit Fee) $
Q a5 State Surcharge (8% of Permit Fee) _ $ s,
(Please print name) TOTAL PERMIT FEE $ 7 $
Notice: This permit application expires if a permit is not obtained within • All new commercial buildings require 2 sets of plans with isometric or
180 days after it has been accepted as complete. riser diagram for plan review.
*Fee methodology set by Tri- County Building Industry Service Board.
-
is \Dsts\Permit Forms\PlmPermttApp.doc 01/03
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM200G -00122
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/7/2006
Phone: (503) 639 -4171 ���IA
I Requests (24 Hrs.): (503) 639 -4175 ;
INSPECTION WORKSHEET FOR DATE: 8/11/2006 TIME: 7:06AM PAGE: 33
i-
SITE ADDRESS: 13145 SW WINTERLAKE CT CLASS OF WORK:
SUBDIVISION: BRITTANY SQUARE NO. 4 LOT #: 077 TYPE OF USE:
PROJECT NAME: ELLIOT1
DESCRIPTION: Replace fixtures
OWNER: ELLIOTT, SU PHONE #:
CONTRACTOR: WESTERN PLUMBING PHONE #: 503.639.5296
Inspection Request Scheduled For: Date: 8J11/2006 Pour Time:
Code # Inspection Description Confirm # Contact # M :4---►=
399 Plumbing final 034826.01 503 -639 -5296 Mir 7r-A
Corrections/Comments/Instructions:
7 : -o P,tl
(o ,4c s
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL j ll NO ACCESS
4 FAIL ACALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: GH7r Date: 0'11' 0 6 . Phone #: (503) 718- Z-64/Li
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2006.00122
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/7/2306
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 9/112006 TIME: 7 :01AM PAGE: 74
SITE ADDRESS: 13145 SW WNTERLAKE CT CLASS OF WORK:
SUBDIVISION: BRITTANY SQUARE NO. 4 LOT #: 077 TYPE OF USE:
PROJECT NAME: ELLIOTT
DESCRIPTION: Replace fixtures
OWNER: ELLIOTT, SU PHONE #:
CONTRACTOR: WESTERN PLUMBING PHONE #: 503- 639-5296
Inspection Request Scheduled For: Date: 0/1 /2Q06 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 035750 -01 503 - 590 -7993 Y
Corrections /Comments /Instructions:
(74 0
14 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 6%A-A \' — Date: a ll I 1 ()co Phone #: (503) 718-