Permit CITHYrOF TIGARD
07 PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2007 - 00130
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/2/2007
PARCEL: 1 S 134BD -01600
SITE ADDRESS: 11715 SW HAZELWOOD LP ZONING: R - 4.5
SUBDIVISION: ENGLEWOOD NO.2 LOT: 104 JURISDICTION: TIG
PROJECT: BEATTY
Project Description: Drain relocation for tub to shower conversion.
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: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
BEATTY, DAVID A + E VIVIAN NE
11715 SW HAZELWOOD LP Description Date Amount
TIGARD, OR 97223 [PLUMB] Permit Fee 4/2/2007 $72.50
[TAX] 8% State Surcha 4/2/2007 $5.80
Phone : Total $78.30
Contractor:
MRP SERVICES
PO BOX 33585
PORTLAND, OR 97292 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503 -652 -2626
FAX 503 -241 -6565
Reg #: LIC 106824
PLM 3 -265PB
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: a G
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.
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~ Plumbing Per t 0 (0 � !' I:012 011.'1(11 Li I. ()NIA
City of Tigard
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13125 SW Hall Blvd, Tigard, OR 97223 plan Review
Phone: 503.639.4171 Fax; 503.598.196 C, 2 0o I w. . t 1 i)ar& : Other Permit No..
24- Hour Inspection Line: 503.639.411514R R , 1' li l Dare Reudy /8y: ta S« Page 2 far
Internet: www cl tlgard_or us . Notified/Method: dMh Supple Information
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_ .. _ _ ,• , _ a�ZI j. J; 1- For special information use checklist
❑ New construction 1 r t - molidon Qty, Ea. Total
C Descri l tier
s Addition /alteration/replacement 0 Other. ;Vcw 1- 2- family dwellings (includes 100 ft. for each utility connection)
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I y;u v p n ,. 1. s..r .t.. N 1 ,, f SFR (2) bath
Ili 1- and 2- family dwelling 0 Commercial /industrial
SFR (3) bath 399.00
0 Accessory building 0 Multi - family
Each additional bath/kitchen 45.00
❑ Master builder • 0 Other Fire sprinkler (__ sq. ft.) -
Page 2
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Job site address: IIMMj S f�� . 1 �I , Catch bruin or area drain 16.60
City /State/ZIP: _jI """ A A i j i '9' Drywell, leach line, or trench drain 16.60
�' ir PIE. 911=11 Footing drain (no. linear ft.: Page 2
Suite/bldg. /apt.no.: Project name: 1s. II I . It II 4 f /. -r - 110.00
/ Manufactured home utilities
Cross street/directions to job site: 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
Fixture or item
Tax map /parcel no Absorption valve 16.60
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{ ' Backwater valve 16.60
r Clothes washer 16'60
Jld Dishwasher 16.60
• F L �f •41 N 1c " S i at V 'ry tiA,i r E yf i > y� t 7 ' . } {I f ltt i,' i .., Drinking fountain 16.60
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Name: A rt . . / a le,, Expansion tank 16.60
Address: I l IOjil�; Fixture/sewer cap 16.60
City /State/ZIP: _ 1 � �1 I 0 aa, Floor drain/floor sink/hub 16,60
Phone: a /) 4, Am Fax ( ) Garbage disposal 16.60
dr rE r ?.�i4 ,y a d r S ,p A ti ,, i f�, Mk. a Y, r. t }R,r PLI R- � { , _ , i p VI{ ��LO 'V Hose bib 16.60
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- U I • j.. As .. ! A Interceptor /grease trap 16.60
Contact name: jq.•g N ^ 14.- • t _i Medical gas (value: $ ) Page 2
Address: 1 r t r . lir. Primer 16.60
I 6171g-. Roof drain (commercial) 16.60
11 "' j � rr%%�� Sink/basin/lavatory 16.60
phone: P. 13) • ,,, - iL I , 1 i �r`MI. Tublshowcr /shower pan I 16.60 - 76f, 60
iIi iii�� f a / lI ►I I I / r1 Urinal 16.60
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_ �ri � � ` � _ ` I � �I ar r r .�9 W a ter heater 16.60
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Address: 0 0 �� I' Other:
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�` " i Subtotal I I (p,0
1 11 .1. %._ � Minimum permit fee: $72'50
Phone: (553 ) 'r a - ,` , " , , ' , � am Residential backflow minimum permit fee: $36.25 �a
CC13 Lie.: ri • v !). v !). IIIIIIMI Plumbing Lic.no.: 3 a 6,c j
Plan review (25% o f permit fee)
State surcharge (8% of permit Fee)
Authorized si ,azure: .i � 1 _ 1 �I A ,:f r TOTAL PERMIT FEE 7 ,
Print name ri - 3 &Ai 5 F I v Date: 3�� This permit application expires its perrrrit is not obtained within
ISO days after it has been accepted as complete.
*Fee methodology set by Tri- County Building Industry Serv Board.
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` • . � CITY OF TIGARD
PLUMBING PERMIT
11
COMMUNITY DEVELOPMENT PERMIT #: PLM2007 - 00130
T IG G R D ' 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/2/2007
PARCEL: 1S134BD-01600
SITE ADDRESS: 11715 SW HAZELWOOD LP ZONING: R -4.5
SUBDIVISION: ENGLEWOOD NO.2 LOT: 104 JURISDICTION: TIG
PROJECT: BEATTY
Project Description: Drain relocation for tub to shower conversion.
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: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
BEATTY, DAVID A + E VIVIAN NE
11715 SW HAZELWOOD LP Description Date Amount
TIGARD, OR 97223 [PLUMB] Permit Fee 4/2/2007 $72.50
[TAX] 8% State Surcha 4/2/2007 $5.80
Phone : Total $78.30
Contractor:
MRP SERVICES
kJ
PO BOX 33585
PORTLAND, OR 97292 REQUIRED ITEMS AND REPORTS
O
Contact # : PRI 503- 652 -2626 (r I ( � 1
FAX 503 - 241 -6565 .�``��
zit Reg #: LIC 106824 I O
•
PLM 3 -265PB 0
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: Sci.,..... / Permittee Signature: 0 eve -iJr
7 0
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.
INSPgCTOR'S'SIGN„ATURES ARE NOT
Inspections Required for. PLM2007 - 00130 REQUIRED ON GREEN INSPECTION CARD.
•
✓ Code Inspection Description PA Date By I ✓ Code Inspection Description PASS Date I By
BUP - Building Permit ELC - Electrical Permit
405 Excavation 105 Underground /slab cover
410 Fill 110 Temporary electrical service
415 Grading 115 Electrical service
205 Footing 120 Electrical rough -in
805 MFG- Structure grading /footing 125 Wall cover
210 Foundation walls 130 Ceiling cover
215 Footing drain 135 Low voltage
220 Slab 140 Sign installation
310 Crawl drain 145 A/C or heating unit circuit
225 Post /beam structural 150 Hot tub /spa /pool
230 Underfloor insulation 195 Misc. inspection:
235 Shear walls/anchors 199 Electrical final
240 Exterior sheathing
245 Firewall
250 Roof nailing ELR - Restricted Energy Permit
255 Wtr proofing basement walls 135 Low voltage
260 Tilt -up panel 195 Misc. inspection:
265 Masonry 199 Electrical final
270 Reinforcing steel (rebar)
275 Framing
810 MFG-Structure set -up MEC - Mechanical Permit
280 Insulation 605 Post/beam mechanical
285 Drywall nailing 610 Gas line
287 Suspended ceiling 615 Mechanical rough -in
295 Misc. inspection: 620 Hydronic piping
899 MFG- Structure final 625 Duct work
498 Grading final 630 Fire damper
299 Final inspection 635 Smoke detector shutdown
640 Exhaust hood
695 Misc. inspection:
699 Mechanical final
BUP - Fire Protection System Permit
905 Sprinkler underfloor /slab PLM - Plumbing Permit
910 Sprinkler rough in 305 Plumbing underslab
915 Fire alarm rough -in 310 Crawl drain
920 Suppression trip test 315 Post/beam plumbing
995 Misc. inspection:
998 Alarm final X 320 Plumbing rough -in LIP/ C51
999 Sprinkler final 322 Shower pan
330 Water service
335 Rain drain
340 Storm drain
SIT - Site Work Permit 505 Sanitary sewer
405 Excavation 345 Culvert /catch basin
410 Fill 350 Septic tank
415 Grading 395 Misc. inspection:
205 Footing X 399 Plumbing final
210 Foundation walls
215 Footing drain
420 Sprinkler supply lines SWR - Sewer Permit
495 Misc. inspection: 505 Sanitary sewer
498 Grading final 595 Misc. inspection:
499 Final inspection 599 Final inspection
I:\ Building \Fonns \InspCard- AOP- Blank.doc 02/02/07
CITY OF TIGARD : 4.-
BUILDING DIVISION' PERMIT #: PLM2007- 00'130
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/2/2007
Phone: (503) 639-4171 Aze doil 1 &
Inspection Requests (24 Hrs.): (503) 639 -4175 All
INSPECTION WORKSHEET FOR DATE: 4/3/2007 TIME: 7:00AM PAGE: 40
SITE ADDRESS: 11715 SW HAZELWOOD LP CLASS OF WORK:
SUBDIVISION: ENGLEWOOD NO.2 LOT #: 104 TYPE OF USE:
PROJECT NAME: BEATTY
DESCRIPTION: Drain relocation for tub to shower conversion.
OWNER: BEATTY, DAVID A + E VIVIAN NE, PHONE #: 503 - 732-6533
CONTRACTOR: MRP SERVICES PHONE #: 503 - 652 -2626
Inspection Request Scheduled For: Date: 4/3/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 045904 -01 503 - 652 -2626 Y
Corrections /Comments/ Instructions:
\PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: al i Pvw i \, \�-1— Date: L I 1.31D Phone #: (503) 718-
r
IF
CITY OF TIGARD ► , t r .
BUILDING DIVISION' ' PERMIT #: PLM2007 -00130
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4 /2/200T
Phone: (503) 639 -4171 ICI
Inspection Requests (24 Hrs.): (503) 639 -4175 .� .
INSPECTION WORKSHEET FOR DATE: 4/24/2007 TIME: 7:01AM PAGE: 34
SITE ADDRESS: 11715 SW HAZELWOOD LP CLASS OF WORK:
SUBDIVISION: ENGLEWOOD NO.2 LOT #: 104 TYPE OF USE:
PROJECT NAME: BEATTY
DESCRIPTION: Drain relocation for tub to shower conversion.
•
OWNER: BEATTY, DAVID A + E VIVIAN NE, PHONE #: 503. 732 -6533
CONTRACTOR: MRP SERVICES PHONE #: 5503.652 -2626
Inspection Request Scheduled For: Date: 4/24/2007 Pour Time: �
Code # Inspection Description Confirm # Contact # Message (70./
399 Plumbing final 047035 -01 503 -6 -2626 Y
Corrections /Comments /Ins uctions•
1. LN,..--
I c" 0 \, V _vG
li \ 1 ' e..-- ‘..-.■ ,...;\ e „,,, q „...- fr .., i■ •
ik \,k) 60% *./Vt■■• P O .0 • at ■ei ' r 1 1. - 7■C- 6
\ qr
•
0 S
n
n PASS ❑ PARTIAL APPROVAL ❑ CANCEL k ;' r - x
V: FAIL C - SP,QT I V ❑ ADDITIONAL FEES ASSESSED
,,__
Inspector: 6 Gi " Date: i 4'47 -7 Phone #: (503) 718- 2 - 7 i