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Permit Er CITY OF TIGARD 7Th-07 PLUMBING PERMIT COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00397 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 8/30/2007 PARCEL: 2S 110DD -05600 SITE ADDRESS: 10640 SW HIGHLAND DR ZONING: R -7 SUBDIVISION: SUMMERFIELD NO.4 LOT: 156 JURISDICTION: TIG PROJECT: HELSER Project Description: Install new valve and relocate drain. 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: 1 SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES HELSER, MARION P TRUSTEE 10640 SW HIGHLAND DR Description Date Amount TIGARD, OR 97224 [PLUMB] Permit Fee 8/30/2007 $72.50 [TAX] 8% State Surcha 8/30/2007 $5.80 Phone : Total $78.30 Contractor: BATHTUB SOLUTION 11747 NE SUMNER PORTLAND, OR 97220 REQUIRED ITEMS AND REPORTS Contact # : PRI 503 -595 -8827 FAX 503 -595 -6051 Reg #: LIC 165987 PLM PB -312 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 = Permittee Signature: / 4 ` - 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. FROM 'MATH FITTER PORTLAND FAX NO. : 503 595 -6051 Aug. 29 2007 01: 13PM P1 Plumbing Permit A � 1 P I olt oi I1Ri, ONLY City of Tigard �� /�. pp�� (� e t � ool Received r, „-- n 13125 SW hall Blvd., Tigard, (M L/V i 7223 ` bnte/H t i/" `� l S Penait No,: _ 397. I Phone: 503.639.4171 Fax: G WO P nn Review Other Permit No.: T Inspection Line: 503.639,41 741 ' t v Date/By: R.c 'r1( Ale n OQf�1 Internet: www,tigard -or.g . LD lNG D1V1S Nn Ra Mctho mtl�: S see Ingo! for n� , { r ;, ,p ey , i , ;� >. , r t , .•• NMi{tetl/Method: I Supptrntttnml information ` W� y y vt i .t� V � , �+� � n!§ '' 4C5' J h �� ,.� o� � +: �+,. -� ... t .. ,., 1,i � UISe, TCf '" r I .. , ) r " 1 � wa ttf � :: , 6d� � o '1 , i 1 i'' ' "J 1 f ; i' G i I i 4 i i , it t �� :, s , ; i ,,gut" t> ' i ,, .1.1.,.1,&•,1.∎ 4,.. ,, , r.. ,11 _ : °w i� i. „l' I +t Q ,0 :i �y�L�il +0•1YI... r q w 'F i c � � r A r 1. r<, r r t��1,,,, nw ls,T;.; �,iai�� .t•',;t +, t$s): tikes,, 2'��+a.!':4�s1 °ct�•i;htnRl�'c�. �Q� � s14t' �rw� #� i r s�:t �U2 �r )�� ?; {f' {' h� U� r �` ; 2 M�„v , il::a M„',,�� a H)!„ Lro,� a�'+ ,f, A ��41'Ck li, •Li!xv /+3+'j �i �,� rWic�'ri /i'G: ❑ New construction ❑ Demolition For specie! jnformation use check1141. Addmott/ulte Description le ration/replaccmont 0 Other. i _Qty_ r j Ea _Total New I - 2-family dwelling. (includes 100 ft . for each tttlllt connection ��y�yy�Yl;�� 7 0 fl +r }I. e 5M , �Y y ''�M , M � { (�1 lj��l�Ip IT }}}VVV B'S9' r r T r � ; I i p� �T (,}j�,�J7 y , , ) . , ..ltro :,'4,, i., tii/ �,K,de i, ��h$i !,k :� .if.', i. tb ('tL: 4 .N``, T� it fl�'Ui� F' +i 11,F ll I9 a ,; .t i,,r :� � S F R ( l) b ath 249,20 1- and 2- fancily dwelling ❑ Commercial /industrial SFR (2) bath 350.00 Li - huilding SFR (3) bath 399,00 I :7 Multi-family _, _ --- Each additional bath/kitchen 45.00 ❑ Master hutldet• ❑ Other: A i t # }kj ry�r�p+111�� iihf� rSd�L wyNS ter' f. QA �! rr� r "r'� rl +�e.!'14F + a ,f�+� �, Fire sprinkler L sq. fl.) Page 2 �rYi+Si.'is1 !� q �,t' I , ti +r „idt 1,14, i y fi iKi g; r' trt i+�t�t , ...., -._ _ L d:.h +•s 1• , 1.r?,% a art r„ hv.i..fi1. 42 u.!:,lr• tr, 4it' ,,i }r r It"ikv� ,tli.,i`:ia i r 9:.2,. Site utilities Job site address: 1 b4 l l .s- - , Catch basin or area drain �~ 16.60 �w City /State'/ZIP . - , • I �y� Drywell, leach line, or trench drain 16.60 Suitc/bld Ja t. ern. `^ Footing drain (no. linear ft.: _) Page 2 g p Project name :e 1 � aR - Y � Cross strectjdirections to job site: - Manufactured home utilities 1 10,00_ _" ^ -_ •' " - - .." - -- Manholes 16.60 _ , ,_ ,,,• _ •, ,, Rain drain connector T� 16.60 _�� Sanitary sewer (no. linear ft.: ) _Page 2 ,- Storm sewer (no. linear ft.: Page 2 Subdivision ^` l Lot no.: Water service (no. linear ft.: �) - Page 2 - ' -- --•' Fixture or Item fox map /parcel no.: _ S �,ry' $f a l II N X1'd , + 1 3iv er Lvi" Y Y fad 5+ r r Y r , I � Absorption valve 16,60 t a NI r ; l i, Y' ' 1 ir1 W '1 ! psi 1 „,.,. ..- _...... _ P.1' '' 1 . , 4.A4i, „ .: t:ir4` 6v� i lk a s7,�a ( , .. �, e,, ;v 7,`Ile:l e r ,34. ,�)",cIi� Lii'lfigA!),AMI / L' ell ,i' i�fi ,,, ;''. Backtlow prcvontor Page t �� / tl- Q 1AIX Backwater valve .. 16.60 - T �_ C _ --_ �� + Clothes washer 16.60 r dy j i Dishwasher 16.60 > ;�YFi�' n' +�1Flu .f f�4>J;ti?∎ Ati�SWh:i,Atw ? e ' ,: l r p l l M �'!' t � r � 9� Fai ,. 1 1 e ∎ ai 1 ., \+kti _ _ ____ ing fountain ^ _.. .._ 16 60 • Name: t c ors sump ^ ^ - -w -• _- Expansion tank 16,60 � � Address: - wr Fixture /sewer cap 16.60 City /State/ZIP: , Floor drain /floor sink/hub ..- - - 16.60 Phone: ( ) Fax: ( ) Garbage disposal . -.- 16.60 _ u + ,:plf∎ �T .� t t, ,,',. t ,,Web, fi q :TT 11 n ti," ro uK•p V ,,, A, v 11 . + r 1 lGA'/'� i • 16.6() ' - l 'il;; ?,,:,6y �n a ll�lll+ lAi 1�'>"'eti' "I_ !' , , ,?� C, 1) P�'.� ra a� N''ii p ` �� Iik t" b l ; -- m maker - "''" _ 16.60 Business name: *IL i _I 1 VA T� " Interceptor /grease trap 16.60 w_..� Contact narn ..- __- __...... ><Yd� Medical gas (value: $ ) Page 2 Address: i S. •( Primer ^ .- 16.6(1 City /State /ZIP : A It w Roof drain (commercial) . - -_ I h.6U - Phone: " 4P w )'.fir i 16.60 * S• . ` Fax :: ( ter //r - I Sink/basin/lavatory 16.60 Tub/shower/shower part �y ' p 13 marl ' 4 --•- -. s r r n �r „ 1 1 Urinal 16.60 , G� '� •r ii i , r J µ d 4• i i 1� . f �1� ` � tc, w L 1 ^ + i + {r ^ �� + - --- i, �, ,' '� x�l 1 („' ' 3 i '�r`6 t me" �'^� �r l lr` ¢ i V ''� _ closet ... 16.60 /II '1'"4. 0'"41 ?A fl i. ., , rm 7t",'i 'ktY I I,H U?t� n . , + n,r z il!, S' •. ,: T1P, 1i,l , ,,It;u Business name: Water healer - 16.60 Address: Qtltcr: City /State/ZiP: -- - • - -- .- - ^m- '� Subtotal 1, Ir Minimum permit fee: $72,50 r' ne: ( ) Fax: ( ) Residential backflow minimum permit fee: $36.25 !Z' Sc L........• Lie.: , ,. 7 Plumbing 1,ic. Ico,:EN 2_ Plan review (25 fee) Authorized si • c: -^ _ T ri -436 �� State surcharge (8% of permit tcc) y - TOTAL PERMIT FEE ! 'rint name: L rcatc: y � ills erm s em o . I TP 180 it days pli after cation it ex has b (res een Ifs ac.epted rit is not Obtained within - as complete. * F ee m ethodology get by'I'ri -County Building Industry Service Board. taWtdtnalpa it • , .dau 06/26/06 440- 4616T(10/O2/COM/W06) CITY OF TIGARD PLUMBING PERMIT P`. q 1 ° COMMUNITY DEVELOPMENT PERMIT #: PLM2007 - 00397 TIGAR 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 8/30/2007 PARCEL: 2S 110DD - 05600 SITE ADDRESS: 10640 SW HIGHLAND DR ZONING: R -7 SUBDIVISION: SUMMERFIELD NO.4 LOT: 156 JURISDICTION: TIG PROJECT: HELSER Project Description: Install new valve and relocate drain. 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: 1 SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES HELSER, MARION P TRUSTEE 10640 SW HIGHLAND DR Description Date Amount TIGARD, OR 97224 [PLUMB] Permit Fee 8/30/2007 $72.50 [TAX] 8% State Surcha 8/30/2007 $5.80 Phone : Total $78.30 axe Contractor: r BATHTUB SOLUTION 3 11747 NE SUMNER PORTLAND, OR 97220 REQUIRED ITEMS AND REPORTS CI Contact # : PRI 503 -595 -8827 Q FAX 503-595-6051 ��'� Reg #: LIC 165987 ' w PL.M PB 312 yr (p / b (/�j "� • .4,..„. 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. A Z, / e Signature: .Q.c /'� I , Issued : / Permittee Si nature l ��c(-- C • - = 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. INSPECTOR'S SIGNATURES ARE NOT Inspections Required for: p 0 0 - 1 - - — ( ) 0 ( 3 ° 1n P9 REQUIRED ON GREEN YNSPECTION.CA R-D. Code I Inspection Description I PASS Date By ./ 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 I 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 910 Sprinkler rough -in PLM - Plumbing Permit 915 Fire alarm rough -in 305 Plumbing underslab 310 Crawl drain 920 Suppression trip test 315 Post /beam plumbing 995 Misc. inspection: ` 998 Alarm final . 320 Plumbing rough -in 91 l 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 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 \Forms \inspCard- AOP- Blank.doc 02/02/07 11 CITY OF TIGARD - BUILDING DIVISION PERMIT #: P LI�200f 00397 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: B/3012001 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 "' �.. INSPECTION WORKSHEET FOR DATE: 9/11/2007 TIME: 7:00AM PAGE: 87 SITE ADDRESS: 10640 SW HIGHLAND DR CLASS OF WORK: SUBDIVISION: SUMMERFIELD NO.4 LOT #: 156 TYPE OF USE: PROJECT NAME: HELSER DESCRIPTION: Install new valve and relocate drain in (2) bathrooms. OWNER: HELSER, MARION P TRUSTEE, PHONE #: CONTRACTOR: BATHTUB SOLUTION PHONE #: 503- 595 -8827 Inspection Request Scheduled For: Date: 9/11/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 055377 -01 503595-8827 Y Corrections /Comments /Instructions: I TA PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 1..J■ nbin.'k- Date: C 1'� {•i (;h Phone #: (503) 718- CITY OF TIGARD , • BUILDING DIVISION PERMIT #: . P,.M2007- 00337 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/30/2007 Phone: (503) 639 -4171 r. �i� Inspection Requests (24 Hrs.): (503) 639-4175 - ,J, INSPECTION WORKSHEET FOR DATE: 9/6/2007 TIME: 7:00AM PAGE: 69 • SITE ADDRESS: 10640 SW HIGHLAND DR CLASS OF WORK: SUBDIVISION: SUMMERFIELD NO.4 LOT #: 156 TYPE OF USE: PROJECT NAME: HELSER DESCRIPTION: Install new valve and relocate drain. OWNER: HELSER, MARION P TRUSTEE, PHONE #: CONTRACTOR: BATHTUB SOL PHONE #: 503.595 -8827 Inspection Request Scheduled For: Date: 9/612007 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 055197 -01 503.595-8827 .N Corrections /Comments/ Instructions: lV1ae -/ 6.:tt, ()kil K PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: (5 -k \" \- Date: 9 \ Ca I. Phone #: (503) 718- . A