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Permit
• • fi a CITY OP TIGARD IGARD / O PLUMBING PERMIT PERMIT #: P - 7 COMMUNITY DEVELOPMENT LM2007 0023 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/7/2007 PARCEL: 1S126DC-03800 SITE ADDRESS: 09255 SW CORAL ST ZONING: R - SUBDIVISION: LEHMANN ACRE TRACT LOT: 001 JURISDICTION: TIG PROJECT: FISHER Project'Description: Install clothes washer, install kitchen sink and hose bib (see other). 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: 1 URINALS: GREASE TRAPS: LAVATORIES:. OTHER FIXTURES: 1 TUB /SHOWERS: SEWER LINE: ft WATER CLOSETS: 1 WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES MIKE & RAN FISHER 9255 SW CORAL'ST .Description Date Amount TIGARD, OR 97223 [PLUMB] Permit Fee 6/7/2007 $72.50 [TAX] 8% State Surcha 6/7/2007 $5.80 • Phone : 503- 669 -4200 Total $78.30 Contractor: WOLCOTT PLUMBING CONTRACTORS PO BOX 20698 " PORTLAND, OR 97294 REQUIRED ITEMS AND REPORTS Contact # : PRI 503- 235 -8784 FAX 503- 491 -2932 Reg #: LIC 23847 PLM 26 -208PB 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 B .0/41 . Permittee Signature: /3p / I 'c z7 dv • 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`umbiing Permit A p1ici ion -- - 1111 11 FOR OFFICE USE ONLY of Tigard � <'''•'.. Receives Go Permit No. u 13 12 5 SW Hall Blvd Tig¢rd, 0 7 3`}�', �`" c ^ Dnr • � : �( , t" , 7 - - 607� - 11 . Phone: 503, 639.4171 Fax: 50 . " 196.0''' i Plan Review p �'u c° ��� D lrer rmit No: . TIGARD Inspection Line: 503,639.4175 p� ( ( e Ot P *4 -WWI Internet: www,tigard- or,gov J� \ a Umc Rcrody /Ry: Pe© 2 i �' Nntificd/Motltncl; "�� � ��, Supplrmcntol See Pngc I rnr nronnntinn TYPE OF WORIir<-5, ° . � ,`•;,. \`, • FEE* SCHEDULE '] Now construction aa, " '` ` - OGnoltttnn For special information rise checklist st Addition/alteration/re lacement Description j Qtv. I Ea. Tarsi P ❑Other: New I- 2- family dwellings (includes 100 R. for each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath 249.20 — Ta I- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350,00 El Accessory building ❑ Multi- family SFR (3) bath 399.00 Each additional bath /kitchen 45,00 ❑ Master builder ❑ Other: - JOB SITE INFORMATION AND LOCATION • - Fire sprinkler ( sq. ft,) Page 2 42' $ - Site utilities Job site address: Caatch basin or area drain 16.60 City /State/ZIP: `` e .5 -- Drywcll, leach lint, or trench drain 16.60 Ai Suite /bldg, /apt. no.: Project name: ? WAIIIWO/ _Footing drain (no, linear fl.. ) — Page 2 - Cross street/directions to job site: �� "7/ �� Manufactured home utilities 110.00 — Manholes 16.60 Mill Rain drain connector 16.60 � Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no, linear t).: ) Pagc 2 Subdivision: (Lot no.: Water service (no. linear ft.; ) Tax map /parcel no.: l Fixture or item ton valve Absorption 16.60 .'b!1':S'CFC!PTION • OF • _: r cventer Page � />�j, /� /(02- `' Back(Iuw Backwater 2 f : 1 , ,,,, , y r . , / �1J 16.60 MUM Clothes washer . 16.60 ram Dishwasher 16.60 ...i ROp!'RTY OWiY .. .d. TCNA 1T ;`.,. ' :- , Drinking fountain 16.60 Name: � , r� F.jcctors /Sump A ` ��� - � r Expansion tank 16,60 Address: ! L �)�� / ' �� Ii�ICL� / Fixture /sewer cap 16,60 Mil City /State /GIP: �� O r L i Floor drain/floor sink/hub 16.60 Phone: ( ' � 1F -- ,a1r, ��( ) Garbage disposal 16,60 • APPL C .. - (lose bib V . Q: ('+D.NTAC'1: P)GR5FJIV' • ::::' r 16.60 ANT Business name: WOLCOTT dba JACK HOWK ak: BENJAMIN FRANKLIN MU !cc maker 16 - Interceptor /grease trap Contact name; 16.60 Medical gas (value: $ ) Page 2 Address: P.O. BOX 20698 Primer 16,60 City /State/Z1P: PORTLAND OREGON 97294 Roof drain (commercial) NM Phone: (503) 235-8784 Fax; ; (503) 491 -2932 Sink/basin/lavatory It 16.60 VI-- E-mail: — Tuh /shower /she giril 16.60 . Urinal • C ONTRit C TOR 6.60 1 �.: : . :.:. : �j % c� �� 16,60 Business name: WOLCOTT dha JACK HOWK aka BEN FRANKLIN PLUMBING 16.60 Address: P.O. BOX 20698 , rear r /v WPM City /State/ZIP: PORTLAND, OREGON 97294 A 'I1 Subtotal ` 1 Minimum permit fee: $72.50 Phone: (503) 235 -8784 Fax; (503) 235 -8784 /� idcntial hacktlow minimum permit fee: $36.25 1 CCB Lic.: 23847 Plumbing Lic. no.; 26 -208PB Plan review (25% of permit fee) Authorized signature; r7rrr a State surcharge (8% of permit fee) 1111001 TOTAL PERMIT F - r�V� Print name: IL ) / i � Date � ��� This per it applicntinn expires if aif a permit is not q talc rt f: •1► wr r : >' aya after it has been accepted as tom .1 *Fee me I Zology set by Tri Counry Building Industry Service Board. I. \Duiddi FAX BACK TO JACK HOWK a, (5011 -2932 CITY OF TIGARD • ....... PLUMBING PERMIT Lir COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00237 TIGA 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/7/2007 PARCEL: 1S126DC-03800 SITE ADDRESS: 09255 SW CORAL ST ZONING: R -9 SUBDIVISION: LEHMANN ACRE TRACT LOT: 001 JURISDICTION: TIG PROJECT: FISHER Project Description: Install clothes washer, install kitchen sink and hose bib (see other). 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: 1 URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: 1 TUB /SHOWERS: SEWER LINE: ft WATER CLOSETS: 1 WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Owner: • FEES MIKE & RAN FISHER 9255 SW CORAL ST Description Date Amount TIGARD, OR 97223 [PLUMB] Permit Fee 6/7/2007 $72.50 [TAX] 8% State Surcha 6/7/2007 $5.80 Phone : 503- 669 -4200 Total $78.30 Contractor: WOLCOTT PLUMBING CONTRACTORS PO BOX 20698 PORTLAND, OR 97294 REQUIRED ITEMS AND REPORTS Contact # : PRI 503- 235 -8784 • FAX 503- 491 -2932 I'. EXPIRE') Q ' Reg #: LIC 23847 c ta PLM 26 -208PB ► VI 4V0 D { w t ,:.....: ... ....... .. ..... -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. Issued By;--- ' iii - ,) /`� j L li2/" Permittee Signature: fi - / C" , ( /`' r ' f 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. ptM2069- - 0e REQUIRED ON GREEN INSPECTION CARD. ✓ Code Inspection Description PASS Date By j ✓ Code Inspection Description PASS Date 1 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 1 270 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: x 320 Plumbing rough -in 998 Alarm final 322 Shower pan 999 Sprinkler final 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 v 395 Misc. inspection: 205 Footin ^ g 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 \Fomu \InspCard- AOP- Blankdoc 02/02/07 i - f CITY OF TIGARD BUILDING DIVISION • - PERMIT #: PLM2007- 00237 13125 SW Hall Blvd., Tigard, OR 97223 " DATE ISSUED: 6/7 /2007 Phone: (503) 639 -4171 ill Inspection Requests (24 Hrs.): (503) 639 -4175 L. °:_.. INSPECTION WORKSHEET FOR DATE: 6/8 /2007 TIME: 7:01AM PAGE: 47 SITE ADDRESS: 09255 SW CORAL ST CLASS OF WORK: SUBDIVISION: LEHMANN ACRE TRACT LOT #: 001 TYPE OF USE: PROJECT NAME: FISHER DESCRIPTION: Install clothes washer, install Idtchen sink and hose bib (see other). OWNER: FISHER, MIKE & RANDI PHONE #: 503 - 66941200 CONTRACTOR: WOLCOTT PLUMBING CONTRACTORS PHONE #: 503-2358784 Inspection Request Scheduled For: Date: 6/8/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 049830 -01 503-235 -8784 Y Corrections /Comments/ Instructions: p,.. N\ ',I ❑BASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ! r � Date: 1 Phone #: (503) 718 _44_