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Permit f` l , rt a CITY TIGARD ® PLUMBING PERMIT ° ® /°' PERMIT #: PLM2006 -00597 � �° � COMMUNITY DEVELOPMENT DATE ISSUED: 12/21/2006 Ti CARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 - - - -- - PARCEL: 2S111 DD -02600 SITE ADDRESS: 08870 SW HAMLET ST ZONING: R -4.5 SUBDIVISION: STRATFORD LOT: 032 JURISDICTION: TIG Project Description: Remodel (2) bath and kitchen. Other fix. refer. drain into crawl space. 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: 2 OTHER FIXTURES: 1 TUB /SHOWERS: 2 SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES GRAHAM JACOBSON Description Date Amount 8870 SW HAMLET TIGARD, OR 97223 [PLUMB] Permit Fee 12/21/200€ $99.60 [TAX] 8% State Surcha 12/21/200( $7.96 Phone : NA Total $107.56 Contractor: DLH PLUMBING PO BOX 3309 OREGON CITY, OR 97045 REQUIRED ITEMS AND REPORTS Contact # : PRI 503- 632 -4815 FAX 503- 632 -4819 Reg #: LIC 158878 PLM 3 -506PB 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: r u Permittee Signature: -- e- \ T 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. Dec 21 06 09:07a David Harris 503 - 632 -4819 p.1 i Plumbing Permit \1 Applicati0` x, .` ? .. Wit: 11 .-, _ 9 k()I,I i( Fl us E (1 1r ''r ,� (Y.4.'" - ' gl- �+ ;.riT r r + : t,) 7a _ m .�Yt At.: _..t ,. ,r • calved Al Cit o Ti gar d DawBy: I . .P \ 0(p Penn"' - - ` b '- r -lr/ • 13125 SW Hall B lvd., Tigar OR 97223 Phone: 503.639.4171 Fax: 503.598.1961 Plan Review a, /: " )E 1 006 Date/By: Other Permit No.: 1.1ti1e Inspection Line: 503.639.4175 uUCCtr 1 [ Date Ready/By: 6d See Page 2 for TIGAl2D; y r` , Internet: www.tigard- ot.gov Notified/Method: Supplemental Informmien TYPE OF WO V ' 1 111 - 1.� ' ' . i FEE* SCHEDULE ❑ New construction ItOl5t18At - 1 )11TT f ` For special information use checklist Description 1 Qty. 1 Ea. j Total ® Additio 'n/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath 24920 ® 1- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi - family SFR (3) bath 399.00 Each additional bath/kitchen 45.00 ❑ Master builder ❑ Other: Fire sprinkler ( sq. R) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities • Job site address: 8870 SW Hamlet Catch basin or arca drain 16.60 City/State/ZIP: Tigard, OR. 97223 Drywell, leach line, or trench drain 16.60 Suite/bldg./apt. no.: Project name: Footing drain (no. linear it.: _) Page 2 Manufactured home utilities 110.00 Cross street/directions to job site: SW Ilamlet & 88 Ave Manholes 16.60 Rain drain connector (6.60 Sanitary sewer (no. linear ft.: _) Page 2 Storm sewer (no. linear ft.: ) Page 2 Subdivision: Lot no.: Water service (no. linear ft.: ) Page 2 Fixture or item Tax map/parcel no.: Absorption valve 16.60 DESCRIPTION OF WORK Backflow preventer Page 2 Remodel 2 bathrooms and kitchen, ► ng Backwater valve 16.60 Change shower to tile shower, change tub/shower to tile shower, water lines for Clothes washer 16.60 showers, lav's, kitchen sink, ice box, into crawl space. Dishwasher 16.60 0 PROPERTY OWNER 1:1 TENANT Drinking fountain 16.60 Ejectors /sump 16.60 Name: Graham Jacobson Expansion tank 16.60 Address: Fixture/sewer cap 16.60 City/State/ZIP: Floor drain/floor sink/hub i 6.60 Phone: ( ) Fax: ( ) Garbage disposal / 16.60 ® APPLICANT 171 CONTACT PERSON Hose bib 16.60 Ice maker 16.60 Business name: DLH Plumbing Interceptor /grease trap 16.60 Contact name: David Harris I Medical gas (value: $ ) Page 2 Address: PO Box 3309 Primer 16.60 City/State/ZIP: Oregon City, OR 97045 Roof drain (commercial) 16.60 Phone: (503) 6324815 Fax:: (503) 6324819 Sink/basin/lavatory Z/ frti 16.60 Tub /shower /shower pan 1 / 16.60 E -mail: dlhplumbing @gmail.com Urinal 16.60 CONTRACTOR Water closet 16.60 Business name: DLH Plumbing Water heater 16.60 Address: PO Box 3309 Other: G / - Subtotal City/State/ZIP: lP: Oregon City, OR. 97045 (�,� � It.. / � mum permit fee: $72.50 % / n - Phone: (503) 6324815 Fax: (503) 6324819 0,7 Residential backflow minimum permit fee: 536.25 i tW CCB Lic.: 158878 a7 p Plumbing Lic_ no.r Plan review (25% of permit fee) State surcharge (8% of permit fee) ? ,y Authorized signature: 4 G TOTAL PERMIT FEE /0 ? .6 Print name: David Harris Date: 12-21-0 Thls permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. 1. 1BuiIdin51PmnitaOLM- PvmitApp.doc 0676106 440-4616T( I 0/ COMIWEB) 1 --I - °? • CITY OF TIGARD BUILDING DIVISION PERMIT #: PI_M2006.00 0B7 13125 SW Hall Blvd., Tigard, OR 97223 = DATE ISSUED: 1212112006 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 ^•' I.. INSPECTION WORKSHEET FOR ,DATE: 2115 /2007 TIME: 7 :00AM PAGE: 6 SITE ADDRESS: 088170 SW HAMLET ar CLASS OF WORK: SUBDIVISION: STRATFORD LOT #: 032 TYPE OF USE: PROJECT NAME: JACOBSON DESCRIPTION: Remodel (2) bath and kitchen. Other fix, refer. drain into cowl spz OWNER: JACOBSON, GRAHAM PHONE #: NA CONTRACTOR: DLH PLUMBING PHONE #: 503 - 632 -4015 Inspection Request Scheduled For: Date: 7.1 15f2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 3119 Plumbing final 043463 -01 503-314-5674 N Corrections /Comments /Instructions: 011r..4 Ara 01 .3 I I I _ ArA _ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL n CALL FOR INSPECTION 1 I ADDITIONAL FEES ASSESSED Inspector: -V Date: j 5/ 6' 7 Phone #: (503) 718- 7-0 CITY OF ��no n ��m� m m��a�� BUILDING DIVISION PERMIT #: pLM2006-00597 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/31/2006 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 A~ 11, INSPECTION WORKSHEET FOR DATE: 1I/18/2006 TIME: 7:01AM PAGE: 2 SITE ADDRESS: O887OGW HAMLET ST CLASS OF WORK: SUBDIVISION: STRATFORD LOT #: 032 TYPE OF USE: PROJECT NAME: JACOBSON) DESCRIPTION: Remodel (2) bath and kitchen. Other fix. rmfer drain into crawl space. OWNER: JACOBSON, GRAHAM PHONE #: NA CONTRACTOR: DLMpLUkAB!N6 PHONE #: 603'63I'4815 Inspection Request Scheduled For: Date: 12128H2000 Pour Time: Code # Inspection Description Confirm # Contact # Message 322 Shower pan 041589-02 503-314'5874 N Corrections/Comments/Instructions: PASS PARTIAL �� CANCEL �� , �� . . NO ACCEF F ri FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: r z4 f=° Date: Phone #: (503) 718- � ' CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM200G- 00%97 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/210006 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 12/213/2006 TIME: 7:01AM PAGE: 3 SITE ADDRESS: 08870 SW HAMLET ST CLASS OF WORK: SUBDIVISION: STRATFORD LOT #: 032 TYPE OF USE: PROJECT NAME: JACOBSON DESCRIPTION: R (2) bath and kitchen. Other fix. refer. drain into crawl space. OWNER: JACOBSON, GRAHAM PHONE #: NA CONTRACTOR: DLH PLUMBING PHONE #: 603 -632- 4815 Inspection Request Scheduled For: Date: 12./280006 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 041589 -01 503 -314 -5574 1 Corrections /Comments /Instructions: l 1 PASS ❑ PARTIAL APPROVAL El CANCEL NO ACCESS FAIL n CALL FOR INSPECTION 1 1 ADDITIONAL FEES ASSESSED Inspector: C"r t . P Date: /2--/Ze5 06 Phone #: (503) 718- . CITY OF ��nn m m�'m� mnm�|�n��p . BUILDING DIVISION . PERMIT #: PUW2006-00r.97 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/21/2005 Phone: (503) 639-4171 '^ Inspection Requests (24 Hrs.): (503) 639-4175 ~�W� ^� INSPECTION WORKSHEET FOR DATE: 12/27/2080 TIME: 7:O0Am PAGE: � / SITE ADDRESS: OB8yOSVV HAMLET ST CLASS OF WORK: SUBDIVISION: STRATFORD LOT #: 032 TYPE OF USE: PROJECT NAME: JACOBSON DESCRIPTION: Remodel (2) bath and kitchen. Other fix. refer. drain into crawl space. OWNER: JACOBSON, GRAHAM PHONE #: NA CONTRACTOR: DLH PLUMBING PHONE #: 603-632-4815 lnspection Request Scheduled For: Date: 12y27/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 P|umnbinQrou8h'in 041545'01 5O3-314-5047 N • • • �� PARTIAL �� CANCEL pi NO ACCESS �- � � __ 1771 ", ^ |L Ti CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: x� '/' /�� • Date: r) C2 �~ Phone #: (503) 718- Z- ' ' '" CITY OF ��xn x m"�m� mw��xn�� ----BUILDING DIVISION . PERMIT #: PLM2006-00597 13125 SW Hall Blvd., Tigard, OR 97223 • DATE ISSUED: 12n1/2006 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 12127/2005 TIME: 7:O0Ahd PAGE: SITE ADDRESS: D887OSVV HAMLET ST CLASS OF WORK: SUBDIVISION: 3TRATF0RD LOT #: TYPE OF USE: PROJECT NAME: JACOBSON • DESCRIPTION: Remodel (2) bath and kitchen. Other fix. refer. dram Other hx, refer. drain into raw pace. OWNER: JACOBSON, GRAHAM PHONE #: NA CONTRACTOR: DLMpLUMBIN6 PHONE #: 5O3-5314815 Inspection Request Scheduled For: Date: 12y27/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 322 Shower pan 041645-02 503-314-5647 N Corrections/Comments/Instructions: • --__ - ` E PARTIAL �� CANCEL | | NC)ACCESS � �- �� . . CALLFOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: Date: r7/06 Phone #: (603) 718' INSPECTOR'S SIGNATURES ARE NOT Inspections Required for: PLM2006 -00597 REQUIRED ON GREEN INSPECTION CARD. ✓ Code Inspection Description PASS Date I 'isy ✓ Code I 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 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 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 1: \Building \ Inspection Cards \Forms \AOP- InspCard- Blank.doc 12/09/2005