Permit .CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00455
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/9/2007
PARCEL: 2S109DA - 04900
SITE ADDRESS: 15316 SW GREENFIELD DR ZONING: R -
SUBDIVISION: SUMMIT RIDGE LOT: 026 JURISDICTION: TIG
PROJECT: WIESKE
Project Description: Add (2) laundry sinks.
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: 2 URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
JAMES WIESKE
15316 SW GREENFIELD DR Description Date Amount
TIGARD, OR 97224 [PLUMB] Permit Fee 10/9/2007 $72.50
[TAX] 8% State Surcha 10/9/2007 $5.80
Phone : 503- 866 -1713 Total $78.30
Contractor:
BEAVERTON PLUMBING INC
13980 SW TUALATIN VALLEY HWY
BEAVERTON, OR 97005 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 643 -7619
FAX 503- 643 -7620
Reg #: LIC 12889
PLM 34 -4PB
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0100. You may obtain copies of
these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issu d By: / l r ALLA Permittee Sign ure:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Oct 04 07 04:25p Beaverton Plumbing Inc 5036437620 p.4
inhing Permit Application 1, I O R 01.'1 ICE. t' s1 O N i `�.' _# � fyrs
y � t " City of Tigard fl"..) F = 1 1' e* m i l N o. :� Pte 4 9 Tird aR ).tr e. 1 E flIE i Y , l_M CS
Plan Keview
i l 11 5. Phone: 503.639,4171 Fax: 503.59$.1960 1} te/fy: Other Permit No.;
,` =. Inspeclson Line: 503.639.4175 O C T 4 2007 Doe lte/aly/By: bra. 0 See r 2 r r
t TIC IA RD'
d r -h., .., Internet: www Tigard- or,gov _ _ Notified/Method: 1 � 1 rornmrinn
— TYPE OF Ite,+ >!. T" .1;....... w • h,� . , . S FEE ScIWOULE
Q New construction ■ . mo Ilion _ i forr►Wlon use check/is
Dcscnplion 1 QtyTE . total
C3 A ddition /alteration /replacement ❑ Other: New Jl. 2- family dwellings (includes 100 R. for each u laity conncclion)
CATEGORY or CO STRUCT1QN •;•
N • SFR (1) bath 249 20
Errand 2- family dwelling ❑ Commercial/industrial SFR (2) bath 1 00
❑ Accessory building CI Multi•family SFR (3) bath r. 0 0
Each additional bath/kitchen 00
(] Master builder ❑ Other: .
Fire sprinkler ( _ sq. ft.)
JOB SITE`iNFORMA'I'ION AND:.Y�O('A ...'...: . Site milkier. •
Job site address: .A lik. Catch basin or wren drain 1. 60
^City /Slatc/7IP: 1,, r Y' �- • _ ( _ . Drywcii, leach tine, or trench drain 1(
Suite/bldg.apt no.: Project m une: v \ t .,. �LC� Footing drain (no. linear ft.: ) p„ 2
Manufactured home utilities 11 r 00
Cross strccUdireclions to job site: _
-�� Manholes I .60
_ Rain drain connector 1. 60
Sanitary sewer (no. linear ft.: _ ) P. 2
Storm sewer (no. linear ft.: ____) P z 2 -
,. Subdivision; lot no.: Water service (no, linear ft,; ) Pal. ,.
Tax map /parcel no,:
Fixture or item
. . Absorption valve I - 60
_____ _ b4:SCRIPTION Olt W.ORK • . .. • - Backflow pmenter Pa E. 2
x O. . dm r . t III Hnekwarer valve 1 60 `^
Clothes wa her 1.60
Dishwasher 1., 60
— _ ❑ PROPERTY O Drinking fountain 1. 60
. I :. Q > 'CENAM'. .—
- 1•:jectots/sump 16 60
Name: _
Expansion tank _ I , 6()
Address: M^ Fixturc/scwer cap 16 60
City /State/ZIP; Floor drain /floor sink/hub 1660
Phone: ( ) Fax: ( ) Garbage disposal _ I. 60
APPLICANT 0:(:-,01 ?At; 7`'PR1tSON _ Hose bib 1( 60
0
—
Business name: lee maker IL 60
-- Interceptor/grease Trap (0
Contact name: Medical gas (value: $ ) I Pa
Address: Primer 16
City/State/ZIP: Roof drain (commercial) 16 60
•
I ( ) Sink/basin/lavatory " 2 , • , 60
Phone:( ) Fax ::
L -mail;
-« Tub /shower /shower pan 60
— --
Urinal
!
CON] ACtOk ^ .. Water closet 60 •
Business name: BEAVERTON PLUMBING, INC. Water beater - , 6
Address: 13980 SW TUALATIN VALLEY ItwY Other: T
__
City /Statc/ZIP: BEAVERTON. OREGON 97005 Sttbt 1 3� -
Minimum permit fee: $72 50
- Phone: (503) 643_7619 Fax: (503) 643.7620 Residential backfow minimum permit Ice: $36 25 - •-
CCB Lic,: 121189 Plumbing Lic. nn.: )4-4PB Plan review (25% of permit r e) -
lb 1 (: r, p ,,_, State surcharge (6% of permit ) ej • C
Authorized siGn:uure: ", v �fUTAL P ERMIT FEE;
1 .
Print name; �, Date: This permit application expires if a permit is not II gained within
1 �.r o� I `�- ��� 180 ys after it has been accepted as eon plete.
`Fee methuduki y set by 1 County Building Industt., Service Board.
1 utuildini dPer mils.LM•Per mil n pp,doc 06/26/06 440-4616T(101021CbM,WE 1)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: pI_M2O()7 t?pt a ,5
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/9/2007
Phone: (503) 639 -4171 ?.
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10/30/0007 TIME: 7 :O2AM PAGE: 38
SITE ADDRESS: 16 Th SW GRFENFIELD DR CLASS OF WORK:
SUBDIVISION: ,.:;UM1v1IT RIDGE LOT #: 026 TYPE OF USE:
PROJECT NAME: WUIFESKE
DESCRIPTION: Add (2) laundry sink.
OWNER: WFSKE, JAMES PHONE #: 603-866-1713
66 --1713
CONTRACTOR: E ;EAVEPTON PLUMBING INC PHONE #: 503 - 643 -7619
Inspection Request Scheduled For: Date: 10/30/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 058Ee10-01 503. 643 - /6'19 Y
Corrections /Comments /Instructions:
Coltoc'1 r✓ < 1 e - (
PASS I I PARTIAL APPROVAL CANCEL I I NO ACCESS
n FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: ill-A-11 h'^ Date: /dP Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PI..flA2007..00465
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/9/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 ' 1. ■
INSPECTION WORKSHEET FOR DATE: 10/11/2007 TIME: 7:O1Aiyi PAGE: ri
SITE ADDRESS: 1r SW GREENFIELD DR CLASS OF WORK:
SUBDIVISION: SUMMIT RIDGE LOT #: 026 TYPE OF USE:
PROJECT NAME: WII' SKE
DESCRIPTION: Add (2) laundry sinkx .
OWNER: WIESKE, JAMES PHONE #: 503.866 1713
CONTRACTOR: BEAVERTON PLUMBING INC PHONE #: ,303-643.7619
Inspection Request Scheduled For: Date: -ion. 2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 067413-01 503.643-7619 N
Corrections /Comments/ Instructions:
PASS pi PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS
FAIL 1 I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: CThr - ; A>< Date: j'0 ` �`� ) - 0"1 Phone #: (503) 718-