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Permit F y4� CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT PERMIT #: PLM2007 - 00329 TIG 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/25/2007 ARD PARCEL: 2S1 11 BD -00508 SITE ADDRESS: 14780 SW 98TH AVE ZONING: R -3.5 SUBDIVISION: DARMEL LOT: 001 JURISDICTION: TIG PROJECT: THORNBURG Project Description: Install 50' of new water service and pipe (3) fixtures. 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: 1 OTHER FIXTURES: TUB /SHOWERS: 1 SEWER LINE: ft WATER CLOSETS: 1 WATER LINE: 50 ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES PHIL THORNBURG Description Date Amount 14780 SW 98TH AVE. TIGARD, OR 97224 [PLUMB] Permit Fee 7/25/2007 $104.80 [TAX] 8% State Surcha 7/25/2007 $8.38 Phone : 503- 639 -9379 Total $113.18 Contractor: RAYBORN'S PLUMBING INC 19990 SW CIPOLE RD. TUALATIN, OR 97062 REQUIRED ITEMS AND REPORTS Contact # : PRI 503- 692 -4139 FAX 503 -691 -2328 Reg #: LIC 87852 PLM 34 -166PB 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 :y: 11 /� j . /_ Permittee Signature: �. f , . CYy1 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. CITY OF TIGARD PLUMBING PERMIT COM MUNITY DEVELOPMENT PERMIT #: PLM2007 - 00329 T,IGARD' 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/25/2007 • PARCEL: 25111 BD -00508 SITE ADDRESS: 14780 SW 98TH AVE ZONING: R - 3.5 SUBDIVISION: DARMEL LOT: 001 JURISDICTION: TIG PROJECT: THORNBURG Project Description: Install 50' of new water service and pipe (3) fixtures. 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: 1 OTHER FIXTURES: TUB /SHOWERS: 1 SEWER LINE: ft WATER CLOSETS: 1 WATER LINE: 50 ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES PHIL THORNBURG 14780 SW 98TH AVE. Description Date Amount TIGARD, OR 97224 [PLUMB] Permit Fee 7/25/2007 $104.80 [TAX] 8% State Surcha 7/25/2007 $8.38 Phone : 503- 639 -9379 Total $113.18 Contractor: • RAYBORN'S PLUMBING INC 19990 SW CIPOLE RD. TUALATIN, OR 97062 REQUIRED ITEMS AND REPORTS Contact # : PRI 503- 692 -4139 FAX 503- 691 -2328 Reg #: LIC 87852 PLM 34 -166PB 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. fl J. Issued y: j��/�f�1 SIG / a� {� � Permittee Signature: ,rZ (y/ (-47(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. -' -, INSPECTOR'S SIGNATURES ARE NOT" ' ,. Inspect Required for. pLM2001_ — D03 2°1 REQUIRED ON GREEN INSPECTION CARD. ✓ Code Inspection Description I PASS Date I By 1 ✓ Code Inspection Description PASS Date By 7 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- Stnucture grading/footing 125 Wall cover 210 Foundation walls 130 Ceiling cover 215 I 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: i 235 Shear walls /anchors 199 Electrical final I ____I 240 Exterior sheathing 245 Firewall 250 Roof nailing ELR - Restricted Energy Permit 255 f Wtr proofing basement walls 135 Low voltage 260 Tilt -up panel 195 Misc. inspection: 265 Masoruy 199 Electrical final 270 Reinforcing steel (rebar) 275 Framing 810 MFG- Structure set -up MEC - Mechanical Permit 280 Insulation - - _ _ 605 Post /beam mechanical I_ 285 Drywall nailing 610 Gas line 287 Suspended ceiling 615 Mechanical rough -in 1 295 Misc. inspection: 620 I Hydronic piping 1 899 MFG- Structure final. _ 625 _ Duct work 498 Grading final — — 630 Fire damper 299 Final inspection I 635 Smoke detector shutdown 640 Exhaust hood 695 Misc. inspection: 699 Mechanical final BUP - Fire Protection System Permit 905 1 Sprinider underfloor /slab 910 Sprinkler rough -in PLM - Plumbing Permit 915 Fire alarm rough in 305 ' Plumbing_underslab Ell 920 Suppression trip test 310 Crawl dram Mil 995 Misc. inspection: la 315 Post /beam .lumbin� 998 Alarm final 320 Plumbin• row . 999 . Sprinkler final 322 Shower .arm r � . 330 Water service / . b' = 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. ins section: 205 Footing + 399 Plumbin final 210 Foundation walls 215 Footing drain I 420 Sprinkler supply lines SWR. - Sewer Permit 495 Misc. inspection: 505 Sanitary sewer 498 Grading final 595 Misc. inspection: r 49`> :'coal inspection 599 Final inspection L I: \ Building \Forms \InspOrd- AOP- Blankdoc 02/02/07 CITY OF TIGARD : - - -,- eL ,, uln, 0O3-2,4 BUILDING DIVISION PERMIT #: 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: Phone: (503) 639 -4171 m iivabNUn���l` Inspection Requests (24 Hrs.): (503) 639 -4175 ��' 'I �„ - INSPECTION WORKSHEET FOR DATE: 1 U f ( / 0 TIME: t • '2 ) . 2- - PAGE: SITE ADDRESS: 1 I 1 h . 0 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message 3 C, elk 'w�(& -.Q Corrections/ omments/lnstr ctions: ( 1/1/04; - 1,e,3 aci0/9\A-(4S 5 \ k&A",-\ \O ; '''^ 4- ( K) cd \') g (6 0 ;) VI - 2- - LI T79, . '' . 4 • s : - " ..e_ it c . x .e., ax I , ' --IAA-+ `2 \651A-LS \NJ k - ; iJ s V1(N S $ L- 1 r 611 1 `-/k CAIN(' 1 C t( Jt �-�� 1 -t'�...e., vy-z..,ei S 40 \ae. c \ol - - -C ` livv -' r-e- q Q vj° ec" a S A , I C A, - .t 1i-c, 1/\/t ! 5 o 4 0 . )1 s W/I-C vy\ &7:k J2 C a •r.‘, A ,(Y‘ ' 'v\5)' (... Mt) - - i - b - (Ay■ 5 ko P) 1 - ' \/ \- 12 .-Irl * '\' \'QX , ed ' A-5 K- \ o ,IL ,-..,. c S 4 A---Q i iv � ' . /' : C s ' l"e.e_, s d ' - \--1.) 1,.,, 1 X/y a L4/Y`, s ► .c. V,C w . 0 G`, `6 v V2t-- rt t , c--- - !. -- - \ A,0 Pre \i-g-v r. 't \Alaext( -12--/i)-1 (A_ P rz ; g (,,k( ()&cceck 7/; o a, ��v..) ) e Ft PASS [, PARTIAL APPROVAL CANCEL n NO ACCESS n FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: j/' (./+ ( Date: 1 6 P / Phone #: (503) 718- CITY OF TIGARD ;/ 13125 BUILDING DIVISION PERMIT #: 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 p�i� +� Inspection Requests (24 Hrs.): (503) 639 -4175 s' INSPECTION WORKSHEET FOR DATE: 4 Y - 2/5 /v'' TIME: PAGE: SITE ADDRESS: ILA J ' ' - CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message +y eLH c &t Corrections /Comments /Instructions: ` � Q 7 i. L�,c.�- S u? S f , (- inn '1,4An ,✓ - -f (3) L1 ,ro l , e--1t4 • \J\- V w� c' ( g =?J ' DA - 7 7 •), . *"t - in,.1 a Le_ z.). Le. Ll)s(---v n PASS PARTIAL APPROVAL CANCEL n NO ACCESS n FAIL 1 1 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: (.� V �_ Date: C W Phone #: (503) 718 -�7�y CITY OF TIGARD BUILDING DIVISION PERMIT #: PL12007 -00329 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/25/2007 Phone: (503) 639 -4171 4 40 +I Inspection Requests (24 Hrs.): (503) 639 -4175 AsiA INSPECTION WORKSHEET FOR DATE: 7/30/2007 TIME: 7:O2AM PAGE: 39 SITE ADDRESS: 14780 SW 98TH AVE CLASS OF WORK: SUBDIVISION: DARNEL LOT #: 001 TYPE OF USE: PROJECT NAME: THORNBURG DESCRIPTION: Install 50' of new water service and pipe (3) fixtures. OWNER: THORNBURG, PHIL PHONE #: 503 - 639.9379 CONTRACTOR: RAYBORN'S PLUMBING INC PHONE #: 503 -632 -4139 Inspection Request Scheduled For: Date: 7/30/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 330 Water service 052946 -01 503. 692 -4139 N Corrections /Comments/ Instructions: Wrvrloot) g PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL n CALL FOR INSPECTION l ADDITIONAL FEES ASSESSED Inspector: ; ` �^' p � Date: 7 13 13 1,, 0 Phone #: (503) 718- Jul. 24. 2007 4:35PM Rayborns Plumbing No, 5893 P. 1/2 rti r i t ''r i t:at, Plumbing Permit Apalie R On ? 0- 1,s, r« ..� 4 ` . ' 5 FOR O FFI @ i1tilC ()NI 1 : 1 t City of Tigard C �' .� RE! •0 :.:/ ive tJ b S Tigard, OR 97223 JV' Permit No (, 2 4 1 , i�1 Pw Phone: 503.639.4171 Fax: 503.598.1960 r * .t, > p t 4h` 1�J Date/By: Other Permit No,: Za Hour Inspection Line: 503.639.4175 � d b , � - Internet. tvww ci.tigard or us Q (/C^t'�p t e f Date sed)Meth y ' 9 S See Page 2 fur LC.dOite 4 t ,*`rve Nottfied/Ivietltod p fi, Spj z , 11p - r * + a+- r ; t S IetG�ota! Information 4 ir li i t.fire {f`.'ytt4 ; i. ,: .*7 - a S E-j . - r _ 4 w . x 1. 4 i,. 7t F"1• ,3 ?1 3�.*� '7.. t {u x ,,.,^�^'�9 .'C"T'•., °� .t I {111 .Si i } r ll�l h tti�ti ; 4 1 t;�J,f , , , ..1.r { �1 t? 5 t E l i:i y l . 1: 4s. t 7 � r t ' 4j1- - @;! :'1 F. #I{t }t rr t,q; ,t . . 4 &: sit rt�1'i:tiLl a.. 3' Sl�iii!...x -: yL .. yam { j,.r .... r +•uN�,c1�.T ,. T - �. t"i, � »5 � f t t I � y t fF r ..r_�� �..�`.r i lt. �. >.....- {P... �e - -t r . ... � 4M C :i "�•��: � ji { 4 � ,. ❑ New construction ❑ Demolition For special information use checklist. �Additton/alteratton/teplacement ❑ Other: Description Qty. 1 Total �t �t'i New 1. 2 - family dwellings (includes 100 ft. for each utility connection) '�iA�� x � x �A`1 �' a t •,, n i-1 w i R �trcJ a�f r -P Sr ^ 1 ^r!r S'Sk t� ..la�rU i) � ._ t?. . , ? 4rE, '� i �n t, �n e�� t r � 2 } ? 4 ' 1 Fs, SFR 1 bat 9.20 :.x0 .., ?ii.._, ix r'L,.�.-^Iri. �t4+_ -x.: , .�! _:. �� 4t_i3 ( ) 24 .I- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 III Accessory building CI Multi-family SFR (3) bath 399,00 0 Master builder ED Other: Each additional bath/kitchen 45,00 I i {.�,y t om' ,, �r 3 3S r ~ u rr r „ m y ..,, i Fire sprinkler ( sq. ft) Page 2 .,. l�a I1t. /...-g-,. ?' 9 I 4 u ` {8 F I.; t II0,,nt ( t fPO_ d I{ i t t xu it.. to -.:.T r, .. 1), a, =111 . )'l � 0,,,, :2.�` ;:::: l x t4.,,,...,.--.9.0 C ,.i:11 Site utilities Job site address: /' 1? O v F- m • Catch basin or area drain 16.60 City /State/ZIP: % /'c ( - 4 ,, C) 17; 5' Drywell, leads line, or trench drain 16.60 Suite/bldg. /apt. no.: f Project name: Footing drain (no. linear ft.: ) Page 2 Cross street/directions to job site: t /4j I''ui 5. 6 S S ' ' / Manufactured home utilities i 16.60 • �� c° Manholes 16.60 Rain dram connector 16.60 Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear R: ) Page 2 Subdivision: l Lot no.: - Water service (no. linear ft.: / Page 2 .5''S h Tax map /parcel no.: ' Fixture or item w _ p p� g Absorption valve 16.60 it 1 - ix V '(r t� I FT 1 t d. '�N �n7 4 ?� }S AIr;. I,.., V ' f A7 4 -. i , » • - ' / 5.Z =tn :• - ' ' ° 1 t t Ba preventer Page 2 L c7C S40!0'j W Backwater valve 16.60 A3,1*JJlei 1 s1 f-c_ Clothes washer W 16.60 Dishwasher 16.60 re /� a t ° f ' T a� � I T i 1 ' i T , , t r f) ce -Y Vii' � ..l si, 9 , , Drinking fountain 16.60 ✓ :-' . ilitl i r F I1 ,.i ->,,�d i ?..il L ; - 7 .,..t.l,l :. rL_.?;;:*..,* E, ..., f . t - E " } Ejectors/sump 16.60 Name: � � � / ,,...-g 4/ rq Expansion tank .16.60 i Address: / .-?6,- U _, 98' 1 ' AU, Fixture/sewer cap 16.60 City /State/ZIP: 7 e 5 Og 72 a___.- Floor drain /floor sink/hub 16.60 Phone: ( jl " / _ '. 3 7 Fax; ( ) Garbage disposal 16.60 - r, , [ z � a� 'ra .,., ^ t -tt r � r' 1 L(O e it n t 7 it 7 s} ri en .f ,�I�.l' ] �y yTl m� M. f ..1- c cl $ bib 16.60 Lae 't , ,'• 44' q: 4-::1;31:7-',12.5.1:1:3° � F iit F=T L t' . r N Il t d t J� f 0::} r ! F - t ..3L�C x 'ltst ^ ,`,Li i.� �kt . �� hn . .. � .,. > ; `! r.�a:.� .C..�.,raj_�'. Ice maker 16.60 - Business name: gr ,�,,. �t a=7 fa Interceptor /grease trap 16.60 Contact name: ¢ U 4 r C ``� Medical gas (value: $ ) Page 2 Address; / 5 9 fG S cc4c42./4 - _Q Primer 16.60 City /State/ZIP / : 5/A r� C�� c l - l ' ?D (z...... Roofdrain (commercial) 16.60 ��)Z Fax::( Sink/basin/lavatory j 16.60 / (o ( Phone: .7 - & 6 � Z ? 2 Tub /shower /shower pan j 16.60 E -mail: ��' t 0 ';,,RA '.',1a1 n '�i t+! {33 n{ r { �i$$t. a i nn , n� rc t , tc o pr p r � kri i. Urinal 16.60 ;. Ott '.,E` t {1 l;'y:.. t C.. igii lit rt W 1?iti:i11 Z4t 01 c$ E " , - ttl1. ,r �- I :a::.ss� �_�i.,ZI. '.xi'a � ,ia:x, :b .t. be.:6x:14° z r .., >rI� , ,; + f., Water closet / 16.60 i(- 60 Business name: / e 4( t p(�, Y , r ,Z /A- c-- Water healer 16.60 Address: / f Z.G (^ G2✓ ( Other: City /State /ZIP: ° JO e is 1 C•( ' 7d 6� Subtotal / Minimum permit fee; $72.50 Phone: (cj3) 6 4 ' j ,t/ S 9 _ CCB Lic.: cS '7.5Z..... Fax: (53) b 7 - /7 1g- Residential backflow minimum permit fee: $36.25 j G 7.-010 g 3 o . 1�� Plan re view 25% of cunt fee '� Plumbin Lic. no.: _ ( p ) arge (8% f erm pit £ee) 3 Authorized signature: State surch TOTAL P FEE pl, , ! Print name: �� �� Date: `7_ ,.._,.,;7 This 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. 1110 ildide \ Permits \PLM- PermitApp,doc 06!05 440 -4d I GIGO /O2/COWNED)