Permit ?' CITY O F T PLUMBING PERMIT
' - COMMUNITY DEVELOPMENT PERMIT #: PLM2008 - 00179
TIGn.I 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/30/2008
PARCEL: 1 S 134AC -01400
SITE ADDRESS: 11405 SW IRONWOOD LP ZONING: R - 4.5
SUBDIVISION: ENGLEWOOD LOT: 042 JURISDICTION: TIG
PROJECT: TANADA
Project Description: Replacing (2) lavatories, (2) water closet and (2) tubs.
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: 2 OTHER FIXTURES:
TUB /SHOWERS: 2 SEWER LINE: ft
WATER CLOSETS: 2 WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
ANNA TANADA
11405 SW IRONWOOD LOOP Description Date Amount
TIGARD, OR 97223 [PLUMB] Permit Fee 4/30/2008 $99.60
[TAX] 12% State Surch 4/30/2008 $11.95
Phone: 503 -590 -4190 Total $111.55
Contractor:
STANDARD PLUMBING + HEATING
PO BOX 19205
PORTLAND, OR 97280 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 246 -3338
FAX 503- 244 -1279
Reg #: LIC 00007309
PLM 26 -72PB
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 —r Permittee Signature: .--. .. ,, LQ,
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.
Al i . ng Permit Application
Building Fixtures Y1 � 627.4
' . i ;, a - ' „ - ,,. • , u _
City of Tigard Received 3 � �/jiJ�)_. r I /
ermit No.: R ` fa �� V r
,i1 -0 n v 13125 SW Hall Blvd., Tigard, OR 9
OQ Plan Review
s r Phone: 503.639.4171 Fax: 503.59 19 0 3 �- Other Permit No.:
P\ D ate /By:
q Inspection Line: 503.639.4175 p` ` \ i VDat Ready/By Juris: ® See Page 2 for
y .L--,.. Internet: www.tigard- or.gov .- °: ; '°f`
�1 ti•Ofied/Method: Supplemental Information
�
TYPE OF WORK CX ,, �� FEE* SCHEDULE . •
` ,
❑ New construction ❑ De Ia � ° t m�ry ' For special information use checklist
Y" Description 1 Qty. 1 Ea. 1 Total
® Addition/alteration /replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection)
CATEGORY OF .CONSTRUCTION SFR (I) bath 249.20
® 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. ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities
Job site address: 11405 SW Ironwood Loop Catch basin or area drain 16.60
City /State /ZIP: tigaard Oregon 97223 Drywell, leach line, or trench drain 16.60
Suite/bldg. /apt. no.: I Project name: ) G+i� Footing drain (no. linear ft.: _) Page 2
Manufactured home utilities 110.00
Cross street/directions to job site:
Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear It: _) Page 2
Storm sewer (no. linear ft.: _) Page 2
Subdivision: I 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
replaceing ( 2 ) tubs, ( 2 ) w /c's ( 2) Iav's using same existing rough -in Backwater valve 16.60
Clothes washer 16.60
, Dishwasher 16.60
® PROPERTY OWNER Drinking fountain 16.60
❑ TENANT
Ejectors /sump 16.60
Name: Anna Tanada Expansion tank 16.60
Address: 11405 SW Ironweood Loop Fixture /sewer cap 16.60
City /State /ZIP: Tigard Oregon 97223 Floor drain/floor sink/hub 16.60
Phone: (503)590 -4190 Fax: ( ) Garbage disposal 16.60
® APPLICANT ® CONTACT PERSON Hose bib 16.60
Ice maker 16.60
Business name: Standard Plumbing & Heating Co Inc. Interceptor /grease trap 16.60
Contact name: Donald Alton Medical gas (value: $ ) Page 2
Address: 8318 SW Spruce Primer 16.60
City /State /Z_1P: Portland , Oregon 97223 Roof drain (commercial) 16.60
Sink/basin/lavatory 2 16.60 33.20
Phone: (503) 246 -3338 I Fax:: (503) 244 -1279
Tub /shower /shower pan 2 16.60
E -mail: don9er @comcast.net 33.20
Urinal 16.60
CONTRACTOR Water closet 2 16.60 33.20
Business name: Standard Plumbing & Heating Co. Inc. Water heater 16.60
Address: 8318 SW Spruce Other:
Subtotal 99.60
City /State /ZIP: Portland. Oregon 97223
Minimum permit fee: $72.50
Phone: (503) 246 -3338 Fax: (503) 244 -1279 Residential backflow minimum permit fee: $36.25
CCB Lic.: 07309 / l / v Plumbing Lic. no.: 26 -72PB -7( /v y Plan review (25% of permit fee)
State surcharge (12% of permit fee) 11.95
Authorized signature: �` TOTAL PERMIT FEE 111.55
Print name: Donald E. Alton Date: 4/29/08 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.
I:'Building'Permits\PLMF- PermitApp.doc 12 /27/06 440- 4616T(10/02 /COM/WEB)
CITY OF TIGARD t- 4
BUILDING DIVISION PERMIT #:PL04200-00 n9.
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639-4171 'I .
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: CI 1OQ TIME: A-M . PAGE:
SITE ADDRESS:// 0 ss t,t)Tvo 4.4- -Ah 4 toOP • CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR w Plw�b;v-n i �0..e.`o PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
32-2_ 50 3 2 4 (8 -233 (3
Corrections /Comments /Instructions:
•
PASS ❑ PARTIAL APPROVAL • ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Gt\iler -A - A\).,,,._ Date: w `l'1 �, 7 Phone #: (503) 718-
r
CITY OF TIGARD . ►t;_::J s
BUILDING DIVISION PERMIT #: PLM200B -001 t9
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/30/2008
Phone: (503) 639 -4171 ;relit
Inspection Requests (24 Hrs.): (503) 639 -4175 '
INSPECTION WORKSHEET FOR DATE: 5/1/2008 TIME: 7:OOAM PAGE: 60
SITE ADDRESS: 11406 SW IRONWOOD LP CLASS OF WORK:
SUBDIVISION: ENGLEWOOD LOT #: 042 TYPE OF USE:
PROJECT NAME: TANADA
DESCRIPTION: Replacing (2) lavatories, (2) water closet and (2) tubs.
OWNER: TANADA, ANNA PHONE #: 503- 590 -4190
CONTRACTOR: STANDARD PLUMBING .4- HEATING PHONE #: 503-246-3338
Inspection Request Scheduled For: Date: 5/1/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
3 �0 Plumbing rough -in 069163 -01 503-246-3338 Y
Corrections /Comments/ Instructions:
P o LA51-. tiL \ ��,
❑ PASS I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector:01 kijA r . Date: (l A ` dam Phone #: (503) 718-