Permit CITY OF TIGARD
PLUMBING PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: PLM2007 - 00477
TIGARa 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/23/2007
PARCEL: 2S102BC - 06600
SITE ADDRESS: 10660 SW PATHFINDER WAY ZONING: R-4.5
SUBDIVISION: POLO ESTATES LOT: 015 JURISDICTION: TIG
PROJECT: MCEUEN
Project Description: Rough and finish for bathroom fixtures.
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: 1 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
MCEUEN, DANNIEL P + JUDY A
10660 SW PATHFINDER Description Date Amount
TIGARD, OR 97223 [PLUMB] Permit Fee 10/23/2007 $116.20
[TAX] 8% State Surcha 10/23/2007 $9.30
Phone : 503- 624 -8625 Total $125.50
Contractor:
MIKE PATTERSON PLUMBING
15028 S MITCHELL LANE
OREGON CITY, OR 97045 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 632 -7374
FAX 503- 632 -5647
Reg #: LIC 81746
PLM 3 -359PB
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: 41, , / ,�� Permittee Signature:
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.
*17-- , ,., Jf 3 ' � 1 ' r
Plumbing Permit 1� i� 2 3 2007 ^ `� ` '' 1 1
Plumbing 1 4rmii Applica` ion }kf ,, i l1N " F .y ,
1, A�' ,Ir ' -' ` l:- r y\ l ' - , ) q'T Vi " fir 7,Lr ,' k ..'
�, ;�� City of Tigard � � ��." 1111J� �� l ,�" o �� �- ,v- a � ,. � � �
,: 13 US y o Hun tsl�a,'ti l� / d` O 7 15_6 i ° 0101,1''00 ` 7'
Phoney 501639.4171 i + Other Permit Na
NI i E is Inspection Line: 503.63. 7 p g�y/py; ( S El ep plem Scc Page 2 for
.0., t i;-r u IInternet: www.tigard- crr.gov Notified/Method: m lal alien
TYPE OF WORK FEE* SCHEDULE
o New construction 0 Demolition For speraal information use eheeklisx
Description
Addition/alteration/replacement 0 Other: New . Total
Tlw 11- -2b Qty } Ea
family dwetiings (includes 100 R. for each utility connection)
CATEGORY OF CONSTRUCTION SFR (1) bath 249.20
15(1- and 2- family dwelling 0 Commercial/industrial SFR (2) bath 350.00
0 Accessory building 0 Multi - family SFR (3) bath 399.00
0 Master builder ❑Other Each additional bath/kitchen 45.00
Fire sprinkler ( sq. ft.) Page 2
JOB. SITE INFORMATION AND LOCATION Site utilities
Job site address: 1 1 0 to ( 5 � � - J
tA-) Pl-t� elr t ti t.J Catch basin or area drain 16.60
City/State/ZIP: I ��ra U1 2 Drywell, leach line, or trench drain 16.60
SuitelbldgfapLno.: I Project e: H - MC P Ue r Footing drain(no- linearft: ) Page 2
�'P 6 Manufactured home utilities 1 10.00
Cross street/directions to job site: Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear R: _) Page 2
Storm sewer (no. linear ft.: _) Page 2
Subdivision: I Lot no.: Water service (no. linear ft: ) Page 2
Tax map /parcel no.:
Fixture or item
Absorption valve 16.60
n � DESCRIPTION 01? WORK r Backtlow pimento Page 2
go ( � r ( r 1 vi 1._ ' f (n i 51, a IA l'Yt i 01 Tlpr ryv,k 5 / V Backwater valve 16.60
1✓ -1' j 1 iti 4+1 all i! 1614 ocit Clothes washer L 16.60 1(9, 10.0
Dishwasher 16.60
12 PROPERTY OWNER I - 0. TENANT. Drinking fountain 16.60
Name: Ejectors/sump 16.60
Expansion tank 16 -60
Address: Fixture/sewer cap 16.60
City/State/ZIP: Floor drain/floor sick/hub 16.60
Phone: ( ) Fax: ( ) Garbage disposal 16.60
❑ APPLIC Bose ANT . 0 CONTACT PERSON bib 16.60
Business name Ice maker 16.60
interceptor /grease trap 16.60
Contact name: Medical gas (value: S ) Page 2
Address` ' Primer 16.60
City/Statc/ZJP: , Roof drain (commercial) 16.60
Phone: ( ) l Fax: : ( ) Sink/basmilavatory t 4 16.60 3 3, 10
Email Tub/shower/shower pan 2 16.60 33, 21)
Urinal 16.60
CONTRACTOR Water closet 16.60 3,ZO
Business name: 1 / Cam ) ` I `" C„ Water heater 16.60
Address: t v23 s. M.i +ec4ett �� - �:
City/StateJZIP: Q ro 01 / ) V_ 4-70--if Subtotal 1 j (
Phone: ()3 e2-: 1 3 'J t 4 Fa x: (�3) ("3 Minimum permit fix: $31.50
� - �e r-} 7 R esidential backtlow minimum permit fee: $36,25
CCB Lic.: 1) (.4 Plumbing Lic. no.: 3- 35 Pg Plan review (25% of permit fee)
Authorized signature: G ��✓r l- State surcharge (8% of permit fee) �/ ,
fl, N `b - TOTAL PERMIT FEE / , S.- i
Punt name: ■ YIN/1[# re) e .� Dale: i ( 3(03 This permit application expires if a permit is not obtained within
180 days after N bas been accepted as complete.
*Fee methodology set by Tri- County Building Industry Service Board.
:wuiid:r.nterr iisWLMM- Perrtn :App.doc (lo2m;• 1 ^u- i6ioTt1o1011cwvwE3t
Z'd Lt799- Z£9-009 Ouigwnid uosaa } ;ed eviAi a£17:60 LO £Z 100
CITY ��N�~�� �����7���������
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BUILDING DIVISION ~,~°,~~~,,,~~= ~=,°,~°,~,,� PER/N[T#: pLm2007-00477
13125 SW Hall Blvd., Tigar , OR 97223 DATE ISSUED: 1C123/2007
Phone: (503) 639-4171 Owl#
Inspection Requests (24 Hrs.): (503) 639-4175 •
INSPECTION WORKSHEET FOR DATE: 1/23/2008 TIME: 7:O0AM PAGE: 28
SITE ADDRESS: 10660 SW PATHFINDER WAY CLASS OF WORK:
SUBDIVISION: y()L0EST/([ES LOT #: 015 TYPE OF USE:
PROJECT NAME: hdeEt)B1
DESCRIPTION: Rough and finish for bathroom fixtures.
OWNER: K8CFUEN.DANN|ELP+ JUDY A. PHONE #: 503-524'80)6
CONTRACTOR: MIKE PATl PHONE #: 6O3-O52-7374
inspection Request Scheduled For: Date: 1/2at2008 Pour Time:
Code # Inspection Description Confirm # Contact # Ma a �
��'
x
399 Plumbing final 063704-01 603-7511358
Corrections/Comments/Instructions:
a' •
412 PA 1(ARTIAL .�
APPROVAL CANCEL NO ACCESS
/ FAIL CALL FOR INSPECTION ri ADDITIONAL FEES ASSESSED
Inspector: Date: L--S Phone #: (503) 718'^�-‘gl
CITY OF TIGARD -
BUILDING DIVISION PERMIT #: I''i_M; ?Ot)J 06?477
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10123/20()7
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/2/2007 TIME: 7 :01AM PAGE: 67
SITE ADDRESS: 10660 SW PATHFINDER WAY CLASS OF WORK:
SUBDIVISION: POLO ESTATES LOT #: 015 TYPE OF USE:
PROJECT NAME: MCrt)EN
DESCRIPTION: Rough and finish for bathroom fixtures.
OWNER: MCEUEN, DANNIEL P + JUDY A, PHONE #: 503 - 624 -6635
CONTRACTOR: MIKE PATTERSON PLUMBING PHONE #: 03.632 - 737'1
Inspection Request Scheduled For: Date: 11012007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 f ?lambing rough -in 068873-01 5107&1 -1358 Y
Corrections /Comments / Instructions:
Q � . o.-) LA/LA(`-- 1
\ T(A, `o \A &. Cam. ` L 0 ✓
n PASS [PARTIAL APPROVAL ❑ CANCEL NO ACCESS
I I FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: `17� V11 " \/\J\--- Date: NZ //2 )'O 7 Phone #: (503) 718-
CITY OF TIGARD • � ;
BUILDING DIVISION PERMIT #: Pi.m200m0477
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/23/20t17
Phone: (503) 639 -4171 '` oi'
Inspection Requests (24 Hrs.): (503) 639- 4175'�'ll..
INSPECTION WORKSHEET FOR DATE: 11/29/2007 TIME: 7 :00AM PAGE: 32
SITE ADDRESS: 10661) SW PATHFINDER WAY CLASS OF WORK:
SUBDIVISION: YOLO ESTATES LOT #: 016 TYPE OF USE:
PROJECT NAME: MCEUEN
DESCRIPTION: Rough and finish for bathroom fixture::.
OWNER: MCEUEN, DANN!EL P + JIJDY A, PHONE #: 503-624-8625
CONTRACTOR: MIKE PATTERSON PLUMBING PHONE #: 503 -632 -7374
Inspection Request Scheduled For: Date: 11/29/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 060470 -01 603 -6317374 Y
Corrections /Comments /Instructions:
X PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ab ")►-4--A\ N1\-"- -- Date:1] 121 co - 7 Phone #: (503) 718-
1