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Permit CITY OF TIGARD PLUMBING PERMIT II COMMUNITY DEVELOPMENT PERMIT #: PLM2008 -00071 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/26/2008 PARCEL: 25111 DC -00600 SITE ADDRESS: 15760 SW ALDERBROOK CIR ZONING: R -7 SUBDIVISION: SUMMERFIELD NO.8 LOT: 453 JURISDICTION: TIG PROJECT: BARNARD Project Description: Converting tub to shower. 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: OTHER FIXTURES: TUB /SHOWERS: 1 SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES MELVIN BARNARD MILDRED N Description Date Amount 15760 SW ALDERBROOK CIR [PLUMB] Permit Fee 2/26/2008 $72.50 TIGARD, OR 97224 [TAX] 12% State Surch 2/26/2008 $8.70 Phone : Total $81.20 Contractor: BATHTUB SOLUTION 11747 NE SUMNER PORTLAND, OR 97220 REQUIRED ITEMS AND REPORTS Contact # : PRI 503 -595 -8827 FAX 503 -595 -6051 Reg #: LIC 165987 PLM PB -312 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 � - 4■ - Permittee Signature: ,/- ;oe7f/ 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. . • : FROT1 :BATH FITTER PORTLAND FAX NO. :53 595-6051 Feb. 26 2008 11:54AM P1 Plumbing Permit Application 0\1 1ED tsci Building Fixtures ,‘, ) City of Tigard !„--,?) $ /3 ' ' Qv\ RDeactooliBveyd ?-6 08" /377" Permit No.: itfiigakr__,,, ,,._--7 4 1 13125 SW .Hall Blvd, Tigard OR 9f,iAss- ' , itilkx ■ 'Pi ' R. • • ' ' Phone: 503.639.4171 ' Fax :. 503.598.1-14 or ‘-;„ov m. an e"ew i DatetBy: Other Pennit No.: Inspection Line: 503,610,4i 75 D.. flovi,-. Ready/By .1' w A., I , Date : Ju scr Page 2 for t in: ra Internet: lvww.tigard-or.gov . ' ' 10°41 N„iiii.wm.bod; pie Su rnentai information viloi 7.1 ,,.. ,),,, "/O) 4, "; '''. I 0 ." ' t ' :i ' TMERI Magginiaggik hit 1.,,,,h .(i, 1J tilLintio:oi.J:t%igkiiigha :ii,:44:til.41Aoili;hi!i4141',Oti.. 4. 1, ",. 'i iiiittiaftilleg © New construction 0 Detnolition For special Ittformation use check(ist, .. . .. _ __ 1); I Qty. I E. I Total W Addition/alteration/replacement 0 Other: -... . New I. 2-family dwellings (includes 100 ft. for each utility connection) taill arm ,.. mil Ns JE K. 1 ,p; 11, ix r r . i,i':,j•iit,i;,. ,,,„‘,,,,,..,,,, ,4 Lltig/I41..1 J. f(411iii :1 *Mk= •:: : `‘, 1 ' , Ye h A1/611iii40;10121";rT'2,11' SFR (I) bath 249.20 . _ Ai. and 2-family . dwol lulu 0 Commercial/industrial . SFR (2) bath 350.00 ... .. .. ... ... .. . .... . . - - ) 0 Accessory building EI multi-fway SFR (3 bath 399.00 ..... Each additional bath/kitchen 45.00 El Muster builder El Other; . te Fire sprinkler ( sq, ft) Page 2 ilitUtit 4 Mittpliroe'otikagIM gralv..A.v.054 4 h)l Ti ' " ilit .11.11t. J . /11a i ._ t 1 i . 1 • . ..,.i.9.1:d J.M.q/NY. giiit,,i1ctid Si utils Job site address: 1 5 - 74-( 1 .,0 su) (A-V G (d Catch basin or area drain 16.60 City/State/ZIP: " c.)Afz. el c (---I DryWell, leach line, or trench drain 16.60 - ... Footing drain (no, linear ti,: ) Suite/bldg./apt. no.: Project name: Page 2 - , -- . . • Manufactured home utilities 110.00 Cross street/directions to job site: manholes 10,00 Rain drain connector 10,00 Sanitary sewer (no. linear R.: ) Page 2 Storm sewer (no. linear fl.; ) Page 2 ._... --..... ..... .. ,. .. . . . . .. . .......... ......... .. .. . ........... . .. ........... .... .... service (no. linear It: ) Page 2 Subdivision: I 1,ot Water sery no.: - Fix lure or Item Tax map/parcel no.: Absorption valve 16.60 r .5 " ;• Pom: I "lfilt 'W 1,:■ i,.01 02 ;i1:1,..1 .... 0 ittj Alf if r.,, , Ail' xi', ,.'44( 1 i,i1,i1.;..xia.,76;.k Back flow preventer Page 2 - - K-)\ - - i - eTh , . - - . ) ls If I' Backwater valve 16.60 __ _ ........ Clotheslyaslici _ ‘ , ' 16.60 Dishwasher 16.60 16.00 4014frit II& "lii •'''';'"•" :::iF E'llTlk'ng rounlain , ih ,.1.1;,,,, ,,„ .,,,.. ., . id •4 b 3. ' , ,IIIIMIIilli:PiiiiIiiiittiiIIIIIjibittllilIttigial,,t1iinint1W !Iii!` -," """ - " F 16.60 Name: fY-)- eA 'Li (-) \? i nc, ( c i Expansion tank 10.60 Address; I 0 t •P tAitey: ..,‘,-- r ,,'■ t„d 61( ... cx Fixture/sewer cap 16,60 1...J ,,... . ... . City/State/VP: ---- C/ l''',..).a..k...f Floor drain/floor sink/huh 16.60 _ ... ,-...- ?hone: Vaiy - 04 7 9 Fax: ( ) iiurbage disposal . . .. . .. . , 16.60 d t 4, A ) it• i , ) . t .. :iv mu • - 111i 11')7 !. ifiRp1i111 A g, i I Tose bib 16,60 . I i' • , , 1 . • . . , , , 7 '7 '0■}114I ')IIIIRliFe,a, ' • , i, .... ..., ........,...._____. .. _ )3ta '''t; ut..'LiU.:',Ud.k.i I 'mica 16.60 nusiness118MO: "? . :11, \ u k) 0(‘ S interceptor/grease trap 16,60 Contact name: ryy) • -•n . Medical gus (value: $ ) Page 2 -„-„-......._-. , . „. - Address: \ \, nt. k_.W'Y'vc\.e(?.._ Primer 16.60 • - - •" - --- City/State/ZIP: 9 c ALA,V, ,r‘ A , r e ,:, Roof drain (commercial) 16M1) _ _ ...................._ .. S ink/basin/lavatory 16.60 Phone: (•ca.).)s g a >4__. Fax: : 5 - --x - , r -. 60.s ) Tub/shower/shower pan t 10,60 i E-mail: t 46. la. csi ..,./ lb, 4-.. CCor■ 00..■-11/111 .1, . 1 Jrinal 16.60 I r SEFF. 7 . :. :I■tttmw tirildit, , - i',-..,vA a g ... -1, „ ..t , .zulaathaitt win 1. 7. - .... s iu ) :),LicLullii.;,4p;',. , .EL,d 4 .2 , 4;i: Water closet 16.60 Business name: . " -7 -0:_th-l- • 0 b . I 0 h ' cil .,) Water heater 16.60 ... .. ... ......._ _ Address: ‘ 1 ")-k--1 - "i__ \fle .5- ovy-- ( Other: - • City/State/ZIP: L V 0( tiOn CAZ C Q - . - Subtotal Min imum perinit fee: $72.50 .... 'i Phone: GT-3 )::.., 3 --__ h-,a'a_ / Fax: (0 K - C - )T ---- - 6 0.61 Residential hackflow minimum permit fee: $36.25 I d 56 CCB Lie.: - . Plumbing Lic, no.: pe..,ia. Plan review (25% of permit fee) 0 ; - • State surcharge (129'0 of permit fee) 05 70 - - Authorized signature:7V? J ''._,_,/"' TOTAL PERMIT FEE V . k) . ___,..... .. Print name: r()e.k, kE c au -el) eit Date: 2,- 2. l,.._*■,1 This permit oppliestitM4;pi iit■ Fiei:initWOiii obtained Witt lil1 .'' 180 days after it has been accepted an Complete. *Fee methodology set hy Tr-County Building Industry Service Board. I: \ litiliclinEpPenn1101.MF-PurinilApp.duu 12/27106 440-4616'1'(10/07/(:()WWFR) CITY OF TIGARD - -= BUILDING DIVISION PERMIT #: PLM2008- 00071 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2126/2008 Phone: (503) 639 -4171 ��� L Inspection Requests (24 Hrs.): (503) 639 -4175 A±i: �_ INSPECTION WORKSHEET FOR DATE: 2/28/2008 TIME: 7;00AM PAGE: 49 SITE ADDRESS: 15760 SW ALDERBROOK CIR CLASS OF WORK: SUBDIVISION: SUMMERFIELD NO.8 LOT #: 453 TYPE OF USE: PROJECT NAME: BARNARD DESCRIPTION: Converting tub to shower. OWNER: BARNARD, MELVIN PHONE #: CONTRACTOR: BATHTUB SOLUTION PHONE #: 503-555-8827 7 Inspection Request Scheduled For: Date: 2/28/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 322 Shower pan 065762 -01 503-535-8827 Y Corrections /Comments /Instructions: PASS ❑ PARTIAL APPROVAL (l CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspectors 11 ` ,` i —°L Date: 2 � 2'15T) Phone #: (503) 718- Case Activity Listing l 60/8/2008 CCEL/ Case #: R M2008 -00071 9:44:03AM Assigned Done Updated Activity Description Date 1 Date 2 Date 3 Hold Disp To By By Notes PLM 1010 Application received 2/26/2008 None RECD BTT 2/26/2008 BTT PLM 1020 Permit created 2/26/2008 None DONE BTT 2/26/2008 BTT PLM1030 Check for parcel tags 2/26/2008 None DONE BTT 2/26/2008 BTT PLM 1260 PLM signature on 2/26/2008 None DONE BTT 2/26/2008 application BTT PLM1280 Issue permit 2/26/2008 None DONE BTT 2/26/2008 BTT is PLM2322 Shower pan 2/27/2008 2/28/2008 2/28/2008 None PASS JW 2/28/2008 065762 - 01 — 503 595 - 8827 — VM - STI Y �=1� j 7 1/ ° N — `rSZ Cti�' —� �-✓� Page 1 of 1 CaseActivity..rpt