Permit IL a CITY OF TIGARD PLUMBING PERMIT
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," COMMUNITY DEVELOPMENT PERMIT #: PLM2008 - 00332
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 8/7/2008
PARCEL: 1 S125DA - 01900
SITE ADDRESS: 09130 SW 69TH AVE ZONING: R-4.5
SUBDIVISION: KINGS VIEW LOT: 004 JURISDICTION: TIG
PROJECT: WEAVER
Project Description: Replacing 60 ft of water line and fixtures. Other fixtures: hose bibs. Existing shower is
non - conforming.
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: 1 URINALS: GREASE TRAPS:
LAVATORIES: 2 OTHER FIXTURES: 2
TUB /SHOWERS: 2 SEWER LINE: ft
WATER CLOSETS: 2 WATER LINE: 60 ft
DISHWASHERS: 1 RAIN DRAIN: ft
Owner: FEES
ROBERT WEAVER
9130 SW 69TH AVE Description Date Amount
TIGARD, OR 97223 [PLUMB] Permit Fee 8/7/2008 $237.60
[TAX] 12% State Surch 8/7/2008 $28.51
Phone : Total $266.11
Contractor:
KTP PLUMBING CO
8455 SW HOMEWOOD ST
PORTLAND, OR 97225 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 297 -7650
FAX 503- 297 -7645
Reg #: LIC 154081
PLM 34-341PB
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 b= '• • • . • •699 or 1.800.332.2344.
Issued jj ■ �� Permittee Signature: /--
Call 503.639.4175 by 7:00 a.m. for an inspection at 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.
Plumbing Permit Application _®
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Building Fixtures [(HZ (WM..; 1;s1:. (1'1.1
F Received
of
City S W H Hall a ll • lyd Blvd., Tig. �:' -' 223 \' � � V pi..,, :
q 13125 SW 7 c/ P ermit No.: i yy 'a-e
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C i P lan Review
Phone: 501639.4171 Fax: 5 0 .598.4 c `��S Da- Other Permit No.: ei� r2 _ v . b- 3
Inspection I Line: 503.639
T I G A I: D 1�` O � IOW Ready/13y: kris: 65 See Page 2 for
Internet: www.tigard -or.gov 4 , $ o Notified/Method: Supplemental Information
TYPE OF WOI ; `' FEE* SCHEDULE
❑ N traction -[n ol i tton For special information use checklist
Description 1 Qty. I Ea. 1 Total
Addition /alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection)
�� CATEGORY OF CONSTRUCTION SFR (1) bath 249.20
1 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: 9 � /u/ �94 //t, Catch basin or area drain 16.60
City/State/ZIP: d )-/L Drywell, leach line, or trench drain 16.60
Suite/bldg. /apt. no.: , I Project name: it/ea 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 ft.: ) Page 2
Storm sewer (no. linear ft: 1 Page 2
Subdivision: I Lot no.:
Water service (no. linear 1 0 Page 2 2
Fixture or item •
Tax maR /parcel no.:
Absorption valve 16.60
DESCRIPT N OF ! RK Backflow preventer Page 2
//tee_> / Gv Backwater valve 16.60
Clothes washer / 16.60 ��„ 6 v
Dishwasher l 16.60 / 6 r ,6 (/
�/' Drinking fountain 16.60
O'PROPERTY OWNER ❑ TENANT
JJ j
Ejectors/sump
•
Name: W c /vt- Expansion tank 16.60
Address: V Fixture/sewer cap 16.60
City/State/ZIP: Floor drain/floor sink/hub 16.60
Phone: ( ) Fax: ( ) Garbage disposal 16.60
❑ APPLICANT ❑ CONTACT PERSON Hose bib 'Z 16.60 33
Ice maker 16.60
Business name: / P , .g/ ✓� -
�`� ,r Interceptor /grease trap 16.60
Contact name: / t� * Medical gas (value: $ ) Page 2
Address: /g csJ ,4 o'ne, o Slo t., Primer 16.60
City/State/ZIP: ,IX 9 2 L Z� Roof drain (commercial) 16.60
,/�,�) .� ? 6� 1 ma y) 2-97 ' V,5°--'. Tub /shower /shower 16.60 � r � c,
Phone: Fax: l�(�
r /shower pan -1,...--. 16.60
E -mail:
Urinal • 16.60 3 t 26
CONTRACTOR Water closet 9 16,60 13f O
Business name: jC.�T� Water heater 16.60 G , 6„0
Address: E aC- Other:
City/State/ZIP: Subtotal a.3 (6c
Minimum permit fee: $72.50
Phone: ( ) 1 63/CPT Fax: ( ) Residential backflow minimum permit fee: $36.25
CCB Lic.: icy D, Plumbing Lic. no V. y/f) Plan review (25% of permit fee) �
�� !/ / State surcharge (12% of permit fee) ST
Authorized signature: / 714/11 /11 TOTAL PERMIT FEE AA' , A
Print name: , .60 Dater' '7 `08' This permit application expires if a permit is not obtained within
180 days after it has been accepted as complete.
*Fee methndnlnov set by Tri- County Ruildinp Industry Service Rnard
CITY OF TIGARD ,
BUILDING DIVISION PERMIT #• Pf MM2009- 00332
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/7/2008
Phone: (503) 639 -4171 �"f�lb
Inspection Requests (24 Hrs.): (503) 639 -4175 .�..�� `__..
INSPECTION WORKSHEET FOR DATE: 10/29/008 TIME: 7:00AM PAGE: 7
SITE ADDRESS: p9130 SW 69TH AVE CLASS OF WORK:
SUBDIVISION: KINGS VIEW LOT #: 001 TYPE OF USE:
PROJECT NAME: WEAVER
DESCRIPTION: Replacing 60 ft of water line and fixtures. Other fixtures: hose bibs. Existing shower is
non - conforming.
OWNER: WEAVER, ROBERT PHONE #:
CONTRACTOR: KTP PLUMBING CO PHONE #: 5(.3,297 -7660
Inspection Request Scheduled For: Date: 10/29/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 077330 -01 503.869 -8776 N
Corrections/Comments/Instructions:
Care- 6 ie-,1k 9
A PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: (Th A V`' - Date: L4 `2 0\\(> Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2008.00332
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 81112000
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10/27/2000 TIME: 7:00AM PAGE: 2 J
SITE ADDRESS: 09130 SW 69TH AVE CLASS OF WORK:
SUBDIVISION: KINGS VIEW LOT #: 004 TYPE OF USE:
PROJECT NAME: WEAVER
DESCRIPTION: Replacing 60 It of water lines and fixtures. Other fixture:: hose bibs. Existing shower is
non-conforming.
OWNER WEAVER, ROBERT PHONE #:
CONTRACTOR KTP PLUMBING CO PHONE #: 503„297 -7650
Inspection Request Scheduled For: Date 10/27/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 077054 -01 503 - 069 -8776 N
Corrections /Comments / Instructions:
LA -rte I - t / � 1ST V I`ve 0fal ✓ L ; S + 1 l
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1i11/4_,■ T TL (L-■ T• S
(- I3A Tab, $.
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
A FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Cif- ), \,r..,,,., Date: 10 \2) OZ. Phone #: (503) 718-
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #:
F LM2008 -00332
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/7/7008
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 8/14/2008 TIME: 7:OOAM PAGE: 4
SITE ADDRESS: 09130 SW 69TH AVE CLASS OF WORK:
SUBDIVISION: KINGS VIEW LOT #: 004 TYPE OF USE:
PROJECT NAME: WEAVER
DESCRIPTION: Replacing 60 ft of water line and fixtures. Other fixtures: hose bibs. Existing shower is
non - conforming.
OWNER: WEAVER, ROBERT PHONE #:
CONTRACTOR: KTP PLUMBING CO PHONE #: 503.297-7660
Inspection Request Scheduled For: Date: 8/14/ 2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 074199-01 503.869 -8776 N
Corrections /Comments/ Instructions:
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i e — C . L Cl� a 411101 _ r�i�
ii
9f141
1 4 ,‹ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: W►�24 ) Date: ?) 1'-) ) DT Phone #: (503) 718-