Permit z_
1 :.,, , _,. CITYv0E TIGARD PLUMBING PERMIT
4 COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00303
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/13/2007
PARCEL: 1S125CA-08800
SITE ADDRESS: 09235 SW 74TH AVE ZONING: R -4.5
SUBDIVISION: ALL TOWN PROPERTIES PARTITION LOT: 002 JURISDICTION: TIG
PROJECT: HIATT
Project Description: 3 Hose bibbs. Add 2 and relocate 1 to outside of garage.
CLASS OF WORK: OTR 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: 3
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
LES HIATT
9235 SW 74TH AVE. Description Date Amount
TIGARD, OR 97223 [PLUMB] Permit Fee 7/13/2007 $72.50
[TAX] 8% State Surcha 7/13/2007 $5.80
Phone : NA Total $78.30
Contractor:
CROWN PLUMBING
5429 SE FRANCIS
PORTLAND, OR 97206 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503 -771 -9449
FAX 503- 771 -9454
Reg #: LIC 42671
PLM 34 -70PB
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: je Permittee Signature: e ` U_ C. 1 4 � he
III __- ___,,,
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.
°`7/13/2007 15:01 5037719454 CROWN PLUMBING PAGE 02/02
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Plumbing Permit Application - Fo,i ()u ric •: 1NSF ONLY . 15. 2007 '
R eceived A
City of TAga T'Cl P TIm: : A 7 /911 -0 3
■ 13125 SW i•IaII i3lvd.. Tigard. OR 97223 TY OF ('IGAR® plan Rc
I?honc; 503.639.4171 lax: 503,521.U Diller Permit No.:
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Inspection Line: 503.639.4175 'NG DIVISION Datc�By:
1 [ _ A R 1 Date Ready /By: J" ' El See Page 2 for
.. . T, ai r
mct; www,tigard- or,gov Notificd/Mct:hod: J Si pplcm¢rital Information
T1CPE OF • rtrdlil ' . L1LiL)C
k `9C1fIE .... , ..... .
❑ Ncw construction ❑ Demolition For Special information use checklist
Description 1 Qty. 1 Ea. 1 Total
® Addition /alteration/replacement ❑ Other: New I- 2- famlly dwellings (includes 100 fl. for each utility connection)
. ;CATE;GOIRY OF CONSTRUCTCON SFR (1) bath 249.20
® .l- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00
III Accessory building ❑ Multi-family SFR. (3) bath 399.00
III Master builder El Other; Each additional bath/kitchen 45.00
•
Fire sprinkler ( sq. •l.) Page 2
. • .;<t 13 SITE INFORMATION AND LOCATION ,,, - Site utilities
Job site address: 9235 SW 74 AVENLFE Catch basin or area drain 16.60
City /Statc /ZTP: TIGARD, OR 97223 Drywell, leach line, or trench drain 16,60
• Suite/bldg./apt. no.: Project name:
Footing drain (no, linear it: _) Page 2
Manufactured home utilities t 10.00
Cross street/directions to job site:
Manholes 16.60
Ram drain connector 16,60
Sanitary sewer (no. linear 'ft: ) Page 2
Storm sewer (no. linear ft.: _ ) Page 2
Subdivision: T.o1:110 : Water service (no. linear it.; _) Page 2
Fixture or item
Tax map /parcel no.:
Absorption valve 16.00
. DFSCiorriON OP WORK
. .. . ..... . . ... ... Backflow prcvcntcr Page 2
ADD TWO NEW HOSE BTBBS; RE LOCATE A Ti -URD HOSE BiBB FROM Backwater valve 16.60
INSIDE GARAGE TO OUTSIDE GARAGE Clothes washer 16.60
Dishwasher 16.60
, .. Drinking fountain 16.60
® •IIitn`*R ;1 OWNER .. ., � If , :
"' . Ejectors /sump 16.60
Name: L.ES HIATT
Expansion tank 16.60
Address: 9235 SW 74 AVENUE Fixture /sewer cap 16.60
• City /State/ZIP: TIGARD, OR 97223 Floor drain /floor sink/hub 16.60
Phone: ( ) Fax: ( ) Garbage disposal 16.60
. ®' AV1 LICANT ®' CONTACT PERSON
Hose bib 3 16.60 49,80
. --- - Ice maker 16.60
Business name: CHRISTIAN PLUMBING, INC. DBA CROWN PLLiMBiNG intcrccptnr /4rcasc trop 16,60
Contact name: DENNIS UNDERWOOD Medical gas (value: 5 ) Page 2
Address: 5429 SE FRA.NCTS STREET Primer 16-60
City/State/ZIP: PORTLAND, OR 97206 Roof drain (commercial) 16.60
Phone: (503) 771 -9449 Fax: : (503) 771 -9454 Sink/basin /lavatory [6.60
- Cuh /shower /shower Pan 16.60
E-mail: Urinal 16.60
'CONTRACTOR Water closet 16,60
Business name: CIJR.1STIAN PLUMBING, IN .DBA CROWN PLUMBING Water heater _ 16.60
• Address: 5429 SE FRANCIS STREET Other:
City /State /ZIP: PORTLAND, OR 97206
subtotal
Minimum permit fee: 572.50 72.50
Phone: (503) 771 -9449 Fax: (503) 771 -9454 Residential backtlow minimum permit fee: 536.25
CCB Lic,: 42671 Plumbing Lic. no.: 34 -717 Plan review (25% of permit fee)
State surcharge (8% of permit foe) 5.8
Authorized signature: 0____C ......... A ._.‘„ "... , ___ .........0 ,0 ,
'TOTAL PERMIT FFF. 78,30
Print name: DENNIS UNDERWOOD D e: 07/13/20 'T'hiR permit application expires if n permit Is not obtained within
180 days after it has been accepted AS complete.
*Fee methodology set by 'fri- County- Building Industry Service Board/.
T:\ Building \Permits \PLM- PcrmitAno.doc 06 /26/06 4411- 46166T(10/112K:0MAVW
CITY OF TIGARD
BUILDING DIVISION ^ PERMIT #: PLM2007-00303
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/13/2007
Phone: (503) 639 -4171 ��N
Inspection Requests (24 Hrs.): (503) 639 -4175 __..
INSPECTION WORKSHEET FOR DATE: 7/20/2007 • TIME: 7 :03AM PAGE: 57
SITE ADDRESS: 09235 SW 74TH AVE CLASS OF WORK:
SUBDIVISION: ALL TOWN PROPERTIES PARTITION LOT #: 002 TYPE OF USE:
.PROJECT NAME: HIATT
'DESCRIPTION: 3 Hose bibbs. Add 2 and relocate 1 to outside of garage.
OWNER: HIATT, LES PHONE #: NA
CONTRACTOR: CROWN PLUMBING PHONE #: 5017719449
Inspection Request Scheduled For: Date: 7120/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 052423 -01 503 -771 -9449 N
Corrections /Comments /Instructions:
•
L `LPASS ❑ PARTIAL APPROVAL ❑ CANCEL NO ACCESS
FAIL 1 1 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: / / Phone #: (503) 718-