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Permit � CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT PERMIT #: PLM2008 -00154 TIGARD DATE ISSUED: 4/14/2008 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S112BC - 09200 SITE ADDRESS: 14791 SW 80TH AVE ZONING: R - 4.5 SUBDIVISION: RAZE MEADOWS LOT: 015 JURISDICTION: TIG PROJECT: HAYNES Project Description: Tub to shower conversion. 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 DONALD HAYBES 14791 SW 80TH AVE Description Date Amount TIGARD, OR 97224 [PLUMB] Permit Fee 4/14/2008 $72.50 [TAX] 12% State Surcha 4/14/2008 $8.70 Phone : 503 670 - 0304 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 •.. • o 1.800.332.2344. �� I sued By: ` i Permittee S nature: /� i ' ', Call 503.639.4175 by 7:00 a.m. for an inspection th- 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. ' 'FRQI" ' :BATH FITTER PORTLAND FAX NO. :503 595 -6051 Apr. 11 2008 10: 58AM P1 • Piurni P ermit A lication 1)l Building Fixtures —' FOR il'I(' 1: 11,5F: ONLY �ity of Tigard 0 ° Received w 13125 SW Hall Blvd., Tigard, OR, 4�7 �(�(` 8 /f permit N L ! y � DU� ^J I { (, A Dalo/rty: 7 /l , Po o.: lS " - 11 Phone: 5 0 3 ,639,4171 Fax: 503 :5,98�1d9ts0 Plan Rcvrow k 13 Ins . Inspection Tine: 503 6391175 e �� t ; , other Permit Ne.: p Q� f9 DaN/0 v Internet www or,gov �`` < � C Hato Ready/By 2 F.- K •, +' r ( "`, kris: WI See I I t�� f y @ ` { f�� ' ( aka a Notified /Method: ' „+ �'( i l” I it l'i r 1 11ai1 t' ) roc, I p "I l 1 � ' , 1 Y+ Y r` ! n 1 . ,. 1 _ Supplomeutul Infrormution • . ri A kii .. 'Ski t ). � l, l %V{ q, ' � 1 1� d ih " _ � trr n' t ill Il, d � ! � - 4) 1 1 1' p p � '' �'� 6 � �y, pN�l 91114—i f "r r � {I ❑ NCW COMItniCtioll tr �y++E OI l nrl } Ald ` T 11 . 1 1V,a.18, t1 ,t'� ��,ul I 1,1 1 reiI��: Ii 't tvi��1� � ..4S�d C 4 1 i 3' iii r ' , J,� s +S J, � � (ru!411�eS�' r fl4Ja 1i. 1 r r; �" 1 � } Y4��.l rf�d:rlr111, rr Q ` For: special l„ forroratlon tra a checklist W Addition/alteration/replacement Dek cription J Qty 1 Na Total ❑ Other: � � jf�jt}� t 1 i � 121 Is%4 izgl. ;t'm, t n >Y'1 rYlr "r; atYt % „ al ary dwellings (includes 100 ft. tor each utility i I„iaiarkAS� >j itirti �t.)`uai 19 n tic )ti i tl tltli ii i�i�a''t n aIhZ �l, ¢ 31 1 .: t i ,,1 1"Y� 11 � n,).'1''" _— S 1 y connection) It tt" (� ri 14r� rnl ,i SFR New ( 1) 2-f bath nil dwelli il 2'19,20 [A l - and 24amily dwelling 0 Ctm 350,00 lmerciul /induaIrial SFR (2) bath — t \ ❑ Accessory building .._ ©Multi - family SFR (3) bath 399.00 ❑ Master builder 0 Other: L'gch additional bath /kitchen 45.00 N 4 r{ kf I! ,I} Y rl)i3 I "j1 �I 1f, YAd r�r ti5 d - '. ,Y qM i, ^ ttr a Fire $ riltkler It ri, �t s44,` 'tit 'i,'bN�' 4•ti'i1;7tiA Ilk+ 4l li 1 " �,�)a4' 1i' Ytlillt'# pnillt `)1 t i'al ,,iI....AIIY1btl� {ij },, P ( S'11. ft,) Pugc2 u.ltr e I i, r� 1 G,GO : "Mr1�� S i t c ntlllffes : 1,I 4 q J 3 Job site address 1 U�•-. Cc 1 t Cutah basin or area drain City/State/1p; ell, le "° I�ryw leach line, or trench drain 16, Suite/l,Idg. /apt no.: Ptnjeet name: Footing drain (no. linear ft,: ) - Page 60 2 Cross al to job site: Manuf:tclurcd home utilities 110 -00 � ..,. _.. Manholes - — 16,60 Rain drain connector 16.60 Sanitary sewer (no. linear tt.: _) Page 2 Storm scwor (no. linear ft: ) Pal, 2 Subdivision: 1,ot no.: Water service (no, linear II.: � - Page 2 Tax mop /parcel nu.: ' . _ Fixture or item �"t4,r It',tt�� 1 "' i 1'i rvglNlrl .1'1 r1 v ..( ", r IY r r1 •Ni` 1 %1'i "7dIl IIVri °iii Absorption valve 16,60 ili«1 u6a t Vl Ea�4 i silC 11 2 ? ik,4r41l sr ir, '� r i � "�'��r��;�N�Y 1 it���t�� a�l� t "{ , • „ l r ,ir ,, ;.�� . .., u Hnckflow prevcnler Page 2 ' "+0 .. Backwater valve 16.(10 } Clothes washer 16,GU _ Dishwasher 16.60 4 1, tr �a t ,'ff ' k ¢ fYl 1 r 1I i + 1(a ftS ^ rY at zt11 W ,... 1 N1+1rf12 f 1 1 j , d� p 4,ti 1 t ,r u' 7 1 " 7 hn ,i ', ta.111 1(.60 i' ,, h.� 11 � 1, {r�ali rtdral , , .t. 43.4'1 l>,t i. l ti ne , OW N rll P 9 004 ` i Gr !il;,�al4,ri2 hi er,�!, Drinking fuun jcanrs /sump 16 >n Name; Q a I Expansion tank Address: k 9 q 1 16.60 . 1 , l Fixture/sewer cull 16,60 City /State /ZIP: {/ r ql 2_2 Floor drain /floor- sink /hub 16.60 ,, Phone ...— k` .. ._ 6 g ^ r� �(�iif( 111� �1;`il�yr(k�y [t1 t($¢7A,� 1 Y �Vi l t� , � tl y� ' S a 6 3�� l `� { ) Garbage disposal 26.0 � + � "t �C'ypEN' 11^ 1� iw'(. f , ir' di`ii l � I n (� �„R SiAlh( u�nYb t1�t� tE. i #, ld�lliPc� .9ClvlllR ga� a � ui1' I l l fi.' 1i � ,Y Hose bib 0 ., Business Hum Ice makol 16.60 l�,C� C (s1�j 16.60 Contuct name: x�� Medical gas (value: �',ssA Lf',i e t t- �.• mares fgr (va se trim P g lac: $ ,. Address, 1 , ,. .. _,... ,... Page 2 6 i Primer 16.60 City/State/7,11.: If - ii ., Roof drain (commercial) 1600 Phone (' Z ) -' ' Fax : (. � ) — Sink /basin /lavatory 1 yx al �� _ �._ 16.60 t� . e o i / Urinal over /shower pan 16,60 E-mail: p �� , r r ix r I � , y � �' e G (.7.4?-1 16.60 � � i k(� 1 { 9 t � Jil�� y l��lYttj t�4ly% 111'�)�'�"'� {�f'Mr P{ � t 1 fl N Y Y " 1 1 7 ' t' { v tt 1 , , , - } � + � p Urinal if�11� 1.,Efxt g J W �i�iS l ltl�Sl t�IltNi / 1 �i r( J k l � ," Y l l l t�l }�'.ltl {l1" '.1 11 +' x'.. Water • ..�� Business name: .. tY l.Jrl i w 16.60 - , - Address: � � Water ' heater I ti.60 1 Ili!, )'-' n.k .. S hy n Other: C.itylStaty /L1P: . — Phone: — / L Subtotal '1) S r Fax: (' 9)3) / Minimum permit fcc: $72.50 ^ S ~ — Cj () Residential bacicflow m i n i m um permit fee X36.25 Lie.: .: I0, Ca a� Plumbing Lie. no.: � . 1. D �yy plan review (25% of permit fee) CC13 Authorized signature: �, � ' y .� r "J $tal �" � - .• c surcharge �rint Itam t „� 12% of permit fec) TOTAI PERMI FEE _ .... Date c ... ” T � / t r � � This permit appllcatinlr expires if a permit is not obtained . withDr 1S0 days after It has heeat accepted as complete. "Fee methodology set by Tri- County Building Industry Service Board. I:1 Dullaittswemrlii \PLM•- etrmirApp,pvc 12/27/06 440-461 oT('ru /01/CObUW6D) CITY OF ' -- ��un x ��m— TIGARD .. � —�' BUILDING DIVISION =°~,"~~~~""°~� ~,, ° ,~,,~~,~ PERK4|T 9LW|20V8'O8l64 13125SVVHo8B|vd.. Tigard, ORO7223 DATE ISSUED: 4V1412009 Phone: (503) 639-4171 ' Alik alinvOiI ii Inspection Requests (24 Hrs.): (503) 639-4175 A, 'IL INSPECTION WORKSHEET FOR DATE: 4/18/2008 TIME: 7:O1Ah8 PAGE: 21 SITE ADDRESS: 14791 SW 80T1 AVE CLASS OF WORK: SUBDIVISION: RAZE MEADOWS LOT #: 015 TYPE OF USE: PROJECT NAME: HAYNES DESCRIPTION: Tub to thowr cunvecsIon. OWNER: HAYBES, DONALD PHONE #: 503-670'0304 CONTRACTOR: BATHTUB SOLUTION PHONE #: 503-595'8827 Inspection Request Scheduled For: Date: 4K18/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 068576-01 603-595-8827 N Corrections/Comments/Instructions: «~ , \ � �-^k«�e T- \ ki ^�'�_ w ^ $i.J A �� RASS RART|ALAPPROVAL �� {� �N[}EL ri NOACCESS El FAIL 7 CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED q TPOZ CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM200& 00154 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/14/2008 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 4/16/2008 TIME: 7:00AM PAGE: 35 SITE ADDRESS: 1+1791 SW 80TH AVE CLASS OF WORK: SUBDIVISION: RAZE MEADOWS LOT #: 015 TYPE OF USE: PROJECT NAME: HAYBES DESCRIPTION: Tub to shower conversion, OWNER: HAYBES, DONALD PHONE #: 603- 670 -0304 CONTRACTOR: L6ATHTUB SOLUTION PHONE #: 503 - 595 -8827 Inspection Request Scheduled For: Date: 4/16/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 322 Showor pan 068448 -01 503- 595 -8827 Y Corrections /Comments/ Instructions: • (PASS I I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: CM\ArA �^� Date: 7 1�� �'' Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM200 0;1154 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/14/2008 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 4/15/2008 TIME: 7:02AM PAGE: 42 SITE ADDRESS: 14791 SW BOTH AVE CLASS OF WORK: SUBDIVISION: RAZE MEADOWS LOT #: 015 TYPE OF USE: PROJECT NAME: HAYNES DESCRIPTION: Tub to shower conversion. OWNER: HAYBES, DONALD PHONE #: - 503 - 670 -0304 CONTRACTOR: BATHTUB SOLUTION PHONE #: 503 -595 -8827 Inspection Request Scheduled For: Date: 4/15/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 322 Shower pan 068367 -01 503.595.8827 Y Corrections /Comments/ Instructions: �Nr \ I PASS k PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: �l� -�-- Date: ( 11 /67) Phone #: (503) 718-