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Permit a. '. iii II CITY OF TIGARD PLUMBING PERMIT : : :,.,_ COMMUNITY DEVELOPMENT PERMIT #: PLM2006 -00557 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/15/2006 PARCEL: 2S109AA -00600 SITE ADDRESS: 14275 SW 125TH AVE ZONING: R -4.5 SUBDIVISION: LOT: JURISDICTION: TIG Project Description: Replace 90ft water service. 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: TUB /SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: 90 ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES CARLSON, CURTIS J + LESIAN J 14275 SW 125TH Description Date Amount TIGARD, OR 97224 [PLUMB] Permit Fee 11/15/200€ $72.50 [TAX] 8% State Surcha 11/15/200E $5.80 Phone : 503 -598 -3958 Total $78.30 Contractor: MR ROOTER OF PORTLAND 15033 SE MCLOUGHLIN BLVD #344 MILWAUKIE, OR 97267 REQUIRED ITEMS AND REPORTS Contact # : PRI 503- 653 -5301 FAX 503- 653 -5376 Reg #: LIC 138941 PLM 3 -434PB 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: ; T �\ ' Lt/V' .0 a Permittee Signature: g (i 44. 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. ' 1 °14.2006(TUE) 13:41 ri{ 4V7 RVPCI NG (FAX)503 653 5376 P. 002 /003 NOV 1 4 2006-. V TI GARO plumbing Permit App - 1FOlZ Orr�C1E USE ON1�Y I DWG MINA RcCeled v a� City of Tigard aar�ra _ �� t Permit Nn„ , 1 ,00/ mod(/ 13125 SW Hall Blvd„ Tigard, OR 97223 men It • Phone: 503.639.4171 Fax: 503.598.1960 ./.1, ya risiettly: Other Verna No.: 24- Hour Inspection Line: 503.639,4175 1,,i arlyaly: 'aurae:: www.ei.t(gard.or.us I W � Notillt _ I o plcmcnt 1 Information r i , :'t p d' w . ra, •,� �t ... 1'v,•,.g� .m• r�.. T .. . . ii "�-•r "1 i nud' �G1ttl, ,T i ^N' RItG "qI^ k 'v . ;" ,i " ',...r. , i �,.. � ., ., 1i1'> ' �i! � .r. �1.G�4nw s7�w„llr� s "1 M1.rrl��i I. .. , ,, r fl� i�ie4S . ,.. , :, .�... �.._L.�;cn�,�i ..1.:'Zr t •:t" .'p . a ..§1)1',. .., ❑ New construction ❑ Demolition For: eclat in armarion ;on checkflxr. Uesnripticn 0 , 1111E311 Total r5. R=idition/alteration/replacement II Other, New 1- 2- family dwcllines (include:: 100 R, for such utility connection) ',u' i • I i.' 1 M Mitag;,, o i= 1 d . naif Pr: ^1 P. ..IF'l SFR (1) bath • 24920 1- and 2-family dwelling In Commercial/industrial SPl . (2) bath 350,00 Q AGCCsaoty building °Multi family in (3) bath 399.00 (] Master builder Outer: FAO; additional bath/kitchen 4S,00 r. u u Fire sprinkler (_ aq. J1.) Page 2 1 3 �'; ��"�`` � ��I�t.' �'I u � E + p� ifi t r a � i U I [�I i r i ! a � r ll' 4 i� u !, n i_�.�i�.. i z- . .n� i� !X all . , " PI • 't {I I„ . �!, che101, sit l! �Y!1. ni .lti . ' ..._ i1. it- 0 ^1.... `S`IM utilities Job site Waists: / tV /. t Ue C basin or area drain 16.60 CityISratc/ZIi': T' 5 a r D Z C "7 ,.- ti Dry oloii, lwch line, or trench drain 16.60 Suite/bldg. /apt no.: Project name; Coating drain (no. linear it: ) Page 2 Manufactured home utilities 110.00 Cross street/directions to job site: // / ') /f / ,e -gyp Manholes 16,60 Ue S vi rK, orb - gie i1 / % �Lr Rain drain mummer 16.60 , ) / v V Sanitary sewer (no, linear (t.: ) Page 2 Storm sewer (no. linear R.: ` Pagc 2 Subdivision Lot no.: _ Water service (no. linear it, ( 7= Page Tax tap /parcel no.: Fixture or item - s', a o ' 'r , t Lr�� , ,, .. . _._ , Absorption valve 16,60 ' ,1t °t;rf: a :, u, h lfiggMhpmt l,� q • a�Ik r'll ,�� J rf . I _ C r� 't%i� r 3r�Jl, r. a :t � � � � e�, t. ,aI�.�L; ,I�.�.; I ". , �� .I_��t I�d� Aackflawptevent>;r Page 2 . a,�_P ,CT // . ' it , - Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16,60 r' t� i; 6 ` r ,s, I!-. ,k , �, r 17 i tl pp , 1 ri .-i > at, Drinking fountain 16,60 i' ,p �..1 kit 0 t 116.11 ., ∎ ' _ re Yr WTI; 1 Jy IA '. 1 i � A i ° °, , 11 . i li 4 I 4 . d.. ti ll kh _! /� l 13 Ce1.1 y/suntp 16,6{7 Name: C. (^-r+ ( 2 - 16.60 Ad A F_tcpansian tank 16. dy °s: / U t'c r2 5 S 5 1,2 c U•e. Fixture/sewer cap 16,60 City/State/ZIP: Tj I aid Q (L 6 2 7.-7 3 C, ' Floor drain /110er nink/hub 16.60 Phone: (S5 i 5'9 -39. Fax: ( ) Oatbage disposal 16,60 . '!'?.�'sl;' 4 Fi�;i, '. r' r ' §, ;�' S r i I,"i ,., °'a`°pi "`...i �t r � ' i,i froseblit 16,6 11 ■161 .r:1 r: " I�� ,,.. ICetnaker 16,60 7 Business mule: /l r r /Ice j/}q r r/t Interceptor /grease trap 16.60 Cantaet mime: e�� C &r /,•P. F 1 Medical gas (value: S ) _ Page 2 "mu: /' U ! j tj)7 a,9 4to') /� /U y 4 j) Primer' . 16.60 City /SUtlrIIP: �J� i� �d �� e J '72 Roof drain (commercial) - - -- 16,60 Phone: ($) Co � I . Fax :: ("5-03) 0 _Sink/bnidnlluvniety 16.60 1� 'Cub /shower /shower pan 16.60 E-mail: Urinal 16,60 r� a �� i i .,- i �� a- � a.,,, a��,,.�,�; ^;�t� -' �''fii aJ'.��vla �tir:,. u:> '. � � � � � � ttnr alit i'.woht tars ` +_:i :i sitFr''.i' i, , t�.cltl - watercloset - 1 6,6 � , n �+N ,• nUr+" � l% . � 1. ,f 1�;ieP�.,; Bttsinms name Water heater 16.60 Addrrss: J�l� '1 } Otltc_.... J c••..� . Subtotal — _ tatr ___ /Z1P: Minimum permit fcc: $72,50 -../. Phone: ( ) Fax: ( ) Residential buckflow minimum permit fee: 536.25 / ok- - - "CB 7 ic.: P7 y Plumbing Lie. nn.: ( / p / i Plan review (2 4i of perrntt 1bc) /� /' di II) • State surcharge (8% of p ermit lea) �,/' - Authorized signarre: di II e_ G ?. -- TOTAL PERMIT FEE q,'.3 V Print name: ,) t._ - � n ). / J Doc: // , i Q (Q This permit application erplres Ica permit Is not obtained within f — l IRO days after It boa heal accepted as complete, °FCC methodology sally Tri•County Building industry Service Board. i:\ nuildtufiWurnlnuVA- NrrNtAr,p.doc rtiOS a.in.46tl7(IomucoMIWt(P) CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM200600567 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/15/2006 Phone: (503) 639 -4171 ue 10; Inspection Requests (24 Hrs.): (503) 639 -4175 ,�I �.. INSPECTION WORKSHEET FOR DATE: 11/20/2006 TIME: 7:01AM PAGE: 53 SITE ADDRESS: 14275 SW 125TH AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: CARLSON DESCRIPTION: Replace 90ft water service. OWNER: CARLSON, CURTIS J + LESIAN J, PHONE #: 503 CONTRACTOR: MR ROOTER OF PORTLAND PHONE #: 503 - 653 -5301 Inspection Request Scheduled For: Date: 19f20/2006 Pour Time: • Code # Inspection Description Confirm # Contact # Message 330 Water service 039994 -01 503-598-3958 N 3 FiAL pp` Corrections/Comments/Instructions: V DT • PAS ❑ PARTIAL APPROVAL n CANCEL n NO ACCESS n FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: 6 NEtti Date: 14 64) Phone #: (503) 718- vitiO / - CITY OF TIGARD BUILDING DIVISION J PERMIT #: PLM2006 -00567 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/1512006 Phone: (503) 639 -4171 VI Inspection Requests (24 Hrs.): (503) 639 -4175 ..' L. INSPECTION WORKSHEET FOR DATE: 111/6/2006 TIME: 7 :00AM PAGE: 46 SITE ADDRESS: 14275 SW 125TH AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: CARLSON DESCRIPTION: Replace 90ft water service. OWNER: CARLSON, CURTIS J4- LESIAN J, PHONE #: 603.6B8 -3958 CONTRACTOR: MR ROOTER OF PORTLAND PHONE #: 503 - 653.5301 Inspection Request Scheduled For: Date: 1//1612006 Pour Time: Code # Inspection Description Confirm # Conte l# Message 330 Water service 0396613-01 50 1349 -6740 N Corrections /Comments /Instructions: 0 - Zedir >' - e c.- /. ® ©L vGLC -LC !` / -SPt -✓i c- (, ,g LA t 4 /1e Ch - IL-0-71— o y ,t ri 1 Q. -64, e ort_4`-f4 Lt,L . ' t r y 4 e-• .elgeSc-I Z.41--t ijitat.9.,2-41* 740 t-^e--( . 7/7 --- Ile '9,4, /J / /�� L //.� z.`c - �� I fat 6. ek--__ r o v, 6e_e .2., y 14-0 Le4...c.,c. Yir,--06 vt-e..A f ------c Ej-e-z- LD ,----- te-4t / --- . , ,____,._..,... _.„, Ai__ -.Lab, " __.....,.........r...,4, , ,; - ,– 1 likir-frilli -_____MNPW. , , , ,,..:.- " Bri ' . - eVIIP0'-'0' L . z -- l✓ % e- ' LioPt o %. � „/T GtJAs� � L £a L�eia_R t - (70d4z7"----7-- J ❑ PASS n PAR . AL APPROVAL I CANCEL I NO ACCESS FAIL LL FO'*. P' •N MI ' DDITIONAL FEES ASSESSED Inspector: Date:° Phone #: (503) 71 .e r zy_ : _,,_