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Permit . CITY OF TIGARD PLUMBING PERMIT °. COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00060 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/12/2007 PARCEL: 1 S 133DD -13800 SITE ADDRESS: 11952 SW 127TH PL ZONING: R -4.5 SUBDIVISION: VILLAGE AT SUMMER LAKE PARK 4 LOT: 175 JURISDICTION: TIG PROJECT: SCHMITT Project Description: Kitchen remodel. (1) sink, (1) water line for frig. 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: 1 URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: 1 TUB /SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES LORI SCHMITT Description Date Amount 11952 SW 127TH PL TIGARD, OR 97223 [PLUMB] Permit Fee 2/12/2007 $72.50 [TAX] 8% State Surcha 2/12/2007 $5.80 Phone : Total $78.30 Contractor: MODERN PLUMBING 11120 SW INDUSTRIAL WAY TUALATIN, OR 97062 REQUIRED ITEMS AND REPORTS Contact # : PRI 503- 691 -6166 FAX 503 -691 -6771 Reg #: LIC 87906 PLM 34 -250PB 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: - — 274 Permittee Signature: 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. Feb. 12. 2007 1:45PM Modern P1 umbing No. 2326 P. 2 - „ • . 4( Piliflicat _ a FOR 0.Ef ICE :l. S.E ON IN City of Tigard 5ECE i‘f Rt•CCP:2,1 4 . .01 Date 2.04 -a - .- 1)- 9 \ u; / _r. -aeo 0 • Phone: 503.639.4171 Fax: 503.598.1960: EB , 1, .. 13123 SW Hall Blvd., Tigard, OR 97 2 Plan Rt.-Jew ' 1! 1 2 C-Itizr Puma INT& Date By. 1 T j C: Av. D Inspection Line: 503.639.4175 Date Reaty/g kids: et sec Psygc 2 fbr • Internet: www.tigard-or.gov CITY OF TIC:AM?... Ntifma4thod, . suppleamna, Information - ...::::::!',';f77,'• : r.'.'," . • .. ' '''''. .'' - . - • *714 Vii0R1001011 j...1 ' '..:'.:.i.,.:•...'..:1 :::......:,....;..._ '::, ,.' ':... • ::',:',..:;;Li4 ;,'k •:. 4 ';'::...r; ..... .• aNew construction 0 nemolitioo . For 'edit, information use checklist Desori . ti on, ; Qty. Et MEM Et Addition/alteration/replacement El Other New 1 al dwings (iuclutles 000 ft. for each utility connecticta) " • • : : , , • , , ' - '':' ..: ' . • eOit'Y': OF Oiclii.i.66460::: '. : :. l' : ' .:.: . stint (J)6;4 249.20 811- and 2-family dwelling ID Commercial/industrial SFR (2) bath 350.00 El Accessor building ' 1:1MUlti-fumily SFR (3) hai 399.00 - Each additienal bathikitchen 45.00 0 Master builder []Other: Page 2 MI . . :•;..... , .,.:. ,..; . , , :. .410it,sTrz: reaarkixractisi:' :., ' . . . ' , .: .;. . • " . ,,..., Job site address: ( 1 q 5 ,--. 1 :x-7-4-1, P I a e...e.... Caicil,*ai,'•••,eiarea drain 16.60 City/State/ZIP ------ \ ,o, a rct 6{2 9 _ Drywell,140 line, or treneli drani 16.60 Suite/bIdgiapt., no.: Project naute: fOoling illi. linear IL: ) Page 2 Manufactined home utilities 110.00 Cross street/directions to job site; ' - Manholes 16.60 Rain drain connector 16.60 Sanitary sewee linear 11: ) Page 2 Storm sewer (n�. linear ft: __.) Page 2 Subdivision; Lot no.: Water service (no. linear it.: ) Page 2 Fixture or item Tax map/parcel no.: 16.60 Page 2 Backwater valve MN 16.60 Clothes washer 16.60 . ,. ' thinking fountain Dishwasher 16.60 1111 16.60 Ejectors/sump 16.60 e-- _ Name; C . \ I r \ Expansion tank 16.60 MI Address: / Fixture/sewer cm 16.60 City/State/Z1R. Floor draithloor sink/hub 16.60 Phone: ( ) nue ( ) Garbage disposal 16.60 ' : ', • . . • 0 A p r i*. vi i, . : . , i, rii . s o k: -,;. liose .bib MN Ice maker f 16.60 ft, 6 ■ I, ., :-.9 t •,t, ' 7 Interceptor/grease trap 16.60 Contact name: Medical gas (value: $ ) Page 2 Address: Primer 16.60 City/Slate/ZIP: Roof drain (commercial) 16.60 Sink/basin/lavatory. 16.60 /fr 43 (..) Phone'( ) I Fax: ; ( ) Tub/shower/shower pan 16.60 E Urinal 16.60 : .....'.::'...'''?:,:. ': .1.:::..1•:: ,,: '•'''..: • "::::' :;.C.P.:!57.T.Y.4F1P.,:','.:: d',:::::' :. ::: ,•:. : .2.: ,,'., ,...‘: ,.,:.:,:: wale, closet 16.60 IIIIIII Business name: MODERN PLUMBING CO. Water heater 16.60 Address: 11120 SW INDUSTRIAL WAY Other. ME Subtotal City/State/ZIP; TUALATIN, OR 97062 Mininium permit fee: $72.50 - 1 Phone: (503) 691-6166 Fax; (503) 691-6771 Residential bacidlow minimum permit feet $36.25 ' CCB Lie. : 87906 . bing Lie, no.: 34-250PB Plan review (25% of permit fee) Slate surcharge (8% of permit fee) 4 0 Authorized signature: , grif TOTAL PERMIT FEE I Print name: A e.,1 ci - y --- a 6 ec, C '.... Datv 2 7 � This penult application expires Ea permit is not obtained within 180 days after It has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board I: \thildingTcnnibatM ost2s/06 440.4516T(iwa1/c0WWEB) CITY OF TIGARD • BUILDING DIVISION PERMIT #: PLM2007 -00060 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/12/2007 Phone: (503) 639 -4171 ull��d j�� Inspection Requests (24 Hrs.): (503) 639 -4175 �' INSPECTION WORKSHEET FOR DATE: 7/31/2007 TIME: 7:07AM PAGE: 27 SITE ADDRESS: 11952 SW 127TH PL CLASS OF WORK: SUBDIVISION: VILLAGE AT SUMMER LAKE PARK 4 LOT #: 175 TYPE OF USE: PROJECT NAME: SCHMITT DESCRIPTION: Kitchen remodel. (1) sink, (1) water line for frig. OWNER: SCHMITT, LORI PHONE #: CONTRACTOR: MODERN PLUMBING PHONE #: 503-691 -6166 Inspection Request Scheduled For: Date: 7/31/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 053083 -01 503 -691 -6166 Y Corrections /Comments /Instructions: • Caic-'t%I PASS ❑ PARTIAL APPROVAL n CANCEL n NO ACCESS I I FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: CE) `l ti p- Date: ) /3 /WU) Phone #: (503) 718- . CITY OF TIGARD BUILDING DIVISION • PERMIT #: PLM2007 -00060 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/1212007 Phone: (503) 639 -4171 la� ,� , mat, �� + Inspection Requests (24 Hrs.): (503) 639 -4175 J { __.. INSPECTION WORKSHEET FOR DATE: 4/19/2007 TIME: 7:01AM PAGE: 24 SITE ADDRESS: 11952 SW 127TH PL CLASS OF WORK: SUBDIVISION: VILLAGE AT SUMMER LAKE PARK 4 LOT #: 175 TYPE OF USE: PROJECT NAME: SCHMITT DESCRIPTION: Kitchen remodel. (1) sink, (1) water line for frig. • OWNER: SCHMITT, LORI PHONE #: CONTRACTOR: MODERN PLUMBING PHONE #: 50 - 69 1 -6 166 Inspection Request Scheduled For: Date: 4/19/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 046798-01 503-691 -6166 Y Corrections /Comments /Instructions: • I PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: CrL + Date: '/f)'9 /Y") Phone #: (503) 718- CITY' OF TIGARD BUILDING DIVISION PERMIT #: PLM2007 -00060 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/12/2007 Phone: (503) 639 -4171 flgl i Inspection Requests (24 Hrs.): (503) 639 -4175 °$'f �! INSPECTION WORKSHEET FOR DATE: 4/24/2007 TIME: 7:01AM PAGE: 41 SITE ADDRESS: 11052 SW 127TH PL CLASS OF WORK: SUBDIVISION: VILLAGE AT SUMMER LAKE PARK 4 LOT #: 175 TYPE OF USE: PROJECT NAME: SCHMITT - DESCRIPTION: Kitchen remodel. (1) sink, (1) water line for frig. OWNER: - SCHMITT, LORI PHONE #: CONTRACTOR: MODERN PLUMBING PHONE #: 503 -691 -6166 Inspection Request Scheduled For: Date: 4/24/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 047023-01 503-691-6166 N Corrections /Comments / Instructio / 'i eP- ' ice/. /� � . / -1 k-e/rfrL,( IIMIIM i " t. (i>N l n PAS 0 ❑ PARTIAL APPROVAL ❑ CANCEL )40 ACCESS r FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED v t : 0 /... e._ Inspector: Date: 1 472. LV 8 ? Phone #: (503) 718- 2)7 2->t CITY OF TIGARD 0. • A ' ., 1 BUILDING DIVISION PERMIT #: RLM200 f -0006L I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 21/2f2007 Phone: (503) 639- 4171 .6a'TTT06T ,I Inspection Requests (24 Hrs.): (503) 639 -4175 J �I L . INSPECTION WORKSHEET FOR DATE: 2J2712007 TIME: 7:01A1 t PAGE: 43 SITE ADDRESS: 11952 SW 127TH PL CLASS OF WORK: SUBDIVISION: VILLAGE AT SUMMER LAKE PARK 4 LOT #: 175 TYPE OF USE: PROJECT NAME: SCHMITT DESCRIPTION: Kitchen remodel. (1) sink, (1) water line for frig, OWNER: SCHMITT, LORI • PHONE #: CONTRACTOR: MODERN PLUMBING PHONE #: 503 - 691 -6166 Inspection Request Scheduled For: Date: 212712007 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 1)43977-01 503 -691 -6166 N Corrections /Comments /Instructions: . - (- 4/79---/ 4 1 1- 1 3 7S n PARTIAL APPROVAL n CANCEL NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED i ii 4 Inspector: /I // �' !1 718- 1 spector: V %� Date: Phone #: (503) 718