Permit /./1V° Y i- Chi 4 =
"- „ CITY C�ARD
PU P
" ',,:, CO OF DE VELOPMENT TI PERMIT #: LMBING PLM2007 ERMIT 00010
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/16/2007
PARCEL: 2S 104AC - 08400
SITE ADDRESS: 12568 SW 131ST AVE ZONING: R -25
SUBDIVISION: MORNING HILL NO. 9 LOT: 227 JURISDICTION: TIG
Project Description: Tile shower install.
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
LEWIS, PEGGY L
12568 SW 131ST AVE Description Date Amount
TIGARD, OR 97224 [PLUMB] Permit Fee 1/16/2007 $72.50
[TAX] 8% State Surcha 1/16/2007 $5.80
Phone : 503 -524 -9423 Total $78.30
Contractor:
WOLCOTT PLUMBING CONTRACTORS
PO BOX 20698
PORTLAND, OR 97294 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 235 -8784
FAX 503- 491 -2932
Reg #: LIC 23847
PLM 26 -208PB
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 -0001 -0100. You may obtain copies of
these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: 7 C (< 6 Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
L A / 1 �[Jw
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Plu n. Permit 4 1 lip atio FOR O1:�ICL USE OBE:, \: .
City Of Tigard kw, � ' � Reeeivcd
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13125 SW Hall, Blvd -, Tigard, OR 97223 ' Date/By: Permit No (� 2067 �S II U `
Phone: 503.639.4171 Fax: 503.59$,1960 / t , •; Plan Review
l�yl`II;,;, l Dare/By; . Other Permit No.:
24- Hour Inspection Line: 503,639.4175 •i i I / • 1uria;
Internet: www,ci,tigard,or.us Date Ready/By: BI gee P>tge.2 for
Notifted/Method: f
Supplemental information
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0 New construction ❑ Demolition , eclat information use checklivt,
Deser'
Addition/alteration /replacement ❑ Other: 1� �' Total
tion a.
• New l - 2- family dwellings (includes l -. • i 1 1 I - connection)
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.�.' IOxP ".;_. ::,;;;�, _ SFR (t) bath
',i! 1- and 2-family dwelling nd = 3
49,20
„ I. Y P ❑ Commercial /indusfial OR (2) bath 350,00
Q Accessory building ❑ Multi - family SFR (3) bath 399.00
❑ Master builder O�� Each additional bath/kitchen '45.00
y ' ;,,F° „ ire sprinkler s ft,
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• "° lob site address: /A (5-4 1 Catch been or area drain 1 6.60 _
City /Statcall": g , 1%11 4 1-7a.2 ' • .•Drywcll,leach line, or trench drain 16.60 • '
Suite /bldg. /apt. no,: Project name: it Footing drain (no. linear ft.: ) • Page 2
' Cross street/directions to job site: • • -0- 1 - *** 1 :{ y Manufactured home utilities 110.00
• ' f�1A11 — / i►'y 1 •• 1 - w,-„` " - Ra i iholcs _ ,. 16,60
Main drain connector 16.60
• ' ' • ' Sanitary sewer (no. iinear•ft:;' • ' ) , Pagel
Storm sewer (no, linear ft: Page 2
Subdiv'isidn: • • ° ` ^ „' Watcr ' t
_ of no.; o: Ho aY )
Tax map /parcel no.: Fixture or it smarm. � .C. A,
ion
_ Beddow pre enter m •
inlieI�Mr • r �
v Backwater valve �� a®witir � / ; , I
'Clothes washer `- a yr.
I � ?✓ � �� Di shCveshcr
rr d ,�, 16.60
Ir 1 tItfipt}L''1'44. )' r•, ''r.'. ;, , .; Drinking fountain • 16.60
,•
At �• �'' ' Ejectors /sump 16,60
- ,Name.
' '' Iii iinifon tan • •
P k. 1..60
•
A ddress; /Q( / A 5 / Fixturc'sewer cap . 16,60
•
City /State /ZIP: •
Floor drain /floor sink /hub 16.60
-
M �'�r Garbage isposal • 16.60
G d
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y . ,}, ,,.;' v , wa ;a;i•; ,, •. ,,:� ,. .
.4i.' ;t c :i'r,:`y:p yc,n :r . -„ .t..,.� ; d e;6 Hose bib 16,60
J, ; .,.. , i • , ld,r iy i � a � :,+, ,1,.,. r ' ; � (,, 9, -, r7 1!11# i, . ��,,,,Ir ; ,,'"''
ice maker - 16;60 •
Business name: WOLCOTT PLUMBING dbrM JACK•ROWK PLC11%I Interceptor/grease trap 16,60
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ontact name: �j�� f
+ : fry
"" LL Medical gas (value; $ ..) Page 2 •
Address: 1075 W HISTORIC COLUMBIA RIVER HIGHWAY _Printer 16.60
City /State/ZIP: TROUTDALE OR 9706) Roof drain (commercial) 16.60
• Phone: (503)235 -8784. .. • .i'Fax : 2932:,.• 5inldbasin / lavatory 16,60 '
E mail :. ,e. • -
s. Tub %shower /shower pan 16.60
O�V.
..
. . . .
Urinal - 16 :60
'� . .
� . . Water closet
Business name: WOLC'OTT:PLUMRiNG dbtr,IACK'HOWK PLUMBING • Water heater ' 16.60
Address: 1075 W HISTORIC COLUMBIA RIVER HIGHWAY Other:
' City /State /ZIP: TRO.IDALE OR 97060 ' • • • • Snbtotnl
Minimum permit foe: 572.50 I • }
I•F
Phone: (503) 235 - 8784 Fax: (503) 491 Residential backflow minimum permit fee: 136,x5 i 1
CCB• Lie.; 23847.- . . - . • • •• "Plu•' Mg Lie. no.; 26- 208•PB . .Plan review (25% of permi i�'
State surcharge (8% of permit fee)
Authorized signature:,, � r +/ � _ � .
' TOTAL PERMIT FEE
Print name: � 4 m pat J i o/ Thia permit application expires if a permit Is not nbtftined within
MO days after it has been accepted as complete.
"Fee methodology set by Tri -County Building industry Service Hoard.
I: iBtrilding1PermkAtP7 _M•NetnitApp.doe 06105 440A6t5T(t0 /07JCOMlwED)
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2007 -00010
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/16/2007
Phone: (503) 639 -4171 pNn�i E i�l
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 1/18/2007 TIME: 7 :06AM PAGE: 8
SITE ADDRESS: 12568 SW 131ST AVE_ CLASS OF WORK:
SUBDIVISION: MORNING HILL NO. 9 LOT #: 227 TYPE OF USE:
PROJECT NAME: LEWIS
DESCRIPTION: Tile shower install.
OWNER: LEWIS, PEGGY L, PHONE #: 503-524-9423
CONTRACTOR: PETE'S QUALITY PLUMBING PHONE #: 503.5574450
Inspection Request Scheduled For: Date: 1/18/2007 Pour Time:
Code # Inspection Description Confirm # Contact # M - - = �
320 Plumbing rough -in 042265 -01 503 -524 - 9423
Corrections /Comments /Instructions:
.
`1nko _ . AS_ �� � _ /, _ i ,� ems' - t -
I I PASS 'ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
I I FAIL n CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: Date: //874 7 Phone #: (503) 718 - 7 y
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2007-00010
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/16/2007
Phone: (503) 639-4171 Joiti
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 1/19/2007 TIME: 7:01AM PAGE: 19
SITE ADDRESS: 12568 SW 131ST AVE CLASS OF WORK:
SUBDIVISION: MORNING HILL NO. 9 LOT #: 227 TYPE OF USE:
PROJECT NAME: LEWIS
DESCRIPTION: Tile shower install.
OWNER: LEWIS, PEGGY L, PHONE #: 503-524-91123
CONTRACTOR: WOLCOTT PLUMBING CONTRACTORS PHONE #: 503-235.8784
•
Inspection Request Scheduled For: Date: 1119/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message ' 9 1 (e°
322 Shower pan 042306-01 503.5249423
Corrections/Comments/Instructions: BZ Z8
'"jil ig i rgeleMir s t A
ler■v•
PASS I I PARTIAL APPROVAL fl CANCEL I NO ACCESS
I FAIL LII CALL FOR INSPECTION I ADDIT ONAL FEES ASSESSED
- i67 (07
Inspector: Date: t Phone #: (503) 718V4A-3
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PL 1200) -00010
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/16,0007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 9/17/2007 TIME: 7 :00AM PAGE: 40
SITE ADDRESS: 12568 SW 131ST AVE CLASS OF WORK:
SUBDIVISION: MORNING HILL NO. 9 LOT #: 227 TYPE OF USE:
PROJECT NAME: LEWIS
DESCRIPTION: Tile shower install.
OWNER: LEWIS, PEGGY L, PHONE #: 503 - 524 -9423
CONTRACTOR: WOLCOTT PLUMBING CONTRACTORS PHONE #: 503.2358784
Inspection Request Scheduled For: Date: 9/17/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 055680 -01 503- 799 -8228 N
Corrections /Comments/ Instructions:
Ccv, C1 fr
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: !10 Date: e ll O 10`1 Phone #: (503) 718-