Permit CITY TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00238
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/8/2007
PARCEL: 2S 104AB -05900
SITE ADDRESS: 12242 SW 131ST AVE ZONING: R -4.5
SUBDIVISION: MORNING HILL NO. 4 LOT: 088 JURISDICTION: TIG
PROJECT: LAUN
Project Description: Fixture for kitchen remodel. Other fixs: refrig drain and insta -hot.
CLASS OF WORK: ALT GARBAGE DISPOSALS: 1 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: 2
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: 1 RAIN DRAIN: ft
Owner: FEES
DANIEL LAUN
12242 SW 131ST AVE Description Date Amount
TIGARD, OR 97223 [PLUMB] Permit Fee 6/8/2007 $83.00
• [TAX] 8% State Surcha 6/8/2007 $6.64
Phone : 503 -579 -3878 Total $89.64
Contractor:
ACCURATE PLUMBING
3021 NE 72ND AVE
#924 REQUIRED ITEMS AND REPORTS
VANCOUVER, WA 98661
Contact # : PRI 360 - 944 -8952
FAX 360 -896 -4870
Reg #: LIC 85333
PLM 37 -309PB
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—Sift/4/U 6 Permittee Signature: J a ten '
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.
A S/ 07/ 2007 16:16 5032444667 WALKER INTERIOR REMO PAGE 04/04
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Plumbin2 Permit ApplicatiotiRECti . '''' OR orricti U 'ON.I.V
City of Tigard Received ' ..... A., ,IDIM l' tmit i IS thi, . i •
„... , • t„
l _ I. 13125 SW Rail Blvd., Tisu ,,,.
rd, OR 97223 ----
•. II . -. Phone: 503.639.4171 Fax; 503.598.1960 JUN " " Ilm Revic A/
1M.
Other Permit No.:
' ' - inspection Line: 503.639,4175
T 11C, A. R D , 41r" E3 tiee Ptige 2. Fur
m
- Internet. - www rigord-ogov of 1113
r Sppplemental Inforation
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_______ FEE* SetitIVEILE
j New construction et 0 ition FOr Elt:feial ilyblyliffial due checklia
• - Descri ption -- Q1v71 n a. I Iota!
-- ...
E Additionialterationfiepiacemcnt El Other:
New 1- 2-familv dwellings I includes I 00 it. For each utility comitm ion)
.
• 0:410 l ',,,.:........ ...:.: , .:,, SFR (I) bath 249.20
, In
I- and 2-family dwelling 12 Commercial/industrial SFR (2) bath 350.00
_-. _
- - --
S 39
1=1 ACcet4tiOty building 0 multi FR (3) bath ,-tbmil ___ (,).00
- .
8aelt additional bath/kilchen 45.00
[3 Master builder Ej Other:
Fire sprinkler ( sq. It.) Page 2
..._
-- --,"':::::•:.:.: giit ki&iditiVIAtCOS. ANI): .: :' : : . - ----
- -
Job sitc address: 12242 SW 131st Avenue catch basin or area drain 16,60
, - -..
City/State/ZI.P: Tigard , Oregon 97223 orywmictich line, or trench drain 16.60
_.....„---_.
..- .
Pa,;.. 7 .
Suite/bldg./apt, too.: - i_Project name: L room drain (no. linear n.. )
---.L... -
._.._ -.. Manufactured home utiritics 110,00
Cross street/direetions to job site: SW_132nd Avenue manholes
166U
_,...
Ram drain connector
-
--___,
Sanitary sewer (no. linear it: ) Page 2
-----
Storm sewer (no, linear it:) Page 2 ..,_
---.
Subdivision -
Lot no - Water service (nu. linear It .: ) Page .2
: ______--
.: -----
' ' FilcIttVe or item
I ax Mapiptircei no,; .....-------- .•... :-...-,.....--- ---,-
Absorption vrilve I 6.611
-:.;,..:•:' ' ,:::.: '/.:.:.:.:.::".....''::::' liTieiteoti6. N '' •
. . oh low preventer Page 2
Kitchen Alteration - ReN,acement.l.',of Fix 1 .44a2pvimervflivu 16.60
-..- .._ ._ -- -•
Clothes washer 16 6(1
-..-_ - 6.60
----
:i.... ,,tn.... 1,41:10,T.:..!,. s .,.,,.‘.:::,. 1 1) 3r is ili t_w m a g sher _
1 1
ki fountain 16.60
__,-...
- . ''''' .' -... "' ''i "''' ; "''' 14i "'• '''' * ' q. '•' - ' , -.L 1 -;L . - ...' '• 'L':■ ',- '- ..'''' Ejectors/sump 16.60
Nmm Daniel Laun _ -
• , r,-xpRnsion tank 16.60
-- -...
Address: 12242 SW 131 sttAvonue Fixture/sewer cap 16.60
. ..-
City/S0,103/ZiTh Tigard, Oregon 97223 Fluor drain/floor sin -- - k/hub I 6.60
_ .....-
Phone: ( 50 579-3678 Fax: ( ) None Uerbage disposal
..- .q..• - .....d ..,v.imekt•-,..riikos•• . Hose bib
- ..-.„ It)
lee maker 1 16 16.60
t3iNinessiltime: Walker Interior Remodeling, Inc,
_--. _ littereeptorigrense trap 16.60
Contact nome:.., Gary Burkhart Medical gas (value: !}; ) Page 2
_
• Address: 6775 SW 111th Avenue, Suite 201 Primer 16.60
• _ - - _.,--
City/State/ZIP: P0r_tlw:1,j2eq6n 97008 _ Roof drain (commercial' ' 16,60
Phone: ( 5 452-1383 : Sink/basin/lavatory 1 16.60 i 16 . 6 0
03) Fax: : (50 3) 244-4667 ..„.,...
Tub/shower/shower pan 16,60
E-mail: None .
Urinal ---
16,60
.•:.q•,:.'..e..11 Ai',.2i.".: 1 ''-!:. 1,r't„.01 .:•' ':'.';t: . - - • :'. ''.
'- • ..'.. t:',',1 ::....' '.':;;:'L:,: ... : • . ' .:. ' ...: :. Water cloSet 16 60
Ilusiness name: Accurat7- Plumbing Water heater • 16.60
--- --
Address: 3021 NE 7Fnd Avenue -
4 9/4 c "er'In.s.tA,110t......_ 1 16.6) 16.1
----
.....
83.01
0 V/S 1 -0WAP: Vancouv- Washington *.8661
- -- M Manton puma - tee: 672.50
Phone: ( 361,C:944-895.2 . Flx:(360)8 -4870 Residential_hacknow rninimuin permit fee: 636.25
------
CCE3 Lie.: 85333 , tia Mil Ilt n ing Lia .: 71781Jp Plan review (25% of perm it fee) -
-
State surcharge (8% of permit fee) 6.64
Authorized signature: 111111110 WWI lir
; I. • TOTAL, PERMIT FEI2 89.64
v
Print name: Lesle W a I 6/7/2007 Th is s permit application expires if a permit is not obtained within
- • IF 180 days raft r it has been accepted as minium,
'Fee methodology sc1 by 'Fri-County Bantling Industry Service 13(.):trd
rviaing\rermitsNMIA-PertratApp,cloce6.'26/06 1 I 6T(111/07./t:oprovEB)
CITY Of TIGARD
BUILDING DIVISION PERMIT #: PLM2007- 00238
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/8/2007
Phone: (503) 639 -4171 Aro lt� pi� ' �.I I
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/18/2007 TIME: 7:04AM PAGE: 43
SITE ADDRESS: 12242 SW 131ST AVE CLASS OF WORK:
SUBDIVISION: MORNING HILL NO. 4 LOT #: 088 TYPE OF USE:
PROJECT NAME: LAUN
DESCRIPTION: Fixture for kitchen remodel. Other fixs: refrig drain and insta -hot.
OWNER: LAUN, DANIEL PHONE #: 503 - 579-3878
CONTRACTOR: ACCURATE PLUMBING PHONE #: 360-944-8952
•
Inspection Request Scheduled For: Date: 6/18/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 050344.01 503 - 490.2601 N
Corrections /Comments /Instructions:
PASS n PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
I I FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector; . , Date: Phone #: (503) 718-
INSPECTOR'S SIGNATURES ARE NOT
Inspections Required for. PLM2007- 00238 REQUIRED ON GREEN INSPECTION CARD.
✓ Code Inspection Description PASS Date By -- Code Inspection Description PASS Date By
BUP - Building Permit ELC - Electrical Permit
405 Excavation 105 Underground /slab cover
410 Fill 110 Temporary electrical service
415 Grading 115 Electrical service •
205 Footing 120 Electrical rough -in
805 MFG- Structure grading /footing 125 Wall cover
210 Foundation walls 130 Ceiling cover
215 Footing drain 135 Low voltage
220 Slab 140 Sign installation
310 Crawl drain 145 A/C or heating unit circuit
225 Post/beam structural 150 Hot tub /spa/pool
230 Underfloor insulation 195 Misc. inspection:
235 Shear walls /anchors 199 Electrical final
240 Exterior sheathing
245 Firewall
250 Roof nailing ELR - Restricted Energy Permit
255 Wtr proofing basement walls 135 Low voltage
260 Tilt -up panel 195 Misc. inspection:
265 Masonry 199 Electrical final
270 Reinforcing steel (rebar)
•
275 Framing
810 MFG Structure set -up MEC - Mechanical Permit
280 Insulation 605 Post /beam mechanical
285 Drywall nailing 610 Gas line
287 Suspended ceiling 615 Mechanical rough -in
295 Misc. inspection: 620 Hydronic piping
899 MFG- Structure final 625 Duct work
498 Grading final 630 Fire damper
299 Final inspection 635 Smoke detector shutdown
640 Exhaust hood
695 Misc. inspection:
699 Mechanical final
BUP - Fire Protection System Permit
905 Sprinkler underfloor /slab PLM - Plumbing Permit
910 Sprinkler rough in 305 Plumbing underslab
915 Fire alarm rough -in 310 Crawl drain
920 Suppression trip test 315 Post /beam plumbing
995 Misc. inspection: X 320 Plumbing rough -in
998 Alarm final 322 Shower pan
999 Sprinkler final 330 Water service
335 Rain drain
340 Storm drain
SIT - Site Work Permit 505 Sanitary sewer
405 Excavation 345 Culvert/catch basin
410 Fill 350 Septic tank
415 Grading 395 Misc. inspection:
205 Footing X 399 Plumbing final
210 Foundation walls
215 Footing drain SWR Sewer Permit
420 Sprinkler supply lines
495 Misc. inspection: 505 Sanitary sewer
498 Grading final 595 Misc. inspection:
499 Final inspection 599 Final inspection
I: \Building \Forms \InspCard- AOP- Blank.doc 02/02/07
1 j a .
CITY TIGARD PLUMBING PERMIT
111 °. COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00238
TI GAO. 13125 SW Hall Blvd., Tigard, OR 97223 5037639.41-i1 DATE ISSUED: 6/8/2007
PARCEL: 2 S 104AB -0 5900
SITE ADDRESS: 12242 SW 131ST AVE ZONING: R -4.5
SUBDIVISION: MORNING HILL NO. 4 LOT: 088 JURISDICTION: TIG
PROJECT: LAUN
Project Description: Fixture for kitchen remodel. Other fixs: refrig drain and insta -hot.
CLASS OF WORK: ALT GARBAGE DISPOSALS: 1 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: 2
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: 1 RAIN DRAIN: ft
Owner: FEES
DANIEL LAUN
12242 SW 131ST AVE Description Date Amount
TIGARD, OR 97223 [PLUMB] Permit Fee 6/8/2007 $83:00
[TAX] 8% State Surcha 6/8/2007 $6.64
Phone : 503 -579 -3878 Total $89.64
•
Contractor:
ACCURATE PLUMBING t
•
3021 NE 72ND AVE ""
#924 REQUIRED ITEMS AND REPORTS C7
VANCOUVER, WA 98661
Contact # : PRI 360 - 944 -8952 v
FAX 360-896-4870 5 : Q
Reg #: LIC , 85333 VA Eli) � + _,,ew
PLM 37 -309PB I l Vb 4 vv
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 A l 0 1,1 1,1, A i Permittee Signature: j—).-1 `fc�
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.