Permit .F', CITY OF TIGARD PLUMBING PERMIT
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COMMUNITY DEVELOPMENT PERMIT #: PLM2006 -00563
T IGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/21/2006
PARCEL: 2S 104CB -04000
SITE ADDRESS: 13324 SW ASCENSION DR ZONING: R -7
SUBDIVISION: HILLSHIRE WOODS LOT: 086 JURISDICTION: TIG
Project Description: Replace water service from meter to house.
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: 60 ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
MILLS, ALAN J + CATHLEEN A
13324 SW ASCENSION DR Description Date Amount
TIGARD, OR 97223 [PLUMB] Permit Fee 111211200E $72.50
[TAX] 8% State Surcha 111211200E $5.80
Phone : 503- 997 -5287 Total $78.30
Contractor:
NORTH'S PLUMBING
17120 SW SHAW
BEAVERTON, OR 97007 REQUIRED ITEMS AND REPORTS
Contact # : PRI 649 -5544
FAX 503- 649 -8605
Reg #: LIC 340
PLM 34 -18PB
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: Permittee Signature: ( 1'y, di !i'._
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.
''"c I_cJM a Norths +FSC FAX NO. :5036498605 Nov. 20 2006 04: 44RM P2
Plumbing Permit Appli atirric ��'�VE® l (f1t <>1 1 ici: USE ()NIA
City of Tigard Received
� \' ®2��6 Date/By, / i /Z•i /f) j t Q �+QQ � Permit N: ACA � 0b -0056.
• a 13125 SW Hall Blvd., Tigard, g. 972x13 Plan Review
11 Phone: 501639,4171 Fax: 503 598,1_960. Other Permit No.:
Inspection Line. 503.639.4175 %t 1 I GARD
lYatelBy:
f3C:A t� NOpf dJM \. r u ,.r „,+,_._.b. ^ Jur .r Supplemental B for
.tigard-or.goBUIL DIVISION trdlMethod: Information
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, h lmon fF . A ONI n�E1igibis i.P, t Di∎�nn ..i "•i 1 , m# , tt: t AC, � , :, Ifi �t lot : „G Er, if. -s t s.a rtltaes .1 X 1 Y Wig: �. 1>Z t c, 8 .ti .
El New construction El Demolition
For special information use checklist
Description j Qty. r P.a. f Total
El Addition /alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection)
iu,, 7i# t tTl T NV l ° e ft , ! r
5 Vio iF,' , i._ r a -, •• ail 1s i p t�s 041F " k +i 1 7 a4 , :. 7 9 t ` -, J, ` t '. ` #s SFR(1 249.20
® I - and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00
El Accessory building
❑ Multi family SxR (3) bath 399,00
Each additional bath/kitchen _ 45.00
❑ Master builder 7 {� Other: Fire sprinkler ( sy, ft.) Page 2
7�P F t�{ t r pp���'�' Y, t ` t � ci 1 i Y 2 + 4 i t ri ' 11.' t 0 V l l
'.�3 'heats)AaaAt /a+M@f � 0 ionimir tm ith i� �itsaa,'' : ..yl+a,4I+ u ".,. r d .. v ut ...
Job site address: 13324 SW Ascension Drive Catch basin or area drain 16.60
City /State/ZIP: 'Tigard, Oregon 97223 Drywcll, leach line, or trench drain 16.60
Suite/bldg. /apt. no.: f Project name: Footing drain (no. linear ft.: , ) Page 2
Manufactured home utilities 110.00
Cross street/directions to job site:
Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear It: ) Page 2
Storm sewer (no. linear ft.: ) Page 2
Subdivision: Lot n0.: Water service (no. linear ft _ Page 2 55.00 -
Fixture or item
Tax map /parcel no
4 CFV 1 P'^ 'N R t ,r} u , i,fl`,�p` }i Y; ; S t r<2 , +t . r. Gytil3f iC�i . Absorption valve 16.60
� �Jkllt �fi $Fsi't0,�}Y F , n +'YA kY "Yi,' "4i `A g nipA � a. r, l "J P / `d ' ,,NWa 4N Lt1t
it,,,,„. t„,...aa{„H ...„,, a.�a „.. , .. eg k a n� 4 4t, l -r4. i .s , tla ckflow p reventer P age 2 _ _
Replace water service from meter to house Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
}t y ��us, 1 "!,!F , � fie �i�f3 i Y 1 , 1`ft t ; 1 , , 7 f w u •d �� . y 1i Se Drinking fountain 16.6
4 ' a iiiii'.i bA+ iis:l bsi 4� i t ` . ' 1 g� htsi •, i'e s ir CT.k' ' t, (i a ta=.,st...:f J4".2t . it', Ejectors /sump 16.60 - -
Name: Alan Mills Expansion tank 16.60
Address: same Fixture /sewer cap 16.60
City /State /ZIP: Floor drain /floor sink /hub 16.60
Phone: (503)997 -5287 Fax: ( ) Garbage disposal _ 16.60
r: r:{ N ro, cfb' t c + svr 'a r r , r r 3 Fb F i a fi! T i ;t r Hose bib 16.60
� y 144 `'����°�{';��'t�) i i � �. 'i 'G 1 P1 1 { t` F ;1, ,��(p, , t� S {
4 341 n`ni x "„ t i 1 " #111 l YF t C �.' #./ ` H 3' +1 E 3 ... x ( 15', Y7 It "` ' a �lth` W- t ^�><' r
° ��' �,c J tw, E1r1� 'kt ! I xiw x su t nt t Ice maker 16.60
Business name:
Interceptor /grease trap 16.60
Contact name: Medical gas (value: $ ) Page 2
Address: Primer 16,60
.. City / State/ZIP: Roof drain (commercial) 16.60
- _--- - " -- Sink/basin /lavatory 16.60
Phone: ( ) Fax: ( ) Tub /shower /shower pan 16.60
E-mail: , Urinal 16.60
` `lµ U {a i§ a�'4 akeh t, +. t gkt d : •:& .., R , tAV < i t t il :" , 5 i rElF>a 9 ' a # i t
Np�•. f, l r.1 oset 16.60
I + i 11 �' `t t � F li i R1 W � fi4 I. i' iif, n # < 7 Water closet
1usiness name: North's Plumbing Inc Water heater 16.60
Address: 3960 SW 173 Ave Other:
City/State/ZIP: Beaverton Oregon 97007 ,0 Subtotal 55.00
Minimum permit fee: $72.50 72.50
Phone: (503) 649 -5544 i • =x: (51)3) 649 -8605 Residential backflow minimum permit fee: $36.25
COI Lic.: 340 `� umbing Lie, no.: 34 -18 Plan review (25% of permit fee)
f, State surcharge (8% of permit fee) 5.80
Authorized signature: 1 I , TOTAL P1 RMIT FEE 78.30
Print name: Darlene Butcher _ Date 11/20/06 7 This permit it expires if a permit is not obtained within
180 days after it has been accepted as complete.
*Fee methodology set by 'Fri-County Building Industry Service Board.
040- 461r+Ttl0/02/COM/w5a)
1\ Brtilding \ Permits \PLM- PermitAm<b>c 06e16106
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2006-00563
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/21/2006
Phone: (503) 639-4171 ,.._a ttit i l i t
Inspection Requests (24 Hrs.): (503) 639-4175 IL
INSPECTION WORKSHEET FOR DATE: 11/22/2006 TIME: 7:03AM PAGE: 17
SITE ADDRESS: 13324 SW ASCENSION DR CLASS OF WORK:
SUBDIVISION: HILLSHIRE WOODS LOT #: 086 TYPE OF USE:
PROJECT NAME: MILLS
DESCRIPTION: Replace water service from meter to house.
OWNER: MILLS, ALAN J 4 CATHLEEN A, PHONE #: 503-997-6287
CONTRACTOR: NORTH'S PLUMBING PHONE #: 649-5544
Inspection Request Scheduled For: Date: 11/22/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
330 Water service 040185-01 503-649-5544 Y
Corrections/Comments/Instructions:
1,11\4 1
r\I
/.4 / /
( 7: /-.-i,/ •
z r
•
SS 111 PARTIAL APPROVAL El CANCEL NO ACCESS
FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: pit,
Date: Of Phone #: (503) 718-
INSPECTOR'S SIGNATURES ARE NOT
Inspections Required for: PLM2006 -00563 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: 320 Plumbing rough -in
998 Alarm final
999 Sprinkler final 322 Shower pan
X 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
420 Sprinkler supply lines SWR - Sewer Permit
495 Misc. inspection: 505 Sanitary sewer
498 Grading final 595 Misc. inspection:
499 , Final inspection 599 , Final inspection
I' \Building \Inspection Cards \Forms \AOP- TnsnCarri -Rianu rh' 1•9monnas
„a CITY OF TIGARD PLUMBING PERMIT
' . COMMUNITY DEVELOPMENT PERMIT #: PLM2006 -00563
x DATE ISSUED: 11/21/2006
T I G ARD,; 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S104CB - 04000
SITE ADDRESS: 13324 SW ASCENSION DR ZONING: R -7
SUBDIVISION: HILLSHIRE WOODS LOT: 086 JURISDICTION: TIG
Project Description: Replace water service from meter to house.
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: 60 ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
MILLS, ALAN J + CATHLEEN A Description Date Amount
13324 SW ASCENSION DR -
TIGARD, OR 97223 [PLUMB] Permit Fee 11/21/200€ $72.50
[TAX] 8% State Surcha 11/21/200€ $5.80
Phone : 503- 997 -5287 Total $78.30
Contractor:
NORTH'S PLUMBING
17120 SW SHAW
BEAVERTON, OR 97007 REQUIRED ITEMS AND REPORTS
9
O
Contact # : PRI 649 -5544
FAX 503- 649 -8605
Reg #: LIC 340
PLM 34 -18PB 0
u'
. Vr
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: Permittee Signature: 13")'( 1 '`-
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.