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Permit CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT PERMIT #: PLM2008 - 00410 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/23/2008 PARCEL: 2S112CB -01500 SITE ADDRESS: 08018 SW ASHFORD ST ZONING: R - SUBDIVISION: ASHFORD OAKS NO. 2 LOT: 029 JURISDICTION: TIG PROJECT: FULLER Project Description: Bathroom remodel - (1) lay, (1) water closet & (1) shower pan. 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: 1 OTHER FIXTURES: TUB /SHOWERS: 1 SEWER LINE: ft WATER CLOSETS: 1 WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES DENNIS FULLER 8018 SW ASHFORD ST Description Date Amount TIGARD, OR 97224 [PLUMB] Permit Fee 10/23/200€ $72.50 [TAX] 12% State Surch 10/23/200€ $8.70 Phone : 503- 684 -2065 Total $81.20 Contractor: 3 MOUNTAINS PLUMBING 20345 SW PACIFIC HWY STE 103 SHERWOOD, OR 97140 REQUIRED ITEMS AND REPORTS Contact # : PRI 503- 925 -1342 FAX 503- 925 -9104 Reg #: LIC 169499 PLM PB99 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 di estions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued = Permittee Signature: C„,. 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. 'lurnliing Permit Application Building Fixtures FOR OFtICE. USE ONLY City of Tigard Received to i3 a ltg Permit No.: . el t / 09 4 0 /0 u 13125 SW Hall Blvd., Tigard, OR 97223 : Pl C Phone: 503.639.4171 Fax: 503.598.1960 an Review Dan Other Permit No.: TIGARD Inspection Line: 503.639.4175 Date ReadyBy: 1 !il See Page 2 for Internet: www.tigard or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ❑ New construction ❑ Demolition For special information use checklist Description I Qty. I Ea. 1 Total ® Addition /alteration/replacement ❑ Other: New 1 -2 -family dwellings (includes 100 R for each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath 249.20 ® 1- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 350.00 ❑ Accessory building ID Multi-family SFR (3) bath 399.00 Each additional bath/kitchen 45.00 ❑ Master builder ❑ Other: Fire sprinkler (_ sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities Job site address: 8018 SW ASHFORD ST Catch basin or area drain 16.60 City /State/ZIP: TIGARD, OR 97224 Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: I Project name: MASTER BATH REMODEL 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 ft.: ) Page 2 Storm sewer (no. linear ft.: ) Page 2 Subdivision: I Lot no.: Water service (no. linear ft.: ) Page 2 Fixture or item Tax map /parcel no.: Absorption valve 16.60 .. DESCRIPTION OF WORK Backflow preventer Page 2 BATHROOM REMODEL - MOVE VANITY WASH BASIN 2.5 FEET. Backwater valve 16.60 REPLACE FIBERGLASS SHOWER WITH NEW PAN AND TILE WORK Clothes washer 16.60 RELOCATE SHOWER DRAIN AND MOVE WC 3 INCHES TO LEFT Dishwasher 16.60 Drinking fountain 16.60 cs PROPERTY OWNER ❑ TENANT Ejectors/sump 16.60 Name: DENNIS FULLER Expansion tank 16.60 Address: 8018 SW ASHFORD ST Fixture /sewer cap 16.60 City/State/ZIP: TIGARD, OR 97224 Floor drain/floor sink/hub 16.60 Phone: (503)684 -2065 Fax: ( ) Garbage disposal 16.60 ® APPLICANT Ci CONTACT PERSON Hose bib 16.60 Ice maker 16.60 Business name: Interceptor /grease trap 16.60 Contact name: DENNIS FULLER Medical gas (value: $ ) Page 2 Address: 8018 SW ASHFORD ST Primer 16.60 City/State/ZIP: TIGARD, OR 97224 Roof drain (commercial) 16.60 Phone: (503) 349 -0118 Fax:: ( ) Sink/basin/lavatory 1 16.60 Tub /shower /shower pan 1 16.60 E - mail: DENNISFULLER@VERIZON.NET Urinal 16.60 CONTRACTOR Water closet 1 16.60 Business name: THREE MOUNTAINS PLUMBING Water heater 16.60 Address: 20345 SW PACIFIC HWY #103 Other: _ City/State/ZIP: SHERWOOD, OR 97140 Subtotal Minimum permit fee: $72.50 7;,,. 93 Phone: (503) 925 -1342 Fax: (503) 925 -9104 Residential backflow minimum permit fee: $36.25 CCB Lic.: 169499 Plumbing Lic. no.: Plan review (25% of permit fee) State surcharge (12% of permit fee) Authorized signature: / X) d TOTAL PERMIT FEE Print name: Al N 1,g' R -cu L L CR Date: / (� /a 3 /c/ 00e This permit application expires if a permit is not obtained within ( 180 days after it has been accepted as complete. CITY OF TIGARD . , BUILDING DIVISION PERMIT #: Pt l�+t2008 01410 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/23/2008 Phone: (503) 639 -4171 .2u�u Up���ii q' II�I Inspection Requests (24 Hrs.): (503) 639 -4175 ...... _ a. INSPECTION WORKSHEET FOR DATE: 1 1/19/2008 TIME: 7:02AM PAGE: 27 SITE ADDRESS: 08018 SW ASHFORD ST CLASS OF WORK: SUBDIVISION: ASHFORD OAKS NO. 2 LOT #: 029 TYPE OF USE: PROJECT NAME: FULLER DESCRIPTION: Bathroom remodel - (1) lay, (1) water closet & (1) shower pan. OWNER: FULLER, DENNIS PHONE #: 50:3.6042066 CONTRACTOR: 3 MOUNTAINS PLUMBING PHONE #: 503-925-1342 Inspection Request Scheduled For: Date: 11/1912008 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 078232-01 503 -349 -0118 V Corrections /Comments /Instructions: 1)W 01 S ' AO - I AMIIIMEIMMIF 4r W'''" L , M It C I ASS I I PARTIAL APPROVAL n CANCEL ❑ NO ACCESS n FAIL 1 I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: \ Date: `[ '`°3 Phone #: (503) 718243 CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2008-00410 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/23/2008 Phone: (503) 639-4171 /44,14 pIll'i' \ Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 11/18/2008 TIME: 7:01AM PAGE: 3 SITE ADDRESS: 0801B SW ASHFORD ST CLASS OF WORK: SUBDIVISION: ASHFORD OAKS NO 2 LOT #: 029 TYPE OF USE: PROJECT NAME: FULLER DESCRIPTION: Bathroom remodel - (1) lay, (1) water closet & (1) shower pan. OWNER: FULLER, DENNIS PHONE #: 603..6m.,2066 CONTRACTOR: 3 MOUNTAINS PLUMBING . PHONE #: 503-9251342 Inspection Request Scheduled For: Date: 11/1812008 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 078201-01 503349-0118 N Correcti ns/Com nts/Instructions: / es ) - ''' rilf 14:7) t / :4t.a /J(1-4.72_ A . I I PAS.... i PARTIAL APPROVAL 0 CANCEL ri NO ACCESS FA FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: K6Iikvie_________ Date: I 1 Ko-;#: (503) 718- • I . , CITY OF TIGARD BUILDING DIVISION PERMIT #: pon00n_00410 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/23/2008 Phone: (503) 639-4171 441111 V\ Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 10/31/2008 TIME: 7 otho PAGE: 32 SITE ADDRESS: 08018 SW ASFIFORD.ST CLASS OF WORK: SUBDIVISION: ASHFORD OAKS NO 2 LOT #: 079 TYPE OF USE: PROJECT NAME: FULLER DESCRIPTION: Bathroom remodel - (1) lay, (1) water closet & (1) shower pan. OWNER: FULLER, DENNIS PHONE #: 503-684-2065 CONTRACTOR: 3 MOUNTAINS PLUMBING PHONE #: 503-926-1342 Inspection Request Scheduled For: Date: 10/31/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 322 Shower pan 077461-01 503-349-0118 N Ko ■,, l.-a A- 1 c , Corrections/Comments/Instructions: • PASS 0 PARTIAL APPROVAL fl CANCEL 1 NO ACCESS FAIL 0 CALL FOR INSPECTION pi ADDITIONAL FEES ASSESSED Inspector: Crl,‘11•4---)\ Date: 10/31 /0?') Phone #: (503) 718- CITY . OF TIGARD . 1 f BUILDING DIVISION All% . PERMIT #: pu 13125 SW Hall Blvd., Tigard, OR 97223 _ <---2 DATE ISSUED: 44t 10/1300M Phone: (503) 639-4171 AN/lifill 0 Inspection Requests (24 Hrs.): (503) 639-4175 . - --u.., INSPECTION WORKSHEET FOR DATE: 10130/2008 TIME: 7 PAGE: 26 SITE ADDRESS: 080Th SW ASHFORD ST CLASS OF WORK: SUBDIVISION: ASHFORD OAKS NO 2 LOT #: 029 TYPE OF USE: PROJECT NAME: FULLFR DESCRIPTION: Bathroom remodel - (1) lay, (1) water closet & (1) shower part. OWNER: FULLER, DENNIS PHONE #: 603.88.1-2065 CONTRACTOR: 3 MOUNTAINS PLUMBING PHONE #: 603.9251342 Inspection Request Scheduled For: Date: 10130/2008 Pour Time: Code # Inspection Description . Confirm # Contact # Message 320 Plumbing rough-in 077357-01 503.3494118 N Corrections/Commer ./Instructions: , <—" , ),_ zA..._ („7 p , 1, • KZ(2_ • , ..c - 1_ V # U4elA .) e--■C(-- . . . _i. 4. . d ..i --- , . , ..'; , ..._ 411■ 1 1 PAS" . p PARTIAL APPROVAL 111 CANCEL pi NO ACCESS fl FAIL fl CALL FOR INSPECTION E ADDITIONAL FEES ASSESSED I ( ) -0 Dv Inspector: )/ Date: L Date: 1 Phone #: (503) 718 INSPECTOR'S SIGNATURES ARE NOT Inspections Required for. . L l�Ij Q� REQUIRED ON GREEN INSPECTION CARD. Code Inspection Description PASS Date By ✓ Code Inspection Description PASS Date B 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 AEG- 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 995 Misc. inspection: 315 Post /beam plumbing y 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 '- 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 1: \ Building \ Forms \InspCard- AOP- Blank.doc 02/02/07 VF! CITY OF TIGARD' ` PLUMBING PERMIT COMMUNITY DEVELOPMENT PERMIT #: PLM2008-00410 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/23/2008 PARCEL: 2S 11X8 -01500 SITE ADDRESS: 08018 SW ASHFORD ST ZONING: R -7 SUBDIVISION: ASHFORD OAKS NO. 2 LOT: 029 JURISDICTION: TIG PROJECT: FULLER Project Description: Bathroom remodel - (1) lay, (1) water closet & (1) shower pan. 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: 1 OTHER FIXTURES: TUB /SHOWERS: 1 SEWER LINE: ft WATER CLOSETS: 1 WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES DENNIS FULLER 8018 SW ASHFORD ST Description Date Amount TIGARD, OR 97224 [PLUMB] Permit Fee 10/23/200E $72.50 [TAX] 12% State Surch 10/23/200E $8.70 Phone : 503 -684 -2065 Total $81.20 Contractor: 3 MOUNTAINS PLUMBING 20345 SW PACIFIC HWY STE 103 e SHERWOOD, OR 97140 REQUIRED ITEMS AND REPORTS i ..) _ V 00 Contact # : PR1 503- 925 -1342 FAX 503 - 925 -9104 Reg #: LIC 169499 �� PLM PB99 • • 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 di questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued B / �f`f ,� t 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.