Permit CITY OF TIGARD PLUMBING PERMIT
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COMMUNITY DEVELOPMENT PERMIT #: PLM2008 -00005
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/7/2008
PARCEL: 25111 CC -05700
SITE ADDRESS: 10020 SW CENTURY OAK DR ZONING: R -12
SUBDIVISION: SUMMER FIELD LOT: 080 JURISDICTION: TIG
PROJECT: COOBS
Project Description: Add shower.
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
KATHERINE COOBS
10020 CENTURY OAK DR Description Date Amount
TIGARD, OR 97224 [PLUMB] Permit Fee 1/7/2008 $72.50
[TAX] 12% State Surch 1/7/2008 $8.70
Phone : 503- 650 -9550 Total $81.20
Contractor:
MULLEN COMPANY, THE
1601 SE RIVER RD
HILLSBORO, OR 97123 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 640 -01 13
FAX 503- 640 -4483
Reg #: LIC 92689
PLM 34 -260PB
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.
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Issued By: Permittee Signature: fi'2,7 Q M '
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.
1).1/04/2008 16:57 FAX 5036404483 THE MULLEN COMPANY 11001/002
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JAN 0E;V2060841111. 1.-- 12
Plumbing Permit Application no iJR
City o f Tigard Received
Date/By: - o es 1:5 Permit NOTLIV\20c6_,c0995
w 13125 SW Hall alvd,, Tigard, OR 9722prrvrt • Plan Review
1 1 'M : . Phone; 503,639,4171 Fax: 503,51% g 1 1 ,-F i l u r:Afif ), Date/By: Other Permit No :
, i c A Inspection Line: 503,639.4175 tleita 111th ,, 4-c
DING
, Dille Reedy/By; Lurie ' 0 Sec Page 2 for
Internet: www tigarckargov "I WSILALIVorified/Meiliod: Supplemental Information
,.';':;r ,r.,...%;.:7 't • ., ''T ;1';'. , zo mg, nr" - - .,‘,..- . ... ! rr, 7!„-- ..,,,-,. , - 4.Z.,e,,,,.."7 ''',,eith. .! chlIFIt' !",i'l:!••;4*.i'
.rirE '!":0MC :.•! .., “:.. ', '''' ,!,1,4',:;;;' ' 17,4k. v! gli' :T ,E,Pt. 4.,' :ERISEpt,,u . ,....,;, • ,:,,,,,, .2k.
111 New construction I LI Demolition For2ecial information use checklist
Description 1 Qty. I EtrI Total
El Addition/alteration/replacement CI Other: New 1- 2 dwellings (includes 100 ft for each utility connection)
' ' 1 ''''''';; SFR (1) bath - - 249.20
!,...44, !'11:itiO4,,r,!.. rt; , ..,'...,1,, . , ; , 2 - , , . q ,k2 4.4 W;P='" :"'''
23 1- and 2 dwelling El COrnmercialtindustri al SFR (2) bath 350,00
0 Accessory building r:,) Multi-family SFR (3) bath
399,00
Each additional bath/kitchen 45.00
El Master builder El Other:
Fire sprinkler ( sq. ft.) Page 2
- - _
2';''':#!•,'lit„' ONAQ:P.,M 'r#1,Ni"A,Fkg4r§: ' ' : '' Site am rit$
'Job site address: 10020 SW CENTURY OAK DRIVE catch basin or arcs, drain 16.60
City/State/ZIP: TIGARD, OREGON 97224 Drywell, leach line, or trench drain 16.60
Footing drain (no. linear ft! ) Page 2
Suite/bldg./apt. no.: Project name:
Manufactured home utilities 110.00
Cross street/directions to job site; -
- - Manholes 16.60
Rant drain connector 16.60
Sanitary sewer (no. linear ft.; _) Page 2
Storm sewer (no. linear ft.: _) Page 2
Subdivision:
-
Lot no.: Water service (no. linear ft,: ) Page 2
Fixture or item
Tax map/parcel no.:
-__.„ Absorption valve 16.60
RIVA4'''il:F417
,1;*piii,. :liIia': - ":'': , , ' ;:','...
!„0!!,9!•„! • +6.,.,.., . ' ,„2 Backflow preventcr Page 2
-
- Backwater valve 16,60
PLUMBING/ADD SHOWER Clothes washer 16.60
Dishwasher 16_60
!.,! ., ,, To, ,4„,,ikW
,, . . ,. I.„;; , . Drinking s fountain 16.60
1 1 it
! ,,,z' Ejectors/ump 16.60
Name: -- rs•5
Expansion tank 16.60
Address: Fixture/sewer cap _ 16.60
City/State/ZIP: Floor drain/floor sink/hub 16.60
Phone: ( irpi (,,so ....964;z) Fax: ( ) Garbage disposal 16.60
,4 ""^ ' wow ,Mi •,,,, . 1. _Igon, , 74,, , ''"."1,t, .4 '''',' - 7-- -•0 • ... Hose bib ' 16,60
l':'■.^k!gctktta41P"M0115,1 '
'Z'.' . • ';'' 'L.71' C 4TRsON''':';';
aker 16
Business
name: EDWARD MULLEN PLUMBING lee m .60
Interceptor/grease trap 16.60
Contact name: Ray Mullen Medical ps (value; $ _) Page 2
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Address: 1601 SE RIVER ROAD Primer 16.60 _
City/State/ZIP: HILLSBORO, OREGON 97123 Roof drain (commercial) 16.60
Phone: (503 ) 640-0113 Fax: : (503) 640-4483 Sink/basi atory 16.60
. Tu o erts wer pan 1 16.60
E-mail:
- - „....._,.,, , . . Uri 16,60
Water closet 16.60
-
Business name: EDWARD MULLEN PLUMBING Water heater 16.60
_.
Address: 1601 SE RIVER ROAD Other:
_.
City/State/ZIP: HILLSBORO, 0 REGON 97123 Subtotal
Minimum permit fee: $72.50 -IA 11
Phone: (503) 640-0113 Fax: (503-) 640-4453 Residential backflow minimum permit fee; $36.25 i
CCB Lie.; 92689 ,--'7 Plumbing Lic. no.: 34-260PB • Plan review (25% of permit fee)
Authorized signature: )...-A..--' .....----000".. State surcharge (12% of permit fee) , 70
...drem - TOTAL PERMIT 1
Print name: RAY MULLEN . Date: 1/04/2008 1 This permit application expires if a 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 \Building \Permit., 1 PcM-PternitApp.doc 06/26/06 4a0.0 I oT( tom/am/WEB)
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CITY OF TIGARD
BUILDING DIVISION •' PERMIT #: PLM2.008 00006
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 117/2008
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 3/19/2008 TIME: 7:01AM PAGE:
SITE ADDRESS: 10020 SW CENTURY OAK. DR CLASS OF WORK:
SUBDIVISION: SUMMERFIELD LOT #: 080 TYPE OF USE:
PROJECT NAME: 0OOI3S
DESCRIPTION: Add shower.
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OWNER: COOBS, KATHERINE PHONE #: 603650 -8550
CONTRACTOR: MULLEN COMPANY, THE PHONE #: 603-640-0113
Inspection Request Scheduled For: Date: 3/19/2008 Pour Time:
•
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 066904 -01 503.670 -9160 N
Corrections /Comments /Instructions: 11 .
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
(l FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: V Date: 3 1 tvo`n Phone #: (503) 718-
CITY OFTIGARD
BUILDING DIVISION PERMIT #: am2008.00005
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: .1/7/2
Phone: (503) 639-4171 "flit
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 1/8/2008 TIME: 7:01AM PAGE: 36
SITE ADDRESS: i0020 SW CENTURY OAK DR. CLASS OF WORK:
SUBDIVISION: SUMMERFIELD LOT #: Q TYPE OF USE:
PROJECT NAME: C00135
DESCRIPTION: Add shower.
OWNER: C00138, KATHERINE PHONE #: 503-650.9560
CONTRACTOR: IvIULLEN COMPANY, THE PHONE #: 503-M0-0113
Inspection Request Scheduled For: Date: 1/8/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
322 Shrover pan 062746-01 503-640-0113
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Corrections/Comments/Instructions:
Skr0
U
c o - ' ) 07 ICCA-A
C,KPASS , PARTIAL APPROVAL 0 CANCEL NO ACCESS
0 FAIL fl CALL FOR INSPECTION E ADDITIONAL FEES ASSESSED
Inspector: Cra\n Date: J MD? Phone #: (503) 718-