Permit r,. CITY OF TIGARD PLUMBING PERMIT
"i a' I DEVELOPMENT SERVICES PERMIT #: PLM2006 -00214
' ' II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 5/15/2006
PARCEL: 2S 104DC -03500
SITE ADDRESS: 13145 SW CLEARVIEW WAY ZONING: R -4.5
SUBDIVISION: BENCHVIEW ESTATES LOT: 035 JURISDICTION: TIG
Project Description: Remodel
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: 3 OTHER FIXTURES:
TUB /SHOWERS: 1 SEWER LINE: ft
WATER CLOSETS: 2 WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
LISA DUCKETT Description Date Amount
13145 SW CLEARVIEW WAY
TIGARD, OR 97223 [PLUMB] Permit Fee 5/15/2006 $99.60
[TAX] 8% State Surcharl 5/15/2006 $7.97
Phone : Total $107.57
Contractor:
MIKE PATTERSON PLUMBING
15028 S MITCHELL LANE REQUIRED ITEMS AND REPORTS
OREGON CITY, OR 97045
Contact # : PRI 503- 632 -7374
FAX 503- 632 -5647
Reg #: LIC 81746
PLM 3 -359PB
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 0001 -0010 through OAR 952 - 0001 -0100. You may obtain copies of these rules,or direct questions to OUNC by
calling 50346=F699 11� -8 8 - 332 -2344. r� -
Issued By // Permittee Signat
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
M 503 - 632 -5647 p.1
May 15 06 01:500
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Pl Permit Application FOR 01 ICE t_ SE ()NIA'
City of Tigard ltcee;ve t t i.
13125 5W Nall' Blvd.. Tigard, OR 9722 Dateay: 7 , D &' 1,7 y Penni: No.: � (. / t e /
Phon= 503.639.41)1 Fax: 303.598.1960 Flan Review
6t Line: 5D3.63Q.A17S
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Internet: www.ei,tiga rl.or us ./�.. trr Reaayray: h"' &J See 1'at 2 rot
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V Atirrn/altletarionkeplacement Description I Q t y . j Total
` 1 , _ �; ❑Other
New 1 2 family dwellings (includes 100 ff, for each utili ctnmcctionl
- 1: �tif a' .•• ... X90V1f •P et L-. F 1 : 1::�',:•,i'I'_ �.�
' - •L..s
-' a4 1_.,.....•1 ,-• , K , 4,s1at s$ � `.:; ,.ii _ .. `. ; • ; •' s• 5FR (I) bath 249.70 '
gt 1 - and 2- family dwelling Q Ca�rttloel'eialfiratustrial ^ &FR (2) bath 350.00
Q Accessory building • Q Multi- family I SFR (3) bath 399.00 •
❑ Master builder
Each ItadJlatchen 4$.00
Fur sptinkie
:1�,_ = ;. � {.} s Q � �1j t� . . ' r� -sq_ el) Page 2
.+ ;:1 :�::•2:Ali- :r. • 'FS .4, . T• .. � � F k �' - t
• address: 1 45 9; l .• 1 -�r t . . ..� - � ` mu llillltli3
.Tob site addr .
^l .� i LA Catch basin or area drain 16.60
O fr)lL, 7 ' 3 J Drywell, leach line. or trench drain 16.60 '
Suite/bldg./apt. no.: 1 Projecting= TO e i.- Ct 77-7 Footin drain (no. linear ft.: • ) Paget
Cross street/directions to job site: Manufactured home utilities 110.00
' 11 Manholes 16.60
. 41 V 1 I _ . ; Rain drain connector 16.60
Sanitary sewer (no. linear it. ) Page I .
Storm sewer (no. linear R.: _) Page 2 '
Subdivision I lot no Water service (no. linear A.: ) - Page 2 • I .
•
Tax Map/parcel m.: t fixture or Item
Map/parcel
•e' � .it_ 2i :_ : . • '• Pt x � s u . ,... - Absorption valve 16.60
;ig ..mitt . .- r `•:*r . i iP - - • .. ..4 - . ! - � ' t iv. ^• �:•2 -• i•-.Yn�'
A . ; :.. � ? 'j ) 't� ) a :'': � Hacldlow ptsvcnrcr Page 2
0'r► Backwater valve 16.60 - 7,,
Clothes washer 16.60
Dishwasher 16.60
�:; T� •, �: 1 :r r. • }a• thinking brin)d 16.60
F ?`'` ?7!I 1 ;111:S4: .: �C '.' %If - 4.% ` itia F jectonlSUrnP 16.60 .
Name: kj } � u /`
7n 77
_ �'-1 > Expansion tank 16.60 k
Address: 16 l 14 `J L 972_ C./ / et..0 (- y , Fixtw cop 16.60 I
•
OW/Stare/ZIP: POi2 f,jT- p/- r 7 9- z a • Floor drainh]oorsink/hub 16.60 I .
Plxme. ( ) Fax ( ) Garbage disposal 16.60 I
�iqq''��'+1+ tt `l 5 :bs�' _:i' ` y_ ....- floec bib 16.60 ' • I r 6 14; a' 3 • 4 PC� V' ; - i;l: Q it /'/it fli•> crime •
Business acme lee maker 16.60
Contact nam Interceptor/grease trap 16.60
Medical gas (value: $ ) Page 2
Address: Primer 16.60
•
Cityl$tateJ21P: Roof drain (eouaa 'tial) 16.60
Ybosle: ( ) I Fax:: ( ) SinJobztirr�tvatoq 1 16.60
1 Tub /shower/shower pan ) 16.60
E -mail: I
�': ". it `.�: -...a . c��Ea $'I y `�-j � � . • .� � •� ._ ; ;_. 6 ,.. : •. _':•.' -• _ „ - „ Urinal 16.60
..!f,t -. :( 4. .177.1 ±. -tnfir. ' � S � � K _ 7r'f1 ! ••-. . •!. V i i i •. ` t't'3 o Water set 'Z-, 14.60
I3rer(rlets name l _, f:1.4} -r ►}ief 1914 .►rs11t ; ircf,�' warn ltwter 16.60
Address: / QZ 1 .z '1 r(t i Other: L / ,,F /
City/Stater/JP! .L.G y^ ,, n i De- q -2G�`• : 572.
Minimum permit fee: 532.25 0
I �0
�": �) la ' 7 ���1 Pax: ( ) Resident b m
aekflow inperm imum perm tea 5 / 35.25 7 •
_ 3 1 s 2 Plan review (25% of permit fee)
CCt3 Lie.: `'7 �� Plumbing Lie. no.: 13 5% (
AUtatizt3Ci' sigma are: r �. �- / 1'�• State surcharge (8% of permit fee) '7.i
r-r • � f �l � �, TOTAL PERMIT FEE /0%6
Print mama ' t e ., 0 ,....,,,,.. 4 0 D ate :� ...q_Q( Tail rmit a tieaeom
Pe FP expired if a permit is not obtain rQ within
134 days after It has been accepted as-complete
*Fee rnetbodotogy aatby I'd-county Building Industry Service Bawd.
i1BWldimOI aI-FilulQl.ite I3101 I01616t U001I/C01ah)
CITY OF TIGARD
BUILDING DIVISION y PERMIT #: PLIV12106 00214
13125 SW Hall Blvd., Tigard, OR 97223 A,. DATE ISSUED: 5/15/2006
Phone: (503) 639 -4171 IDI1u�91 �1i
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/14/2006 TIME: 7:16AM PAGE: 58
SITE ADDRESS: 13145 SW CLEAR VI EW WAY CLASS OF WORK:
SUBDIVISION: BENCH VIEW ESTATES LOT #: Q TYPE OF USE:
PROJECT NAME: DUCKEr
DESCRIPTION: Remodel
OWNER: DUCKETT, LISA PHONE #:
CONTRACTOR: MIKE PATTERSON PLUMBING PHONE #: 503 - 632 -7374
Inspection Request Scheduled For: Date: 7/14/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 033043.01 503-803-8914 Y
Corrections/Comments/Instructions:
•
N dDASS [i PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
iw ,
Inspector: ) Date: y l Phone #: (503) 718- - ' ✓i/