Permit C ITY OF TIGARD PLUMBING PERMIT
.
COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00168
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/26/2007
PARCEL: 2S114BA -14100
SITE ADDRESS: 16240 SW COPPER CREEK DR ZONING: R -7
SUBDIVISION: COPPER CREEK STAGE 4 LOT: 106 JURISDICTION: TIG
PROJECT: CANNON
Project Description: Replace kitchen sink
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 1 URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner:
FEES
CANNON, STEPHAN F AND
SUSAN C Description Date Amount
16240 SW COPPER CREEK DR [PLUMB] Permit Fee 4/26/2007 $72.50
TIGARD, OR 97224
[TAX] 8% State Surcha 4/26/2007 $5.80
Phone : 503- 684 -3762 Total $78.30
Contractor:
R D PLUMBING INC
13900 NW SPRINGVILLE RD
PORTLAND, OR 97229 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 297 -7422
FAX 503- 297 -7344
Reg #: LIC 73913
PLM 26 -313pb
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: Am d r „ /
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.
04/18/2014 17.54 FAX 5032977344 RD PLUMBING Z 002/002
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Plumbing Permit Application E - FOR OFFIC USE ONL.1' . • r
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City Of Tigard
SW Hall Blvd., Tigard, OR 7223
APR . q 13125 APR 2 5 2007 r,...is,cd
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Plan. Review Permit Norlin a 7 0 0 ic.g
I Phone: 503.639 4171 Fax 503759,X1196.0 , h liulited, Other Permit No.
. • Inspection Line: 503.639.4175 4 .... , 1 I ii- l../
-ric,;An.p Dote Reakly/By. /VIA' Ed See Page 2 for
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Internet: www.tigard-or,gov 1:r
t TIT TITNTC1 ntt TTele IN
. caned/Nell-Lori Supplemental Information
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0 New construction 1=1 Demolition For special I ormation use checklist
Descri • don WAN Ea. Total
M Addition/alteration/replacement 0 Other: New 1 - 2 dwellings (includes 100 ft. for each utility connection)
SFR (1) bath
, ., ; ' ' ) , ' ,'w, ,,;'& „ '..;•. ' . .: '1 iiiiskaresiailiiiiikilitiititdiiiiiktiaaik . ' o .-■-"4.,: 249.20
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1- and 2 dwelling 0 Commercial/industrial SFR (2) bath 350.00
,. ..
El Accessory building 0 Multi SFR (3) bath 399 00
^ Each additional bath/kitchen 45 00
p Master builder 0 Other: sprinkler ( sq. ft.) Page 2
777 14.%,„!,
.„.,. ;,, . ,,,, u „, i it i4 JA alig ig,46,48.A,A,,,i Aka hh4, Site uti lities
Job site address: 16240 SW Copper Creek Dr. Catch basin or area drain 16,60 a • - .
City/State/LIP; Tigard, OR 97224 D leach line, or trench drain 16.60 -
- —
Suite/hIdgdapt. no.: Project name: Footing drain (no. linear ft.: ) ?age 2 ,
Manufactured home utilities 110 00
Cross street/directions to job cite: —
- Manholes 16.60
___
Rain drain connector 16.60
Sanitary sewer (no. linear ft. : ____.) Page 2
— - Storm sewer (no. linear ft.: ) Page 2
Water service (no, linear ft.: ) Page 2
Subdivision: 1 Lot no.: --
— - Fixture or item
lax map/parcel no.: -'
Absorption valve 16,60
.:7. , !, , ,,,., , ,•, -. 7 , 7 , 7 t : , .;ntyl, , ,N;M444,,.";: ,,,' ,4 iL? 1' ,!; 4 1:4
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:,,,,.,6,, . !la .,.' eittg$ .. Aka .. "Nei iiiikwik A il,g1 .., k &ig1" k1k BuCkflOw Prevcnter Page 2
Replaced kitchen sink. • Backwater valve 16.60
Clothes washer i 6.60
_ Dishwasher 1(1.60 _
Drinking fountain
q';. : ' gintilfer_rt=a : $ 0.0 ' iii MitarrIFFirtigla /44 —' 16.60
. ,'...': :'...4".''..,a4 • i . ' itinattiY' ' 0 • k' - 0 .■• .4,i .... k 'i L6 iredAttio211b111itl' loi . 1 " " Net:LOIS/Sump 16.60
Name: -49-14/4\/‘-' — Expansion tank 111 16.60
Address: St/i--IGIA QP E.16-..2-------- Fixture/sewer cap • - 16.60
C ity/Statc/ZIP
Floor drain/floor sink/hub 16,60
:
Phone: (5 ) ( _ , d.., Fax ( ) Garbage disposal 16.60 16.60
wrirgiv mlet ',Fele/mil pn.?g, HO5e bib
,:i k; " IltrilIPIRF Aiik "/:. ' 4,i ' i 1
• " P :P71/FirrIni 11#401 , ,,,,, , . • ,ItyY v, , q A :a s ',. Or ' .,''... r9A 70 Iffiorp P. —
1 /.47/,, , i, g:„. ki,,d i t AN.A,„,r44 4i.,it,' mithi 116/.16misNtA01 ,2 Ice maker 16 60 _
- —,
Business name: R.D. Plumbing, Luc. , Interceptor/grease trap 16.60
Contact name: Cindy Jarvis , Medical gas (value: S. ) • Page 2
16,60
Address: 13900 NW Springville Rd. Primer
— Roof drain (commercial) 16 60
City/State/ZIP: Portland, OR 97229
SinIc/basin/lavatory 16.60 16.50
Phone: (503-) 297-7422 Fax: : (503) 297-7344 16.60
Tub/shower/shower pan .
E -mail: rdpiumbing@comeast,net Urinal 16.60
-
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- . 6, ,,0 ,,;,FIF; 4,c1,;.,1,.,,i':41„,,,,,m1:,,,,,.,,,Aiy7,:,,,,,1 i,, Water closet 16.60
, "A%:`'.'''''r,t' Aka! i ritAY, , 2 .?) '.i i; erc. ,..dd , ,,. li. , , ,,, ..
DusineSs name: R.D. Plumbing, Inc. Water heater 16 60 — _
_
Address: 13900 NW Springville Rd. Other: ------. Subtotal 16.50
City/State/ZIP: Portland, OR 97229 . - - Minimum permit fe! $72.50
e 72.5(
Phone: ( 297 (503) 297 • • . Residential backflow minimum permit tee 536 25
—
_ _ Plan review (25% of permit fee) _
CCB Lie.: 73913 ---- Plumbing Li.. no.: 26-313PR
— — —
State Surcharge (8% of permit fee) 5,81
Authorized signat : 4 Argli .-----• TO1•AL PI-RMI FEE 783i
.
FYint name: Cindy Jarvis Date: 04/25/07 1 This permit application expires If a permit is lint obtained within
180 days after it has been accepted as complete.
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*Fee methodology set byin-County Building Industry Service Board
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1■Buildmip.-mitINPLM-PemitApp.00t 06/206
CITY OF TIGARD -
BUILDING DIVISION PERMIT #: PL.M2007-00168
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/2612007
Phone: (503) 639-4171 'V
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 5/3/2007 TIME: 7:00AM PAGE: 48
SITE ADDRESS: 16240 SW COPPER CREEK DR CLASS OF WORK:
SUBDIVISION: COPPER CREEK STAGE 4 LOT #: 106 TYPE OF USE:
PROJECT NAME: CANNON
DESCRIPTION: Replace kitchen sink
OWNER: CANNON, STEPHAN F AND, PHONE #: 503-64-3762
CONTRACTOR: R D PLUMBING INC PHONE #: 503-297-7422
Inspection Request Scheduled For: Date: 5/3/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 047552-01 503-297-7422
Corrections/Comnnents/Instructions:
Cart- 9/L2
•
Xf PASS El PARTIAL APPROVAL El CANCEL n NO ACCESS
FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: 'T 1 Date: 571 / Phone #: (503) 718