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Permit CITY TIGAR`C PLUMBING PERMIT rr i , ( ( 6, DEVELOPMENT SERVICES PERMIT #: PLM2006 -00455 tAll DATE ISSUED: 10/5/2006 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S103DA-01800 SITE ADDRESS: 10815 SW DERRY DELL CT ZONING: R -3.5 SUBDIVISION: DERRY DELL PLAT 2 LOT: 018 JURISDICTION: TIG Project Description: SAWKINS remodel. 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: 1 OTHER FIXTURES: TUB /SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES DOUG SAWKINS 10815 SW DERRY DELL CT Description Date Amount TIGARD, OR 97223 [PLUMB] Permit Fee 10/5/2006 $72.50 [TAX] 8% State Surcha 10/5/2006 $5.80 Phone : 503- 620 -5043 Total $78.30 Contractor: MODERN PLUMBING 11120 SW INDUSTRIAL WAY TUALATIN, OR 97062 REQUIRED ITEMS AND REPORTS Contact # : PRI 503- 691 -6166 FAX 503- 691 -6771 Reg #: LIC 87906 PLM 34 -250PB This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344. Issued By: - 7 7 2'�.(1_“ ; Permittee Signature: _7 T` Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. • r Plumbin Permit Appleon , IN ED FOR OFFICE LSE ONLY City of Tigard Received Permit No_ 13125 SW Hall Blvd., Tigard, OR 97223 o C T ®ty 7 006 Dat - � - Q � X 91 A 6 Phone: 503.639.4171 Fax: 503598.1960 �,;� . r Plan Review d I Other Permit No.: 24- Hour inspection Line: 503.639.4175 t I I `"` D a 1 e/By: Internet: www.ci.tigard.or.us coy O F � -i `•f;, DateRendy/By: Tuns ®$ee 2 for et ttt n1NG DN• - • - Notified/Method ) d $1.52.- for each additional _ TYPE OF '.VORK ` FEE* SCHEDULE ❑ Nev, construction IV Addition/alteration/rep lacemeal D Demolition ❑Other I For specialInforrrrratfon use checklist Description (qty. ' Ea Total New 1- 2-family dwellings (includes 100 R for each utility connection) CATEGORY OF CONSTRUCTION 5FR(1)bath j t 249.20 i- aiiu -C .... i;r uwcliuis 1 a �, ^^ I f ( LJ ommerci av industrial I L '- (2) vaui 3 jv.w Accessory building SFR (3) bath -I I I I ry g f0 Multi-family () II 399.00 Each additional bath/kitchen i 45 00 ❑ Master builder Q Other Fite sprinkler ( . sq. ft.) 1 Page 2 L.� JOB SITE LNFORhL4'rION AND LOCATION Site utilities Job site address: �, f1C 1 /'�1 t:l . . Catch basin or area drain 16.60 City /State/ZIP: -Rowed a( n • I Drywell, leach line, or trench drain I 16.60 Suite/bldg. /apt no_: �J / Project name: S Footing drain (no. linear ft.: ) 1 I Page 2 Cross street/directions to job site: Manufactured home utilities ! I 1/0.00 114213 WIC° k a • (QSc Ds- d Manholes 16.60 Rain drain connector I 16.60 Sanitary sewer (no linear It: 1 Page 2 : Storm sewer (no. linear ft.: ) Page 2 Subdivision I Lot no.: Water service (no. linear 8.: ) I Page 2 Tax map /parcel no.: Fixture or item Absorption ion valve 16 60 DESCRIPTION OF WORK Backfiow preventer Page 2 orfLYi ei Backwater valve 16.60 Clothes washer 16.60 j Dishwasher 16.60 ❑ PROPERTY OWNER ! I❑ TENANT Drinking fountain 16.60 Name: Ejectors/sump 16.60 ' Expansion tank 16.60 Address: I , I Fixture/sewer cap 16.60 City/State/ZIP: 1 Floor drain /floor sink/hub 16.60 Phone: ( ) Fax: ( ) Garbage disposal 16.60 ❑ APPLICANT ❑ CONTACT PERSON Hose bib 16.60 Business name: Ice maker 16.60 Jnterceptodgrease trap 16.60 Contact name: Medical gas (value: $ ) Pap 2 Address: Primer 16.60 City /State/ZJP: Roof drain (commercial) 16.60 Phone: ( ) I Fax:: ( Sink/basin/lavatory' 16.60 �t -� E-mail: Tub /shower /showerpan 16.60 Urinal I6.60 CONTRACTOR Water closet 16.60 Business name: 1 o 8 e (r 'P‘ uYN's,‘P I f \9 I 0 Water heater 16.60 Address: j 1 \ 2 n S • 1 . r'\ fylt S� A ei 11 li`''R L _ Other. City/State/ZIP: C .xOLk 2. q 1) c -1 CAL: . Subtotal ,JL ) /V r Fax Minimum permit fee: 572.50 3 1 I �e . (a Fax: ($1Z) nc: 1 Co �7 - 1 I Res backflow minimum permit fee: S36.25 - Phone: ( -0,5D CCB Lie.: i 34 Z _ 5 c_.. e Plan r eview (� Plumb utg Lic. o . . ^� (25% of permit fee) �y� Authorized signature:7�- State surcharge (8% of permit fee) �' elf TOTAL PERMIT FEE • 30 Print name: ‘ir■Gurrib-Nr‘ V ,M w t [ . Date: • 0/5/ I 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. c l di cePermim PermitA7p doc 05/05 4404616T(10/021C0.41/WFBI Z I•LL9 1.69 C09 ONIBWfild N2:18401A1 e9L'0L 90 90 PO CITY OF TIGARD BUILDING DIVISION / PERMIT #: PLM2005,04455 13125 SW Hall Blvd., Tigard, OR 97223 'ATE ISSUED: 10/5/2006 Phone: (503) 639 -4171 .and � l,+� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 12/21/2006 TIME: 7:00AM PAGE: 53 SITE ADDRESS: 10815 SW DERRY DELL CT CLASS OF WORK: SUBDIVISION: DERRY DELL PLAT 2 LOT #: 0.18 TYPE OF USE: PROJECT NAME: SAWKINS DESCRIPTION: SAWKINS remodel. OWNER: SAWKINS, DOUG PHONE #: 5503.620 -51143 CONTRACTOR: MODERN PLUMBING PHONE #: 503-691 -6166 Inspection Request Scheduled For: Date: •12j2112006 Pour Time: Code # Inspection Description Confirm # Contact # Me 399 Plumbing final 041402-01 503 - 631 -6166 Corrections /Comments /Instructions: l I 6 * r ° . w kr- -Q L S 1(1 ..). ...i_. i .. x DI ./ PASS ❑ PARTIAL APPROVAL n CANCEL NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED tt �f Inspector: Date: 1 Zzi U ( 6 Phone #: (503) 718- 2�2 I ~ CITY OF ��nn m n�'n TIGARD BUILDING DIVISION • PERMIT #: PLM3006-00155 ' 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1050006 Phone: (503) 639-4171 Inspection Requests (24Hnoj:(603)63O'4175 w� INSPECTION WORKSHEET FOR DATE: 10/9/2006 TIME: 7:01AkA PAGE: �6 � SITE ADDRESS: 1O816GW DERRY DELL CT CLASS OF WORK: SUBDIVISION: DERRY DELL PLAT 2 LOT #: 018 TYPE OF USE: PROJECT NAME: SAVIIK/yVS DESCRIPTION: SAMiNSrmmmd*\. • OWNER: SAWKINS, DOUG PHONE #: 603'620-5043 . CONTRACTOR: MODERN PLUMBING PHONE #: 5O3'891'6166 Inspection Request Scheduled For: Date: 10/9/3006 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough-in 037852-01 503-807'0166 Y Corrections/Comments/Instructions: tj f\ w \ U \}\, \ ~ • t r , irss � ��|ALAPP�� EL NOACCESS | | �� . ^ [ / | | FAIL I | CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED ^*' �� |nopector: Al ^Oate: I 1 Phone #: k5O3\ 718' -��-~� -- ` - CITY OF TIGARD r • BUILDING DIVISION PERMIT #: PLM2006 -00156 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/52006 Phone: (503) 639 -4171 ii,,,,�IPiii'lil Inspection Requests (24 Hrs.): (503) 639 -4175 :..:'!!+k -11. INSPECTION WORKSHEET FOR DATE: 10/612006 TIME: 7 :03AM PAGE: 40 SITE ADDRESS: 10815 SW DERRY DELL CT CLASS OF WORK: SUBDIVISION: DERRY DELL PLAT 2 LOT #: 0.8 TYPE OF USE: PROJECT NAME: SAWKINS DESCRIPTION: SAWKINS remodel. • OWNER: SAWKINS, DOUG PHONE #: 503. 620 -5043 CONTRACTOR: MODERN PLUMBING PHONE #: 503 -691 -6166 Inspection Request Scheduled For: Date: 101612006 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 037791-01 503-691-6166 N Corrections /Comments /Instructions: r i 0 tgl Atili Oir' _ ...fi _.....difaiK_Z.,. „.4 PASS ❑ PARTIAL APPROVAL n CANCEL I NO ACCESS ❑ FAIL CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: " 4 Date: Phone #: (503) 718 - 2 ii/ 3 1 _ ..