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Permit C ITY OF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PE DEVELOPMENT PLM2005 -00273 . �I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 6/20/2005 PARCEL. 1S133DB-06500 SITE ADDRESS: 11103 SW ESCHMAN WAY ZONING• R -12 SUBDIVISION: CASTLES AT BRITTANY LOT: 011 JURISDICTION: TIG Project Description: Relocate master bath fixtures 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: 2 OTHER FIXTURES: TUB /SHOWERS: 2 SEWER LINE: ft WATER CLOSETS: 1 WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Owner. FEES ZIENHNERT, MICHAEL & BROOKE 11103 SW ESCHMAN WAY Description Date Amount TIGARD, OR 97223 [PLUMB] Permit Fee 6/20/2005 $83.00 [TAX) 8% State Surcha 6/20/2005 $6 64 Phone : 503 -519 -9235 Total $89.64 Contractor. RAYBORN'S PLUMBING INC PO BOX 69 TUALATIN, OR 97062 REQUIRED ITEMS AND REPORTS Phone : 503- 692 -4139 Reg #: LIC 87852 PLM 34- 1661'B 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 �j �„ � Permittee Signature: 5.2 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. Bu .jun. 20 20052:55PM Rayborns Plumbing No, 3062 P, 1/2 ' Plumbing Permit ONLY Application eD I(oR OFFICE USE City of Tigard ilt� Re a ed ` q ^ / . . 13125 S W Hall Blvd., Tigard, OR 97223 N ^ i DatefBY• I pW a J n} Permit No. L ?101 o(bZ 73 Phone: 503 639.4171 Fax 503 598.1960 �l \N 2 , 0 (k <� Daffy Review Other Permit No. 24 Hour Inspection Line 503 639 4175 Internet www ci ttgard or u9 1 ., Date Ready/By pp gg ,,��� niil S Sec Page 2 for T 1i :w ^ r Jr Not^ (. `I {• : .7"7 J ! y, . ri fe i + r CI F 1 N ! d/Mefh d upp mental Inror matron �ar cw �r I r r N L.uLgbu -si il'� M r r+ t + v '.��tr J :. pb 4 <kf i"I yc ��y i �y'' ss 4 i - I y 15 +r� f `a ,p cpr ^ ..w ... _ . , .. � • . � . • :+` v k .kl. r�2 't :18r"Jx„'� .... ' ❑ New construction ❑ Demolition For Special information use checklist Description �Additwn/alteration/replacement ❑ Other: 1 Qty 1 Taal f dwellings New 1-2-family r- �, -.f,3, 1; '''."::5:,:4).:I''./."::::::'‘.:f x _ ,-ri s,,' [ , y gs (includes 100 R. for each utility connection s iT0, 713 shi A ,3„r1i-1�1 5 :;; µ 1 5 e tdif.i�l - ry ) '=t 7 1 r . 4.1 4 G 1,;i,n SFR(1)bath 24920 1 :2 1- and 2-family dwelling ❑ Commercial/ ndustrial SFR (2) bath 350 00 © Accessory building ❑ Multi- family SFR (3) bath 399 00 ❑Master builder Each additional bath/ldtchen 45.00 ❑ Other: r i ('. s ti' , 1 C - 2• ::. } .. -1 Fire sprinkler ( s4 ft) Page 2 r i "+ a�0t , n1r ri t _Y ` --. a , .� 'i: ;y_, 2 _ ;" ,a. ,„ �, . Y. Site utilities Job site address: f 1 / 1 v 3 C 4 w EZ h ` I m Oaf/ 1 � Catch basin or area drain 16.60 57 City/State/ZIP: Q n eq7a � l 3 9 Drywell, leach lme, or trench drain 16 60 — Suite/bldg. /apt no - I Project name 2) �^/ k t e. ,.., 4 Footing drain (no linear ft ___, Page 2 Cross street/directions to Job site S c ed s TD /3 a OS Manufactured home utilities 110 60 Manholes 16,60 Rain drain connector 16 60 Sanitary sewer (no. linear ft : ____) Page 2 Storm sewer (no linear n.: ) Page 2 Subdivision I Lot no Water service (no, linear R - _) Page 2 Tax map /parcel no.: Fixture or Item . f t7 ;' ¢ id)^k —1 r +G .... $77 ' 0)� .,rr; n ,'Plying ! f Absorption valve 1660 'u z4 �s _ ii r. ` , .v r C a .". r' r_ C 1.4.4 r h 111 g, it Backllow preventer Page 2 M to ;>. .• / r M i. ! ,/ / ra . Backwater valve 16.60 Clothes washer 16 60 Dishwasher 16 60 -1yii '.al > +;ihvi +( tti� Sio ft: 1 / 'il s , x ii ry ii (1iv 1 zy Drinking fountain 1660 Name: 2 I I — rr ,,. 4r SN, 4 )c--..,--tA �' rnJ cAt- DJ Expansion tank 16 60 Address 1 1) II '? S Cc) S ' ^ L l K/ � / - W„ • 1 Pixture/sewer cap 16.60 City /State/Zip• I! lel`ls / 0 _ - _ * I Floor drain/floor sink/hub 16,60 Phone: a 1�ra Fax. ( ) Garbage disposal 16 60 'i ii. 17R r Jt �i.i°rti urJi 1 � , i n `n.i ,, S 4 tl `l'c u ''j rCr3 :. Hose bib 1660 va. ..,. -. -, . i iS r y. -11. e. +", aIr Y e ) i l •,l?tall Business name: Ice =tea 16 60 Interceptor /grease trap 16.60 Contact name: Medical gas (value $ _) Page 2 Address. Primer 16.60 City/State/ZIP Roof drain (commercial) 16 60 Phone: ( ) I Fax:: ( ) Sink/basin/lavatory a 16 60 3 90 E-mail Tub /shower /shower pan 16 60 '; '; 4. a,; tilt e a s-- ,� i , ,� Urinal 1660 I y it :' °. t i a P 4 y A l e i ✓Pik t e i1 rb 4 r 46 s w. aew4a' �"� n 1 n ' w „UUJ +�' + Y. 4 I y lei? water � wt+ ak � � � �,�,.. v�"�.qf���� ter closet 16.60 i L S c r Huamass name. if t Water heater fee r 4 A . ♦ J � _ 16 60 Address: •1 , r . . i V Other City/State/ZIP. i + - p • Subtotal �f r � i � / Minimum permit fee. $72 -50 0 Phone. t7 3) iy 74 -' y // q Fax (03) f‘ f)-43.2,g Residential backflowmnimumpemutfee $36.25 33 00 CCB Lie 4 7 R SO Plumbing / /I, no.: 7 q - 1 IS I AB Plan review (25% of permit fee) Authorized signature: t✓ v State surcharge (8 % of permit fcc) i 61 � ` TOTAL PERMIT FEE 8Q PI Punt name ' 6 n4 A 7 � /' 4.. u4 � g Date: l L'nVtor This permit application expires if a permit Is not obtained within 188 days after it hag been accepted as complete. *Fee methodology set by Tri -County Building industry Service Board I lemidioeiemineriDff•Pemaulpp doe 1203 440- lsIer10/0)./COMMIES) CITY OF TIGARD BUILDING DIVISION PERMIT # PLM2005- 002273 13125 SW Hall Blvd , Tigard, OR 97223 DATE ISSUED 60012006 Phone (503) 639 - 4171 , 1 1' I Inspection Requests (24 Hrs) (503) 639 -4175 IL INSPECTION WORKSHEET FOR DATE 9/1/2005 TIME 7.1AAM PAGE 78 SITE ADDRESS 11103 SW ESCHMAN WAY CLASS OF WORK SUBDIVISION. CASTLES AT BRITTANY LOT #• Di 1 TYPE OF USE PROJECT NAME ZIENHERT DESCRIPTION Relocate master bath fixtures. OWNER ZIENHNERT, MICHAEL. & BROOKE, PHONE #. 503519.9235 CONTRACTOR RAYBORN'S PLUMBING INC PHONE # 503692-4139 Inspection Request Scheduled For Date: 9/1 /2005 Pour Time Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 014749-01 503-690-0461 N Corrections/Comments/Instructions: X PASS I I PARTIAL APPROVAL ❑ CANCEL _ NO ACCESS — FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector Uk L' +_wiV' Date: C Phone #: (503) 718-