Permit '� a CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2008 -00173
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/22/2008
PARCEL: 2S 102CA -01300
SITE ADDRESS: 09915 SW FREWING ST ZONING: R -12
SUBDIVISION: ORCHARD PARK APARTMENTS LOT: 021 JURISDICTION: TIG
PROJECT: ORCHARD PARK
Project Description: Installing 75 ft. of sanitary sewer.
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: MF WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: R1 FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: 75 ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
MARKO & BE SUSNJARA
16225 NE EUGENE CT Description Date Amount
PORTLAND, OR 97230 [PLUMB] Permit Fee 4/22/2008 $72.50
[TAX] 12% State Surch 4/22/2008 $8.70
Phone : Total $81.20
Contractor:
MECHANICAL SERVICES INT. LLC
21185 NW EVERGREEN PKWY
STE. 106 REQUIRED ITEMS AND REPORTS
HILLSBORO, OR 97124
Contact # : PRI 503- 439 -9999
FAX 503- 439 -1999
Reg #: LIC 126015
PLM 37-421PB
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: ` t�,� -...../.4- PermitteeSignature: feelf
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.
t N'-
Plumbing Permit Application ` ''
FOR.OFFICE' USE ONLY
City of Tigard <0 �� Received
g D L -, Permit No.: ` ,..&.(...
13125 SW Hall Blvd., Tigard, OR 9722
� t� y J t �l� r plan are /B Rev �
Phone: 503.639.4171 Fax: 503.598.1960 ')'/ j/ ; a,,,,: r p 'i\'� Dat eBy: Other Permit No.:
24- Hour Inspection Line: 503.639.4175 Alf Date Ready/By Juris: e See Page 2 for
Internet: www.ci.tigard.or.us .�
�+ � V Notified/Method:
�. r �� L Supplemental Information
- - '
TYPE OF` <C " ° � ,-. FEE* SIHISDUI E ': - >- _ - -. `: :. -_
i'
❑ New construction ❑ De ition For special information use checklist
Description I Qty. I Ea. I Total
'Addition /alteration/replacement El Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection)
' CATEGORY OF = . C ON STRU-CTION SFR (1) bath 249.20
❑ I- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 350.00
❑ Accessory building Multi- family SFR (3) bath 399.00
❑ Master builder Each additional bath/kitchen 45.00
❑ Other:
Fire sprinkler ( sq. ft.) Page 2
JOB:;SITE i INFORMATION:rAND. LOCATION Site utilities
Job site address: 9' C S W r' t Catch basin or area drain
5 f!��P. {� t tN4 � 16.60
City /State /ZIP: '7 2 _,,, c) ., 0 n Q 7 9:3 Drywell, leach line, or trench drain 16.60
Suite/bldg. /apt. no.: I Project name: 61/7 rd, gap k Footing drain (no. linear ft.: ) Page 2
!J Manufactured home utilities. 110.00
Cross street/directions to job site:
Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear ft.: 75 ) Page 2 55
Storm sewer (no. linear ft.: ) Page 2
Subdivision: I Lot no.: Water service (no. linear ft.: ) Page 2
Tax map /parcel no.:
Fixture or item
Absorption valve 16.60
... ''PSGR - KMQ.F' W, c4 C-
'� -�_�_ � �- : Backflow preventer Page 2
e_ p lam, ee__ " S ' @ F S.e..,? e r L; » ,, Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
PPERTi1O ; A _ Drinking fountain
16.60
_._.. . WNER i a;_, 0
1 RO -, .. ..:�� ::.���,;,. • �-��� ��:.� �_x:t _5�� ! -TENANT
Name: e y' r / g G Expansion tank 16.60
�l S r✓ r Expansion tank 16.60
Address: r� a,3 C � C . Fixture /sewer cap 16.60
City /State /ZIP : -- -lie 1 cie c 713 d Floor drain/floor sink/hub 16.60
Phone: ( ) C Fax: ( ) Garbage disposal 16.60
1:1 APPLICAN;L :: ;:. _ .` -=. = 3 = `' " ` '' - ' , CONTACT PERSON Hose bib 16.60
-- :: -,:. ...:.� -- _T..:x : ...
I ce maker 16.60
Business name: -
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 16.60
Tub /shower /shower pan 16.60
E -mail:
Urinal 16.60
.'.CONTRACTOR, -' Water closet 16.60
Business name: yyl e_ _b1/4. etZvv i G 2`J S 40 th s rev 1 LL c. Water heater 16.60 •
Address: 9, /1755 1?J LJ Lc 4,, r c� rte ery t L /Dti Other:
City /State /ZIP: t S ubtotal �5 Oo
� t► t s b m e'a to r
Minimum permit fee: $72.50
Phone: (5i_93) Li 9 ^ c t e Fax: (50 Z) Lill , I/ 9 q Residential backflow minimum permit fee: $36.25 72, /
CCB Lic.: 1 1,,_6 1 6-- Plumbing Lic. no.:37-q / PC Plan review (25% of permit fee)
State surcharge (8% of permit fee) g, 70
Authorized signature:
TOTAL PERMIT FEE S 1 20
Print name: 1 O 'M,,___ (3 u- t l 't_ 1 Date: 41A / b within
This permit application expires if a permit is not obtained thin
180 days after it has been accepted as complete.
*Fee methodology set by Tri -County Building Industry Service Board.
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2008 -00173
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 412212008
Phone: (503) 639 -4171 1
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET DATE: 5/14/2008 TIME: 7:04AM PAGE: 12
SITE ADDRESS: 09915 SW FREWING ST CLASS OF WORK:
SUBDIVISION: ORCHARD PARK APARTMENTS LOT #: 021 TYPE OF USE:
PROJECT NAME: ORCHARD PARK
DESCRIPTION: Installing 75 ft. of sanitaIy serer.
OWNER: SUJSNJARA, MARKO & SL I I Y PHONE #:
CONTRACTOR: MECHANICAL SERVICES INT. LLC PHONE #: 503-439.9999
Inspection Request Scheduled For: Date: 5/14/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
505 Sanitary sewer 069886-01 503 -209 -1598 N
Corrections /Comments/ Instructions:
Ce rr . L
PASS ❑ PARTIAL APPROVAL CANCEL I I NO ACCESS
FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Clb � 11�a / ._&. Date: CSI1'N'T Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2008-00173
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/2212008
Phone: (503) 639-4171 '1410
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 5/13/2008 TIME: 7:02AM PAGE: 12
SITE ADDRESS: 09915 SW FREWING ST CLASS OF WORK:
SUBDIVISION: ORCHARD PARK APARTMENTS LOT #: 021 TYPE OF USE:
PROJECT NAME: ORCHARD PARK
DESCRIPTION: Installing 75 ft. of sanitary sewer.
OWNER: SUSNJARA, MARKO & BETTY PHONE #:
CONTRACTOR: MECHANICAL SERVICES INT. LLC PHONE #: 503-439-9999
Inspection Request Scheduled For: Date: 5/13/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
505 Sanitary sewer 069809-01 503-439-9999
Corrections/Comments/Instructions:
P ot14
PASS )4 PARTIAL APPROVAL 0 CANCEL NO ACCESS
n FAIL fl CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: CMANI.A—A Date: (c1 t)1C) Phone #: (503) 718-
. ,
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM200B-00173
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/22/2009
Phone: (503) 639-4171 , ANOVO
Inspection Requests (24 Hrs.): (503) 639-4175 . ,,-1,44 ■ IL,
INSPECTION WORKSHEET FOR DATE: 5/6/2008 TIME: 7:00AM PAGE: 27
SITE ADDRESS: 09915 SW FREWING ST CLASS OF WORK:
SUBDIVISION: ORCHARD PARK APARTMENTS LOT #: 021 TYPE OF USE:
PROJECT NAME: ORCHARD PARK
DESCRIPTION: Installing 75 ft. of sanitary sewer.
OWNER: SUSNJARA, MARKO & BETTY PHONE #:
CONTRACTOR: MECHANICAL SERVICES INT. LLC PHONE #: 503-439-9999
Inspection Request Scheduled For: Date: 5/6/20C)8 Pour Time:
Code # Inspection Description Confirm # Contact # Message
395 Misc. inspection 069427-01 503-439-9999 Y
.Cot.' Le ‘4,L,,t.,..,
Corrections/Comments/Instradtions:
I 0 q 11
•
•
[ PASS X PARTIAL APPROVAL CANCEL El NO ACCESS
_
0 FAIL El CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: (Th\nekA,...A Date: (c) I 01) Phone #: (503) 718-
CITY OF TIGARD ,-, . A,
BUILDING DIVISION PERMIT #: PLM20013 -00173
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/22/2008
Phone: (503) 639 -4171 hu+ i
Inspection Requests (24 Hrs.): (503) 639 -4175 .�' n'IL.
INSPECTION WORKSHEET FOR DATE: 6/5/2008 TIME: 7:01AM PAGE: 44
SITE ADDRESS: 09915 SW FREWING ST CLASS OF WORK:
SUBDIVISION: ORCHARD PARK APARTMENTS LOT #: 021 TYPE OF USE:
PROJECT NAME: ORCHARD PARK
DESCRIPTION: I nstalling 75 ft. of sanitary sewer.
OWNER: SUSNJARA, MARKO & BE I I Y PHONE #:
CONTRACTOR: MECHANICAL SERVICES INT. LLC PHONE #: 603 -439 -9999
Inspection Request Scheduled For: Date: 5/5/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
395 Misc. inspection 069328 -01 503-20%6304 Y
Corrections /Comments /Instructions:
Co u �,t I Rey t a c r. 6/%4,c:1' Lk' ' C v?J v, rat /cLt_
n PASS X PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
I l FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: c1 ,SAsU Date: Sicc1 Phone #: (503) 718-