Permit ..� CITY OF-TIGARD PLUMBING PERMIT
°. COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00497
TIGARD DATE ISSUED: 11/7/2007
13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S111 DA 12300
SITE ADDRESS: 15389 SW HARCOURT TERR ZONING: R -7
SUBDIVISION: APPLEWOOD PARK NO. 3 LOT: 116 JURISDICTION: TIG
PROJECT: HOWA
Project Description: (1) lay for bath 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: 1 OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
PHYLLIS HOWA
15389 SW HARCOURT TERR Description Date Amount
TIGARD, OR 97224 [PLUMB] Permit Fee 11/7/2007 $72.50
[TAX] 8% State Surchart 11/7/2007 $5.80
Phone : 503- 620 -1229 Total $78.30
Contractor:
ACCURATE PLUMBING
3021 NE 72ND AVE
#924 REQUIRED ITEMS AND REPORTS
VANCOUVER, WA 98661
Contact # : PRI 360 - 944 - 8952
FAX 360- 896 -4870
Reg #: LIC 85333
PLM 37 -309PB
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 ru - - se in OAR 952 - 0001 -0010 through OAR 952 -0001 -0100. You may obtain copies of these rules or direct questions to OUNC
by r ng 503.246.6699 o 1.8e t. 32.2344.
,
sued By: ! /1‘
,`''% Permittee ILW/Pj
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.
Nov -07 -2007 04:26 PM Walker Interior Remodeling 503 - 244 -4667 3/4
t .
Plumbing Permit A k i- .i ,ti ti ,NO ,,O FOR OFFICE USE O
•
City of Tigard No.
t�qt Received / , �, /
IPP
13125 SW Hall Blvd.. Ti a 9'9.25/ L ull f Dale/ll rI 7 07 � /! � � 7 g' � _ Plan Review
Phone: 503.639.4171 Pa : 698 Other Permit No
TIGARD Inspection Line: 503.639.41 y ® Date Ready /f3 / ,
ntco
°RJ► ` � ® t y
Internet: www.tigard- o S Sec Pane - rnr
e� w \{�n�� Notified /Mellmd. � SupplcmentalInr°rma(iun
TYPRO*BRK FEE* SCHEDULE
For information use checklist.
] New construction ❑Demolition
Description I Qty. I Ea I Total
❑ Addition/alteration/replacement ❑ Other: New I.2- family dwellings (includes 100 11. for each utility connection)
,CA1•EGORY,rOF 'ShRUCI ION SFR (I) bath 7 49. 7 0
rI 1 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. R.) Page 2
JOII.SiTE INFORMATION. ANdThO.CA'frO■ Site utilities
Job site address: 453 S1 }p ( - — j am Catch basin or area drain 16.6(1
City /State/ZIP:Th ci r oz_ q-T ( Drywell. leach line, or trench drain . 16.60
Suite/bldg./apt. no.: Project name: Footing drain (no. linear It 1 Page 2
0.SAC,-- Manufactured home utilities 110 00
Cross street/directions to job site:
Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear R.: _) Page 2
Storm sewer (no. linear R.: __- Page 2
Subdivision: I Lot no.: Water service (no. linear R.: _ ) Page 2
Fixture or item
Tax map/parcel no.:
Absorption valve 16.60
DESCRIPTION OF WORK Backflow preventer Page 2
t `,�'Ir� pd •-(-fc ±c m Baekwater valve _ 16.60
Clothes washer 16.60
Dishwasher 16.60
la PROPERTY; O }WNER I ❑, TENANT Drinking fountain 16,60
J Ejectors/sump 16.60
-
Name: '(J`^
Y 1 t, t (1 C 1 A-t 10,] Cry Expansion tank 1 6.60
Address: 1 5V./ t t f-_(,, }rk- ' Fixture /sewer cap 16.60
City /State/ZIP:' _A t OP-__ C4722,1-1 Floor drain /floor sink /hub 16.60
Phone: ( 503) Co — t z Fm ) None Garbage disposal 16.611
t • Hose bib 16.60
{ _ .AI,..!$!;CANT
�" .,.. II ,'PE ,
Ice maker 16.60
Business name: Walker Interior Remodeling, Inc.
� + Interceptor/grease trap I6.60
Contact name: Gary Burkhart Medical gas (value: $ ) Page 2
Address: 6775 SW 111th Avenue, Suite 201 Primer 16.60
Ciry /StatclZlP. Portland, Ore • O Roof drain (commercial) 16.60
Phone: ( 503) 452 -1383 C Fax:: (503) 244 -4667 --- "link/basin/lavatory y (6.60 1( ,(
ub /shower /shower pun 16.60
E -mail: None
Urinal 16.60
CONTRACTOR Waler closet 16.60
Business name: Accurate Plumbing Water healer 16.6(1
Address: 3021 NE 72nd Avenue # 924 Other
City/State /ZIP: Vancouver, Washington 98661 Subtotal
Minimum permit tee $72.50
__Phone:( 360 ''944 -89 2 Fax: (360) 896 -4870 Residential bnckllow minimum permit lee $3625 7z,50
CCB Lie.: 85333 Plumbing Lic. no.: 7178 JP flan review (25 %0l permit fee)
State surcharge (8% of permit fee) 5,N)
Authorized signature:
TOTAL PERMI - r FEE 78, 30
Print name: Lesley Dailey Date: i (. 7' 07 Phis 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.
I, U3uitding \Prnnits\PLM- PcrmilApp,doc eer2wea 440- 1° IUr( i 0 /02/ OMAVEn)
CITY OF TIGARD
BUILDING DIVISION - PERMIT #: PLM2007 -0(W37
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/7/2007
Phone: (503) 639 -4171 _ 1 INS l it
Inspection Requests (24 Hrs.): (503) 639 -4175 "IL
INSPECTION WORKSHEET FOR DATE: 11/13/2007 TIME: 7 :01AM PAGE: fit
SITE ADDRESS: 15389 SW HARCOURT TERR CLASS OF WORK:
SUBDIVISION: APPLEWOOD PARK NO. 3 LOT #: 116 TYPE OF USE:
PROJECT NAME: 1 - IOWA
DESCRIPTION: (1) lay for bath remodel.
OWNER: HOWA, PHYLLIS PHONE #: 603. 620 -1229
CONTRACTOR: ACCURATE PLUMBING PHONE #: 360-944-8952
Inspection Request Scheduled For: Date: 11/13/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 069512 -01 503. 756-8267 Y
Corrections /Comments /Instructions:
X PASS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: 0/1/►•A—a\ Date: jJ 113l Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION - PERMIT #: PLM2007- 00W£i7
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/7/2007
Phone: (503) 639 -4171 A ll'Ototilit Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 12J10/2007 TIME: 7:01AM PAGE: 58
SITE ADDRESS: 15309 SW HARCOURT TERR CLASS OF WORK:
SUBDIVISION: APPLEWOOD PARK NO. 3 LOT #: 116 TYPE OF USE:
PROJECT NAME: HOWA
DESCRIPTION: (1) lay for bath remodel.
OWNER: HOWA, PHYLLIS PHONE #: 503
CONTRACTOR: ACCURATE PLUMBING PHONE #: 360 - 944 - 8952
Inspection Request Scheduled For: Date: 12110/2007 Pour Time:
Code # Inspection Description Confirm # Contact # ■essage
399 Plumbing final 06111F; t?' 503 -156 -8267 \
Corrections /Comments/ Instructions:
►1 Arn
N
PASS n PARTIAL APPROVAL n CANCEL n NO ACCESS
❑ AIL • n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: G . O bf L.E Date: II- 10- 1 37 Phone #: (503) 718- ..NfEf