Permit s / /� /a k f1'v / Perm/ L aa bvcA*r �evw Le_
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CITY OF TIGARD
PLUMBING PERMIT
.,
:. COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00472
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/18/2007
PARCEL: 2S 101 AB -01607
SITE ADDRESS: 07540 SW HERMOSO WAY ZONING: MUE
SUBDIVISION: HERMOSO PARK LOT: 009 JURISDICTION: TIG
PROJECT: LUBY
Project Description: Replumb all fixture. Currently on septic. For residential use only. 5/12/08 ADDED 80 ft. of water
service and changed type of use to commercial.
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: R3 FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: 1 CATCH BASINS: '
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 1 URINALS: GREASE TRAPS:
LAVATORIES: 2 OTHER FIXTURES:
TUB /SHOWERS: 1 SEWER LINE: ft
WATER CLOSETS: 2 WATER LINE: 80 ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
KEVIN LUBY
7540 SW HERMOSO WAY Description Date Amount
TIGARD, OR 97223 [PLUMB] Permit Fee 10/18/2007 $116.20
[TAX] 8% State Surcha 10/18/200i $9.30
Phone : [PLUMB] Addl Permit 5/12/2008 $55.00
[TAX] 12% State Surch 5/12/2008 $6.60
Contractor: Total $187.10
BRUNER PLUMBING
PO BOX 23985
TIGARD, OR 97281 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 624 -4880
FAX 503- 624 -2173
Reg #: LIC 81837
PLM 26 -445PB
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 B .� L ...,, i Permittee Signature:
l
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.
Building Fixtures o(_.a'l
• Plumbing Permit Application.`
City �0 FOR OFFICE USE ONLY
of Tigard " >�.. ved ^�
tY g " ' � n E ew No ���3yJ') ") /._ U 125 SW Hall Bvd., Tigard, OR 97223 �� I � � U ,O'
Phone: 503.639.4171 Fax: 503.598.1960 P � �� v /imrr ''...• ''& Date/By:
Other Permit No:
24 Hour Inspection Line: 503.639.4175 M ��� �
P " �� } � Date Ready/By: Jul 10 See Page 2 for
Internet. www.ci.tigard.or.us .1 0% eN\ ,v- Notified/Method: Supplemental Information
f JTYPE 'OF WO no's. 4J . FEE* SCHEDULE
��@' For special New construction �� +�'nol information use checklist. P .I
• Description 1 Qty. I Ea. I Total
FR Addition /alteration/replacement ❑ Other. New 1- 2- family dwellings (includes 100 0. for each utility connection)
. - " - z n'. i ::CAT CONSTRUCTION _ 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
El Master builder Each additional bath/kitchen 45,00
❑ Other: Fire sprinkler ( sq. 0.) Page 2
= ..JOB AND LOCATION Site utilities
Job site address: 759 S / 6 ® 64," • Catch basin or area drain 16.60
City /State /ZIP: GC ' /f O 4 C1 2-7-3 Drywell, leach line, or trench drain 16 60
—
Suite/bldg. /apt. no.: 1 Project name: Lk Lp Footing drain (no. linear ft.: ) Page 2
����`"`'"' / 5 Manufactured home utilities 110.00
Cross street /directions to job site:
Manholes 16 60
Rain drain connector 16.60
Sanitary sewer (no. linear 0.: ) Page 2
Storm sewer (no. linear ft.: ) Page 2
Subdivision: Lot no Water service (no. linear 0.:) Page 2 7, -
Tax map /parcel no.: Fixture or item
Absorption valve 16.60
`` " "DESCRIPTION''OF 'WORK''' . ' '
i Back flow preventer Page 2
Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
Drinking-fountain 16.60
• '• ' a PROPERTY'.OWNER :'+ . • '' t 'TENANT , -
•
Ejectors /sump 16.60
Name: Expansion tank 16.60
Address: Fixture /sewer cap 16.60
City /State /ZIP: Floor drain /floor sink /hub 16 60
Phone: ( ) Fax: ( ) Garbage disposal 16.60
•
Hose bib 16.60
' • ' ' ❑ APPLICANT ",.: ❑' CONTACT PERSON •
Ice 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: ( ) Fax:: ( ) Sink /basin /lavatory 16.60
Tub /shower /shower pan 16.60
E -mail: Urinal 16.60
"" - - ' --" " CONTRACTOR Water closet 16.60
Business name: Bru e.„....-- L Water heater 16 60
O t
Address: 23 G( -"\--- Other:
T / Subtotal
City /State /ZIP: j 0
L ,�y j Minimum permit fee: $72.50
Phone: (5 0) 6 2 r700 l7 Fax: (� Sy/ 6 2 Y' - 2- ( 3 Residential backfow minimum permit fee $36 25 " 3-c---.16-
CCB Lic.: / Plumbing Lie, no." - l f y ) Plan review (25% of permit fee)
State surcharge (8% of permit fee) `
Authorized signature:
/ _ I "OTAL PERMI "I " FEE / \ r �0
Print name' � j � a !12/ yt�� Date: S/; VC / 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
i tnuilding \Permiis\PLMF- PermitApp.doc 06/05 440-4616T( 1 0 /02 /COM/WEn)
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: i Residential Fire Suppression Systems:
w^ :zs^:`1`la'� •,�'...� *,� „. 's;i �^- <,�„�^ua „fin a:.;sat,: . i ..
�S quare�Foofage: `3Perm><t` ee•
�_. ..�.. ;,emu. �:.. � . •,..��.;�:�..�;.� .. F'.:�.• ,
Footing drain - 1 100' 55.00 0 to 2,000 $115.00
Footing drain - each additional 100' 46.40 2,001 to 3,600 $160.00
3,601 to 7,200 $220.00
Sewer - 1st 100' 55.00 7,201 and greater $309.00
Sewer - each additional 100' 46.40
Water Service - 1st 100' 55.00
Medical Gas Systems:
Water Service -each additional 100' 46.40 "ail at1O1�1:+' `,- '- #rA :Pe ?Fee d 'u =� M '` y ` - • ••• • - - •
Storm & Rain Drain - 1st 100' 55.00 $1.00 to $5,000.00 Minimum fee $72.50
Storm & Rain Drain - each additional 100' 46.40 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each
,!F•ee ea Total - additional 100.00 or fraction thereof, to and
x ,24,` • . ,, ( ) "
Commercial Back Flow Prevention Device 46.40 including
148. i0g for the first $10,000.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for
Residential Backflow Prevention Device each additional $100.00 or fraction thereof, to
(minimum permit fee $36.25) 27.55 and including $25,000.00.
Rain Drain, single family dwelling 65.25 $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for
Inspection of existing plumbing or each additional $100.00 or fraction thereof, to
specially requested inspections - per hour 72.50 and including 0.00.
Subtotal: $50,001.00 and up $742.00 for the e first $50,000.00 and $1.20 for
each additional $100.00 or fraction thereof
Fixture Work: t' ; 'w'' -Plan Review for:`Complex Structures, ' .
Are you capping, adding or replacing fixtures? If "yes ", A "complex structure" is defined as an installation of a plumbing
please indicate work performed by fixture. Failure to system that meets any of the following criteria.
accurately report fixtures could result in increased sewer fees *. Please check all that apply.
ti x,.;._. :,4. ❑ Any new commercial building.
''. • -. ';;; :,s•w „r��,. t "�? Quantity' sby (Fiicttire)�Worli- Pe�formed� ^`
❑ Any new exterior plumbing site utilities.
YPe %ti� ?; ;:� . ; ,,•e r- - �,, ��:v� : �: .,::.'��. �`:�'. ; ���`'� ; t�3: .
i- Capped'^ /Added° " 0 A commercial building with installation, alteration or addition
Baptistry/Font of nine (9) or more new or relocated plumbing fixtures.
Bath - Tub /Shower ❑ Medical gas and vacuum systems for health care facilities
- Jacuzzi /Whirlpool providing services to human beings.
Car Wash - Each Stall ❑ Plumbing installations, alterations or additions to food service
- Drive Thru facilities where new plumbing fixtures, including interceptors,
Cuspidor /Water Aspirator are being installed for the food service area.
Dishwasher - Commercial ❑ Any new residential building containing three (3) or more
- Domestic dwelling units.
Drinking Fountain ❑ Any NFPA 13 -D multipurpose fire sprinkler system.
Eye Wash
Floor Drain /sink 2" Submit 2 sets of plans with any of the above.
-3"
Car Wash Drain or •Riger; Diagram .. ` „ . •
Garbage - Domestic ❑ Isometric or riser diagram is required for new buildings
Disposal - Commercial • three (3) or more stories in height.
- Industrial
Ice Mach. /Refrig. Drains
Oil Separator (Gas Station) Comments 'regarding fixture work:
Rec. Vehicle Dump Station
Shower - Gang
-Stall
Sink - Bar/Lavatory
- Bradley
- Commercial
- Service
Swimming Pool Filter
Washer - Clothes *Note: If the fixture work under this permit results in an
Water Extractor
Water.Closet - Toilet increase of sewer EDUs, a sewer permit will be issued and
Urinal fees assessed for the sewer increase must be paid before the
Other Fixtures: _ plumbing permit can be issued.
i \Building\Perrnits\PLM- PermitApp doc 07/06/05
ill CITY OF TIGARD
COMMUNITY DEVELOPMENT PLUMBING PERMIT
PLUMBING
PLM2007 - 00472
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/18/2007
PARCEL: 2S 101 AB - 01607
SITE ADDRESS: 07540 SW HERMOSO WAY ZONING: MUE
SUBDIVISION: HERMOSO PARK LOT: 009 JURISDICTION: TIG
PROJECT: LUBY
Project Description: Replumb all fixture.
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: 1 CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 1 URINALS: GREASE TRAPS:
LAVATORIES: 2 OTHER FIXTURES:
TUB /SHOWERS: 1 SEWER LINE: ft
WATER CLOSETS: 2 WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
KEVIN LUBY
7540 SW HERMOSO WAY Description Date Amount
TIGARD, OR 97223 [PLUMB] Permit Fee 10/18/2007 $116.20
[TAX] 8% State Surcha 10/18/2007 $9.30
Phone : Total $125.50
Contractor:
BRUNER PLUMBING
PO BOX 23985
TIGARD, OR 97281 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 624 -4880
FAX 503- 624 -2173
Reg #: LIC 81837
PLM 26 -445PB
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 Noti • . on - • er. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0100. You may obtain copies of
these r es or direct qu- tions to OUNC by calling 503.246.6699 or 1.800.332.2344.
ti
Iss .-d By: ,! i i / i Permittee Signature
_''
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.
• my -5,o5
•
k .
, FR' : BRUNER1PLUMBING FAX NO. : 6242173 Oct. 19 2007 11:56AM P1
1 nbing Permit Appli
Building Fixtures i It oFF11C1s USE ONLY • •
. City of Tigard Re
111 1312.5 SW Ilan blvd . Tigard, OR 97223 Date li • 017,7 pc, i:ti No.: �'Y. 7' 7 �-
■ • Phone; 503.634.4171 Fax'. 50:3.598.1960 ^ Pl.u, ueview -
ccttan Line: 503,639.4175 DatdH Mel c, 1'cnnit No.:
t) Internet: P
hls .. _
I C AR ernet: www.tigard or.gov u:rte Body /Fly: . See Page 2 for
Neulied /Method; 0 Snpplementol intern alien
TYPE OF WORK
FEE* SCHEDULE
U New construction El Demolition For special information use checklist _
�'Addition/alteration /replacement ❑ Other: Description Oty. ha. Total
New 1 - 2- family dwellings (includes 100 6. for each utility connection)
CATEGORY OF CONSTRUCTION SFR (I) bath 249.20
❑ 1- and 2- family dwelling E Commercial /industrial SFR (2) bath 350.00
1=1 Accessory building Q Multi - family 5FR (3) bath 399.00
Each additional hath/kitchen 45
El Master builder ❑ Other:
•
Fire sprinkler ( sq. ft.) Page 2
.. . JOB SITE INFORMATION AND LOCATION
site utilities —
Job site address: t..._0 (,.) fir. C7S 0 1,AT r� �/ Catch basin or area drain 16.60
City /State /ZIP: " Oi * j Drywell, leach line, or trench drain 16.60
Pro
Suite /bldg. /apt, no_: Project name: Footing drain (no. linear ft.: ) Page 2
Cross street/directions to job site: ti Z .-t Manufactured home utilities _ 110.00
ManinOieS 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear ft.; ,_,_) Page 2
Stone sewer (no, linear ft.: _) Y Page 2
-
Subdivision: L ot no.: Water service (no. linear fl.: ) Page 2
Tux map /parcel no,; �� Fixture or item
Absorption valve 16.60
»ESCRIPTION OF WORK' -
' ' ' '.... • _ Backtlow prcvcntcr Page 2 •
• l'' ..
f .. • W . _I.. .. v , v '_. • Backwater valve 16 60
Clothes washer • 1660
----^ Dishwasher 16.60
[� PROPERTY'. WNkR : Drinking fountain 16.60
❑ TENANT
Name: .. -- Fjcctors /sump 16 -60
Expansion tank 16.60
Address; Fixture /sewer cap 16.60
City /State/ZI.P: Floor drain/floor sink/hub 16.60
Phone: ( ) F ax: ( ) Garbage disposal 16,60
' ❑ APPLICANT • •. • :' p 'CONTACT. PERSO i Hose bib 16.60
Business name; Ice maker 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
!'hone: ( ) F . ( ) Sink/basin /Iavatoly - I 1,--,.2. 16.60 4 � g(j
I -mail: rc Tub /shower ewer pan t 16.60 f , coc
Urinal 16.60
CONTRACTOR Water closet ' , 16 -60 3 , �a
• Business name: 8 }l vi.�� L �L Wate heater '
� U ✓
a � f<' t_� 1 � 16.6 IC,
Address: p b , 2.3 O s Other,
City /Slutr /Z1 7 � Subtotal I _ Z
Phone; (S0 3) 6 �Cz -9—e' U Fax: Minimum permit fee: $72.50
„_ (Sc3) 6 2.Y z I ? 3 Residential haekfiow minimum permit fee $36.25 f !l
CCBLic.: � YS�'
� � �� Pl umbing Lie. no_: / Plan review (25% of permit fee) -15)---
Authorized sibmahtrc; State surcharge (8% of permit fee) 9 30
TOTAL, PERMIT Fr -.w /5'
Print nam /././ c..L Yt /�7 ay Dale; ( 0 6 This permit a lieation permit is not obtained within expires if a
/ $ % l'c PP � p p
180 days after it has been accepter] as complete.
*Fee methodology set by'fri- County Building Industry Service Board.
n: lnuilding vli- PurnitAltp.die i2/27/se 440- 44iCT00 /02 /COM/WF.13)
CITY OF TIGARD ' ..
,. ...
BUILDING DIVISION PERMIT #: PLM2007-00472
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10118/2007
Phone: (503) 639-4171 kotfill
Inspection Requests (24 Hrs.): (503) 639-4175 gc .41 -d2.
INSPECTION WORKSHEET FOR DATE: 7/24/7008 TIME: 7:00Atvi PAGE: 30
SITE ADDRESS: 07540 SW HERMOSO WAY CLASS OF WORK:
SUBDIVISION: HERIVIOSO PARK LOT #: 009 TYPE OF USE:
PROJECT NAME: LuBy
DESCRIPTION: Replumb all fixture. Currently on septic. For residential use only, 5/12/013 ADDED 130 ft. of water
service and changed type of use to commercial.
OWNER: LtiBY, KEVIN PHONE #:
CONTRACTOR: BRUNER PLUMBING PHONE #: 503-624-4880
Inspection Request Scheduled For: Date: 7/24/2000 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 073146-04 503-620-3342 N
Corrections/Comments/Instructions:
( 9 L., - - . 6 L. p \ ■ A - - - - t . 1 , - P T O L .
1 - C . 0-t s - A t - t _ a ' - . Pia ii.4 o k , 6 t o \ 1 r -- ee-IP " f t - J T ,g 'i +e ,
IL-c/Let F.
•
[X1 PASS PARTIAL APPROVAL El CANCEL n NO ACCESS
pi FAIL n CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
Inspector: crO(v 11 k Date: 12q ( n) Phone #: (503) 718-
_ ___
CITY OF TIGARD
A
BUILDING DIVISION
. PERMIT #: PLM2007-00472
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/1812007
Phone: (503) 639-4171 kop,O\
Inspection Requests (24 Hrs.): (503) 639-4175 , - , .Y1 A ...
INSPECTION WORKSHEET FOR DATE: 6/12/2008 TIME: 7:02AM PAGE: 33
SITE ADDRESS: 07540 SW HERMOSO WAY CLASS OF WORK:
SUBDIVISION: HERMOSO PARK LOT #: 009 TYPE OF USE:
PROJECT NAME: LUBY
DESCRIPTION: Replumb all fixture. Currently on septic. For residential use only. 5/12108 ADDED 80 ft. of water
service and changed type of use to commercial.
OWNER: LUBY, KEVIN PHONE #:
CONTRACTOR: BRUNER PLUMBING PHONE #: 503-624-4800
,to
Inspection Request Scheduled For: Date: 6/12/2008 Pour T e:
Al) 7
Code # Inspection Description Confirm # Contact # Mes a
399 Plumbing final 071281-01 503-624-4880 Y , A -
Corrections/Comments/Instructions:
0\ik V, ‘
I '
klc4v 4r ,.)
_...„,..---
PASS
Li PARTIAL APPROVAL Li CANCEL Li NO ACCESS
II] FAIL Li CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: VZr; Ve_,-- Date: lig (( 7 1 ° Phone #: (503) 7182)124
CITY OF TIGARD ,
, • •
BUILDING DIVISION PERMIT #: PLM2007-00472"''
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 101 18/2007
Phone: (503) 639-4171 AA
m_ thi
Inspection Requests (24 Hrs.): (503) 639-4175 •,
INSPECTION WORKSHEET FOR DATE: 5/13/2008 TIME: 7:02AM PAGE:
SITE ADDRESS: 07540 SW HERMOSO WAY CLASS OF WORK:
SUBDIVISION: FIERIvIOSO PARK LOT #: 009 TYPE OF USE:
PROJECT NAME: LUBY
DESCRIPTION: Peplum!) all fixture. Currently on septic. For residential use only. 5/12/08 ADDED 80 ft, of water
service and changed type of use to commercial.
OWNER: LUBY, KEVIN PHONE #:
CONTRACTOR: BRUNER PLUMBING PHONE #: 603-624-4080
Inspection Request Scheduled For: Date: 5113/2008 Pour Time:
Code # Inspection Description Confirm # Contact # • Message
320 Plumbing rough-in 069792-01 503-624-4880 N
Corrections /Comments / Instructions:
— , • P 144; 1 (2 ji"0.;
C O L-141, 6 \ ev " 0[0 d
cA, co7 Wo0Qt a7--icrioe
PASS PARTIAL APPROVAL El CANCEL fl NO ACCESS
LII FAIL LI CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: (31\evi,,‘._A, Date: 13 b Phone #: (503) 718-
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: PLM2007 -00472
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10118/2007
Phone: (503) 639- 4171 t
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/9/2008 TIME: 7:00AM PAGE: 28
SITE ADDRESS: 07540 SW HERMOSO WAY CLASS OF WORK:
SUBDIVISION: HERMOSO PARK LOT #: 009 TYPE OF USE:
PROJECT NAME: LUBY
DESCRIPTION: Replumb all fixture. Currently on septic. F residential use only.
OWNER: LUBY, KEVIN PHONE #:
CONTRACTOR: BRUNE_R PLUMBING PHONE #: 503-624 -4880
Inspection Request Scheduled For: Date: 5/3/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 069658-01 503 - 624.4880 N
F L17'3
Corrections/Comments/Instructions:
P o(c-r i1 ] t " ✓ C 1 of v� �-� �h - 17e,
4 ,k,A se" „it! b
❑ PASS PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: (17)\ Date: J I ° 1 WV Phone #: (503) 718-
CITY OF TIGARD . ; . •
.
BUILDING DIVISION PERMIT #: PLM2007 -00472
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/10/2007
Phone: (503) 639 -4171 �Ijm�ii'�Iel
Inspection Requests (24 Hrs.): (503) 639 -4175 �' `__..
•
INSPECTION WORKSHEET FOR DATE: 12/5/2007 TIME: 7:01AM PAGE: 57
SITE ADDRESS: 07540 SW HERMOSO WAY CLASS OF WORK:
SUBDIVISION: HERMOSO PARK LOT #: 009 TYPE OF USE:
PROJECT NAME: LUF.3Y
DESCRIPTION: Replumb all fixture. Currently on septic. For residential use only.
OWNER: LUBY, KEVIN PHONE #:
CONTRACTOR: BRUNER PLUMBING PHONE #: 503 - 624 -48B0
Inspection Request Scheduled For: Date: 12/611007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
330 Water service 060797 - 01 603624 - 4880 N •
Agaggfrg1560
Corrections /Comments/ Instructions:
A A 01 _ce✓ e �w.,..� i �.. Pe.f,,•,,Srr VA
csu �,,.
P>?. Se e -#t.b 6 01-1 ? n s Ps c ND Ai Me, ff I s �� ►rc
R e t ) W J Z/ v i c'4 er•e t r Ap V - - v w ✓
. 0 lo v l e c. i G�✓ e r ac• ,� a4' V l •
e Ca, 1/4, l W CtAt■/ Se,/ ; PM o✓ r ` ,try, , , p
•
❑ PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
F1. FAIL I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 6 \'1 ./L-» \ Date: 12/6)0 Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: Pi..M2007 -00472
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/18112007
Phone: (503) 639- 4171 h�rpill?I
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/30/2007 TIME: , .7 :00AM PAGE: 28
SITE ADDRESS: 0i7640 SW HERMOSO WAY CLASS OF WORK:
SUBDIVISION: HERMOSO PARK LOT #: 009 TYPE OF USE:
PROJECT NAME: LUBY
DESCRIPTION: Replumb all fixture. Currently on septic. For residential use only.
OWNER: LUBY, KEVIN PHONE #:
CONTRACTOR: E3RUNER PLUMBING PHONE #: 503 -624 -4000
•
•
Inspection Request Scheduled For: Date: 11/30/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Rumbing rough -in 060669-01 503. 624 -4800 Y
Corrections /Comments /Instructions:
>' �, ;• -�-c/ • ✓ v ► �.-� i A t.14t CA.,l I F✓ 1 -J f
0-6 L1
A ol - tvt. v.J1
PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL 7 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
I nspector: C �.tir. �i 1 4`^^- Date: 6/67 Phone #: (503) 718-
CITY ������U��������
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BUILDING DIVISION • PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1011812007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 839-4175 � " �
INSPECTION WORKSHEET FOR DATE: 10/23/2007 TIME: 7:00AM PAGE: 52
SITE ADDRESS: O75%OGWHERK40SOWAY CLASS OF WORK:
SUBDIVISION: HERMOSO PARK LOT #: 009 TYPE OF USE:
PROJECT NAME: LU8Y
DESCRIPTION: Replumb all fixture.
OWNER: LUBy.REV)m PHONE #:
CONTRACTOR: BRUNER PLUMBING PHONE #: 503-6244880
Inspection Request Scheduled For: Date: 10y23/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
305 P1onnhin@undam|ob 068118-01 503-6244880 N
Corrections/Comments/Instructions:
�� PASS �� PARTIAL NO ACCESS �� CANCEL ��
r~ �� ' ' ��
U FAIL El CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: /7-0\- \\)���� Date: PI 23[0 Phone #: (603) 718-