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Permit '`n • \ CITY OF TIGARD PLUMBING PERMIT y,l DEVELOPMENT SERVICES PERMIT #: PLM2005 -00622 II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 11/4/2005 PARCEL: 2S 103CA -00209 SITE ADDRESS: 13050 SW HOWARD DR ZONING: R -4.5 SUBDIVISION: WOODCREST NO.2 LOT: 027 JURISDICTION: TIG Project Description: (1) new bathroom, only. 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: 1 SEWER LINE: ft WATER CLOSETS: 1 WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES JOANN KISH Description Date Amount 13050 SW HOWARD DR TIGARD, OR 97223 [PLUMB] Permit Fee 11/4/2005 $72.50 [TAX] 8% State Surcharl 11/4/2005 $5.80 Phone : 503 - 524 - 2034 Total $78.30 Contractor: SPIRIT PLUMBING 609 E. 5TH ST. REQUIRED ITEMS AND REPORTS NEWBERG, OR 97132 Phone : 503- 475 -9464 Reg #: LIC 162669 PLM 36 -105PB 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: � 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. IPIunitl P'ertilit Appl F OFFICE USE O ! ONLY ' 13 y Ti gard of Ti d 1 NO V 20U u��iaya Ihtry � � �� Permit No.: "P \\„%.2a5----"b , (.7 _ ' 13125 SW 1 -tall Blvd., Tigard, OR 97223 plan Review Phone: 503.639.4171 Fax: 503.598.1960 Dr ,r 1 A la Date /By: Other Permit No.: 24- Hour Inspection Line: 503.639.4175 CITY OF TIGA c ` I I Date Read /B ir is: Internet: www.ci. ard.or.us IL N = " y� S See Page fur G DIVISION Notified/ echo � �� Supplemental Information ,,,,. .,,„- .,,.. „ <.� - :.`ter =<.� .:E:�,o r� <. �a x'. < �� - e ::& ,i1i. �,. , , "_, :� -.- yr,.. - ;5':� ` „`?'s:, - _ ' r �:t �_ =,.;wa. ^ , "...s;E � >k. Y�. ' f '• r.. _ „lugs «� ;v . °.�:, �- �:�'n ._ , 3.-•_ y �N; � �A a�. '� TYPE A t \. ORK < ;' 3 a�, Is.. �� <"s (.., �„ ir���` r � FEE ,SCIII;`DULE ��.: ,.sac � .� x� ° ^'° .,r a ^.s9 1a'�e� so a ,.: 2, e � . ,.. < s3' -.; �, `�.S Aa`:� ..e '� .rvs <�._,_ - E ❑ New construction ❑ Demolition For special information use checklist. Description I Qty. I Ea. I Total ® Addition /alteration/replacement ❑ Other: New I- 2 - family dwellings (includes 100 ft. for each utility connection) «'fib -`'s ',. ' ' jr "x �' '� = = , q 3?3 �.,_- w -. f. i ( Ce `I'EdOki:4 F /°CON V ' ,;_ bath 24 . =� ..- .4 -,.., m,...,. ,-. 3 :;,,,•,,.,,_, ";SCRUCfION =" ���_.-. „ %>'r - <, SFR(I) 9.20 ® 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi - family SFR (3) bath 399.00 Each additional bath /kitchen 45.00 ❑ Master builder ❑ Other: :, rr.. ^fit - :u. . "y.. ',,,, ; :,_• s': , -: - Fire sprinkler ( sq. ft.) Page 2 k , :Z �, - -'J OB SITE" INEURMAI ` t) GATIONss' 4 , '' .. > -. .,. t�,,.. •: --- fix. _:,,,*&,,, , ,.....,y= ,m;.... " , 3 ..:zxr, -: zaerr i;,.X P .,v r, ;, '' , ,I - Site utilities Job site address: 13050 S \V Howard Dr. Catch basin or area drain 16.60 City /State /ZIP: Tigard, OR 97223 Drywell, leach line, or trench drain 16.60 Suite /bldg. /apt. no.: Project name: Footing drain (no. linear ft.• ) Page 2 • / 7 >i. Manufactured home utilities 110.00 Cross street/directions to job site: From 991V to Gaardc St. - right on 120 about 1 /4+ 2' ,!ter -izll 61,2.- Aft1.wz¢ -tF t 4 • Manholes 16.60 -Pra:if - 4ettxJ0 Gtir /_dip .7 • --Pdx " - 4,17 Rain drain connector 16.60 Sanitary sewer (no. linear fl.: ) Page 2 Storm sewer (no. linear ft.: ) Page 2 Subdivision: Woodcrest #2 Lot no.: 27 Water service (no. linear fl.: ) Page 2 Tax map /parcel no.: 2S103CA00209 Fixture or item qs� +a�, .,- ..,,< : Absorption valve 16.60 " x, r- :.e, n P,- gCRIPTI OF WORK,,::. ;;I:01000' ; =.:::sue }i., < ._.., ...,K• c,,. >:.,,. . ..W ..,: k z'r` Backllow preventer Page 2 Addition of new master bdrm. & bath. Changing existing Mstr. bdrm & bath to Backwater valve 16.60 new bath and walk in closet Clothes washer 16160 Dishwasher 16.60 x f.'; =,. -<: :: � :.° wE'x;, <T 40,p,' , ' Drinking fountain 16.60 r.; s� T.. '`?�� ., °`.7'TrNA:1V7''' -;` ~,. ^.;. ; , "• .,�,'� ^., �.•y. z _. ��< ",,n.t "�:� . ' Ejectors /sump 16.60 Name: Joann E. Kish Expansion tank I6.60 Address: 13050 SW Howard Dr. Fixture /sewer cap 16.60 City /State / ZIP: Tigard, OR 97223 Floor drain/floor sink/hub 16.60 Phone: (03)524 - 2034 Fax: ( ) Garbage disposal 16.60 : ,m -r s, ill b r :1 tC ' ,e._F. ",Ain", ,,,.;< Hose bib 16.60 t . `.` ®:'APPEtC 414 ^, ,: MP ' ,' ��"� GONTAC & T SON ;':`F'cz ,,. , ' .'`" .�... ,.... : r;,r 4,4.1e :rs ,:.... . C'd % ". . '1'", ; ear:-,, r .. . s ,s 1 , . - „ _a��rr� �����.':'.�:._;. .. ^ lee maker 16.60 Business name: Huffman Constrution Interceptor /grease trap 16.60 Contact name: Jeff Huffman Medical gas (value: $ ) Page 2 Address: ,•�, O �aJ 4I / �, Primer 16.60 City /State /ZIP: �� 0,5% 9�� Roof drain (commercial) 16.60 ��� Sink /basin/lavatory / 16.60 /� 6'C) Phone: (503) 810 - 5876 F ax:: (503) 372 - 8579 Tub /shower /shower pan 16.60 /6 ,O E-mail: Urinal 16.60 9,>s s.ya , : `'; trP. ` a a0 ` ` e<% : r. ;r; ::ms a y , '409,,t :1, hm AiR - ,.,a...r .C ONTi2ACTQR , ,< z" _... ,14,, ,a, ,.5. o Water closet / 16.60 idj. d.,0 Business name: Spirit Plumbing Water heater 16.60 Address: P.O. Box 387 Other: City /State /ZIP: Newberg, OR 97132 Subtotal Minimum permit fee: 1; 2 -50 Phone: (503) 475 - 9464 Fax: (503) 537 - 2571 Residential backflow minimum permit fee: 1 .. 5 CCB Lie.: 162669 Plumbing Lic. no.: 162669 Plan review (25% of permit fee) Authorized signature: State surcharge (8% of permit fee) 3 .1 t l/ • .a...t., TOTAL PERMIT FEE Print name: va© This permit application expires if a permit is not obtained within 180 clays after it has been accepted as complete. *Fee methodology set by Tri- County Building Industry Service Board. i : \nuilding\Perneis \I'I-M- PennitA pp doc 06/05 440 -46 161'( l0 /02 /COM/Wlin) 6 CITY OF TIGARD BUILDING DIVISION - PERMIT #: PLM200S-00622 j 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/4/2005 Phone: (503) 639 -4171 :��Ipn�u��l Inspection Requests (24 Hrs.): (503) 639 -4175 : LW °` INSPECTION WORKSHEET FOR DATE: 11/23/2005 TIME: 7 :00AM PAGE: 25 SITE ADDRESS: 13050 SW HOWARD DR CLASS OF WORK: SUBDIVISION: WOODCREST 110.2 LOT #: 027 ' TYPE OF USE: PROJECT NAME: KISH DESCRIPTION: t1) new bathroom, only71 OWNER: KISH, JOANN PHONE #: 503-524-2034 CONTRACTOR: SPIRIT PLUMBING PHONE #: 503 - 475 - 0464 . Inspection Request Scheduled For: Date: 11/23/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 022358 -01 503-524-2034 Corrections/Comments/Instructions: I C) fl FA S ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Ira j1,. Inspector: Date: 1 ' / Phone #: (503) 718- _ CITY OF TIGARD BUILDING DIVISION c__________ ' PERMIT #: PLM2005.00527 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/4/2[)05 Phone: (503) 639 -4171 // auigolp��Nl/11T\ Inspection Requests (24 Hrs.): (503) 639 -4175 0 INSPECTION WORKSHEET FOR DATE: 1/31/2006 TIME: 7 :01AM PAGE: 7€ SITE ADDRESS: 13050 SW HOWARD DR CLASS OF WORK: SUBDIVISION: WOODCREST NO.2 LOT #: 027 TYPE OF USE: PROJECT NAME: KISH DESCRIPTION: (1) new bathroom, only, • OWNER: KIST - I, JOANN PHONE #: 503- 624 -2034 CONTRACTOR: SPIRIT PLUMBING PHONE #: 503 - 475.9464 Inspection Request Scheduled For: Date: 1/31/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 025973 -01 50x•810 5876 N Corr: ctions /Comments /Instructions: 6 r. A . _ - 'VN T c . l 3 ( (9 e -AL/ ♦ i 1 . d -- ------------ - L V i K DASs fI PARTIAL APPROVAL ❑ CANCEL _ NO ACCESS FAIL I 1 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED t (p Inspector: Date: 1' 31/v T Phone #: (503) 718 - 17"Y2—y