Permit i '" d - � �,• 'C 1 TY OF TIOARD PLUMBING PERMIT
y Y K
i • 6OMMUNITY DEVELOPMENT PERMIT #: PLM2008 -00052
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/14/2008
PARCEL: 2S103CA
SITE ADDRESS: 13260 SW HOWARD DR ZONING: R - 4.5
SUBDIVISION: WOODCREST LOT: 010 JURISDICTION: TIG
PROJECT: JORDAN
Project Description: bathroom 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: 1 CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 0 URINALS: GREASE TRAPS:
LAVATORIES: 1 OTHER FIXTURES:
TUB /SHOWERS: 1 SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
MICHAEL & JORDAN
13260 SW HOWARD DR Description Date Amount
TIGARD, OR 97223 [TAX] 12% State Surch 2/14/2008 $8.70
[PLUMB] Permit Fee 2/14/2008 $72.50
Phone : Total $81.20
Contractor:
ANCTIL PLUMBING INC
16900 SW MERLO RD
BEAVERTON, OR 97008 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 642 -7323
FAX 503- 642 -7755
Reg #: LIC 24184
PLM 26 -162PB
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0100. You may obtain copies of
these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued B �`/ rmittee Signature: 7,7 /� N
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
FEB -13 -2008 11:40A FROM :ANCTIL PLUMBING 5036 TO: 5035981960 P.1
Plum i>a •'Permit Appiicati a:fricio 3 �Z ?-$
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Building HA( 011.1(11 l'sh OM.\
City of Tigard FEB 1 3 2008 Received ' 3 7
74 Date/E3y: / /3 �� Permit No. ��i �(/ �y y�
q 13125 SW Hall Blvd., Tigard,OR 97223 !� [ntJ
p Plan Review
Phone; 503.639.4171 Fax: 503.598. Other Permit No.: e l
- n Inspection Line: 503.639 t � Y %'
OF TI GAR D DateBy
T I C. A Date Ready/By: Juno QI Sec Page 2 for
Internet: www.tigard- or.gov BUILDING DIVISIO I Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
❑ New construction ❑ Demolition For special information use checklist
Description is . Ea Total
r : dition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection)
CATEGORY OF CONSTRUCTION SFR (1) bath 249.20
Ise- and 2 -family dwelling ❑ Commerciallindustrial SFR (2) bath 350.00
El Accessory building ❑ Multi- family SFR (3) bath 399.00
Each additional bath/kitchen 45.00
❑ Master builder ❑ Other:
Fire sprinkler ( sq. ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities
Job site address: /3 Z630 St, ` a Ara ��-E Catch basin or area drain 16.60
City /State /ZIP: Drywell, leach line, or trench drain 16.60
Suite/bldg. /apt. no.: I Project name: Og. D Footing drain (no. linear ft.: ___) Page 2
Cross street/directions to job site:
Manufactured home utilities 110.00
Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear ft.: i _) Page 2
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
DESCRIPTION OF WORK L7 Backflow preventer Page 2
/
f 0 'Gin a l 6Z__. Backwater valve 16.60
Clothes washer 16.60
---'66A ' 6 ex‘ah - fe l 0 , _, :i.: - ii Dishwasher 16.60
FPRO OWNER I TENANT Drinking fountain 16.60
C Ejectors /sump 16.60
Name: ) 'D D�
�^^ 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
❑ APPLICANT 0 CONTACT PERSON 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 f
Phone: ( ) Fax:: ( ) Sink/basim4avatnry .. .---10) 16.60 / 4. 6'
w
Tub /shower /shoer pan r-> 16.60
E -mail: l � • Co
Urinal 16.60
CONTRACTOR Water closet ""----- ' 16.60 6.. (, .
Business name: r r Water heater 16.60
Address: A Q Q u f D Other -
City /State /ZIP: • 01 v64 • AJ 6 k Q 2.0 0 4 Subtotal - MM.
Phone: (5b3 Gt.{Z_ 9-313 Fax: ( 7 ` T Minimum permit fee: $72.50
�1 "1� � 27 ��tss Residential backtlow minimum permit fee: $36.25
CCB Lic.: 2. / 8 Plumbing Lic. j •• / 6,2 p _ Plan review (25% of permit fee)
State surcharge (12% of permit fee) CB . .
Authorized signature: _ '" 4.: _../. S -
TOTAL PERMIT FEE C?
Print name: '8; a. A.&/C 1-1 L, Date: 2,,-- 1 This permit application expires if a permit is not obtained within
180 days after it has been accepted as complete.
*Fee methodology sct by Tri -County Building Industry Service Hoard.
t l au PermitApp 1 2/27/06 e e . g 16 /02 /Cj)? Eli 0 0 szeb / 41 .z, ^ 3.. ^ s'S.
■ 1
CITY OF TIGARD , ..
BUILDING DIVISION PERMIT #: 1a1130t1f3 0+02
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 211412008
Phone: (503) 639 -4171
A.41 i ulNp
Inspection Requests (24 Hrs.): (503) 639 -4175 s ' ' I .
INSPECTION WORKSHEET FOR DATE: 2119/2008 TIME: 7 :01AM PAGE: 24
SITE ADDRESS: 13260 SW HOWARD DR CLASS OF WORK:
SUBDIVISION: WO ODCREST LOT #: 010 TYPE OF USE:
PROJECT NAME: JORDAN
DESCRIPTION: bathroom remodel
OWNER: JORDAN, MICHAEL & JENNIFER PHONE #:
CONTRACTOR: ANCTIL PLUMBING INC PHONE #: 503- 642 -7323
Inspection Request Scheduled For: Date: 2/19/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 066179-01 603-642-7323 Y
Corrections /Comments /Instructions:
K PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
n FAIL n CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: OTh "1* I '\ — Date: IVA\ C0 1 Phone #: (503) 718 -
•
CITY OF TIGARD , :
BUILDING DIVISION PERMIT #: PLM2.00B- 000&2
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: : 114f200i
Phone: (503) 639-4171 / � 41
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 3/712008 TIME: 7:00AM PAGE: 17
SITE ADDRESS: 13260 SW HOWARD DR CLASS OF WORK:
SUBDIVISION: WOODCREST LOT #: 010 TYPE OF USE:
PROJECT NAME: JORDAN
DESCRIPTION: bathroom remodel
OWNER: JORDAN, MICHAEL & JENNIFER PHONE .
CONTRACTOR: ANr. CIL.PLUMBINGINC PHONE 503 -642 -7323
Inspection Request Scheduled For: Date: 3/7/2008 Pour Time: s I
Code # Inspection Description Confirm # Cont- t # Message ( ` e
399 Plumbing final 066297 -01 c' 3- 642-7323 Y
Corrections /Comments /Instructions: t
i''.-
4 1116. ��
f
X PASS ❑ P -TIAL APPRO� ❑ CANCEL ❑ NO ACCESS
F AIL n'I L F• '; ECTION ❑ ADDITIO AL F ES ASSESSED
Inspector: / Date. Phone #: (503) 71