Permit CITY TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT #: PLM2006 -00005
-� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 1/3/2006
PARCEL: 2S 111 BA -07000
SITE ADDRESS: 09487 SW INEZ ST ZONING: R -4.5
SUBDIVISION: BUTLER TERRACE LOT: 004 JURISDICTION: TIG
Project Description: Kitchen sink.
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: 2 URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
MCKITTRICK Description Date Amount
9487 SW INEZ ST
PORTLAND, OR 97224 [PLUMB] Permit Fee 1/3/2006 $72.50
[TAX] 8% State Surcharl 1/3/2006 $5.80
Phone : not available. Total $78.30
Contractor:
WATSON PLUMBING CO
7935 E BURNSIDE ST REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97215
Contact # : PRI 256 -3720
Reg #: LIC 111855
PLM 26 -602PB
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 qr direct questions to OUNC by
calling 503-246-66 or 1- 800 - 332 -2344.
Issued By: Permittee Signature: k ��G
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.
0,9!12/2005 07:40 FAX 5035981960 CITY OF TIGARD 1¢l001
fir I V Ea
Pluptbing 'ern onlicat a ` 1 r I' I i f 1 •,I <.\ i -:l 1
City 1181+x. 'Nast OR mu JAN 3 2006 !waved �' � r,�tr.7_ v ._• • -� fieS
13 L25 Phew 503.639.4171 Fee 503598.1964 Oehta Peon
24- E1enrinspection Line 503.639A1?SCITY OF TIGA , ( ;j,° _ 1
fide Realr/Sy: .ii E Set Page 2far
li etsac wow. tlgard.or us 1 1 Pl 1 N C Iv b l atlf edtaQeema /` m„ rato•wa
i � ' 747- 7r
0 New conspvodo6 D Demei>tihn. Iran we eltealet
❑ Cldror
��} ;� - ,,� } :r -, � A -tadq� ia�el� (includes 100 S. for real utility aaenee6w)
it '.4A - 4.,.. rc.. �! iStOf .._s v 3.�_ �. 1 .._ 4 L _� � '.•1!',,.a7�._ tie-' Sa R(1) 24920 •
-. _. and Unruly d ui ❑ Commefeelf rial SFR a)lratth 350.00
Accessory building CI Mahisani]y SaRp)badt INN 399.'10
C] attttster builder O Otl�r: Esc additiapl 43.00
- ; ^, 1e „" 4• Piro spda c___ _ m. $) Paget
r ,, ' site tetEdties
Job eke addtme: 410 I.1 S\AY ""Z_. Catch ben or ergo drain 16.60 -
CitylStatglZJP: Ar, 6- 7i. ' 9 - Drywall, Web in% or tenth dcsin 16.60 aIIIIIIIII
Suitelbldglapt. no.: Project fume: Footing drain (ao. Linear R.: `) Page 2
Cam er/d
streinectiaos to job sifts: t 10.00
1sitabobs 16.60
Rain drain ccemectnr 16.60
Sm)Wy sewn (PO. linear S,: _,_) Page 2
Storm der (o- Bann &: ) . . 2
-
Subdivision: la _Water service (eta War ti: ) Page 2
HaRara or lore
Taxmaplperoel no.: Abraplion Wino 16.60
t :: �, .4.L... ! � BerBcHow peeveaov Page 2
Elevates valve 16.60
r
!",lodes washer 16.60
EThitamber 16.60
4 Deia g bar in 16.60
'PV'� 16.60
I . �C' task
Addree5: ' f Cu ! / Z .c tap 16.60
t t1 /Stateel8 ?7 : f �,� U Hoar draintdoor unkineb j 16.60
Phone: ( ) / Fax: ( ) Gasbags 16.60
i; . y r 17 3 ; iblz bib 16.60
_ :•>S.:. �.. ,. --.t lc>amaker 16.60
Easiness name
Ceded name: Crease lisp 16.60
Meisel _Meisel gas (vatae $ ) Page 2
Address: Pdmer , _ 16.60
CityfStatYrZEP: () 16.60
Phenc ( ) I For : ( ) - L.- )- van .16.60
•• • , , a pan 16.60
li- toad:
UAW 16.60
h' 5t i i: n IL..1 Y e r , Nt Wat elecat 1640 • Business name: /(/ h a F LA_R. fYL fl j k -U Water h ata 16.60
Atlata: 7 33 0 Ct-1 J t'D-C9
City/S1a JP: / & - . u.4) `l. 7 -1,3 [rfmimart,t ,1ti �0 t o
1 ( 3) 24 - 6 x - 3 `? Fu:: #: ) ZJ' - 0(11 1 / / Residents.' ut
a minimum fie: 33625 a
GCB Lies / : . t fY Plumbing Lis. no ; _ , - � a Piss rev ow (25% of permit fee)
Authorized 8f Ante: is \__ -
Ststat+adyrg (8�ofpecaatfe} S
l'OTAL PERMIT FEE
I Print Male »4'i) 74 1 /6- ` - f e t - & note : / - ..7 j This panne appisation expires Na per als Is sot obtained wits In
1110 dam after it bna been accepted as eampteee-
*Fe wathotelogy set by? r -C sty Builditst 'Mum Service Beard.
nuilemg1Pe„ t,M�aef;M 4+ac61sn(1ar011CO MveR)
7D.V
�
08 07:41 FAX 5035931960 CITY OF TIGARD ifft
�iui algi Per i A, DJk ti j - City of Tigard ,
Page 2 - Supplemental Information %,.
Fee Schedule: Residential Pire S cession S stems;
Footing drain -1 100' 55.00 MINN 0 to 000 115.00
Footing drain -each Whom' 100 _ 46.40 2 o 3 00 65160.00
3.601 to Savor sack 100 446..40 7, 01 aad_g>aaerr 6309.
Water Service -tat 100' 55 00 Medical Gas S t:
11,
Weis s�leo -each aaddrWm1100' .111 46.40 � '►�r
-sr.. .,, �� r5 n
Storm &k Reis Dram tar 100' 55.00
� � sl.o0ta 1 1 ,,, 14eianvltrm fee S7250
►" ' �1 � . 4 6A 0 55,001.00U 5t0,000 00 172.50 bathe firat$5.000.00 sad 51.52 in each
' - " tr Eire..�a " . z "iz `,.. —».�`, .-• c * and
s a131�40 as fraction asof. to
' iadadira310000A0
S10,1101.00 to 525,000.60 S148.50 lotto Sin $10 S10,000.00
Resideatial lied/dim • Promotion Device loch additional 5100.00 or foam thereof, to 1
mhunwm • .• • •, fee , E , 27.55 and inclednfg 525,000.00,
Rsia Drain, ai ,,,, May dmo>isr$ 63 73 32.3, 001_00 to $50,000.00 5379.506v the fast mow .00 and $ l AS for
oath additional $100.00 tar fraction ti cot; to
sat i►atsdi 4 00.0 0.
550.001.00 and up X742 OD ibr t� $50,440 40 and 51.20 for
Sabraieh
eah addition! mom or fraction dewed
Fixtlrr Work: . '.,,, ; + ,• »� .:.- <. :_ . •.
Are yes sapping, adding or replacing fixtures? If `yes", A" tnplex savenee"' is &timed as an installation of a plumbing
please indicate work performed by fixture. Failure to system tint meets any oftne.following criteria.
seem re art farm c reek in lammed sewer fele. Please check eft the aptly
4 s•Zt- e*. : \aK` »i.,'� t 5e' i• ? f� °'G'3'', -s• ❑ Any Dew a1bolf .
..... .. •• - . - 1 _ pF �� , .- , "•ft, ' � z� a ,it 13 I�9yDC9Y exterior plumbing s t ❑ A a nertmrdal barb with installation, alteration or adcfition
- �, - 71r1JShnwm afnine (9) or more new Or relocated plumbing fixtures_
® Median ges and vacuum systems for health care facilities
1taCrmitWhulaod providing sraviaes W hewn
- arc wash -each step Cl Ptntnbtng ms�ltatiana, eltmatians a a dditiaas m food ore vice
-Drive Tlaa facl7itia vrherat hear pitlmbmg fi>atetrca, iuc! aria
- Goo = � are being installed
aLde sd for b the Rand service area
• ❑ Any new residential bonding nor taking three (3) or mots
• Fondant 0 +� le A 13-D muldpeqmse fire sprinkler symem.
Floor Dtaaa4iak Y 3" Submit a soils of pb us with ray Onto above.
Car Wash Brain r ` < = .�...� _... - am= Gard c ■ Isometric or rim din air s requlred ter new buildings
Disposal three (3 amore stories in height
lotaf JRe5+_Lleaou
oil ► �� Comments fixture work
nee. Vehicle r , • . ..
Shov►Br
Sink •13ginwrt, ry
a tdky
—
•Cemmodal IT IMIE
- Service
Sairmnrttt Pool Filter
water F
w�a "Tote: Item fixture work under this permit results in an
aid increase of sewer Mils, a sewer ma permit he issued and : ' : , fees assessed for tee sewer hereon Mast be paid before the
• . Ph4u m MIMI phsething permit tan be issued.
LeultaugtheratkeVONtoldiapsulac Mi06.05
CITY OF TIGARD Pt - rvi
BUILDING DIVISION PERMIT #:a.066 -- ,00 Oft S
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 , /c8,0010 j
Inspection Requests (24 Hrs.): (503) 639 -4175 A-
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: -\1 F 7 c:91 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: „3 1(— 0 p Pour Time: ,
Code # Inspection Description # Contact # Message
399 e- ,,,,,......�_ ..2_S6 - 37d- D
Corrections/Comments/Instructions:
Z . PASS n PARTIAL APPROVAL I I CANCEL n NO ACCESS
I I FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: M a1lb -d_ Date: 8/1 Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION .. PERMIT #: Pitt 2-606 ' 6 j 06 ®
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 gde /PAI
Inspection Requests (24 Hrs.): (503) 639 -4175 V
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: 4 14/C1 .114 e- CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #: 2-C3 - 4 7
CONTRACTOR: frvc .I KA PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
Pt IAA , " Nars"CD, —
Corrections /Comments /Instructions: IC K_ o-✓\ 5 y d k2)
PASS I I PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
FAIL I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: V6` Date: I A(' G 7" Phone #: (503) 718- -2-Y2-1
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2005-00005
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/3/200 •
Phone: (503) 639-4171 g do p o#
Inspection Requests (24 Hrs.): (503) 639-4175 d4,4
INSPECTION WORKSHEET FOR DATE: 1/50006 TIME: 7:00AM PAGE: 72
SITE ADDRESS: 09407 SW INEZ ST CLASS OF WORK:
SUBDIVISION: BUTLER TERRACE LOT #: 004 TYPE OF USE: •
PROJECT NAME: MCKITTRICK
DESCRIPTION: kitchen sink.
OWNER: MCKITTRICK, PHONE #: not wadable.
CONTRACTOR: WATSON PLUMBING CO PHONE #: 256”3720
Inspection Request Scheduled For: Date: 1/512006 Pour Time:
Code # lnsp- ion Description Confirm # q�iact # Message
320 PlumbI rough-in 024379•01 503-23720
Corrections/Comments/In• uctions:
P .
o e
AM
,
/
ti
1.1.11111111111111=1\
_.A.11.111111■ y_,
PASS I I PARTIAL APPROVAL I :Al" El NO ACCESS
, FAIL fl CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
Inspector: //1
• Date: I AV° Phone #: (503) 718-21' 2_,1