Permit 71 a ITY OF TIGARb PLUMBING PERMIT
' ' COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00485
TIGARD DATE ISSUED: 10/30/2007
13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1 S136AA - 07100
SITE ADDRESS: 07081 SW LOCUST ST ZONING: R
SUBDIVISION: AUM DOWNS LOT: 005 JURISDICTION: TIG
PROJECT: TANZ
Project Description: Install auto washer box. •
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: OTHER FIXTURES: 1
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner:
FEES
GUY TANZ
Description Date Amount
7081 SW W L OCUST ST
LOCUST
TIGARD, OR 97223 [PLUMB] Permit Fee 10/30/2007 $72.50
[TAX] 8% State Surchart 10/30/2007 $5.80
Phone : 503- 969 -2984 Total $78.30
Contractor:
3 MOUNTAINS PLUMBING
20345 SW PACIFIC HWY STE 103
SHERWOOD, OR 97140 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503 -925 -1342
FAX 503- 925 -9104
Reg #: LIC 169499
PLM PB99
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 rule - . -t forth in OAR 952 - 0001 -0010 through OAR 952 -0001 -0100. You may obtain copies of these rules or direct questions to OUNC
by call • • 503.246.6 • or 1.800.332.2344.
I
Is ued By: k. A ,/ ./ ,,__ P ermittee s iam , _, • /
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.
10- 2'007 12:21 3 MTNS PLUMB 5r PAGE1
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Pliumbini Permit A l_piitysk29 2001
City of'lygard UA� t nty: R 9 D? Z x v l N L1 0 8.S
+
- 13125 SW Hall Itpk 3722 Review
■ Phone: 503.639.V 1F sv8 � fin gp Other Permit Na:
►72
i . c i > Inspection L.inc 9. U^ D Date Rea >� ra Sterne x 2 for Internet: Nulilled/Metlud: /J / .... SuPplemarad Information
TYPE OF WORK FEE" SCHEDULE
❑ New construction ❑ Demolition Forspedaf bformasion are checklist
- ® Addition/Aeration/replacement lacement ❑ Other: New qty. � Ea. Taint
� Nnv 1- 2-famlly dwellings (includes 100 ft for each utility connection)
CATEGORY OF CONSTRUCTION SFR (L) bath 249.20 I
® 1- and 2- family dwelling ❑ Commercial mdusb ial SFR (2) bath 350.00
❑ Accessory building ❑ Multi- family SFR (3) bath 399.00
ce
Q Master builder Each additional bath /kitchen 45.00
-- : . ❑Other. Fire sprinkler ( sq. ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site Militia J
LO
Job site address: 7081 SW Locust Catch basin or area drain 16.60
City /StateJZIP: Tigard, Oregon 97 Drywe4 leach line, or trench drain 16.60 _
Suite/bldg. /alit. no.: I Project name: Footing drain (no. linear it: ) - Page 2
Cross str�ect/ditections to job site:
Manufactured home utilities 110.00
Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear R: ) Page 2
Storm sewer (no. linear ft.: �) Page 2
Subdivision: I Water service (no. linear it: _) Page 2
Lot Fixture or item
Tax map/parcel no.: Absorption valve 16.60
DESCRIPTION OF WORK BecicflOw preventer Page 2
Install auto washer box Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
® PROPERTY OWNER 0 TENANT Drinking fountain 16.60
---- Ejectors/sump 16.60
Name: Tana _ Expansion tank 16-60
Address: 7081 SW Locust Fixture/sewer cap 16.60
City/State/ZIP: Tigard, Oregon Floor drain/floor sink/hub 16.60
Phone: (5503 -)969 -2984 Fax: ( ) Garbage disposal 16.60 - - -,
0 APPLICANT 0 CONTACT PERSON (lose bib 16.60
Ice maker 16.60
Business name: h /fie trsp 16.60
Contact name: Medical pas (value: S ) r ^ Page 2
Address: Primer 16 -60
City /State/ZIP: Roof drain (commercial) 16.60
Sink/basin/lavatory 16.60
Phone: ( ) I Fax:: ( ) --
Tub/shower /shower pan 16.60
E-mail:
Urinal __ 16.60
COTi'l'I ACTOR Water closet 16.60
Business name: Treble Seven LLC DBA 3 Mountains Plumbing Water heater 16.60
Address: 7,0345 SW Pacific Hwy Suite 103 Other auto-washer box 1
-
City/State/ZIP: Sherwood, Oregon 97140 - Subtotal ,
Minimum permit fec: 572.50
Phone: (503) 925 -1342 Fax: (503 -) 925-9104 Residential backflow minimum permit fcc: $36.25
CCU Lic.: 169499 Plumbing Lic. no.: PB99 ..� Plan review (25% of permit foe)
�11 //�� State surcharge (8% of permit fee)
AuthorisAuthorised aignalutif "y 0,,,i,,,..., PERMIT FEE
I Print .=p4 /-44, K' i N I Date: ` ,7q -07 I This permit application expires if a permit is not obtained within
6 180 days after it has been accepted as complete.
*per, rnelhnrinlnvv on by Tn.Caanty Rnildinv Inrinatry Cr1vi,Y. Rnarf
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2007 -0085
AR 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/30/2007
Phone: (503) 639 -4171 :alit
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/1/2007 TIME: 7 :02AM PAGE: 44
SITE ADDRESS: 07081 SW LOCUST ST CLASS OF WORK:
SUBDIVISION: AUM DOWNS LOT #: 005 TYPE OF USE:
PROJECT NAME: TANZ
DESCRIPTION: Install auto washer box. .
OWNER: TAN7., GUY PHONE #: 503 - 969 -2984
CONTRACTOR: 3 MOUNTAINS PLUMBING PHONE #: 503 - 925-1342
Inspection Request Scheduled For: Date: 11/1/2007 Pour Time:
•
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rrgh -in 058766-01 503- 925.1342 N
1 Na I ,
Corrections/Comments/Instructions:
(Terr. c LJ 91,1
NI PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ��� ' Date: ) 11 1 $.07 Phone #: (503) 718-