Permit C ITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2006 - 00568
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/22/2006
PARCEL: 2S 102AB - 03600
SITE ADDRESS: 12285 SW MAIN ST ZONING: CBD
SUBDIVISION: LOT: JURISDICTION: TIG
Project Description: Replace (2) fixtures.
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: B FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: 1 OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: 1 WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
JOHNSON, WARREN W + BETTY TRS AN Description Date Amount
JOHNSON, REES C + MARYANNE G
3112 SW SANTA MONICA ST [PLUMB] Permit Fee 11/22/200€ $72.50
PORTLAND, OR 97201 [TAX] 8% State Surcha 11/22/200E $5.80
Phone : Total $78.30
Contractor:
CASCADE PLUMBING CO.
2630 N HAYDEN ISLAND DR SP#3
PORTLAND, OR 97217 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503 -544 -7464
FAX 503- 289 -6699
Reg #: LIC 120893
PLM 34 -412PB
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0100. You may obtain copies of
these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: � /� Permittee Signature: � .
\ \
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
b. ,
Plumbing Permit Application
City of Tigard =r I E * ii- a J No.- r�o ci ao 6.
13125 Sin Hall Blvd.. Tigard, OR 972238 oma Na: _
Phone: 503.639.4171 Fax: 503.598.1960 20 r "'"' ` a , I Da:era :
24- Hour Inspection line: 503.639.4175 N O V 2 2 4,- • Dma Ready/By: ' °` I te t 5 foe
rJ�ien I sup a Cato.
. • TYPE a * i DIVISION " S IEDn d ra m
•
[] New construction ❑uolition � For special nlfor on IBC _ Description . 1 Qcr• 1 Ea. I T otal
,ja -
dd * O, / ❑ Other I New 1- 2 -family dwellings (ioludcs 100 8- for each utility connection)
CATEGORY OF CONISYI;UCTYON SPR (1) t� 249.20 dustrial , � SFR (2) bath _ 350.00 1
❑ ] -and 2-family dwelling .a1 SFR (3) bath 399.00
p Amy building 0 Multi I Each additional batit/latcben _ 45.00
1 2
)] Mier builder ❑Other i sitsu Firs wielder L._ se ft)
:JOS tHrtINFOSMATION'AND* LOCATION - T -
Yob site address: / a-$ 5 _, carat; basin o< area dram r 16.60
ayweu, leach line, or trench drain 16.60
City/StateIL1Y: �(�Gt/1 Gi i Footing drain (no. linear ft-: P z
Saite/bldgJtlpt no.: Project name: �'a�er 1 . Mamd$ctured home utilities � 1.10.00
Cross street /directions to job site: I 1--_-- Manta= _ 16.60
I Rain drain eonnoctOr 16.60
Sanitary sewer (no linear ft: ___.) 2
Storm II • Stosewer(no. .. ft.: _. J . Page 2 -
Lot n Water service (no. linear it: Page 2 _
Sttbdivisi on F
Tax map/parcel no.: or item
Absorption dye --
, 1.6.60
DK5CRU'TION OF WORK : I r Baaldiow pr veater Pegs 2
1::1 V /1142-i n 1 '` 246 f`"ud-e-e Cl area valve 16.60
16.60
Dishwasher 16.60
Drinking tannin 16.60
Cl- orERTY ova .= I Q Ejrcurt:/sump 16.60
N ames _ � � Depansion tank 16.60
I I Fi dure/sewer cap 16.60
Address: cat 16.60
Floor drain/ft" siaklhub _
P h /S - dish 16.60 1 Garbage
P ( ) I Fa ( )
Hose bib _
16.60
El APPLICANT El *CONTACT PN • ice makes 16.60
Business Hama Cascade Plumbing Company Interceptor/gnaw trap 16.60
Contact fl amer: Dou Shinn Medical gm (value: $ ) 2
Primer 16.60
Addrwu: 2630 N Ilayd4a Island Dr. ><13 Roof drain (ooauaoercial) 16.60
City/State/UP: Portland, OR 97217 S ink/basin/lavatory 16.60 J i p . ( 3
Phone: (503) 344 -74W I F ( ) 14
Tursishowca&huvrcr pen 16.60
E -mail: esseadepltua ®yahoo -tom Urinal
16.60
CONTRACTOR wate cl oset 16.60 PIM
Business name: Cascade Plumbing
Company Water heater 16.60
Other
Addy ss: 2630 N Hayden bland Dr. 03 Subtotal
City /State/Ea Penland, OR 97217 Minimum permit fee: $72.50
Phone: (503) 544 -7464 Fare: (503) 20139514 1 Residential backflow minimum • - , fee: $36.25
� r Plan review (2596 of permit the)
CCB I,ic.:1ZOt1<93 Plumbing I.io. >10.: 34.4��PB
/ Stine surcharge (8% of permit fee)
AO1hOrtZetl9I�ahu'(:: ��'/ + Lila. - � � it � TOTAL. PERMIT FEE ", .
print name: Crystal Jones I Date: iffl 0 • This permit application expires !f a permit is not obtained within
180 days after it has been accepted as complete.
*Fee me nodotogy set by Tri-C uaty Building 1nductrY Savioe Board.
mice 44046+. (sam/Coae►wrsa)
i:�9vi�t I ..��
E0 /T0 39Vd JNIawnid 3QVOSCO 90Tb06SE05 SE :ZT 9002 /ZZ /TT
CITY OF TIGARD .. r.
BUILDING DIVI PERMIT #: PLM200 00568
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/2212006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 F' ! J ..
INSPECTION WORKSHEET FOR DATE: 1/16/2007 TIME: 7 :09AM PAGE: 41
SITE ADDRESS: 12285 SW MAIN ST CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: STATE FARM
DESCRIPTION: Replace (2) fixtures.
OWNER: JOHNSON, WARREN W + BETTY TRS AN, PHONE #:
CONTRACTOR: CASCADE PLUMBING CO. PHONE #: 503
• Inspection Request Scheduled For: Date: 1116/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 042.141 -01 603- 544 -7464 N
Corrections /Comments/ ,vNPASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: I V o e Date: I — It "- V ) Phone #: (503) 718- Lim,
7 ...,F 7
CITY OF TIGARD
A .-, '
BUILDING DIVISION PERMIT #: PLM200 &00566
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11122/2006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 –.. I —
I INSPECTION WORKSHEET FOR DATE: 12114/2006 TIME: 7:02AM PAGE: 46
SITE ADDRESS: 12285 SW MAIN ST CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: 5 ATE'FARM
DESCRIPTION: F�e place (2) fixtures.
OWNER: JOHNSON, WARREN W + BETTY TRS AN, PHONE #:
CONTRACTOR: CASCADE PLUMBING CO. PHONE #: 6 514 -7464
Inspection Request Scheduled For: Date: 12/14/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 041074 -01 503- 544 -7464 N
Corrections /Comments /Instructions:
•
A /77-ea(d/ 47, 7 teiliAir -
0
..
.,....._
..-
./ .3-...4 u - 1 ' ..
.„...
l 'ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: V ' Date: I 21 14 0 Phone #: (503) 718-
: . • . , _