Permit CITY OF TIGARD PLUMBING PERMIT
. COMMUNITY DEVELOPMENT Permit #: PLM2009 -00204
T t G ARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 07/27/2009
Parcel: 2S103DB08400
Jurisdiction: Tigard
Site address: 11145 SW MORGEN CT
Subdivision: Lot: 0
Project: Beebe
Project Description: Move (1) washer box, (5) lays, (1) tub /shower, and (3) w /c.
Owner: FEES
BEEBE, ESTHER M TRUSTEE Quantity Description Date Amount
11145 SW MORGEN CT 1 ea Clothes Washer 07/27/2009 $16.60
TIGARD, OR 97223 1 ea Laundry Tray 07/27/2009 $16.60
PHONE. 4 ea Lavatories 07/27/2009 $66.40
1 ea Tub /Shower /Shower Pan 07/27/2009 $16.60
Contractor: 3 ea Water Closet 07/27/2009 $49.80
MODERN PLUMBING 1 12% State Surcharge - 07/27/2009 $19.92
11120 SW INDUSTRIAL WAY Plumbing
TUALATIN, OR 97062
PHONE: 503 - 691 -6166
FAX:
Type of Use: SF
. Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Total $185.92
Required Items and Reports (Conditions)
1 Pln Gen INSTALL 12 ADDTNL PKNG SPACES
2 Pln Gen PLNG DIV. FINAL INSPECTION
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952- 001 -0100. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: �? n � v I c a L Permittee Signature: C Q Q.
CaII 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
.....-- ' Jul. 23. 2009 2:43PM Modern Plumbing No. 4257 P. 2
PluniilArm Annli wrir. 4., r iED ,,o,, ,),..„.„.... , ,.. F Cr 1.1
City of Tigard 1. IV
Received
DM< BN Vb Perout R oc o (-) 020 (t_
N .__ 13125 SW Hall 131vd., Tigard, OR 9TM 3 2009
Plan Ravioli-
Phone: 503.639.4171 Fax 503.5AA 60
Date By Otherptimit No
Inspection Line: 503.659.4175
. ig See Page 2 rar
buena* wenviigard-or.gov IGARD Dali RuclYIBY: • : .: S tallafennatlen
-_.,
. : ..• • .. . , ..
. INGDIVISI ' • •.':: • '''' ' '': .; . .. ... • ;., - IA .:. . •
0 N., constnsctia. 0 Demolition For Vecial lafrilwation sac checklist
-- - _ ______ _ . 1 QM L Ea. i Total _
V Addition/alteration/replacement 1:1 Other:
New 1- 2-faildly dwellings cum:hides 100 fl. for each utility connection)
_
t. :.; : 's ''..:::.:''''?: c ?'' .:' ••••": .I*TEOORY$ OF ' . ' .: : ! : .• :'':; .‘:: ''. : SFR (1) bath 249.20
, .• • . . „ • . • .
al- and 24arnily dwelling 0 Commercialfmdustrial SFR (2) bath 350.00
El Accessory building 0 IVIulIi-family SFR (3) bath 399.00 _
Each additional bathhitchen 45.00
0 Master builder 0 Other:
, . Fwe sainIder ( sii. IL) Page 2 • . i•:=:. .'•:- ...:`,.;1::':;-;'•':, 4 '' ,---: :::.,• .i ,';',.: sue um ,. •
.,
Job site address: 1114 c e , ) yyt 1a.,A ef • ' Catch basin or area drain 16.60
-■
City/State/ZIP: - a ,
Drywall, leach line, or trench dran
iMS
SuitelbldgJapt no Project name: lre e. ,6 c..., , Footing drain (no. linear ft.: __ _). Page 2
..__
_..
- ' Manutheinred home Militia 110.00
Cross slrent/directions to job site:
..___
-
Manboles 16.60
Rain drain connector 16.60
Sanitary sewer (no. •linear IL: _) , - Page 2
gl sewer (no. linear R: _,) --
_ Page 2
-
Water woke (no. linear ft.: ) Page 2
Subdivision:
_____ . I Lotno.:
Fixture or hem
Tax map/parcel no.:
. _ Absorptioa valve 16.60
r i ag 6. e 60 2
.1;;; -.,:: :•. :.•• : ' ''.• : ' . . - • ' 'n' • ... ' :': 'f , aluidlow Istvemer .
■ ‘ Cc , i I f 4 214.4 . 4 c I'Vli V- eLtA ". 4 ... Backwater vtdire
f .
Clothes washer 16.60 ik6
_......__± ... .1 - _A-. .
.'. '
''' i i Ditthwasber .. 16.60
i , = • 4 c ' 1 ' I o... v +
-.---------"------
'7'..:: ii Crgle0 s' :::,...: 7 : '''' I -----..
16.60
Nanic.
Eva:mien tar& 16.60
Addams:
' Fnanre/sewer tap 16.60
City/Slate/7-1P:
Floor dmindloa ainkthub 16.60
Phone: ( ) Ftoc ( ) Oarbage disposal 16.60
- • --
0 Hose bib 16.60
ApitiCANV . :.; :. : . '. ' ... : fl -CONT'ACT. 7E002 4: . ... . -
16.60
Business name:
. Irderceptor/grasse trap 16.60
Contact name:
_ Medical gas (vallIMI____ ) Page 2
Address:
111666...006° 03,m
Pruner
City/Stair-OP: Roof drain (commercial)
---
Phone: ( ) ' 1 ( ) Sink/basin/lavatory
-
--... Tub/shower/shower pan
16.60_1440
E-mail:
Udall 16.60
..
..• . C W amer I 16.60 Ari D
_
Business name: Modem Plumbing Co. Water heater 16.60
,
Address: 11120 SW hnlustrial Way Other
--
stal ----
City/Stare/ZIP Tualatin, OR 97062
Minimum permit fee: $72.50
Phone: (503) 691 6166 Fax: (503 ) 691 6771 Residential backflow minimum permit fee: $36.25
CCB Lie.: 87906 Plumbing Li e. no.: 34 250PB . - - Plias review (25% of permit fea)
_ . .-I
State surcharge (1 n
2% of permit fee) 7 q.
Authorized signature. /I /
ru. , S-11-1- TOTAL PERMIT FEE
Print name: a Ar. ar _ ci , I Date: 1- ? 3 -09 Tbh permit application expires if a permit is not obtained within
180 days after It has been accepted as complete.
*Fee methodology act by Tri-Coanty Building Industry Service Board.
LlEluildieteennils1PLM-PereirtApP.dot 06/26/06 440-46167(10/02/COMVE8)