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Permit C ITY OF FIGARD PLUMBING PERMIT PERMIT #: PLM2006 - 00487 ��i DEVELOPMENT SERVICES DATE ISSUED: 10/18/2006 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S136DB - 02602 SITE ADDRESS: 11596 SW PACIFIC HWY ZONING: C - G SUBDIVISION: LOT: JURISDICTION: TIG Project Description: Replace water service. CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB /SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: 50 ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES STEWART, PHYLLIS AND STEWART, DONATA AND Description Date Amount COHEN, NATHAN TRUSTEES [PLUMB] Permit Fee 10/18/200€ $72.50 LAKE OSWEGO, OR 97034 [TAX] 8% State Surcha 101181200E $5.80 Phone : Total $78.30 Contractor: LITCH PLUMBING INC PO BOX 2756 OREGON CITY, OR 97045 REQUIRED ITEMS AND REPORTS Contact # : PRI 503- 657 -9006 FAX 503- 657 -2971 Reg #: LIC 156708 PLM 3 -498PB 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. • • i 1 Plumbing Permit Application � � . � .. t FOR OFFICE USE ONLY OCT 18 2 0 06 D./By/7)77 e l l ( � mi l - o` �) 1 O C 'f 1 City of Tigard /�� Permit N .. a 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review 0 Phone: 503.639.4171 Fax: 503.598.1960 DateBy. Other Permit No.: T G A IZ D Inspection Line: 503.639.4175 ,v I 'Li": ., tl'Li' i"s Y ' nl- Thate Ready/By: tuns ® See Page 2 for Internet: www.tigard-or.gov -1TTT 1":11,,,T,"' -- Iir�[r (�Vatified/Method: /� Supplemental Information TYPE OF WORK FEE* SCHEDULE ❑ New construction ❑ Demolition For special information use checklist Description I Qty. I Ea. I Total ® Addition/alteration/replacement ❑ Other: New 1- 2 -family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath 249.20 ❑ 1- and 2- family dwelling ® Commercial/industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi - family SFR (3) bath 399.00 ❑ Master builder Each additional bath/kitchen 45.00 ❑ Other: Fire sprinkler (_ sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities Job site address: 11596 SW Pacific Hwy Catch basin or area drain 16.60 City /State/ZIP: Tigard, OR 97223 Drywell, leach line, or trench drain 16.60 Sui[e/bldg. /apt. no.: I Project name: Footing drain (no. linear ft.: _) Page 2 Manufactured home utilities 110.00 Cross street/directions to job site: Manholes 16.60 72 °d Ave. Rain drain connector 16.60 Sanitary sewer (no. linear ft.: _) Page 2 Storm sewer (no. linear ft.: ) Page 2 Subdivision: I Lot no.: Water service (no. linear ft.: 50) 50 Page 2 55.00 Fixture or item Tax map /parcel no.: Absorption valve 16.60 DESCRIPTION OF WORK Backflow preventer Page 2 new water service Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 ® PROPERTY OWNER I ❑ TENANT Drinking fountain 16.60 Ejectors /sump 16.60 Name: Phyllis Stewart 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 ® CONTACT PERSON Hose bib 16.60 Ice maker 16.60 Business name: Litch Plumbing, Inc. Interceptor /grease trap 16.60 Contact name: Ken Litch Medical gas (value: $ ) Page 2 Address: PO Box 2756 Primer 16.60 City /State/ZIP: Oregon City, OR 97045 Roof drain (commercial) 16.60 Phone: (971) 235 -4377 Fax: : (503) 657 -2971 Sink/basin/lavatory 16.60 Tub /shower /shower pan 16.60 E -mail: Urinal 16.60 CONTRACTOR Water closet 16.60 Business name: Litch Plumbing, Inc. Water heater 16.60 Address: PO Box 2756 Other: City /State/ZIP: Oregon City, OR 97045 Subtotal Minimum permit fee: $72.50 72.50 Phone: (503) 657 -9006 Fax: (503) 657 -2971 Residential backflow minimum permit fee: $36.25 CCB Lic.: 156708 9" 15' U 1 Plumbin Lic, no.: 3 -498PB I -1i5A Plan review (25% of permit fee) State surcharge (8% of permit fee) 5.80 Authorized signatltre: /J� TOTAL PERMIT FEE 78.30 Print name: Nona L. Litch Date: 10/18/06 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri- County Building Industry Service Board. I: Building \Permits\PLM- PermitApp.doc 0626/06 440.4616T(10/02/COM/WEB) CITY OF TIGARD BUILDING DIVISION - , , PERMIT #: PLM200Er001187 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/18/2006 Phone: (503) 639 -4171 *u *f1lt Inspection Requests (24 Hrs.): (503) 639 -4175 F INSPECTION WORKSHEET FOR DATE: 10125/2006 TIME: 7:03AM PAGE: 22 SITE ADDRESS: 11596 SW PACIFIC HWY CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: STEWART DESCRIPTION: Replace water service. OWNER: STEWART, PHYLLIS AND, PHONE #: CONTRACTOR: LITCH PLUMBING INC PHONE #: 503 - 557.9006 Inspection Request Scheduled For: Date: 10/25/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 330 Water service 038819-01 971- 235.43T/ N Corrections/Comments/Instructions: .O'L .■41r. j ./., --. emir. / / 7- WY. ".FL / /�, _ 9 � / %/ / i ❑ PASS 'PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Mi C / Dat e: Pho # : 503 p �� c � 718 - - • CITY OF TIGARD - ; 4 - BUILDING DIVISION r • PERMIT #: PLM2006 -00487 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/18/20176 Phone: (503) 639 -4171 i� o I Inspection Requests (24 Hrs.): (503) 639- 4175 INSPECTION WORKSHEET FOR DATE: 11/3/2006 TIME: 7:01AM PAGE: 75 SITE ADDRESS: 11596 SW PACIFIC HWY CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: STEWART DESCRIPTION: Replace vier service. OWNER: STEWART, PHYLLIS AND, PHONE #: CONTRACTOR: LITCH PLUMBING INC PHONE #: 503 - 6579006 Inspection Request Scheduled For: Date: 11/3/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 330 Water service 039273 -01 971- 235 -4377 N Corrections /Comments /Instructions: o e (0 / x,2....e. v g-6 C jjeAf - . / lq d '' , 1 . 5 r (3 (? Jr (7 i , '--(-' - - ❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: IV 1. \X-44 ) Date: t ) J3/,f Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION ... PERM #: PLM20 06.00487 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/18/2006 Phone: (503) 639 -4171 1,, 11 "lit Inspection Requests (24 Hrs.): (503) 639 -4175 . . -_— INSPECTION WORKSHEET FOR DATE: 11/3/2006 TIME: 7:01AM PAGE: 26 SITE ADDRESS: 11596 SW PACIFIC HWY CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: STEINART DESCRIPTION: Replace water service. OWNER: STEWART, PHYLLIS AND, PHONE #: CONTRACTOR: LITCH PLUMBING INC PHONE #: 503-657-9006 Inspection Request Scheduled For: Date: 11/312006 Pour Time: Code # Inspection Description Confirm # Contact # Message 330 Water service 039273-01 971 - 235 -4377 N Corrections/Comments/Instructions: z /i,i ,/ -/ / L . , t� ___C:4 X2,2/4- fi fi g76 jt) ..1/Q&(1( i 1 5 9 __„I ❑ PASS 10.PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED f " L Inspector: L V Date: I) _3 b Phone #: (503) 718 - ✓ l