Permit •
C ITY OF TIGARD PLUMBING PERMIT
PERMIT #: PLM2006 -00403
DEVELOPMENT SERVICES DATE ISSUED: 9/1/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S134BD-02000
SITE ADDRESS: 11795 SW SCHOLLWOOD CT ZONING: R -4.5
SUBDIVISION: ENGLEWOOD NO.2 LOT: 108 JURISDICTION: TIG
Project Description: Relocate drain for tub to shower conversion.
CLASS OF WORK: OTR 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:
TUB /SHOWERS: 1 SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: • FEES
KEN BROWN •
Description Date Amount
11795 SW SCHOLLSWOOD CT
TIGARD, OR 97223 [PLUMB] Permit Fee 9/1/2006 $72.50
[TAX] 8% State Surcha 9/1/2006 $5.80
Phone : 971 -219 -6601 Total $78.30
Contractor:
MRP SERVICES
PO BOX 33585
PORTLAND, OR 97292 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 652 -2626
FAX 503- 241 -6565
Reg #: LIC 106824
PLM 3 -265PB
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: S� ^ Permittee Signature: A
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.
•
4
Plumbing Permit Application FOR (►I'i i c;i . t�•l•'. ONLY
City or Tigard Fi EC E VE I/_ i • A-' Permit N.... \ )►. I t a0 £
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review per permit Nu..
Phone: 503.639.417 ! Fax: 503.5911.1960 S E P A ''' ' `'' "' I I ' Datdsy:
24- Hour Inspection Line: 503.639.4175 0 1 20 ��J - ,L' • I Dale Ready/By: j ® Sae Page 2 for
Internet: www.ci.tigard,or us CIT • Noe ied /Method: 1 supplemental baseman
,,...•:• - .•-•r - :.i x •_!,' � �:g^. ,a"- r. :a:.. , n ' '1.7•7::..%"' .- ,nom; .... `` y� •
,; j 1: °J:', L. x • rn...4,7 . .. • r0 - �' �• ••
L.•1 :. ' •• -`•• ...•roe. -_ -- 4. v • ..... •
•.: 0 _:�;��G4- �1�..= .M' /[P•R.� -•.... .�ri:,; ..•..x,: " � `�• '� � � checklist
❑ New construction ... 1 ❑ Demolition
For sped information use chec
.- Description Ot . Es. Total
r_+ Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection)
,u+ s'! � ' : ' ;L f712 o` V• f . :a` 1. w.
p SFR (l) bath 249.20
and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 350.00
❑ Accessory building 0 Multi- family SFR (3) bash 399.00
Each additional bath/lalchen 45.00
❑ Master builder ❑ Other: Fire sprinider ) Page 2
.Y
5�xo-a.'�.�II:- �...�s.. `a.dtX,'sGQ -.., Y�• � , r....ro...,.. _. °: ;C �: '.r Site al$lltles
Job site address: Iffik� _4 ..1 - .itli la= Catch basin or area drain 16.60 -
City /State/ZIP; \, • Drywell, leach line, or trench drain 16.60
no.: Pro'txt name: - -M1111 Footing drain (no. linear ft.: ) Page 2
Suite/bldg./apt.
• , .'�
Manufactured home utilities 110.00
Cross street/directions to job site: Manholes 16.60
h . PA &., / ;i. Rain drain connector 16.60
IMIIMIIIIIMIIIIIIIIIIIIIIIIMPIIMMIIIIIIMIIIIIMIIIIIII Sanitary sewer (no. linear ft.: __,) , Page 2
Storm sewer (no. linear ft.: ) Page 2
Subdivision: I Lot no.: Water service (no, linear ft.: ) . Page 2
Fixture or item
Tax map /parcel no.: Absorption valve 16.60
,; . ?•`�`` �, env, '� ��!:' .(.'.F: Y.,,.vs�a 13acldlow ptevcnter Page 2
��� I _� 1 ) d A . Backwater valve _ 16.60
Illga Clothes washer 16.60
�.l_l_iJ 1 11� ��
J I �,/ A J • i a �J i Dishwasher 16.60
�.� .r- �, � .+ •mw Drinking fountain 16.60
+ ,• a � �` :..; Ejeaolslsump 16.60
kJ . • TA .. �/ Expansion tank 16.60
• 1111 '��II _ :RNI .! tIl WMI Fixture/sewer cap 16.60
City /State /ZIP: ; p 1 Floor drain/floor sinWhub 16.60
Pi Fax: ( ) Garbage disposal 16.60
/ / _ F ,(�� Hose bib 16.
En ti- ifm,t'�. Itt l"'~ � ;.... -, r , Q .. • F•I ON' ,, �I tP 16.w
oJ�u`aL'Es `!%tY ' f . t!- b �r _'a �4r... r T: 4_.!7•...: -
Ice maker
Business name: rn g Sp M0 Da ) Interceptor /grease trap 16.60
Contact mime: , :: • (4r / IA! Medical gas (value: $ ) Page 2
Address: 1 ► Primer 16.60
i i ` P J- • 1 Roof drain (commercial) 16,60
• X 11- 1 -_� d�-
u' _ �e o . Fax :: Q• , Q' /�_�''L�
Sink/basin/lavatory b/sh we/ hove 16.60
Phone:
3) ' �• '�;•' Tub/shower/shower pan ( 16.60 1‘, CoD
E -mail: • . • ! r . a l7 tl a ' ' ! L1 / Urinal 16.60
s : � e � 1 • A •'r:. c! V 'il �_ "' v � a •, ^' ..• y Water closet 1660
Business name: _ r� . �� ` i • Water heater 16.60
Address: j 8 IS fr ^ Other
City /State/ZlP: ► �� P _ Subtotal I kaR
�� 5 --�-�- = y n /� Minimum permit fee: $72.50
Phone: ( 3 o p a - j • „,,..i . yiI,■ OM Residential backflow minimum permit fee: $36.25 -- ia • 50
CCB I.ic.: I l fa • - Plumbing Lic, nu.: 3 a G S it, Plan review (25% of permit fee)
i 11 ! � State surcharge (8% of permit fee) 90
Authorized signature: , ��
, I , 1 - TOTAL. PERMIT FEE ' , '�.-�
Print name: SoLiort l it- 37 N S0 AJ { Date: 4_ (p .1 This permit application expires if a permit is not obtained within
180 days after it has been accepted 85 complete.
'Fec methodology set by Tri -County Building industry Service Board.
is i5UilWis /PcrmiuU'l,hi- remritApp.doc 06105 440-4616T(IW02/COM/W2O)
Z0 /Z0 30 diiW S959tIZE05 GP :60 900Z/t0/60
CITY OF TIGARD
BUILDING DIVISION - PERMIT #: PLM2006-00403
13125 SW Hall Blvd., Tigard, OR 97223 /- , / DATE ISSUED: 9/1/2006
Phone: (503) 639 -4171 U "' hi ll (.7 7
Inspection Requests (24 Hrs.): (503) 639 -4175 `__..
INSPECTION WORKSHEET FOR DATE: 9118/2006 TIME: 7:01AM PAGE: 67
SITE ADDRESS: 11795 SW SCHOLLWOOD CT CLASS OF WORK:
SUBDIVISION: ENGLEWOOD NO.2 LOT #: 108 TYPE OF USE:
PROJECT NAME: BROWN
DESCRIPTION: Relocate drain for tub to shower conversion in master bath.
Si
OWNER: BROWN, KEN PHONE #: 971 - 219 -6601
CONTRACTOR: MRP SERVICES PHONE #: 50365 12676
Inspection Request Scheduled For: Date: 9/96/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 036583 -01 503652 -2626 N
Corrections /Comments /Instructions:
c . 7 /47 / ?-d d g_ 9 >
1
- r ` di' 9cs'i - d
ak el , ri t e.,,e ' ceeL.g L/ el--(ok•‘--
L e-4.1—e-d‹._
1
( Ai
i
I '
1
❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
1!1
Inspector: k� Date: 9//0
Phone #: (503) 718- c2..,1/4(2-.
CITY OF TIGARD
BUILDING DIVISION . PERMIT #: PLM2006-00403
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/1/2006
Phone: (503) 639-4171 4
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 9/11 /2006 TIME: 7 : 00AM PAGE: 66
SITE ADDRESS: 1179b SW SCHOLLWOOD CT CLASS OF WORK:
SUBDIVISION: ENULEWOOD NO.2 LOT #: 108 TYPE OF USE:
PROJECT NAME: BROWN
DESCRIPTION: Relocate drain for tub to shower conversion.
OWNER: BROWN, KEN PHONE #: 971 - 219 -6601
CONTRACTOR: MRP SERVICES PHONE #: 503.652 -2626
Inspection Request Scheduled For: Date: 9/11/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 036290-01 503- 652 -2626 Y
Corrections /Comments /Instructions:
(..y, y .-"(./I
/ I ,
/moo %/ /./ f� it _
.,,,,e,-. 7 ./„-,/.„(
e PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
7 ( 7 Inspector: II- ' Date: ii N Phone #: (503) 718- 'G