Permit i
C ITY OF TIGARD PLUMBING PERMIT
PERMIT #: PLM2006 -00424
r�l� DEVELOPMENT SERVICES DATE ISSUED: 9/13/2006
s =�� - - 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: Tub to shower conversion for main bath.
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 SW SCHOLLSWOOD CT escription Date Amount
TIGARD, OR 97223 [PLUMB] Permit Fee 9/13/2006 $72.50
[TAX] 8% State Surcha 9/13/2006 $5.80
Phone : 971- 219 -6601 Total $78.30
Contractor:
MRP SERVICES
PO BOX 33585
PORTLAND, OR 97292 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 652 -2626
FAX 503- 241 -6565
Reg #: LIC 106824
PLM 3 -265PB
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0100. You may obtain copies of
these rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344.
Issued By: ' /22:Ate 4 V) Permittee Signature: ��
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Plumbing Permit Ap l l)IZ (iI ti,,i O II.ti
City of Tigard L VEDA f ► 1 Permit No. :' \ _ I . -a, X
13125 SW Hall Blvd., Tigard, OR 97223 plan Review
Phone; 503.639.4171 Fax 503.598.1960 E P 1 3 2006 1 ` �` `, ` +'' I `l Datc/By: Caber Permit No.:
24- Hour inspection Line: 503.639.4175 _ __ i Dias Ready/By: El See page 2 for
Internet: www.ci.tig�td.or.us CITY OF TIGARD • �i- ! Notified/Method: I Supplramntal Information
� �++r�-- .Y aL J 3 C J '+71'P,.•^ - no Tm'rz a '^r J !p '�{ Cir ,.,yi' "t`Y' ';i '�^'. tl', i"r,1,,,,Y,+=;,,: m �.." r+j�r ., :;.
Fzi,gta. +Fk••- I Y', -+V }F" . i i � 5 .$ , .
k• £ 'a i i c . y . -cle , is ' w%- .. t` I ,. T ''p4 -- r4 4�
FO c �ti. tiJr- 4 -b:L_7•i {rn r :,� .a 1ti Y'sYt�c_ e�.r +.. !:L*. '..,.� �._ .1. w�
❑ New construction Y ❑Demolition For!ec in formaa io n use chec kU5t.
Description I Qty. I Ea. I Total
■ Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection)
•f •f ��, [[::� 1 !. .. •R '1 {� X1,15 4 �! A �Jf SFR (1) bath 249.20
rl r F i t v .�:.. i, r!�� ,. `, . • " M 0 M ' i. ly!r: '• i? ' '•Y' tTr ` „ a5
: 9,,...-4.0k4. , 6A4'.nM _aces Zr-.• ," Stla,, 4r' .,.. - YJ ..h,l la•,.n ",r F �,'. _..
1- and 2- family dwelling ❑ CommerciaVinduStri.l SFR (2) bath 350.00
❑ Accessory building ❑ Multi- family
SFR (3) bath 399.00
Each additional bath/kitchen 45.00
❑ Master builder ❑ Other: File sprinkler (_ sq. ft.) Page 2
� ,, �+AeN "C L:rf1 �n�y ��d 4�"-• , n 'Tfi'r 4.z"fi1 r 7} ar ..7»
�{ v' ��.At. I •.. I l u I t �! I J t L i .e > 6
r Y - .... . X!„ � .,[ ,.tt� r'ki�h..�.j"S'"+' �' �.nWri ��1��G9S'„� 1..EF`�' Sete Yrllltte9
( Y.1 � � I +11Y � 111
Job site address: r�1w _�T Catch basin or area drain 16.60
WOL Dtywell, leach line, or trench drain 111111 16.60
Suite/bldgJapr. no.: i Project name: .•,; .1 ri J! : I 4- 1� Footing drain (no. linear R: Page 2
Manufactured home utilities 1 10.00
Cross street/directions to job site:
��� Manholes 16.60
5_, . �i ! _ I�JII�Y Rain drain connector 16.60
GIIMIIIIIIIIIIIIMIIIII Sanitary sewer (no. linear ft.: _.J 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
, H rv, cr c, r Absorption valve 16.60
dl `, :: . W « , h` k ;< Y. 7.r Y FA Back low prevemer _ Page 2
1 I . e J :. . i I .�1 „ . Backwater valve ■ 16.60
�rr �. a %1 4 11 ., . 1
Clothes washer 16.60
I El ,, P ► Dishwasher 16.60
c 'r y 7 - t f. i 7 � , , •,; ;�''�� ;� i'� 1 ,;- 5 ` "�'01-?:A" „4 P".:.I " 01.x:, , e7-^ .�',1 D r i n kin g f uunt uu , 16.60
�,._., ii..,: , : :,#a�x_ �`p :r , .; : .A ..1 /.. . Ejectors/ sum 16.60
I
Name: I l�� �A _� t _ � M / • I Expansion tank 16.60
Address: • 1s1i�riaw' Fixture/sewer cap 16.60
City /State/ZIP: I / r Floor drain/floor sink/hub 16.60 -
Phone: (' ) • 4 , , 0 MI Fax ( ) Garbage disposal ■ 16.60
,�-, �. 71t� c v �y r Hose bib 16.60
�•* 2 � 1� �� '•]': L (r i r �'' 7� L i 1. M., n' ?�1��
i .,L. IIS 4 1 IP 5 4_ ZtitiM f( _
1➢a:n^.� r�e���' �::��,:�• -'r, °�-- -- `^ �`� Ice maker 16.60
U _ . ,LA - ..' 4 Interceptor /grease trap . 16.60
Contact name: ; ; • 14. I e IIMIIIIIIM _Medical gas (value: $ ) Page 2
Address: 1, SK Primer ■ 16.60
City /State/ZIP: 1 1! t�. - /J� -1 ( � Roof drain (commercial) 16.60
groan T u b b i 16.60
Phone: b / 5) i. -. ;Wall. Fax: ' ( a • groan .rub/shower/shower pan ra 16.60 if ,
E-mail; 1 ! r I / V e � ' �.c I / rI Y �J Urinal 16.60 /
r" s tir .1e rY nJ I � ,U' r : y� � • k _� /lI :1 `�.'.5' 1.
ry'.... I�. `` �'! � ..,._ :u:. ._�.�.� � ..._� ��� »- 1 Water closet 16.60
�
' ' 1 ■,Z� Water heater 16.60
Address: ° Q : ilX 3 5.94.• Other _ NMI
City /State/ZIP: / all • 2 Subtotal MR A
11 'i--r -'� Minimum permit fee. $72.50
Phone: ( 3 t� - ,` • "Al._ , ) n �� � Reridenti+tl back lnw minimum permit fee: $3625 a • 5�
CCB Lic.: �� 1i Plumbing Lic. no.: 3 S I Plan review (25% of permit fee)
r� State surc (8% of permit fee) irr" 7►.10
Authorized sigrattrre: �% i t ., 1 -I - TOTAL PERMIT FEE ffilai
Print name: SOlinrtNMI 37) if SO A) Date: # - -. r This permit application expires it 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 :\BuildizteParmifaWLukermiTApp .doe U6/OS 440.4616T(lO/OJCOM/WEa)
Z0 /T0 39 d8W 9999TIZE05 6Z :ZT 900Z/E1/60
CITY OF TIGARD Pty( 200(o- 0041A-1/4
BUILDING DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 Awah II
4, r
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: q/1 D / 6 (p TIME: PAGE:
SITE ADDRESS: I I1 - I 5S16 l l (A..1 6 0 Le C CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION: e J e„,(-S l n t, 0,.. AA ' J -k, \A/` ,
OWNER: PHONE #:2' 1 ' IO1426
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message a' " 5 ,e'
vet
e1VA ti ;v‘i -1./t/uc di.J.e_ --
32d ?I��.19 C �o 0 - 6v qn
Corrections /Comments /Instructions: 1�'C�' ,,
4-witi,e%
C — 3'�� .
f 1 � -5(
PASS 0 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 16 c ia ,__ ______
Date: WI IF/a Phone #: (503) 718- 21t2
CITY OF TIGARD BUILDING DIVISION DIVISION PERMIT #: PLM200G -00424
13125 SW Hall Blvd., Tigard, OR 97223' DATE ISSUED: 9/13/2006
Phone: (503) 639 -417 ... ' 45 .4N111 1 `
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 1/17/2007 TIME: 7 :00AM PAGE: 19
SITE ADDRESS: 11795 SW SCHOLLWOOD CT CLASS OF WORK:
SUBDIVISION: ENGLEWOOD NO.2 LOT #: 108 TYPE OF USE:
PROJECT NAME: BROWN
DESCRIPTION: Tub to shower conversion for main bath.
OWNER: BROWN, KEN PHONE #: 971 -219 -6601
CONTRACTOR: MRP SERVICES . PHONE #: 503- 552.2526
k
1
Inspection Request Scheduled For: . / 'gate: 1/17/2007 Pour Time: g
Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 042204 -14 503213.2423 Y Y
Corrections/Comments/Instructions:
_ 11 0 itrie C A`t[ ‘10 / 69. I -67 �---
< ----40,,,,,„:(4-, ,e,/,,,yrit
PASS ❑ PART L APPROVA ❑CANCEL ❑ NO ACCESS
❑ FAIL FOR I ■ DDITIONAL FEES ASSESSED
Inspector: Date: / i 0 Phone #: (503) 71
CITY OF TIGARD .
BUILDING DIVISION ///111 PERMIT #: PLM200600424
13125 SW Hall Blvd., Tigard, OR 97223 •� DATE ISSUED: 9/1006 44 Phone: (503) 639 -4171 .7 ;,i- ). J
Inspection Requests (24 Hrs.): (503) 639 -4175 Ail. f
INSPECTION WORKSHEET FOR DATE: 9/18/2006 TIME: 7 :01AM PAGE: 68
SITE ADDRESS: 11795 SW SCHOLLWOOD CT CLASS OF WORK:
SUBDIVISION: ENGLEWOOD NO.2 LOT #: 108 TYPE OF USE:
PROJECT NAME: BROW,!
DESCRIPTION: Tub to shower conversion for main bath.
OWNER: BROWN, KEN PHONE #: 971-219-6601
CONTRACTOR: MRP SERVICES PHONE #: 503-652-2626
Inspection Request Scheduled For: Date: Pour Ti •
P 4 9/18/2006
Code # Inspection Description Confirm # Contact # ' e • sage
320 Plumbing rough -in 036580.01 503-652-2626 Y .
Corrections /Comments /Ins uctions:
1 A -4 I / AP-P .0.—._
1A-v,e, &- 1 2 3 e kGika Lu
? °\A A -- I 2- "S
kkuir _ cylk .
,,ft-o
❑ PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
tyl FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: \- v` 1,/ Date: 9 1 0 o l e Phone #: 503 718-2,-/L0--Y