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Permit
r fr • r, C ITY OF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT #: PLM2006 -00415 DATE ISSUED: 9/27/2006 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S135BD-01100 SITE ADDRESS: 09780 SW SHADY LN 110 ZONING: C -G SUBDIVISION: SHADY LANE OFFICE LOT: JURISDICTION: TIG Project Description: Add 2" drain and replace sinks. EDGE FINANCIAL CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: B FLOOR DRAINS; 1 TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 2 URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB /SHOWERS: SEWER LINE: ft WATER CLOSETS: • WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES LEWIS, GLORIA M + LEWIS, GLORIA M TRUSTEE + Description Date Amount LEWIS, ANDREW M ET AL [PLUMB] Permit Fee 9/12/2006 $72.50 PORTLAND, OR 97225 [TAX] 8% State Surcha 9/12/2006 $5.80 Phone : - Total $78.30 Contractor: CASCADE PLUMBING CO. 2630 N HAYDEN ISLAND DR SP #3 PORTLAND, OR 97217 REQUIRED ITEMS AND REPORTS Contact # : PRI 503 -544 -7464 FAX 503- 289 -6699 • Reg #: LIC 120893 PLM 34 -412PB • This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952- 0001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344. Issued By: — 7) . Permittee Signature: (r$ • 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 • , . REGFIVH Plunnbin1! Permit Apnlication lot: ( ) I 1 1 ( I. 1 O• I 1 City of Tigard Sir 08 2006 n Received q ©o OM 1. �412iz ' y15\ Plan 13125 SW Hall Blvd., Tigard, OR 97223 R enew Omer 14mit tieS(. J Q e Op �I / Phone: 503.639.4171 Fax 503.508.10,60 111 Of+ i it j - a 1 Date/fly: 24- Ho Inspection Line: er ea o 503.639.417 a , 'I i Ditto R�/g sec Paso Cl• Inosmer 2 for . dor.us DINT(' -.. . , � - H,� < I B s Supp 1 Informatloa TYPE OF WOI;K I ' 0 New 1 A special MS! d For speca ekraa r Aesc siphon . I Qty. Ea 1 Total �.lt tiou/alterado0/i+eplaoement 0 Other: New 1- 2- farogy dwaUiuge (ii oludes 10011. for each utility connection) CATEGORY. OF . CO? Rucilt 4 • . • • . • Mit (1) blab 249.20 D 1 - and 2-family dwelling SFR (2) bath 350.00 c ". �► D Accessory builder a y SFR (3) bads 399.00 �--�- Each additional bath/kitchen 45.00 4 ❑ Master builder D Ott: Fire sprinkler (__ sq. ft.) Page 2 JOB OII E otitixMA lON ANA LOCATION - Site utilities Job site address: c7 Erb F aety LexnAt. Catch basin or area drain 16.60 \ Laity /Stare/ZIP: -17 q6 v /a ag nryweu, knob rim, er trench drain 16.60 Suiudbldglapi. p0.: `10 Project creme: Footing dram (no. linter tl: ,J Page 2 Manufactured home mil/tics 110.00 Qaes stna/dirrcuamb w job site: � Manholes 16.60 Rain drain councaor 16.60 $aria y sewer (no. linear ft.: _...) Page 2 - I Storm sewer (no. linear 8.: ) Page 2 Winer service (no. linear S: ) Page 2 Subdivision Lot .. - Fixture or Item Tax mm/parcel an.: Absorption valve 16.60 DESCRIPTION OF WORK Badcllow preventer Page 2 I A7 I / / /(Jjyl `h t ' ` f 1G Backwater valve 16.60 n .. ' / ! I 5 ( / K . Lai", Clothes washer 16.60 Dishwasher 16.60 . printing fountain 16.60 D rla rx oWRVRit 0 Ejectorsisump 16.60 Name` Fxpagaion tank M 16.60 Address: _ Fixture/sewer cap h 16.60 City/State/UP: Floor draia/800r ; . I . 16.60 l‘ . 4 Phan: ( ) Far ( ) H I Gasbags disposal 16.60 0 APPLICANT' • . ❑ CONTACT ' . t N Rase bib 16.60 Ice maker 16.60 Riess name: Cascade Plumbing Company trap 16.60 Contact name: Douglas Shinn Medical gas (value: S. _, ) _ Page 2 _ Address: 2630 N Hayden Island Dr. N3 I 1 Primer 16.60 City/State/ZIP: Portland, OR 97211 I Roof drain (commercial) _ 16.60 Phobia (503) 544-7464 I Fox: : (503) 283 - 9514 1 SinkPo.SiMavetory Q__ 16.60 / o . Cto Tub/shower /shower pea 16.60 E-mail: caseatlepinm@1'ahoo eota I Urinal 16.60 CONTRACTOR Wmar close 16.60 Business name: Cascade Plumbing Company I I water heater 16.60 Addr n: 2630 N Hayden bland Dr. #3 Other • City/Stater/IP: Portland, OR 97217 Subtotal Minimum permit fee: $72.50 .1 n _ sb 1'hor,a (583) 544 1 a>c (sos) 282-9514 j 1�ldom;a1 ha „vr min;nium petit tee: $36.25 CCB Lie.: 120893 P - Lin. no.: 34 -412PB v Plan review (25%of mask fee) Authorized slgoamre: Slade sun:barge (VA 9 t? 'DOTAL J 04 permit application expires d a per r template. * Fee methodology set by Tri .Camly Building Industry Service Board. .too 86/05 44O61 IW c writ) E0 /I0 39Vd 9NIEWfl1d 3QdDStiO 90Ib069E05 IE :5I 900Z/80/60 ■ CITY OF TIGARD ' BUILDING DIVISION PERMIT #: PLM2006 -00415 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/27/2006 Phone: (503) 639 -4171: t Inspection Requests (24 Hrs.): (503) 639 -4175 'I �.. INSPECTION WORKSHEET FOR DATE: 9t29/2006 TIME: 7 :06AM PAGE: 17 SITE ADDRESS: 09780 SW SHADY LN 110 CLASS OF WORK: SUBDIVISION: SHADY LANE OFFICE LOT #: TYPE OF USE: PROJECT NAME: EDGE FINANCIAL DESCRIPTION: Add 2" drain and replace sinks. EDGE FINANCIAL OWNER: LEWIS, GLORIA M +, PHONE #: CONTRACTOR: CASCADE PLUMBING CO. PHONE #: 503.6447464 Inspection Request Scheduled For: Date: 9/29/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 037410.02 503. 544 -7464 N Corrections /Comments /Instructions: ' r t i-% 1 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: RI r Date: a Phone #: (503) 718- .7-111/ CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2006.00415 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/27/21)06 Phone: (503) 639 -4171 i?r i A, In Requests (24 Hrs.): (503) 639 -4175 ' — INSPECTION WORKSHEET FOR DATE: 9t29/2006 TIME: 7 :06AM PAGE: 18 SITE ADDRESS: 09780 SW SHADY LN 110 CLASS OF WORK: SUBDIVISION: SHADY LANE OFFICE LOT #: TYPE OF USE: PROJECT NAME: EDGE FINANCIAL DESCRIPTION: Add 2" drain and replace sinks. EDGE FINANCIAL OWNER: LEVVIS, GLORIA M +, PHONE #: CONTRACTOR: CASCADE PLUMBING CO. PHONE #: 503•+344 -7464 Inspection Request Scheduled For: Date: 9/29/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 037410 -01 503-544-7464 Y Corrections /Comments/ Instructions: Il/ ,- `' _- z PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM200G00415 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/27/2006 Phone: (503) 639 -4171 I Inspection Requests (24 Hrs.): (503) 639 -4175 .. INSPECTION WORKSHEET FOR DATE: 9f28f2006 TIME: 7 :02AM PAGE: 74 SITE ADDRESS: 09780 SW SHADY LN 110 CLASS OF WORK: SUBDIVISION: SHADY LANE OFFICE LOT #: TYPE OF USE: PROJECT NAME: EDGE FINANCIAL DESCRIPTION: Add 2" drain and replace sinks. EDGE FINANCIAL OWNER: LEWIS, GLORIA M + PHONE #: • CONTRACTOR: CASCADE PLUMBING CO. PHONE #: 503- 544 -7464 Inspection Request Scheduled For: Date: 9/28/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 037276 -01 503 - 544 -7464 Y Corrections /Comments /Instructions: 40izz..41.(Anw Gay ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS 4 P41-E ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Phone #: (503) 718 - L� Inspector: 1VVIVel Date: i ( )