Permit .2 I
CITY TIGARD PLUMBING PERMIT
i" DEVELOPMENT SERVICES PERMIT #: PLM2006 -00470
' �' I � 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 10/11/2006
PARCEL: 1S125DD-04900
SITE ADDRESS: 09755 SW VENTURA CT ZONING: R -4.5
SUBDIVISION: WASHINGTON SQUARE ESTATES NO.2 LOT: 057 JURISDICTION: TIG
Project Description: Relocate and replace fixtures for remodel. Other fix. ice maker.
CLASS OF WORK: ALT GARBAGE DISPOSALS: 1 MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: 1 BACKFLOW PREVNTRS:
OCCUPANCY GRP: R3 FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: _ SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: 2 OTHER FIXTURES: 1
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: 1 RAIN DRAIN: ft
Owner: FEES
BURD, DANIEL E + MARGARET J
9755 SW VENTURA CT Description Date Amount
TIGARD, OR 97223 [PLUMB] Permit Fee 10/11/200E $99.60
[TAX] 8% State Surcha 10/11/200E $7.97
Phone : Total $107.57
Contractor:
LEGACY PLUMBING
8985 SW HAZELVERN WAY
PORTLAND, OR 97223 REQUIRED ITEMS AND REPORTS
Contact # : FAX 503- 297 -4587
PRI 503 -816 -8887
Reg #: LIC 159281
PLM 26 -517PB
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 -010 may obtain copies of
these rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344.
p
Issued By: �4 � h � , lam Permittee Signature: J f 1
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.
MI/ 12/2005 11:48 FAA 5035861880 CITY Ur T IGARD !¢J007 /008
I'lnlmbine Ferm Ana _GEI‘iEj;) r _ 1: : '' I t . ' .... ._ `' .. Recelasi City of Tigard UL I 1 1 2OO D t o /Al o� &i N q oZ00(7 - OOV7D
13125 SW hall Blvd„ Tigard, QSt 47223 P1sls Rev(eW
Phone: 503.639A171 Fax 503.596.1960 1TY OF TI Dada* OtherPe®tNo.;
24- Hour btspc *ion 1-ine: 503.639.4175 ,.; i -' ) mt<
In t;�a -ors BUILDING D4 _- . 7 I St See Page2 for -
❑ New coostsudion ❑ Demolition For special tafipwration we wed
Description I Qt l Total
Q Other New I. mangy (ice 10011. or each utility connection)
I
• r h' , ` - 'i26DB'`OF C°16T162C11O?1 . k :. SFR (r) bath 24920
( - and 2�y SFR (2) bath 350.00
``ll ❑ �� Ae�ssmy budding [] Multi-fb mly SFR (3) btu 399.00
I
Marta budder ❑Other. Each mdchtional men _ 45.00
Fire sprinkler (_ sq. 8.) Page 2 .
,', ... 3 - ' RiFejt t1.•AND aACAT5034 - ' • ‘• .. i sae udlltlea
Job site address: ' - babies' tuna deahs 16.60
■
CSty/State/P: / week leach line, or trench drain 1660
Strbebbld&Fape• no.: I project name:
Footing drain (no. R: ) 2
Cosa street/directions to job site: himnr�rerl home utilities 110_00
Manholes I6.60
Rain drain wnnatOr 16.60
Sanitay sewer (no. linear R: Page 2
Storm senor (no. linear IL ) Page 2
Subdivision: I Lot no.: Water service (pa linear t: 6.� ) Page 2
Future or hero
Tax mtapJparocd eta: Absorption valve 16.60
-'` . ; •: 4 >. ':' F:n . dos •• : -' a
i .Il- , y lawn 41 . _ d Badrvratff,oalve� 1640
FJP, , / pis washer .' 16.60
Dishwasher • ' 16.00
: O WAi$8 . 1 - : Q.'14$lANT':: ... ' Drinking imago 16.60 • r Eoremp 16.60
D G ? il i /S' ;r �/ expansion tank 16.60
9 `�
Address: / J _ J4 & 7 ( Falcone/sewer cap 16.60
( ynp21p r y ,r / Floor draiW600r sinkthvb 16.60
Pic ( Fax ( ) Garbage disposal I 16.60
. '.. _ P(C01y1rACt isigliiSpg Bose bra 16.60
Ice maker I 16.60
Business nano A_2464/7 i` f , Interceptor/grease e nap
16.60
Contact name: 6�/A v ' I ( .7 Medical gas (vu1(value: S ) Page 2
Address; (- ` .' ✓ • :♦'. / . Mina _ 16.60
City/StatarZIW: ;1 Q i P ) . Roof drain (commercial) 16.60
it ( ) q 9 c 4l 7 Fax:: ( ) � ` 1660
r !
Tablshowertshower pan 16.60
F es' Urinal 16_60
/ f 1 . ' Water dasct 1640
�J� Bus name: ( E `) Ci ik•( i�. water Beata 16.60
Address: ' 9 8 - S Sa 4.,, is C..‘.. '- ..A. (,U 4, Other Subtotal -
City /Staff 1
: ' 7 ,,L C. iZ / 7 7 c, Z23 -- Miainann
Fmc ( .- ,{ R aul badiflow minimum permit fear 536.25 R6• . W
acs Lie.; j 5, Plumbing Lie. no,: 2Ga .- S '?j State surchargecg56of permit fee) 7. 97
Authorized I ______ ._• TOTAI.PERMrr FEE /0 et_51
P t i t n a m e 1..J 1 A ( � ti C 3 Q I Date: j / 1 . - O , D I 1 1 + 4 3 app ee motives 7a permit itr set obtained within
?. 160 ergs after it has been steeped as complete.
*Fee mediodelogy set by Tri -County Building Industry Service Bond.
r umaa' aoa 1220,05 4404676r(104•vss)
CITY OF TIGARD
•
BUILDING DIVISION PERMIT #: PLM200S•00470
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/11/2005
Phone: (503) 639 -4171 • Inspection Requests (24 Hrs.): (503) 639 -4175 ...' 14..
INSPECTION WORKSHEET FOR DATE: 3/24/20013 TIME: 7:00AM PAGE: 39
SITE ADDRESS: 09755 SW VENTURA CT CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE ESTATES NO LOT #: 057 TYPE OF USE:
PROJECT NAME. E3URD
DESCRIPTION: Relocate_and replace fbdures for remodel. Other fix. ice maker.
OWNER: E3URD, DANIEL E + MARGARET J, PHONE #:
CONTRACTOR: LEGACY PLUMBING PHONE #: 503 - 816 - 88137
Inspection Request Scheduled For: Date: 3/24/2008 Pour Time:
Code # Inspection Description Confir Contact # Message
339 Plumbing final 0871513 -03 503 - 244 -1724 N
Corrections /Comments /Instructions:
•
•
•
•
NIV H,11 \\ \ \
•
1K.4i PAS ` ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
•
Inspector: -` `" Ob Date: 11 11. q Phone #: (503) 718 - ' 1 v •
_ _ _ _
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2006-00470
13125 SW Hall Blvd., Tigard, OR 97223 .. - DATE ISSUED: 10/11/2006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 17J812006 TIME: 7:01AM PAGE:
SITE ADDRESS: 09755 SW VENTURA CT CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE ESTATES NO LOT #: 057 TYPE OF USE:
PROJECT NAME: BURD
DESCRIPTION: Relocate and replace fixtures for remodel. Other fix. ice maker.
OWNER: BURD, DANIEL E + MARGARET J, PHONE #:
CONTRACTOR: LEGACY PLUMBING PHONE #: 5O3•816 -8887
Inspection Request Scheduled For: Date: 1218/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 040869-01 503.817 -9817 - Y
Corrections /Comments /Instructions:
•
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: J': ' • - Date: P- 6 Phone #: (503) 718 - >—/