Permit 7, : o'g /tri e aMaef »v Zr Ac4r Ibihp be /ovJ
CITY'.OF TIGARD
PLUMBING PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: PLM2008 - 00245
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/30/2008
PARCEL: 2S103AB - 01100
SITE ADDRESS: 11100 SW WALNUT ST ZONING: R-4.5
SUBDIVISION: ECHO HEIGHTS LOT: 007 JURISDICTION: TIG
PROJECT: KAHN
Project Description: Replumb previously unpermitted bathroom. 7/28/08 ADDED (1) lavatory, (1) tub and (1) water
closet. -
CLASS OF WORK: ALT 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: 2 OTHER FIXTURES:
TUB /SHOWERS: 2 SEWER LINE: ft
WATER CLOSETS: 2 WATER 'LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
ANNE & STE KAHN •
11100 SW•WALNUT ST Description Date Amount
TIGARD, OR 97223 [PLUMB] Permit Fee 5/30/2008 $72.50
[TAX] . 12% State Surch 5/30/2008 $8.70
Phone : [PLUMB] Addl Permit 7/28/2008 $27.10
[TAX] 12% State Surch 7/28/2008 $3.25
Contractor: Total $111.55
SELLWOOD PLUMBING •
PO BOX 82188
PORTLAND, OR 97282 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 239 -0009
FAX 503- 236 -1545 •
Reg #: LIC 53033
PLM 26 -753PB
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- 00 0100.• You may obtain copies of
these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued B � 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 Application RE
Building Fixtures RE CEDED FOR OFFICE t;SF ONLY
t ' � ix 13125 of Tigard MAY 2 9 2008 0403y' - 5 , 8 Permit Nu.' e 8 '- G d*
13125 S W f Iall Blvd., Tigard, OR 97223
Phone: 503.639 4171 Fax: 503.598. Plan Review
Oaleiny, OtlICi Permit No.,
lnbtipcction Line. 503 639.4175 Q �r'
T 1 C. A R t7 Dale Reiuly/tiy' El Se e P e t for
I nternet: Www tigard- er.gov $(Jj►► nn MARL) e2
�-.!/ A A . Notified/Method � Supplemental Information
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,w a `r „,.nee itJJ( $. }i : - , b .' ` „ t ' E. uliviiiip a, 4:4 ;i; "*n!, li, nr -4 N 3t 0
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a„er, -' ,. ,� .,���.�.,•-- ,- d .., t� ;,.ah- ��- , .- . ;Pn>r' f { �rR,' r ir;i;;,h9� lt�Gf�:( ': .- 4',-.:1:Y- d,t'f , p�i >;';,- ` - 't�IY
❑0 New construction ❑ Demolition Fopecial information use checklist.
Addition /alteration/replaccmcnt ❑ De L(,t j Ea, Total ,__
Other
N-�.tl ) " I t.s n, !. , ❑.'.' - ,, _._,.. " , - ;��f ... New 1- 2- family dwellings (includes 10011. for each utility connection)
:i;1' re i 0. ;s rh 'r M s0, nq.t. "w a� 'r e" ',^ ..; , a.;a, P
,r 7• :rVni+'ii? F� :I ' !•31, - n %'f n y., a ! ?':' t'i"t d"i, m:.,r¢;):',.,, •,l ('
'�!��'�t1 �;,�"�?
u � '��t ,hm,,.,.ujt;.�trn,, :�a.,..ti: +t,c�n-ri} SFR (1) bath 249.20
;` - and 2- family dwelling ID 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:
1r in rv,:� ,h,p,,,,,,,-- ::: " �r µ� r .,,,,.. t , I' r,,:,yh , ., � ., , ,, - , Fire sprinkler ( sq, f1,) _ ' Page 2
%P'"'Y 1 I,� >�t ,�'� a i rM 1, 'x .°,,,7, ) � 4 _ P }, ,�, f '- tit[ 'Z E l h-l i r ):iii girl .l i•If: ; 1 41
rc- ' - -, .. Al _'ti r. „ r lt,,t 4, dw� h ;h,- l .. _. -- ,?4,1 ^,._ _,.iLi i'ver Site ',
Job site address: 1 it O 0 S 47 pt Catch basin or area drain 16,60
City /State/ZIP: t J . . 04 _ Drywe4 leach line, or trench drain 16.60
Suite/bldg. /apt. no.: Project name: Footing drain (oo, linear ft.: _) Page 2 _
Manufactured home utilities 110.00
Cross street/directions to job site: ,,..,.
Manholes 16,60
_ Rain drain connector 16 60
Sanitary sewer (no. linear R: ) Page 2
Storm sewer (no. linear IL.: ) Page 2
Subdivision: Lot no.: Water service (no. linear 11.: _ ) Page 2
Tax map /parcel no.:
Fixture or item
tie ;y:; )��' vv. +.-? );i ?r�.,, ren' - , r r, ;ufr.a:.: r "u•" . l•9 i Absorption valve 16.60
t r P f``tl;�'(� "tSIA,� r.•ti +% %, y ,,.n.� , y 1,tr.. . �'-' .L. ,
v ri p d " n t v. T ,. . y .C.
tt $,.k,i� . ]� lei.. MRFl i i v io „ l... � ;0 n r'�1
tr(f.f:,.f7rlrq' %ir �' t�.;ar6.,�{ P! ": ,rr,nr q::, i + l4, l3ackflow preventer age
(2."2 ? - 7r,' fc- --�� "�r;!'b 'A;.fr,:r`,- °,-J�.id , nx, '-z- ,,l) h4�x:, center P 2
W M'3 �t/ � i ) 04 fV i2 i i .\ Backwater valve 1660 T �
6 / 1 rE2 1 u Clothes washer 16.60
Dishwasher _ 16.60
CnF ,yy ` i.i GhUkiiNr, f ... t .. .,,y. , n " Drinking fountain
"u fl'r,:•tilµ j �} _ 1 trevr « ' % v.s:,;.;, J4 , ti;.. g 16.60 �.�. •
��
. r „'Gf �= "t i"T •..F� 2 ��,• :1 il 1,,i1, k 'a, •n rv: i1 t"iv,�!"%li �”
,Y. 4 ^,t/ ,11('i, � � rN' � �-.}. ll', p; u: „..��;�ty;..l ..L.�.!LIi:Artr,.d
Ejcctors/sump 16.60
Name: . 4��, 1 f• � T---t/ - 014jhi
Expansion tank 1660
Address: 1110 Si...) U44... ~ • Fixture /sewer cap 16.60
City / State/ZIP: " .f 02_ Floor drain/floor sink/huh 16.60
I
Phone: ( ) Fax: ( ) Garbage disposal • 16.60
7th , Ir u l f r,r "; ,� • = i• 7 o-x•� - r o-,�
-3 . ' : l
i : ` 5 i fi l Qd , ,, , eQ •" f ." r i e t ili, �eiT, ' ; ryr ! !vf t ' r ��`,�1, r - Hose bib 16.60
eit • L1,a .
( � _l' , i lr,'',; f - - . ., , ,.I1R” �' Y }ti:t ;r ice maker 16.60
Business name: ' Ct".)O O%' ,$ L„ ,J "' .
Contact name: befit
� I Interceptor/grease trap 16.60
. I vla
- _ Medical gas (value. ,$ ) Page 2
Addre p.4 . (3 �K i? l 8 Primer 16.60
City/State /ZIP: ___.f t) gm--z. � , ",./2.._ _ q 72 g Z Roof drain (commercial) 16.60
Phone: (50) ) • 3551 • $9 70 Fax:: (co J) 26 3 " / Sink /basiMavatory U 16.60
4 Tub /shower /shower pan
2 �� �� I 16.60
E -mail: -9-v= Co.v� l�/` 1
�' Urinal 16.60
utlt�� J : }Y� gn 1h�PF"�, ?�.5. {e;,i ��',�, - Ry ?�,rr. .. r ' �_ " "` ",f- �� Y yi t.r; • -,., : ;:t7 t:1': l:i.'a.; �' ,..
- ^, 1rr- Si!Atitm,:,- 1't�lei.. _ llt�1• ''4�, ;- r- -. -. ,.- ��� _,...':hc „f• i „ Sec ' I W ater 1 16.60
rill..._ ,r. ?;,,; a ,�,,:,,..., closet
Business name: 5-5, = L,t9e9 -o!a P /t.is; N)C— Water heater 16,60
— Address: n O. 30 f'1 e r P G S Other, }
C' IStatcrLI n Subtotal
'✓Q�)� a�` 7 J Minimum permit tee: $72.50
Phone: (505 ) 239 , 000 c l'ax: (5.,...1) ) 2 3c", i A � ' Residential backflow minimum permit fee: $36.25 7A
C C.B L.ic.: 5 3 O 3 3 y/ 40 Plumbing Lie. no.: 2G, _ 753196 _ Plan review (25% of permit foe) $^
Authorized signature: K. X71! /o 8 Stain surchaigc (12 "/o of permit fcc) 8. .10
TOTAL PERM I t FEF 11, ay
rP-rint name: (� <� cr- / D ate' thi
S • („J� �/t.'1 v f . /�7d� � permit application expires if a permit is not obtained within
1150 days after it has been accepted as complete.
'Fee methodology set by I ri- County (Building Industry Service Board
I •.u lei MF -Pei nut (in: I 1,;7 /ik, I [I•..I,I,,i t; 11102!l C1M;WI H)
Td WdL0:170 800E 6E 'heW 8S21 9£E £0S : '0N 9NOHd NOI1Ofld1SN00 30b11JMSZI : WOdd
CITY OF TIGARD ..
BUILDING DIVISION PERMIT #: PLM200B -00245
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6r30/2000
Phone: (503) 639 -4171 +
Inspection Requests (24 Hrs.): (503) 639 -4175 "i � ..
•
INSPECTION WORKSHEET FOR DATE: 8/21/2008 TIME: 7:02AM PAGE: 33
SITE ADDRESS: 11100 SW WALNUT ST CLASS OF WORK:
SUBDIVISION: ECHO HEIGHTS LOT #: 007 TYPE OF USE:
' PROJECT NAME: KAHN
DESCRIPTION: Replumb previously unpermitted bathroom. 7128/08 ADDED (1) lavatory, (1) tub and (1) water closet.
OWNER: KAHN, ANNE & STEVE PHONE #:
CONTRACTOR: SELLWOOD PLUMBING • PHONE #: 503.239.0009
Inspection Request Scheduled For: Date: 8/2112008 Pour Time:
Code # . Inspection Description Confirm # Contact # Message
399 Plumbing final 074427 -01 503-598-0658 N
Corrections/Comments/Instructions:
•
•
•
•
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ,
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1 W\ -- Date: T Phone #: (503) 718-
CITY OF TIGARD • ,.. .
BUILDING DIVISION • PERMIT #: PLM2008 -00245
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5130/2008
Phone: (503) 639 -4171 �odgni�l�
Inspection Requests.(24 Hrs.): (503) 639 -4175 •
INSPECTION WORKSHEET FOR DATE: 7/31/2008 TIME: 7:00AM PAGE: 19
SITE ADDRESS: 11100 SW WALNUT ST CLASS OF WORK:
SUBDIVISION: ECHO HEIGHTS LOT # : 007 , TYPE OF USE:
PROJECT NAME: KAHN •
DESCRIPTION: Replumb previously unpermitted bathroom. 7/28/08 ADDED (1) lavatory,, (1) tub and (1) water closet.
OWNER: KAHN, ANNE & STEVE PHONE #:
CONTRACTOR: SELLWOOD PLUMBING PHONE #: , 503 - 239-0009
Inspection Request Scheduled For: Date: 7/31/2008 Pour Time:
Code # Inspection Description Confirm # . Contact # Message
320. Plumbing rough -in 073538 -01 503-384.8970 . Y
Corrections/Comments/Instructions:
M) ,Skw%-.► -v TNT^ v �iA,\O k ry
•
•
•
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector:''-' "Ne Dater 13 1 (� Phone #: (503) 718-
f •
. ,.- .
CITY OF TIGARD ,
BUILDING DIVISION ° . ' ` " PERMIT #: PLM2008 00245
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/30/2001
Phone: (503) 639 -4171 / (��
Inspection Requests (24 Hrs.): (503) 639 -4175 r / MI • INSPECTION WORKSHEET FOR DATE: 7/29/2008 TIME: 7:01AM PAGE: 21
SITE ADDRESS: 11100 SW WALNUT ST CLASS OF WORK:
SUBDIVISION: ECHO HEIGHTS LOT #: 007 TYPE OF USE:
PROJECT NAME: KAHN
., DESCRIPTION: Replumb previously unpermitted bathroom. 7/28/00 ADDED (1) lavatory, (1) tub and (1) water closet. •
OWNER: KAHN, ANNE & STEVE PHONE #:
CONTRACTOR: SELLWOOD PLUMBING PHONE #: 503„239 -0009
Inspection Request Scheduled For: Date 7/29/2008 Pour'Time: •
Code # Inspection Description • Confirm # Contact # Message
320 Plumbing rough -in 073381 -01 503- 384 -8970 Y
Corrections/Comments/Instructions:
o ,...k-e, c�v� gt,rA ' Cal
r
Co Go���✓ fie. (.+�i 11
Co -4- Li" C t a -\ o.rA . Z L,,, V1 A.1 'Qk i t C,o
f 4,,, Q. u ,„.1, N, Nr C o u C e. , 1, I--4,1, feet, ,,,re, 41/4 e )- 9- 11,.
Q G.tt, raow. ► Th L Lv c F,A-+)ll ✓,
L ovo RoLk6G. 1.. 0 1-Ji(I3) Afi ,..).r4K kt-.4.
Co -wc,')s 40. v Q (/..),z V.1 i SO 3 7 I Ti 2 4 4 0
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fr. �1 (�a
WINIUMWMIWA
; .i � r '
/i■,iA 'Llt- a a
- 2 PotA - k - 1.
1 - - - ❑ CANCEL ❑ NO ACCESS
rlt* ❑ CALL FOR INSPECTION . ❑ ADDITIONAL FEES ASSESSED
Inspector: "\ ‘ Date:? J 2q 1 DTI Phone #: (503) 718-
CITY OF TIGARD •
BUILDING DIVISION e• PERMIT #: PLM2008 -00245
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED : 5/30/2008
Phone: (503) 639 -4171 B ,,utt' �'�
Inspection Requests (24 Hrs.): (503) 639 -4175 � 'i� `1
INSPECTION WORKSHEET FOR DATE: 6/12/2008 TIME: 7:02AM PAGE: 32
SITE ADDRESS:, 11100 SW WALNUT ST CLASS OF WORK:
SUBDIVISION: ECHO HEIGHTS LOT #: 007 TYPE OF USE:
PROJECT NAME: KAHN
DESCRIPTION: Replumb previously unpermitted bathroom.
OWNER: KAHN, ANNE & STEVE • PHONE #:
''CONTRACTOR: SELLWOOD PLUMBING PHONE #: 503 - 239 - 0009 •
Inspection Request Scheduled For: Date: 6/12/2008 Pour Time:
•
Code # Inspection Description Confirm # Contact # ' Message
322 Shower pan 071282 -01 503-7539400 N
Corrections /Comments /Instructions: •
•
•
•
•
IA PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS •
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector:. [ t . Date: G Phone #:' (503) '718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM200B -00245
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5130/2008
Phone: (503) 639- 4171 a�4�1 t�
Inspection Requests (24 Hrs.): (503) 639 -4175 ' 1L
INSPECTION WORKSHEET FOR DATE: 6/1212008 TIME: 7:02AM PAGE: 31
SITE ADDRESS: 11100 SW WALNUT ST CLASS OF WORK:
SUBDIVISION: ECHO HEIGHTS LOT #: 007 TYPE OF USE:
PROJECT NAME: KAHN
DESCRIPTION: Replumb previously unpermitted
OWNER: KAHN, ANNE & STEVE • PHONE #:
CONTRACTOR: SELLWOOD PLUMBING PHONE #: 503-239-0009
•
Inspection Request Scheduled For: Date: 6112/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message '
320 Plumbing rough -in 071282 -02 503 - 753.9400 N
Corrections /Comments /Instructions:
•
•
•
•
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
•
Inspector: cro Ms 2' bate: co "\ - \041 Phone #: (503) 718 -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: Pt.M+00B 00245
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/3012000
Phone: (503) 639- 4171uq�
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/3/2068 ' ;,`i' TIME: 7:00AM PAGE: :10 .
SITE ADDRESS: 11100 SW WALNUT ST CLASS OF WORK:
SUBDIVISION: ECHO HEIGHTS LOT #: 007 TYPE OF USE:
PROJECT NAME: KAHN
DESCRIPTION: Replumb previously unpermitted bathroom.
OWNER: KAHN, ANNE & STEVE PHONE #:
CONTRACTOR: SELLWOOD PLUMBING PHONE #: 503 -239 -0009
Inspection Request Scheduled For: Date: 8/3/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 070724 -01 503. 3848970 Y
Corrections /Comments /Instructions:
P Av4 - 10-1 ao." E-12_,R.A., ev 7
COL) r
u`A Li \ 2(L.ke
•
•
❑ PASS ' $ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: /*1)\-► _ ,1 \j _ Date: 44 3 JO?' Phone #: (503) 718-
,