Permit a CITY OF TIGARD .. PLUMBING PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: PLM2006 -00545
DATE ISSUED: 11/7/2006
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S102DB -08900
SITE ADDRESS: 09058 SW HILL ST ZONING: R -4.5
SUBDIVISION: CHELSEA HILL NO.2 LOT: 066 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
ED FEACK Description Date Amount
9058 SW HILL ST
TIGARD, OR 97223 [PLUMB] Permit Fee 11/7/2006 $72.50
[TAX] 8% State Surcha 11/7/2006 $5.80
Phone : 503 - 620 -8831 Total $78.30
Contractor:
MRP SERVICES
PO BOX 33585 REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97292 Q
! ^ 'n is
, `
Contact # : PRI 503- 652 -2626 0
FAX 503- 241 -6565 f ENPO ° ED
Reg #: LIC 106824 k: `
Vol
-
PLM 3 -265PB V V ef .
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: a .�'"° ._,,
�^ .,? Permittee Signature: ^ '_ e, C�.
yJ ...4_.' 4 C i
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.
INSPECTOR'S SIGNATURES ARE NOT
Inspections Required for: PLM2006 -00545 REQUIRED ON GREEN INSPECTION CARD.
✓ Code I Inspection Description PASS Date By ✓ Code I Inspection Description I PASS Date I By
BUP - Building Permit ELC - Electrical Permit
405 Excavation 105 Underground/slab cover
410 Fill 110 Temporary electrical service
415 Grading 115 Electrical service
205 Footing 120 Electrical rough -in
805 MFG - Structure grading /footing 125 Wall cover
210 Foundation walls 130 Ceiling cover
215 Footing drain 135 Low voltage
220 Slab 140 Sign installation
310 Crawl drain 145 A/C or heating unit circuit
225 Post/beam structural 150 Hot tub /spa/pool
230 Underfloor insulation 195 Misc. inspection:
235 Shear walls /anchors 199 Electrical final
240 Exterior sheathing
245 Firewall
250 Roof nailing ELR - Restricted Energy Permit
255 Wtr proofing basement walls 135 Low voltage
260 Tilt -up panel 195 Misc. inspection:
265 Masonry 199 Electrical final
270 Reinforcing steel (rebar)
275 Framing
810 MFG - Structure set -up MEC - Mechanical Permit
280 Insulation 605 Post/beam mechanical
285 Drywall nailing 610 Gas line
287 Suspended ceiling 615 Mechanical rough -in
295 Misc. inspection: 620 Hydronic piping
899 MFG - Structure final 625 Duct work
498 Grading final 630 Fire damper
299 Final inspection 635 Smoke detector shutdown
640 Exhaust hood
695 Misc. inspection:
699 Mechanical final
BUP - Fire Protection System Permit
905 Sprinkler underfloor /slab PLM - Plumbing Permit
910 Sprinkler rough -in 305 Plumbing underslab
915 Fire alarm rough -in 310 Crawl drain
920 Suppression trip test 315 Post/beam .lumbin_
995 Misc. inspection: X 320 Plumbing rough -in I
998 Alarm final 322 Shower pan
999 Sprinkler final 330 Water service
335 Rain drain
340 Storm drain
SIT - Site Work Permit 505 Sanitary sewer
405 Excavation 345 Culvert/catch basin
410 Fill 350 Septic tank
415 Grading 395 Misc. inspection:
205 Footing X 399 Plumbing final
210 Foundation walls
215 Footing drain
420 Sprinkler supply lines SWR - Sewer Permit
495 Misc. inspection: 505 Sanitary sewer
498 Grading final 595 Misc. inspection:
499 Final inspection 599 Final inspection
I: \Building \Inspection Cards\Forms\AOP- InspCard- Blank.doc 12/09/2005
V F . _
CITY TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2006 -00545
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/7/2006
PARCEL: 2 S 102 D B -08900
SITE ADDRESS: 09058 SW HILL ST ZONING: R -4.5
SUBDIVISION: CHELSEA HILL NO.2 LOT: 066 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
EDFEACK
9058 SW HILL ST Description Date Amount
TIGARD, OR 97223 [PLUMB] Permit Fee 11/7/2006 $72.50
[TAX] 8% State Surcha 11/7/2006 $5.80
Phone : 503- 620 -8831 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: L Permittee Signature: c>
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 AifitestitailliVED rolz (lrrlCl t sL ()NIA
City of Tigard and ECW _ g .i C D - ip 1✓ 1` I P erm i t N •.: 13125 SW Hull Blvd., Tigard, OR 97223 °V O (� 20p P
f Y;.• in ate :. Other Permit No.:
Phone: 503.639.4171 Fax: 503.594.1960
' 1 "` Date/By:
24- Hour Inspection Line: 503.639.4175 CIT OF T IGA" _ •� 1 { D Ramey /tiy; Fa Sec Page 2 ro
Internet: wwW ct ngard or us , D ati Read ,ghud: Supplemental l nfermeaoo
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For special information use check list
EJ New construction ❑ Demolition
Description Qt 6s Total
rk��,. Addition/altcration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection)
1'�(� �1� J >� ,. �l�L ? f^+�^' fv a 1 . -- ST-' d {,
a �iY 1,�'llfirh �, ^r'.,54E 1 L U tl LPL 1 l'a fl { h,,} "IjdYt ;iffi'sa�
A ,, ra i, .. 11'O: Yc ��t;5��0�;(,4Ji. � M * riai 31 s ia , � €,1: ,4�;,,;, 2 SFR (1) bath 249.20
P.' 1 - and 2- family dwelling 0 Commercial/industrial SFR (2) bath • 350.00
0 Accessory building ❑ Mufti-family SFR (3) bath 399.00
❑ Master builder ❑ Other:
Each additional bath/kitchen 45.00
Fire s rinkler it) 2
in�lq � {� „o1r
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a...< .,J:,." �' .. .t�__tJ n_��LL > wa ..uL���� Site atlllrle8
Job site address: ie 'rgralB 1 INEIRM
Catch basin or area drain 16.60
gi . Drywell, leach line, or trench drain 16.60
Suitt/bldg./apt. no.: Project name: i f all1.11 Footing drain (no. linear ft.: ) Paso 2
Cross street/directions to job site:
Manufactured home utilities 110.00
Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear ft: _) Page 2
Storm sewer (no. linear ft. ) Page 2
Subdivision: Lot Water service (no. linear ft„ _� Page 2
Tax map /parcel no
Fixture ur item
Ea }� �.p� c , x4 �. Absorption valve 16,60
"4 a^�!�' , � .f.� -'�� ..�'.:,.�_a , is `�; i� ^ttri�r
MM: i ,� L,l 'CAF h U S(n2C{� n$ VyE ^(• ��
Backflow preventer ■ Page 2
Backwater valve 16.60
IlltAllirgrilintrir
5 Clothes washer 16.60
r Dishwasher
!il it >�1. . 1 I _ J)I 16.60
• :. : t r .u�.+4� �, ', r. F ' 4, l , ,
;r i ..� s ', G7 ' :,I1y/_ a1 t ki l� ,, Sc y %r �h F,t7, °�,'IMM E vi° `a 1K°i �� ' Drinking fountain 16.60
' e53L. /41, s'' r° f „in,al ` ' . i i,,JF Ejectors, /sump 16.60
Name: I Expansion tank 16,60
Address: / r ' t!iia '' 1111 t/ � l Fixture/sewer cup 16.60
City /State/ZIP: I , ` A Floor drain/floor sink/hub 16.60
Phone: i i j Garbage disposal 16.60
. i.ate Ale
cf+�. r :i ie „i "4` cF { 1 {1 c �. w+l'piY' H �4n
ri7 a , ,, , �"N )' }`- J�IY. ' ki �1s, . . � °F `� � �' �D �i l ✓<1 `6 :I� Hose bib 16.60
.f d f i n 1 i5 e' S L "'' 9
v - r Ern ...,.• Ji �v .J.' - +.0 .� ° ,. � �P�x�liYi," W
� Ice maker 16,60
U �•• l. Interceptor /grease trap 16.60
Contact name: j■ y 0 14- I ( .1 Medical as (value: $ ) Page 2
Address: SMNIM.i';‘../IMINE Primer 16.60
EM EMEIVITI _ 1 1 ilN ° a Root (commercial) 16.60
Phone:
b / 3) F ; ( Q , ���� Sink/basin/lavatory 16.60
�� ■ - ' t''/�w•`II,••1�r// Tub/shows /shower pen f 16.60 .j t
■ I 11 It P . I / V _
I l ;/..; OF t J ■ 7 F .., � }}Lr.l4 .L ; ,C,1ri ; R i : y IJPlnel 16.60
„, + , C ,b, 7 1 1 ../irJ I k ` , .., ,�fi m,'4 .. u k ti } l 1, f +;
.,v;., + ;.., � c , a �,1...... �� y � _ �� >r ? ! i i � 1 1t � � � W
. �:., � s__ + n. � � s °i� tl Ei� ���w Water closet 16.60
' *i 4'. 1 • 1 Water heater 16,60
1 .� , � Other; � -
/ y 1 � Subtotal .rE /I
/1 f or Minimum permit fee: $72.50
Phone: (563) ! a - i • .�' ( ' to / Residential backflow minimum permit fee: $36.25 , , $
CC13 Lie.: Ti , ! . numbing Lic'no.: 3 s y Plan review (25% of permit fee)
Authorized signature: ,t�i7 Stat sur (8% of permit fee) O;
.-....1.....i .. i io - ; TOTAL PERMIT FEE MAK r
Print name: 0 s :, yi ow • ,o , r Date: This permit application expires if 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:\ nuildingapcymi0APLM .PermiuApp 06/05 4404616T(10102/COMnvgB)
Z0 /Z0 3E d daW 99S9ibZE05 80:52 900Z/90/TT
CITY OF TIGARD .
BUILDING DIVISION . • - . PERMIT #: PLM2008.006 45
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/7/2006
Phone: (503) 639 -4171 1
Inspection Requests (24 Hrs.): (503) 639 -4175 ' F'I �..
INSPECTION WORKSHEET FOR DATE: 11/15/2006 TIME: 7:07AM PAGE: 44
SITE ADDRESS: 09058 SW HILL ST CLASS OF WORK:
SUBDIVISION: CHELSEA HILL NO.2 LOT #: 066 TYPE OF USE:
PROJECT NAME: FEACK
DESCRIPTION: Relocate drain for tub to shower conversion.
OWNER: FEACK, ED PHONE #: 503 - 620.89:1
CONTRACTOR: IMP SERVICES PHONE #: 503.652 2626
Inspection Request Scheduled For: Date: 11/15/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 039777 -01 503- 652 -2626 Y
Corrections /Comments/ Instructions:
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
El FAIL L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
IN A Inspector: tit \.5 � Date: � 1` " Phone #: (503) 718- �`x'/ to6
CITY OF TIGARD eL ill
BUILDING DIVISION PERMIT #aOO(
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: /6S g / `r` j CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: /6' _6 49 Pour Time:
Code # Inspection Description Confirm # C tact # Message
3 03993 4i-o, casa -a (0 a(
Corrections /Comments/ Instructions:
YGL(YC/J
"O.<
S C tJ >/1 � `l / /-LC
God / "C
PASS n PART L APPROVA ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ L , O' I • ., ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718 - � ///d/e,--,