Permit • . ., CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00087
DATE ISSUED: 3/2/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S111CC - 09601
SITE ADDRESS: 15740 SW GREENS WAY ZONING: R -12
SUBDIVISION: SUMMERFIELD NO.2 LOT: 123 JURISDICTION: TIG
PROJECT: LEIPZIG
Project Description: Replace tub with shower.
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: OTHER FIXTURES:
TUB /SHOWERS: 1 SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
LEIPZIG LOVING TRUST Description Date Amount
15740 SW GREENS WAY
TIGARD, OR 97224 [PLUMB] Permit Fee 3/2/2007 $72.50
[TAX] 8% State Surcha 3/2/2007 $5.80
Phone : NA Total $78.30
Contractor:
CRAFTWORK PLUMBING INC
7737 SW CIRRUS DR REQUIRED ITEMS AND REPORTS
BEAVERTON, OR 97008
Contact # : PRI 503 - 644 -8698 '` . 0
FAX 503- 644 -5989 0
Reg #: LIC 79666 rr-2) !' =�'7 77r I F Q
PLM 20 -148PB °u d Li u 1.
Y 1/4 4/ b r 0.4
Vim'
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: .!/lam
Permittee Signature: ,-2.7 egfi jv"" eror-4
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
INSPECTOR'S SIGNATURES ARE NOT
Inspections Required for PLM2007 -00087 REQUIRED ON GREEN INSPECTION CARD.
✓ Code 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 Sprinlder rough -in 305 Plumbing underslab
915 Fire alarm rough -in 310 Crawl drain
920 Suppression trip test 315 Post /beam plumbing
995 Misc. inspection: X 320 Plumbing rough -in
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 Sprinlder 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 \Forms \InspCard- AOP- Blankdoc 02/02/07
,. .
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III q 0 � PLUMBING PERMIT
•.
CITY OF TIG
ARD
° ' COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00087
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/2/2007
PARCEL: 25111 CC - 09601
SITE ADDRESS: 15740 SW GREENS WAY ZONING: R -12
SUBDIVISION: SUMMERFIELD NO.2 LOT: 123 JURISDICTION: TIG
PROJECT: LEIPZIG
Project Description: Replace tub with shower.
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: OTHER FIXTURES:
TUB /SHOWERS: 1 SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
LEIPZIG LOVING TRUST
15740 SW GREENS WAY Description Date Amount
TIGARD, OR 97224 [PLUMB] Permit Fee 3/2/2007 $72.50
[TAX] 8% State Surcha 3/2/2007 $5.80
Phone :. NA Total $78.30
Contractor:
CRAFTWORK PLUMBING INC
7737 SW CIRRUS DR
BEAVERTON, OR 97008 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 644 -8698
FAX 503- 644 -5989
Reg #: LIC 79666
PLM 20 -148PB
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: Permittee Signature: 4 6 1 - . ,g42
,.. --�ct0 T1'`
z. z( ty. /M e e d gt_la
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.
13 . !01/ 2007 15:58 5036445989 CRAFTWORK PLUMBING PAGE 02/03
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Plumbing Permit Application c [��ce,v'O I (►1; O " (l
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City o Tigard � 1 0�� � r!y o-7 Permit N74" ao�7 — coo iq
41 13125 SW Hall Blvd., Tigard, OR 97223 0 1 Z
Plan !!
M Phone: 503.639.4171 Fax 503.598.194A QR R D Date/By Other Permit No.:
T I C. n It t ' Inspection Line: 503.639 ■ Of ' swii ? fie Ready /By; r F11 See Page 2 tar
Internet; www.tigard- or.gov C �� ' I
f Notified/Method: Supplemental Information
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❑ New construction 0 Demolition For special information use checklist
Description I Qty. j Ea j Total
Addition /altcra.tion /replacement ❑ Other New I- 2- family dwellings (includes 100 ft. for each utility connection)
. ... ''0r:' ;i j d " 5 ; p' �`�!.. � .�M:1'`�..a ;�- .3
U '�.�tii SFR (1)b
' ` Ifr� E"� "j� `.�Tl , SP bath 249.20
►_+ 1 - and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 350.00
❑ Acc building ❑ Multi- family SFR (3) bath 399.00
❑ Master builder El � Each additional bat /kitchen 45.00
. ..... . . . . .. . {,�.� { sq. ) Page 2
,. Fire sprinkler s . ft Pa c
'. ,:. � .'';',..•:',i . 7 § -W 0 Ait ; 1 'i: 0 ' " F; ,1i„ v .. ;;„.' ; ;,�� r ,'' 1 e ; ,% 5 ' ! �q ' � {�l i f`F ? 1 1 S y �," t) +y ry' I FNII
'.. , ..I ,'.,� , 4 0e ' !i' ri k1 Site utrlltle
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S 9
,fob site address: 3 7 u f� Catch basin or area drain 16.60
y
City /State /ZIP: ` 'gore Drywell, leach line, or trench drain 16,60
Suite/bldg. /apt. no.: 1 Project name: Footing drain (no. linear ft.; ) Page 2
Manuthctured home utilities 110.00
Cross strect/directions to, job site: Manholes 16.60
Rain drain connector 16,60
Sanitary sewer (no. linear ft.: _ ) Page 2
Storm sewer (no, linear ft.: _ ) Page 2
—
Subdivision: I Lot no.: Water service (no. linear ft.: ) Page 2
Tax map /parcel no.: Fixture or item
:._ '! ::I'.rt , t �� �+; i;, i ;t S{c ,, , Absorption valve 16,60
`�' -;; `Y < : � ,t�iY::, :' i , ;M +fi r "4y f:t7d� i,.r(444,1rkl"`;,tt ;f I
; , ; ,, a1.� .,.... . ; ;:`c,t�a� '�,,� -�+. •, t;, �') f�r�ra��?: �},;, ..,.�� Backflowpreventcr Page 2
a c ' t w / S B v al v e 1 6,60
Clothes washe 16.60
Dish
16.60
c
�+y wowed, Drin fountain 1 6.60
,� f
.,.. ,Itilli 1 1 � ?j1i,'St+�� ;l . .l( ' +� , � � . ., ., �. r ;:''i'�i�' tl. "' ., .'nR:�.iA ^'• *'� %,i+� S r:ri1s l rai4 i Bh•mit'}r•r rn un, fin t.�i. t • b t F /sump 16,60 - pZl ( (..O tJ . fi�La /� Ertpa lion funk 16.60
s: / 5 7 WO Sw 6-4 /lpy�,,.Q l FixturC/scwer cap 16.60
ateJ 7_[P: 9'7?.a Floor drain /Floor sink/hub 16.60
( ) . Y A ax' (� Garbage disposal 1 6,60
,,,,1;! ,. t...., i. ;��i a is'a; ;� O ;i 11} '1 ; ppr•.y''• y 9. e r. : T " i', ' tl :: niim, - ,i - Hose bib 1 ,60
' " ;' 'iu.;:l r i. :! ... ;,) . ';';`'! 1 7F17l:,n ",'a' :.,i; ...— :,x1. -v , ni0,03S , ' , •, + ». �. " t. S' Si. P rk Ice maker 16.60 rn
Business name:
Interceptor /grease trap 16.60
Contact name: Medical gas (value: $ ) Page 2
Address: • Primer 16.60 _
City. /Sta1:c/7IP: Roof drain (commercial) 1 6,60
Phone:( ) I Fax::( )
Sink/basin/lavatory 16,60
Tub /shower /shower pan ( 16.60 14.0
E -mail; Urinal 16,60
'- . :i-yfr l`i is'5� ' i ' {:., i( • r ", c; {dl' ! " ' t�'? (tt ` '!,R��n � °: nl ■ "1
.' „ :;I;;(• " ri,t :,'s incrir .',^ 11; ,P :3 ;� , ^ 4S; + 1 t ; l : '' '; '- n ;l" , ' '!YIff 4 Water c 16.60
Business name: Craftwork Plumbing inc. Water heater 1660
Address: 7737 SW Cirrus Dr. t Other; 7r —
City/Slate/ZIP: Beaverton. OR 97108 Subtotal
1 U
M inimum permit fee: $72.50
Phone: (503) 644 -8698 Fax: (503) 644 -5989 Residential backflow minimum permit foe: $36.25 7.150
4.
CCB Lie.: 79666 Plumbing Lic. no.: 20 -148PB Plan review (2S% of permit fee) —rr--
Authorized signature: State surcharge (8% of permittec) J• f)
TOTAL. PERMIT FEE 7 r IO
Print name: Pete Pollard Date: 1 �� / This permit application expires if a permit is not obtained within
f 180 days after It has been accepted as complete.
"Fee methodology set by Tri - County Building industry Service Board.
I' \I3I ildinp \Permits\PLM.Permithpp.dae 06/26/06 4404616T(10/02/COM/WEB)
CITY OF TIGARD
• BUILDING DIVISION - = PERMIT #: PLM2007- 000[37
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/2/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 3/12/2007 TIME: 7:01AM PAGE: 50
SITE ADDRESS: 15740 SW GREENS WAY CLASS OF WORK:
SUBDIVISION: SUMMERFIELD NO.2 LOT #: 123 TYPE OF USE:
PROJECT NAME: LEIPZIG
DESCRIPTION: Replace tub with shower.
OWNER: LEIPZIG LOVING TRUST, PHONE #: NA
CONTRACTOR: GRAFTWORK PLUMBING INC PHONE #: 503- 64
Inspection Request Scheduled For: Date: 3/12/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 014617 -01 503 - 209.2427 Y
Corrections /Comments /Instructions: P/VI
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: l/ ' Dater /l v Phone #: (503) 718 %/9/