Permit :Y -09
III CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT
PE COMMUNITY PLM2007 -00240
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/11/2007
PARCEL: 25111 DC - 00800
. SITE ADDRESS: 15800 SW ALDERBROOK CIR ZONING: R -
SUBDIVISION: SUMMERFIELD NO.8 LOT: 455 JURISDICTION: TIG
PROJECT: GINTZ
Project Description: Relocate drain for shower to shower conversion and relocate tub to shower conversion.
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: 2 SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
•
FRANK & AR GINTZ
15800 SW ALDERBROOK CIR Description Date Amount
TIGARD, OR 97224 [PLUMB] Permit Fee 6/11/2007 $72.50
[TAX] 8% State Surcha 6/11/2007 $5.80
Phone : 503- 670 -1996 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: /.i G i - ! Permittee Signature: Set 4pp/i
04
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.
IL-
.y
IVED Plumbing Permit Ap 1I " . i � %( +dgJ., rot: 01'I't(`1: USE c)N1.\
JUN 0 8 Received City of Tigard 2007 Re e ive . I i PcrmitNu.' P(J"i200� • b2y0
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
n: 503.639 4171 Fax: 503.598.151 ,.r i °a Date/By: Other Permit No.:
phone; 1
24- Hour Inspection Line: 503.639.4175 �TY i I c' . ". Rl' i I ' h,n :: ® Sec Page 2 for I
P BUILDING _. --., No Sn Ie menratInfururudo
Internet www.c lrggrd.Or uS � • •• Notiticd�Method: TSrt ry � f� lT PP
`' .,,,-. 7T � Y _� S � _�"� �:Sry7 . �^r { �•��� �r ` I 1[' �'�.L G
d ' S17' ' $:51 11 t ,:iJ:'IZA ^J.. 71h 9 ∎yell ' 7 - ,
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❑ New construction ❑ Demolition For
tnfoi mtU1on use chrckllvt
Descri�p I Qty. I Ea• J Total
11 . 17Addition/alteratiorVreplacement ❑ Other: New 1- 2- family dwelliaga (includes 100 tt. for each utility connection) i
w c w +t x s `e u r ti� ^ wa?
tt�'�4n.;�`.-�7'-(w.g �r r ,, i u arrt,f; UU, too rya uc•• -pl .,1 i arei}} Y, .�� '7 SFR (1) bath 249
: .•,l 24920
C6rl� �I.�SY T: u 11 t.l,�ttt'�rM�'L�S.4' '�.., '���� , �,��r�i1 �l .,
'_ I- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350,00
❑ Accessory building ❑ Multi - family SFR (3) bath 399.00
Each additional bath/kitchen 45,00
❑ Master builder ❑ Other:
7� w - . Fire sprinkler ( sq. ft.) Page 2
Eft �SiT'r ,M ',' (Yn} ,'. , t b - ' u. n ii 1; e rs p ;)i .... it ' •4 ; `c .., _ -
: i r -, ✓ � l�� :a " };- �B,J,u� -" y3�' t`�� . 1 - C • n/ �?�9Y��L� n . .k. r4.... YV : n , She utilities e
Job site address: 9nr r WI ,l+ `� Lig l - AM Catch basin or area drain 16.60
ICEMIMITMARIIIMIMENIMIIIIIIIIIm Drywall, leach line, or trench drain 16.60
Suite/bldg./apt_ no.: I J J � � Mooring drain (no. linear f Fags 2
Manufactured home utilities 110,00
Cross street/directions to job site; I ,
Manhole, 16.60
Ruin 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.: , _ 1 Page 2
Fixture or item
Tax map /parcel no.:
Absorption valve 16,60
L
� r I Tt�'�1 �.1 .k;5 II•�� K h.�4:1 SJ�q�.:,.''t�� --- 8ackflow preventer Page 2
�; Vati ;„ ,..1.,10 . ;,� , � Nwa " ` ,; c rd l
P I (tt (IA rl i : L .' VI _ o. a A _ •1I Backwater valve 16.60
1 I Clothes washer 16.60
Dishwasher 16.60
X11. . 1 1 , _ iw 1.��. ►; _ _�� �_ _ i
�,i /� ,
t M I " - J _ Drinking fountain 16.60
itr <9 eu ��1 of .. a !rf M id }� �; _ 8
- 5 -,i 4. 4., A ' g • > . ' . d , m : , i , Ejectors/sump 16.60 �i
Name: _II f A � "L � �� jj��//�� / ..� Expansion tank 16.60 I
<� 1 _ i�. PEA !/ hell it Fixture/sewer cap - 16.60
City / State/ZIP: + f Floor drain/floor sink/hub 16.60 •
Phone: C. ) ) , 1 • , VAI Fax: ( ) Garbage disposal 16.60 •
n-� fir- -� ;�• ,ti °: Hose bib 16,60
r. �h T' . Ly -A5."1 . �,r t , F !I" d�� irai•:ti:i; ar ;yg ONa`�;i -
.:I 1�.7tuj_3� +t �;„ n�.. -: nr• .,KyatY F ,.�.l.. �:i. �,
!ce maker 16.60
Business name: _..A r . .. I n t er ce ptor /grease trap 16.60
Contact name: Ti ittl • V't" /1/v s j Medical gas (value: $ ) Page 2
Address: I i r i "e t+ Primer 16.60
` 3 1 �1 .l� a' / 3- --. ' Roof drain (commercial) 16.60
Phone: y / 1j)�� Fax:: (. CC C' Sink/basin/lavatory 16.60
r te' �� r " C. Tub /shower /shower pan ) 6.6 3 - L
E -mail: r n •�
J. 1 I, ■ .I 1 i/ / 11 Urinal 16,60
i,r r t {/�gy �4 , 1 . 4�j !t i r 1 '•• a �Cjl , * z' r 1d r ^ )ti , - at 1'Si l t1
6!i„`MAK"t `f"11_ Ib c 75 FF , 1 • IK I :, : u L, �r. tt , 1 ., I .4 .'�• r_ � -'. / -6;. •
,. ,� i � _ :ai ..�,�x'�., .�� , �+i � ��n yr .:� , .N.,t r'y ' „ , ,, � . 'Water c 16.60
A*a, Water heater - 16.60
Address: 0 • !.� IZ Other:
City /Stale/ZIP: 0 /h P. _ Subtotal Subtotal ' 3 :::),c5 Minimum permit fix: $72.50
Phone: (53) r a- , , f , AIN Residential bncicflow minimum permit fee: $36.25 1,21 O
CCB Lie.: 10 6 "a (41.. /co Plumbing Lic. no.: 3 --j G S Q Plan review (25% of permit fee)
State surcharge (8% of permit foe) 5-
Authorized signature:
wad - - 1 _ 1 x . . TOTAL PERMIT FEE
Print name: S01ioruu 37) ( - J SO- Date: , - --O 7 This permit application expires if a permit is not obtained within
lil0 days after it has been accepted as complete.
`Fee methodology set by Tri•County Building Industry Service Board.
is euildinipermitnWLM.PennnApp.doc uo/ui 440-4616T(IO /02/COM/WES)
ZO /Z0 39Cd delta 9999ItZE09 PZ :9I L00Z/80/90
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: PLM2007 -00240
._ A
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/11/2.007
Phone: (503) 639 -4171 l
Inspection Requests (24 Hrs.): (503) 639 - 4175 ;. ' I I
INSPECTION WORKSHEET FOR DATE: 6420/2007 TIME: 7:04AM PAGE: 44
SITE ADDRESS: 15800 SW ALDERBROOK CIR CLASS OF WORK:
SUBDIVISION: SUMMERFIELD NO.8 LOT #: 455 TYPE OF USE:
PROJECT NAME: GINTZ
DESCRIPTION: Relocate drain for shower to shower conversion and relocate tub to shower conversion.
OWNER: GINTZ, FRANK & ARLEEN PHONE #: 503-670-1996
CONTRACTOR: MRP SERVICES PHONE #: 503G52 -2626
Inspection Request Scheduled For: Date: 6/20/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 050559-01 503 -652 -2626 Y
Corrections /Comments /Instructions:
. /
//
i
t
, _i / ■- / ff _
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: / lx
Date: ,■ I I Phone #: (503) 718 ---D7cl
CITY OF TIGARD - --
BUILDING DIVISION PERMIT #: PLM2007 -00240
13125 SW Hall Blvd., Tigard, OR 97223 ' i DATE ISSUED: 6/1112007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 Ag R'I L.
INSPECTION WORKSHEET FOR DATE: 6/18/2007 TIME: 7:04AM PAGE: 35
SITE ADDRESS: 15800 SW ALDERBROOK CIR CLASS OF WORK:
SUBDIVISION: SUMMERFIELD NO.8 LOT #: 466 TYPE OF USE:
PROJECT NAME: GINTZ
DESCRIPTION: Relocate drain for shower to shower conversion and relocate tub to shower conversion.
OWNER: GINTZ, FRANK & ARLEEN PHONE #: 503-670-1996
CONTRACTOR: MRP SERVICES PHONE #: 503 - 652 - 2626
Inspection Request Scheduled For: Date: 6/18/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 050372 -01 503. 652 -2626 N
Corrections /Comments/ Instructions:
, Z II pri_ . .ffi I I r/ 2-■') -
2 48. " ) I M I WA I F 4 dMr j°j'Pr
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
i( Inspector: MI `' Date: if/ n? Phone #: (503) 718 -