Permit ppi ,.., , CITY OF TIGARD 07 PLUMBING PERMIT
` ' COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00364
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 8/13/2007
PARCEL: 2S 103CB -03200
SITE ADDRESS: 12335 SW MARION ST ZONING: R -4.5
SUBDIVISION: WILLAMETTE NO.2 LOT: 037 JURISDICTION: TIG
PROJECT: LUCAS
Project Description: Repipe 55' of water to first floor guest bath and add new line to basement, repipe for new hosebib
and roughin 10' of sewer line to basement.
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: 1
TUB /SHOWERS: SEWER LINE: 10 ft
WATER CLOSETS: WATER LINE: 55 ft
DISHWASHERS: RAIN DRAIN: ft
Owner:
FEES
LUCAS, DANIEL B + DOROTHY L
2328 N HELIOTROPE Description Date Amount
SANTA ANA, CA 92706 [PLUMB] Permit Fee 8/13/2007 $126.60
[TAX] 8% State Surcha 8/13/2007 $10.13
Phone : Total $136.73
Contractor:
3 MOUNTAINS PLUMBING
PO BOX 386
SHERWOOD, OR 97140 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503 -925 -1342
FAX 503 -925 -9104
Reg #: LIC 169499
PLM PB99
•
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 B I / / / / J Permittee Signature: gyp ('� I hi
-
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.
08 -09 -2007 10:26 3 MTNS PLUMBING 5039259104 PAGE2
Plumbine Permit Application RECEIVE ! tlt< t;1i Il . t .,1, t1.i -,
City of Tigard AUG 0 9 2007 De� , S Permit No.: Pu - 66 6 64
II • 13125 SW Hall Blvd., Tigard, OR 97223
• Phone: 503.639.4171 Fax: 503 ,598.196 Dae(By: Other PemiitNo.:
8 y
Inspection Line: 503.639.4175
1 ! �r :1 Il i� g g M. ov BUILDING Iwo Date Read Noii6esUMe � Supplemental 1a See Page 2 for
' Internet: www.ti and - lemental Information
TYPE OF WORK FEE* SCHEDULE
Y-
❑ New construction ❑ Demolition For special irljorraolion use a lecklist -
Description 1 Qty r Ea. I Total
Addition /alteration /replacement ❑ Other: New 1- 2- family dwellings (includes 100 it. for each utility connection)
CATEGORY OF CONSTRUCTION SFR (1) bath 249.20
i ji 1- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 350.00
0 Accessory building ❑ Multi- family SFR (3) bath 399.00
' Each additional bath/titchen 45.00
0 Master builder ❑ Other.
Fire sprinkler ( sq. ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities
- .Ioh site address: 12 33s- , q r j Mario n 5i- Catch basin or area drain I 16.60 -
City/State /ZIP: „ di r Drywcll, leach line, or trench drain 16,60
Suite/bldgJapt. no.: k Project name: Footing drain (no. linear It.: ) Page 2
Manufactured home utilities .
Cross street/directions to job site: - -
_ r Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear ft.: AL) ` Page 2 SS . On
Storm sewer (no. linear ft.: -_) Page 2
Subdivision Lot no.: Water service (no. linear ft. :�) j Page 2 C S -�a
Fixture or item
lax map /parcel no.: n Absorption valve 16.60
DESCRIPTION OF WORK Ba:kfluw preventer Page 2
.1 i / i / W. Ai r . /./. i Backwater valve 16.60
4 / Clothes washer 16.60
! 7 - , V '
Dishwasher 16.60
/
►! / ROPERTY OWNER ❑ TENANT Drinking fountain 16.60 1
�j"C��� rl Lucas Ejectors /sump 16.60
Name:
t - V ei Expansion tank 16.60
Address: 33 s- r Fixture/sewer cap 16.60
City/State/ZIP: Floor drain/floor sink/hub 16.60 I
( ci.r� (J r R'7
Phone: (!563 ) 110-*- 6 8 3,5" Fax: ( ) Garbage disposal 16.60
0 APPLICANT ❑ CONTACT PERSON
I lose bib / 16.60
Ice maker 16.60
Business name: interceptor /grease trap 16.60
Contact name: Medical gas (value: S ) Page 2
Address: Primer 16.60
City/State/ZIP: _ - -- Roof drain (commercial) 16.60
Sink/basin/lavatory 16.60
Phone: ( 1 I Fax :: ( 1 I
--- - Tub /shower /shower pan 16.60
E -mail:
Urinal 16.60
CONTRACTOR Water closet 16.60
Business name: $ M �.�y y �j tj l Water heater 16.60
Address: "X5 S ) `� Other:
city/suits/in': SVier l a or, d c r i �e� Subtotal
Mi n i m u m pe fe e: $72.50 # /
Phone: (563) q 4,2, _ 13 � • Fax: (q)3 ) Qa-� '/o Residential backflow minimum permit fee: $36.25 � �. LeD
CCR Lie.: /6 z./q9 _ Plumbing Lie. no.: pj Plan review (25 %of permit fee) 1 3 , ;
// ` State surcharge (8% of permit tee)
/
Authorized signature; n
'7 TOTAL PERMIT FEE SV. 3�
Print name: ‘,,,/,' &6 w K•rr/ ` I . Date. I This permit application expires if a permit is not obtained within
5 ` •~~ - 180 days after it ban been accepted as complete.
'Ter ntrth.uln1nov erg by Tri- Cnnnty Rttildinv Indnetry Service Rostra
, t - o" _. _. CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2007-00364
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 8/13/2007
PARCEL: 2S 103CB -03200
SITE ADDRESS: 12335 SW MARION ST ZONING: R -4.5
SUBDIVISION: WILLAMETTE NO.2 LOT: 037 JURISDICTION: TIG
PROJECT: LUCAS
Project Description: Repipe 55' of water to first floor guest bath and add new line to basement, repipe for new hosebib
and roughin 10' of sewer line to basement.
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: 1
TUB /SHOWERS: SEWER LINE: 10 ft
WATER CLOSETS: WATER LINE: 55 ft
DISHWASHERS: RAIN DRAIN: ft
Owner:
FEES
LUCAS, DANIEL B + DOROTHY L
2328 N HELIOTROPE Description Date Amount
SANTA ANA, CA 92706 [PLUMB] Permit Fee 8/13/2007 $126.60
[TAX] 8% State Surcha 8/13/2007 $10.13
Phone : Total $136.73
Contractor: 7"
3
3 MOUNTAINS PLUMBING
PO BOX 386
SHERWOOD, OR 97140 REQUIRED ITEMS AND REPORTS
I
Contact # : PRI 503-925-1342 . ;• V
FAX 503 -925 -9104 .4
W
Reg #: LIC 169499 EY P E
•
..t PLM PB99
4
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 B : // ' // I - i Permittee Signature: ' I r
(....y- 6 X6 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.
INSPECTOR'S SIGNATURES ARE.sv`OTh
Inspections Requirad foi: Z r 31 REQUIRED ON GREEN INSPECTION CARD.
Code Inspection Descri tion PASS Date By 1 i/ Code Inspection Description PASS Date By
p I l Y I p 1 l Y
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
915 Fire alarm rough -in 305 Plumbing underslab
920 Suppression trip test 310 Crawl drain
995 Misc. inspection: 315 Post /beam plumbing
998 Alarm final X 320 Plumbing rough -in dick'? C L'i
999 Sprinkler final 322 Shower pan
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 _ 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\ Forms \InspCard- AOP- Blank.doc 02/02/07
CITY OF TIGARD _
BUILDING DIVISION PERMIT 4: P1142007 -00364
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/13/2007
Phone: (503) 639 -4171 i
Inspection Requests (24 Hrs.): (503) 639 -4175 il��
INSPECTION WORKSHEET FOR DATE: 902007 TIME: 7:00AM PAGE: 41
SITE ADDRESS: 12335 SW MARION ST CLASS OF WORK:
SUBDIVISION: 1MLLAME1TE NO.2 LOT #: 037 TYPE OF USE:
PROJECT NAME: LUCAS
DESCRIPTION: Repipe 55' of water to first floor guest bath and add new line to basement, repipe for new hosebib
and roughin 10' of sewer line to basement.
OWNER: LUCAS, DANIEL B t DOROTHY L, PHONE #:
CONTRACTOR: 3 MOUNTAINS PLUMBING PHONE #: 503.925- '1342
Inspection Request Scheduled For: Date: 902007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 055120 -01 503-925-1342 Y
Corrections /Comments/ Instructions:
] PASS [1] PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
/ ❑l FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector:Q\ +\ \ - Date: 9 i;: -(') D 7 Phone #: (503) 718-