Permit 1 14 M CITY OF TIGARD PLUMBING PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00080
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/26/2007
PARCEL: 25111 BA -04000
SITE ADDRESS: 14100 SW 98TH AVE ZONING: R -4.5
SUBDIVISION: MCDONALD ACRES LOT: 015 JURISDICTION: TIG
PROJECT: BLACK
Project Description: Drain relocate for second tub to shower conversation. Customer declined adding to existing.
Wanted final on first.
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
DICK BLACK
14100 SW 98TH AVE Description Date Amount
TIGARD, OR 97224 [PLUMB] Permit Fee 2/26/2007 $72.50
[TAX] 8% State Surcha 2/26/2007 $5.80
Phone : 503 722 - 3510 Total $78.30
13
Contractor:
MRP SERVICES
PO BOX 33585 REQUIRED ITEMS AND REPORTS N
PORTLAND, OR 97292 0
Contact # : PRI 503- 652 -2626 r 0
FAX 503- 241 -6565 �
Reg #: LIC 106824 t ` 0
PLM 3-265PB irC7 %11
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: S332ALadtA,_. Permittee Signature: 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.
INSPECTOR'S SIGNATURES ARE NOT
Inspections Required for. PLM2007-00C80 REQUIRED ON GREEN INSPECTION CARD.
✓ Code Inspection Description PASS Date By ✓ Code Inspection Description I PASS Date By 1
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 Sprinlder 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 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 3
PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2007 - 00080
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/26/2007
PARCEL: 2S 111 BA -04000
SITE ADDRESS: 14100 SW 98TH AVE ZONING: R -4.5
SUBDIVISION: MCDONALD ACRES LOT: 015 JURISDICTION: TIG
PROJECT: BLACK
Project Description: Drain relocate for second tub to shower conversation. Customer declined adding to existing.
Wanted final on first.
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
DICK BLACK
14100 SW 98TH AVE Description Date Amount
TIGARD, OR 97224 [PLUMB] Permit Fee 2/26/2007 $72.50
[TAX] 8% State Surcha 2/26/2007 $5.80
Phone : 503- 722 -3510 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: 62,4,1 1 24A,_ Permittee Signature: (_ 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.
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/N i�A!' O1 4 09.0.6t
Plumbin Permit Application I`UI2 OFFIC USE ONL'
�r+ cuived 1 / r/ 00080
City of Tigard _ _, �, 3 fte Data /By d 1 i/ / "� Permit No - '
13125 SW Hall Blvd., Tigard, OR 97223 t'lau Review Oster Permit No.:
Phone: 503.639.4171 Fax: 503.598,1960 UI l Y' /13y'
24- Hour Inspection Line: 503.639 -4175 t ut fllftl� t = r" 'I I; Dare Ready /By Lurie: ® See Fe z for
01 SuppInformation Internet' Www in tlgard nr.us � 1�[y� Nonfi� "yid / y Method l Information
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For special information use claecklrsf;
Q New construction ❑ Demolition Description Q , Ea. Total
kb ❑ Other: New 1- dwellings (includes 100 ft. for each utility connection) ., nl a,� . w �! 0 a w wr 249.20
Addition/alteration/replacement � y ,�r
rR'' t • ',;" a ..t.40' s� a ru t fit �� Q '1iR , ` .1-I'. ' ,II'r h,e d! I.. A . Y ..
1 -and 2- family dwelling ❑ Commercial /indust SFR ( bath 350.00
SFR (2) bath
.� nal 399,00 1
■ SFR (3) bath
❑ Accessory building ❑ Multi - family
Each additional bath/kitchen 45.00
❑ Master builder • ❑ Other: ? Fire sprinkler ( sq. ft.) Page 2
t+ u ` � y z �odW' � 1, I : �• >> : t �'a .
n � s : �.' � t l' i3 tr+ Y;cai�� �:. a,'✓. r, Siie utilities
Job site address: j,1-11 ( y) k Cr. C atch basin o a rea d rain 16.60
City / State/Z1P: Drywell, leach line, or trench drain 16.60
Footing drain (no. linear ft.: ) Page 2
Suite/bldg./apt. no.: Project name: (J Manufactured home utilities 110.00
Cross street/directiong to job site' Manholes 16.60
Rain drain connector 16,60
6 Sanitary sewer (no. linear ft.: Page 2
Storm sewer (no. linear It: _ ) _ Page 2
I Subdivision:
Lot no.: Water service (no. linear ft.: ) Page 2 i
Fixture or item
Tax map/parcel no I 16.60
t 14 1t ? iAtO 7 1li= ,`t *,: s #0� . ' ` 44. 0 Absorption valve Backflow preventer I Page 2
mum= 1 A Jgt/ m tl a , .J Backwater valve I I 16.60
I.
y Clothes washer I f 16.60
„, ��� Y �� Dishwasher ( 16.60
�y" ' Drinking fountain 16,60
i•' n k;:is + :__'`t ` .I m h4�� t; - , r . •.tp t 6 -- F t.V EjecIors /sump 16.60
�yp��'�^.� �! `��- '3��+G f7'Ibr � u �. _ ..
zss: pan i
M t � �, Fixture /sewer cap 16.60
City /State/ZIP: _�`l1 . / .. J e _ • Floor drain /floor sink/huh 16.60
y Garbage disposal 16.60
Phone: ( 4M1
p� �r H ose bib 15.50
^}, ijc Y ` • i V m�: , ' t "t��hf` . � i i i ;.. �+, ! • F .. Q t 1"1; let maker 16.60
Business name: 1' t e • i N,e_12z1-) . , / - "I" Interceptor /grease trap 16.60_
Contact Hume: r �� + . l I�� /V Medical gas (value. } A Page 2
Address: ll + 4 1 3 3 Primer 16.60
City/State/ZIP: i' ci } Root drain (commercial) 16.60
e r ilk 4 ���� _ /
5 ink/basin/lavatory 16.60 • Phone: . / 3 ) — iL I • i Fax:: ( ,' Tub /shower /shower pan 1 16.60 F { jy, 4 0
E-mail: 1 f a dl 4 . _ / V Urinal 16.60
l u 411 E �. ` )..,L ,1, ",s� & .a, .:. �IDR , f a x "t j.. " t�" ''� ' i ', . . 3. r '' W ater closet 16.60 •
Business name: 111511 � /� 1 1 �/ Water heater 16.60
t �1 Other:
Address: ± ,� j
• Subtotal ��,1�
City/State/ZIP: r IZ: , Minimum permit fee, $72.50 -� C /�
Phone: ( 3 } �' mil , � � 1 ' ' ( + ) a ' ,. t Residential back'flow minimum permit fet:: $36.25
C r J. Plumbing I ic. no.: 3 —a l0 S ' / I I P lan re view (25% of permit fee)
CCB Lie.: , 8 -
P State surcharge (8% of permit fee) ........,,_ Authorized signature: . ' TOTAL PERMIT FEE
Print name: r t ii, A Iti SS. Date: g^ 93_ 7 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 -Cuunty Building Industry Service Board
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CITY OF TIGARD ,
BUILDING DIVISION PERMIT #: PLM2007.00480
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/2&2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639-4175
WORKSHEET FOR DATE: 3/2/20t TIME: ' !)up .fri PAGE: 53
SITE ADDRESS: 14100 SW 98TH AVE CLASS OF WORK:
SUBDIVISION: MCDONALD ACRES LOT #: TYPE OF USE:
PROJECT NAME: BLACK
DESCRIPTION: Drain relocate for second tub to shower conversation. Customer declined adding to existing. Wanted
final on first.
OWNER: BLACK, DICK PHONE #: 5Q3.722-3510
CONTRACTOR: MRP SERVICES PHONE #: 503-652-2626
Inspection Request Scheduled For: Date: , ; , , Pour Time:
Code # Inspection Description Confirm # Contact # Message
Plumbing rough-in 044241 -01 503-652-2626
Corrections /Comments /Instructions:
q l fri ki
SS 1 I PARTIAL APPROVAL CANCEL I I NO ACCESS
FAIL LJ CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: t Date4 Phone #: (503) 718 ---2-17/-