15785 SW OAK MEADOW LANE-1 N1 MOQd3W NWO MS SOLS
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15785 SW OAK MEADOW LN
CITY OF T Q G A R D ,- PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT#: PLM2005-00645
13125 SW Hall Blvd.,Tigard,OR 97223 503-839-4171 DATE ISSUED: 1 1/22/2005
PARCEL• 2S111DC-14000
SITE ADDRESS: 1 Fi785 SW OAK MEADOVV LN ZONING: R-7
SUBDIVISION: SUMMERFIE:LD N0.11 LOT: 636 JURISDICTION: TIG
Project Description: Relocate water heater.
CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES:
I TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: R3 FLOOR DRAINS; TRAPS:
!',TORIES: WATER HEATERS: 1 CATCH BASINS:
FIXTURES _ _ LAUNDRY TRAYS: SF RAIN DRAINS:
—� SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUBISHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES — �–
JOAN JAC013ER
15756 SW GAKMEADOWS LN Description Date Ar��ount
TIGARD,OR 97224 [PLUMBI Permit Fee 11/22/200° $72.50
[TAX 1 8%State Surcha 11/22/200f $5.80
Phone: 503-643-7619 _ Total $78.30
Contrector:
BEAVERTON PLUMBING INC
13980 SIN TUALATIN\rALLEY H\/VY
BEAVERTON, OR 97005 REQUIRED ITEMS AND REPORTS
Phone: 503-643-7619
Reg N: LIC 128892
PLM 34-4PR
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This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of CR. Specialty Codes and all other
applicable iaws. 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
W Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0100. You may obtain copies of �
J these rules or direst questions to OUNC by calling 503-246-6699 or 1-800-332-2344.
Issued By: ,� ,f `,_ Permittee Signature:_ R
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 projact.
Approved plans are required on the job site at the time of each Inspection.
Nov 21 05 03: 55p Beaverton Plumbing Inc 5036437620 P. 3
Building Fixtures r 3 '•S
ENF,
PlumbingPermit A>zt���� 1
,city ofTigartf
t>w1e/q • lbrnril No:
13125 SW I bill Blvd,Tigard,OR 97223 kmMM
Yhrmc: 503.x,39,4171 Fax: 303.398.1960 NOV N Plan Plan Re gAsr t4rmii t6,,24.11,xer Inspection Lina 503.619.4173
DOWInternet' www.ei.tiprJex.ue DoekeadyAty: SM6. 0geatgt2far
_ L MaifiwY silar�k Aa d h6rnwMl«w
-- Tvrk -• n1vislW1, RIE• :i(711SDI1LR _�..��
0 New Corntructim - Leamolition Fora�ec,til�Sam am cheaust
TMA
®`,f1n d iNon/alteration/tbplaoomont ❑Glher: - New I-2-fawndwtMft"(Iacbeda 100 n,for esch udltry conte Ijan)
CATIEGORY OF CONMUCI'ION SPR(1)both , - _ 249.211
jijj-and 2-family dwelling 0 Commercial/induetriRl WX(2)hath 330.00
0 Accessory building ❑Multi-%mily ymt(3)both 39960
Q Master builder L1 Other additional MelNkltchun 45.110
- Fire sWnkki I ^.q.A.) Patio 2
.100 8I7L INFORMATION AND LOCATION Fire
—
Joh MIC r':t tea: ri55-1 SS <LJ �X��� 4AI Coo burin or atop Anis ��-- 16.60 _
71111Slet",I,.' E e- A t2� TLZt'{ Drywall.Icach liens,or Wench drain -r— 16.60
SuitethidR/apt.no.: I I Prvj Xi MMC: rtwAing drain(no.linear n.:,r) P%V 2
Manufnaured hatne udlitim 110.00
Cman alraut/dint:cliptgt b job she: C--Z11 ManAnlc- _ Ib.66
'SWA� tl o r ��c�IL• Rain dram connector 16.60
%witaty neuter(no.linear ft.: ) Pa{o 2
Skim sewer(ere.linear A.: ) PW 2
Subdivision: no.: Weler w. vice(no.linear A: 1 Pap,2
"nom er hese P ".
'fax mop/purcol no.! �.
Abrorption volvc 16.60
DESCRIPTION OF WORK 11acknow prevanter Pagel
r pi L ! r Wnkwakx valve 16.40
r.knhes washer _ _16.611 _
Dkhwurha T '
[] FROFF,1tTv OWNIM [] TrmANT Drklkin�fuunlain 16.60 -
Nemo: -
Ljcctor-hump 16.60
Iixpension took 16.60 _
Addras; Fhctum/aewcr cep WAD
Cily/Salale/Y.IP: Floor drain/floor elnkAwb _ 16.60
Phone:( ) rte:( ) Gmrhape disposal _ 16.60
-AfefLMANT w o coNTAe7 ee atwtii I Ipap bib 16.60
_
Business nnmc: Ice makcr 16,10- •V Q Intcreoptor/(prceac Mp 16.60
Contw:l nwm,: l lZ 1"+ Baal epa(valua S 1 Pops 2
Address: Primer 16.60
City/Setter%11i: Konfdrain(commuctai) 16.60
Phone:( 3 ) 10 Z rax':(S( )�,��_-7 6L t� Sinh/barinAavakxy 16.60
r rmtil:
l'uMahower/ahower pan 16.60
Urinal 16.60
CONTRACTOR _ Wat—erll;e ^— 16.60
Business nrltflc: - Wsler healer IA.60
"Ity/statdnlP: ,,.�.• O R- tic �._ c Btebt.al 16 b-a
Minimum permit fm S7 .30
IMlono: ) { rax:(y )eon-l3-7b Raldential backflow minimum permit tin: $36.25 Z,SU
CCB Lit:.: J.V Plumbing Lic.nn.: p(� _ plan review (2396 ot'parmit foe)
Stale surcharge(11%of oc
AWllotitecd IlRnaturc� K ��.� )
7'U•1'AI,P Km"i*FEB 7t.3t>
PI IIItf11l: (/�ti 001C: crf Tbk fWn4it appptRlloa expires It pe aalt h W obMlaed wltbla
I"days oncr It baa been aeNMed ex teenplrte.
"rte mcrlxldoingy vet by '•i-Crionly Rn0d(n`UMoaky Service Beard.
�n,.�ia��aV`crmi�eV'LMFd`arm{Wpp.loc urra� MtH61AI11QM:tit1M/'.vf!n)
CITYOF TI GA 6a,D __ MECHANICAL PERMIT
DEVELOPMENT SERVICE'S PERMIT At: PvIEC2005-00774
44 1 13125 SW Hall Blvd.,Tigard,OR 97223 503-6394171 DAVE ISSUED:PARCEL.: 2SI 112005
11 DC-14000
SITE ADDRESS: 15785 SW OAK MEADOW L.N ZONING: R-7
SUBDIVISION: SIJMMERFIELD NO.11 LOT: 636 JURISDICTION: TIG
Project Description: Gas line to new water heater.
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS: —
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSC'RS HOODS:
FUEL TYPE: 0 - 3 HP: DOMES. INCIN:
NAT 3 - 15 HP: C 'MML. INCIN:
MAX INPUT: BTU 15-30 HP:
REPAIR UNITS:
FIRE DAMPERS?: 30-50 HP: WOODSTOVES:
GAS PRESSURE: 50+ HP: CLO DRYERS:
FURN< 100K�,rU: _ AIR HANDLING UNITS
FURN>=100K BTU: <= 10000 cfm: OTHER UNITS: 1
> GAS OUTLETS:
10000 cfm:
Owner: FEES
JOAN JACOBER Description Dais Amount
15758 SW OAKMEADOWS LN - -- ------
TIGARD,OR 9722.4 [MECt11 Permit Fee 11/22/20( $72.50
[TAXI 81310 State Surcha 11/22/20( $5.80
Phone: 503-643-761943-7619 —Total $78.30
Contractor:
BEAVERTON PLUMBING INC
13980 SW TV HWY
BEAVERTON,OR 97005 REQUIRED ITEMS AND REPORTS
Phone: 503-643-7619
Reg 0: LIC 12889
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This permit is issued ,uoject to the regulat.ons contained in the Tigard Municipal Code,Stetai of Ore. Specialty Codes and all other
applicable laws. tfl work will be done in accordance with approved plans. This permit will expire if work Is not started within 1 AO days of
m issuance,or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you:o follow rules adopted in the Oregon
0 Utility Notification Center. Those rules are set forth in OAR 552-001-0010 thrcugh OAR 952-001-0100. You may obtain copies of these
W rules or direct questions to OUNC by calling 503-246-6699 or 1-800-3:'2-2341.
Issued BV: J/� , �C�i" —�_ Permittee Sle;nature: _
Call 503-639.4175 by 7:00 a.m.for Inspet tions that business day.
This permit card shall be kept In a conspicuous place on 6 a job site until completion of the project.
Approved plans are mcluired on the job site at the time of each inspection.
Nov 21 05 03: 55p Beaverton Pltombine Ine3 5036437620 p. 2
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Mecnwiical Fexnit A►ppU cation
,�. r Dine received/ ^ 3 remit no.: ? (f 7Y
City o['x' �"^ 1 Project/rrppl no.: Expire dote:
(fel rfr771tari Address: 13125 SW !!}fid'i i j;%rd,OR 97223 —' —
Phone: (5(13)639-4171 Dale imuurl: By- Recd Ito.:
Pax-,(503)598-1960 IT ,w )�C15 Caw 111e no.: Puymenl tyMl-lxr
Land use approval: _ tklildin`permit no.:
2 family dwelling;or scc Ij Commercial/industrial ]Multi-family O Tenant improvement
U Now construction IQ,
Amitiontalteration/rcplamment 0 Other.
.lob address: S;1,0 C7q I —�—
r��y%,__ Indicate equipment Quantities in boxes below.Indicate the dollar
Bldg.no.: Suite no.: value of all trlcchanical materials,equipment,bihor,overhend,
Tax map/!ax lot/account no.: profit.value S �
Lot I Block- Subdivision: *See chocklint for ilnponnnl apph,-%tion information and
Pmjectlleme: Oapx,(p J:uisdiction's foe w;heduie for residential permit fee.
City/count: 2.1
De erlption and loc�of work on pSemlees: . A�ALS l
F 4�' IW(ars) 'tato)
Est.dol:ofcotnpletion/in„p.ection: 7DiPcrA^*aTenant improvement or change or use:Is existing space heated or conditioned?O Yes U No CFM _is existing space insulated)U Yes U No it co n ng(erte p ran r rc ) _ _._____
tcrol on of exesung HVAUmer.
Ausinens name: e f 1 - Stnte boilrr penult no:
HP Tans�.-9TWH
Addnas: �. -- -
Cimelte enpere uct o ort
Statc:p OP: eat rite plan ur
P_hvne: Fax: 8-moil: n ropwx a gnu r�. -
Incha!g ductworlr/vent limr Q Yes O No
:CB o' nate nT ece rr oelNC alar,
c ,rurrAren
City/mean tic no.; wall,or Quer muurtcd
Nano Iortre Int: yV. erit7or' Tie:iTri furn.oc
Iten Isom
Ab•r"Ion units _ _ 3T11/11
Nam: t_htllcre � � HP
Address: - Cmttpre,nore 1,111,
v ree mala n ex tart and VOINOUtIM
city_*-__ 3taEe' ZIP: A l�tce vein
Phone: Fax' C-mail' Urycr cxbnust _
YPeV 111m, a ezmst _
hexed fire,upprt ulon.4yMem
Name: Uhtaust fan with,ingic�riiverr(lath fans)
Mailing sdOmw EX111,11101,rstern apart r min or
CI! �—_ �T --- vreT in ea(up roTout eta t
_ Sfslc: zip: Type: LPG NO _�, (NI 1
Phone., Email: ueI PNNnX00 WJdaitonalover 4 maim
fl Freem rR +c t royw )
Nems: Number of n•,dcn
VOW 111sled app race wr t —
~ Addrt-rrs: lkmnfivc all lace
N Cit
State: ZIP; _ roar!-type
Phone: Fax: F-mail: n Pu M,govt
illillivillill-j A plicentb aifuatttre: �e hate -2 .
m Name(prinq: T kw,..
WNal.tt)w4d 01"eeeept eraA,ane.Merin an iurio;mInn la►mr"rn rnmrnWA. POhrllt fee.....................$
Uvia ❑
-� t'-Ielne�Cerd Not(ce: Thal Perimspplicpdtx± ......
cxpltm if■penes in not obtained Minimum ice................S
t;Mell taro nutnAtr: ._A ..—�L._ Man re;iew(at X) S
within 180 days Mer k hm been RUtte snag lutrse(A!y....S
® awe of taro I Wa wn�' rtcr:epred is complelc.
s TOTAL........................S
T CWtiwlaer pnlgt �_ mount
4"17(69WCOM)
CITY OF TIGARD
BUILDING DIVISION PERMIT#: MEC20155-00771
13125 SW Hall Blvd.,Tigard, OR 97223 DATE ISSUED: 11122170005
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 1112:112005 TIME 7 000 PAGE: 62
SITE ADDRESS: 15705 SW OAK MEADOW LN CLASS OF WORK:
SUBDIVISION: SLIMMERFIELD NO 11 LOT #: 636 TYPE OF USE:
PROJECT NAME: JACOEtER
DESCRIPTION: QWIM910 NW q*l11R,
OWNER. JACMIER, -vjAN PHONE #: 503.643-7619
CONTriACTJR: BEAVERTON PLUMBING INC PHONE N: 5036437619
Inspection Request Scheduled For: Date: 11123lWOM Pour Time:
Code # Inspection Description Confirm # Contact # Message
Clio Gey line 022339.01 603-643 7619 IV
Correct'ons/Comments/Instructions:
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PASSP RTIAL APPROVAL F-1CANCEL [e] NO ACCESS
VVV[] FAIL ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date:- dam' Phone #: (503) 718-
CITY OF TIGARD 1* •
BUILDING DIVISION PERMIT #: MUG2005.00774
13125 SW Hall Blvd.,Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639-3171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 17/1/204{' TIME: 7.OQAM PAGE: 73
SITE ADDRESS: 15785 SW OAK MEADOW LN CLASS OF'NORK:
SUBDIVISION: L3UMMERFIEL.D NO.111 LOT#: 636 TYPE OF USE:
PROJECT NAME: 'JAGOBER
DESCRIPTION: Gas line to nm mater healer.
OWNER: JACOBER, JOAN PHONE #: 503-643-7619
CONTRACTOR: DEAVER TON PLUMBING INC PHONE #: 503-643-7619
Inspection Request 'Scheduled For: Dste: 1W717.(10-) Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical find 023077-01 603643-7619 Y
Corrections/Comments/Instructions:
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ASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: --�� Date: IZ' 7 ®� Phone #: (503) 718-
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CITY OF TIGARD 0
BUILDING DIVISION PERMIT 4: Pt-M2(X)5.00645
13125 SW Hall Blvd.,Tigard, OR 97223 DATE ISSUED: 11/27/2005
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 1 TIME: TGOAM PAGE: 74
SITE ADDRESS: 15795 SW OAK MEADOW LN CLASS OF WORK:
SUBDIVISION: SUMMERFIELD NO 11 LOT M. 636 TYPE OF USE:
PROJECT NAME: JAC0191U,
DESCRIPTION: Rekwate rdor heater
OWNER: JACOBER, .LOAN PHONE M: 503.643-7619
CONTRACTOR: BEAVERTON PLUMBING INC PHONE #: 603-643.7619
Inspection Request Scheduled For: Date: 12/712(X)', Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 023070.01 503-643-7619 Y
Corrections/Comments/Instructions: 1�bL3
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PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑`FAIL C�OR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Insp9ctor: f' �__ �""�=? Date: i Y U � Phone #: (503) 718- _
CITY OF TIGARD
BUILDING DIVISION PERMIT#: PL.M2006r0064',
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/22/2005
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 11/23/205 TIME: T00AM PAGE: ',i
Nws+►ie- , .ft 1)el'9-6r—
SITE ADDRESS: 15785 SW OAK MEADOW LN CLASS OF WORK:
SUBDIVISION: SUMMkRFIELD NO.11 LOT#: 6360
TY. E OF USE:
PROJECT NAME: IAC,OBFY
DESCRIPTION: Relocate water heater.
OWNER: JACOBER, JOAN PHONE #: 503.6437619
CONTPACTOR: F -AVERION PLUMBING INC PHONE #: 5i]3-64376;9
._
Inspection Request Scheduled For: Date: 11/2;1/2005 Pour Time: WM
Code # Inspection Description Confirm # Cortact # Message
34 Plumbing rough-in 022342-01 ;036437619 Y M""
Corrections/Comments/Instructions: 'W4
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f(P\ASS PARTIAL APPROVAL [] CANCEL F] NO ACCESS
v❑ FAIL L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 05 Phone #: (503) 718-