Permit CITY OF TIGARD PLUMBING PERMIT
1
7 .'p COMMUNITY DEVELOPMENT Permit#: PLM2020-00445
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 1 1/1 912 020
Parcel: 2S104AC07800
Jurisdiction: Tigard
Site address: 12734 SW MORNING HILL CT
Project: Hedgecock Subdivision: MORNING HILL NO.9 Lot: 221
Project Description: Relocate sink valves and drain to another wall.
Contractor: OWNER Owner: HEDGECOCK, PETER&CYNTHIA
12734 SW MORNING HILL CT
TIGARD, OR 97223
PHONE: PHONE:
FAX:
FEES
Quantity Description Date Amount
1 ea Sink 11/05/2020 $25.02
Specifics: 1 12%State Surcharge- 11/05/2020 $8.70
Plumbing
47 ea Minimum Fee Adjustment- 11/05/2020 $47.48
Type of Use: SF Plumbing
Class of Work: ALT
Type of Const:
Occupancy Grp:
Stories:
Total $81.20
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. 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 the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: t _°4 ClI C,CL Permittee Signature:O. 0n air(
�� (�j Call 503.639.4175 by 7:00 a.m.for the next available inspection date�L,�1J 6
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.
Plumbing Permit Application
5-id aa/a•
Building Fixtures RECEIVE I FOR OFFICE USE oNix
City of Tigard Received
at 13125 SW Hall Bivd.,Tigard,OR 97223 OCT 22 2020 Dat�By 'f/� 20 �V Pemtit NoPLM�^7ss_Jit`s
iI: Phone: 503.718.2439 Fax: 503.598.1960 1PlanReviaw LV_ V
Date/B Other Permit No.:
TIGARtJ Inspection Line 503.639.4175 �-s "(-4 F'p /�['7('� Y'
lnDnet ww'ry uga-d-or.gov t ! t.-7 yt'�I q���dy"1I`"'ift'.�/Date Ready/By •,. / . t s,7J w®. 0See Page 2 for
..:�Net
- 04, , -s rt tfied hod �cJ�
Sutmlemen[il tnfanralcun
T'YYE OF Wt7RA ..�:
❑New constriction ❑Demolition _ For special information use checklist.
---- Description I Qty. I Ea. I Total
Addition,altetatiomceplacemcnt ❑Other: New 1-2-family dwellings(includes 1008.for each utility connection)
_. _ :CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
I-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78
❑Accessory building 0 Multi-family SFR(3)bath 500.32
_.. _._ Each additional bath/kitchen 25.02
❑Master builder 0 Other
Fire sprinkler( sq.ft.) Page 2
JOB SITE R FOR%LtTION AND LOCATION Site utilities:
Job site address: i�7 3 y /w •( Catch basin or area drain 18.76
City/State/ZIP er: OPG1 ilk
Q • Drywall,leach ling or trench drain I8.76
Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: Project name: /( ,�,_ !_ /I
F't'�r`eV}(I'C tG tkialM . Manufactured home utilities 50.03
Cross street/direolions to job site' Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.:_) Page 2
Storm sewer(no.linear ft.: ) Page 2
Water service(no.linear ft.:_) I Page 2
Subdivision: i Lot no.: Fixture or item:
Tex map/parcel no.: Backtlow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Ni�t �) /� �/ Clothes washer 25.02
01.i 6:+IK Vajtx5 Li wr^ etrs7,¢ .'rr Cr.nn ,
.--.-Y.-.r^ Dishwasher 23,02
v*elle Drinking fountain 25.02
Ejectors/sump 25.02
WPROPERTY OWNER E] TENANT Expansion tank 12.51
Name: Pt/,f r� ( Fixture/sewer cap 25.02
tX [ Floor dmin/ft -
oor sink/hub 25,Q2
Address: 1 Z� 5w ,utpren f f•j( f,{_
Garbage disposal 25.02
City/State/ZIP: T car OK A 2 l Hose bib
25.02
Phone:(' )3 ) rl G , c(C) Fax:( ) lee maker 12.51
APPLICANT 0 CONELG'1"-$;`RSO Interceptor/grease trap 25.02
Business name: �t Sc Ifr � Medical gas(value:S ) Page 2
Contact name: Jy ( �_J COIL - Primer 12.51
fCfE/ '�QYE(_ Roof drain(commercial) 12.51
Address: � //
!}/3Y stv l�tYIA/rae` (f,'(t ?- Sink/basin/lavatory 25.02 a,r1)01,.
City/State/ZIP: t
er. air/) CA q 3- 5 Solar units(potable water) 62.54
Phone:( ) 514,11f -q 0,51 Fax::( ) Tub/shower/shower pan 12.51
E-mail: J{,f�f / �t Urinal
cr ✓(vace,i rvttrlrfv 25.02
CO ACTOR _ Water closet 25.02
.,a , i.* Waver heater
Business name: 37.52
_.._ Water piping/DWV 56.29
Address: Other:
25.02
City/State/ZIP: CIA) Subtotal i',.0+�' x
Phone:( ) � •Fax:( ) Minimum permit fee: $72.50. .Zr5O
CCB Lie.: Plumbing Lic.no.: Plan review (25%of permit fee) +
State surcharge(12%of permit fee)
Authorized signature: TOTAL PERMIT FEE
41
Print name: Date: j �pt Tins Permit application expires if•permit Is not obtained»74 t rday
( "'"' j'f'6 rot*
"lf lift.' Iran been accepted zs complete. /
*Fee methodology set by Tri-Cuunry Building Industry Service B art.,tj��/T/
1.1BuidisglPemms/PLMtt-Permii App.dac ID/e1 N9 4404616T(10/02/COid/Waa) f�sV