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IN CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2021-00330
T I(;A.11.f) 13125 SW Hat Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 8/5/2021
Parcel: 2S111 DC01200
Jurisdiction: Tigard
Site address: 15880 SW ALDERBROOK CIR
Project: Bowen Subdivision: SUMMERFIELD NO.8 Lot: 459
Project Description: Repair 6'bellied section of sanitary sewer line.
Contractor: MCBEE EXCAVATING INC Owner: BOWEN FAMILY TRUST
11428 NE SCHUYLER BY BOWEN, DON L&
PORTLAND, OR 97220 BOWEN, CATHERINE A TRS
15880 SW ALDERBROOK CIR
PORTLAND, OR 97224
PHONE: 939-5246 PHONE:
FAX:
FEES
Quantity Description Date Amount
6 If Sanitary Sewer 08/04/2021 $62.54
Specifics: 1 12%State Surcharge- 08/04/2021 $8.70
Plumbing
Type of Use: SF 10 ea Minimum Fee Adjustment- 08/04/2021 $9.96
Class of Work: ALT Plumbing
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
Issued By: Permittee Signature:
vcwv De/Weg-e OwApplzaacn
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
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.
13 Jul 2021 4:10pm steve mcbee 503-855-4953 p.1
Plumbing Permit Applicati CEIVE
D
Site Utilities JUL 2 8 2U21. FoR (ilult h: use ONI.YY
City of Tigard ;ITY OF TIGARD Received
Ill 11111 13125 SW Hall Blvd.,T(gazd,O ��Op�F Date,'B 8,3/�/ Permit Noe L,11 ZOO_00330
G
II Phone: 503.718.2439 Fax: 50Y.�601 DIVISION Plan Review Other Permit No.:
DataEy:
I i u A h)) Inspection Line: 503.639.4175 Date Read/B y/f/ nv �
Internet: www.ti and-or, oY y y' .CY RI See Panel for
g 8 Norio d/Mctho Supplemental information
TYPE OF WORK.- C.- G ,1-is FEE* SCHEDULE
❑New construction ❑Demolition For special information use checklist
Description I Qty. I Ea. 1 Total
pli Addition/altcration/rcplaccmcnt ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
• CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
fer 1-and 2-family dwellingSFR(2)bath 437.78
0 Commercial/industrial
SFR(3)bath 500.32
❑Accessory building El Multi-family
Each additional bath/kitchen 25.02
❑Master builder : ❑Other: Fire sprinkler( sq.ft.) Page 2
_ JOB $ITE INFORMATION AND LOCATION Site utilities:
Job site address: ]5 f) ...940 ckik % c+4.. Catch basin or area drain 18.76
e.-/C]�7v �+a`•• Drywell.leach line,or trench drain 18.76
City/State/ZIP:
Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: I Project name: f A-S'1 E S Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
• Rain drain connector 18.76
Sanitary sewer(no.linear it.:fr, ) Page 2 670 osy
Storm sewer(no.linear ft.: ) Page 2
Water service(no.linear ft.: ) Page 2
Subdivision: I Lot no.: Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
1 DESCRI ION OF WORK
Backwater valve 12.51
t� i Clothes washer 25.02
■ •� �� 1��14 S �`�1vfy �'! i' �!i►j�;rQr Dishwasher 25.02
1 j 44t Drinking fountain 25.02
Ejectorsisump 25.02
0 PROPERTY OWNER I ❑ TENANT Expansion tank 12.51
Name: • Fixture/sewer cap 25.02
Floor drain/floor sink/hub . 25.02
Address:
Garbage disposal 25.02
City/State/ZIP: Hose bib 25.02
Phone:( ) Fax:( ) Ice maker 12.51
❑ APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02
Business name: Medical gas(value:$ ) Page 2
Primer 12.51
Contact name: C44 12-,( S
Roof drain(commercial) 12.51
Address: Sink/basin/lavatory 1 25.02
City/State/"ZIP: Solar units(potable water) 62.54
Phone:( ) • Fax::( ) Tub/shower/shower pan 12.51
Urinal 25.02
E-mail:
+a d ( ✓I.C e) C.tt,.S Ada..ct,c e e,s . CA ►y1 water closet 25.02
. CONTRACTOR
t Water heater 37.52
Business name:i , (Igte.., %b 1mq 4..YC }�Q Water piping/DWV 56.29
Address:pf1 30,Lt \`i ._� ` Oilier: 25.02
City/State/ZIP: C �C3111.1
t 29,` Subtotal
•Phone:403 g 3q e. f 2 j,,(LC Fax: S.xsi...I9 2O Minimum permit fee: $72.50 72 5-0
Li
V Plan review (25%of permit fee)
CCB Lie.: " O ? % Plumbing Lic,no.: State surcharge(12%of permit fee) fl 70
Authorized signature:
le TOTAL PERMIT FEE 11 t 46)
Print name: Y !V L� c C Date:h.. 3„z� This permit application expires lie permit is nut obtained Within 18U days
J 1� after it has been accepted as complete.
*Fcc methodology set by Tri-County Building Industry Service Board.
I:\F1uilding\Pernuts1PLMU-P ttApp.doc 10/01/09 440-4616T(I0/ry11CUMt/wEB)
Tina Escalera
From: McBee, Inc./Chris Rugloski <tedmcbeeinc@cascadeaccess.com>
Sent: Wednesday,July 28, 2021 9:16 AM
To: #Building Permit Technicians
Cc: Stephen McBee
Subject: 15880 SW Alderbrook Cir/sewer repair permit application
Attachments: FAX_20210713_1626218201_180.prod.afcl_did4-1626218140-15032513920-180.pdf
Categories: Tina
Warning!This message was sent from outside your organization and we are unable to verify the sender.
(1) SEWER REPAIR PERMIT APPLICATION ATTACHED / 15880 SW ALDERBROOK CIR
NOTE: We are a licensed sewer contractor although we do not have a plumbing license number
that we can provide. Please contact Steve McBe direct with any questions or concerns at 503-
939-5246. Thank you.
CR
Chris Rugloski 503-544-7131
Administration / Video Inspections
Ted McBee Boring & Excavating, Inc.
tedmcbeeinc@cascadeaccess.com
Steve McBee 503-939-5246 Operations / Estimates
24hr 503-251-0505
fax 503-251-3920
All Referral Video Sewer Inspections
*PLEASE NOTE: WE NEVER ATTACH ZIP FILES TO OUR EMAILS - IF YOU RECEIVE AN EMAIL IN OUR
NAME WITH A ZIP FILE ATTACHED PLEASE DELETE AS IT IS NOT FROM US
Useful Resources:
Oregon Workers' Compensation Division 503-947-7814
http://www.cbs.state.or.us/external/wcd/index.html
Oregon Construction Contractors Board 503-378-4621
http://www.ccb.state.or.us/
Our company is "A" rated on Angies List
www.angieslist.com
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