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Permit f _ _ 1 CITY OF TIGARD PLUMBING PERMIT ij~ COMMUNITY DEVELOPMENT Permit#: PLM2010-00034 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 01/27/2010 Parcel: 1 S 136AD04000 Jurisdiction: Tigard Site address: 11505 SW PACIFIC HWY.D Subdivision: Lot: 0 Project: Holistic Pet Project Description: Relocate sink for dog washing sink. Owner: FEES NORRIS STEVENS Quantity Description Date Amount 621 SW MORRISON #800 1 ea Sink 01/27/2010 $25.02 PORLTANDPHONE: 5, , OR OR 3171 1 12%u State Surcharge - 01/27/2010 $8.70 Plumbing 47 ea Minimum Fee Adjustment - 01/27/2010 $47.48 Contractor: Plumbing CASCADE PLUMBING CO 2630 N HAYDEN ISLAND DR #3 PORTLAND, OR 97217 PHONE: 503-289-7095 FAX: 503-283-9514 Type of Use: COM 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 952-001-0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By: Permittee Signature: 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. r Plumbing Permit AnnlicatioaRECEIVED Building Fixtures JAN 2 6 2010 City of Tigard Received 7N-:mnu~tNo: e rn20 6 ~e>e : 13125 SW Hall Blvd„ Tigard, OR 972 i ITY pF TIGARD Plan Phone: 503.639.4171 Fax: 503.59 ~ggg~ o.~~ Ins ectionLine' 503.639.4175 L1iR,1sINGDIVISION Date/B P Date, Ready/By: 9 See Page 2 for Internet: www.tigard-or.gov Notified/Method: C Supplemental laformAtlen New construction ❑ Demolition For s pedal i ormarloa use checklist; Description Qty- I Ea. Total ition/alteration/replacemcnt © Other: New 1- 2-family dwellings (includes 100 ft, for each utility connection) CATE Q x t7k GON37~;UCI IQN,: Sm (1) bath 312.70 El 1- and 2-fanuly dwelling Q2Dmerial/indusvial SFI, (2) bath 437.78 sl;R (3) bath 500.32 © Accessory building ❑ Multi-family Each additional badukitchen 25.02 ❑ Master builder © Qther: Fire sprinkler sq, ft.) Page 2 1QB„ $ITE .INFORMATI' AND ',LO'CA110N Site utilities: Z1 - 4 R .f, C)R Catch basin or area drain 18.76 Drywell, leach line, or trench drain 18.76 A Li S~L17 G LO Footing drain (no. linear ft.; Page 2 Suite/bldg./apt, no.:: Project name: Manufactured home utilities 50.03 Cross street/directions 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 scrvicc (no. linear ft.: ~ Page 2 Subdivision: Lot Fixture or item: Tax trap/parcel no.: Backflow preventer 31.27 DESCRwn Baclw c, valve 12.51 v,'~' ~ Lkf\ ~ Clothes washer 25.02 yl~ M II-- Dishwasher 25,02 tL t Drinking fountain 25.02 J~ectors/sump 25.02 f] pTtdp]El21GX gWNER i :.-TENAhrr Expansion tank 12.51 Name: Fixtum/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: Qarbnge disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone; ( ) Fax: ( ) Ice maker 12.51 Interceptor/grease tr25.02 CI: APP>4i~'AN'i ❑ C01~I1AC'I PERSON.: air Business Home: Medical gas (value: $ ) Page 2 Primer 12.51 Contact name: Roof drain (commercial) 12,51 Address: SWA- asim/lavatory 25.02 City/Statc/ZIP: Solar units (potable water) 62.54 Phone: ( ) Fax:: ( ) Tub/shower/shower pan 12.51 E-mail; Urinal 25.02 Water C1050 25- '.CONTRA Water heater 37.52 Business name: Water p-V 56.29 1Pi~1DW Address: Other: 25.02 City/State/ZIP a `7 Subtotal Phone: (jo-3 1) 76 5 Fax: 6d ~y) v Minimum permit fee: $72.50 .5t7 CCB Lic.: Plumbing Lic. no.: 2A Plan review (25% of permit fee) State surcharge (12%ofperrnit fee) H Authorized Signature; TOTAL PERMIT FEE b Pont name: jr SDate-- This permit application expires if a permit is not obtained within 180 days after it bas been accepted as complete. "Foe methodology set by Tri-County Building Industry Serviaa Board, r:'nu iusr n8rcrmliArfr,/lvta-rte, v,doo tout 44046t6~•r(' (VnC~oarnvm) CO/TO 30bd Cl( ,_)G3 d~T C r ~JoYZQ3 bi58E8ZE05 6T :ET ei0zi9ziie 01