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Permit o CITY OF TIC ARD PLUMBING PERMIT a COMMUNITY DEVELOPMENT Permit#: PLM2010-00056 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 02/23/2010 Parcel: 2S114BC04900 Jurisdiction: Tigard Site address: 10395 SW BONANZA WAY Subdivision: RIVERVIEW ESTATES NO. 2 Lot: 86 Project: Thomas Project Description: Add new washer box. Owner: FEES THOMAS, JOHSUA W & LAUREN M Quantity Description Date Amount 10395 SW BONANZA WAY TIGARD, OR 97224 1 ea Clothes Washer 02/23/2010 $25.02 PHONE: 1 12% State Surcharge - 02/23/2010 $8.70 Plumbing 47 ea Minimum Fee Adjustment - 02/23/2010 $47.48 Contractor: Plumbing ROYAL FLUSH PLUMBING PO BOX 507 BEAVERCREEK, OR 97004 PHONE: 503-657-3919 FAX: 503-657-3940 Type of Use: SF 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: acL Permittee Signature: Q kv-~ ga 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. - . CITY OF TIGARD PLUMBING PERMIT I: COMMUNITY DEVELOPMENT Permit#: PLM2010-00056 • . 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date issued: 02/23/2010 Parcel: 2S114BC03800 Jurisdiction: Tigard Site address: 10372 SW BONANZA WAY Subdivision: RIVERVIEW ESTATES NO. 2 Lot: 75 Project: Thomas Project Description: 2/26/2010: Reprinted permit with correct address. DLH Owner: FEES THOMAS, JOHSUA W & LAUREN M Quantity Description Date Amount 10395 SW BONANZA WAY TIGARD, OR 97224 1 ea Clothes Washer 02/23/2010 $25.02 PHONE: 1 12% State Surcharge - 02/23/2010 $8.70 Plumbing 47 ea Minimum Fee Adjustment - 02/2312010 $47.48 Plumbing Contractor: ROYAL FLUSH PLUMBING PO BOX 507 BEAVERCREEK, OR 97004 PHONE: 503-657-3919 FAX: 503-657-3940 Type of Use: SF 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. 02/23/2010 12:41 5036573940 ROYAL FLUSH PLUMBING PAGE 01/02 1 Plu'I bin Permit A licatia 7e ~u" ding Fixtures City of Tigard Received a?J Penuit No„ 13125 SW Hall Blvd., Tigard, OR 97223 FEB 2 3 2010 1)2telBy: Plan Review $ 1. Phone: 503,639.4171 Fax: 503.598,1960 Eat~l3y: Other Permit No.: Inspection Line: 503,639,4175 CI~ QF ! IGARD DateReady/By: roils 0 SeePage 2for LkT I-entail information s Internet; ++ww.tigmd or.gov NotifteaMethod: TYPE OF WO r " I i : , ~ l v > . FEB* SCII)EDULE Ne coustructien ❑ Demolition For qwdd otrtmt5ort use cherkfist Deseti 'on l a. Total oelalterationheplammont ❑ Other New 1- 2-family dwaiu (includes i00 ft, for each utility connection CATEGORY O1F' CONSTRUCTION SFR (1) bath 312.70 ® 1- d 2-family divelling ❑ Commercial/industrial SFR (2) bath 437.78 SFR (3) bath 500.32 Ac ssory building ❑ Multi-family Each additional batft/ltitchem 25.02 M builder ❑ Other: Fire sprinkler f sq. R.) J Page 2 JOB SITE INFORMATION AND LO( ATJON Site utilities: Job site addrms5:10395 SW Bonanza Way Cau h basin or area drain - 18.76 Drywcll, leach line, or trench drain 18.76 city/St rte/ZIP: Tigard, OR 97224 ~ - Footing drain (no. linear ft.: Page 2 Sujtet~ dg,/apt, no.: Project omme: Manufactured home utilities 50.03 Cress directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer (no. linear ft.: Page 2 Storm sewer (no, linear ft.: _ j Page 2 water service (no, luaem- 8.: Page 2 Subdi Sim: Lot no_, Fixture or item:....__ Tax En /parcel no.: 8a*fluw preventer 31.27 - " Backwa/ervaive 12.51 DESCIttrII'ION OF .WOR>C Clothes washer 1 25.02 25,02 add n auto washer box Dishwasher - 25.02 Drinking fountain 25.02 r Ejectors/surnp 25.02 Q PROPEIRT 1( OWNER UNANT _ 1 7,Vansion tank 12.51 NatUe Fixture/sewer cap 25.02 - Floor 4rain/floor skit/hub 25.02 Address: w_ - Garbage disposal 25.02 CitylS elZIP: Hose bib 25.02 Phone! ( ) Fax: ( ) Ice maker w~ 12.51 p APPLICANT - - © CONTACT PiE RSO Interceptor/grease trap 25.02 Medical gas (value: $ ) Page 2 Busimd s naive: t Primer 12.51 Conte forme: Roof drain (commcrcittl) 12.51 Ad": Sink/basinllwntory 25.02 City/s LWZIP: Solar units (potable water) 62.54 Fax: ; ) Tub/sftower/shower pan 12.51 Pllaae:~ ( ) F.-mail Urinal 25.02 ----w-~ Water closet 25.02 CONTRACTOR Water hector 37.52 - Busizt s name: Royal Flash Plumbing Water pipineDVN 56.29 Addrei s: P.O. Dos 507 - Other: 25.02 City!, ate/Z1P: Beaverereek, OR 97004 - Subtotal Phone (503) 657-3919 Fax: (503) 657-3940 Minimum permit fee: $72.50 - Plan review (25% ofpermit fee) CCB 'c.:181482 So/to _ Pltnnbing Lic, no.: 3-423PB -7 111( I State surcharge (12% of permit fee) Auth 'zed siapature: ~J TOTAL. PERMIT FEE lp_~T~p I- 1 'Ellis pemit appYkadon expires if a pern►it is not obtained within ISO AZys Pttint e: Teddy Reynolds Date 2!23/1010 after it has been accepted as complete. ^Fee methodology set by Tri-Cowlty Building Gidusay Service Bom' is uildia~ew«mKS~r~.tNll-JPermiwaP.a~e lototro9 440-46161(IMVCON/WES) St, 20 j c~ Li e