Permit CITY OF TIGARD
PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2008 - 00015
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/16/2008
PARCEL: 2S104CA -11600
SITE ADDRESS: 13249 SW 136TH PL ZONING: R -7
SUBDIVISION: HILLSHIRE LOT: 116 JURISDICTION: TIG
PROJECT: BUEHNER
Project Description: Tankless water heater install.
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: R3 FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: 1 CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner:
FEES
GRETCHEN BUEHNER
13249 SW 136TH PL Description Date Amount
TIGARD, OR 97223 [PLUMB] Permit Fee 1/16/2008 $72.50
[TAX] 12% State Surch 1/16/2008 $8.70
Phone : 503- 684 -1031 Total $81.20
Contractor:
ROB'S SUPERIOR PLUMBING INC.
23701 SE ELM STREET
SCAPPOOSE, OR 97056 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503 -543 -8792
FAX 503 -NA
Reg #: LIC 163779
PLM PB5 -54
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable laws. 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
Utility Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0100. You may obtain copies of
these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: 41111/' l% _aj� 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.
•
Plumbing Permit Application <•
Building Fixtures ^r 'EWE/ FOR OFFICE USE ONLY
City of Tigard Received
14 Date/By: / f(' Alf 1 M 1 _ .eIl.
a 13125 SW Hall Blvd., Tigard, OR 972 AN
1 6
2008 • * 4
/�� ®� Plan Revie
• : Phone: 503.639.4171 Fax: 503.59 V®� T11�1t'4iD Date/By. Other Pennit No :
TIGARD Inspection Line: 503.639.4175 BUILDINODIV,SIO N Date Ready/13y: lures ® See Page 2 for
Internet: www.tigard- or.gov Notified/Method. / Supplemental Information
TYPE OF WORK FEE* SCHEDULE
El New construction ❑Demolition For special information use checklist
Description I Qty. Ea. Total
y] Addition/alteration/replacement El Other: New 1 - 2 - family dwellings (includes 100 ft. for each utility connection)
/ CATEGORY OF CONSTRUCTION SFR (1) bath 249.20
p l- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00
❑ Accessory building ❑ Multi-family SFR (3) bath 399.00
❑ Master builder ❑ Other: Each additional bath/kitchen 45.00
Fire sprinkler ( sq. ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities
Job site address: ' ;`2 et 5(4.) 1 1 l� /Q/, Catch basin or area drain 16.60
City /State /ZIP: ---"' i cA,l) ( � V�� /) ^`n c l ^ 2 g l Drywell, leach line, or trench drain 16.60
+ a 1J � ` Footing drain (no. linear ft.: ) Page 2
Suite/bldg. /apt. no.: Project name: �1roangorivx 21 l:e attg
street/directions to job site: nn Manufactured home utilities 110.00
Cross street/directions "C 5 � i` d - � U " . i Manholes 16.60
y Rain drain connector 16.60
Sanitary sewer (no. linear ft.: ) Page 2
Storm sewer (no. linear ft.: ) Page 2
Subdivision: Lot no.:
Water service (no. linear ft.: ) Page 2
Fixture or item
Tax map /parcel no.:
Absorption valve 16.60
DESCRIPTION OF WORK Backflow preventer Page 2
.1_45 - / 1 9 k ) J f S Backwater valve 16.60
WA 4--e vv /IA i ( 4 t � �, e'A Clothes washer 16.60
Dishwasher 16.60
(PROPERTY OWNER I ❑ TENANT Drinking fountain 16.60
Ejectors /sump 16.60
Name: ( Mid* G R--e4-(3. - 1 - AAA A ( o` j4 ns Expansion tank 16.60
Address: 1�4 Q-1 (_A,_ J 13 C U)( Fixture /sewer cap 16.60
Cit /State /ZIP: ` G S ,A `/t . C L2 3 Floor drain/floor sink/hub 16.60
Phone: (Sp ) b 53 C lei 1 I Fax: ( ) Garbage disposal 16.60
APPLICANT Hose bib 16.60
❑ ❑ CONTACT PERSON
Ice maker 16.60
Business name: �b lS C J 0 f c ((4,_ Pic) L � _L tL( Interceptor /grease trap 16.60
Contact name: v� /PA TiVfJ
u � ` S (� Medical gas (value: $ ) Page 2
Address: 3 J7e9I S t £ ( s Primer 16.60
City /State /ZIP: s - n /� abc,e_ �� c' - p Roof drain (commercial) 16.60
� r Sink/basin/lavatory 16.60
Phone: ('b3) Sy 3 . F 1 S 2 Fax:: ( )
J Tub /shower /shower pan 16.60
E -mail:
Urinal 16.60
CONTRACTOR Water closet 16.60
Business name:nL IS S t W h 16.60
� of � 9.4, iv �(c��.�,�I� �'v Water eater �'
Address: �� S e I t, 5 L Other:
City /State /ZIP: snC b Ct' �nr^'9_ Subtotal
' `y` _ 1N� 4 t IN Minimum permit fee: $72.50
Phone: (� 9 ) S e , ! y ' � - S Z Fax: ( ) Residential backflow minimum permit fee: $36.25 AA
5 , 31.)
CCB Lic.: I r „ 1 3 ' ) 5 Plumbing Lic. no.: rp 6 6-C1 Plan review (25% of permit fee)
1 State surcharge (12% of permit fee) 10
Authorized signature:
Oh PP 0 Wt�■- TOTAL PERMIT FEE r/ , /g...
Print name: A 7 �4j F-- � kr ep-scA e Date: i -^ (( --08 This permit application expires if a permit is not obtained within
180 days after it has been accepted as complete.
*Fee methodology set by Tri -County Building Industry Service Board.
I:\ Building \Permits\PLMF- Permi1App.doc 12/27/06 440- 4616T(70 /02 /COM/WEB)
•
Plumbing Permit Application - City of Tigard •
Page 2 - Supplemental Information
Fee Schedule: Residential' Fire Suppression Systems:
Site Utilities Qty. Fee (ea) Total Square Footage: Permit Fee:
Footing drain - 1s 100' 55.00 0 to.2,000 $115.00
Footing drain - each additional 100' 46.40 2,001 to 3,600 $160.00
3,601 to 7,200 $220.00
Sewer - 1st 100' 55.00 7,201 and greater $309.00
Sewer - each additional 100' 46.40
Water Service - 1st 100' 55.00 Medical Gas Systems:
Water Service - each additional 100' 46.40
Valuation: Permit Fee:
Storm & Rain Drain - 1st 100' 55.00 $1.00 to $5,000.00 Minimum fee $72.50
Storm & Rain Drain - each additional 100' 46.40 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each
Fixture or Item Qty. Fee (ea) Total additional $100.00 or fraction thereof, to and
including $10,000.00.
Commercial Back Flow Prevention Device 46.40 $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for
Residential Backflow Prevention Device each additional $100.00 or fraction thereof, to
(minimum permit fee $36.25) 27.55 and including $25,000.00.
Rain Drain, single family dwelling 65.25 $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for
Inspection of existing plumbing or each additional $100.00 or fraction thereof, to
specially requested inspections - per hour 72.50 and including $50,000.00.
$50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for
Subtotal: each additional $100.00 or fraction thereof.
Fixture Work: Plan Review for Plumbing Installations
Are you capping, adding or replacing fixtures? If "yes ", Plan review is required for any of the following.
please indicate work performed by fixture. Failure to Please check all that apply.
accurately report fixtures could result in increased sewer fees * . ❑ Any new commercial building with water service 2" and
Quantity by (Fixture) Work Performed greater, except systems designed and stamped by licensed
Fixture Type: Replace engineer.
Previous Capped Added Existing ❑ New exterior plumbing site utilities for any complex structure
Baptistry/Font as defined in OAR918- 780 -0040.
Bath - Tub /Shower ❑ Medical gas and vacuum systems for health care facilities.
- Jacuzzi/Whirlpool ❑ Any multipurpose fire sprinkler system.
Car Wash -Each Stall ❑ Any complex structure as defined in OAR918- 780 -0040.
-Drive Thru
Cuspidor/Water Aspirator Submit 2 sets of plans with any of the above.
Dishwasher - Commercial
-Domestic Diagram
Isometric or Riser Dia
Drinking Fountain g,
Eye Wash ❑ Isometric or riser diagram is required for new buildings
Floor Drain/sink - 2" that meet the qualifications above.
-3"
- 4"
Car Wash Drain
Garbage - Domestic Comments regarding fixture work:
Disposal - Commercial
- Industrial
Ice Mach./Refrig. Drains
Oil Separator (Gas Station)
Rec. Vehicle Dump Station
Shower -Gang
-Stall
Sink - Bar/Lavatory •
- Bradley *Note: If the fixture work under this permit results in an
- Commercial increase of sewer EDUs, a sewer permit will be issued and
- Service fees assessed for the sewer increase must be paid before the
Swimming Pool Filter plumbing permit can be issued.
Washer - Clothes
Water Extractor
Water Closet - Toilet
Urinal
Other Fixtures:
\Building\Permns\PLM- PermitApp.doc 12/27/06
CITY OF TIGARD . � ..
BUILDING DIVISION PERMIT #: Pl..lvl7Q0I3 -00016
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1116/200t3
Phone: (503) 639- 4171VIN (I iIl#
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 1/17/2008 TIME: 7: 10AM PAGE: 39
SITE ADDRESS: •i3249 SW 136TH P( - CLASS OF WORK:
SUBDIVISION: HII..I - lIRE LOT #: 116 TYPE OF USE:
PROJECT NAME: BLIEHNER
DESCRIPTION: Tani.ess water heater install.
OWNER: BUEHNER, GRE PHONE #: 503 -684 -1031
CONTRACTOR: ROB'S SUPERIOR PLUMBING INC. PHONE #: 503.543 -8702
Inspection Request Scheduled For: Date: 1/17/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 063416.01 603 -684 -'1031 Y
Corrections /Comments/ Instructions:
Ca t r e... f-1..�(A. 91/„..)
021 PASS E PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Q-0 A Date: t ` I) j O ) Phone #: (503) 718 -
r,
CITY OF TIGARD
•
BUILDING DIVISION PERMIT #: PLM2000.- 00015
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2./7/2008
Phone: (503) 639 - 4171 r u
Inspection Requests (24 Hrs.): (503) 639 -4175 .. "I II
INSPECTION WORKSHEET FOR DATE: 3/10/2008 TIME: 7:OOAM PAGE: 27
SITE ADDRESS: 08950 SW PINEBROOK CT CLASS OF WORK:
SUBDIVISION: PINEBROOK LOT #: 035 TYPE OF USE:
PROJECT NAME: HALL
DESCRIPTION: installing new water lines to lavatories, water closet and tub
OWNER: FIALL, ROBERT & LINDA PHONE #: 5037886947
CONTRACTOR: JACK CORMAN PLUMBING INC PHONE #: 503-180-6947
Inspection Request Scheduled For: Date: 3/10/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 066394 -01 503- 788-6947 N
Corrections /Comments/ Instructions:
Cou 1 -4-Aikti
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL NO ACCESS
FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ►l4hA -A Date: 31 1 OZ Phone #: (503) 718-
CITY �*N~��� ���� �����������
��m mu�������� ~' /� _
BUILDING DIVISION PERMIT #: p1'm2on&OoN5
• 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 "� Ott
��
INSPECTION WORKSHEET FOR DATE: 2111/2008 TIME: 7:01AM PAGE: '19
SITE ADDRESS: 08950SwP1NEDR(>0KCl CLASS OF WORK:
SUBDIVISION: p|NEGR00KTERRACE LOT #: 035 TYPE OF USE:
PROJECT NAME: HALL
DESCRIPTION: iorlal|ing nevwute/ lines lo |avatwhex, vtol or closet and tub
OWNER: HALL, ROBERT & LINDA PHONE #: r
CONTRACTOR: JACK CQRhd&M PLUMBING INC PHONE #: 503'180-6W
Inspection Request Scheduled For: Date: 2/11/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Pkurnhingrough'\// 004008'01 503'788-6947 N
Corrections/Comments/Instructions:
-��~ \ � /\ - 7 _� .
� � r � �- • ��u�� U�����^� �� � ��� �.�' 1=��e/
=° / � ' ~ ~ — . ~ -- _
e lyi,,, \ ` | J 12,0" � e-50-e-t= e ; 0-0-c- ( 8,~- /r- L,e-'\.
��
|�R�S � PARTIAL � CANCEL 1 NO ACCESS
=_^ � � -_
| | FAIL CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: 0 '\-' °_ A Date: 71 | t107) Phone #: (503) 718-