Permit ‘ 010.
CITY OF TIGAR® PLUMBING PERMIT
ii,':::
-a COMMUNITY DEVELOPMENT Permit #: PLM2009 -00354
:T .I GARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 12/17/2009
Parcel: 2S111CB01707
Jurisdiction: Tigard
Site address: 10290 SW HOODVIEW DR
Subdivision: HOOD VIEW Lot: 6
Project: Taennler
Project Description: Connect existing house to sewer service. Reimbursement fee paid on 12/17/09.
Owner: FEES
TAENNLER, ALFRED Quantity Description Date Amount
10290 SW HOODVIEW DR
TIGARD, OR 97224 100 If Sewer Service 12/17/2009 $62.54
1 12% State Surcharge - 12/17/2009 $8.70
PHONE: 503 - 639 -6633 Plumbing
10 ea Minimum Fee Adjustment - 12/17/2009 $9.96
Contractor: Plumbing
CANBY EXCAVATING
PO BOX 848
CANBY, OR 97013
PHONE: 503 - 572 -0515
FAX: 503- 266 -2791
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 dire :. - . : •UNC b calling 503.246.6699 or 1.800.332.2344.
Is ed By: 0 / C Permittee Signature: l
CaII 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.
._- ,L6-17-2009 THU 01:29 PM FAX NO P. 02
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plurtik Permit A licatio' n
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Building Fixtures . ,.1--,, , ,,- ''..„„-..; : ...- 1 .,. : '.t , ..ic...1'..„ ,
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rernit No.! (. 47,b29_„..e . 0 _f
City of Tigard OnletAy; .12".a ,i......,,,_
iii 13125 SW Hall Blvd,, Tird. OR 97223 pi,. RAVillAV --
.4 i none, 503.619.4171 F: 503.59k1960 pareiny- Iatkcr Fcrmit No.:Str.4.4. Avoci-ve0 7
____ . ..........
, ,., Ingpecrion Joe;
0.639.4 175 Lboe Rezdyffly: lurin 0 s..0 Vvee 1 for
k4;;;;24.4aii !lite r ncl, ■vWW.iityrd .or, go v Mit; Redimdloci: Nupplonentni Inform wino
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... .. PEP 4 1titETs„ M.' •• .' ' . "!..': ' ' ' ' ' . ; -
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For_ps cad in orrnation Ku checklist _
0 Now col I E] D emolition
_
Deseriflon .._ ..,__ . Ea. lolitl
LI Arlilrlic,n/ItItctation/raplaccrnont 1
13 . Nov 1, 2-11, tIvalling9(ineudes 100 ft. for each utility cormection)_
... , ..... , , . • .', tAfTEGORY, OV'efitiST.RtitION' : • - " Sr-It (1) bath 312.70
SFR (2) bath 437,78
0 1- nnd 2•family elwellin(Y, 0 Commercial/in&rArial ' - - . -
_„,„,, _ _____
- - -- SFR (3) bath 50
0 Acees lgiar.ling I] Kilii-family _ ,..,...._
- , .... .........__ Each additional bath/kitchen 25.02
_
E) Mr1cter btAilder 1 ,) OT:kn.: 1' irc sprinkle ( 'so ft) Pap,o 2
_
, ,
„ToA,grtt trittentiiAtioN iii‘.46 LetATION . .
-, - Caleb baain or area drain
/ 18,76
Solt :,i1o. address: 0 21' .5 k p p-
od bie Lc, i -
• - • ." Dc leach Inc, or trench drain
Cty _ ----.....
18.76
i/Stole/21P
' • 1;S..a 0,...r_ q .7 -.?e/ ._ „..„.._._.. _ Footing drain (no. linear fl ,: ) Fano 2 r---
.___..........._ .........._ -
Suito/b1dFl:L2t, no - 1 Project name; --- rie - )1_27, k 1 Mrinufactincri home. utt1itics 50.03
-----_--- ___.----
Cross streeLiditcdion:1 to job site: Manliolcv MI 18.76 __
, --. ----
_..._-
, ... , Rain MITI COIMCCIIIr
Sanitaly gAtr (t10. linear ft./Q
t 8.76
Page 2
-___._, , ..._ .._______-- • Storm sewer (tto. linear 1t : ) ea a
i
. ________ ... • ..,_. • _ -------- _____,.....,,._J Water service (no, lin ear ft-:
_____ . .._ .. __
SubdivIsian: I ct ro Fixture or item.
- ____.
Baekflow peel/enter 31.27
Tax nmp/p;reel no.: -----
- - - 13acktvater VIIIVI; 12.51
• ';15r,§6.41rnoN ot , W0111 1 4 . •
• - C.10hca washer 25.02 ,
L , AO-) if-
'--- ( . ) 4 .5 pItJ F , 'Ll - Le - lo' ' ----
- Di hwnsher 25.02
_ . __ _
Drinking fountain 25.02
- ___ ___._ . _ „ .... --
EjcctarsN)mp 25,02
-------
, . ,.....
13 rittwrry tovvritik - -.L. - " - .0 TENANT „ F,xpanscn unk
.„... i
„..___ 12,51 .
/ 1'i:01;re/sewer cap 2.5.0/,
`,\•:Tmet 8 / P )-- e d `" q e )1 '
-. .)-7.. ..+•-• --
now drain/floor link/hub -
25,02
Arldr,:s.s: .. J . 2 r), v $ ,,,, p „c10,9 0 __ ,- _ -. . - • • -
_.. , .....__ Garbage disposal 25.02
-
Cily/Sr:11rAlli: - I - i 0 G J .-
;' ......_ Hose bib 25,02
Phone; (503) 4 (, : 4 33 J Fx1. ) lce maker 12.51
; " ' ' ( .......'' ' "" '.'lln'' i:ONTAet"IltilkoSt .
interceptor/grease trap 25,0 _
Medical gas (value: $ ) - Page 2
'Busincl;:: nimr.: . . ._...
Primer 12,51
Conrzct ware: -
_•__•____ . ..-------_ Roof drain (eortirrwscial) 12.51
Ad Sink/basinlavatory 25.02
_
-- „,..-„,...._ ..--- ____ . _ - ...,.., -.._ _ - ..........__
City/Statuf/IP: Solar units (potable water) 62..54 • l'bonc: ( ) Fax: : ( ) Tub/showcrlAbower pan 12.51
E Urinal
___ 25.02
Water do :et 25.02
• , J,,bornAcrfa , . . - . '- - ,
- - .. r -...... Water heater 37.52
f:117.ino:Js nnent C A i•J 63 Sg V; 7 ' Watcr pipinWDWV 1 56.29
-- -......, . --. - . -
rAddross: r ( ,f g4/g Other: 25.02
A.-44,-- 3_____. , . . ------- .- ,
City/StaterLIr: c i,.. 1 ,d6...ki ok 9 70/ 5 , ..._ , Subtotal
-7-7 _ -
Minimum permit fe: $72.50
nionc.0) 57g "'e" '5 j' 02)3 ) A4Z-A79( e
_
Plan review (15% of permit fee) 4011
CCP Lie.. 77 9 / Plurnbine, Lie no.: j /7? - - .
.
--------•------' • _ • Stare surcharge (12% of permit fee) gl 7
kmhol:in:d , iFIIIII 3 ^
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L . t , -
Tol'AL PVAMIT FEEl -
This pc, writ n pplita limn expires if a permit not oitn;,1 IN &ye
[ Frint nanle- pi
- .; j ,/ jk __ 1 Datc: il-2 I
alter It ban been acceptt+1 go complete.
Mc c rovlscalolvx) .7ct by M.Coonty Build* Indnorzy S...; Finer4
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I' d‘m I 0/il/r/7 44[7-4161 omiwrn)