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Permit 4231A r) tO 0_0.511\ C. CA 74 CITY OF TIGAR® � � . PLUMBING PERMIT q l ` COMMUNITY DEVELOPMENT Permit #: PLM2010 00042 T t GARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 02/03/2010 Parcel: 2S102CB03400 Jurisdiction: Tigard Site address: 9800 SW Frewing ST Subdivision: Lot: 0 Project: Cypress Crest Project Description: Replace up to 100 feet storm sewer. Owner: FEES CANTAS LLC Quantity Description Date Amount 4223 GLENCOE AVE STE #A -220 MARINA DEL REY, CA 90292 100 If Water Service 02/03/2010 $62.54 PHONE: 1 12% State Surcharge - 02/03/2010 $8.70 Plumbing 10 ea Minimum Fee Adjustment - 02/03/2010 $9.96 Contractor: Plumbing COMMERCIAL PLUMBING SERVICES 21185 NW EVERGREEN PKWY SUITE 105, STE. 106 PHONE: 503 - 439 -9999 FAX: 503 - 439 -1999 Type of Use: MF 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. . (4)1 Issued By: Permittee Signature: 4T 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. 4 11: CITY OF TDGARD PLUMBING PERMIT u 2 .4 4 1 COMMUNITY DEVELOPMENT Permit #: PLM2010 00042 ' 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 02/03/2010 Tf'� 9 Parcel: 2S102CB03400 Jurisdiction: Tigard Site address: 9800 SW Frewing ST Subdivision: Lot: 0 Project: Cypress Crest Project Description: Replace up to 100 feet water service, Owner: FEES CANTAS LLC Quantity Description Date Amount 4223 GLENCOE AVE STE #A -220 MARINA DEL REY, CA 90292 100 If Water Service 02/03/2010 $62.54 1 12% State Surcharge - 02/03/2010 $8.70 PHONE: Plumbing 10 ea Minimum Fee Adjustment - 02/03/2010 $9.96 Contractor: Plumbing COMMERCIAL PLUMBING SERVICES 21185 NW EVERGREEN PKWY SUITE 105, STE. 106 PHONE: 503 - 439 -9999 FAX: 503 - 439 -1999 Type of Use: MF 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: t Q JUAZ Permittee Signature: Q SUL App 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. 1 M/0312010 10:06 Mechanical Services, Inc. (FAX) P.0021003 • Plumbing Permit Application RECEIVED Site Utilities FEB 3 L010 FOI2 OFFICE USE:O\' • ' .. . IN ' q City of Tigard Received . Permit o.: 13125 SW Hall Blvd., Tigard, OR 9722 ITY OF TIGARD Date/By: P i N pl.M Zbl 0 • ()nod Z Plan Review Phone: 503.639.4191 Fax: 503.59 � �t1LDING DIVISION Date/By: Other Permit No.: Inspection Line: 503 D ate Ready/By: T IGARD n ©SeePage2for • . . Internet: www.tigard or.gov Notified/Method: w Supplemental Information • - TYPE OF WORK - . • : - • • 'FEEn SC DULE ' _ . ❑ New construction ❑ Demolition For special information use checklist Description 1 Qty. 1 Ea. 1 Total 4'ddition /alteration/replacernent ❑ Other: New 1- 2- family dwellings (includes 10011. for each utility connection) .CATEGORY OF CONSTRUCTION . SFR (1) bath 312.70 ❑ 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 437.78 ❑ Accessory building / Iulti- family SFR (3) bath 500.32 Each additional bath/kitchen 25.02 ❑ Master builder ❑ Other: Fire sprinkler ( sq. 11.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: el Qco SW • Qe - w s c- ST ^ - Catch basin or area drain 18.76 City/State /ZIP: tR� 2 on22 3 Drywell, leach line, or trench drain 18.76 h Q t - - - - -- Footing drain (no. linear ft.: �) Page 2 Suite/bldg. /apt. no.: I Project name: cs4p2 5,s, cg F SV 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 service (no. linear ft.: 20' Page 2 lOZ • Ski_ Subdivision: Lot no.: Fixture or item: Tax map /parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 east e12 -t.: N ( -y S ysi f 'Q.r 1-' 1 C Dishwasher 25.02 __- L.A4 t'IVVEN T 21/4 rr >v E T Drinking fountain 25.02 Ejectors/sump 25.02 .❑ PROPERTY OWNER ❑ 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 12.5! ❑ APPLICANT "CONTACT PERSON Interceptor /grease trap 25.02 Business name: Medical gas (value: $ ) Page 2 (1flfv \M ir2C.io, L 1.,,..lt'Vitea Primer 12.51 Contact name: iN\.\iQlt`a"3 - J Roof drain (commercial) 12.51 Address: 5 c _{Z. \--p Sink /basinllavatory 25.02 City /State /ZIP: Solar units (potable water) 62.54 Phone: (e 7,) ' cj • (0'270 Fax: : ( ) Tub /shower /shower pan 12.51 Urinal 25.02 E -mail: ii S..OtV . t "-• N C - 43 (' Water closet 25.02 . . CONTRACTOR . • • Water heater 37.52 Business name: c pr‘ MQI. % { ),.."Y'.X \ ■t..\ 5t12..N4 \Lt Water piping/DWV 56.29 Address: 2\l n1Vs-k •■i CQ .1 i Ct tU 14---1 6 ∎ oS Other: 25.02 City/State /ZIP: 4.� \ Li_ 5c ` Cp_ q'7 124 Subtotal to2.c:-74-I Phone: ( �3) 4 - c , q 9,‘ q Fax: ( 3) 4 - 1 - • 1 qc Minimum permit fee: $72.50 7 2 ,� 0 ‘C.2 umbing Lic. no.: ' Plan review (25% of permit fee CCB Lic.: 1a ` 3721 P � State surcharge (12% of permit fec) Authorized signature: p TOTAL PERMIT FEE 8 ,air. Date: This permit application expires if a permit is not obtained within 180 days Print name: �]c�Z� i E - S� �nl p 1L 2�' it, after it has been accepted os complete. "Fee methodology set by Tri- County Building Industry Service Board. 1.\ Building \PermitsV'LMU- PermitApp.dnc 10/01/09 440- I6t6T(10102/COM/WE9) (AIR. tilli:k GI \t‘