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Permit a f= a 4 CITY OF TIGARD PLUMBING PERMI ` � s: ''. COMMUNITY DEVELOPMENT Permit #: PLM2009-00209 n ■TIGA 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/05/2009 D d ti , , Parcel: 1S134BC00300 Jurisdiction: Tigard Site address: 12210 SW SCHOLLS FERRY RD Subdivision: Lot: 0 Project: Coffee Rush Project Description: 80' of water service. Owner: FEES FW OR- GREENWAY TOWN CENTER LLC Quantity Description Date Amount PO BOX 790830 SAN ANTONIO, TX 78279 80 If Water Service 07/31/2009 $55.00 PHONE: 1 12% State Surcharge - 07/31/2009 $8.70 Plumbing 18 ea Minimum Fee Adjustment - 07/31/2009 $17.50 Contractor: Plumbing CRAFTWORK PLUMBING INC 7737 SW CIRRUS DR BEAVERTON, OR 97008 PHONE: 503 - 644 -8698 FAX: Type of Use: CMS 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: ` A � l f , ,i , ` 1 A.....4 Permittee Signature: S___A9 Q - Call 503.639.4175 by 7:00 a.m. for an inspection that business day. Ap- 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 .- 07/2/2009 13:47 5036445989 CRAFTWORK PLUMBING PAGE 02/03 Plumbing Permit Application ? Peuc 2 for ; ,ti Build gwi.,,,tl 'v a , +1�'� f.ii „�'t016 -?V I g)tlaPAiii n1'}i • r d � i Building Fixtures � eI ., 1 r 1 , t 1" "'` g � 1 (R�t11 I(yl4 S1 � t N 1∎IV 7 e Vrul� %w;l t k4iliir JU �2 � • 1 i hd[jl{,y��', { . ! s'efu+,^ " 11 1d43M rA4a. kb � ,, 19k,' {� i,,,,R.+ l ,, . iK r i 0 2009 Received 9 �� ! °li City of Tigard 7 6{ % ' y ?emit No,: goo oaQ ���i N 13125 SW Hall Blvd., Tigard. OR 97223 Date/13 : CI Plan Rcvicw li 11 , Phone: 503,639.4171 Fax: 503.598.1 ' f D OF T I G A r3 p D other Permit No.:C11,04 09 . = r ,-,.i 1 Inspection Line: 503.639. L I NG p pT n a�t.) Ins J 4175 IVISIO , Date RcadvBy ntrlF : ® $cr. '.,.rc.rr,;ef..;t4ai Internet: www,tigard.or.gov Natlftcd /Method; {[ Supplementalinformer4a {�} f iii Ili! l i i il 1 ) l J , l: I , r i 1 +.' . ; I f'n � {1 t 9 :i�111 ��:w, 1 1 l�� l S II I� M i{ Ili ill ����, liftt;< +� �iI I�ill! l�ktl���..., �;�,� it ��e��,y , , I +��r. � a�`, .1!'h i . �I ,l J' �+ilnnm nrI "rl�tnnt�hd�m il) aS4..l�� t�� � i ® Ncw construction ❑ Demolition Fors. cial i ormatlon use checklist -- - Descti.tion Qty. Ea, Total © Addition/alteration/replacement ❑ Other: j Ncw I- 2- family dwellings (includes 100 ft, for each utility connection) 1 Ill f'Nf111fHWh'1i1111iIII} 4 +} 1a1 a 4a,. i 1 n, nb tfiit t itilr n ill r f l i , t 4; '.,I SFR (1) both 249.20 ❑ 1- and 2- family dwelling ® Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi- family SFR (3) bath 399.00 El yy��,;���� Each additional bath/kitchen 45.00 + �4iW�JW "` � �� I� + � U f i , Fire sprinkler ( sq. fl,) — 1 I Page 2 /� Maaster uil er 1��f �ftiwuL 4 � „ Other: I E 11 /AA 0 1s,'Sm ,u un, Kil iltn avl as •"btu „i,n Yrrtlli.ialA rLl mt , l 0 iI i Ntli {��� 1 1 Site utilities .-- V I Job site address;,1213b1W Scholls Ferry Rd. Catch basin or area dram 16.60 City /State /ZTP: Tigard, OR Drywcll, leach tine, or trench drain 16,60 1 Suite/bldg. /apt. no.; I Project name: Coffee Rush Fooling drain (no. linear ft.: ) Page 2 Manufactured home utilities 110.00 Cross strect/ditcctions to job site: Manholes 16.60 x Rain drain connector 16.60 Q. Sanitary sewer (no. linear ft.: _) Page 2 Storm sewer (no. linear ft.: _) Page 2 t Water service (no. linear fl.: 80 Page 2 S -- Subdivision: Lot no.: Fixture or item Ta no : ,t� n �q� Absorption valve 16,60 '1 G; ' , ' I ' llatt / I, I f : f I i t; ; P d ,t , finial a i .4 a ltitt71Al '!,i i' r u l I� , � 'r�nt� 'e ,a "� '�, BackFlow prcvcntcr Page 2 New coffee shop, moved on site. New Underground plumbing & existing building Backwater valve 16,60 ,.1. 11 Clothes washer 16.60 Dishwasher 16.60 • t }f�����ff�t�������[}1}'1i n apnl,, ; 1 },0. 4 1 ,( ,j{ e .{ ^l� w ) &�,,�, 1 Drinking ountain 16.60 IWIII,/ X1111 1lO alh i-b J. S ISM 1 t1 0 .!1 cti.: i '.,f1 i II `! ,,: t g u '1• { ... f ' !M1 I i 1111 rlt klcctors /sump 16.60 Name: 0 'psi Exiansiontank 16,60 ■ Address: Fixture/sewer cap 16.60 A City /State/ZiP: !j Floor drain /floor sinkTu.� 2 16,60 Now (503) 9 70 — 4 9 ty i Garbage disposal 16.60 / Q Phone: Fax: ( ) � y �p� r a , t ya 770111 Hose hih 2 16.60 2 k1111_ ltl�� &t , ,i m tnHh ll r! � 4� .0, ` in ot� o s n i ': i Business name: I T . I +£SE. G I lrru Os S FFi2 -'E-- _ M � I E-x lT'3 6 /13 H4 4 a1 tkr. Contact name: �Q - TitcY I :. Address: _„--,..,,t. u5 iLD T � optt.ext..#9 -T �/1 ' k fiJ-) ct.Q.. e 7 t1 K -6T • 16 60 I '`• City /State/ZIP: ___ - Phone: ( ) Pax:: ( ) Sink/basin/lavatory _ 16.60 . Tub/shower/shower pan 16.60 / \ E -mail: Urinal 16.60 1 i It in 1. ) r I f I �l` { µ ivu ,7 rc ” 1 Il )t1 "i a ■ } 1 'aif'� W ? f14 "P�fi ! i _�Fl �� r I��te - 7 1� �,1 rv, , P' i �tti,i�'�,9! ti(l /t lilt i I I WO i 0",r1 1 . Water closet I 16.60 Business name: Craftwork Plumbing Inc. Water heater 1 16.60 Address: 7737 SW Cirrus Dr. Other I I "-• V altkt k s• \ `b City /Blatt /ZIP: Beaverton, OR 97000 _ Subtotal N Minimum permit fee' 572,50 Phone (503) 644 -869 Fax (503) 644 -598 Residential hackflow minimumpermit fee: 536.25 7a• S o m O ..; Plan review (25% of permit fee) .r CCB Lk.: 79666 110 '..f A lambing Lic. no,: 20 -148PB l I p 70 kt 1/ I ` State surcharge (12% of permit fee) Authorized signature: % ,. 1 TOTAL PERMIT FEE , N Q ■ Print. name: Pete Pollard , July 27, 2 This permit application expires if n permit Is not obtained within p�k� v6 - - 180 days after it has been accepted as complete. `1l "Fee methodology set by Tri County Building industry Service Board. 0 i;1t3n!Iding \Permit5\P1,MF -F rmItnpp,dm 12/27/05 44o- 4016T(I /COM/wl;a) 6i. , go