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Permit y CITY F I ARD PLUMBING PERMIT i� DEVELOPMENT SERVICES PERMIT #: PLM2005 -00681 I�I ,, DATE ISSUED: 12/9/2005 ` ° 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S112BD -00700 SITE ADDRESS: 14655 SW 76TH AVE 32 ZONING: R -12 SUBDIVISION: MARCIENE II APARTMENTS LOT: JURISDICTION: TIG Project Description: Repipe water only. Units 32 & 33. CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: MF WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: R3 FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: 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 BOOTH-HEYDON LLC Description Date Amount PO BOX 1185 LAKE OSWEGO, OR 97035 [PLUMB] Permit Fee 12/9/2005 $72.50 [TAX] 8% State Surcha 12/9/2005 $5.80 Phone : Total $78.30 Contractor: PLUMB CRAZY 52683 NE SHEENA PL SCAPPOOSE, OR 97056 REQUIRED ITEMS AND REPORTS Contact # : FAX 503 -543 -3920 PRI 503 -544 -2160 Reg #: LIC 138864 PLM 3436 -PB 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: �i Permittee Signatur• !���i 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. Building Fixtures . rte_ , . .a' i ,.,ti �,t�>pSST e.,. :1,, `P�umbing Permit An "afion- � �� : 4; 4 c._1 � l `' El � ' ' W" City of Tigard Received ) 2 !� 13125 SW Hall Blvd., Tigard, OR 97223 O�� Date✓Date/BY. Permit N \� � Cl/v 5 - A i , l ip. ( i / 'MK Plan Review Phone: 503.639.4171 Fax: 503.598.1960 t- - 1 " • / /a,�,hm,. Other Permit No.: 24 - Hour Inspection Line: 503.639.4175 CITY OF TIGAF -41 1l �. Date i ,h Date Ready/By: Jul% See Page2 for Internet: www.ci.tigard.or.us o 11 r`t^I^ � Notified/Method: .1 1 L( ® Supplemental Information SU,LD.,.O DI V to I.,VJN TYPE OF WORK _ . FEE* SCHEDULE. • ❑ New construction ❑ Demolition For special information use checklist. Description 1 Qty. 1 Ea. 1 Total rikiddition /alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath 249.20 ❑ I- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building ■'41 Multi- family SFR (3) bath 399.00 ❑ Master builder Each additional bath/kitchen 45.00 ❑ Other: Fire sprinkler ( sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities Job site address: baiL' gili nie Catch basin or area drain 16.60 City /State /ZIP: - -mot r- 0 q7 Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.:: J Project name: A4 rr i rM IT Ath Footing drain (no. linear ft.: ) Page 2 1111 Manufactured home utilities 110.00 Cross street /dire ions to job site: Manholes 16.60 © Rain drain connector 16.60 Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer(no. linear ft: ) Page2 Subdivision: I Lot no.: Water service (no. linear ft.: ) Page 2 Fixture or item Tax map /parcel no.: Absorption valve 16.60 ` 1 DESCRIPTION OF WO' Back flow preventer Page 2 e j X W told✓ 0 K I y On Backwater valve 16.60 / VA/ / 3,2 33 Clothes washer 16.60 Dishwasher 16.60 ROPERTY OWNER I. ❑ TENANT Drinking fountain 16.60 / Ejectors/sump 16.60 Name: / Lr a Q /, k Expansion tank 16.60 Address: 30j._ Tli' k y � Fixture /sewer cap 16.60 City /State /ZIP: h j C rt � I� < erg S / Floor drain/floor sink/hub 16.60 Phone: ( ) Fax: ( ) Garbage disposal 16.60 . )R1., APPLICANT ❑ CONTACT PERSON Hose bib 16.60 t Ice maker 16.60 Business name: 4/6 C.evu A Interceptor /grease trap 16.60 Contact name: 4. Medical gas (value: $ ) Page 2 .. Address: / 6 7/ z S . L. c r- d /111/ mod.. Primer 16.60 City /State /ZIP: p c e / - V k 9 7de Roof drain (commercial) 16.60 Phone: CO) `32 I Fax: : ( ) i' / / Sink/basin/lavatory 16.60 U Tub/shower/shower pan 16.60 E -mail: Urinal 16.60 CONTRACTOR Water closet 16.60 Business name: p 4, / ki r-4 Water heater 16.60 Address: L-.0,2 c /16.. .. 2-,_y a , h CI PL Other: City /State /ZIP: o � r e [ Subtotal (Q o O ? 2 OS O Minimum permit fee: $72.50 Phone: ( 03 / 'i/4 21 ‘,6 Fax: ( ) Residential backflow minimum permit fee: $36.25 CCB Lic.: w / 3 ks-4 Plumbing Lic. no.: 3 q f fl Plan review (25 %ofpermit fee) ` t9 State surcharge (8% of permit fee) Authorized sign re: �9 /' , 4.fi ` w-rx, ",„ TOTAL PERMIT FEE Print name: Date: / --q 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 \Pennits\PLMF- PermitApp.doc 06/05 4404616T(I0/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information d • Fee Schedule: Residential Fire Suppression Systems: Site Utilities . ` Qty.. Fee (ea) Total Square Footage Permit Fee•_ ' Footing drain - 1' 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 Valuat Permit Fe 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. Subtotal: — $50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for each additional $100.00 or fraction thereof. Fixture Work: Plan .Review for Complex Stru Are you capping, adding or replacing fixtures? If "yes", A "complex structure" is defined as an installation of a plumbing please indicate work performed by fixture. Failure to system that meets any of the following criteria. accurately report fixtures could result in increased sewer fees *. Please check all that apply. . Q by (Fixture) Work Performed ❑ Any new commercial buildin • Fixture Type,.. Replace ❑ Any new exterior plumbing site utilities. .. Previous .'Capped Added Existing ❑ A commercial building with installation, alteration or addition Baptistry/Font _ of nine (9) or more new or relocated plumbing fixtures. Bath - Tub /Shower — ❑ Medical gas and vacuum systems for health care facilities - Jacuzzi/Whirlpool — providing services to human beings. Car Wash - Each Stall — ❑ Plumbing installations, alterations or additions to food service -Drive Thru facilities where new plumbing fixtures, including interceptors, Cuspidor/Water Aspirator — are being installed for the food service area. • Dishwasher - Commercial — ❑ Any new residential building containing three (3) or more - Domestic dwelling units. Drinking Fountain — ❑ Any NFPA 13 - multipurpose fire sprinkler system. Eye Wash Floor Drain /sink - 2" Submit 2 sets of plans with any of the above. Car Wash Drain Isometric or Riser' D " Garbage - Domestic _ ❑ isometric or riser diagram is required for new buildings Disposal - Commercial three (3) or more stories in height. - Industrial Ice Mach. /Refrig. Drains . Oil Separator (Gas Station) Comments regarding fixture work: Rec. Vehicle Dump Station Shower -Gang -Stall ' Sink - Bar /Lavatory - - Bradley - Commercial _ • - Service Swimming Pool Filter • Washer - Clothes *Note: If the fixture work under this permit results in an Water Extractor . P Water Closet - Toilet increase of sewer EDUs, a sewer permit will be issued and Urinal = fees assessed for the.sewer increase must be paid before the Other Fixtures: plumbing permit can be issued. i:l Building \Permits\PLM- PermitApp.doc 07/06/05 • CITY OF TIGARD BUILDING DIVISION PERMIT #: PLMcf105Q05t31 13125 SW Hall Blvd., Tigard, OR 97223 p DATE ISSUED: /2/9/2005 Phone: (503) 639 - 4171°'' I Inspection Requests (24 Hrs.): (503) 639 - 4175 INSPECTION WORKSHEET FOR DATE: 9/20/2006 TIME: 7 PAGE: 6 SITE ADDRESS: •14655 SW 75TH AVE 32 CLASS OF WORK: SUBDIVISION: M ARCIENE 11 APARTMENTS LOT #: TYPE OF USE: PROJECT NAME: MAfy:M1:'1FNE ll APARTMENTS DESCRIPTION: R:pipr: wter only. Units 32 tea, OWNER: BOOTH- HEYDON LLC, PHONE #: CONTRACTOR: PLUMB CRAZY PHONE #: 503 - 5442160 Inspection Request Scheduled For: Date: 91701201)6 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 0361395 -02 503 - 267 -3668 N Corrections /Comments/ Instructions: • ❑ PARTIAL APPROVAL ❑ CANCEL NO ACCESS n CALL FOR INSPECTION 1 ADDITIONAL FEES ASSESSED yb ` / Z Date: l v Phone #: (503) 718- c)" y-7 CITY OF TIGARD _ /4)L� BUILDING DIVISION PERMIT #: adl�S- DD <v F( 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 ��� �� ,i h Ill Inspection Requests (24 Hrs.): (503) 639 -4175 ii-: ;_• INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: J / L 7 CLASS OF WORK: SUBDIVISION: / ! LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: 4/-33 OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: c -2 ' — C). Pour Time: Code # Inspection Description Confirm # Contact # Message 3 d 7 — No (7 Corrections /Comments/ Instructions: `Sz R-1E " V' tUjea, --■ e -&-.. 01c- `"jiso m.) a .......______ ......„...„.... j PASS 1 I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ( I CALL FOR INSPECTION (l ADDITIONAL FEES ASSESSED Inspector: c 1 Ve Le Date: 1 (* Phone #: (503) 718- . 1-. ° • . CITY OF ��nm m m�'m— nm���m�a�� BUILDING DIVISION PERMIT #: PLK4200500081 13125 SW Hall Blvd., Tigard, OR 97223 m DATE ISSUED: 12/9/2005 Phone: (503) 639-4171 Inspection Requests � a4Hmj:(503)63Q'4175 ^� INSPECTION WORKSHEET FOR DATE: 12y12/2005 TIME: 7:02AM PAGE: SITE ADDRESS: 14655[W76TH AVE %Z CLASS OF WORK: SUBDIVISION: MARCIENE 11 APARTMENTS LOT #: TYPE OF USE: PROJECT NAME: MAROlENE 11 APARTMENTS DESCRIPTION: Re pipe water only. Units 32 & 33. OWNER: BOOTH-HEYDON LLC, PHONE #: CONTRACTOR: PLUMB CRAZY PHONE #: 503-644'2150 Inspection Request Scheduled For: Date: 12/12V2085 Pour Time: Code # Inspection Description Confirm # Co tact # Message Fqumnbingrou8h'in 023305-03 603-2573668 Y Corrections/Comments/Instructions: -- ' ��n -- - = ( 4ASS n PARTIAL APPROVAL 11 CANCEL NO ACCESS | | FAIL n CALL FOR INSPECTION ADDITIONAL FEES ASSESSED dir -71 ) ^ � Inspector: O�te� / ;���� /^�/� Phone #: (503) 718- 1