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Permit CITY TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT #: PLM2005 - 00481 DATE ISSUED: 9/23/2005 =-- - 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S 112BD -00700 SITE ADDRESS: 14655 SW 76TH AVE 20 ZONING: R -12 SUBDIVISION: MARCIENE II APARTMENTS LOT: JURISDICTION: TIG Project Description: Repipe of 1st & 2nd floors. Apartments: 20,21,22,23. CLASS OF WORK: ALT 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 MICHAEL O'GROMANI 302 ASHLEY DR Description Date Amount UNDERWOOD, WA 98651 [PLUMB] Permit Fee 9/23/2005 $72.50 [TAX] 8% State Surcha 9/23/2005 $5.80 Phone : 541- 386 -1980 Total $78.30 Contractor: PLUMB CRAZY 52683 NE SHEENA PL SCAPPOOSE, OR 97056 REQUIRED ITEMS AND REPORTS Phone : 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. Permit Signature: Issued By: S / �J�" 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 Plumbing Permit Ap l IV D i � _ : i t ; y> . i i u o � t k City of Tigard pp pp Received DatelBy.`7 � �� Permit No.: � : r J 13125 SW Hal Tigard, OR 97223 SEP 2 3 2005 r J � /� Plan Review Phone: 503.639.4171 Fax: 503.598.1960 Gx , \ Other Permit No.: 24- Hour Inspection Line: 503.639.4175 I Date/ ,uric ., -t-'i Date Ready/13y: El See Page 2 for Internet: www.ci.tigard.or.us CITY OF TIGAR L. Ready/13y: -i S u IL � IVISInrt j I(l Supplemental Information TYPE DING WOR FEE* 'SCHEDULE ❑ New construction ❑ Demolition For special information use checklist. Description 1 Qty. 1 Ea. 1 Total Ik4ddition /alterati replacement ❑ Other: New 1 - 2 - family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR (I) bath 249.20 ❑ 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building Multi- family SFR (3) bath 399.00 Each additional bath/kitchen 45.00 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 .. :. JOB SITE INFORMATION' AND LOCATION Site utilities Job site address: /4 6 S W 7 i Catch basin or area drain 16.60 City /State /ZIP: I j t Cti t-- 6 0 i- Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: ,1i Z3 I Project name. L Footing drain (no. linear ft.: ) Page 2 e: art t C At 0 / "' y Manufactured home utilities 110.00 Cross street /directions to job site: „ l 0 en t C1 Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: ) Page 2 Subdivision: I Lot no.: Water service (no. linear ft.: ) Page 2 Fixture or item Tax map /parcel no.: Absorption valve 16.60 DESCRIPTION OF WORK Back flow preventer Page 2 P O 6 ( 1 S �. �„v A � R , � , Z' , 22, Z 3 Backwater valve 16.60 1 Clothes washer 16.60 Dishwasher 16.60 ❑ PROPERTY OWNER l _ ❑ TENANT Drinking fountain 16.60 Ejectors/sump 16.60 Name: ; , ,',f v„ p 1 i G ot , Expansion tank 16.60 Address: Y � u 0 ��• „ ., di D � Fixture /sewer cap 16.60 City /State /ZIP: ' J� 1, �� 9�6S 1 loordrain/floorsink/hub 16.60 Phone: ).5 , /9 - ‘ v 1 7 � 4 Fax: ( i ) Garbage disposal 16.60 APPLICANT , CONTACT PERSON Hose bib 16.60 Ice maker 16.60 Business name: Ai ' co „ - �, Interceptor /grease trap 16.60 � 1,j, Contact name: I L. Medical gas (value: $ ) Page 2 Address: ; f . Li l 2_ S. W kr1,J Primer 16.60 G Roof drain (commercial) 16.60 City /State /ZIP: ts•.vey �� Olt- l 1 OC)L 1 ' n Sink/basin/lavatory 16.60 Phone: 03) /y 2 - 2 y U . Fax:: ( ) S (� � v Tub /shower /shower pan 16.60 E -mail: Urinal 16.60 , CONTRACTOR , ' Water closet 16.60 Business name: P (1 b C, y Water heater 16.60 Address: ` S z /U „ �� j a C e Other: •/ p Su btotal City /State /ZIP: Sr v die 0 � l 7 0S Minimum permit fee: $72.50 � Phone: S'Q ?) �o Fax: ( ?�) - 3912 - 0 Residential backflow minimum permit fee: $36.25 1.2_ CCB Lic.: / 3 7 R-4 Plumbing Lic. no.: / T 3 ( pp _ Plan review (25% of permit fee) State surcharge (8% of permit fee) `) Authorized signature: e iei/ �� _ TOTAL PERMIT FEE 3 Print name: • l ein L. U rv"c ,^ Date: 9-23 --Os 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- PennitApp.doc 06/05 4404616T(10 /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 - I' 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 ValUatiOII' ` 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 F1Xture 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 Structures, . 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. Quaotitx by (Fiiture) Work Performed . ❑ Any new commercial building. 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 -13 multipurpose fire sprinkler system. Eye Wash Floor Drain /sink 2" Submit 2 sets of plans with any of the above. -3" -4" Car Wash Drain Isometric or Riser Diagram -- 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:\ Building \Permits\PLM- PennitApp.doc 07/06/05 C ITY OF TIGARD PLUMBING PERMIT l DEVELOPMENT SERVICES PERMIT #: PLM2005 - 00481 _I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 9/23/2005 � PARCEL: 2S112BD - 00700 SITE ADDRESS: 14655 SW 76TH AVE 20 ZONING: R -12 SUBDIVISION: MARCIENE II APARTMENTS LOT: JURISDICTION: TIG Project Description: Repipe of 1st & 2nd floors. Apartments: 20,21,22,23. 8/16/06: This permit is reinstated for purpose of final inspection for a period of 30 days. CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: MF WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: R1 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 MICHAEL O'GROMANI 302 ASHLEY DR Description Date Amount UNDERWOOD, WA 98651 [PLUMB] Permit Fee 9/23/2005 $72.50 [TAX] 8% State Surcha 9/23/2005 $5.80 Phone : 541-386-1980 [HRPLM] Hourly Plum 8/16/2006 $57.87 [HRTAX] Hourly 8% St 8/16/2006 $4.63 Total $140.80 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: 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. CITY OF TIGARD 1 - BUILDING DIVISION PERMIT #: PLM7005 ggas1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1 )/2�j200 , . Phone: (503) 639-4171 p P;hl Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 9/27/7005 TIME: 7iO PAGE: 2 SITE ADDRESS: 1 655 76I H AVE 20 CLASS OF WORK: SUBDIVISION: MARCIENE II APARTMENTS LOT #: TYPE OF USE: PROJECT NAME: MARCIENE II APARTMENTS DESCRIPTION: Repipe of 1st & 2nd floors. Apartments: 20,21,22;23 OWNER: O'GROMANI, MICHAEL PHONE #: 541-386.1980 CONTRACTOR: PLUMB CRAZY PHONE #: 503-544-2160 Inspection Request Scheduled For: Date: /27/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 395 Mikc. inspection . 016751 -01 503.267 -3668 N Corrections /Comments/ Instructions: , .--;:17-1-. , 4I F, („3„,,c...... ,....,„„,... -, 4 / v. . _�4/ - -- A _�� 7 � _4 • ASS 19 P. RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: /�/ �/`" Date: 1/ ? l - � Phone #: (503) 718- CITY OF TIGARD : l BUILDING DIVISION PERMIT #: PLM2005^00481 13125 SW Hall Blvd., Tigard, OR 97223 . . : DATE ISSUED: 9/23/2005 Phone: (503) 639 -4171 '.,-° � _ 4,,. Inspection Requests (24 Hrs.): (503) 639 - 4.1.75 ,; '_'., INSPECTION WORKSHEET FOR ', DATE: 9027J�g0�� TIME: 7 , a � A 1 PAGE: 2 SITE ADDRESS: 14655 SW 76tH AVE 20 CLASS OF WORK: SUBDIVISION: MARCIENE II APARTMENTS LOT. #: TYPE OF USE: PROJECT NAME: I iARCIENE 11. APARTMENTS ' DESCRIPTION: Repipe of 1s1 & 2nd floors. Apartments: 20,21,22,23. , OWNER: O`GROMANI, MICHAEL PHONE #: 541 - 386 -1980 CONTRACTOR: PLUMB CRAZY PHONE #: 503- 544 -2160 Inspection Request Scheduled For: Date: 9/27/2005/ Pour Time: Code # Inspection Description Confirm # Contact # Message :-!.95 Mix. inspection 016751 -01 503.267-3668 N Corrections /Comments /Instructions: - 4 //T/��/„ / . ,v .. /- v . , 2 ,,e/..- ---- -.(..t.) -7- e," _,.........k ------- ..rp .- f - - 2 - -..,---- 4--- --i- -- /--,7------ - ,---e're,--- _ ' _ c il .ASS /j P RTIAL APPROVAL (7 CANCEL n NO ACCESS r FAIL n CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: ' Date: l F 7 /71 6 - �%� / Phone #: (503) 718- -' CITY ��H~�� N�� w um�� _ , BUILDING ��U��U��U�� DIVISION PERMIT #: PLhA20Df.pOO481 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9;230005 Phone: (503) 639-4171 / Inspection Requests (24 Hrs.): (503) 639'4175 AAAJl. , INSPECTION WORKSHEET FOR DATE: 9/27/2006 TIME: 7:07AM PAGE: 6 SITE ADDRESS: 145GSVVT6FM AVE 2O CLASS OF WORK: SUBDIVISION: MARCIENE 11 APARTMENTS LOT #: TYPE OF USE: PROJECT NAME: MARCIENE 11 APARTMENTS DESCRIPTION: Repipe of 1st 6L2nd floors. Apartments: 20.2i.22.23. 8Vl6/08 This permit ix reinstated for purpose of final npection for a perkxi of 30 day. OWNER: (}'GR0MAM|.M|CMAEL PHONE #: 541'3U6-1380 CONTRACTOR: PLUMB CRAZY PHONE #: 503-EA4'2160 . Inspection Request Scheduled For: Date: 9/27/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 037250-01 503-267'3668 Y Corrections/Comments/Instructions: . �� ` PASS PARTIAL APPROVAL El CANCEL pi NO ACCESS | 1 FAIL 1 | CALL FOR INSPECTION ADDITIONAL FEES ASSESSED � � | c /y�"/ //�`� �~=- Date: , ' �� p Phone #: (503) 71G-x��"'' �� —'-- � � v` � '� ' � ., .