Permit x p q CITY OF TIGARD
PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit #: PLM2010 -00235
nT t GARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 07/22/2010
Parcel: 2S103CB01200
Jurisdiction: Tigard
Site address: 12325 SW JAMES ST
Subdivision: Lot: 0
Project: Bachofner
Project Description: Kitchen remodel.
Owner: FEES
BACHOFNER, JEFFREY Quantity Description Date Amount
12325 SW JAMES ST
TIGARD, OR 97223 1 ea Clothes Washer 07/22/2010 $25.02
1 ea Dishwasher 07/22/2010 $25.02
PHONE: 1 ea Ice Maker 07/22/2010 $12.51
1 ea Sink 07/22/2010 $25.02
Contractor: 1 12% State Surcharge - 07/22/2010 $10.51
CRAIG ANDERSON PLUMBING INC Plumbing
2730 SE 15TH AVE
PORTLAND, OR 97202
PHONE: 503 - 232 -1060
FAX: 503- 232 -5263
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Total $98.08
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: / /. 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.
Jul 19 10 08:14a Craig Anderson Plumbing 5032325263 p.2
Plumbing Permit ApplicaU CEIVED FOR OFFICE I: E ONI.1'
City of Tigard Received
DateJB Permit No.: /
111 11
q 13125 SW Hall Blvd., Tiard, OR 97 g� '� "'
c . P hone: 503.639.4171 Fax: 503.590.W 0 O 2010 Plan By: pU� permit No.: 2
DaodBy: n1Tyc_t9r1 "(.)
T IGARD Inspection Line: 503.6.19.4175 Date Ready/By: See Page 2 for
Internet: www.tigardor.gov CITY OFTIGARD Notified/Method: /Method: 1 (/ Supplemental Information
3141 4 .1W4 > 1' SNG IVISIO 1 FE s .sDUL
s.
0 New construction ❑ Demolition For special information use checklist
Description 1 Qty. 1 Ea. 1 Total
OAddition 'alterationlreplacernent ■ ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection)
.•: CATEGO tY OF C■NSTRUCTIO1 : . i , SFR (1) bath 249.20
513- and 2- family dwelling 0 Commercial /industrial SFR (2) bath 350.00
❑ Accessory building ! 0 Multi- fatnily, SFR (3) bath 399.00
Each additional battv'kitchen 45.00
El Master builder ; ❑ Other:
,. _.. r Fire sprinkler ( g 2
JOB' NFORMA�TION - LOC4,TION i, Site utilities
sq. ) Page
Job site address: - - �711'JF(' r Catch basin or arca drain 16.60
City/State!ZIP; G�P� 7n 'I Drywel1, leach line, or trench drain 16.60 J1 I � ` Footing drain (no. linear ft.: ) Page 2
J xf l�
SuiteibldgJapt.no.: 1 Project name: /5//e" 7.1 Oriji / "�
Cross suee !directions to job site: W� Manufactured home utilities 110.00
Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no linear ft.: _) Page 2
Storm sewer (no. linear ft.: _) Page 2
-
Subdivision: Lot no.: water service (no. linear f..'. _) I Page 2
Fixture or item
Tax map /parcel no.:
Absorption valve 16.60
D ' C T Jf91� OF..WQKK:
1- Backflow preventer Page 2
a/Li,/ /f./ /hP c j 7 0.49!' -L Backwater valve 16.60
Clothes washer / 16.60 A (iC• A-•Ji
_ s I
Drinking / nking fountain in 16.60 / /
ii • c, (.1)- y
PROPFRTtf' OWNCR . ❑ TESiAN"I Ejectors/sump / 16.60
Name:
, . .. ..- ... tors sump T L .- - iJ,J �r-'c# 4-.3A I p Expansion tank 16.60
Address: f�; _ _ _ • .7� FS' - Fixture / sewer cap 16.60
City /StatJZ1P: P 1 _ ` ,„//,), C.-3' ci9a _)_ 1 Floor drain/floor sink/hub 16.60
Phone: ( ) Fax: ( ) . Garbage disposal 16.60
- • k Hose bib 16.60
APPF.ICANT • : - ❑;�COI�TACT"PE so 1
Ice m er / 16.60 �/ l),s
Business name: ',ri 6. 1, 4 , Z- „ V interceptor /grease trap 16.60
Contact name: P416 ',.' p ra Medical gas (value: $ ) Page 2
Address: a'1 'c S:� !� iv Primer 16.60 ! .
City/StateiZ[P• / t e9Afn ate._ < 9 Roof drain (commercial) 16.60
Sinklbasin /lavatory if 16.60 r /Wert1-3 -- - ()-
Phone: (TV 2 _/04. Fax: (St ? 93 j.--- S'- 6?
� Tub/shower/shower pan 16.60
E -mail: Urinal 16.60
, .CONTRACTOR _ • Water closet 16.60
Business name: Ca 1(., 1) /f� may' • �A _ Water heater 1 16.60
Address: `F� ] s -- : , E: - . Other:
City StateiZIP: z4,rJb t�.g q� 17,2 Subtotal X 7.5 r
oC Minimum permit fee: $72.50
ne: 5 �) ..-. /0 0 Fax: ( 3 ) 9,9 _ J (.- 0 , ? Residential backflow minimum permit fee: $36.25 �i/
/ ., CCl3 Lic.: /too6 re / P robing Lic. no.: b De f / J 9, ✓ Plan review (25° 0 of permit fee)
' " ' State surcharge (8% of permit fee) 0 )0. r
Authorized signature: TOTAL PERMIT FEE • S "
Print name rae&C ailEjcJ Datc: 7 //:7/ This permit application expires if a permit is not obta • d wi . n ^ 180 days after it has been accepted as complete.
c�"�`'.` ; ! rl d>ti *Fee methodology set by Tri- County Building Industry Service Board.
1: t3uildina \Permits\PLM- PErrnitApp.coc 05i26, ;OG 44C-453 61( ICi02/COftWEB)