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Permit CITY OF TIGARD PLUMBING PERMIT rl DEVELOPMENT SERVICES PERMIT #: PLM2006 -00341 xdj. DATE ISSUED: 7/12/2006 13125 SW Hall Blvd., Tigard, OR 97223 503- 639 -4171 PARCEL: 1 S133AC -09800 SITE ADDRESS: 10860 SW BRIARWOOD PL ZONING: R - 25 SUBDIVISION: HAWK'S BEARD TOWNHOMES LOT: 016 JURISDICTION: TIG Project Description: Install new fixtures. CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF 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: 1 OTHER FIXTURES: TUB /SHOWERS: SEWER LINE: ft WATER CLOSETS: 1 WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES BREISCH 10860 SW BRIARWOOD PL. Description Date Amount TIGARD, OR 97223 [PLUMB] Permit Fee 7/12/2006 $72.50 [TAX] 8% State Surcha 7/12/2006 $5.80 Phone : 503- 699 -3776 Total $78.30 Contractor: ADVANCED PLUMBING CHUCK MCALLISTER PO BOX 593 REQUIRED ITEMS AND REPORTS PORTLAND, OR 97207 Contact # : PRI 503- 478 -9735 Reg #: LIC 140302 PLM 37 -477PB 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 busin s 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 _ �E® Plumbing Permit Applic t , : t _ E� e ; i - ,•0 ; ,� . k- -- • t ; 1 ~ t�) N l * s ' TM I= + City of Tigard J U L 1 2 2006 Reocive 7/ /y 2 „ ) „, e , , v/ av,- , ,, a Date/By �a K/ Pernut N .: � 13125 SW Hall Blvd., Tigard, OR 97 223 plan Revi 'tr` ® Phone: 503.639.4171 Fax: Sogdt7> I TIGARD Date/By Other Permit No.: n+t Inspection Line: 503.639.41 Date Re 7 5BUILDING DIVISION GI G N R /Meth S See Page 2 for jE of -Atic ilfaail Internet: www.tigard- or.gov Notified/Meth Supplemental Information • - ' TYPE OF WORK FEE *SCHEDULE . ❑ New construction ❑ Demolition For special information use checklist Description 1 Qty. 1 Ea. 1 Total ❑ Addition /alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION . . SFR (1) 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: l oS bo Sw b (i a ,., ' (A pt. Catch basin or area drain 16.60 City /State/ZIP: - r .0 n Drywell, (each line, or trench drain 16.60 Suite/bldg. /apt. no.: 5 Project name: f--- Footing drain (no. linear ft.: _ ) Page 2 Manufactured home utilities 110.00 Cross street /directions to job site: 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 y DE OF -WORK Back flow preventer Page 2 S4 i t ( { b1 `�°i i L4v Backwater valve 16.60 •1 �� Clothes washer 16.60 Dishwasher 16.60 Drinking fountain 16.60 • ❑ PROPERTY OWNER - I - ❑ TENANT a. - - Ejectors/sump 16.60 / Name: B 1 et grn Expansion tank 16.60 Address: (, 0 9 Go S W g (1wr O f t, Fixture /sewer cap 16.60 �( City / State/ZIP: i Q Floor drain/floor sink/hub 16.60 Phone: 593 ) J(' - 31I1, Fax: ( ) Garbage disposal 16.60 ' . ❑ 'APPLICANT . , : ❑ CONTACT. PERSON . ' Hose bib 16.60 Ice maker 16.60 Business name: Interceptor/grease trap 16.60 Contact name: Medical gas (value: $ ) Page 2 Addres.' _ • s ` .r „ _ - Primer 16.60 City /State /ZIP = - -= = -- Roof drain (commercial) 16.60 Sink/basin/lavatory I 16.60 Phone: ( ) Fax: ( ) Tub /shower /shower pan 16.60 E -mail Urinal 16.60 CONTRACTOR, -. Water closet 1 16.60 / t Business name: o(v ed� to( Water heater 16.60 Address: PU 5? � tither: City / State/ZIP: Ors.Ors.---- - Subtotal ° °° ��� n � Minimum permit fee: $72.50 c� Phone: ) ru„,,,r 969 to yL' Fax: c3�j(J) 5 7/ /i 9 7/// % O Residential backflow minimum permit fee: $36.25 „ �/ CCB Lic.: t L.1030,1 Plumbing Lic. no.: �7--Y 7 Plan review (25% of permit fee) ��� State surcharge (8% of permit fee) . .55- �l/ Authorized signature: 77/1/cr-- `� / TOTAL PERMIT FEE Print name: S S � . 1 Date: / ` L This permit application expires if a permit is not obtained w i t h i n 180 days after it has been accepted as complete. *Fee methodology set by Tri -County Building Industry Service Board. I. Building \Pam its \PLMF- ParitApp.doc 04/06/06 440-4616T(1O/02/COM/WFB) ! ` t 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 - l' 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 ° • Storm &Rain Drain - 1st 100' 55.00 Valuation:. Permit Fee: _ , $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. Qtr• 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 v 65.25 • $25,001.00 to $50,000:00 .5379:50 for the first $25,000.00 and $1.45 for • Inspection of existing plumbing or 6 o each additional $100.00 or fraction thereof to specially requested inspections - per hour 72.50 and including $50,000.00: Subtotal: I $50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for • each additional $100.00 or fraction thereof. 0 • Fixture Work: Plan Review for Complex Structur ' . - ' Are you capping, adding or replacing fixtures? If "yes", j 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. - Quantity by (Fixture) WoHOPerformed ❑ Any new commercial,buildin Fixturf Type Replace ' ❑ Any new exterior plumbing site utilities. . Previous ' Capped Added Existing ❑ A commercial building withinstallation, 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 -D multipurpose fire sprinkler system. Eye Wash , Floor Drain /sink 2,, Submit 2 sets of plans with any of the above. -3" Car Wash Drain - _ Isome 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 a -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 4 • CITY OF TIGARD BUILDING DIVISION - PERMIT #: PLM2005- 00341 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/12/2006 Phone: (503) 639 -4171 4 yp'41 Inspection Requests (24 Hrs.): (503) 639 -4175 41— INSPECTION WORKSHEET FOR DATE: 7/2&2006 TIME: 7 PAGE: 16 SITE ADDRESS: 10860 SW BRIARWOOC) PL CLASS OF WORK: SUBDIVISION: HAWK'S BEARD TOWNHOMES LOT #: 016 TYPE OF USE: PROJECT NAME: BREISCH DESCRIPTION: Intall new fixtures. OWNER: BREISCH, PHONE #: 6B-699-3776 CONTRACTOR: ADVANCED PLUMBING PHONE #: 503- 478.973f Inspection Request Scheduled For: Date: 7/26/2006 Pour Time: Code #. Inspection Description Confirm # Contact # M-_:. !e ■ 399 Plurnbinq final 033780 -01 503- 793 -2104 Corrections /Comments /Instructions: ‘00A 1 r ,a v : /S� (7) 4 s / i 7 i. a — AJo rfcc SS c , To 4--lrti 0.10 - r✓ MeSS'' dipp . g -ASS n PARTIAL APPROVAL _, CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Date: , ale Phone #: (503) 718 -Z V " CITY OF TIGARD • BUILDING DIVISION c - _ , PERMIT #: PLM200G -00341 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/12/2006 Phone: (503) 639 - 4171 toW v i t Inspection Requests (24 (503) 639 -4175 ��� J . • INSPECTION WORKSHEET FOR DATE: 7114/2006 TIME: 7:16AM PAGE: 11 SITE ADDRESS: 10860 SW IBRIARWOOD PL CLASS OF WORK: SUBDIVISION: HAWKS BEARD TOWNHOMES LOT #: 015 TYPE OF USE: PROJECT NAME: BIREISCH DESCRIPTION: Install new fixtures. OWNER: BREISCH, PHONE #: 503 - 699 -3776 CONTRACTOR: ADVANCED PLUMBING PHONE #: 503- 478-973b Inspection Request Scheduled For: Date: 7/14/2006 Pour Time: Code # Inspection Description Confirm # ntact # Message 320 Plumbing rough -in 033131 -01 503 -969 -404. \ Y Corrections /Comments /Instructions: 1 ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL n CALL FOR INSPECTION. ❑ ADDITIONAL FEES ASSESSED Inspector: f4i v Date: Phone #: (503) 718- .