Permit glit110
, � , CITY OF GARD PLUMBING PERMIT
m ' COMMUNITY DEVELOPMENT Permit #: PLM2010 -00212
T i CARL) 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 06/30/2010
Parcel: 2S111CB01717
Jurisdiction: Tigard
Site address: 10080 SW KABLE ST
Subdivision: HOOD VIEW Lot: 16
Project: Freidrich
Project Description: Connect existing house to sewer service. Reimbursement District #45 fee paid.
Owner: FEES
FRIEDRICH, JOHN H AND Quantity Description Date Amount
JANET M, 10080 SW KABLE ST
TIGARD, OR 97224 130 If Sewer Service 06/30/2010 $100.06
PHONE: 1 12% State Surcharge - 06/30/2010 $12.01
Plumbing
Contractor:
ALL WAYS EXCAVATING USA LLC
PO BOX 238
HUBBARD, OR 97032
PHONE: 503 - 982 -3544
FAX: 503- 982 -3654
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Total $112.07
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 Notific. • - - = • -r. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
or direc : estions to OU • .fling 503.246.6699 or 1.800.332.2344.
Issu =d By: / { Permittee Sig
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.
'� PLUMBING PERMIT
:.-.' ' -- -x; COMMUNITY' DEVELOPMENT Permit #: PLM2010- 00212
Date Issued: 06 /30/2010
,TIGA -ar 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
t � � Parcel: 2S111CB01717
Jurisdiction: Tigard
Site address: 10080 SW KABLE ST
Subdivision: HOOD VIEW Lot: 16
Project: Freidrich
Project Description: Connect existing house to sewer service. Reimbursement District #45 fee paid.
Owner: FEES
FRIEDRICH, JOHN H AND Quantity Description Date Amount
. JANET M, 10080 SW KABLE ST
TIGARD, OR 97224 130 If Sewer Service 06/30/2010 $100.06
PHONE: 1 12% State Surcharge - 06/30/2010 $12.01
Plumbing
Contractor:
OWNER
PHONE:
FAX:
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
. Total $112.07
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. _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 sect questions to OLIN •y c ing 03.246.6699 or 1.800.332.2344.
I sued By: "),# ` / i Permittee Signature:
k ___.. Ll...61-4k, ' A id - A :4/ " Aj4-4°---'
Gall 503.639.4175 by 7:00 a.m. for an inspection that busines
di
This permit card shall be kept in a conspicuous place on the job site until co • letion of the project.
Approved plans are required on the job site at the time of each inspection.
Plumbing Permit ApplicatioECv
� ,��
4 �M44 sw Z y z ,: i. r tt'^ r-. 1 r , \ r 'deg
Bu Fixtures � �Ma�� �� � �., ��:�� � � ��
, , q , a,� '2' rc a\�'r ' I , 1 y 3 � 4 4
� I' nR �I I'I � .
N.,IrkSN. L1 v? ., .,. ;, ,,, y " `� ' "
lr/,'
r
City ofTigard `/vIV 0 2010 Received / /D
Permit No.: k/ �/v. - g( �
Date /By. OT-..'
n 13125 SW HaII;Blvd., Tigard, OR (97 3 Plan Review
If ' Phone: 503.639.4171 Fax: 4.9 19
t �F Da R Other'Permit No.;
- Inspection Line: • IB y y g
a 503.639 ILD - R D' D ate Read lur s: ®S ee:Pa 2'for
rn
rr (.iARI/ , • IN IV
Internet: www.tigard- or.gov 15101 Notifi ed/Method: . Supplementallnformation'
` ° ° 7 s ,'TYPE?OF WORK ••• FEE ' •1
❑ ; ;New. construction
'❑ Demolition • For special information use check list` • '
Description 1 Qty. 1 Ea. 1 Total:
❑ Addition /alteration/replacement ❑ Other:. New 1 - 2- family dwellings (includes 100 ft. for each utility connection)
M
w ., ' CATEGORY {OF CONSTRUCTION? _ SFR (1) bath 312.70
❑ i'- and.2- family dwelling. ❑ Commercial /industrial SFR (2) bath 437 :78 _
SFR (3) bath 500.32 '
❑ Accessory building - ❑ Multi- family .
Each additional bath/kitchen 25.02
❑ Master builder ❑ Other: '
Fire sprinkler ( sq. ft.) . Page 2
r JOB.SITE INFORMATION AND AO.CATION ` h Site utilities:
Job site address: /0010 Sl,1/ - k4J 7 4 E ST Catch basin or area drain 18.76
/ /7 n 7 Z Z Drywell, leach line, or trench,drain 18.76
City /State /ZIP: � i7 ® 9/
Lv/ Footing,drain (no. linear ft.: ) Page 2
Suite/bldg. /apt. no.: Project name: 2/E 4 / 16-1/ Manufactured home utilities 50.03
Cross•streetldirections to job site: Manholes 18.76
•
Rain drain connector 18.76 .
Sanitary sewer (no. linear ft.: LO Page 2 /;00'00
Storm sewer (no. linear ft.: ) Page 2
Water service (no. linear ft:: _) Page 2
Subdivision: Lot no.: Fixture or item:
Tax map /parcel no.: Backflow_preventer 31,27
,. u,, „.« ,” ,s xx ,, e
k h Backwater valve 12:51
. , , . • D ESC O p. WOR r .
Clothes washer 25.02
L lnYte "e .k(\Ou �'O Se wiz,. MAg t ■ Dishwasher 25.02
Drinking fountain 25.02 •
Ejectors /sump 25.02,
-li y ti i
_ ", - ",° Expansion �P.ROPERT DOWNERS -` 7 1 , m TENANT, P ansion tank 12 "51
Fixture /sewer cap 25.02'
Name: )r iA n amp 6, , ALV\O 4 Vl Q d v l C. VN
Floor drain /floor sink /hub 25.02
Address: l7 0 ga O % w `(4b I..L 'St
Garbage disposal 25.02
City /State /ZIP: T b ck va l cry-OJ v+^ a 1 a-a. u Hose bib 25.02'
Phone: ( So) k.„ao— va.7 4 J Fax: ( ) Ice maker 12.51
4 ❑� APPLICANT; ' '', 'r ' Interceptor/grease tra 25.02 '
' r ® CONTACT IPERSON trap
Business name: Medical gas (value: $ ) Page 2
Primer 12.51
Contact name:
Roofdrain•(commercial) _ 12.51
Address: Sink/basin/lavatory 25.02
City /State /ZIP: Solar units (potable water) 62.54
Phone: ( ) Fax: : ( ) Tub /shower /shower pan 12.51
E -mail: Urinal " 25.02
{LCONTRACTOR. : Water closet .25.02
5' -' tit ,_, ,,, ,4, ,. - P Water heater 37.52
Business name: Water i in
t P.P � DWV 56.29
Address: / Other: 25.02
'City /State /ZIP: ®
Al
• — . e . Subtotal C,j tli
Phone: ( ) Fax: ( ,) Minimum permit fee: $72.50 •-
CCB Lic.: Plumbing Lic. no.., Plan review (25 %ofpermitfee) i.
,
State surcharge , ge (12% of permit fee) � /
- t' ' �. �
Authorized signature: / TOTAL PERMIT FEE it; o
Irs..r
Paint name: /� C n I J Date: This permit application expires if'a permit is, not obtained within t80 days '
� / V i(/ /` �V h � � 0 after it has been accepted as complete.
*Fee methodology set by Tri- County Building Industry Service. Board.
C\ Building \Permits\PLMU- PermitApp.doc 10/01/09 440- 4616T(l0 /02/COM/WEB)
Plumbing. Permit Application City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems: '
Site; Qty; Fee (ea) Total j Square lFootage Perm it Fee t _, .
Footing drain - ls 100' 50.03 0 to 2,000 $121.90
Footing drain 2,001 each additional 100' 37.52 • 2,001 to 3 $169.69
3,601 to 7,200 $233:20
Sewer - 1st 100' 62.54 7,201 and greater $327.54
Sewer - each additional 100' 37.52
Water Service - 1st 100' 62.54 Medical. Gas System S
Water Service - each additional 100' 37.52 • • ,
, Valuation , • ,' r t ' • Ptermit� "-Fee ° m " <;:
Storm & Rain Drain - 1st 100' 62.54 �
$1.00, to $5,000.00 Minimum fee!$72.50
Storm & Rain Drain - each additional 100' 37.52 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for
Qty , Fee 'Total' each.additional,$100.00 or fraction thereof, to
* OthereInspectonskor `Fees and including $10,000:00.
Inspection of existing plumbing orfor $10,001.00 to $25,000.00 $148.50 -for the first $10,000.00 and $1.54 for
which no fee is specifically indicated 90.00/hr each additional $100.60 or fraction thereof, to
(minimum charge - 1/2 hour) and including.$25,000 00.
Inspections outside of normal business 90.00/hr $25,001.00 to $50,000.00 $379.50 fin first $25,000.00 and $1.45 for
hours (minimum charge - 2 hours) each additional $100.00 or fraction thereof, to
Reinspection Fees 90.00/hr and including $50,000.00.
Additional plan review for revisions 90.00/hr $50,001.00 and up' $742,00 for the first $50,000.00 and $1.20 for
(minimum charge 1/2 hour) each additional $100.00 or fraction thereof.
Subtotal:
Commercial Fixture Work: •
Are ou capping; addin or replacing fixtures? If es n e,
Y adding P g "yes", -� ;Plan'Review for P.Iurnbing;,Installafions ,, -
please indicate work performed by fixture. Failure to Plan review is required for any of the following.
accurately report fixtures could result in increased sewer fees * . Please check all that apply.
'.Quantityby;(FixturePWork Performed ❑ Any new commercial building with water service 2" and
Fixtu r Replace greater, except systems designedand stamped by licensed
y'.. it k.' _ r_ Pr•evio s Cappeil :' >Addea. 1 i , Eiisting.
Baptistry /Fonnt. engineer.
Bath
Baptistry/Font
Shower ❑ New exterior plumbing site utilities for any complex structure
Jacuzzi /Whirlpool as defined in OAR918 -780 -0040.
Car Wash Each Stall ❑ Medical gas and vacuum systems' for health care facilities.
Drive Stall ❑ Any multipurpose fire sprinkler, system.
Cuspidor/Water Aspirator ❑ Any complex structure as defined in OAR91•8 -780 -0040.
Dishwasher - Commercial - •
Domestic Submit 2 sets of plans with any , ofthe above.
Drinking Fountain
Eye Wash Isometric for Riser Diagram '
Floor Drain /sink - 2" . ❑ Isometric or riser diagram' is required for new buildings
that meet the qualifications above.
Car Wash Drain
Garbage - Domestic
Disposal - Commercial •
- Industrial Comments regarding fixture work:
Ice Mach./Refrig. Drains
Oil Separator (Gas'Station)
Rec. Vehicle Dump Station ..
Shower -Gang
-Stall
Sink - Bar/Lavatory
- Bradley - '
- Commercial *Note: If -th'e fixture work u nder this permit results. in an
• - Service increase of sewer EDUs,.a sewer permit will be issued and
Swimming Pool Filter fees assessed for the sewer increase must be paid before the
Washer` - Clothes
Water Extractor plumbing permit can be issued. • -
Water Closet - Toilet
' Urinal -
Other Fixtures: - .
•
I:\Building\Permits\PLMF- PermitApp.doc 2
(267 60 5w' K ,4!LE„ 5r
ALW .6)/o - ,0002
ALL -WAYS EXCAVATING USA LLC
PO Box 238, >ro 1 11 K 1 i'i I e
s- w�Uv °n�N � $1y1 ��j'+�°'"��+,�1��i ?'� � �p�//''•.��`` jJ
Hubbard, OR 97032 4i
Phone: 503 - 982-3544 ,# oV
L�'y{���5 ,'�;a
Fax: J CITY OF TIG RD
Cellular: 503 - 969 -9005
BUILDING DI ' ISION
Email: alwzexa@7gwestoffice.net
To: Data Faxed:
Fax Number: _ ( From: !
Total Pages: -
Comments.
11 ._44
1
Af
' _ � 11 it
FAX
LO/TO 39dd 3N01S 89LL8L9E05 ZO :Tt OTOZ /T0/60
CITY OF TIGARD
13125 SW Hall Blvd.
' Tigard, OR 97223
d::;h -K!7
503.639.4171
Inspection Requests: 503.639.4175 .... _ i
Permit No 2 LM2010 - 0D212
Site Address 10080 SW KABLB ST
Zonnect existing house to sewer service.
Description
Reimbursement District #45 fee paid.
ontractor
- hone No
napectlon Request Scheduled For:
r ate • uoust 19, 2010
our Time A
nspectlon Code .05 Sanitary sewer
equest Comment • 14920.01 MSG! 503 -969 -1828
- equestors Phone :03 -989 -1828
Result Comments .
.provide copy to the City of Tigard of the septic tank pump receipt
bowing volume of removed material.
.,provide copy to the City of Tigard of receipt of delivery of approved
111 materials le:alury, sand or pee gravel.
3. Approval will only be issued after proof receipts have been received
�y Ctty of Tigard.
4.0K to cover excavation and make final connections to house
sewers -
sulks AIL ,
nspectcr Ike Baird
r :te gust 19,2010
'hone No -03- 718 -2424
LO /Z0 39Vd 3NO ±Si'i3Nd00 85LL8L9E05 ZO:TT 0T2Z /T0 /60
• RECEIVED
SEP 0 1 2010
. .
• WINDSOR ROCK CITY OF TIGARD •
BUILDING DIVISION • Mailing Address
R Box 7322 • Salem, OR 97303 • Phone 503-393-8920
PRODUCTS Street Address
• 8425 Windsor Island Road NE • Keizer, OR 97303
------------- --------
Tit-kc,t Datat OB/1/7i
UL Timeg r2.2a23 pm
PL_ OA 6S WTFz. r KRTHY
.Hauz All Ecmvat.inp •
Source
•
OROc''Sg 9PS017.. Lbs .4etzla kR
tt, TRE] •&',Z20 Lbs 1".?-70L
-
Prod;Ztg Concrete SaTid NET 495S@ L
•
—4§47.1P Wi.2
Zo'ffez] PO Not NET 24,7? TON
•
Accum Tns L,ds
•
To Dat
Received Sy
* 1 Scale
Delivery Ivi-i;t..ztion'ii 2 Scale S
.7. MP51 w.
S = 3:goPed Ta
. . . .
•
•
LO/E0 Ed
31\101563*M 8SLL8L9E05 30:TT 0103/10/60
, . RECEIVED
'' :,... - 1 , 44::
7 ' . SEFT1C Stinfic, SEP 0 1 2010
,1 113;:r
■ f , . : , : Vt.q.?::SONktqU;,E, OR 97370 CITY OF TIGARD
• ..a:fra saa-102b rAx (tigiO ,S70,4071S
aipttlAbiesiOticsvc-c*M BUILDING DIVISION
CuSIOMER'S ORDER NO. 2 ' ' .' P t iC A :: (; . r :"."" ' : ;;;;^ - ' :.' ; OR" -.. L' : \ t .;=',.• s , /••• :: ■
r\t' ';'4 ' YCZ : zdg Li , JW ,
NAME
i .
I— --. ; • r . \ \--' . ".' , i
ADDRESS ___., ......
! •:' ? i ." .6. t`- C. i ( . •._ ' . ---,- ..-:), aft
-
SOLD BY CASH C.O.D. CHARGE ON AGCY. MOSE_ R ... PAID OUT
QTY. DESCRIPTION PRICE AMOUNT '
•
i --_5: NM . •., : . ' 7.77 (.:,-,,
1.< --R r :
inliep - - 3 - r - Milmil ,
e s
.
,/
rv=, PM, - e.: A. --' -- OM -- -
IIII
),, . ...!: ..Q
.. . .
....
. .. .
_..
. .
,,,,.
,, ,...,. • _t______ ,
' ,-
TAX -(--74
RECEIVED SY ' • ..'
. ). t '.., ' L • '.---' ------„,, TOTAL
< ' All cl4irniar.wid goods MUST be accompanied by this bill
• 8011-225-63te or odtbs.cam THANK YOU :
• . . .
- ..
LO/t 9Vd 3NO1Sel3Nd00 8SLL8L9EOS ZO:TT OTOZ/T0/6O
..
, � RECEIVED • t .. as 1 n s • 4r.5 . :::' ay n A „
' ol... 1� 3 ,, c,p . i.gro7ci'
,; ; , : ; =ax t 1 e CITY OF TIG,ARD
e4Firencwkr BUILDINQ`DIVISION
CUSTOMS }°. ,
R' ORDER NO. -PHONE' .�; �' ..� 0,� ,� '/ y �,y,,, : . } . .
NAME '. , - j
ADDRESS — - , „. �^ — 1
• 1
SOLD BY 7 CASH CHARGE ON A MDSE. A i7, PAID Out
i . , . QTY. • DESCRIP PRICE AMOUNT
1 : '1I?. =
1 1 ' „ +"
' .. l . C S n ' l � s - .` .
•
mot,...
•
.
•
i
J r
TAX
•
• REDS NED sv i -' ~.-.._ TOTAL.
All claims and goods r °R"ohie� MUST be accompanied by this bill, ' YOU
y
1
Boo - y- sae'ar zam THANK YOU • LO /LO 39dd 3NO1S 89LL8L9£05 ZO :TT 0TOZ /T0/60