Permit CITY OF TIGARD PLUMBING PERMIT
,
` '" f " COMMUNITY DEVELOPMENT Permit #: PLM2010 00373
Date Issued: 11/16/2010
TIGARD.. 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 2S 16/201 0500
Jurisdiction: Tigard
Site address: 14344 SW 72ND AVE
Project: Leifs Auto Collision Center Subdivision: NELSON BUSINESS CENTER Lot: 0
Project Description: Replace (2) sinks to meet ADA requirements
Con tractor: ALL PRO PLUMBING SERVICES LLC Owner: WALTON CWOR NELSON 13 LLC
2210 SE CELEBRATION CT BY TTA/EPROPERTYTAX DEPT 735
HILLSBORO, OR 97123 PO BOX 4900
SCOTTSDALE, AZ 85261
PHONE: 503 - 579 -5555 PHONE.
FAX: 503 - 259 -2555
FEES
Quantity Description Date Amount
2 ea Sink 11/16/2010 $50.04
Specifics: 1 12% State Surcharge - 11/16/2010 $8.70
Plumbing
Type of Use COM 22 ea Minimum Fee Adjustment - 11/16/2010 $22.46
Class of Work: ALT Plumbing
Type of Const:
Occupancy Grp:
Stories:
Total $81.20
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 -0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: / Permittee Signature: e`J 4 ff L % el3 /'v
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
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.
Nov 11 10 03:08p All Pro Plumbing Services 5032592555 p.1
Plumbin Permit A lieati
Site Utilities CEIVE i Utilities
v j
City of Tigard NO V 1 2 t f i o R D / / M ��, ' Permit NoPt/ y /O MS7
-■ 13125 SW I -Tall Blvd., Tigard, OR 97223
Plan Review
: Phone: 563.639.4171 Other Permit No.:
ei 1 Y V!' TIG Data By:
In spec ti on Li 503 4 175 Fax: 50�. �� Dare Ret /B J s: ® upp See Paela al 2 for
Ti c ...
BUILDING DIVISION M o �7
ln[en1eL wWH'. tiard oi.gOY Nntifiedlhtethod: Slemnt faformation
i
TYPE OF WORK FEE* SCHEDULE
❑ New construction 0 Demolition For special information use checklist.
Description 1 Qty. 1 Ea. 1 Total
R ' Add ition/alteration /replacement El Other: New I- 2- family dwellings (includes 100 it. for each utility connection)
CATEGORY OF CONSTRUCTION SFR (I) bath 312.70
II 1- and 2- fancily dwelling rgCommercial(industriai 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
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 1 ""f 2j4 l.. 5 to 1 .g Pr u . Catch basin or area drain 18.76
Drywell, leach line, or trench drain 18.76
City /State /ZIP: T (' O 33 0 e. oil l D D�
i c 2 Footing drain (no, linear R.: ) Page 2
Suite /bldg. /apt. no.: Project name: l &- /F�- Manufactured home utilities 50.03
Cross street /directions to job site: Co LL•fSfo Cc Manholes 18.76
Rain drain connector 18.76
Sanitary sewer (no. linear ft.: ) Page 2
Storm sewer ('no. linear ft: , ) Page 2
Water service (no. linear ft.: t Page 2
Subdivision: Lot no.: ! Future or item:
Tax mapiparcel no.: Backflowprevcnter 31.27
�p td DESCRIPTION OF WORK Backwater valve 12.51
, ` C� ' 1 l ,,.�,., ,, { Clothes washer 5.0
- ir u Cr' ,c, �
�• -•
� t1in `I -- -o 0 ti 1 1QC42fr Dishwasher 25.02
CA , Q • A .e 1
•
l) 1 GL 0 r %S Drinkin fountain 25.02
Ejectors/sump 25.02
PROPERTY OWNER
j ❑ TENANT Expansion lank 12.51
Name: L �■ \ ci ntD 2.n Flo dr 25.02
I Flaordrain/floorsinl:/rtub 25.02
Address: 1 L,I a'3 0 5 (,.,} 7 Ave_ LL Garbage disposal 25.02
City /State /ZIP: I r� 1 Q c i a D Li Hose bib 25.02
Phone: ( 3) u'- c sb,4 2, Fax :5a 3) 9 tog - 3) 9 ) Ice maker 12.5)
g APPLICANT ❑ CONTACT PERSON Interceptor /grease trap 25.02
Business name: Al_L.-pra i p m 1 nci �' (Q S Medical gas (value: 5 ) Page 2
Primer 12.51
Contact name: \L�, e n A-2 Cv Roof drain (commercial) 12.51
Address: Da lQ � E -P_.36Q,a ,)n Sink/basin /lavatory 2 25.02 50 ,D_11
City /StateiZIP: t` l k 1 S e b0 (
53 e5 0R., G 1 17 Solar units (potable water) 62.54
Phone: (7 " .. Q S . � Fax: :603 y'aS - ate'.: Tub /shower /shower part i 12.5)
E -mail: Urinal 25.02
Water closet 25.02
CONTRACTOR -
Water heater 37.52
Business ntune: A pa) ?Ie1 m J 1 Y ) ce p
Water p g/DWV 5629
i in
Address: 0,,,)/ D C ,, / e rt�l.-�i D C�- - ,.,__ Other: 2 .02
/� Subtotal City /State /Z1P: /f / r1, Y z l) { 2• g 7 1 2 3 3 t O
(
Phone: (5D3) 5 43 - 5cSS Fax: (S- -03)0759 - Minimum permit fee: $7250 7 . S�
V I3 L;c,; 1 f --) 1 R Plumtti Lic. lo.: 7 Z P s rchi r g (12% of permit fee) of permit fee)
State surcharge (12 °rc , it)
ttrc: �t' ( ` TOTAI, PERMIT FEE CA 1 , 7. ✓
/ � f � This permit application expires if a permit is nut obtained within 180 days
L /
Print name: Date: (I-0 (} / t� 4 1 L � after it has been accepted as complete.
"Fee inethodo)egy set by Tri- Count}' Building Industry Servicc Board.
C\ Building,PennitsQL4tU- Permit A pp.doc 10'0IiC9 440 -4 t 15Tl 1O'C2CORLWE 9)
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
14344 SW 72ND AVE, TIGARD, OR, 97224
Commercial - Plumbing
399 Plumbing final
04/30/2013 00:00
PLM2010-00373
PASS - No C of O
.
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
14344 SW 72ND AVE, TIGARD, OR, 97224
Commercial - Plumbing
399 Plumbing final
04/30/2013 00:00
PLM2010-00373
PASS - No C of O
.
Violation Summary:
Inspector Contractor