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Permit q CI 1 Y OF TIGARD PLUMBING PERMIT • '' COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00203 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/17/2007 PARCEL: 2S112BD SITE ADDRESS: 14790 SW 79TH AVE ZONING: R - SUBDIVISION: BRITTANY MEADOWS LOT: 055 JURISDICTION: TIG PROJECT: BRITTANY MEADOWS SUBDIVISION Project Description: Connect existing house to sewer. Septic tank to be pumped and filled. 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: OTHER FIXTURES: TUB /SHOWERS: SEWER LINE: 65 ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES GRANT OLSON • 14790 SW 79TH AVE Description Date Amount TIGARD, OR 97223 [PLUMB] Permit Fee 5/17/2007 $72.50 [TAX] 8% State Surcha 5/17/2007 $5.80 Phone : Total $78.30 Contractor: KERR CONTRACTORS INC PO BOX 1060 WOODBURN, OR 97071 REQUIRED ITEMS AND REPORTS Contact # : PRI 971 -216 -0050 Reg #: LIC 72599 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 :y: 4 / 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. Plumbing Permit Application '`" ` FOR OFFICE USE ONLY '° • City of Tigard RDeacteeliBveyd / ) qv Permit No.: , L f 7 t65:1903 il a 13125 SW Hall Blvd., Tigard, OR 97223 N Plan Review Phone: 503.639.4171 Fax: 503.598.1960 Other Permit No. 2 1 Inspection Line: 503.639.4175 Date Read B Y J ®See Page 2 for ` Date /By: TIGAKD Y Internet: www.tigard or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE 1 � ❑ New construction ❑ Demolition For special information use checklist Description 1 Qty. Ea. 1 Total ❑ Addition/alteration/replacement 0 Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) CA TEGORY 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: JOB SITE INFORMATION AND LOCATION Site utilities Page 2 Job site address: %,�f � � ��! , 7� Fire sprinkler ( sq. 11) Catch basin or area drain 16.60 City /State /ZIP: ° %?o / 77 Drywell, leach line, or trench drain 16.60 T �� 6/ �, Footing drain (no. linear ft.: ) Page 2 Suite/bldg. /apt. no.: Project name: pj„�,( ` /� 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 ,5 Storm sewer (no. linear ft.: ) Page 2 ubdivision: i Water service (no. linear ft.: ) Page 2 Fixture or item Tax map /parcel no.: I Lot rto.: k,,, Absorption valve 16.60 DESCRIPTION OF WORK _ Backflow prevent& Page 2 - 4 9,47A ��JS1C �d�p {�� �J s��,$f- Backwater valve 1 6.60 " Clothes washer 16.60 Dishwasher 16.60 ❑. PROPERTY OWNER„ I ❑TENANT Drinking fountain 16.60 Ejectors /sump 16.60 Name: /C / ��v Expansion tank 16.60 Address: `'~ /9l •796 SWIG) i � Fixture/sewer cap 16.60 16.60 City /State /ZIP:� Floor drain/floor sink/hub 10 Phone: ( ) / . Fax: ( ) Garbage disposal 16.60 ❑ ' Hose bib 16.60 APPLICANT ❑ CONTACT�PERSON Ice maker 16.60 Business name: Interceptor /grease trap 16.60 4 Contact name: Medical gas (value: $ ) Page 2 Address: Primer 16.60 16.60 ity /State /ZIP: Roof drain (commercial) Sink/basin / lavatory 16.60 Phone: ( ) Fax : : ( ) Tub /shower /shower pan 16.60 E -mail: Urinal 16.60 CONTRACTOR Water closet 16.60 Business name: ie / ,,l,. 4 / Water heater 16.60 ' Address: City /State /ZIP: 6` 1� y �du� Other: Subtotal Minimum permit fee: $72.50 ^� � Phone: (47P .//:,, U Fax: ( ) Residential backflow minimum permit fee: $36.25 �� `l CCB Lic.: p, Plumbing Lic. no.: a' / Plan review (25% of permit.fee) State surcharge (8% of permit fee) 5. go Authorized signature: /-eii--= le.-,4 TOTAL PERMIT FEE 7 g. Print name: . _ y Date: 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. 1:\Building \Permits \PLM- PermitApp.doc 12/27/06 440- 4616T(10/02 /COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities - . Tota Fee (ea) Square. Footage: Permit Fee: - • Footing drain - 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 •ortItem 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 and up $742.00 for the first $50,000.00 and $1.20 for each additional $100.00 or fraction thereof. Fixture Work: Are you capping, adding or replacing fixtures? If "yes ", Plan. Review for Plumbing Installations 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. Quantity by (Fixture) Work Performed ❑ Any new commercial building with water service 2" and - ,Fixture-Type: ..Replace greater, except systems designed and stamped by licensed • Previous Capped A t Eiisting engineer. Baptistry/Font Bath - Tub /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 OAR918- 780 -0040. Dishwasher - Commercial • Domestic Submit 2 sets of plans with any of the above. Drinking Fountain Eye Wash `Isometric or Riser Diagram Floor Drain/sink - 2" . ❑ Isometric or riser diagram is required for new buildings that meet the qualifications above. -4" Car Wash Drain Garbage - Domestic Comments regarding fixture work: Disposal - Commercial - Industrial • Ice Mach./Refrig. Drains Oil Separator (Gas Station) Rec. Vehicle Dump Station Shower -Gang -Stall Sink -Bar/Lavatory *Note: If the fixture work under this ermit results in an - Bradley p - Commercial increase of sewer EDUs, a sewer permit will be issued and - Service fees assessed for the sewer increase must be paid before the Swimming Pool Filter plumbing permit can be issued. Washer- Clothes Water Extractor Water Closet - Toilet Urinal Other Fixtures: i:\ Building \Permits\PLM- PermitApp.doc 12/27/06 CITY OF TIGARD � • BUILDING DIVISION' PERMIT #: PLM2007 -00203 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/17/2007 Phone: (503) 639 -4171 /anmm � 4 Ni�l�l l6 ' 1I� Inspection Requests (24 Hrs.): (503) 639 -4175 W INSPECTION WORKSHEET FOR DATE: 5/22/2007 TIME: 7:01AM PAGE: 58 SITE ADDRESS: 14790 SW 79TH AVE CLASS OF WORK: SUBDIVISION: BRITTANY MEADOWS LOT #: 055 TYPE OF USE: PROJECT NAME: BRITTANY MEADOWS SUBDIVISION DESCRIPTION: Connect existing house to sewer. Septic tank to be pumped and filled. OWNER: OLSON, GRANT PHONE #: CONTRACTOR: KERR CONTRACTORS INC PHONE #: 971 - 216.0050 Inspection Request Scheduled For: Date: 5/22/2007 Pour Time: Code # Inspection Description Confirm # ' Contact # Message 505 Sanitary sewer 048738 -01 971 - 235.5050 N Corrections /Comments /Instructions: ` //)//,' i ' - ,/ ,, A Z ,)T6-' '177 / , II , , ., / � / / if�. // , . / dirrprr- . r_ ASS ❑ PARTIAL APPROVAL n CANCEL I NO ACCESS FAIL I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED . it/ Inspector: Date: ° 2- . 2-- Phone #: (503) 718- . CITY OF TIGARD BUILDING DIVISION PERMIT # fj 07 DtI 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 67 / Phone: (503) 639 - 4171'11 + +�ii'�i� l Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: / TIME: PAGE: SITE ADDRESS: / / /c/ / V� CLASS OF WORK: SUBDIVISION 13��y �® LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: pe 0.-67-/-72vc_ze9A #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection escription Confirm # Contact # Message Corrections /Comments /Instructions: (jo/VA(Ze.) 7 .- (= 4 3V/I., /A/o-- -- /k/q - /Ar - r© )Y/2 fi70 o //6_ - /J7 4 o '5S //QM< 70 t - 4i- 3t 72' AD■e -- Pk 0.i i✓6 /E7A/4 -Z __ ❑ PASS E • A RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL 'ALL FOR INSP. TIO. ADDITIONAL FEES ASSESSED j 18 Inspector: , fy Date: Phone #: (503) 71 CITY OF TIGARD r --.� �,�j��OD 00 v ' BUILDING DIVISION PERMIT #. 2 3 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 % jll ��� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: /4 7 D .'q SITE ADDRESS: CLASS OF WORK: SUBDIVISION: /Ze E 47>0 tAI, LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: tiff( 3 At v PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Mes e 6() � c Q J & - o � '� g ,-/- Zr5 C >c)�0 Corrections /Comments / Instructions: .grf / 4leg ' 0/2, )7"----- 7 -=.• - ti .--(1" e-G ..K ilt�_ .'mil . 1 - / - 7, / - - Ar t eDki/ei - Q.. te•VI__. /E .4.4- 7 "7 -; -) i t-L77z_e_ i ' vN !. -. 3 - . ,--- F___- e11 I ki7 - l am !�1/ / - � - L -- `�/_- Z ------- "-ZT-M(___-----71/11- 0 A -- er , ❑ PASS PARTIAL APPROVAL ❑ CANCEL n NO ACCESS ❑ FAIL AL Or — ' r CTION ADDITIONAL FE S ASSESSED Inspector: D ate: Phone #: (503) 718 f