Loading...
Permit CITY OF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT #: PLM2006 -00108 ell DATE ISSUED: 4/7/2006 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S103CC -00402 SITE ADDRESS: 13875 SW 121ST AVE ZONING: R -4.5 SUBDIVISION: LOT: JURISDICTION: TIG Project Description: Private Site Utilities Other fixtures: (4) raindrain connectors, 4 manholes. CLASS OF WORK: NEW GARBAGE DISPOSALS: MOBILE HOME SPACES: • TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: R3 FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: CATCH BASINS: 9 FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: 5 SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: • TUB /SHOWERS: SEWER LINE: 200 ft WATER CLOSETS: WATER LINE: 1,600 ft DISHWASHERS: RAIN DRAIN: 400 ft Owner: FEES BIANCHI, BENNETT B + CAROLE P 13875 SW 121ST AVE Description Date Amount TIGARD, OR 97223 [PLUMB] Permit Fee 4/7/2006 $1,513.85 [PLMPLN] Plan Review 4/7/2006 $378.46 Phone : [TAX] 8% State Surcha 4/7/2006 $121.11 Total $2,013.42 Contractor: NEW WEST CONSTRUCTORS INC PO BOX 19588 PORTLAND, OR 97280 - 2909 REQUIRED ITEMS AND REPORTS Contact # : PRI 503- 977 -2909 FAX 503- 977 -2920 Reg #: LIC 105212 PLM 26 -783PB 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: "711 , Permittee Sign.,,;' 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. t Site Utilities D i ' Ploughing Permit A - lic t - , - Emit OFFICE USE ONLY City of Tigard Received J Date/By: oZ 06 '6 6 Permit / j' v�cti No - �JoB 13125 SW Hall Blvd., Tigard, O197223 b)1 . TWA() LLL �05 k h vv i ' Plan Review Other Permit No.: Phone: 503.639.4171 Fax: 503.598.196 / �xi rr u lry ai Date/By Hour Inspection Line: 503;632 4 3 Internet: www.ci.ti ard.or.us� � �� , "� � " Date Ready/By: .. / �""S ® See Page 2 for g a Notified/Method: S/ a f��� Supplemental Information TYPE OF WORK % 1 FEE* SCHEDULE XNew construction ❑ Demolition For special information use checklist. Description I Qty. I Ea. I 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 VI 1- and 2- family dwelling El Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building 1:1 Multi-family SFR (3) bath 399.00 Each additional bath/kitchen 45.00 El Master builder .Other: -¢ - LO TS Fire sprinkler ( sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities Job site address: J 3 g? 5 511' /L/ 2'� ,4 Catch basin or area drain 9 16.60 i Lib L( O City /State /ZIP: 17 / 4-/ j)/ 0/1-6-64/ 7722 4. Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: Project name: R �� 1 zorsi�, Footing drain (no. linear ft.S�) • j; Page 2 a�/�, 68 Manufactured home utilities •J 110.00 J Cross street /directions to job site: (�( e / S F '4 Manholes - ! 16.60 S'io o �ae re e 5'1 "---A-c( 5 1.- -5 v1 "� Rain drain connector - ' `i 16.60 C9 i b Sanitary sewer (no. linear ft.:2 . J /! Page 2 / l f 1) Storm sewer (no. linear ft.: gob ) Page 2 9_ 111, 26 Subdivision: Lot no.: Water service (no. linear ft.: /6(0 / Page 2 /;4 , t r Q . Fixture or item i Tax map /parcel no.: Absorption valve 16.60 - DESCRIPTION OF WORK Back flow preventer Page 2 4-' SOT sce. o /iv/Sldw 112f771 Backwater valve 16.60 / `,, . ,a Clothes washer 16.60 Dishwasher 16.60 • PROPERTY OWNER I ❑ TENANT Drinking fountain 16.60 Ejectors /sump 16.60 Name: 7),f a. , ei/c . Expansion tank 16.60 • Address: /1 fe , rieffrz 5 - Fixture /sewer cap 16.60 City /State /ZIP: l 7G4tx 1 / 0, 6", "77a Floor drain /floor sink/hub 16.60 Phone: ( ) Fax: ( ) Garbage disposal 16.60 Hose bib 16.60 fit ❑ CONTACT PERSON Ice maker 16.60 Business name: 5TEPPfiV6 57-6,JL 7 5 L C Interceptor /grease trap 16.60 Contact name: D BCt Medical gas (value: $ ) Page 2 Address: / /g35 5i k- . 7ffEiCiL/Z 5 / Primer 16.60 City /State / ZIP: - 77,11-e JP e52e6,:esiti 7.2 3 Roof drain (commercial) 16.60 Sink/basin/lavatory 16.60 Phone: ( ) I Fax::( ) Tub /shower /shower pan 16.60 . E -mail: ' 1 01 Urinal 16.60 CONTRACTOR Water closet 16.60 Business name: NEUr G(/ G47/frS7 - ,ev ,LS / J4'( • Water heater 16.60 Address: 7d, gbx /2.: g Other: - City /State /ZIP: 7D,Q.T4.¢,vl7, ,t°�6o v ! ?O -$ d Subtotal / , - Minimum permit fee: $72.50 - Phone: (5)3 ) 777-„274,5 9 Fax: (303 ) 97 7 '�9v2p Residential backflow minimum permit fee: $36.25 a > 5� / Pl umbing Lic. no.: �,� - 7 D s p ✓ Q Plan review (25% of permit fee) 3 v.. 6 CCB Lic.: / � Authorized signature: ` State surcharge (8% of permit fee) /.4Z/ , / TOTAL PERMIT FEE 2 Iy Print name: -D0 >J C(,),510 4/6 Date: a c2/2go6 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. i:\ Building \PermitstPLMU- PermitApp.doc 06/05 440 -4616T(10 /02/COM/WEB) �\ Plumbing Permit Application - City of Tigard \ Page 2 - Supplemental Information • -, Fee Schedule: Residential Fire Suppression Systems: Site,Utilities : ' . _ Qty. Fee ( ea) .. Total ' Sq ua re Footage: • Permit Fee:_,', . Footing drain - l' 100' -/ 55.00 • aO 0 to 2,000 $115.00 Footing drain - each additional 100' 4 46.40 /85.40 2,001 to 3,600 $160.00 Sewer - 1st 100' 55.00 00 3,601 to 7,200 $220.00 • �9 J`'s• 7,201 and greater $309.00 Sewer - each additional 100' f 46.40 (#6.y v Water Service - 1st 100' 1„ 55.00 55..ou Medical Gas Systems: Water Service - each additional 100' / 5 46.40 ,% , o Storm & Rain Drain - 1st 100' I 55.00 �S, ao Valpation: Permit Fee:` , : } ,., . . , $1.00 to $5,000.00 Minimum fee $72.50 Storm & Rain Drain - each additional 100' 3 46.40 UT , Z D $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each ;Fixture or Item ' Qty., Fee (ea) Total additional $100.00 or fraction thereof to and Commercial Back Flow Prevention Device - - 46.40 including for the first $ $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 4 65.25 S.Z - $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 and including $50,000.00. specially requested inspections - per hour 72.50 $50,00 1.00 and up $742.00 for the first $50,000.00 and $1.20 for Subtotal: 3r I , 3dlo I ' each additional $100.00 or fraction thereof. Fixture Work: • :Plan Review for Complex Structures - :: '. . Are you capping, adding or replacing fixtures? If "yes ", 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) Work Performed ❑ Any, new commercial building. Fixture Type: Replace ❑ Any new exterior plumbing site utilities. Previous ' Capped Added Existing ❑ A commercial building with installation, 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 ,p- -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 Eye Wash ❑ Any NFPA 13 -D multipurpose fire sprinkler system. Floor Drain /sink 2" Submit 2 sets of plans with any of the above. -3" -4" Car Wash Drain • Isometric 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 -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 ' - 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 \Pennits\PLM- PermitApp.doc 07/06/05 C3 5 , -1 CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM200G -0010B 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/7/2006 Phone: (503) 639 -4171 �� > a�p„�i�pj � ll Inspection Requests (24 Hrs.): (503) 639 -4175 �. ' W INSPECTION WORKSHEET FOR DATE: 6120/2006 TIME: 7:01AM PAGE: 53 SITE ADDRESS: '13875 SW 121ST AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: BEELER SUBDIVISION DESCRIPTION: Private Site Utilities Other fixtures: (4) raindrain connectors, 4 manholes. OWNER: DAN BEELER, PHONE #: CONTRACTOR: NEW WEST CONSTRUCTORS INC PHONE #: 503-977-2909 • Inspection Request Scheduled For: Date: 6120/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 031980-01 603- 969.6019 N Corrections /Comments /Instructions: ( 7-\(i/ -ASS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED /- V-/ 41 Inspector: Date: )—b V Phone #: (503) 718- 2 131 CITY OF TIGARD BUILDING DIVISION PERMIT #: P1M2006-00108 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/7/2006 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 5110/2006 TIME: 7:02AM PAGE: 1 SITE ADDRESS: 13675 SW 121ST AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: BEELER SUBDIVISION DESCRIPTION: Priya.te Site Utilities Other fixtures: (4) raindrain COMOCIOIS, 4 manholes. OWNER: DAN BEELER, PHONE #: CONTRACTOR: NEW WEST CONSTRUCTORS INC PHONE #: 503-977-2909 Inspection Request Scheduled For: Date: 5/10/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 606 Sanitary sewer 029652-01 603-696-6019 Corrections/Comments/InstruCtions: 01 1/1/,v _ • 1 PARTIAL APPROVAL 0 CANCEL I I NO ACCESS I FAIL 1 CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718- „LT_ CITY OF TIGARD BUILDING DIVISION PERMIT #: PLIVi2006-00108 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 41712006 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 ,..44 41., INSPECTION WORKSHEET FOR DATE: 51512006 TIME: 7:10AM PAGE: 50 SITE ADDRESS: 13875 SW 121ST AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: BEELER SUBDIVISION DESCRIPTION: Private Site Utilities Other fixtures: (4) raindrain connectors, 4 manholes. OWNER: DAN BEELER, PHONE #: CONTRACTOR: NEW WEST CONSTRUCTORS INC PHONE #: 503-977-2909 Inspection Request Scheduled For: Date: 51572006 Pour Time: i Code # Inspection Description Confirm # Contact # M: ... 330 Water SOM Co 029348-01 503-691-6166 • Corrections/Comments/Instructions: tot PASS 7 PARTIAL APPROVAL fl CANCEL fl NO ACCESS FAIL I I CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED f./ i Inspector: i t'i , Date: .../ II 1 Phone #: (503) 718- • . CITY OF TIGARD BUILDING DIVISION S PERMIT #: KM:200600 108 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/7/2006 Phone: (503) 639-4171 /who I f Inspection Requests (24 Hrs.): (503) 639-4175 Alik" INSPECTION WORKSHEET FOR DATE: 4/24/2006 TIME: 7:02AM PAGE: 5 SITE ADDRESS: 13075 SW 121ST AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: BEELER SUBDIVISION DESCRIPTION: Private Site Utilities Other fixtures: (4) raindrain connectors, 4 manholes. OWNER: DAN BEELER, PHONE #: CONTRACTOR: NEW WEST CONSTRUCTORS INC PHONE #: 503-977-2909 Inspection Request Scheduled For: Date: 4/24/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 340 Storm drain 02E35Th-01 50196'3-6019 Corrections/Comments/Instructions: -6) \ k1 ,Le 40elaidailardi . .-.01%11 1 " -,a14 .•■ • /ile A gar__ N XI PASS n PARTIAL APPROVAL CANCEL NO ACCESS I I FAIL Ft CALL FOR INSPECTION I j ADDITIONAL FEES ASSESSED Inspector: / Date: A Phone #: (503) 718- - , CITY OF TIGARD .„ BUILDING DIVISION _, ,,,.. ,. , PERMIT #: PLM2006-00108 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/7/2006 Phone: (503) 639-4171 A NAPI I IT Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 4/19/2006 TIME: 7:02AM PAGE: 6 SITE ADDRESS: 13875 SW 121ST AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: BEELER SUBDIVISION DESCRIPTION: Private Site Utilities Other fixtures: (4) raindrain connectors, 4 manholes. OWNER: DAN BEELER, PHONE #: CONTRACTOR: NEW WEST CONSTRUCTORS INC PHONE #: 503-977-2909 Inspection Request Scheduled For: Date: 4119/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 340 Storm drain 028324-01 503-965-6019 N Corrections /Comments/ Instructions: - C Ali ' IF / Y z MATIOLO i - ■ - / • r I 1 It ..... s 7 PARTIAL APPROVAL 0 CANCEL El NO ACCESS I I FAIL 7 CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED , 4 i ±(1411=i Inspector: i 1 N 1/4 V Date: : Phone #: (503) 718- , . .