Permit y CITY OF TIGARD PLUMBING PERMIT
• . COMMUNITY DEVELOPMENT PERMIT #: PLM2008 -00347
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 8/25/2008
PARCEL: 2 S 109AA -02000
SITE ADDRESS: 14450 SW 130TH AVE ZONING: R -7
SUBDIVISION: WOODFORD ESTATES LOT: 008 JURISDICTION: TIG
PROJECT: PANGARES
Project Description: Replacing 50 ft. of water service.
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: ft
WATER CLOSETS: WATER LINE: 50 ft
DISHWASHERS: RAIN DRAIN: ft
Owner:
FEES
CARY PANGARES
14450 SW 130TH Description Date Amount
TIGARD, OR 97224 [PLUMB] Permit Fee 8/25/2008 $72.50
[TAX] 12% State Surch 8/25/2008 $8.70
Phone : 503- 624 -1557 Total $81.20
Contractor:
ARS RESCUE ROOTER
PO BOX 2830
CLACKAMAS, OR 97015 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 235 -8784
FAX 503- 491 -2932
Reg #: L1C 127325
PLM 34 -168PB
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: �P
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.
JAN -24 -2004 20:57 P.001
s.
,'�,,
, .L. Plumbing Per l,�it Application
Building Fixtures ors OhF1c€: USE ONLY
City of Tigard ( ✓�r�+i aecej'�a Y Per mit No
a 13125 SW Hall Blvd., Tigard, OR 97223 \ FJ Date/By - I 7
Phone: 503.639.4171 Fax 503.598.1960 6o t late /B Inspection Lin: 503.639.4175 6 `:'
4 atelBY Other Permit No:
rtc'.n'tcn \,C.,
I N
Internet; www.tigard- or.gov Nu, , a Ready /By: lvns fr7 Sce Page 2 for
\ 'v M ti Method. NU Supplemental Information
TYPE OF WORK — u y O ` � \.. SI �' FEE* SCHEDULE
❑ Ncw construction ❑ Demoliti. - A 0. Fors' eclat information use check/lst.
SI Descn Qtv, Ea' MIMI
ddition/alteration / replacement El Other: New I- 2- family dwellings (includes 100 ft. for each utility connection)
CATEGORY OF CONSTRUCTION SFR (1) bath 249.20
srl- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath — 350.00 111111111 Accessory building ❑ Multi- family SFR (3) bath 399,00
❑ Master builder Each additional bath/kitchen 45,00
❑ Other:
Fire sprinkler (� sq. ft-) Page 2
JOB SITL INFORMATION AND LOCATION Site utilities
Job site address: l i pp � �1/ Catch basin or area drain 16.60
,.,,;„4„, / .. Drywell, leach line, or trench drain 16.60
Suite /bldg. /apt. no.: Project name: -#., 4 . Footing drain (no. linear ft.: _) -- Page 2 —
Cross street/directions to job site: Manufactured home utilities 110,00
-'7' 4. Manholes 16.60
Rain drain connector 16,60 MI
Sanitary sewer (no. linear ft,: -_) -- Page 2
Storm sewer (no. linear ft.: 411.1 Page 2 NM
Subdivision; w I,ot no.: Water service (no. linear ft.: "7 WE Page 2 M
Tax map /parcel no,: Fixture or item
Absorption valve 16.60
•
DESC1RIPTION OF WORK Backflow preventer Pa e 2
', g
� �....d.l Backwater valve 16.60 MN
' 0. . / ��L�l� Clothes washer 16.60
Dishwasher 16.60
%PROPERTY• OWNER.: , ' _ • 171 TENANT Drinking fountain 16.60
Name: � 7/I� J Ejectors /sump 16.60
' � ' . Expansion tank 16.60
Fixlure/sewer cap 16.60
� J�
(� �r _ ..- Floor drain/floor sink /hub ��
t !_ ) Garbage disposal 16,60
• ''I` . J_] _CONTACT PERSON Hose bib _ 16.60 NMI
Ice maker 16.60
Business name: ARS dba JACK 110WK /Rescue Rooter
Interceptor/grease trap 16.60
Contact name: JOYCE DENNIS Medical gas (value: $ ) Page 2 Ell
Address: P.O. nox 2830 g
Pruner 16 60
City /Slate/ZIP: CLACKANIAS. OR 97015 Roof drain ('commercial) — 16.60
Phone: (503) 235-8784 Sink/basin/lavatory
( ) Fax: (503) 491 -2932 _ 16.60
Tub /shower /shower pan 16.60
E -mail: JOYCE@JACKIIOWK,CONI
•
Urinal 16.60
cON • RACTOR Water closet
• _ 16.60
Business name: ARS dba JACK IIOWK /Resctleooter Water heater 16.60
Address: P.O. BOX 2830 Other:
City/State /ZIP: CLACKAMAS, OR 97015 Subtotal
( ) Fax: (503) 491 -2932 Minimum permit fee: $72.50
Phone: 503 235 -8784 Residential backflow minimum permit fee: $36.25 r� 40
CCB Lie.: 127325 ' - PI Bing Lie, no.: 34 -168 P _ Plan review (25% of permit fee) MN
Authorized signature: J,•� Stoic surcharge (12% of permit fee) MO *I,�Jiit�+s. TOTAL PERMIT )
Print name: Mrr 10T 4tati o� s permit sl��
This permit application expires If a permit 1s tint ob i
180 days after it has been accepted as complete.
'Fee methodology set by - Fri-County Building Industry Service Board.
1.1Suildin&furnut 4f -r. Please FAX BACK t n,SO3- 491 -2932
CITY OF TIGARD Iv 4
BUILDING DIVISION
PERMIT #:, PLM2008-00347
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 612512000
Phone: (503) 639-4171 t •
Inspection Requests (24 Hrs.): (503) 639-4175 j.
INSPECTION WORKSHEET FOR DATE: 9/3/2008 TIME: 7:01AM PAGE: 6
SITE ADDRESS: 14450 SW 130TH AVE CLASS OF WORK:
SUBDIVISION: WOODFORD ESTATES LOT #: 008 TYPE OF USE:
PROJECT NAME: PANGARES
DESCRIPTION: Replacing 60 ft. of water service.
OWNER: PANGARES, CARY PHONE #: 503-6241557
CONTRACTOR: ARS RESCUE ROOTER PHONE #: 503-235-8704
Inspection Request Scheduled For: Date: 9/3/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
330 Water service 0750164)1 503-235-8784
Corrections/Comments/Instructions:
Pub Pv4c Rq meKt Pei, Pi \p■'`n
C t J
PASS n PARTIAL APPROVAL fl CANCEL ri NO ACCESS
n FAIL I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: C Date: CV L Phone #: (503) 718-