Permit •
CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit #: PLM2011 -00152
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/17/2011
Parcel: 2S 112CA10800
Jurisdiction: Tigard
Site address: 7551 SW ASHFORD ST
Project: SWIFT Subdivision: RENAISSANCE WOODS Lot: 34
Project Description: Replacing 65 ft. of water service. Electrical permit may be required if house grounding is affected.
Contractor: APOLLO DRAIN & ROOTER SERVICE Owner: SWIFT, CHRISTOPHER D & JOYCE C
2208 NW BIRDSDALE #8 7551 SW ASHFORD ST
GRESHAM, OR 97030 TIGARD, OR 97224
PHONE: 503 - 239 -8801 PHONE:
FAX: 503 - 669 -9568
FEES
Quantity Description Date Amount
65 If Water Service 05/17/2011 $62.54
Specifics: 1 12% State Surcharge - . 05/17/2011 $8.70
Plumbing
Type of Use: SF 10 ea Minimum Fee Adjustment - 05/17/2011 $9.96
Plumbing
Class of Work: ALT
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 1.800.332.2 44
Issued By: ermittee Signature:
Call 503. •39.4175 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.
May. 17. 2011 8:43AM No. 5143 P. 1/2
Plumbing Permit Application
Building Fixtures • FOR OFFICE USE ONLY
City of Tigard Received
RECEIVED
`J 7 Permit No.: 1'
.- 4 13 125 SW Hall Blvd., Tigard, OR 97223 / Dateh3 ' '� /� �u_ f -)i ��
III
Phone: 503.639.4171 Fax: 503.598.1960 1 7 CU I I Date/ Review
Dale/Br Other Permit No.:
Inspection Line: 503,639.4175
T I GA RD Date Ready/By: curls: PI See Page 2 for
i nterne(: www.tigard- or.gov �TY OF TIGARI) Notified/Meihad: 7 I. supplemental Information
• -' .. i
TYPE op f5. II'3Ci,DIVIIU!1' ES FE SCHEDULE:
❑ New construction ❑ Demolition For special irlfarmaiior► use checkllsr.
Description Qty. Ea. I Total
On/alterAlton/rC Inccmcnt
C LI Other; New 1- 2 - family dwellings (includes 10011. for each utility connection)
CCnIGn[
t ' Y OF C ONSTRUCTIiW : ... ..;.: SFR (1) bath 312.70
mil
!al And 2 -fa -
SFR (2) bath 437.78
Y dwelling ❑ Commercial/industrial
SFR (3) bath 500.32
❑ Accessory building ❑ Multi- family Bach additional bath/kitchen 25.02
❑ Master builder ❑ Other:
Fire sprinkler ( sq. ft.) Page 2
JOB SITE 110017).6 TION AND;LOCATIO She utilities:
Job site address: 1 C-' ` Catch basin or area drain 18.76
� Drywall, leach line, or trench drain 18.76
-A�'� V ff Footing drain (no. linear ft.; ) Page 2
Suite/bldg./apt. no.; , Project name a _ r ` J- Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
Rain drain connector 18.76
Sanitary sewer (no. linear 11.: ) Page 2
Sloan sewer (no. linear ft.: ) Page 2
Water service (no. linear ft.(p i Page 2 (0)
Subdivision: Lot no.: Fixture or item:
Tax map /parce) no.: Backflow prevcntcr 31.27
.. I ESCRTPT iON OF::WORl{::i . ,
Backwater valve y 12.51
� , Clothes washer 25.02
p 4
12 p t ^� •c`rz1 � Q 1- LA3 rP4 - Dishwasher 25.02
wit v I( / Drinking fountain 25.02
Ejectors /sump 25.02
PROPERTY OiVisi I. i' ' ❑ TENAN ` Expansion tank 12.51
`,
i
Name: l 0 J 6 .. e. ., 5 ( ` Fixture/sewer rin/ fl cap 25.02
'�..J ""f Floor dmiNfloorsink /hub 25.02
Address:
Garbage disposal 25.02
City /State /ZIP; Hose bib 25.02
Phone: ( ) Fax: ( ) Ice maker 12,51
Interee t
QPPLICAIQT ❑ CONTACT PER$Ql�( p or /grcasc trap 25.02
Business name: d 7 �J ` Medical gas (value; $ `) Page 2
Contact name:
�1 Primer 12,51
Roof drain (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
Water cose •
CONTRACTOR: t 25.02
•
,mi C) ~' Water heater 37.52
Business name C 1
�J. J`.r Water piping/DWV 56.29
Address; r i. A) 1 I to ♦ Other: 25.02
M • 1 .. F O Subtotal i)
Phone; W + - % - . h (� Fax: ( Erik / - _ +� - Minimum permit fee: $72.50 - 7i r S�
r Plan review (25% of permit fee)
1 j ' Plumbing Lie no it~ W 6 State surcharge (1.2a /o of permit fee) �j 7t9 •
Authorized sA a ur . � j 1 ~ � TOTAL PERMIT FEE 6" /.
Print name, Date: , min : � � ThI$ permit application expires If a permit Is not obtained within ISO days
after It bn$ been accepted as complete.
*Fee methodology set by Tri•County Building Industry Service Board,
CAEIVildingTermilskPLMU.PermicApp.dao 10/01/09 d60,,1616T(IO/0I/COMUWE9)