Permit 1 Y , ! CITY OF TIGARD PLUMBING PERMIT
1111 COMMUNITY DEVELOPMENT Permit #: PLM2011 -00157
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/24/2011
Parcel: 2S 112 BA90561
Jurisdiction: Tigard
Site address: 7935 SW FANNO CREEK DR 6
Project: LEE Subdivision:)NITA FIRS VILLAGE CONDO (PHASE Lot: 56
Project Description: Sump pump with french drain and rain drain tie -in.
Contractor: LOVETT EXCAVATING INC. Owner: LEE, LEONARD
PO BOX 86280 7935 SW FANNO CREEK UNIT #6
PORTLAND, OR 97286 TIGARD, OR 97224
PHONE: 503 - 504 -2847 PHONE.
FAX: 503 - 288 -1630
FEES
Quantity Description Date Amount
30 If Footing Drain 05/24/2011 $50.03
Specifics: 1 ea Rain Drain Connector 05/24/2011 $18.76
1 ea Ejectors /Sump 05/24/2011 $25.02
Type of Use: MF 1 12% State Surcharge - 05/24/2011 $11.26
Class of Work: ALT Plumbing
Type of Const:
Occupancy Grp:
Stories:
Total $105.07
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: � - Permittee Signature: 4
_
s! -4'4
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
May. 18. 2011 3:15PM Lov x a iBD No. 2903 P. 1
Plumbing Permit Application
Site Utilities MAY 1 8 2011 FOR OFFICE USE ONLY
City of Tiga1 ri DB; `e`` 7/t�� 07 Permit No.: 0 iI ♦� , _ j ($
4 13125 SW Hall Blvd., Tigard, OR ; � ,x ' I y OF TIGARD
. PING DIVISION Pla /B : w
t Phone: 503.718.2439 Fax: 503. :. "
P ING 1 /1 Other Permit No.:
Inspection Lino: 503.639.4175
T 1C,1111'r Date Ready/By: J rls; El See Page 2 for
Internet: w B ww.ti and - or. oV tified/Menrod: t /�/ /'S7 ' _..,5;
,� Supplemental Information
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- - ;. .. T'1lJ! :i Q>~ 7 �Q>Z�. -
`: ' .'=' = - - - x - - ` S_CHICDU�: - - - -
L New construction ❑ Demolition For special btfarnlrrrion rise checklist
Description I Qty. I Ea. I Total
® Addition/alteration/replacement ❑ Other: New 1- 2-family dwellings (includes 10011. for each utility connection)
- CATEGORY OF CONSTRUCTION . SFR (l) bath 312 -
L] I- and 2- family dwelling La Commercial/industrial SFR (2) bath 437,78
L] Accessory building ❑ Multi- family
SPR (3) bath 500,32
Each additional bath/kitchen 25.02
L] Master builder Ei Other: Condominiums fire sprinkler ( sq. ft.) _ Page 2
JOB SITE INFORMATION AND LOCATION '• ' . • . Site utilities:
Job site address: 7935 SW Fanno Creek Catch basin or area drain 18.76
Drywell, leach line, or trench drain 18.76
City /Stale /ZIP: 'Tigard OR 97224
Footing drain (no. linear 11.: 3_0_) Page 2 50 - 03
Suite/bldg. /apt. no.: 6 I Project name: Bonito Firs Manufactured home utilities 50,03
Cross street/directions to job site: Manholes 18,76
Rain drain connector 1 18.76 18.76
Sanitary sewer (no. linear ft.: ) Page 2
Storm sewer (no. linear ft.: ) Page 2
Water service (no. linear ft.: ) Page 2
Subdivision: I Lot no.: Fixture or item:
fax reap /parcel no.: Ilackflow.prcvcnter 31,27
;:nt� : *.,: :: ,^,, , Backwater valve 12,51
! .; t.ti " . DESCRIPTION - -'' QItTC ''' k : w '' ' ':
Clothes washer 25,02
Install sump pump with french drain /rain drain tie -in
Dishwasher 25.02
Drinking fountain 25.02
Ejectors /sump 1 25.02 25.02 • 'L] PROPERTY OWNER , ' , 'L): TENANT : . . Expansion tank 12.51
Name: Fixture /sower cap 25.02
Floor drain/floor sink/ hub 25.02
Address: Garbage disposal 25.02
City /State /ZIP: Hose bib 25.02
Phone: ( ) Fax: ( ) Ice maker 12,51
} z : E APPI;.I.PANT' _' ' L1 GO ?t l` >J b� y i nterceptor /grease trap ,___ w 25.02 •
•
Business nano: Lovett Inc 0 Medical gas (value: $ ) Page 2
L Printer 12.51
Contact name; Derick Dro2 ✓-t 3 _�(.t9„ - 3-'-g0�
Roof drain (commercial) 1.51
Address: PO Box 86280 Sink/basin/lavatory 25.02
City /State /ZIP: Portland OR 97286 Solar units (potable water) 62.54
Phone: (503) 737 -8423 Fax: ; (503) 288 -1630 Tub /shower /shower pan 12.51
E-mail: Jlm®lovettservlces,cont Urinal 25.02
Water closet ate l0 25.02
CO TRACTOR
Water heater 37.52
Business name: Lovett - Same as above Water piping/DWV 56,29
Address: Other: 25.02
City/State/ZIP: Subtotal 93.81 •
Phone: ( ) Fax; ( ) Minimum permit fcc; $72.50
CCB Lic.: 125507 Plumbing Lie. no.: 26 -773PB
Plan review (25% of permit fcc)
State surcharge (12% of permit fcc) ......11--/5" y(,
Authorized signature: TOTAL PERMIT FEE 1
Print name: Jim Ilommnto Date: 5/18/2011
Th permit pppliePf on expires i f e permit is not obtained withip 180 days
after it has been accepted as complete.
'Fee methodology set by Tri- County Building Industry Service Board.
1;\a ending \Pcrmits1KNIII PermitAap.doo 10/01/09 4la - t6T00/a1/cotuwEa)
I
May. 19. 2011 2:26PM Lovett Excavating No. 2935 P. 2
7 q 3 S F A NNo CR Ek DR. un� � RECEIVE it
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/ CITY OF TIGARD
BUILDING DIVISION
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