Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Permit
� CITY OF TIGARD PLUMBING PERMIT 111111 " COMMUNITY DEVELOPMENT Permit #: PLM2011 -00182 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/09/2011 Parcel: 2S110DD03100 Jurisdiction: Tigard Site address: 10530 SW CENTURY OAK DR • Project: Doyle Subdivision: SUMMERFIELD NO. 1 Lot: 38 Project Description: Replace pressure balance shower valve Contractor: CHRISMAN PLUMBING INC Owner: DOYLE, VIRGINIA M PO BOX 1706 10530 SW CENTURY OAK DR CLACKAMAS, OR 97015 TIGARD, OR 97224 PHONE: 503 - 659 -3307 PHONE: 503-278-6674 FAX: 888 - 629 -7654 FEES Quantity Description Date Amount 1 ea Tub /Shower /Shower Pan 06/09/2011 $12.51 Specifics: 1 12% State Surcharge - 06/09/2011 $8.70 Plumbing Type of Use: SF 60 ea Minimum Fee Adjustment - 06/09/2011 $59.99 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 1.800.332.2344. Issued By: Permittee Signature: 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. 06- 08 -'11 10:07 FROM -nw permit 13609452991 T -586 P002/003 F -073 P umbic Permit A tioa c ' Building fixtures . City of Tu rd A\ „yr� 15125 SW HA t3IYd., Pa 503.59 Tigdtd, OK 9723SvN r ¶D a�/ Na 't'Y [/- DD /F • Ptwnc: 503.639.4171 4.19 'J ` ' 1 " Rai°w _ t net: inspection i .%goy7s 0 " ®i �\Q v, .. a >w. rte. i Fr r- •-- -- .�.r_� \��1 CO V PM+afi�l7+do0 13 Aewhlh6r�dOy TYPE or WORiNw-' PM* SCHEDULR © Now POhstttutlon 0 Ocmoliiinri - - For , • - al etllowee atatuteL © AddttfOnhttt >�t3on/rr�rlac4Ctwnt ,7 0Nw m r: ge - r 1 KOMM FOt i New I.2•fs : dmett1 • : (includes 100 ft fat each Wilt connection CAT1 GORY OP CONSTRUCTION -. 311" MN n_ and 2- family dwelling Q Corranarcinl /induatriel MIN 437,74 NM Accessory building $ u lti- faniIy 500.32 MOM ❑ Muster builder Q ()ttnst: 23,02 MIMI JOB arm mil ORMAT1ON AND LOCATION A iON c.: Job siloaddlts:s: 10530 SW CENTURY OAK DRIVE CilyrStuOatZIP: •. ; . OR •7224 Drywgl, ermenctrciraln MEI SultplbldgJnpt. m.: Prot nsnic ________ 5"3 MEI Cross strez/dkectians to jab slle: 1 530 SW CENTURY OAK DRIVE 1136 —. ..,........ �� Sn wax ax (no. linear ti: _ SWIM 'Rover (ne. I lucre R: . eatiM %w ltth* (no- thaw E.: ....j in - Tax map/pane no.: Ir;c ., DLSCkIPTTQN OP WORK ni -LAC_ PRESSURE BALANCE • r - Y , f 23.02 MEI Dbilwaafter 1111 25.02 MS Drinking fdunteai MN :102 = 23.02 A Wit)NRttTY OA'NLtR TRIYAN7 n� Nan% - i, • DOYLE 23 M ill AdtltVBS: Floor chitin /floor rinUMub 23.02 1 i CENTURY OAK DRIVE Cit .. . .. r . Garblgts disposal Hose hits 111111 2342 . _ )503-278-6674 kcm Is APPI,It:Alifl 25,02 "Ming " ni 4 ThrNORTHWEST PERMIT INC 2 Mil Caertmnta Naida Khan _ E giss i n i ra At!&es>i: i GULF RD sinwbuilomitiry MIN 7542 MM. Cityltite /ZIP: POINT Rg , WA 98281 thus tell1(Pots* water) MI 62 IMO Pilunc: ( 360- 945 -2787 Fat:: (:,) ) • _ ,A , , TublehgwisAhonwet pert iktvio, .PJAEDA I RMITl:ML.. 25.o2 ME w _ .. � «ACTOR 2842 MEI amines am ic:£44F N PLUMBING CO /US HOMESYSTEMS Amen: 14811 NE AIRPORT WAY - Wtatrpialrgrowv i629 Cityisutmnlr :. • : 4 k 0 97230 25.02 Phone: ( 5b3- 789 -3948 Minbnum permit Mc: $72.50 freirAM ( CCD Lie.: 183060 InLEM Plumbin Lie. no.: Fa.ses/M Rooa24°a Autitpricmi s i8tleturei �� S /_ rr '�'� \° f TOTAL PROM FEE Mtn, w4> � . / :LS Da4o: .., ., Parlidi b rr ti cirtles mimeswn+MIs rN .day, Am to Im bow amp*. ss enmstrts. 'Pm ambaskiwy ►a hi'hi racily Buildl.S Whir/ SoNi°r Mud. MItiiirkAgPamilatAMU-NaikApp4oc IaVIlw wls4niRTt ttopyCflaSlMlt7o 06 08 -'11 10:07 F1ROM -nw permit 13609452091 T -586 P001/003 F -073 Northwest Per4nit Inc. 1345 Gulf Road Point Robots VA 98281 360 -94S -2787• 360.945.2091: ..14 • . W:� rnl ii:i(: % �'.(.':, 1's : { \. '.'l:: \(I.. •)i�: '. ��. . .!/' .. \'(.: �rl _\ ,: .. ... ..: ... .: .: ..: ,. ...,. ^.: /,�. ... .Y. .:: .: '. /:, \. r:.��:,5. . .i r�:� %•1 .i;; l,P i',SY ^�a_:�,... JM� i .f'::.�ti,M .:+a .; .. .... :.. ,,i .. ... .. ., '. ,. .. ,: it .,..•.,., ..: ,. • .4': i.. \': ;�.: ':('. To: City of Tigard Fax: 503 -598 -1960 Attn: Permit Technician From: Naida Khan Date: 6/2/20 I Re: Mechanical Permit Aps Pages: 5 CC: Mechanical Permit Application d Urgent ❑ For Review ❑ Please Comment ❑ Please Reply ❑ Please Recycle • • • • • • s • • Hello, • Please process attached permit application. Please fax or email a copy of the permit issued to 360 -945 -2091 or naida @nwpermit.com If you have any questions please contact me at 360 - 945 -2787, or by the email listed above. Please mail the approved permit to: Northwest Permit Inc. 1345 Gulf Road Point Roberts, WA 98281 Thank you for your help! Naida Khan Northwest Permit Inc V v i iA Y . �d. Zty„ .1 • City of Tigard f and g June 10, 2011 Northwest Permit Attn: Naida Khan 1345 Gulf Road Point Roberts, WA 98281 Re: Permit No. PLM2011 -00182 Dear Ms. Khan: The City of Tigard has canceled the above referenced permit(s) and enclose a refund for the following: Site Address: 10530 SW Century Oak Dr. Project Name: Doyle Job No.: N/A Refund: ❑ Check # in the amount of $ ® Credit card "return" receipt in the amount of $64.96. ❑ Trust account "deposit" receipt in the amount of $ Notes: Per applicant's request as customer cancelled job. Refund 80% of permit fees. If you have any questions please contact me at 503.718.2430. Sincerely, Dianna Howse Building Division Services Supervisor Enc. I: \ Building \ Refunds1M6sSaliWnpitalifBliOhicelrfileaKOOP efon 97223 • 503.639.4171 TTY Relay: 503.684.2772 • www.tigard- or.gov • C L' 1 1 1 11 • ° City of Tigard r c n Accela Refund Request This form is used for refund requests of land use, development engineering and building application fees. Receipts, documentation and the Request for Permit Action form (if applicable) must be attached to this request. Refund requests are due to Accela System Administrator by Wednesday at 5:00 PM for processing by the following Wednesday. Accounts Payable will route refund checks to Accela System Administrator for distribution. Please allow up to 2 weeks for processing. PAYABLE TO: Northwest Permit, Inc. DATE: 6/10/2011 Attn: Naida Khan 1345 Gulf Road REQUESTED BY: Dianna Howse Point Roberts, WA 98281 TRANSACTION INFORMATION: Receipt #: 182799 Case #: PLM2011 -00182 . Date: 6/9/2011 Address /Parcel: 10530 SW Century Oak Dr. Pay Method: CreditCard Project Name: Doyle EXPLANATION: Per applicant's request as customer cancelled work. Refund 80% of permit fees. REFUND INFORMATION: Fee Description From Receipt Revenue Account No. Refund Example: Building Permit Fee Example: 2300000 -43104 $ Amount Plumbing Permit 2300000 -43101 $58.00 12% State Surcharge 1003100 -24001 6.96 TOTAL REFUND: $64.96 APPROVALS: If under $5,000 Professional Staff , � • / • �- �� t If under $12,500 Division Manager If under $25,500 Department Manager If under $50,000 City Manager If over $50,000 Local Contract Review Board FOR TIDEMARK SYSTEM ADMINISTRATION USE ONLY Case Refund Processed: Date: ©/p Ammo B Wrjljr I:\ Building \Refunds \RefundRcquest.doc x 09/01/2010 r CITY OF TIGARD RECEIPT n a . 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 ' TIGARD Receipt Number: 182833 06/10/2011 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID PLM2011 - 00182 $x• Total: $ -64.96 PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Credit Card 156087 DHOWSE 06/10/2011 $ -64.96 Payor: Deborah Lynn Shields, Northwest Permit Total Payments: $ - 64.96 . Balance Due: $64.96 11,1- Accela System Administration ' N ` ""' • - Finance Department Request Date: /d / • To: • Liz Lutz • - Kathy Gende . ' From:. Dianna Howse/ • • Re: Receipt #: / "o? 7 9 9 /ca cP33 Please process this request as follows: . Journal Entry (route copy of JE to Dianna Howse): Reversal (fees have been reversed on / Revenue Account Report). V Credit Card Return (fees have been. reversed on Revenue Account Report). Other /Explanation: • To /2 F /VV <P6 / 7 r6'.6- S Thank you! I: \Bul ding \FormARteSlip- FinanceReq.doc Page 1 of 1 CITY OF TIGARD RECEIPT 4 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 TIGARD Receipt Number: 182799 - 06/09/2011 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID PLM2011 -00182 Tub /Shower /Shower Pan 2300000 -43101 $12.51 PLM2011 -00182 12% State Surcharge - Plumbing 1003100 -24001 $8.70 PLM2011 -00182 Minimum Fee Adjustment - Plumbing 2300000 -43101 $59.99 Total: $81.20 PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Credit Card 156087 DHOWSE 06/09/2011 $81.20 Payor: Deborah Lynn Shields, Northwest Permit Inc. Total Payments: $81.20 Balance Due: $0.00 Page 1 of 1 IpU — YJJ — 11 11 ; YJJ r1SUl'J - 11W permit 1sblOJ4bZ1 1 '1' - 59t1 1'001/002 F - 080 _ "..r.— ....._..._. -- - ....... _. .._... .__... _ Northwest Pettit Inc. 1 Gulf Road �• Point Roberts 3VA 98281 360 -945 -2787• 360- 945 -2091: , • • :�;.��� „p•�- .,.�.�. a ,.,pv.�. r:rri+ i:•'.,r�r'r•: n:G•)•: r• <.' c•.Y4},. , i5 -: ;y ;;i ; i n1:ui;..: _ ,.� , .r�:,: :;.t' • ',+.Y. :;�:.,: .ti'.r r �ii. > "7.n /i• . ;.li :ie.:.`.�}r .7., .t .�:f•...:4•rr: , j?'r ::3t_"Ni%� . r :r( :r.c :Z ...r. •. �;; r. .•.r��:.. '. 'r : �t�:� ,� .Y ..rK :•:.: f +•... : 1.• :(.. c. �. i, :'. <' '•'l... �'�rr:•7•. ,.t : 1!r:.r.": iv :�( "•: "�'p K '' To: City of Tigard Fax: 503- 598 -1960 Attn: Mechanical Permits From: Naida Khan Date: June 9, 2011 Re: PERMIT CANCELLATIONS Pages: 2 CC: El Urgent ❑ For Review ❑ Please Comment Q Please Reply ❑ Please Recycle • • • • • • • • Please. cancel and refund plumbing permit # PLM2011 -00182 for property 10530 SW CENTURY OAK DR. The homeowner cancelled the work. • If it is possible to refund the credit card, please call me at 360-945 - 2787 for the information; otherwise please send the refund check, made payable to Northwest Permit, to: Northwest Permit 1345 Gulf Road Point Roberts, WA . 98281 If you have any questions please contact me at 360- 945 -2787 or by email at naida@nwpermit.com. Thank you 06- 09 -'11 11:09 FROM - permit 13609452091 T -590 P001/002 F -080 Northwest Petgnit Inc. 2011 1345 Gulf Road JUN Point Roberts WA 98281 360-945- zo91: CITY OF TIGARD •.., ...,, ... . .,.vw: .:,::...w;,nv,: ,.r,'. h'..�ve.:...i;.. )•::••, :'�::,.;:.. „r• , .:. ;.,.�.:..,,. f , `II CQ(� .: ryf �' i :i'., ,'. /; A ':1: 1:�f�:a ales ., .. .:... 5,..4.t .. .. •. ,7 ... , ,... o;..Y,..: <. <. ;..;,' � Y,,'OJiV . ^i ,r :�,,. y :: J;i :'�'! ":`;i'`� JIiF : ; + R S To: Cit y of Tigard and Fax: 503- 598 -1960 \Lif Attn: Mechanical Permits From: Naida Khan Date; June 9, 2011 Re: PERMIT CANCELLATIONS Pages: 2 CC: El Urgent 0 For Review ❑ Please Comment 0 Please Reply ❑ Please Recycle • • • • • • • • Please cancel and refund plumbing permit # PLM2011 -00182 for property 10530 SW CENTURY OAK DR. The homeowner cancelled the work. If it is possible to refund the credit card, please call me at 360-945 - 2787 for the information; otherwise please send the refund check, made payable to Northwest Permit, to: Northwest Permit 1345 Gulf Road Point Roberts, WA 98281 If you have any questions please contact me at 360 -945 -2787 or by email at naida @nwpermit.com. Thank you ...