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Permit CITY TIGARD PLUMBING PERMIT ` °' ` COMMUNITY DEVELOPMENT PERMIT #: PLM2008 -00442 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 12/2/2008 PARCEL: 1 S133CC -80094 SITE ADDRESS: 14182 SW BARROWS RD 4 ZONING: R - 25 SUBDIVISION: SCHOLLS VILLAGE CONDOMINIUMS LOT: 09 JURISDICTION: TIG PROJECT: SCHAFER Project Description: Capping utility sink in garage. CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: MF WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: R3 FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 1 URINALS: GREASE TRAPS: LAVATORIES: • OTHER FIXTURES: TUB /SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES FRED & ERI SCHAFER 14182 SW BARROWS RD #4 Description Date Amount TIGARD, OR 97223 [PLUMB] Permit Fee 12/2/2008 $72.50 [TAX] 12% State Surch 12/2/2008 $8.70 Phone : Total $81.20 Contractor: ANCTIL PLUMBING INC 16900 SW MERLO RD BEAVERTON, OR 97008 REQUIRED ITEMS AND REPORTS Contact # : PRI 503- 642 -7323 FAX 503- 642 -7755 Reg #: LIC 24184 PLM 26 -162PB 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: 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. CITY TIGARD PLUMBING PERMIT = COMMUNITY DEVELOPMENT PERMIT #: PLM2008 - 00442 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 12/2/2008 PARCEL: 1 S133CC -80094 SITE ADDRESS: 14182 SW BARROWS RD 4 ZONING: R -25 SUBDIVISION: SCHOLLS VILLAGE CONDOMINIUMS LOT: 09 JURISDICTION: TIG PROJECT: SCHAFER Project Description: Capping utility sink in garage. CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: MF WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: R3 FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 1 URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB /SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES FRED & ERI SCHAFER 14182 SW BARROWS RD #4 Description Date Amount TIGARD, OR 97223 [PLUMB] Permit Fee 12/2/2008 $72.50 [TAX] 12% State Surch 12/2/2008 $8.70 Phone : Total $81.20 Contractor: ANCTIL PLUMBING INC 16900 SW MERLO RD BEAVERTON, OR 97008 REQUIRED ITEMS AND REPORTS Contact # : PRI 503- 642 -7323 FAX 503- 642 -7755 Reg #: LIC 24184 PLM 26 -162PB 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: �e � ai) 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. .. lumbin Permit Application "P 1 T iN r iititi 93— 6 Bl Fixtures - City of Tigard q Receive d M 13125 SW Hall Blvd . Tigard OR 972230E , C - L + Z�U DareB : (9, i i t / ' 111 11 , I Phone. 503,639.#171 Fax: 503.598.1960 Plan Review Inspection Line: 5 03.639.4175 Date/By: Other Permit No -: 1 � � Interne art OF SIC AR Date Read B Internet www.tiard -o gr. gov ' 0 • Notified/Method: Ready /By See Page Z for ' _ S 11 TYPE OF • t . FEE° SCREDULE 0 New construction ❑ Demolition For serial it formrraio r use checklist T�escri.tion t . Total 1 P r ddition /altcration/replace lent .- 0 Other: New 1 - 2 - family dwellings (includes 100 ft. for each utility cotu}eetion) CATEGORY OF CONSTRUCTION 1 1 SFR(1) bath EMI 249,20 ■ ❑ 1 - and 2-family dwelling = ommerci -i.' I .0 . SFR (2) bath 350.00 IIMI ❑ Accessory building . •+e ulti- family CO . SFR (3) bath 399 -00 Each additional hat /kitchen itchen ❑ Master builder _ ,i 45.00 Fire sprinkler L__ sq. fl,) Page 2 JOB SUE INFORMATION AND LOCATION Site utilities '� Job site address: / iii .S 4.J r V • ' r-opo S D Catch basin or area drain 16.60 City /State /ZIP: Ih ell , leach line, or Wench drain . 16,60 Suite/bldg. /apt. no.: Project rlatae: r _ Footing drain (no. linear ft.: W ) Page 2 # Manufactured home utilities 110.00 Cross street/disections to job site: . „.. , Manholes 16,60 ,_ Rain drain connector 16.60 Sanitary sewer (no. linear ft.: J Page 2 Storm sewer (no. linear ft.; ) Page 2 Subdivision; Lot r)0.: Water service (no. linear ft.: ) J Page 2 Tax map /parcel no.: Fixture or item M Absorption valve 16.60 1 DESCRIPTION OF WORK Sackflow preventer Page 2 1 , 1 , &) P..) Baclkwater valve 16.60 q 4 „ - 4 F Clothes washer 16.60 - Dishwasher 16.60 �! ❑ TENANT Drinking fountain ROPERTY OWNER 16, 60 -� - Ejectors /sump 16.60 Name: j r Expansion tank 16.60 Address: 5 Fixture/sewer cap Mil 16.60 City /State /ZIP: Floor drain/floor sink/hub 16,60 Phone: ( ) Pax: ( ) Garbage disposal En 16.60 Hose bib ❑ APPLICANT 0 CONTACT PERSON _.. -..., 16,60 Ice maker 16,60 Business name: . Interceptor /grease trap 16.60 Contact name: Medical gas (value: $.. ) Address: - Primer MIN 16.60 City /State /ZIP; Roof drain (commercial) M 16.60 Phone: ( ) Pax: _ ( ) Sink/basin/lavatory 16.60 III Tub/shower/shower pan 16.60 E -mail: ,,.._ Urinal 16,60 CONTRACTOR � Water closet 16 -60 MI B m Business name: Ai � 1 � L �� V � r. �- /111r tiJ� , Water healter r 16.60 Address: d Cl C3 iAi in L.o g D • Other: Cif r 6F i c. Cit /ZII': ! r / _ Subtotal i .. r . Phone: (5 J Z ] Fax; { 14 minirnura permit fcc: $72.50 ? • L{ Z� 7 � , j, Residential back1ow minir»um permit fee: $36.25 CCB , i1... ..„_q / $ Plumbing Lic. Z. 'r s' Plan review (25% of permit fee) Authorized signature: ..� ' State surcharge (12 ;o of permit fee) ■ A,/,...t....-1. TOTAL PERMIT FEE i 1 -2 k, Print Warne: '. t - it NC 1^1* I.- Date: / 2_ — 2 This permit app1ieation expires if a permit is not obti fined within 180 days after it has been accepted as complete, *Fee methodology set by Tri- County Building Industry Service Board, r:16vil ing\Permitcl .pp iR/27/06 40.11.4ai;,rnntmrrnxena,en, `1 CITY OF TIGARD BUILDING DIVISION .,A- M , PLM20(08-00442 13125 SW Hall Blvd., Tigard, OR 97223 r Arl D T E E ISSUED: RI T* : 12012 )08 Phone: (503) 639-4171 04111,ilii'\ 0 i ' V Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 121512008 TIME: 7 PAGE: 13 . SITE ADDRESS: 14182 SW BARROWS RD 4 CLASS OF WORK: SUBDIVISION: SCHOLLS VILLAGE CONDOMINIUMS LOT #: 09 TYPE OF USE: .1... PROJECT NAME: SCHAFER DESCRIPTION: Capping utility sink in garage. oil( OWNER: SCHAFER, FRED & ERICA PHONE #: CONTRACTOR: ANCT1L PLUMBING INC PHONE #: 503..642-7323 Inspection Request Scheduled For: Date: 1215/2006 Pour Time: 13,4 0 , Code # Inspection Description Confirm # Contact # Me . I 399 Plumbing final 0788'12-01 503-6 j • Corrections/Comments/Instructions: . i ‘11 . . c r, _LASS pi PARTIAL APPROVAL ri CANCEL NO ACCESS n FAIL El CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: (1(,./ Date: ) 2A Phone #: (503) 718- •. . . , ./.,,,,,,,, • ,,..