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Permit C I ° Y OF TI GARL) PLUMBING PERMIT u I 4 " DEVELOPMENT SERVICES PERMIT #: PLM2006 -10046 ,� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 3/24/2006 PARCEL: 2S112CA-10500 SITE ADDRESS: 07497 SW ASHFORD ST ZONING: R -4.5 SUBDIVISION: RENAISSANCE WOODS LOT: 031 JURISDICTION: TIG Project Description: Replace water service. CLASS OF WORK: OTR 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: 60 ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES ROBERT FREULER Description Date Amount 7497 SW ASHFORD ST TIGARD, OR 97224 [PLUMB] Permit Fee 4/5/2006 $72.50 [TAX] 8% State Surcharl 4/5/2006 $5.80 Phone : 503 624 - 6853 Total $78.30 Contractor: CASEY'S PLUMBING INC PO BOX 30075 REQUIRED ITEMS AND REPORTS PORTLAND, OR 97294 Contact # : PRI 503- 253 -0030 FAX 503- 262 -8251 Reg #: LIC 147298 PLM 26 -725PB 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 -0P : rough OAR 952- 0001 -0100. You may obtain copies of these ru or direct questions to OUNC by calling 50:- 246 -66° • or :00- 332 -2344. Issued B : ` sa i l – I Permittee Signat —� %, , U' t A0 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. P Es s . ,REGEN .. ,.,, Plumbing Permit Application 4 2 C' of �'i and M Reeeive lli k i l l ! . )7 1 , 111111111=1111. P., A A 13125 SW hall Bled., Tigard, OR 97223 t "�� Prom: 503.639.4171 Fax: 503.598.1960 CITY OF 'VGAR.' - , Re y: Other Permit No: Inspection Line: spc Rti ��� 3.639.4175 BUILDING DN1.' e '..4J.. I . x ®sdx Page rams Notified/Method: j(',. stq ptem eorat z lnronn uao • TYPE OF WORK FEE* SCHEDULE 0 New construction ❑ Demolition For special' infnrnreb on use dOISC Description 1 Qty. I Addition/alteration/replacement El Other: Ea Total Ne..1- 2-family dwellings (mcmdf_s 100 ft for each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath J 249.20 0 1- and 2- family dwelling Q Commereial/industrial SFR (2) bath 350.00 El Accessory building ❑ Multi - family SFR (3) bath 399.00 ❑ Master builder Q Other Each additional bath/kitchen 45.00 Fire sprinkler (____ sq. ft.) 1 Page 2 JOB ST INFORMATION AND LOCATION Site utilities Job site address: N 11 (� Q -/ Ash f - Catch basin or area drain 16.60 . City/StatelZlP: - 1 - 1 l .J■.lei 0 - cf. 1 c Drywelt, leach fine, or trench dram 16.60 �mject name: �R ttie.. C FOO�gbain(no. linear : _) Page 2 Suite/bldg. /apt. no.: I Cross street/directions to job site: Manufactured home utilities 110.00 Manholes 16.69 1 Ram drain connector ' 16.60 Sanitary sewer (no. linear ft: ) Page 2 Storm sewer (no. linear lL: ) Page 2 Subdivision: Lot no.: Water service (m• linear ft : _) Page 2 5J Tax map /parcel no.: Fixture or item Absorption valve 16.60 `, DESCRIPTION OF WORK liarldlow preveda Page 2 a_ ( s_A sew U CC Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 Ihiaking �l PROPERTY OWNER 1 0 TENANT fbmfaiu 16.60 Ejectors/sump 16.60 Name. S„ p*j e fir-- rIa L ER._ Expansion tank 16.60 Address: -- 1401 - ,, to As� j <t FaMere'sewer cap 16.60 City /Stale/ZIP: a r d C) Q Qa "1 ( Floor drab/floor sink/hub 16.60 Phones (•S(3) CQ aq (9 8S 3 Fax: ( ) Garbage disposal 16.60 A1'YLICANT Q CONTACT PERSON • Hose bib 16.60 Ice maker 16.60 Business name: S U'S I t Lt - r k J ()CI , - Ti nc . Contact name: .�►ie u . Ca.rnp �c( Interceptor/grease 5 16.60 e2 Medical p�2 Address: ?o 6o)( ) - 1 S' � r�" � l r Primer 16.60 City /State/ZIP: - p v -H i 0 e_ ^J cJ+ '7 Roof drain (commercial) J 16.60 Phonic: ( 5(j3 ) 2, J - 00 3 O I Few : ( 503) 2.1.0 . 2.- '2 LS IL Sink/basin4avatoay 16.60 E -mail: CQ SQ lNS Tub/shower/shower 16.60 �lu:xnl�i►po +. ne Urinal 16.60 CONTRACTOR Water closet 16.60 Business name: ens p t o T J i b 1 na , Water heater 16.60 Address: 7pr) X ..( 1 .. Other City/State/Z113: S�rn/� G e i City/State/Z11 Subtotal S - Miniimum permit fee: 372.50 ' Phone: (5 63 253 - 0030 Fax: 603 ) Z(Q 2 - Fj Z5 ( Residential bas kflow minimum permit fee: 536.25 - 7 Z. • SZ) CCB Lie.: ` 4-j ZG • Plumbing Lie. no.: a - -[ ZS P.8 Plan review (25% of permit fee) Authorized signature: ," ' " , I2 State snacbarge (8% ofpenult fee) fl . � -4.4 p, .�( /; lot vv�� TOTAL PERMIT FEE '"j$', 3 v Print name: ( ( . lot [ I Date: 3J Z /0/701 This permit application expires ifs permit is not obtained within 180 days after it has bean acted as complete. L' d 1.9Z2 6uigwnid s,(eseo e99:60 90 17Z -1eW • CITY OF TIGARD BUILDING DIVISION PERMIT #:Pjm20a,P 1 ?O4(0 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 A ti lt m Inspection Requests (24 Hrs.): (503) 639 -4175 _ '� .. INSPECTION WORKSHEET FOR DATE: TIME j ,. - -' PAGE: SITE ADDRESS: 7 Lt-q As cP S CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: ^� OWNER: r PHONE C ) 2--S — 00 30 CONTRACTOR: J V--1, 1 e- PHONE #: Inspection Request Scheduled For: Date: '3- 3 i -- ©(::. Pour Time: Code # Inspection Description Confirm # Contact # Message (33b) 14/, ' Q-7 orre ion /Co mments /In structions: • • V I ' ASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS II FAIL I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: / ` Dat e: ( ) p � I / Ph one #: 503 718-