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Permit CITY TIGARD PLUMBING PERMIT Ali( SERVICES PERMIT #: P 30/200 - 00326 iI DATE ISSUED: 8/30/2006 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S133CA-02100 SITE ADDRESS: 13900 SW BARROWS RD ZONING: R - 25 SUBDIVISION: LOT: JURISDICTION: TIG Project Description: Site utilities, private catch basins & storm lines. See PLM2006 - 00307 for private water service. CLASS OF WORK: NEW GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: MF WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: CATCH BASINS: 4 FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB /SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: 0 ft DISHWASHERS: RAIN DRAIN: 94 ft Owner: FEES WINDFALL CONSTRUCTION AND DESIGN 23281 SW BOSKY DELL LANE Description Date Amount WEST LINN, OR 97068 [PLUMB] Investigation 1 8/30/2006 $121.40 [PLMPLN] Plan Review 8/30/2006 $30.35 [TAX] 8% State Surcha 8/30/2006 $9.71 Phone : 503-638-5068 [PLUMB] Permit Fee 8/30/2006 $121.40 Contractor: Total $282.86 MOORE UNDERGROUND INC PO BOX FAIRVIEW, OR 97024 REQUIRED ITEMS AND REPORTS Contact # : PRI 503- 618 -9779 FAX 503- 618 -9579 Reg #: LIC 126605 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 r rdirect questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344. ^ /� � ii i� ' j Is ued By: /� �� �� P Si•nature: �i �L'(®�j,L--- 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. d I, , 5 > *-e, (k_ \��:; \ \,- cs tA �• 1'c�.ct m P a t ppli ati E . E � � ' x° `` iR o m c s 85i> ! X • numb City of Tigard JUL nd II ((`�� 1, 20P (� ' Received /�� "� ✓} petmitNo'7 n ^ \ Date /By: V� Y �i ( + 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review 7 Phone: 503.639.4171 Fax: 503.598.1950 • � Date/By: �� - J Other Permit P c .h � ��0%� )lb 24- Hour Inspection Line: 503.639.4175 CITY OFTI(a '' Ready/By: i Date Read /B p Jur s: ® Page Pa e 2 for l ,��j Internet: www.ci.tigard.or.us Notified/Method: D /7/GG' �" Supplemental Information or rr rarer n vrerrr .- . : t•,-: 7 xis; r,t; SCHEDLTI E " s..,..... �.,. .� , , � . � < � ryY�a� FlC =n tr , For special information use checklist. ® New construction ❑ Demolition Description I Qty. I Ea. I Total ❑ Addition /alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) .� CATE ,,„A„ OF 'CO<NSTRUGTI(u =::, SFR (1) bath 249.20 ■ r dwelling ■ SFR (2) bath 350.00 ■ building ��� SFR (3) bath. 399.00 l Multi-family Accessory Each additional bath/kitchen 45.00 0 Master builder 0 Other: Fire sprinkler ( sq. ft.) Page 2 ' i t ® Site utilities Job site address: 13900 I r Road Catch basin or area drain ✓ ./ 16.60 (s,Iq .4 Q City /State /ZIP: Tigard, OR 97223 Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: I Project name: Gabriel Woods Footing drain (no. linear ft.: ) Page 2 Manufactured home utilities 110.00 Cross street/directions to job site: South of the intersection of Scholls & Barrows Rd. Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear ft.: _) Page 2 Storm sewer (no. linear ft.: 9 ) Page 2 5 5 , O O Subdivision: I Lot no.: Water service (no. linear ft.: " l Page 2 �1 U 0 Fixture or item Tax map /parcel no.: 1S1 33CA , Tax Lot #2100 s on valve Absorption 16.60 °N ." E DSC ,,, N OF WORK .', AvA k ; „ W'- Page 2 • � �•%x. `� % : , >- .....� , .;...., ....-,G;: - .,...,<N ma : .... .. .. . ... ..�,3.x��= , Backflow preventer g Private water lines to attached single family dwellings. Backwater valve 16.60 Private Catch Basins and storm lines. Clothes washer 16.60 ) - W Dishwasher 16.60 , -„ e ,,: ,u , €.r;r »<• Drinking fountain 16.60 f ,,, � \ ,. ,,£; Wit is %'r: - -'', ®.PROPERTY . }, „3 ,,' TENANT r ;;. - ,,A,..„ ... , t`l; ", --z . ., : is i _. - `� - : Ejectors/sump 16.60 Name: Windfall Construction and Design . -'., Expansion tank 16.60 Address: 23281 SW Bosky Dell Lane Fixture /sewer cap 16.60 J City /State /ZIP: Westlinn, OR 97068 Floor drain /floor sink/hub 16.60 ,,',.-7 Phone: (503)638 -5068 Fax: (503)638 -6122 Garbage d _ 16.60 -i: ",w ,,` . ,AE, :r c , ,, 4 t:g, ; ; Hose bib 16.60 �. , " ' � , , , •...., : _ ° . _ . - APPLICAN�;r::. �;�� ° CO E © %v "' ..: ::< �y ... ....: . . . . �, . .., :.:, r•• I k 16.60 Business name: Windfall Construction and Design Interceptor /grease trap 16.60 Contact name: Barry Sandhorst 0 '(<\°\41% Medical gas (value: $ ) ■ Page 2 4 Address: 23281 SW Bosky Dell Lane Cy 6' Primer 16.60 J City /State /ZIP: Westlinn, OR 97068 -/\ Roof drain (commercial) 16.60 4 Phone: (503) 638-5068 I Fax: : (503) 638-6122 Sink/basin/lavatory 16.60 Tub /shower /shower pan 16.60 E -mail: Urinal 16.60 4 ", "� .2 >30.` ' „I�: ,:.aa? ? ,�,KE -:::. .a y`c`'- ;m,r�: �- � ,�<` * =•GON RA ..f 71n Water s 16.60 � Business name: M 60 P e t tt.4 ' / 2 c t t,o_ tosrD Water heater 16.60 Address: Other 6LL C6.4„. "D/t. /a /• 4/0 City /State /ZIP: L-00/ . L0/4147 Pb2/1I7 Subtotal Minimum permit fee: $72.50 qq go Phone: ( ) Fax: ( ) Residential backflow minimum permit fee: $36.25 Ot 'O. CCB Lic.: Plumbing Lic. no.: Plan review (25% of permit fee) 3 o 3S . State surcharge (8% of permit fee) ", 2/ Authoriz : ire:._ , PERMIT FEE Print nam- • i t - / i ` Date: 71 22/0. This permit application expires if a permit is not obtained within . 180 days after it has been accepted as complete. . *Fee methodology set by Tri- County Building Industry Service Board. is \Building \Permits \PLM- PermitApp.doc 06/05 440- 46t6T(10/02 /COM/WEB) Pin Mbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Fee (ea) Total Square F.oQtag:/j. - Per Footing drain - l' 100' 55.00 0 to 2.000 $115.00 2,001 to 3,600 $160.00 Footing drain - each additional 100' 46.40 3.601 to 7,200 $220.00 Sewer - 1st 100' 55.00 7,201 and greater $309.00 Sewer - each additional 100' 46.40 Water Service - 1st 100' 55.00 Medical Gas Systems: Water Service - each additional 100 46.40 !iyAliotion• Storm & Rain Drain - 1st 100' 55.00 $1.00 to $5.000.00 Minimum fee $72.50 Storm & Rain Drain - each additional 100' 46.40 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each 4.4 additional $100.00 or fraction thereof, to and e including $10,000.00. Commercial Back Flow Prevention Device 46.40 $10,001.00 to $25.000.00 $148.50 for the first $10,000.00 and $1.54 for Residential Backflow Prevention Device each additional $100.00 or fraction thereof, to (minimum permit fee $36.25) 27.55 and including $25,000.00. Rain Drain, single family dwelling 65.25 $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for each additional $100.00 or fraction thereof, to Inspection of existing plumbing or and including $50,000.00. specially requested inspections - per hour 72.50 $50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for Subtotal: each additional $100.00 or fraction thereof. Fixture Work: „ 1,1 Are you capping, adding or replacing fixtures? If "yes", A "complex structure" is defined as an installation of a plumbing please indicate work performed by fixture. Failure to system that meets any of the following criteria. accurately report fixtures could result in increased sewer fees*. Please check all that apply. 0 Any new commercial building. Quantitby (Fixture) WorkFerfcirmed 0 Any new exterior plumbing site utilities. F:LifuOT.Siei.e ;, Wit0iii411 , "kra , MmotVM141;;CIllY. g'AZilaZaW !Warm* 0 A commercial building with installation, alteration or addition Baptistry/Font of nine (9) or more new or relocated plumbing fixtures. Bath - Tub/Shower 0 Medical gas and vacuum systems for health care facilities - Jacuzzi/Whirlpool providing services to human beings. Car Wash - Each Stall • 0 Plumbing installations, alterations or additions to food service - Drive Thru facilities where new plumbing fixtures, including interceptors, Cuspidor/Water Aspirator are being installed for the food service area. Dishwasher - Commercial 0 Any new residential building containing three (3) or more - Domestic dwelling units. Drinking Fountain 0 Any NFPA 13-D multipurpose fire sprinkler system. Eye Wash Floor Drain/sink - 2" Submit 2 sets of plans with any of the above. Car Wash Drain vo:ivgp§anA: c4 t likeli2,tagr Garbage -Domestic 0 Isometric or riser diagram is required for new buildings Disposal -Commercial three (3) or more stories in height. -Industrial Ice Mach./Refrig. Drains Oil Separator (Gas Station) Comments regarding fixture work: Rec. Vehicle Dump Station Shower -Gang -Stall Sink -Bar/Lavatory -Bradley -Commercial -Service Swimming Pool Filter Washer - Clothes *Note: If the fixture work under this permit results in an Water Extractor Water Closet - Toilet increase of sewer EDUs, a sewer permit will be issued and Urinal fees assessed for the sewer increase must be paid before the Other Fixtures: plumbing permit can be issued. i:\Buikhng\Permns\PLM-PermitApp.toc 07106105 RECEIVED JUL 2 5 2005 W estlake CITY OF TIGARD cons i nc OVA IN NS /EIVCIIVEERING TRANSMITTAL ENGINEERING ♦ SURVEYING ♦ PLANNING Phone.' 503 684 -0652 Fax.' 503 624 -0957 Date: July 22, 2005 Project No.: 1741 -001 To: John Williams Project Name: Gabriel Woods Subdivision City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 From: Pat Tortora, PE CC: Project Manager Re: Plumbing Permit Subdivision Application SUB2004 -00012 No. of Copies Dated Description 1 07/22/2005 Plumbing Permit Application 2 07/22/2005 Planset Comments: John, Enclosed are copies of the plans that Mike requested I submit to you for a plumbing permit. It includes 4 lynch type catch basins and the associated leads. If you have any questions, please give me a call. Thanks Pat Fax ❑ No. of Pages (including cover) Fax No. Mail ❑ Messenger ❑ Overnight ❑ Hand Delivery • Pacific Corporate Center, 15115 S.W. Sequoia Parkway, Suite 150, Tigard, Oregon 97224 Case Activity Listing 8/13/2007 � CELP 2:22:38PM Case #: PLM2005 -00326 i , .> ,� ,� , , �•U� ated d; 2 r,. „ n , ��::. a . �:E k . � � 0 ; ;. < B : N. >.: ;tea n ? �> ; Da a =2y„ • > =3 - -° Hol � Di T v '' - , � otes: � ` t d ' = �. v� cr t o :�B Acti ;x � ., , -��, .. <, �,� .��. .._ P �. 6� .. ., � , ,�x._ ti ,v,. ,.,_ ,� .. PLM1730 Case update (see note) 8/17/2006 None DONE DEB 8/17/2006 Per applicant, Barry Sandhorst, the DEB scope of work has changed. The developer is doing all private site utilities, except water service, under this permit. The builder is pulling a separate permit, PLM2006- 00307, for the water service. PLM1260 PLM signature on 8/30/2006 None DONE BLD 8/30/2006 application BLD PLM1280 Issue permit 8/30/2006 None DONE DEB 8/30/2006 BLD PLM2340 Storm drain 9/12/2006 None PASS MRS 9/12/2006 Cath basins and storm sewer ok bye MRS mike white PLM1740 Case finaled 9/12/2006 None PASS MRS 9/12/2006 MRS Page 2 of 2 CaseActivity..rpt