Permit r � P
I
C ITY ' OF TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT #: PLM2006 -00110
DATE ISSUED: 2/27/2006
--- + 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S104DC -01400
SITE ADDRESS: 13781 SW BENCHVIEW PL PVT ZONING: R -4.5
SUBDIVISION: BENCHVIEW ESTATES LOT: 014 JURISDICTION: TIG
Project Description: Replace 80' of 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: 80 ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
DARREL STRINGER Description Date Amount
13781 SW BENCHVIEW PL
TIGARD, OR 97223 [PLUMB] Permit Fee 2/27/2006 $72.50
[TAX] 8% State Surcharl 2/27/2006 $5.80
Phone : 503 - 579 - 2722 Total $78.30
Contractor:
POWER PLUMBING CO
P O BOX 19418 REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97280
Contact # : PRI 503- 244 -1900
FAX 503- 244 -8825
Reg #: LIC 52378
PLM 34 -150PB
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 ou to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 01 -0010 t• • ugh OAR 952 - 0001 -0100. You may obtain copies of these ryJees'trr direct questions to OUNC by
call'ng 503 - 246 -66•' or :p0- 332 -2344. C
Iss d By: k , / G� , �� Permittee Signat . 1 3 � 1.4An
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.
Feb 27 2006 8:50AM POWER PLUMBING CO. 503 244 8825 p.1
IogyED
numbing Permit A
, Rik OFFICE lisH: 0\1.1•
City of Tigard FEB t 2006 E' ew ` 13125 SW Hall Blvd., Tigard, OR 97223 PemdtNo.: �� /
Phone: 503.639.4171 Fax: 503.598.1¢q , ,
g,'�I` Date/ay: Other Permit No.:
24- Hour Inspection Line: 503.639.41%511 1 OF TIOAR�J 6)1.41`
interact: www.ci.tigant.or.us BUILDING DIt(�ul'"` " Da te Rea 7. Supplemental See Page 2 for
ti
s� Nohfied/Miethod , l Supplemental Information
. (i u �, r;,: � . Y i i �{( . � � -,. - - a tt`L �i;#. ,.� i�f�'. n.�s l 'Y: °f 3 a v. �� sarr'£ �l t '.� 3 aYf C c -
., .} '4 " t 7 v,. J r xd ,iu),3: t ' } .,a :T 3r „u . ..._ r [s a , .--. qr 'i '.., i'E4^'£ ° 'al.��a ,._,1:. w
a.: 11 ... ..� 4 1 t:.;�_ _le il I { >3!_ a a�.> 114:o.Sr 4 t,l A s td +, Pi^ * S M1 -. 7# h I t°t] I r i q 7 i llaJ. t3- } Iif7: 17 :1 .
.�€ .. s t �:: �1 �.,.. �i �a.�iu,3iei�±��,�;l�.�uf.�; �P... � ,.�.��?.,.��?�1- r�: �r.11.,�� €Y - � f. c.. .''�'•�ii:�.:,.��,.ui��,Y"t`*` �'"�:'.`.;. "��&' €a"- .
❑ New construction ❑ Demolition For special information use checklist.
Description ] Qty. Ea. l Total
Addrtion/alteration/replacement ❑Oth
lYew 1- 2-family dwellings
• li ° �� Sq "'�i t 1�,��� -u s. '�� � li � ,L k a k �,- ! i'i' � r ` t a y (includes 100 ft. for each utility connection)
g (
' .1E;li':+ is K'll,M,-r � a f :;tlrj'��r_ia rmw � v SFR (1) bath
to zx..lw t s,;w 249.20
W I - and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00
El Accessory building Cl Multi-family SFR (3) bath 399.00
❑ Master builder Other: Each additional bath/kitchen 45.00
^t,. az }' �' ,i w w : s s s -! e la Y z� max, Fire sprinkler
� t.14."' r , .f J ii "� .! d t i t t; , j la'`h' : ,��,... s '°° ' r ay} � =i p ( sq. ft) Page 2
't. L w f'ftr,3. "gx! ' ..-i -: _ :. a a -n ai., x i ? : . ,,,mEtka., � -,1 z, „,,,,,,, site utilities
Job site address: 13x1 $ i r , V 1..€2.L.) PI Catch basin or area drain 16.60
City/ State/LIP: 0-y- ei "t Drywelt, leach line, or trench drain 16.60
Suiteibldg. /apt. no.: Project name: 6 I t n e 1/ Footing drain (no. linear ft.: ) Page 2
Cross street/directions to job site: �` �+�'�^ Manufactured home utilities 110.00
Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear tt: ) Page 2
Storm sewer (no. linear ft.: ) Page 2
Subdivision: Lot no.: Water service (no. linear ft.: ((Q) + Page 2 55 0°
Tax map /parcel no.: Fixture or item
-y, ,t f.0 a fit, J �� Absorption valve 16.60
. ' :':i,�..i; ..n 1. x a. i i I . ra' 0 r`° 1.13.4..;- „� was �rTlitir
t'ts('MtMr~� t aslrsIl „t; t, rla Backflow preventer Page 2
0 ' W (,, Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
i.'.. r r ) ' : I F r 3 q Rif 1 � � } Drinking fountain 16.60
rta: ids, A. L`r1ffr,r.- 44,..a iv. i, . Si
,t, �-,.
Da -r �_ 1-., Expansion tank 16.60
p 16.60
Name:
`-' 1 7 l' Expansion tank
Address: S'Q-�.L a4.- ry
Q N-i Fixture/sewer cap 16.60
City/State/ZIP: n Floor drain/floor sink/hub 16.60
Phone: ( ) C c _ 277 2 Fax: ( ) Garbage disposal 16.60
. - ! i. ',' ' t ,�., ilw t 1 lie ,. fa n ,
,r #Pzv' . i' } °*itt2:s '111111'%11 ' , !. 3 i..z 1 1 ;� `s}ah;,t; Hose bib
1 � � {. 1p .� t �� t ,.-� !' �r�',� , Ice maker 16.60
Business name: 16.60
V' _ V 40• _A: Interceptor /grease trap 16.60
Contact name: ilkAiLlN IlhAV 1 i I Medical gas (value: S ) i n Pa 2
Address:
3 /-1 • "- Se
V (�j.t � I O 41 (j Primer 16.60
City/State/ZIP: U ! ,,, n 6V o /1
F .� Roof drain (commercial) 16.60
Phone: ( ) �q `I -- I O 0 Fax:: ( ")� T a t .4, q Sink/basin/lavatory 76.60
E -mail: Tub /shower /shower pan 16.60
i:�� �� � � � a ��4�a - � v+ „��; j ���� ° �{ �� , rI{'w�.4 y, �
Urinal 16.60
� fi gli 1,.>• `'R , d �' I Lt s ,`1 r1. ,+•cy a ,i tai � , I l.ii Water closet 16.60
Business name: ' 7 .121t r Mk. Water heater 16.60
Address:
1/ , Ul _ 1 d i*AA / .tl•1�17 Other:
City/State/ZIP: 0 • C7V A -1 ,D,D. Subtotal 55 (x.•
e` 1 Minimum ermit fee: 572.50
Phone: ( ) '-1 _� °1 d Fax: `i , ► (' p
n ( ) � b $.Z Residential backflow minimum permit fee: 536.25 ,� 5
,
CCB Lie.: s'3 I Plumbing Lic. no 50 Pb Plan review (25% of permit fee) • Authorized signature: State surcharge (8% of permit fee) 5 , Vt
PERMIT FEE lc? . 0
' Print name: 142 ks C e I Date: ` 1: ),7i� o This permit application expires if a permit Is not obtained within
h / J 180 days after It has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
i \ Building \Pernitts\PLM- PermitApp.doe 06105 440- 4616T(1e/02KAM/WEB)
CITY OF TIGARD r P rn
i BUILDING DIVISION a- f PERMIT #: X0,06 — 00 // ?)
i 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 ; 4,m�wbi�� ii'&I " al
Inspection Requests (24 Hrs.): (503) 639 - 4175 '''f -..
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: ( 3 g( C PL CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 3_0(0 Pour Time:
Code # Inspection Description Confirm # Contact # Message
Corrections /Comments /Instructions:
t
/ /
/
Ca, .c.. 5 ,--- ((-0 —1 - t v P, 4-,d4 1 ub Le
K PASS ❑ PARTIAL APPROVAL n CANCEL n NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Cil 1 0 I./ i ""' 2 Dater) 3 ) O L Phone #: (503) 718-