Permit i
C ITY OF TIGARD PLUMBING PERMIT
pi DEVELOPMENT SERVICES PERMIT #: PLM2006 -00111
. 67_1, ' DATE ISSUED: 2/27/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S112CC
SITE ADDRESS: 08070 SW BOND ST ZONING: R -
SUBDIVISION: BOND PARK NO. 3 LOT: 080 JURISDICTION: TIG
Project Description: Replace 45 ft. 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: 45 ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
TONY BENNETT
8070 SW BOND ST Description Date Amount
TIGARD, OR 97224. [PLUMB] Permit Fee 2/27/2006 $72.50
, [TAX] 8% State Surcha 2/27/2006 $5.80
Phone : 503- 968 -7392 Total $78.30
Contractor:
WOLCOTT PLUMBING CONTRACTORS
1075 W COLUMBIA RIVER HWY
TROUTDALE, OR 97060 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 235 -8784
FAX 503- 491 -2932
Reg #: LIC 23847
PLM 26 -208PB
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:
't;
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.
PlumbinE Permit Application, ' ®� FOR OFFICE USE ONLY p
t.
City of Tigard D a t c r a y , ,,2'/ 4 i 2 Permit No? \}` ?4 /l
1.3 I25 SW trAalt Blvd., Tigard, OR 97223 Plan Rovtcw
FEB � 7
Phone: 5p,3.639,4171 Fax: 503.598.1960 nisei. /, :,,,,, \ Other Permit No.:
���p� ld� � y:
24- Hour Inspection Line: 503.639.4175 T11 other
Date Ready/15y: l uri,: WI See Pane 2 for
tv
Internet: ww.ci.tigard,or,us CITY OF TIGARD Notified/Method; 1 tT Snpplemental Informetian
TV?E IRPESMG DIVISION 11 PR SCREDITLE
For special
LI
Nev construction Demolition information rose cheek/FA
-- Description i Qty.'lE.a. I Total
►•Addition /alteration /replacement i] Other: Newt- 2- family dwellings (includes 100 It for each utility connection)
C'ATEC;ORY OF C'ONS9'RTIC TION SFR (I) bath 249.20
1- and 2- family dwelling ❑ Commercial /industrial _ SFR (2) bath 350.00
❑ Accessory building 0 Multi- family Ste. (3) bath 399,00
Each additional bath/kitchen 45.00
❑ Master builder 0 Other.
Fire sprinkler (_ sq. ft.) - Page 2
.YOB SITE INFORMATION AND LOCATION Site utilities
Job site address: <7 0-7 0, J Q n � � T Cinch basin or area drain 16.60
City /State /9.1P; , Y ` , Cogs Drywell, leach lint, or trench drain 16.60
Suite/bldg. /apt. no,: Project name: Q Footing drain (nn. linear it.; , ) Page 2
Manufactured home utilities 110.00
Cross street /directicros to jnh site: W
Manholes 16 -60
A A'__ t 6 - ' •\ 1 r I s Rain drain connector 16.60
j Sanitary sewer (no. linear ft.: ) Page 2
. Storm sewer (no. linear ft.: ) Page 2
Subdivision: Lot: no.: Water service (no. linear ft.: i't`l;° 2,G�
Fixture or item
Tax map /parcel no.: Absorption valve - 16.60
DESCRIPTION or 1'1"ORi: Backtlow prevcntcr Page 2 .
°WARM' ' Backwater valve 16.00
• 1/ I . , i / i . l ,,. - -� Clothes washer -
16.60 -
- - Dishwasher 16.60
Drinking fountain 16.60
PROPERTi OWNER [] TENANT
Ejectors/sump 16.60
Name: NIL ! `e - Expansion tank 16.60
Address: (R.611111' 1 • - •. I i Fixture /sewer cap 16.60
City /State /Z1P= ` 1 !f ' & . 0 - malotrA. Floor drain /floor sink/hub 16.60
Pho` / r�� • t _ Fax ( ) Cmrbagc disposal 16.60
Hose bib 16.60
PLIt ,ANT _._ ❑ CONTACT PERSON --
rce maker 16.60
Business name: Wolcott Plumbing dba lack Howk Plumbing Interceptor/grease trap 16.60
Contact name: Medical gas (value: $ ) Page 2
Address; 1075 W Historic Colombia River Hwy Primer 16.60
City /State /SIP; Troutdale, OR 97060 Roof drain (commercial) 16.60
- Sink/basin/lavatory 16.60
Phone; (503) 235 -8784 - 1 Fax: ; (503) 491 -2932
Tub/shower /shower pan 16.60
E-mail;
__-- ,__,__„ Urinal 16.60
CONTRACTOR Water closet 16.60
-
Business name: Wolcott Plumbing dba Jack Howk Plumbing , Water heater 16.60
Address: 1075 W Historic Columbia River Hwy ho': ,
City /State /ZIP: Troutdale, OR 97060 SubtotaISjCj-C
Minimum permit fee: $72.50
Phone: (503) 235 -8784 Fax; (503) 491 -2932 Residential backflow minimum permit foe; 536.25 -
........
CCD Lie.: 23847 Plumbing Lie. no.: 26 -208 PiI , ,_ Plan review (25% of permit fee)
r State surcharge (8% of permit fee) 401 S 4 r0
Authorized si ature<
� 1 `a ` , 1i A. 1 TOTAL PERMIT PERMIT I'I FEE
I,
Print name: ..4 (� (� ` • 1 ii Dat & N ph is permit application expires if.rt permit is opt ()titanic 4 • ' In
�(� � . s � ` , r - ^ r () V 180 days after it A ss been accnptad as cr►mpletr:
,, c methodoloev set by Tri- County Butldina Tnduetry Service:Beard.
CITY OF cs itaz_firi
BUILDING DIVISION PERMIT
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 k oop�tl p I r\
Inspection Requests (24 Hrs.): (503) 639 -4175 ' ..
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: 0 7 U 6-41.-td ""ef CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 3 - , 3 - 0 (p Pour Time: j
Code # Inspection Description Confirm # Contact # Message
Corrections /Comments /Instructions:
Ca rt.. I V IZ r` e - , c1�� j /
X PASS ❑ PARTIAL APPROVAL I I CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: cm 4 1.b Date: ) 3 ) (? ( Phone #: (503) 718-