Permit CITY OF TIGARD PLUMBING PERMIT
IIII COMMUNITY DEVELOPMENT Permit #:
�U Date Issued: 09/07/2011 PLM2011 -00282
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718 2439 /O 1
lP // 1 Parcel: 2S101 DC01600
1 Jurisdiction: Tigard
Site address: 7470 SW CHERRY DR
Project: TRUMBULL Subdivision: ROLLING HILLS NO.2 Lot: 40
Project Description: Replacing shower valve and shower pan. 10/6/11, reprinted to add an additional tub /shower to scope of work.
Contractor: B AYRES PLUMBING & CONTRACTING INC Owner: TRUMBULL, DONALD K
PO BOX 149 TRUMBULL, FRANCES E
CANBY, OR 97013 7470 SW CHERRY DR
TIGARD, OR 97223
PHONE: 503 - 266 -5955 PHONE.
FAX 503 - 266 -5957
FEES
Quantity Description Date Amount
73 Plumbing Permit 09/07/2011 $72.50
Specifics: g 12% State Surcharge - 09/07/2011 $8.70
Plumbing
Type of Use: SF
Class of Work: ALT
Type of Const:
Occupancy Grp:
Stories:
Total $81 20
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable lays ill be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance `
, o if f work is suspe ed for more the 180 days ATTENTION Oregon law requires you to follow the rules adopted by the Oregon
Utility otification Center Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090 You may obtain a copy of the rules
ed
or di ct questions to OUNC by callin! 503 232 1987 or 1.800 332 2344
Is ed By: ` � // ' ) Permittee Signature: ( ��
Call 503.639.4175 by 7:00 a.m. for the next available inspection date. ff .,
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 OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit #: PLM2011 -00282
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 09/07/2011
Parcel: 25101 DC01600
Jurisdiction: Tigard
Site address: 7470 SW CHERRY DR
Project: TRUMBULL Subdivision: ROLLING HILLS NO.2 Lot: 40
Project Description: Replacing shower valve and shower pan.
Contractor: B AYRES PLUMBING & CONTRACTING INC Owner: TRUMBULL, DONALD K
PO BOX 149 TRUMBULL, FRANCES E
CANBY, OR 97013 7470 SW CHERRY DR
TIGARD, OR 97223
PHONE: 503 - 266 -5955 PHONE:
FAX: 503 - 266 -5957
FEES
Quantity Description Date Amount
2 ea Tub /Shower /Shower Pan 09/07/2011 $25.02
Specifics: 1 12% State Surcharge - 09/07/2011 $8.70
Plumbing
Type of Use: SF 47 ea Minimum Fee Adjustment - 09/07/2011 $47.48
Plumbing
Class of Work: ALT
Type of Const:
Occupancy Grp:
Stories:
Total $81.20
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. 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 the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: 1
Cal 13.639.4175 by 7:00 a.m. for the next available inspection date.
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.
09/08/2009 22 :43 5032665955 r TRISTA PAGE 02/02
Plumbing Permit Application ,......,\'<:,:,)''
Building Fixtures (0„\--.4 q a d � � FOR OFFICE t Sr: t1NLA
II City of Tigard 4 � "� r. ' �'J Rateived q ) // - Permit No,; P 41 a1
13125 SW H Blvd., Tigard, O' "•7223 ( i : ' ° p B `" "' _ 0 V a Plan a ' C-� � ''�_ ^ C j Date/By: : Other Permit No.:
Phone: 503.718,2439 Fax: 503.5 8.1960jL �� ,,. pateBy:
inspection Line: 503,639.4175 p ate ltaaa /6 orris: See 1?n z for
' Ci n Ft I 7 Internet: www.ti and -or. ov '� g� Y o i
S g e - f & - . Notified/Method: ri - supplemental information
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❑ New construction ❑ Demolition For special information use checklist
- Description 1 Oty. 1 Ea. f Total
❑ Addition /alteration/replacement ❑ Other: New 1- 2- thmily dwellings (includes 100 ft. for each utility connection)
ur rr�i�r] r i rq m a tar 4cm1 u r r tF+ r { +tn pe s r . tannw nx tv n r£'rttM r:t, I r n e <i
UN" r
., I (£a�p�yts ` s) i e4 n4 a f� 1t �l rtr k f:{ N , t> SFR ( bath 312.70
,.,•war;„ ,wi.4, it itt'.naligt,teru..itiVir'; ttlll41. l in i rmsan i :,:a t il �, A, s,- y,'
® l- and 2- fancily dwelling ❑ Commercial /industrial SFR
(2) bath 437.78
❑ Accessory building ❑ Multi-family SFR (3) bath 500.32
Each additional bath/kitchen 25.02
El muster builder ❑ Other: p� }t � Fire sprinkler ( _ sq. ft) Page 2
4 � r l k \Ifrr :11: � ;:ti ill_ triN Nitt ■ ; f 1t ,, ,r _ ■ 3 D,it , 1f C ,111 tO t i{ 'i yl 51 ° 0}'' Site Utilities: ^-
.. ,s. a ;... ,,,Atti,,,V.M.0 tinni, : iL.,u s�Cr�..:itis: zatt.u•.ru Laido s` ysta o. E � r . s• 1, t t , _ .
Job site address: 7470 Sw Cherry St Catch basin or area drain 18.76
City/State /ZlI': Tigard OR J Drywell, leach line, or trench drain 18.76
i Footing drain (n0. linear ft.: ) Page 2
Suite/bldg. /apt. no.: I Project name: r -,M (4t 1/ - Manufactured home utilities 50.03
Cross Street/directions to job Site: Manholes 18.76
Rain drain connector 18.76
Sanitary sewer (no. linear ft.: ) Page 2
Storm sewer (no. linear ft.: ) Page 2
Water service (no. linear ft.: ) Page 2
Subdivision: I Lot no.: Fixture or item:
Tax map /parcel no,: Badcfow prevcnter 31.27
0" tEtfr,!Y '� f i q i t:;gii,l re1i' 4y Ipip54 uliti "i °ai' t. t K.va!, i,,� g$ildlp!ti l i OpIP16E toomog 4ii! i O Backwater valve 12.51
'} Clothes washer 25.02
Dishwasher 25.02
replace shower valve and shower pan Drinking fbuntain 25.02
Ejectors /sump 25.02
i,
a }�, { t t, s -u x R a l e ' s ! U q
i ;1 to , f ! _ r :p. ' qA '4,,- j r 4 �. ,t r1g4 ii ill # =� : ., .f Si el?89..1"r. alig n� i ' ,E. it iNVr: it Expansion tank 12.51
-te'� }:L' k. .- ,�. ;^„r_...d..i.�t�.atta,.burt;ie ' r � rt¢•r1vt:3L a s1x�i�rS - '
Name: Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address: '
-
� Garbage disposal 25,02
City/State/ZJP:
Hose bib 25.02
-
P hone: ( ) F ( ) Ice maker 12.51
in _4',1 17,E .. +�,t r Oa °i } i i'_ � , ,l, �piSl X11` R M1 0 ,Tv l4i rizre Interceptor /grease trap 25,02
! ! iVirl,.: , ae t 9 . an 1 ! •tai lit - J • c ,4 , .4t . i64ttis, ...�a.,. -
Business name: Medical gas (value; $ ) Page 2
Contact name: Primer 12.51
Roof drain (commercial) 12.51
Address: _ sink/basin/lavatory 25,02
City /State/ZIP: Solar units (potable water) 62.54
Phone: ( ) Fax: ; ( ) Tub /shower /shower pan 2 _121.5
E-mail: Urinal 25.02
pt id l C�° , Oli lli , r , 1 `1 '� i e i l '1 t r i sr >t Q ; t t 1 t ri 4 q iii ,r a li ' ft i Water clo 25.02
as ■iill1'10bila tll0,,1:b'lfli 14+.41,: i t i iili. ,,r leli!.r. rr.., >, n: r , ,.; l ,:., l hill .` ti liaali ali ll Water heater 37.52
Business name: B. Ayres Plumbing (Formerly BANK Plumbing) Water piping/DWV 56.29
Address; PO Box 149 Other: 25,02
City /State/ZIP: Canby OR Subtotal - -,cf,"
Phone: (503) 266 -5955 Fax: (503) 266-5957 Minimum permit fee: 572.50 7.2 .
CCB Lie.: 173825 _ Plumbing Lic. n0.: PB 301 7 1 Plan review (25% of permit fee)
Oh State surcharge (12% of permit fee) t�• 7D
Authorized signature: . l 1� � TOTAL PERMIT FEE g (,)()
AL.
--- ••■■• This permit application expires if' a permit is not obtained within 180 days
Print name: Trista Ayres 1 a - : 9 - 7 - 11
after it ttas been accepted as completes
"Fee methodology set by Tri -County Building Industry Service Board.
IA Buil0ingtremits \RAnJ-PermhAop.coc 1010119 440 -4s r6T(to(0z/CQMIWES)
10/07/2009 21:32 5032665955 TRISTA PAGE 02/02
Plumbing Permit Application
Building Fixtures FOR OFFICI' I Slc O..L\
111/ City of Tigard 1 ,,oC 2)%%
r)\\ Date/By.
Permit No,. PU42011-00282
■ 13125 SW Hall B lvd., Tigard, OR 7 3 %
Plan Review
Phone: 503.718.2439 Fax: 503.598.19 tn1Q DateBy: Other
rt TIGAR D
Inspection Line: 503.639.4175 C `\ ' Date Ready/By:
Internet www.ltgat'd or goV ® \I"' ',..n.‘ Notifieeimethod' � It
$ fir,W 20, ME l
li � �� � °��t+�t 4 >I ;: �`a � r � it�� #;1 r'r $� �. r 1"n s `^`I 4 � � i : , v ri {�f r � v rw,s 4 . . q , y,s s i ` l 11 3 {
�h U ' �� ��� 1 �� i1 l ,�ltl��i�� ^:s 6�Ja �:� "`�flt* ,r`, sW.ss�s t �. ,I�EJ �- ��Og`3
■ 1 For 5 r ecial in ormalion use checklist
Description Qty. Ea. Total
Eil Addition/alteration/replacement ■ • New 1- 2 - family dwellin L a (includes 100 ft, for each utility connection)
l I +S 6 t 1 1 y; �,liit afaf �uu '921! 711:'.14.9)1; ;j rl 312.70
r ii1W,;: 1 Y + R ,,,: , "! `aLig 'it Y,�
L' i its ( . 74 ui L 3'1Ri * 4 ;��:t 414"1 ,.h: r 14., i t(l
SFR (2) bath 437.73
■ ❑ Commercial/industrial
bath 500.32
El Accessory building ❑ Multi- family
Each additional 1
■ Master builder ❑ Other sprinkler Page 2
q - I °'i ; iS
, m l .��1. t t - �" . ti f��. i 3 0J � i 1 , 0 tt If U IP µ lit 1 y ., :. M Site utilities:
'i; i .iw r p. 1 ' � ,_,x - .,� ..
.1pLdwa.a�' , 3� - y} � o,.o, ..,d `.`6N ) '
Catch basin in 18.76
Job site address: 7470 SW Cherry St I area dra
Drywell, leach line, or trench drain 18,76
City/State/ZIP: Tigard OR
. Footing dram MO linear ft.: ___,) Page 2
Suite/bldg./apt, no.: Project name: Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
Rain dram connector 18.76
Sanitary sewer (no. linear ft.. ) Page 2
storm sewer (no, linear ft.: _) Page 2
Water service (no. linear ft.: ___) Page 2
Subdivision: Lot no.: Fixture or
Tan map /parcel no.: ' preventer 31.27
3 , i ,IjllF{ r pmE r ' G t i0" p p � sr i1• ilill�r� f i t Backwater valve 12 51
i� ' r lt r t..`�' rid ttu�1w 6',.t .' r-'7- . r1i.iii.1 '' ' :.j• t' , n �, . , 02
cl ot h es was
Please add to existing permit ##PLMVM 2011 -00282 • I
tub/shower replace Drinking fountain 1
ero.. rev rrlr.. �, r b " x, r 1 t iu Ejectors/sump . ■
I
Floor .o 1
Garbage disposal 25 02
City/State/ZIP: Hose bib 1
p f
�'•
fll': .Y, �lD 4 1,)110 1 @till b4 , G p ] fit a' ` d f k: L'ili erceptor/grease ■ 25.02
Medical gas (value: $ ) Page 2
Business flame: B Ayres Plumbing
Primer 12 51
Contact name: Trista Ayres
Roof drain 1) 12 51
Address: PO Box 149 Sinlc./basiMavatory 25,02
City/State/Z1P: Canby OR 97013 Solar units (potable vvater) 62 54 II
I , 57 Tub/shower/shower pan 1 12 51
Unnal t
arresplumbing@gmail.com
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-
i6,'' >i°ipj i ;(d f,'''-•,..:, r' ins 41;!,..1.4 gl # 1 ma ,t h ' ..,tf , + " s .
}, y r , f„ i. : M+(s6, ' 1 61N it 'r
Business name: B Ayres ' - .p 1 ���
• . dress: POBox 149 Other: 25.02 Canby -
OR 97013 Subtotal
t I Minimum permit fee: $72.50
Plan review (25 % of permit fee)
1. - r 1 State surcharge (12% of permit fee)
Authorized signatu -: . • n $ AS ( a TOTAL PERMIT PEE
Print name: trista Ayres r pa 10 /6/201T This permit application rp a r been is not obtained within 189 days
as complete.
a Fee methodology set by Tri - County Building Industry Service Board.
1 0uild,Rope,ro■ta''LMV- PermitApp doe 10/01/09 440.4616T(10/02/COWWES)