Permit 6 . ' 4 :4 e-442.-atir 0,6Lft--77-et_i,--a_ .
C ITY • F TIGARD PLUMBING PERMIT
II ° . COMMUNITY DEVELOPMENT PERMIT #: PLM2008 -00169
TIGARD DATE ISSUED: 4/21 /2008
13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S101 DB 00607
SITE ADDRESS: 07700 SW CHERRY ST ZONING: R - 3.5
SUBDIVISION: ROLLING HILLS LOT: 012 JURISDICTION: TIG
PROJECT: ABBLITT
Project Description: Connect existing house to sewer service. Septic tank is to be pumped and filled. Reimbursement
District #44 fee paid this date.
CLASS OF WORK: ALT 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: 100 ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
JAMES & RAN ABBLITT
7700 SW CHERRY DR Description Date Amount
TIGARD, OR 97223 [PLUMB] Permit Fee 4/21/2008 $72.50
[TAX] 12% State Surcha 4/21/2008 $8.70
Phone : 503- 639 -1956 Total $81.20
Contractor:
STRAUSS EXCAVATING INC
24175 SW DAVIS RD
HILLSBORO, OR 97123 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 649 -8117
Reg #: LIC 32575
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 y: .- / %�i i Permi ttee Signatur . �c____,
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.
Plumbing Permit Application
Bud ding Fixtures oi. FOR OFFICE USE ONLY
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1 . 1
City of Tigard � � Date /B Received Y ) CI ` Pennit No.: �y -
t/c ?
13125 SW Hall Blvd., Tigard, 0 7 r 3 U ' / N \ Plan Review
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Phone: 503.639.4171 Fax: 5096 0 �p Date/By: Other Permit No.: i g Z € 5
-
Inspection Line: 503.639.4175 PpK '� iVaD
T1GARD ��� wf DateReady /By: ',�, See Page 2for
Internet. www.tigard- or.gov .....-o../ Of" . \� Not (t{� Supplemental Information
TYPE OF WOR K�I :0 0316A° d . . FEE* SCHEDULE
x' f information special ormation use checklist
/New construction f� Demolition P
llllll��� Description Qty. Ea. I Total
❑ Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection)
CATEGORY OF CONSTRUCTION SFR (1) bath 249.20
1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00
El Accessory building ID Multi-family SFR (3) bath 399.00
CI Master builder Each additional bath/kitchen 45.00
❑ Other:
Fire sprinkler ( sq. ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities
Job site address: ! � 0 0 S'bo cine B r Catch basin or area drain 16.60
City /State /ZIP: . re/ Rag � 2 2 3 Diywell, leach line, or trench drain 16.60
Suite/bldg./apt. no.: ' I Project name: Footing drain (no. linear ft.: _) Page 2
Manufactured home utilities 110 00
Cross street/directions to job site:
Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear ft.:MY) Page 2 . 5 u
Storm sewer (no. linear ft.: ) Page 2
Subdivision: Lot no.: Water service (no. linear ft.: ) Page 2
Tax map /parcel no.: Fixture or item
Absorption valve 16.60
,1 r,, M • DESCRIPTION O Backflow preventer Page 2
-s J r `eT!'/C tqa . iiii // K} Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
❑ PROPERTY OWNER I' 0 TENANT Drinking fountain 16.60
„'-' Ejectors /sump 16.60
Name: -(m 1 (ZG bil Prbb + 6 T Z) Expansion tank 16.60
l
Address: - 1 /0 � t f I r V v ) ` `/ ) '
Fixture /sewer cap 16.60
', _J r
City /State /ZIP: --1-1 1� ok 1 -2-2,�3 y ob Floor drain/floor sink/hub 16.60
Phone: (503) /0 ` ) 6160 Fax: ( ) Garbage disposal 16.60
❑ APPLICANT ❑ CONTACT PERSON Hose bib 16.60
Ice maker 16.60
Business name:
Interceptor /grease trap 16.60
Contact name: Medical gas (value: $ ) Page 2
Address: Primer 16.60
City /State /ZIP: Roof drain (commercial) 16.60
Sink/basin/lavatory 16.60
Phone:
( ) I Fax:: ( )
Tub /shower /shower pan 16.60
E -mail:
Urinal 16.60
' .- C CONTRACTOR Water closet 16.60
•
Business name: � ,�g •- A - (� , /DY - 4/9 /P.- le' y1.U_ Water heater 16.60
pD // Address: Fox �� b Other:
, �
City /State /ZIP: 7 V/ /le O/. 'I 7U7O Subtotal
l
Minimum permit fee: $72.50 •f 7
Phone: ( ) (7O 2, '
4 I Fax: ( ) Residential backflow minimum permit fee: $36.25 / eZ '
CCB Lic.: 1 Plumbing Lic. no.: Plan review (25% of permit fee) . -
S t a t e surcharge (12% of permit fee) p '. 70
w / Q�C� TOTAL PERMIT FEE Ij 1.2
Print name: R-A N 0 l A138 Li` r r Date: 11-2 -0g 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.
1 \ Building\Permits\PLMF- PermitApp doc 12/27/06 440- 4616T(10/02/COM /WEB)
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Site' Utilities Qty. Fee (ea) Total, Square Footage: , Permit Fee:
Footing drain - 1s 100' 55.00 0 to 2,000 $115.00
Footing drain - each additional 100' 46.40 2,001 to 3,600 $160.00
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
Valuation: • Permit Fee:
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
Fixture or Item .. • Qty. Fee (ea) Total additional $100.00 or fraction thereof, to and
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
Subtotal: $50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for
each additional $100.00 or fraction thereof
Fixture Work: Plan Review for Plumbing Installations
Are you capping, adding or replacing fixtures? If "yes ", Plan review is required for any of the following.
please indicate work performed by fixture. Failure to Please check all that apply.
accurately report fixtures could result in increased sewer fees*. Any new commercial building with water service 2" and
Quantity by (Fixture) Work Performed greater, except systems designed and stamped by licensed
• Fixture Type: Replace engineer.
Previous Capped Added. Existing ❑ New exterior plumbing site utilities for any complex structure
Baptistry/Font as defined in OAR918- 780 -0040.
Bath - Tub /Shower ❑ Medical gas and vacuum systems for health care facilities.
- Jacuzzi /Whirlpool ❑ Any multipurpose fire sprinkler system.
Car Wash -Each Stall ❑ Any complex structure as defined in OAR918- 780 -0040.
- Drive Thru
Cuspidor/Water Aspirator Submit 2 sets of plans with any of the above.
Dishwasher - Commercial
- Domestic
Drinking Fountain Isometric or Riser Diagram
Eye Wash ❑ Isometric or riser diagram is required for new buildings
Floor Drain /sink - 2" that meet the qualifications above.
-4"
Car Wash Drain
Garbage - Domestic Comments regarding fixture work:
Disposal - Commercial
- Industrial
Ice Mach. /Refrig. Drains
Oil Separator (Gas Station)
Rec. Vehicle Dump Station
Shower -Gang
-Stall
Sink - Bar /Lavatory
- Bradley *Note: If the fixture work under this permit results in an
- Commercial increase of sewer EDUs, a sewer permit will be issued and
- Service fees assessed for the sewer increase must be paid before the
Swimming Pool Filter plumbing permit can be issued.
Washer - Clothes
Water Extractor
Water Closet - Toilet
Urinal
Other Fixtures:
i \Building\Permits\PLM- PermitApp.doc 12/27/06
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. /ALOHA SANITARY SERVICE i
INVOICE NO.
8600 SW Hillsboro Hwy., Hillsboro, OR 97123 13 0 6 9
503 - 644 -2797 * 503 - 648 -6254 * 503- 639 -5188
NAME: fZi Z tJ (/oi&J-s'
ADDRESS:
CITY: STATE: ZIP: +y
HOME: - ,�° [ WORK: CELL: / 9f'' 77
JOB SITE: / 7 C� f T � 7 f R R ' /9 . , �/9 P.O. #:
PAID BY CHARGE-y-- CHECK ❑ CASH ❑ CREDIT CARD ❑
DATE 3 Lo t - z5 a DRIVER /9li6• 7‘a04 /Pa/ AMOUNT
PUMP SEPTIC TANK - f ecO C"
❑ INSPECTION FEE " .
❑ SERVICE CALL
❑ LABOR, LOCATING, DIGGING, BACKFILL
7 r ..: :, '''' k . ti."4 , . ...
_.. 5,4-- 8..frec\,8
_.., .
- - THIS IS OT A� PTE IC SYSTEM INSPECTION REPORT - - TOTAL 9J J 6✓
- - REMARKS - -
TYPE OF TANK: STEEL ❑ CONCRETE ❑ PLASTIC ❑ HOMEMADE ❑
HORIZONTAL ❑ VERTICAL ❑ RECTANGLE ❑ ❑U O HER
SIZE OF TANK: 350 ❑ 500 ❑ 750 ❑ 1000 U 1 -25 CJ 1500 ❑ 2000 ❑ 3000 ❑ .
LID LOCATION: INLET ❑ OUTLET M IDDLE ❑ ENTIRE TOP ❑
TANK CONDITION: GOOD ❑ FA R- POOR ❑
FITTINGS: BAFFLES ❑ CONCRETE ❑ CAST IRON ❑ PLASTIC ❑
NEEDS NEW LID? YES gl SIZE
GROUND COVER OVER TANK
COMMENTS ON CONDITION OF DRAINFIELD ETC.
a
SIGNED BY DATE
K
. _.
CITY OF TIGARD
BUILDING DIVISION
PERMIT #: PLIV120013-00169
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 401/20013
Phone: (503) 639-4171 _ alit
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 5150000 TIME: 7:01AM PAGE: 20
SITE ADDRESS: 07700 SW CHERRY ST CLASS OF WORK:
SUBDIVISION: ROLLING HILLS LOT #: 012 TYPE OF USE:
PROJECT NAME: ABI3LITT
DESCRIPTION: Connect existing house to sewer service. Septic tank is to be pumped and filled. Reimbursement
District #44 fee paid this date.
OWNER: ABBLITr, JAMES & RANDI PHONE #: 603-639-1956
CONTRACTOR: STRAUSS EXCAVATING INC PHONE #: 603-649-13117
Inspection Request Scheduled For: Date: 5/512008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
505 Sanitary sewer 0693501 503-649-8117 N
r...,A I
Corrections/Comments/Instructions:
Soic,kwe...1-v/vd.1 -4---.-k k -...t
X PASS PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS
I I FAIL I I CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: (31■A.I.A.A.AW—a-- Date: , S1 C i a 7 ' Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: pLM, a)a
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Li J 24 12,0
Phone: (503) 639 -4171 4 Paolo l
Inspection Requests (24 Hrs.): (503) 639 -4175 `:_..
INSPECTION WORKSHEET FOR DATE: 612) O \) TIME: PAGE:
SITE ADDRESS: 0 - 7 "ZO W C 'kt . S 1 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
Corrections /Comments / Instructions:
COv
C-4.\\ co/ c \ I s I aT caw
• Via. - 0 _ , a-2., v. G., 1\.,_) A
❑ PASS PARTIAL APPROVAL CANCEL J NO ACCESS
FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: (1b Date: 6 Phone #: (503) 718-
CITY OF TIGARD •
BUILDING DIVISION PERMIT #: PLIv12008-00169
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 412112008
Phone: (503) 639-4171 hopipigt
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 6/1/2008 TIME: 7:00AM PAGE: 7
SITE ADDRESS: 07700 SW CHERRY ST CLASS OF WORK:
SUBDIVISION: ROLLING HILLS LOT #: 012 TYPE OF USE:
PROJECT NAME: ABBLIrl
DESCRIPTION: Connect existing house to sewer service. Septic tank is to be pumped and filled. Reimbursement
District #44 fee paid this date.
OWNER: ABBLITT, JAMES & RAND! PHONE #: 503-639.1956
CONTRACTOR: A AFFORDABLE SEPTIC SERVICE PHONE #: 503-969-9548
Inspection Request Scheduled For: Date: 5/1/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
505 Sanilay sewer 069185-01 503-793-1477
Corrections/Comments/Instructions:
t -ro st. e,
o ELAA o
cfri
PASS 14 PARTIAL APPROVAL El CANCEL n NO ACCESS
n FAIL 0 CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: (10 Date: CS74 6 r Phone #: (503) 718-