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Permit
NI CITY OF TIGARD PLUMBING PERMIT : COMMUNITY DEVELOPMENT PERMIT #: PLM2008 -00209 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/13/2008 PARCEL: 25101 DB -00610 SITE ADDRESS: 07705 SW CHERRY ST ZONING: R -3.5 SUBDIVISION: ROLLING HILLS LOT: 016 JURISDICTION: TIG PROJECT: TROTTI Project Description: Connect existing house to sewer service. Septic tank is to be pumped and filled. Sewer 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 LOUISE TROTTI 7705 SW CHERRY ST Description Date Amount TIGARD, OR 97223 [PLUMB] Permit Fee 5/13/2008 $72.50 [TAX] 12% State Surch 5/13/2008 $8.70 Phone : Total $81.20 Contractor: BRIAN CLOPTON EXCAVATING INC PO BOX 509 WILSONVILLE, OR 97070 REQUIRED ITEMS AND REPORTS Contact # : PRI 503- 682 -0420 Reg #: LIC 50337 PLM 3 -517PB 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 or direct q. -sti. - o OUNC by calling 503.246.6699 or 1.800.332.2344. Issu By: Lit j Ild...j Permittee Signature: 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 Building Fixtures FOR OFFICE USE ONLY - City of Tigard Received Date/By: 5/ 3 d 8 04... S� Permit No.: 1111 6h/ g. �` 09 q 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review III Phone: 503.639.4171 Fax: 503.598.1960 Date /By: Other Permit No4t,(,)leQ 70 T I GA RD Inspection Line: 503.639.4175 Date Ready /By: Jyria- ® See Page 2 for Internet: www.tigard- or.gov Notified/Method. / ( (P� Supplemental Information _ TYPE OF WORK - . :J:,,, s 'r . FEE *: SCHEDULE p ' - A ❑ New construction ❑ Demolition For special information use checklist Description I Qty. I Ea. I Total ❑ Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) u CATEGORY' OF CONSTRUCTION � , _� . SFR (1) bath 249.20 ❑ 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi - family SFR (3) bath 399.00 Each additional bath/kitchen 45.00 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 ,JOB SITE ,INFORMATION AND LOCATION" " Sit utilities Job site address: 1 °005 S,AJ. Clna..“ DlIve Catch basin or area drain 16.60 �; /State /ZIP: g a �a, o � a, Z23 City/State/ZIP: Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: Project name: Footing drain (no. linear ft.: ) Page 2 R T 1 Manufactured home utilities 110.00 Cross street/directions to job site: Manholes 16.60 Rain drain connector t < 16.60 Sanitary sewer (no. linear ft.: .} -y. vir . Page 2 ,a Storm sewer (no. linear ft.: _ ) Page 2 Subdivision: Lot no.: Water service (no. linear ft.: ) Page 2 Fixture or item Tax map /parcel no.: Absorption valve 16.60 F •' DESCRIPTION'_OFWORI{F, :_ Backflow preventer Page 2 `n , n n . u>- �tD S P I cif- _ Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16 60 - -- - -- • • Drinking fountain 16.60 �, PROPER'L'Y OWNER_ �•' l ® TENAN Ejectors /sump 16.60 Name: [, Ot A25 it Tro ; Expansion tank 16 60 Address: `lrI O S- w t �r►rcr r Fixture /sewer cap 16.60 1)Yt.ve, City /State /ZIP: .-. eiar41 © p crizz 3 Floor drain/floor sink/hub 16.60 Phone: ( ) Fax: ( ) Garbage disposal 16.60 H bib 16.60 Er APPLICANT ;',, ,_ ❑- CONTCT„PE A RSON = 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: ( ) Fax:: ( ) Tub /shower /shower pan 16.60 E -mail: Urinal 16.60 - ;' CONTRACTOR,: = Water closet 16.60 Business name: a �� C 47 Y F o n Water heater 16.60 Address: So. boy 5 q O Other: Subtotal City /State /ZIP: i ‘S ono ,, ‘+ t 0 ik %I C 7 ® Minimum permit fee: $72.50 Phone: ( 503) !o g2 — oq b`l Fax: ( ) Residential backflow minimum permit fee: $36.25 72' Sr, CCB Lic.: S 033 Plumbing Lic. no.: Plan review (25% of permit fee) . Authorized signature: qq State surcharge (12% of permit fee) g. 70 rot -te o 12Q i ` TOTAL PERMIT FEE g/ . aD Print name: Date: 5, - This p ermit application expires if a permit is not obtained within _ o t i. t S e T co - i - � G 180 days after it has been accepted as complete. *Fee methodology set by Tri- County Building Industry Service Board. P\ 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 3 Q�r•. 1 Fee (ea)F' A TotaC Square `Footage Footing drain - 1" 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 Valuatio A � ° .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 ea ,Fee' additional $100.00 or fraction thereof, to and " . Fi%titI'e Or Iteln Q ' ( ) . Total' ` 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 and up $742.00 for the first $50,000.00 and $1.20 for each additional $100.00 or fraction thereof. Commercial Fixture Work: Plan.Revievv`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. -3" - 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 • AAFFORDAT SEPT C §IER,V E PO.BOX 1130 • WILSONVILLE, OR 97070 .. (503) 24929 FAX pm 5704779 CUSTOMERS ORDER NO. PHONE DATE '66 g4- 0 5 z O4 NAME ( o t' C '1 'KE) ADDRESS SOLD BY CASH C.O.D. CHARGE ON ACCT. MDSE. RET'D. PAID OUT QTY. > DESCRIPTION PRICE 'AMOUNT l 6-2 5,4:-j'T2 C s�rZt/lC� 32- e T PE - C 0 C 5 le 61-1 evte / )7 r,r6 -4 lZ � ® e Z. O '2 E 77ZoT T� ,70.8 /, , T 6- 1 , e 5 6 " 'I 'L-t TAX RECEIVED BY TOTAL All claims and returned goods MUST be accompanied by this bill. Amu/ To Reorder. THANK YOU 800-225-6380 or nebs.cam CITY OF TIGARD k BUILDING DIVISION PERMIT #: PLM 200(3 -00209 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/13/2008 Phone: (503) 639 -4171 Ai ,, Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 5130/2008 TIME: 7:01AM PAGE: 2 SITE ADDRESS: 07705 SW CHERRY ST CLASS OF WORK: SUBDIVISION: ROLLING HILLS LOT #: 016 TYPE OF USE: PROJECT NAME: TROTT! DESCRIPTION: Connect existing house to sewer service. Septic tank is to be pumped and filled. Sewer Reimbursement District #44 fee paid this date. OWNER: TROTT!, LOUISE PHONE #: CONTRACTOR: BRIAN CLOPTON EXCAVATING INC PHONE #: 503.682-0420 Inspection Request Scheduled For: Date: 5/30/20013 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 070610 -02 503 - 849-7607 N Corrections /Comments /Instructions: Ca k'{. i ;1 X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718- CITY OF TIGARD • BUILDING DIVISION PERMIT #: PLM200B-00209 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 611312000 Phone: (503) 639-4171 hopviei I I? Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 5121/2008 TIME: 7:00AM PAGE: SITE ADDRESS: 07705 SW CHERRY ST CLASS OF WORK: SUBDIVISION: ROLLING HILLS LOT #: 016 TYPE OF USE: PROJECT NAME: TROTTI DESCRIPTION: Connect existing house to sewer seivice. Septic tank is to be pumped and filled. Sewer Reimbursement District #44 fee paid this date. OWNER: TROTTI, LOUISE PHONE #: CONTRACTOR: BRIAN CLOPTON EXCAVATING INC PHONE*: 503-682-0420 Inspection Request Scheduled For: Date: 5/21/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 505 Sanitary sewer 0702013-03 503-849-7607 Corrections/Corriments/Instructions: P/D.J1 r‘Dytrj Lt PASS El PARTIAL APPROVAL El CANCEL 7 NO ACCESS 7 FAIL El CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Q Date: <1 2/1 t.ti V Phone #: (503) 718-