Permit CITY TIGARD PLUMBING PERMIT
i DEVELOPMENT SERVICES PERMIT #: PLM2005 - 00293
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 7/6/2005
PARCEL: 2S 102AB -00208
SITE ADDRESS: 09505 SW COMMERCIAL ST ZONING: R -4.5
SUBDIVISION: MARIELL LOT: 008 JURISDICTION: TIG
Project Description: Sewer repair.
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:' 70 ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
RICE, LISA
9505 SW COMMERCIAL ST Description Date Amount
TIGARD, OR 97223 [PLUMB] Pen Fee 7/6/2005 $72.50
[TAX] 8% State Surcha 7/6/2005 $5.80
Phone : Total $78.30
Contractor:
APOLLO DRAIN + ROOTER SERVICE
2208 NW BIRDSDALE #8
GRESHAM, OR 97030 REQUIRED ITEMS AND REPORTS
Phone : 503- 239 -8801
Reg #: LIC 49418
PLM 26 -533PB
•
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: 0 n . 77,6 Permittee Signature: ,n
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.
FR.OM APOLLO DRAIN 503 (TUE)JUL 5 2005 7:51/ST. 7:51/N0.6812889558 P 1 .
- ..
Building Fixtures
Plumbing_ Permit Anniilic Fi_occEIVE"
FOR orru7, IISE ONLY
City of Tigard Received ..-7
13125 SW Hall Blvd., Tigard, OR 97223 JUL 0 5 20A Dates : f 't - 01 - "P , F'ermit No-. ‘ 10,, 1'190 eij
Phil Review
Phone: 503,639.4171 Fax; 503_598_1960 CITY OF TIG'6 DaLe/BY! Other Permit 1 :
24- Hour Inspection Line: 503.639,4175 - ,.. :./ I i
Internet: wvAv.ci.tigard.orus BUILDING DI-.-.7.. Date Ready/By: See Page 2 for
rn NinifiedUcthod; El
Ein Supplemental loforitution
I t‘ r r jii .: 777,.1,7?'..,,, , s 1; ,4 tiVg .. . '1. ... ' : ..... ' ' ..
I 0 New construction 0 Demolition For special information use checklist.
Drscri
1-° Additipnialterationfreplacement 0 Other: lio22 I Ea.
I Qty, I _ Total
New 1- 2-family dwellings (includes l 00 ft. for each utility connection)
t'''' 7 , . ': , i::' . q.;;. • ,'..;,, ;VNalgli:4: .. SFR (1) bath 249.20
IZ I - and 2 dwelling 0 COnuncreial/industrial SFR (2) bath 350.00
• .
0 Accessory building , 0 Multi-fam SFR (3) bath 39900
ily .
Each additional bath/kitchen 45.00
1:3
Master builder El Other:
. .. . sprinkler ( sq. II) Page 2
:.; . :;::t7A!Th• 4.1tst,2' '!!:itt, i-1 ',", •', , i-i' , 'J Fire p
AMMU% /4 0; . iliitINA:o'i s . . t .
* - za,74....e..n>nm...-N41. .1,14 sa.-k,wetivkiws., ' d '. ■ .1 , ! He uti
,
.Tob site address: C I 505 5 K.) Cool alert :ck,t S4 Catch basin or area drain 16.60
-
City/State/ZIP: 1 rid_ OVL 61 •,2 3 Drywell, leach line, Or trench drain
---- - - 16.60
drain (no. linear ft.: ___) Page 2
Suite/bldg./apt no. Footing : 1 Project name: :--
Manufactured home utilities 110 00
Cross sttect/dircotions to job site:
Manholes 16.60
Rain drain connector 16.60
____.___ .
• • _
Sanitary sewer linear ft:7 Page 2
Storm sewer (no. linear ft.: ) Page 2
Subdivision: Lot no.:
Water service (no. linear ft.: ) Page 2
Fixture or Item
Tax map/pared l no.: ion .
„ . b,, A sorpt valve 16.60
. '• : : ::'' • ::;: . ; ii.e l i t' • : AW7 • 1 1 LJALiii'Matirlar IA Backflow pry/enter ‘ . Page 2 -
SakfC,I Scrvfcc, n_pcur - p-ita-sc- Backwater valve • , ., , . 16.60 •
Clothes•washer 16.60
- i - , le I _Dishwasher 16.60
iw !se; itt% :■r:‘,1w •r.1..4,....“ tra.l• • •-• „ till,. -4 Drinking fountain • 16,69
arfiewd' a:: ? 4 'WM 0E011 piogv, 4, . tr' . 4CWSI ,
16.60
Name: Li c R Z c (-I Expansion tank 16.60
Address: Fixture/sewcr cap 16,60
City/State/ZIP: Floor drain/floor sink/hub 16.60
_ .
Phone: (56 3) 501 g - Inci Fax: ( ) Garbage disposal 16,60
16,60
...: ' 4-veltiC14,11 retraMigt . i ' . 1 ' : ! ' EiSA4c, 6 ;1' k !.,; , '41: ;3trt4 4 Hose bib
41 ' ice maker 16.60
Business name;
Interceptor/grease trap 16.60
Contact name: Medical gas (value: $ ) Page 2
Address: Primer 16.60
. --
City/Stat e/ZtP: Roof drain (commercial) 16.60
Sink/basin/lavatory 16.60
Phone: ( ) Fax: :
Tub/shower/shower pan 16.60 _
P.-mai I:
Urinal 16.60
• 1 400: Water closet 16.60
- .
' Husinesa name: Ap
i 0 ). to pro,,i n Water heater 16.60
,...
I Address: Lzo K tD 6 amt., -ki g , Other.
I - ,
Subtota I
City/Statc/ZIF: 0.-yr ir.L.yn CA/L- C I - 10 tc5_- Minimum permit fee: $72.50
Phone: (S1/3 ) 1361 - gi i Fax: ( 2 Ai ( --ci 5 LP 7 Residential backtlow minimum s Unlit fee: $36.25
Plan review (25% of permit fee) •
c.:c's Lic.; A ci 4 l Plumbing Lie. no.:2,6, • 5 3 3 PC -
, - - State surcharge (8% of permit fee)
Authorized sig 0 „ 1 jaVliA-+
. - 7 , T OTAL
I s3o
Print name: Ceuw1 ai 0 11 e t Date: rk - '5 - 5 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.
..HuildingWenni-.14 12/0 440-46161*(10/03./COM/V■TH)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM244944293
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/6/2006
Phone: (503) 639- 4171 Opt
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/7/2006 TIME: 7:10AM PAGE: 83
SITE ADDRESS: 09505 SW COMMERCIAL ST CLASS OF WORK:
SUBDIVISION: MARIELL LOT #: 008 TYPE OF USE:
PROJECT NAME: RICE
DESCRIPTION: Sewer repair.
OWNER: PHONE #:
CONTRACTOR: APOLLO DRAIN + ROOTER SERVICE PHONE #: 503- 2398801
Inspection Request Scheduled For: Date: 7/7/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
505 Sanitary sewer 010876 -01 503.2398801 Y
Corrections /Comments /Instructions:
PASS I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: (1 2/6 Phone #: (503) 718-