Permit CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit #: PLM2011 -00296
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718 2439 Date Issued: 09/27/2011
Parcel: 2S114BB03400
Jurisdiction: Tigard
Site address: 10125 SW KENT PL
Project: Snyder Subdivision: PICK'S LANDING NO I Lot: 48
Project Description: Replace (1) tub /shower and (1) shower Add (1) shower.
Contractor: PROGRESSIVE MECHANICAL INC Owner: SNYDER CONSTRUCTION LLC
9123 SE ST HELENS STE 100 PO BOX 595
CLACKAMAS, OR 97015 CANBY, OR 97013
PHONE 503 - 654 -0303 PHONE.
FAX: 503 - 654 -4969
FEES
Quantity Description Date Amount
3 ea Tub /Shower /Shower Pan 09/27/2011 $37 53
Specifics: 1 12% State Surcharge - 09/27/2011 $8.70
Plumbing
Type of Use SF 35 ea Minimum Fee Adjustment - 09/27/2011 $34 97
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 N cation C • er. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090 You may obtain a copy of the rules
or dire questions to OU " b al 503.232 1987 or 1 800 332 2344.
Issu By: ` ' Permittee Signature: p'
Call 503.639.4175 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.
From: 09/26/2011 11:24 #065 P.002/002
Plumbing Permit Application REcFNF n
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Building Fixtures FOR OFFICE USE ONLY , - i..;--..
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2 20 Received - . 1 rD ►�
City of Tigard Date /By. 9 A 7 1/ Permi N o : )ice
e .t 13125 SW Hall Blvd., Tigard, OR 97223 CITY Ir a e , l pl Datelan R ev B
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Phone: 503.718.2439 Fax: 503.598.1960 CIT OF TrG ,r t�' Other PermitNo.•
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TIGARD Inspection Line: 503.639.4175 B V p EEDFNC DI11 r I,pjate Ready/By: Ions: El Sec Page 2 for
Internet: www.tigard - gov Notitiied/Method' Supplemental Information
- TYP OF WORK FEE* 'SCHEDULE
El New construction ❑ Demolition For special information use checklist
Description , Qty. I 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 312.70
® I - and 2- family dwelling ❑ Commermal/industrial
SFR (2) bath 437.78
SFR (3) bath 500.32
❑ Accessory building ❑ Multi - family
Each additional bathilatchen 25.02
❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2
3018 SITE INFORMATION .AND LOCATION - - Site utilities:
/Job site address: 10125 SW Kent Place Catch basin or area drain 18 76
Drywell, leach line, or trench dram 18.76
City / State/ZIP: Tigard, OR 97224 Footing drain (no. linear ft.: , ) Page 2
Suite/bldg. /apt. no.: I Project name: 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: Lot no.: Fixture or item:
Tax map /parcel no.: Backflow preventer 31.27
-- - - Backwater valve 12.51
- DESCRIPTION :OF - "WORK
Clothes washer 25.02
Replace 1 tub shower, and one shower. Add additional shower Dishwasher 25.02
Drinking fountain 25.02
Ejectors /sump 25.02
® PROPERTY OWNER : ❑ TENANT - - - Expansion tank 12.51
Fixture/sewer cap
25.02
Name: Joe Snyder
Floor drain/floor sink/hub 25.02
Address: 10125 SW Kent Place Garbage disposal 25.02
City/ State/ZIP: Tigard, OR 97224 Hose bib 25.02
Phone: ( ) Fax: ( ) Ice maker 12.51
- - ,❑ APPLICANT - ®- CONTACT PERSON - ,- : Interceptor /grease trap 25.02
Medical gas (value: $ ) Page 2
Business name: Progressive Mechanical Inc
Primer 12.51
Contact name: JD Ruby
Roof dram (commercial) 12.51
Address: 9123 SE Saint Helens St, Suite 100 Sink/basin/lavatory 25.02
City /State /ZIP: Clackamas, OR 97015 Solar units (potable water) 62.54
Phone: (503) 319 -6104 Fax: : (503) 654 -4969 Tub /shower /shower pan 3 12.51 37 -53
Urinal 25.02
E -mail: John @progmech.com
Water closet 25.02
CONTRACTOR
Water heater 37.52
W Business name: Progressive Mechanical Inc Water piping/OWV 56 29
Address: 9123 SE Saint Helens St, Suite 100 Other: 25.02
City /State/ZIP: Clackamas, OR 97015 Subtotal 37.53
Phone: (503) 654 -0303 Fax: (503) 654 -4969 Minimum permit fee: $72.50 72.50
Plan review (25% of permit fee)
CCB Lie.: 140856 41([ 17 Plumbing Lie. no.: 3 -440PB
State surcharge (12% of permit fee) 8.70
Authorized signature: .t r /' j V I���,r -t / TOTAL PERMIT FEE 81.20
ftVlilSL (J S u `� This p ermit application expires if a permit is not obtained within 180 days
Print name: Katie Nelson Date 9 after It has been accepted as complete.
`gee methodology set by T.i- County Building Industry Service Board.
I \Budding\Permas \PLMU- PermitApp doc 10101/09 440- 4616TO0 /02 /COM/WEB)