Permit CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit #: PLM2011 -00309
Date Issued: 10/19/2011
TIGARD 13125 SW Hall Blvd , Tigard OR 97223 503 718 2439 Parcel: 2S112BD00100
Jurisdiction: Tigard
Site address: 7580 SW BONITA RD
Project: Bonita Villa Apartments Subdivision: DURHAM ACRES Lot: 65
Project Description: Replacing 40' of 1" water piping & 20' of 1 1/2" water pipe in entry way for laundry room.
Contractor: COMMERCIAL PLUMBING SERVICE Owner: HOUSING AUTHORITY OF WASHINGTON
21185 NW EVERGREEN PKWY SUITE 105 111 NE LINCOLN ST #200 -L
HILLSBORO, OR 97124 HILLSBORO, OR 97124
PHONE 503 - 439 -9999 PHONE
FAX: 503 - 439 -1999
FEES
Quantity Description Date Amount
1 ea Water Piping /DWV 10/19/2011 $56.29
Specifics: 1 12% State Surcharge - 10/19/2011 $8 70
Plumbing
Type of Use MF 16 ea Minimum Fee Adjustment - 10/19/2011 $16 21
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, o wor suspended for more the 180 days ATTENTION Oregon law requires you to follow the rules adopted by the Oregon
Utility N. 'cation Center hose les are set forth in OAR 952 - 001 -0010 through OAR 9 "(1690. You may obtain a copy of the rules
or direc questions to OUNC by l : ing "'I ..232 1987 or 1 800 332 2344
Issued! :y: , /0 Permittee `
itt Signature: i'l hIe44S7
Call 503.639.4175 by 7:00 a.m. for the next available inspec '•n 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.
10/1912011 08:03 Mechanical Services, Inc (FA )5034391999 P.001 /001
PlumbinPerniit Application N .,
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Site Utilities roil (wi•ica1 iltii? oNl.v
City of Tigard i 1 ceivea Date/By: /0 / 7 // k Permit rro / . ef7
OC O/ /"OCR
13125 SW Hall Blvd., Tigard, OR 97223
' I • Phone: 503.7182439 Pax: 503.598.1960 ,�. :R q!review
4 v (:*1 � L: kliTari /Bye Other Permit No.:
I I r :nit I Inspection Line: 503.639.4175 > CAI � E � o4tt)l;dadY / aY: lath: B! See Page 2 for
Internet: www.tigard- or.gev 4-,‘ el% r1y D 11otitted/Method, Supplemental Information
TYPE OF WORK tx J FEE* SCJICEDTJLE
❑ New construction ❑ Demolition For special lnJbrrnation use checklist.
® Addition/alteration/replacement — De 1. 2 on I Qty. I r3a, I Total
❑ Other: New 1- damAy dwellings (includes 100 f}. for each utility connection)
CATEGORY OF CONSTRUCTION SFR (1) bath 312.70
❑ 1- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 437.78
❑ Accessory building IE Multi- family SFR (3) bath 500.32
Each additional bath/kitchen 25,02
❑ Master builder ❑ Other:
Plre sprinkler (_ sq. ft) Page 2
.10B SITE INFORMATION AND LOCATION Site utilities;
Job site address; 14 (0"0W A . 75 go P r i - Catch basin or area drain 18.76
City/State/ZIP: Tigard, OR 97224 Im""ell, leach line, or trench drain 18.76
Footing drain (no. linear ft.: _J Page 2
Suite/bldg. /apt. no.: 7580 Project name: Bonita Villa Apts. Manufactured. home utilities 50.03
Cross Street/directions to job site: Manholes 18.76
. Rain drain semester 18.76
Sanitary sewer (no. linear ft.: Page 2
Storm sewer (no. linear ft.: _) Page 2
Subdivision: Lot no.: Water service (no. linear ft.: ) Page2
Fixture or item;
Tax map /parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12,51
Clothes washer 25.02
Replacing 40' of 1" water pipe and 20' of 1 -1/2" water pipe in entry way of Dishwasher 25.02
b p i "� A O Drinking fountain 25.02
IIJJ Eject s's/sump 25.02
— ❑ PROPERTY OWNER I ❑ TENANT Expansion tank 12,51
Name: Bonita Villa Apartments Flxttire/se vet cap 25.02
Floor drain/floor sink/hub 25,02
Address;
Garbage disposal 25.02
City/State/ZIP: Hose bib 25,02
Phone; ( ) Fax: ( ) .Ice maker 12.51
❑ APPLICANT ❑ CONTACT PERSON Intemaptor/grease>rep 25.02
Business name: Medical gas (value: S _ ) Page 2
Contact name:
Primer 12,51
Roof drain (commercial) - 12.51
Address: Sink/basin/lava
tor3' 25.02
City/State/ZIP: Solar units (potable water) 62,54
Phone: ( ) Fax:: ( ) Ilk/shower/shower pan 12.51
B- : Urinal 25.02
CONTRACTOR
Water closet 25.02
Water heater 37.52
Business name: Commercial Plumbing Services Water piping/DWV 1 5629 56.29
o // Address: 21185 NW Evergreen Pkwy Ste 106 Other; 25,02
' Cary /State/ZIP: Hillsboro, OR 97124 Subtotal 56.29
Minimum permit fee: 572,50 72.50
Phone: (503) 4 39 -9999 Pax: (503) 439 -1999 P
Plan review (25% of permit fee)
CCH Lie.: 126015 l a 50// 7 Plumbing Lic, no.: 37421PB t (III State surcharge (12% of permit fee) 8.70
Authorized signature: TOTAL PERMIT FEE 81.20
' ` ` cation expires ii a permit Is not obtained Allan 180 days
Print name: ' �� ll co `Q r.Yy X 1 Date: i �� / �I T his permit a ppli after tt has been accepted as complt�.
'Tee methodology act by Tel- Count, Building industry Snrvie° Board.
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