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Permit r. ., 'PI CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00533 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 12/5/2007 PARCEL: 1S135AA-01901 SITE ADDRESS: 10225 SW HALL BLVD 102 ZONING: C -N SUBDIVISION: METZGER ACRE TRACTS LOT: 037 JURISDICTION: TIG PROJECT: TAGLIO SALON Project Description: water heater. CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: B FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: I `J URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB /SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES JOHNSTON, TERRANCE F + MARY H Description Date Amount PO BOX 1608 [PLUMB] Permit Fee 12/5/2007 $72.50 TUALATIN, OR 97062 [TAX] 8% State Surcha 12/5/2007 $5.80 Phone : Total $78.30 Contractor: JOHN D PLUMBING , OR 97223 FIR STREET 7223 TIGARD, REQUIRED ITEMS AND REPORTS • TIGA Contact # : PRI 503- 620 -7600 Reg #: LIC 89537 PLM 34 -257PB 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. Aktry 2 Issued By: � A J Permittee Signature: A 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. Plural in , Permit A s 1 lica ILQ; . COVED Building Fixtures . s FOR OFFICE USE ONLY City of Tigard DEC 0 2007 Received Date /By: ' a' 5 -- - /c '7 Permit No.: 7.-6)650 I I a 13125 SW Hall Blvd., Tigard, OR 97223- Plan Review Phone: 503.639.4171 Fax: 503.5 91�OF TIG,ARU Date/By: Other Permit N Jv oz,awyy' - ptLC1S TI G A RD Inspection Line: 503.639.4175 � IN�^ {�I'UI ION Date Ready/By: ® Seeee Page 2 for Internet: www.tigard - or.gov �+'' Notified/Method: Supplemental Information ' TYPE OF WORK FEE* SCHEDULE . • . ❑ New construction ❑ Demolition For special information use checklist Description Qty. Ea. 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 ❑ 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 Site utilities Job site address: /9,22 S' S Lc) //Q' , # /Q:4_ Catch basin or area drain 16.60 City /State /ZIP: 7 /(5342 _ Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: /©2I Project name: T eo c 490 Footing drain (no. linear ft.: ) Page 2 1" , Manufactured home utilities 110.00 Cross street/directions to job site: VVV Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear ft.: ) Page 2 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 DESCRIPTION OF WORK ,' Backflow preventer Page 2 fy i1 -1" ,Q-l/ �/ ; d / / Backwater valve 16.60 \ , . , .- j 1-f--AT--- Clothes washer 16.60 ��/ / I Dishwasher 16.60 ❑ PROPERTY OWNER ❑ TENANT Drinking fountain 16.60 Ejectors /sump 16.60 Name: Expansion tank 16.60 Address: Fixture /sewer cap 16.60 City /State /Z1P: Floor drain/floor sink/hub 16.60 Phone: ( ) 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 ,ro asin/lavatory 16.60 Phone: ( ) I Fax: : ( ) Tub/shower/shower pan 16.60 E -mail: . Urinal 16.60 CONTRACTOR "] C Water closet 16.60 o Business name: 0 I t�,� 1 / (4 Water heater ( 16.60 Address: 74 . 7� S� �,� t- Other: Subtotal City /State /ZIP: \/ / Minimum permit fee: $72.50 Phone: ( j3) t -) - ' 2 Fax: ( ) Residential backflow minimum permit fee: $36.25 ' CCB Lic.: ,qg 5 3 Plumbing Lic. no.: . 3_ - 2 57 Ps Plan review (25% of permit fee) r State surcharge (8% of permit fee) Authorized s nature: ( V � , TOTAL PERMIT FEE 9f 3n Print name: . A - A , A 0 I160/&) Date: 2 ,,„,41 - 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. C\ Building \Permts\PLMF- PermitApp:doc 12/27/06 440- 46t6T(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 ,S4uaa-e _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 Storm & Rain Drain - 1st 100' 55.00 Va _ Fee: Permit $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 Inspection of existing plumbing or each additional $100.00 or fraction thereof, to specially requested inspections - per hour 72.50 and including $50,000.00. Subtotal: $50 and up $742.00 for the first $50,000.00 and $1.20 for each additional $100.00 or fraction thereof. Fixture Work: • Plari' 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. -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: • is \Building\Permits \PLM- PennitApp doc 12/27/06 ' . � CITY OF ' ' ~ ��n m n n�'w TIGARD . BUILDING DIVISION ~°~,"~~~�""~~= �~.°"~°,~,,, PER[N|T pLM2007'00533 13125SVV Hall Blvd, Tigard, ORQ7223 DATE ISSUED: 127512007 Phone: (503) 639-4171 Inspection Requests Q4Hra�: (503) 639-4175 °�- "11. INSPECTION WORKSHEET FOR DATE: 1/7/2008 TIME: 7:O0AM PAGE: 32 SITE ADDRESS: 10225 SW HALL BLVD 102 CLASS OF WORK: SUBDIVISION: K4[TZGER ACRE TRACTS LOT #: 037 TYPE OF USE: PROJECT NAME: TAGLIO SALON DESCRIPTION: Water heater. (1) sink. OWNER: JOHNSTON, TERRAWCEF+. PHONE #: CONTRACTOR: JOHN DPLUMBING PHONE #: 503-G2(17E00 Inspection Request Scheduled For: Date: 1/7y2008 Pour Time: \ \ Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 082693'01 603 V Corrections/Comments/Instructions: V - \ ' 0 (�et�� r���^°� ���' 7 � -- ' . � PASS PARTIAL � CANCEL � NO ACCESS �� u u u III FAIL I I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED / ^� / �� (�1 Inspector: \.� � v��~+~~��" ��-�~-. Date: / - � v K > Phone #: (503) 718- / / � ' ,„ ~' ~ „. _ ' ' . ' . . CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2007-00533 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/5/2007 Phone: (503) 639-4171 16 vipOiv 6\4)=7 Inspection Requests (24 Hrs.): (503) 639-4175 „4:1111w 1... INSPECTION WORKSHEET FOR DATE: 12/10,13007 Tl Am PAGE: 57 SITE ADDRESS: 10225 SW HALL BLVD 102 CLASS OF WORK: SUBDIVISION: muzGER ACRE TRACTS LOT #: 037 TYPE OF USE: PROJECT NAME: TAGLIO SALON DESCRIPTION: Water healer. (1) sink. OWNER: JOHNSTON, TERRANCE F +, PHONE #: CONTRACTOR: JOHN D PLUMBING PHONE #: 503-620-7600 Inspection Request Scheduled For: Date: 12110/2007 Pour Tim-• Code # Inspection Description Confirm # Contact # Mes- =ge A ll(1(-j 320 Plumbing rough 061119 503 Corrections/Comments/Instructions: Qjeel/L — 64 ( g 'ASS fl PARTIAL APPROVAL fl CANCEL NO ACCESS FAIL n CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: Date: I ?V/ ( Phone #: (503) 718-