Loading...
Permit CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT Permit #: PLM2011 -00357 1 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/20/2011 �fCr ARD Parcel: 2S101AB00100 Jurisdiction: TIGARD Site address: 12025 SW 70TH AVE Project: Dr. Sunil Thanik Subdivision: 1996 -024 PARTITION PLAT Lot: 2 Project Description: Plumbing fixtures for new dental office. Contractor: WOLCOTT PLUMBING Owner: SUNIL THANIK 1075 W HISTORIC COLUMBIA RIVER HWY 470 SW 6TH ST. TROUTDALE, OR 97060 LAKE OSWEGO, OR 97034 PHONE: 503 - 699 -6628 HONE: 503 - 667 -1781 FAX: 503 - 667 -9891 FEES Quantity Description Date Amount 2 ea Backflow Preventer 12/02/2011 $62.54 Specifics: 1 ea Clothes Washer 12/02/2011 $25.02 1 ea Expansion Tank 12/02/2011 $12.51 Type of Use: COM 2 ea Floor Drain /Floor Sink/Hub 12/02/2011 $50.04 Class of Work: ALT 1 ea Ice Maker 12/02/2011 $12.51 Type of Const: 2 ea Primer 12/02/2011 $25.02 Occupancy Grp: 1 ea Sink 12/02/2011 $25.02 Stories: 10 ea Lavatories 12/02/2011 $250.20 1 ea Tub /Shower /Shower Pan 12/02/2011 $12.51 3 ea Water Closet 12/02/2011 $75.06 1 ea Water Heater 12/02/2011 $37.52 1 12% State Surcharge - 12/02/2011 $70.55 Plumbing Total $658.50 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 Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued = / •ermittee Signature: /j� — I Call 503.63•. .y 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. Plumbing Permit Application R E C E \JE D Building Fixtures FOR OFFICE USE ONLY PPI 2 2011 Date/By: 1 Permit No.: ► �g// 357 Other Permit No. n 13125 SW Hall Blvd., Tigard, OR 97223 �EC [� "° Plan Review � , - n ^ „ _ it _ �/� Phone: 503.718.2439 Fax: 503.598.1960 : K/�LC(6 r!!�J! - �/ T�GA� Date /By TIGARD Inspection Line: 503.639 C � 1 1 OF V 1 1"t Da te Ready /By: Juris H See Page 2 for Internet: www.tigard- or.gov BUILDING Dw �O � JI Not Supplemental F to et t ...... , . . _ >. LW, E+=OF W ©RR . ....:. ..... ,..:Z,;::::: .`;FE SGHED�� 't.;i ® 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) ' -� ° -,: - - -:�., ... TEGORY_QF CONSTRUCTION' -'. `' °s - R(I)ba t >. .:. ;� -.. .. .ta. •,: '• ,,rte =:': + .,. " ]CO N70 ....v ,; -�:_ . � ° .•.< ;,••' ' .; SF bath 312.70 ❑ I- and 2- family dwelling ® Commercial /industrial SFR (2) bath 437.78 111 Accessory building SFR (3) bath 500.32 y g ❑ Multi- family Each additional bath /kitchen 25.02 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 JOB ITE INFORtMATIONr .,5 ANDLOCATIONe Site utilities: Job site address: 12025 SW 70'" AVE Catch basin or area drain 18.76 Drywell, leach line, or trench drain 18.76 City /State /ZIP: TIGARD, OR 97223 Footing drain (no. linear ft.: ) Page 2 Suite /bldg. /apt. no.: Project name: Manufactured home utilities 50.03 Cross street/directions to job site: - 1 :: 312 -- l a IAAN (, ---rr41J 1 teN 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.: p2c5 / 6Q /40 Backflow preventer 2 31.27 62.54 ;!' "°i� T >: :, r . � Backwater valve 12.51 " ° a; rz`; °DESCRIP.,TIUN .- WORK„ :> /.":":,..',,W - % ,. ,,, "3�: �:,�k �„ ' + Y . ,. `.ir�'� . _,.,,.,,r ;,R'�FiY . , . . ... �.. W.. ,. -- , .. Clothes washer I 25.02 25.02 DENTAL OFFICE Dishwasher 25.02 Drinking fountain 25.02 Ejectors /sump 25.02 [}'PROP,,ERT "•z: '. TENANT7,,, °. Expansion tank 1 12.51 12.51 Name: Fixture /sewer cap 25.02 Floor drain /floor sink/hub 2 25.02 60 ,aif Address: Garbage disposal 25.02 City /State /ZIP: Hose bib 25.02 Phone: ( ) Fax: ( ) Ice maker 1 12.51 12.51 r >:•c• u-APPLI"AN. t` ` - „'^ Interceptor/grease a. `,t,.,F:� •.Q�'`___ ® C T3= `�,,._'" t .,. ®CONTACT :PERSON: " P b trap 25.02 Business name: WOLCOTT PLUMBING Medical gas (value: $ _ _ Page 2 Contact name: CLIFF BOWMAN Primer 2 12.51 12.51 Roof drain (commercial) 12.51 Address: 1075 W HISTORIC COLUMBIA RIVER HWY Sink /basin /lavatory 1IA< 25.02 325.26 City /State /ZIP: TROUTDALE, OR 97060 Solar ur otable water) 62.54 Phone: (503) 667 -1781 X381 Fax: : (503) 667 -9891 Tu Ide bower pan 1 12.51 12.51 E - mail: cbowman @wolcottplumbing.com Urinal 25.02 • +.". Water closet 25.02 75.06 t z < = CONTRACTOR..;= :a _ ,,..., te , a. __, 4-'A. _ ... .� Water heater 1 37.52 37.52 Business name: WOLCOTT PLUMBING Water piping/DWV 56.29 Address: 1075 W HISTORIC COLUMBIA RIVER HWY Other: 25.02 City /State /ZIP: TROUTDALE, OR 97060 Subtotal 6494" Phone: (503) 667 - 1781 Fax: (503) 667 - 9891 Minimum permit fee: $72.50 . 59s '1 Plan review (25% of permit fee) CCB Lie.: 112220 Plumbing Lic. no.: 26 - 824PB State surcharge (12% of permit fee) Authorized signature: 1 TOTAL PERMIT FEE - . - -..- Print name: CLIFF BOWMAI Date: 12/2/11 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 ServicgB ard. Sf7 .YY�6-' I. \ Building \ Permits \PLMU- PermttApp doe 10/01/09 440-461 6T( I 0 /02 /COM /WEB) ?� let g. S0