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Permit � CITY OF TIGARD PLUMBING PERMIT ' r COMMUNITY DEVELOPMENT Permit #: PLM2012 -00026 TnGAR.D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/03/2012 Parcel: 25101 DD00100 Jurisdiction: Tigard Site address: 7000 SW SANDBURG ST Project: PAPE Subdivision: 1998 -147 PARTITION PLAT Lot: 2 Project Description: Replacing 100 ft. of interior hot water piping. Contractor: ADVANCED PLUMBING LLC Owner: PAPE, SHIRLEY N & PO BOX 593 TOOKE, DIAN P & PORTLAND, OR 97207 -0598 PAPE, TERRANCE E 355 GOODPASTURE ISLAND RD EUGENE, OR 97440 PHONE: 503 - 241 -4945 PHONE: FAX: 360- 571 -4188 FEES Quantity Description Date Amount 1 ea Water Piping /DWV 02/03/2012 $56.29 Specifics: 1 12% State Surcharge - 02/03/2012 $8.70 Plumbing Type of Use: COM 16 ea Minimum Fee Adjustment - 02/03/2012 $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, 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 By: - ermittee Signature: - �,, /_ — - iJ l Call 503.63 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. Advanced Plumbing LLC 3605714188 p.2 Plumbing Permit Application t9 ,; ).: Building Fixtures � a� ; '' � FOR OFFICE USE ONLY City of Tigard , y A � � Date By 1 111 Permit No.: IIII - 13125 SW Ball Blvd., Tigard, OR 9i7 s l. �l, Plan Review ' Phone: 503.718.2439 Fax: 503%98].96t(<3) .4,\, `` Other Permit Ni,.: Inspection Line: 503.639 -4175 .(( `,..,\.\\\*". y ,��i p T I G A R D 4 ' Date Ready /By: lens: a Sec Page 2 for Internet www.tigard- or.gov (IN i Notified Method: Supplemental Information TYPE OF WORK G FEE* SCHEDULE ❑ New construction ❑ Demohtlon * �'''' For special information use checklist. Description I 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 ❑ l- and 2- family dwelling ® Commercial./industrial SFR (2) bath 437.78 SFR (3) bath 500.32 ❑ Accessory building ❑ Multi- family Each additional bath/kitchen 25.02 ❑ Master builder ❑ Other: Fire sprinkler (-..- sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: - bpd SL„.) S ki t4 o u(G RI) Catch basin or area drain 18.76 , Drywell, leach line, or trench drain 18.76 City /State/ZIP: f 'Z Q 7 r l + Z 3 Footing drain (no. linear ft.: ) Page 2 Suite/bldg. /apt. no.: Project name: p Manufactured home utilities 50.03 Cross streeUdirections 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: I Lot no.: Fixture or item: Tax map /parcel no.: Backflow preventer j 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 Replace 100' interior water line (hot) like for like Dishwasher 25.02 Drinkine fountain 25.02 �� Ejectors/sump 25.02 ❑ PROPERTY OWNER I L'S TENANT Expansion tank 12.51 Name pr, p Fixture/sewer cap 25.02 Floor drain/floor sinkihub 25.02 Address: 700© s W SAI ti t9 0r6) RP Garbage disposal 25.02 City/State/ZIP: l' [, A (1 D / 972-Z- , Hose bib 25.02 Phone: ( ,5p3. ) $ 9 /4o t 7 Fax: ( ) Ice maker 12.51 j APPLICANT 1 ❑ CONTACT PERSON interceptor /grease trap 25.02 Business name: RD 41,14/6.) / /1V� 4.�/ Medical gas (value: S �) Page 2 Primer 12.51 Contact name: T 6 1 -t L t� � [-= � Roof drain (commercial) 12.51 Address: Pp 22x Q3 Sink/basin,lavatory 25.02 City /State/ZIP: ,Z2 j4 //t 6I/2 97,;,9e9 7 Solar units (potable water) 62.54 Phone: ( 4 4/ l 9 `tip yr Fax:: (j ' i - � L V 3' Tublshowerlshowerpnn 12.51 E- mail: * f� C�/L - )li /JeeRZ.1J// %t / WirDif W nal 25.02 Water closet 25.02 CONTRACTOR Water heater 37.52 Business name: .8 t J / 6 777 / . Water piping/DW'V 1 56.29 56.29 Address: Pe P, 5'2 0 Other: 25.02 City/State/ZIP: , , / 2 � ftop� � ei/� 9 777 Subtotal 56.29 Phone: ( a 7l - ¢( l Fax: ( , 57/_.4//& - Minimum permit fee: $72.50 72.50 C Plan review (25% of permit fee) CCB Lie.: 1 $ d Plumbing Lic. no.(8 - 7 0 State surcharge (L2% of permit Fee) 8.70 Authorized signature' -/`, TOTAL PERMIT FEE 81.20 ' i l t Z - - This permit application expires if a permit is not obtained - within - 180 - days - -- Print name: SE f12.6/9 ZG� 5� � Date: 2,-3 after it has been accepted as complete. 'Fee methodology set by Tr-County Building Industry Service Board. I: 1Building\PemitslPLMU- PermitAgp doc 10/01/09 443-061GT(10102/COM/WEB)