Permit q CITY OF TIGARD PLUMBING PERMIT
111 ° - COMMUNITY DEVELOPMENT Permit #: PLM2012 -00040
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/24/2012
Parcel: 2S102CC01700
Jurisdiction: Tigard
Site address: 10285 SW HILLVIEW ST
Project: BRITTAIN Subdivision: FRELEON HEIGHTS NO.2 Lot: 20
Project Description: (1) shower and (1) water closet for bathroom remodel
Contractor: MP PLUMBING CO Owner: BRITTAIN FAMILY TRUST
PO BOX 393 BY PAUL E /ANITA M BRITTAIN TRS
CLACKAMAS, OR 97015 1487 PASSEO AURORA
SAN DIEGO, CA 92154
PHONE: 503 - 655 -9161 PHONE:
FAX: 503 - 655 -1726
FEES
Quantity Description Date Amount
1 ea Tub /Shower /Shower Pan 02/24/2012 $12.51
Specifics: 1 ea Water Closet 02/24/2012 $25.02
1 12% State Surcharge - 02/24/2012 $8.70
Type of Use: SF Plumbing
Class of Work: ALT 35 ea Minimum Fee Adjustment - 02/24/2012 $34.97
Type of Const: Plumbing
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 by calling 503.232.1987 or 1.800.332.2344.
Issued By: / Permittee Signature: AN A ���� ACV-770A/
"„Cr �� 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.
Plumbing Permit Application
Building Fixtures FEB 2 3 2012 I ,, l; I , l 1 1 , 1 I ,, ,, ,
City Tigard OF TIGAItD may; 0 2 �V /,1 Permit r 7 Z∎ 4 122a/e2 c
S
13125 SW Hall Blvd_, Tigard, O
Phone: 503.718.2439 Fax: 50 NG DIVISION Oilier Pcnnit No.:
1 1 , .\ ; i . Inspection Line 503.639.4195 pate Ready/Ry: r ®See Pape 2 ror ■
Internet; www.tigard-or.gov Notified/Method: � Supplemental lofotmadon
El New construction ❑ Demolition For special inform:lion we checklist
Description I Qty. I F.a. ) Total
® Addition/e tcration/replacement 0 Other: New 1- 2- family dwellings (includes 100 R for each utility connection)
`eFVg .if ; : r .• . ..__...> .. _tM6W..lt•'.'A SFR () bath l 31170
® I- and 2- family dwelling - ❑ Commercial/industrial SFR (2) bath 437,78
-
❑ Accessory building ❑ Multi- family SFR (3) bath 500,32
Each additional bath/kitchen 25.02
❑ Master builder ❑ Other: Eire sprinkler sq. R,) Page 2
p �!'�.�. 6yYN. , ..... F 5,� ��� � �.,,_ Site utilities:
tF.tti�:77P!�'t'� �i t1!' Og�- --, +A 4,010rt�443��` .t+�:t':.k,:4.: , ties:
Job site address: 10285 SW RILLVIEW STREET Catch basin or area drain 18.76
rhywell, leach line, or trench drain 18.76
City/Slate/ZIP: TIGARD, OR 97223
Footing drain (no. linear R.: ) Page 2
Suite/bldgJapt. no.: I Project name: 2922 BRITTAIN Manufactured home utilities 50.03
•
Cross sires /directions to job site: Manholes 18.76
Rain drain an oceLor 1$.76
Sanitary sewer (no. linear ft.: _) Page 2
Storm sewer (no. linear ft.: _J Page 2
Water service (no. linear It: _,_) Page 2
Subdivision: I Lot rio.: Fixture or Item:
Tax map/parcel no.: Bacldlow preventer 31.27
; v; tt i n y v326�n T ; :,n�or f '+'LVa »4 Hadcwatervalve 12.51
<� s ... ;� ; t �. q : °a. ; ,•5 Clothes washer 25.02
BATHROOM REMODEL -SET 1 TOLLET AND 1 SHOWER _ Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
' i'kfi` z >'i'L'+`Y?.1 ti4AT' s�jyl +:'' ".'
A. 1$11 �J ii+�k: l��l5t�':,' .tJ.... Y.�r i 2 :• 'Slta.ii ;. Expansion tank 12.51
Name: Fixture/sewer cap 25.02
Ate; Floor drain/floor sink/hub 25.02
Garbage disposal 25.02
City/State/ZU': Hose bib 25.02
Phone: ( ) Fax: ( ) Ice maker 12.51
P E ; ' [2:::::?::' ;?> ,, ; .+ ic ., ❑ I At s ,t,. f :. ! , �r lntcrecptor /game trap I 25.02
/,rti'�. .r:. ._....i:.•. 1. h.1.i�i1e ,RS"n:'S .._�ti ._...,..,.Y�. ^. - ,
Business name: Modica( gas (value: $ ) Page 2
Contact name: �" 12.51
. Roof drain (commercial) 12.51
Address: Sink/basin lavatory 25.02
City /State/ZIP: Solar units (potable water) 6154
Phone: ( ) 1 Fax: : ( ) Tub/showcr/shower pan 1 12.51 12.51
r E -mail: DONNAT(a)MPPLUMBING.COM Urinal 25.02
y �Ntr'� °� °'.w} °rH: ;.a w . r *r .. Water closet I 2,5.02 25.02
Yu'A f : 4 4i .� r ,y at• i :�-x:/r. a'; :45 :.•• . C ` 5 'e�,:.14.,. -:
�m.�n•+x 't \L ti.. + }'', \k :'i .jf �S' �x, t �,. -i (' 'y
wf..FY�N4. .\ i1.;i N,�I1iW /.ttW "E�'71'�t.�:i�lAt \ Yf �ti. lr�7' �..+ �'.\: f: �1:: i} �nfS .hw..r}(4.:.i.;Mr'dr..•..u^•:^ �: ;.- Water heater 37.52
Business name: MP PLUMBING COMPANY warn piping/DWV 56.20
Address: PO BOX 393 Other: 25.02
City /Slate/ZIP: CLACKAMAS, OR 97015 Subtotal 37.53
: (503)65S-9161 Fax: (503) 655-1726 Minimum permit fix: $72.50 72.50
CCU Lie.: 5002 V Plumbing Liu no.: 3-17PB t/ Plan review (25 %ofpermit fee)
- State surcharge (12% of permit fee) 8.70
Authorized -' _ .
TOTAL PERMIT FF ^ F' 81.20
Print name: DONNA MA I S 4 - Date: . /12 T This permit application expires if a permit is not obtained within 180 days
after it has been accepted as complete.
'Fee methodology set by Tn-County Building Industry Service Board.
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