Loading...
Permit pp CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT PERMIT #: PLM2006 -00593 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 12/18/2006 PARCEL: 2S104BA - 05700 SITE ADDRESS: 13744 SW NORTHVIEW DR ZONING: R - SUBDIVISION: CASTLE HILL #2 LOT: 090 JURISDICTION: TIG Project Description: Replace 50' of water service. CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: R3 FLOOR DRAINS; TRAPS: _ STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB /SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: 50 ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES LARRY LABORE 13744 SW NORTHVIEW DR Description Date Amount TIGARD, OR 97223 [PLUMB] Permit Fee 121181200E $72.50 [TAX] 8% State Surcha 121181200E $5.80 Phone : 503 -524 -5939 Total $78.30 Contractor: KENNEDY PLUMBING . 13985 SW FARMINGTON RD BEAVERTON, OR 97005 REQUIRED ITEMS AND REPORTS Contact # : PRl 643 -5535 Reg #: L1C 10967 PLM 34 -42PB . 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 stions to OUNC by calling 503.246.6699 or 1.800.332.2344. ..-- ._... ...... .. 3_.. Is ed By: # LjAnL .Alf_ i Permittee Signature: 4( 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. • Plumbing Permit Application - FOR OFFICE USE ONLY • 1111 q City of Tigard . IN �� Daceied n ` c" P N o. A • 13125 SW Hall Blvd., Tigard, O' '' " DleBy: �oe �II A/ ' - CO 0 Phone: 503.639.4171 Fax: 503 ,' VICE DEC 60 8 ^006 Date/By: Plan Review Other Permit No.: L Inspection Line: 503.639.4175 TIGARD EI. y / Internet: www.tigard- or.gov ®�•tj? Da Ready/13y: ®SeePage2for Notified/Method: /� Supplemental Information TYPE OF WORC.. �� sly „..-- FEE* SCHEDULE ❑ New construction [f �emo1it`io 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 249.20 l'-' ' - and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi - family SFR (3) bath 399.00 ❑ Master builder Each additional bath/kitchen 45.00 ❑ Other: Fire sprinkler ( sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities Job site address: t 3i t{'i 5 to n 0 {*k4 ,Q IA) art, Catch basin or area drain 16.60 City/State /ZIP: (i - a i re) o ✓ on a o3 Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: _ I Project name: Footing drain (no. linear ft.: ) Page 2 Manufactured home utilities 110.00 Cross street/directions to job site: Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: ) I Page 2 Subdivision: Lot no.: Water service (no. linear ft.: ) r � (') Page 2 Fixture or item Tax map /parcel no.: Absorption valve 16.60 DESCRIPTION OF WORK Backflow preventer Page 2 Backwater valve 16.60 0 -,e I/ S.QAA/ l ( Clothes washer 16.60 Dishwasher 16.60 ❑ PROPERTY OWNER I ❑ TENANT Drinking fountain 16.60 Ejectors /sump 16.60 Name: t (( ' p fb d re Expansion tank 16.60 Address: `31 51.10 nor 4 V 4 rip �� ✓ Fixture /sewer cap 16.60 City /State /ZIP: t 1 c i ao O c 9 -7 a a3 Floor drain /floor sink/hub 16.60 Phone: 60 3) 5 .9 , 5 9 3 9 Fax: ( ) Garbage disposal 16.60 ❑ APPLICANT ❑ CONTACT PERSON Hose bib 16.60 Pt Ice maker 16.60 Business name: � � Pl u ' n� Interceptor /grease trap 16.60 Contact name: Medical gas (value: $ ) Page 2 Address: 1 39S 5 5 Cf m i d- n Primer 16.60 City /State/ZIP: 6 o r ti 761') Roof drain (commercial) 16.60 Phone503) 0-3 , 5 5 3 5 I Fax: : ( ) Sink/basin /lavatory 16.60 Tub /shower /shower pan 16.60 E -mail: Urinal 16.60 CONTRACTOR i Water closet 16.60 Business name: Water heater 16.60 Address: _ _ n Other: City /State/ZIP: C � J �/T`"� Subtotal Minimum permit fee: $72.50 �a, 50 Phone: ( ) Fax: ( ) Residential backflow minimum permit fee: $36.25 CCB Lic.: Plumbing Lic. no.: ,t42__ Plan review (25% of permit fee) t �q �� State surcharge (8% of permit fee) 5 g 0 Authorized signs TOTAL PERMIT FEE "]f? t .3O Print name: 4 tU - J (4t Date: I a� I g � O © This p application expires if a permit is not obtained within _ - _I 180 days after it has been accepted as complete. App. 6/ _/ (!` � *Fee methodology set by Tri-County Building Industry Service Board. I:\ Building\Permits\PLM- PermitAp oc 06/2N06 ` J `� 440- 4616T(10/02ICOM/wEB) CITY OF TIGARD BUILDING DIVISION ' - PERMIT #: PLM2006 -00 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/18/2006 Phone: (503) 639 -4171 �, 1 qg ' �' Inspection Requests (24 Hrs.): (503) 639 -4175 '!+� ''IL. INSPECTION WORKSHEET FOR DATE: 12/21/2006 TIME: 7 :00AM PAGE: 41 SITE ADDRESS: 13744 SW NORTHVIEW DR CLASS OF WORK: SUBDIVISION: CASTLE HILL #2 LOT #: Q90 TYPE OF USE: PROJECT NAME: LABORE DESCRIPTION: Replace 50' of water service. j OWNER: LABORE, LARRY PHONE #: 503 -524 -5939 CONTRACTOR: KENNEDY PLUMBING PHONE #: 643.5535 Inspection Request Scheduled For: Date: 12/21/2006 Pour Time: I Code # Inspection Description Confirm # Contact # Mess g t� 3 Water service 041409 -01 503 -E43 -5535 Y Corrections /Comments /Instructions: ( -3 � LI ��� �� Le t/ 6 (\ 4.7 b( / ' PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED \ IVI// Inspector: Date: 2 Phone #: (503) 718 -2-Y2.--