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Permit CITY OF TIGARD PLUMBING PERMIT ` "1 a - COMMUNITY DEVELOPMENT Permit #: PLM2009 -00291 T f GAR D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/27/2009 Parcel: 2S112DD01400 Jurisdiction: Tigard Site address: 15686 SW SEQUOIA PKWY Subdivision: Lot: 0 Project: Courtyard By Marriott Project Description: Install (1) backflow preventer, (1) glass washer, (1) primer, (2) sinks, (3) 3" floor sinks, and (1) primer; cap (1) 2" floor sink and install (1) 2" floor sink. Owner: FEES PACIFIC REALTY ASSOCIATES Quantity Description Date Amount PO BOX 58990 SEATTLE, WA 98138 1 ea Backflow Preventer 10/27/2009 $31.27 PHONE: 1 ea Dishwasher 10/27/2009 $25.02 1 ea Fixture /Sewer Cap 10/27/2009 $25.02 4 ea Floor Drain/Floor Sink/Hub 10/27/2009 $100.08 Contractor: 1 ea Primer 10/27/2009 $12.51 RD PLUMBING 2 ea Sink 10/27/2009 $50.04 13900 NW SPRINGVILLE RD 1 12% State Surcharge - 10/27/2009 $29.27 PORTLAND, OR 97229 Plumbing PHONE: 503 - 297 -7422 FAX: • Type of Use: Class of Work: Type of Const: Occupancy Grp: Stories: • • Total $273.21 Required Items and Reports (Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of iss - r or i wo • '. uspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon dtility Notification Cente . Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules or direct questions to OUN , - ' ca • 03.246.6699 or 1.800.332.2344. Issued By: r It,/ f Permittee Signature: ‘Li Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the Job site until completion of the project. Approved plans are required on the job site at the time of each inspection. • • • w , • RECEIVED Plumbing Permit Application OCT 15 2009 • Site Utilities rt)a l ei l is F iI it \'I,l • City of Tigard CITY OF TIGARD '' .' �, ` _ w 13125 SW Hall BIvCi.. "Tigard. OH 9iiiVILDING DIVISION " °�t'�y' vomit No.: pl (fl2( q .�aq{ • B Phone: 501 639.4171 F a x : 50 I Pl an RCVi /1.i Inspection Liar: iO3.639.4t75 ie'11Y: V6nl Permit �cQ a 11 i t ^fn�I . � .. i, ... lnte ) Ltue R t Bdr /k3Y' �ri� I � Jl I'M 2 rat C.LSdY mct: Lvvvvv•tigtrd-+r.gnv 7 . N nufinyMCdtnd. - 1 Gt j r Sopplcmrnrgl Iuturmntion TYPE or N'llRlt.'.. REV' " I MILE • I 0 Nc's construction lJlitinn �. For special ihjkarnN — Wnrraechecklist. -- —� l icn lio • • 1 it_.„, AAQitioNali la F � L P celnenL 0 O L h .^r: — ( fl . ! Total I ew I- dwellings i I i , ..'. L .,.,.r N 5 R. t ncludes 00 ft. nrGtch utility conr.ecnan ! -s . =' -;. a' TEZ��Y•(; 4) tlf�` �' �! �, �,' ; r r � i :, 1 � • , " ;n . ! ,'' `t: ..,�!. � � 1- ..� •rf:,',!. ;�e'.' V .�i � ;G•.� '.Y. I. 5FR(llbruh { JIZ rl ■ ❑ 2- family dwelling SPX 437.7$ ' I C�It�rcipl�u)dastriai ( -1Ih � — 0 Accessory building 0 htuhl- falttily SFR (3) ba 50(1.32 - Muter builder -- Fad additional bathrkilchen 25.02 Q Other: - -- * - -•s--s - -, ,, - Fire sprinkler (sc il.) — Join ,1T E` tCytit}1#vliit,�ti ; ;N .I.,,,,,..-1::., ,, .: Page AM tiflC' :Id.IrCS9: ... L ..r.___ T— — � 5 - 6 r d 6 Ai, , . � f � l , c ;otchbsinorareadraln v o tc_ �u PLC W . 1 8.70 i C its /StuICrLIP: �►� _ O 2 � + ) nOtji Drywall, )each line. rtrirL'Itcn drain 18.7h f I Fnntit Jreln (no. linnet A : _) Page Z 11 SuiteibldgJarn. no _ Project name: O,,,, �. r7 ��*� �Y — Manufactured tared home utilities 50.03 _____ . i Cross sire t/dirtc[iun� tc jab site: G G'- 4'-Oti -�Ii1 _. _ - LManholes 18.10 .. _ rain coniterutr 18 70 Sanitary server (no. linear tt. ^) page - — S torm Sewer (nn. linear ft • 1 Page 2 thdivixign; waltz serviec (no. ilneat ft. • _`) } Page 2 t Lot no. Fisttu a or item: I .. fax Inap /parcel �] r 1 /�� to v prevcnter G�. � /?�k.�!}! { Buck( , 1 3 t:2' ' „�: , ..i:_.i- -S ; ' : ' b E*11,1111 1 M,r9FAit i ' :a + I, t t i' s ` • ' ^ r' Backwater valve 12.5 .1liC —�-J Gc r - -! � C1001es washer 25.02 Di+h { w'ash r 25 02 I - .• Thinking, fountain 02 I r- I 4 Ejectors /sun 23,02 '• .0. ©P,ERT1' OW'Spi. - :i ' ' ' , .. f f. . sN ��y . �+� ,, , T' „ -„G c k' rpansiun Milk * — iTF .. - -'' &, ..i.e v 12.51 Newt: 1 1 F J q0 I 2 Addrecs — 1 L Float drain /floor Sink /hub c/ 25.02 Li disposal ' 25.02 L C'Itv,'S rate /'LIP: ! ! Phtate:i ) - I I lse bib Z:.UI FeA: i ) _ � Ice mak _ . I 12.51 F APPLICANT ;.{ 't:Y.1v1!At^'1' 'PERSON Interceptor/grease U'ap -} 2 0 1 I fit inu55 name: R I) F 'fuutbing Ina Medt•:nl p,. +s (vahlt. $ 1 page 2 L_ Contact 'ionic: John - Primer ,lddre: : is: 13900 N W Springville Rd Hnnfdrun (cou'mac iai) I —12.51 --1 Sink /ba;tn)taratoiy + 25.02 -- ._ C tyiStutclgP: Portland, Or 77229 3 -73 y p — "1 .______ Sol ar units (amble water) 02 1 Phan ; (503) 297 -7422 1 ux; : (503) 2y7�34 TtlbJshnwt tishotvcr par' (2.51 I I I�Ifil: rdplumbin (ri;rumcasf.nel I ' L' B Urinal 25.02' I • — . . '_ .: ',ceri�7`li C roil. t. r�. { '%' ,.. : ._ _.T`, . , ...- ,'';1.'• Water cln, 5. . r't;5(:''ti ' !L: f..:':-;.1.'1 ” -I- , " • S" 3.52 Business name: It D Plumbing Inc ` " Water heater I 37.52 I :Address: 13900 r•:%1' Springville Rd • + W+ rpipmg/t)WV .i6.29 [Tither her 25.02 State /7..IP: Portland, (Jr 97229 SulslAtal f within 1R ' r Phone. )50J) 291 -7422 f'ac: (503) 297 Minimum pennil tcc: 172.50 — C'C'li Lie.: it.. 7 ?913 Plumbing tic. rqi. : 26 . 313PB Planrnylc,+ (25 of permit fee) . d. nul hnrized signature: � — —7— 1.1. 11 _ I StpIt sun hargr 112% of permit t1'4:01 i TOTAL I'ERMi'r FEE p 1 frll l tt IWmc: Dale: D DP t Itar,nit is not obtained L . lc' b mal a li mlion It t t as Tree accep t.' tin.+ if after accept.' nt cou,plerr. *Fee ■ntthodology se! by T :I'Co:ulty BI•Ildnlp :ndl. p Series hoard. IlaAdiNI.Pm +w.M L\ IIl.1.,,,.. App, 4v. IMr1.N9 0, 10.4p lnrl I i /C(iMIwkB) bbELL8 C09 HHd LZ:II 9LOZ!40 /O1 b00 /L000 t(NI131101d 0!!