Permit 4 CITY OF TIGARD PLUMBING PERMIT
2 .1- COMMUNITY DEVELOPMENT Permit #: PLM2012 -00244
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/22/2012
Parcel: 1 S135DCO3100
Jurisdiction: Tigard
Site address: 11545 SW GREENBURG RD
Project: Fitzgerald Subdivision: FIRDALE UNRECORDED Lot: 2
Project Description: Replacing all water lines and installing new water heater.
Contractor: ALL PRO PLUMBING SERVICES LLC Owner: FITZGERALD, MEGHAN M & JUSTIN M
2210 SE CELEBRATION CT 11545 SW GREENBURG RD
HILLSBORO, OR 97123 TIGARD, OR 97223
PHONE: 503 - 579 -5555 PHONE.
FAX: 503 - 259 -2555
FEES
Quantity Description Date Amount
1 ea Water Piping /DWV 08/22/2012 $56.29
Specifics: 1 ea Water Heater 08/22/2012 $37.52
1 12% State Surcharge - 08/22/2012 $18.76
Type of Use: SF Plumbing
Class of Work: ALT 50 If Water Service 08/22/2012 $62.54
Type of Const:
Occupancy Grp:
Stories:
Total $175.11
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, suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility otification 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 rect questions to OUNC b'. allin• 13.232.1987 or 1.800.332.2344.
Is ued By: j • Th Permittee Sig
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.
Aug 22 12 09:36a All Pro Plumbing Services 5032592555 p.1
RECEIVED.
Plumbing Permit Application AUG 2 2 2012
Building Fixtures C�,11�(r
City of Tigard tt 4' DIM o /By: Q p} • ( Parrall c v
l 13125 SW Hall Blvd., Tigard, OR 9722�1LD!NG D1���? te
Phone: 503.718.2439 Fax: 503.598.1960 Other Permit No.:
!Ail t D Inspection Line: 503.639.4175 Date Ready/By: 1,.
y: .:.. See Page 2 for
Internet: www_tigard- or.gav Notified?Aehad Supplemental Information
TYPE OF WORK FEE. SCHEDULE
0 New construction ❑ Demolition For specin(injwnmtioa we checklist-
Description 1 Qty. I Ea. I Total
® Addition/alteration/replacement ❑ Other. New t- 2- Gamily dwellings (includes 100 ft for each utility connection)
CATEGORY OF CONSTRUCTION SFR (I) bath 312.70
® ConunerciaVindustrial
and 2- family dwelling ❑ ComerciaVindustrial
SFR (2) bath 437.78
SFR (3) bath 500.32
❑ Accessory building ❑ Multi- family
Each additional bath/kitchen 25.02
Q Master builder ❑ Other. Fire sprinkler ( sq. R.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 11545 sw Greenberg Rd Catch basin or area drain 18.76
Drywell, leach line, or trench drain 18.76
City /StatelnP: Tigard Or. 97223 Footing drain (no. linear ft: ) Page 2
Snite•bldgJapt. no.: I Project name: justfn // C2S61 Lrtr y ) Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
Rain drain connector 1 8.76 _
Sanitary sewer (no. linear ft.: ____) Page 2
Storm sewer (no. linear ft: ) Page 2
Water service (no. linear R.: 50 ) _ Page 2 62.54
Subdivision: I Lotno.: Fixture or Item:
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Replacing all water lines with wshe. Clothes washer 25.02
v
Dishwasher 25.02
Also replacing water heater Drinking fountain 25.02
Ejectors/sump 25.02
❑ PROPERTY OWNER i ( ❑ TENANT Expansion tank 12.51 , FixturrJsewer cap 25.02
Name: sense -, r - y � (a Ea° ` )j f .---t., 5 ,J .4 p i 54,444.1j drain/floor ank/hub 25.02
Address:
Garbage disposal 25.02
City/State/ZIP: Hose bib 25.02
Phone: ( ) Fax: ( ) Ice maker 12.51
® APPLICANT ® CONTACT PERSON Interceptor/grease trap 25.02
Business name: All Pro Plumbing Services lk Medical gas (value: S _ ) Page 2
' Primer 1231
Contact name: Kaleo
Roof drain (commercial) 12.51
Address: 2210 SE Celebration Ct Sink/basin/lavatory 25.02
City/State/ZIP: Hillsboro Or 97123 Solar units (potable water) 62.54
Phone: (503) 313 -4719 Fax:: (503) 259 -2555 Tub/shower /shower pan 12.51
E -mail: kaleallproplumblagpdx.com Urinal 25.02
o®
Water closet . 25.02
CONTRACTOR
Water heater 1 37.52 37.52
Business name: AU pro Plumbing Services tic Water pipiug/DWV 1 56.29 5629
Address: 2210 SE Celebration Ct Other: 25.02
City /StatePZlP: Hillsboro Or. 97123 Subtotal 156.35
Phone: ( 503) 579 -5555 Fax: (503) 259 -2555 Minimum permit fee: $72.50
CCB Lie.: 188018 Plumbing Lic. no.: pb772 Plan review (25% of permit fee)
Authorized signature: / . 2.... // 60 , / 2.. c. / State surcharge (12% of permit fee) 18.76
TOTAL PERMIT FEE 175.11
l Print nettle: Kaleo Rick I Date: 21 Aug 12 rib permit application expires if a permit b not obtained within ISO days
altar b has betn accepted as complete. lit)
*Fee methodology set by Tri.Caanty Building Industry Service Board
irarUingWentmIP MU-hxmitApp.doc 10.01/09 44046161(I0u!.'COA4WP9)