Permit CITY OF TIGARD PLUMBING PERMIT
111 A- • a COMMUNITY DEVELOPMENT Permit # PLM2012 -00269
Date Issued 09/17/2012
T [ G ARD 13125 SW Hall Blvd , Tigard OR 97223 503 718 2439 Parcel 1 S 125DA08800
Jurisdiction Tigard
Site address 9300 SW 70TH AVE
Project Greco Subdivision KINGS VIEW Lot 64
Project Description Installation of french drain to connect to existing storm drain
Contractor OWNER Owner GRECO, ROBIN
9300 SW 70TH AVE
TIGARD, OR 97223
PHONE
PHONE 503 - 245 -9206
FAX
FEES
Quantity Description Date Amount
1 ea Drywell, Leach Line or Trench 09/17/2012 $18 76
Specifics: Drain
1 12% State Surcharge - 09/17/2012 $8 70
Plumbing
Type of Use SF 54 ea Minimum Fee Adjustment - 09/17/2012 $53 74
Class of Work ALT Plumbing
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 • Specialty Codes and all other
applicable law All work will be done in accordance with approved plans This permit will exp • - if work not started within 180 days of
issuance, or if work is suspended for more the 180 days ATTENTION Oregon law requires y. to follow • = u es adopted by the Oregon
Utility Notifica Center Those rules are set forth in OAR 952- 001 -0010 through OAR 952 -00 -0090 ou -y .b :in a copy of the rules
or three estions to OU C by Iling 503 232 1987 or 1 800 332 2344
Issu d By K Permittee Signature 11111
J �
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
Site Utilities RECEIVED FOR OFFICE USE ONLY
City of Tigard �� \ \ll��.•..11�����V''1 Date/By 7 / 7 1?- A j Permit No - • a go/ g.. d0
111
- U 13125 SW Hall Blvd , Tigard, OR 97223 Plan Review
Phone 503 718 2439 Fax 503 I� , i i 7 Date/By Other Permit No
TIC A R D Inspection Line 503 639 4175 Date Ready/By Juris ® See Page 2 for
Internet www tigard -or gov Cir� QFTIGARD Notified/Method Supplemental Information
TYPE ttrIlt1 11 DIVISION FEE* SCHEDULE
❑ New construction I Di � 0 Demolition 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
® 1- 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 9300 SW 70th Ave Catch basin or area drain 18 76
City/State/ZIP 97223 Drywell, leach line, or trench drain / 18 76 1 4i
,7
Footing drain (no linear ft _) Page 2
Suite/bldg /apt no I Project name Manufactured home utilities 50 03
Cross street/directions to job site Taylors Ferry 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 Kings View I Lot no 64 Fixture or item:
Tax map /parcel no 1S125DA08800 Backflow preventer 31 27
DESCRIPTION OF WORK Backwater valve 12 51
Clothes washer 25 02
add french drain & connect to existing drain.
Dishwasher 25 02
Drinking fountain 25 02
Ejectors /sump 25 02
® PROPERTY OWNER I ❑ TENANT Expansion tank 12 51
Name Robin Greco
Fixture /sewer cap 25 02
Floor drain/floor sink/hub 25 02
Address 9300 SW 70th Ave
Garbage disposal 25 02
City /State/ZIP Tigard, OR 97223 Hose bib 25 02
Phone (503)245 -9206 Fax (503)244 -6005 Ice maker 12 51
❑ APPLICANT ❑ CONTACT PERSON Interceptor /grease trap 25 02
Business name Medical gas (value $ ) Page 2
Primer 12 51
Contact name
Roof drain (commercial) 12 51
Address Sink/basin/lavatory 25 02
City /State/ZIP Solar units (potable water) 62 54
Phone ( ) Fax ( ) Tub /shower /shower pan 12 51
E-mail Urinal 25 02
Water closet 25 02
CONTRACTOR
- Water heater 37 52
Business name DLON f ¢ l2 Water piping/DWV 56 29
Address Other 25 02
City /State /ZIP Subtotal
Phone ( ) Fax ( )
Minimum permit fee $72 50 7� 50
CCB Lic • lumbi g Lic no Plan review (25% of permit fee) O
• State surcharge (12 %ofpermit fee) Q.,
Authorized signature ` - ► . • TOTAL PERMIT FEE g /.
Print name Robin Greco Date Q) C7� This permit application expires if a permit is not obtained within 180 days
l after it has been accepted as complete
*Fee methodology set by Tn- County Building Industry Service Board
I \ Building \Permits\PLMU -PermitApp doc 10/01/09 440 -4616T(10 /02 /COM/WEB)
SET 174 7' \ \ o \
BACK L LINE _J ~ o _7:1_ r
- - - - - 4- - ODSI G SURFACE DRAIN— — — — — — — co-
— — — — — ----\---
— - EXIST% GAS `
L I
- EXISTG POWER J - \ / I
i 50 3'
/ /
i
58 0' EXISTING HOUSE ADDITION /
/ / I 15 0'
-XIST G WATER (APPROX) , - _ /..... '
_ - q Ada) 1
___
TG SEA (P " ' X) � - c
v. - 1
,i � i i i ,, , , , , ,% \i ! ARAGE ADDITION / �` w
a 26' x 1' -6' �/"
EXISTING GARAGE 53 7' p(
26' x 22' 1 / 111
"I
- 20 0' �i
/ /
W.
/
SET ! /
BACK 1109 33 SQ FT EXISTING USE / / •
LINE � iu 558 SQ FT ADDITION
4 4 /
�- 1 1 572 SQ FT EXISTING G s) / •*` AGE
1,, 39 SQ FT ADDITION r
EXISTING ASPHALT DRIVEWAY o BACK
f LINE `
o '
N i F�
, ...------- —......,
1743' \ ` - - _^
r
tiaiar LEGAL DESCRIPTION
(jS LEGAL KINGS VIEW, LOT 64
MAP TAX LOT 1S125DA08800
PROPERTY I D R230823
r'N OWNER
ROBIN GRECO
N
9300 S W 70TH AVENUE
TIGARD, OR 97223
SITE PLAN 503- 245 -9206
ZONING
R4 5
1' = 22 00'