Permit CITY OF TIGARD PLUMBING PERMIT
Permit #: PLM2012 -00362
1111111 I CO MMUNITY DEVELOPMENT
Date Issued: 12/17/2012
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 parcel: 1S136ACO3801
Jurisdiction: Tigard
Site address: 10820 SW 74TH AVE
Project: Illias Subdivision: METZGER ACRE TRACTS Lot:
Project Description: Replace 35' of water service and repipe plumbing of residential dwelling.
Contractor: ALL PRO PLUMBING SERVICES LLC Owner: ILLIAS, VERONICA
2210 SE CELEBRATION CT 10820 SW 74TH AVE
HILLSBORO, OR 97123 TIGARD, OR 97223
PHONE: 503 - 579 -5555 PHONE: 503 - 682 6722
FAX: 503 - 259 -2555
FEES
Quantity Description Date Amount
35 If Water Service 12/17/2012 $62.54
Specifics: 1 ea Water Piping /DWV 12/17/2012 $56.29
1 12% State Surcharge - 12/17/2012 $14.26
Type of Use: SF Plumbing
Class of Work: ALT
Type of Const:
Occupancy Grp:
Stories:
Total $133.09
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 OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: o /L,' / / e - /d /1/
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.
Dec 13 12 11:18a All Pro Plumbing Services 5032592555 p.1
Plumbing Permit Application RECEIVE I
Site Utilities DEC 1 3 2012 I (,l4 OH It 1 ,I O.l ,
City of Tigard '/±epn o 'ot // / /mot , . 7' Panic 14 vPU /e20/� -e0._Y(�d2
13125 SW Hail Blvd., Tigard, OR 97223 ~ITY F TIGARD PIm Resew
I Phone: 503.639.4171 Fax: 503398. Other Permit No.:
�\ t Inspection Line: 503.639.4175 ILDING DIVISION Date Ready/13y. � yq�� See Pese 2lbr
Internet: www.tigard.or.gov
Notified/Method: J t � See tal t raatioa
TYPE OF WORK FEE* SCHEDULE
❑ New construction a Demolition For special egjormarfo a we c
Description Qty. I Ea I Total
i Addition/alteration/replacement ❑ Other: New 1 -2- family dwellings (includes 100 ft. for each utility oonnectiai)
CATEGORY OF CONSTRUCTION SFR (1) bath 312.70
/1- and 2- family dwelling ❑ Contmercial/industrial SFR (2) bath 437.78
SFR (3) bath 500.32
❑ Accessory building 0 Multi - family
Each additional bedNcRClten 25.02
❑ Master builder ❑ Other:
er: Fire sprinkler ( sq. ft) Page 2
JOB SITE INFORMATION AND LOCATION Site utiEties:
Job site address: Q to 2O ^J Li { �l ! 1 v O
Catch basin or area drain 18.76
1 t om + Drywall, leach line, or trench drain 18.76
City/StatetZIP: T7 �� C'l Footing drain (no. linear ft: __J Page 2
Suite/bldg./apt. no.: Project name:
Manufactured home utilities 50.03
Cross street/directions to job site: 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 It.: . Page 2 to 2.3-1
Subdivision: Lot no.: Feature or item:
Tax map/parcel no.:
Backflow preventer 31.27
DESCRIPTION OF WORK
Backwater
valve 12 51
Clothes washer 25.02
ep . 1 r /-Pi' n 7 1/1 1 ee -ICI e 'esky - Dishwasher 25.02
' J yr 7 /'C• SP Q e Drinking fountain 25.02
, , _ ' 1 ,� r Q ' / t r Ejectors/sump 25.02
rj' ' ' 0 ' ERTY OWNER ❑ TENANT Expansion tank 12.51
Name: V QX o to L 3 ` L-1-1 U S Fixturelsewer cap 25.02
Floor Address: \ 0912.1D SLt.) "7 ( 4-0,--.. a o� Garbage s
disposal sinkThub 25.02
EP: l � 223 Ho bib 25.02
city /State/Z
� �� -'� a Hose bib
25.02
Phone: (510V $ 2 - j 7 -Z Fax: ( ) Ice maker 12.51
0 APPLICANT "CONTACT PERSON Interceptor/grease trap 25.02
gar Medical gas (value: $ ) Page 2
Business name:
/9 �/ l� l C 12.51
Contact name: Q F / ( �� f 1_� s // Ct,/'✓�
Roof drain (commercial) 12.51
Address: e12,910 , C-P , hr0-h on P:T • Sink/basin/lavatory 25.02
City /State/ZIP: f////'5 h I 012 (7 f 73 Solar units (potable water) 62.54
Phone: ($a3) 5 5 S -. s 9 � / Fax: (s : ) ) ) S q _ .25.5.25.5S � .25.5S Tub/shower/shower
Dnn 12.51
E -mail: J4 J �} et.i P>zr7I Um b t rtsechz . r . OM- Urinal 25.02
C(�� J Water closet 25.02
CONTRACTOR
Water heater 37.52
Business name: 194_,..1 PiT)) P1 v P7) ic.; r.1 4 Water piping/DWV 1 56.29 56 i 2 q
Address:.--2 r j n c ..E C { -)r Q &- Other. 25.02
City/ IP: /L f r! IS 1.3-7-0 t C) 2 a 7/ 2.3 Subtotal r Q 1
one: ( spa) S - SS / Fax: (50 3) Minimum permit fee: $72.50
- 2.5"\--1S
Plan review (25% CCB Lie.: / Plumbing Lic. no.: p 7 ( permit fee)
State surcharg (12% of permit fee) 14, Z ( C
Authorized signature: �� `/
f� 1/I / TOTAL PERMIT FEE 1 , drI i
" - ` ) � Thi resit application Print name: Dateif / f �/ � after to to bees aaepte d a s c "'thin 180 days
complete.
`� /
*Fee methodology set by Tci -County Building Industry Service Board.
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