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Permit • • CITY OF TIGARD PLUMBING PERMIT a COMMUNITY DEVELOPMENT Permit #: PLM2013 -00047 TI GAR D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/12/2013 Parcel: 25111 DB09500 Jurisdiction: Tigard Site address: 15555 SW OAKTREE LN Project: Casciato Subdivision: SUMMERFIELD NO.10 Lot: 583 Project Description: (1) tub /shower conversion into tile shower Contractor: FOSTER PLUMBING INC Owner: CASCIATO, DARIO J & JOANN 10100 SW EVERGREEN CT 15555 SW OAKTREE LN WILSONVILLE, OR 97070 TIGARD, OR 97224 PHONE: 503 - 951 -2050 PHONE: FAX: 503 -482 -5310 FEES Quantity Description Date Amount 1 ea Tub /Shower /Shower Pan 02/12/2013 $12.51 Specifics: 1 12% State Surcharge - 02/12/2013 $8.70 Plumbing Type of Use: SF 60 ea Minimum Fee Adjustment - 02/12/2013 $59.99 Plumbing Class of Work: ALT 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 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: / JZt- Permittee Signature: 9j /t PP n 1477 D /` / p Call 503.639.4175 by 7:00 a.m. for the next available inspection date. /'1 C 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 D CEIvED Building Fixtures 1 � 1•uit of i it.F: a is llm.i jtec.ov�kt ]'�vnil N. al City of Tigard FEB 1 1 2013 ra,,ri a- f 13 `4 Pl. l ao 13 - n0o4i i ihi 13125 SW 1 tall I IIvd., Tigard. t}I( 9722,1 Plan Review i Phone: 503.7115.2439 Fax: 503.598. X11 I OF TIGAi\i! Dak /I3V' Odra Permit Nu.' -. inspection Line; 503.09.4175 Date heady lv: - 1 f0 9.1 tiro rime 2 for I�,Ako Internet: www.lip,�rd- or,gov BUILDINGDIVISIO I Sn Iemet1I IIntorn _ Kotified/MG1;1d: 1 p TYPE OF WORK FEE* SCHEDULE New construction Q Dcmnlilic w Fut s Teal in nnmidrrtt we cltecifibiL ID Ilcscripliun Q' I - a. 1 Total ( Atltl itinnitiltaatioll/rcphu einun1 ❑ Other; Ncw 1 - 2 - faintly ()wettings (include i 100 il. for =eh utility cormcelionl CATEGORY OH CONSTRUCTION SFI1 (1) halh 312.70 SFR (2) bath 437.78 WI I -and 2- family dwelling 0 Commercial/industrial - _.. SFR (3) hall' 500.32 Ei Acu::lsory buildin ~ ❑ Multi- family y 25.02 - I �'ch additional bath/kilchen ❑ Muster builder ❑ thher: Eire v prinklcr ( _„ _ sq. Ii.) Page 2 „I JOE SITE INFORMATION AND LOCATION Site utilities: • + _ � Cuu:h Inca or aa drill' I K.76 Job site address s 5 5 1C i 06-K rr _. Li') . .) Drywcll, leach line, or french drain 18.76 City /SlatclXlP: 1 ' f y .. l'ol'ling drain (no. linear IL! ) Page 2 Suile/bldg./Fq,L no 1 Project name: MannIllctured utilities 50.03 - Cross stlL'ct/directions to job vile: Manholes I8.7o . Rain drain connector 18.76 Sanitary sewer (rio, linear tl.: _) Page 2 - Storm sewer (nu. linter IL:, ) Pagc 2 - Wtdcr strviea (no. linear 11.: �) Pagc 2 Subdivision: I.nt no.: Fixture 01 item: - Backtlow on venter 11.27 'fax map /parcel no.: �. 13w kwutcr valve 12,51 _ DESCRIPTION ON WORK 2502 - 4 Clothc4 washer C.0n ie, f 41,-0 / Si1..2%41F s 4 , .. 1- 4 I G Sfriordew _ I)ishwa her 25,02 �^ Drinking tbunlrtin 25.02 - l:jccux,/sump - __ . 25.02 -- lix paasil'n truck 12.51 © PROPERTY OWNER 0 TENANT Fixture/sower cap 25,02 .. Name: 25.02 Moor drain/flour sink/hub - Adslra5s: - y _ Y Uarbage disposal 25.02 City/Slate//11): fir „t] bib 25.02 t Y Ice maker 12.51 Phnno: ( ) has: ( ) ... ❑ APPLICAN•I' © CONTACT PERSON Interceptor /grease tral' 25.02 Medical gas (value: $ ) Page 2 Rusineas nume; _ 12.51 - Primer .. -- (..'unt:nt name: Roof drain (commercial) - 12.51 Address: _ Sink/basin/Lavatory 25.02 v City /state /LIP: Solar units tpottlblc water) (12.54 _ ( )_ -.._ . • I . ( ) fub/slto+ rpan f 12.51 )1. I Phanv Fax! 125.02 - Urinal 1 ?- tn;fil: Water closet 25.02 ( - CONTRACTOR - _ Water huger 37.52 limintziisntunc; Fr7 4e ; Qiw.>nh': x1F� Tell C ... waiterpiping/nwv _ 56.29 . Address: i 01 20 s (.-J veey CA- Other Subtotal 25.02 _ V C:ity/Stalei/.II': , (S oil v , l L e _ c71P 7c7 7 _ Minimum permit fee: 572.50 3_ co Blanc: (so3 et, - 0. 0 _ _ Fan: cc, r -. eIsa Plan nrvicw (25"/ or permit fee) Ceti Lie.: �/rJ . � 1S Plumbin I, ic. iw.. pis--3,c3 `tale surcharge (In orNin it fee) -- 6, --7 10 Authuri-rcd sienauuv: 1 - _ TOTAI. PERMIT FEE -6 /, ie: Print natn � thew; � ( / r I Thin pe rmit a cipirt»o if a permit is not obtained witain 11D day'x t ,� /- a s after it hat been accepted ex complete. •t +o:e mdhudoluty set by Tri- County Hui !ding Irutm+ry service Moor(' (,•d e56:80 C6 H., q8A