Permit n CITY OF TIGARD PLUMBING PERMIT
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°' COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00091
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/2/2007
PARCEL: 1 S 126DC - 04200
SITE ADDRESS: 09408 SW CORAL ST G1 ZONING: R -
SUBDIVISION: CORAL COMMONS LOT: JURISDICTION: TIG
PROJECT: CORAL COMMONS
Project Description: Detached garage. Raindrains & connector.
CLASS OF WORK: ACS GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: MF WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: U1 FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: 100 ft
Owner: FEES
CORAL COMMONS LLC
1905 SW 257TH AVE Description Date Amount
TROUTDALE, OR 97060 [PLUMB] Permit Fee 3/2/2007 $72.50
[TAX] 8% State Surcha 3/2/2007 $5.80
Phone : 503- 666 -4240 Total $78.30
Contractor:
S & W UNDERGROUND
33611 SE CARPENTER LN
GRESHAM, OR 97080 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503 -663 -9756
Reg #: LIC 127159
PLM 26 -788PB
This permit is issued subject to the regulations_contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable laws. 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 than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0100. You may obtain copies of
these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: /7_ s'��� Permittee Signature: j_p F er
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.
Mar 0 07 09:23a CEDAR RIDGE HOMES 5036662408 p.2
Plumbing Permit Application
,� D
City of Tigard ECEIVE® RDaTeeceived 'Ah
11
13125 SW Hall Blvd., Tigard, OR 97223 /By 3 _G / Permit yo - 7 s, \\\, 1v51U d0Q/ , J
= Phone: 503.639.4171 Fax: 503.598.194AR 0 2 2007 Fla e Rev iew U % /
Date /By: Other Permit No.:
T I G n R D Inspection Line: 503.639 Date Ready/By: luris
Internet: www•tieard or.gov CITY I Id See Page 2 for
p OF TIGARD N otified/Metlood: Supplemental Information
TYPE OF woi PILDINO DIVISION FEE" SCHEDULE
® New construction J ❑ Demolition For special information use checklist
Description
❑ Addition/alteration/replacement ❑ Other:
Qty. Ea. Total
New 1- 2- family dwellings (includes 100 ft. for each utility connection
CATEGORY OF CONSTRUCTION SFR(1)bath I 249.20
❑ 1- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 350.00
❑ Accessory building ' ❑ Multi- family. SFR (3) bath 399.00
Each additional bath/kitchen 45
❑ Master builder ❑Other.
Fire sprinkler ( sq. ft.) Page 2
JOB SITE INFORMATION AND LOCATION
Site utilities
Job site address: 9408 SW Coral St Catch basin or area drain 16.60
City/ State/ZIP: Tigard/OR/97223 Drywell, leach line, or trench drain 1660
Suite/bldgJapt. no.: I Project name: Coral Commons Footing drain (no. linear R.: ) Page 2
Cross street/directions to job site: Manufactured home utilities 110.00
Manholes 16.60
Rain drain connector 1 16.60
Sanitary sewer (no. linear ft.: ) Page 2
Storm sewer (no. linear ft.: 100 1 Page 2
Subdivision: Lot no.: Water service (no. linear ft: 1 Page 2
Tax map/parcel no.: Fixture or item
-
Absorption valve 16.60
DESCRIPTION OF WORK -
•
Backflow preventer Page 2
New Garage Construction Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
® PROPERTY OWNER I ❑ TENANT Drinking fountain
Ejectors /sump 16.60
Name: Coral Commons, LLC
16.60
Expansion tank 16.60
Address: 1905 SW 257 Ave. Fixture/sewer cap 16.60
City /State/ZIP: Troutdale/OR/97060 Floor drain/floor sink/hub 16.60 •
Phone: (503)666 -4240 Fax: (503)666 -2408 Garbage disposal 16.60
® APPLICANT ❑ CONTACT PERSON Hose bib 16.60
Business name: Coral Commons, LLC
Ice maker 16.60
Interceptor/grease trap 16.60
Contact name: Dean Grey Medical gas (value: $ ) Page 2
Address: 1905 SW 257 Ave. Primer 16.60
City /State/ZIP: Troutdale/OR/97060 Roof drain (commercial) 16.60
Phone: (503) 666 -4240 I Fax: : (503) 666 -2408 Sink/basin/lavatory 16.60
E -mail: i Tub /shower /shower pan 16.60
Urinal 16.60
CONTRACTOR Water closet 16.60
Business name: S & W Underground • Water heater 16.60 .
Address: 33611SE Carpenter Lane Other
City /State/ZIP: Gresham/OR/97080 Subtotal
Phone: (503) 663-9756 Fax: Minimum permit fee: $72.50
( ) Residential baekllow minimum permit fee: $36.25
CCB Lie.: 127159 PI bing Lic. no.: 26 -788pb Plan review (25% of permit fee)
Authorized sienattr•e: ...2.----,..- State surcharge (8 %ofpernit fee)
� '�`f"t / TOTAL PERMIT FEE ^ I`' JO
Print name: Shawn eer � • I Date: 3/1/07 i This permit application expires if a permit is not obtaine within
180 days after it has been accepted as complete.
'Fee methodology set by Tri -County Building Industry Service Board.
1 :lriuildiagWermitAPLM•Per®tApp doe 06/26/06 4404616r(IC,O2JCOM/WEB1