Permit -
CITY TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00090
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/2/2007
PARCEL: 1 S126DC -04200
SITE ADDRESS: 09384 SW CORAL ST G2 ZONING: R -12
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: j).[// Permittee Signature: j .,
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 02 07 09:23a CEDAR RIDGE HOMES 5036662408 p.3
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Plumbing Permit Applica I, L,..CEIVE® 1:012 OFFICE 1'til: 0 \1.1
City (3125 of SW Tigard Hal Re ceive. f J� /�'� ,��Q
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14 2. l Blvd., Tigard, OR 9722 R ® ZOO D ate/B y. J e t " 1/ l/ /�-� Permit IITI� 7 aa6 p
Phone: 503.639.4171 Fax: 503. :,. $6 Date Beview
� F T2, G Y Other Permit No.:
T I c; A R D
Inspection Line: 503 BUKDI Date Re view . 1ur1s: I RI See Page 2 for
Internet: www.tigard -or.gov DIVISION Notified/Method. I
Supplemental information
TYPE OF WORK FEE* SCHEDULE
® New construction ❑ Demolition Forsperfal information use checklist
Description I Qty. 1 Ea. I Total
El Addition /alteration/replacement 0 Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection
CATEGORY OF CONSTRUCTION SFR (1) bath 249.20
❑ 1- and 2- family dwelling 0 Commercial/industrial SFR (2) bath 350.00
❑ Accessory building El Multi-family SFR (3) bath 399.00
❑ Master builder Each additional bath/kitchen 45.00
❑ Other:
Fire sprinkler ( sq. ft.) Page 2
JOB SITE INFORMATION AND LOCATION
Site utilities
Job site address: 9384 SW Coral St 4 Catch basin or area drain ' 1 1 6.60
City/State/ZIP: Tigard/OR/97223 Drywell, leach line, or trench drain 16.60
Suite/bldg. /apt no.: 1 Project name: Coral Commons Footing drain (no. linear it: ) 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 IL: ) Page 2
Storm sewer (no. linear fl.: 100 1 Page 2
Subdivision: 1 Lot no.: Water service (no. linear ft.: _ ) , 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 16.64
City/State/ZIP: Troutdale/OR/9706U Floor drain/floor sink/bub 16,60
Phone: (503)6664240 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: S ) 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: 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 backfow minimum permit fee: $36.25
CC B Lic.: 127159 Plumbing Lie. no 26 -788pb Plan review (25% of permit fee)
____J Authorized signature: . State surcharge (8% of permit fee)
TOTAL PERMIT FEE Q
I Thi
I Print name: Shawn Fin rty Date: 3/1/07 s permit application expires if a permit is not obtained within
,..,..6.0...„.1 ./
180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
1 : I + ermits\PLM- PermitApp,doc 06P26/06 440.4616T(1002/COMWEB)