Permit CITY OF TIGARD PLUMBING PERMIT
` 1 ' COMMUNITY DEVELOPMENT Permit #: PLM2013 -00190
,TCG 1R 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/18/2013
Parcel: 2S111AD02800
Jurisdiction: Tigard
Site address: 14600 SW 89TH AVE
Project: Maroney Sewer Lateral Subdivision: PINEBROOK TERRACE Lot: 25
Project Description: Replace 80' of sanitary sewer line.
Contractor: APOLLO DRAIN & ROOTER SERVICE Owner:
2208 NW BIRDSDALE #8
GRESHAM, OR 97030
PHONE: 503 - 239 -8801 PHONE:
FAX: 503 - 669 -9568
FEES
Quantity Description Date Amount
80 If Sewer Service 06/18/2013 $62.54
Specifics: 1 12% State Surcharge - 06/18/2013 $8.70
Plumbing
Type of Use SF 10 ea Minimum Fee Adjustment - 06/18/2013 $9.96
Plumbing
Class of Work: OTR
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: �/ / Permittee Signature: D� �/ G / �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.
Jun. 14. 2013 8:59AM Apollo Drain No. 6200 P. 1
Plumbing Perm Applicatio
Building Fixtures RECEIVED . ... WI( 011.1Cl•: USE ONLY • -
Cl of Tigard Il q h' g Received 6 i� �.i. o� Pemlit N0.,°1� ya oi3 f�i ' •
13125 SW Hall Blvd., Tigard' 497l22 2013 Heil Review
• Phone: 503.718.2439 Fax: 503.598,1960 DakJB : Other Permit Nst / o?0i3 - 4■70 , • Inspection Lino. 503,639 NotiE:edlMe
UFTIGARD Date Ready/By: FM Su� 64 See l
T1L utt) n
Internet: www -Or. d, od; r /�] �lementulnformadon
-_3 , r tf'T 1, F ,.1't,ms . flat 7
;as.' `.'` l li .. 1.tt" r lit L A y '1'+ .
❑ New construction ❑ Demolition FT i „.. , • '. a l t y r 4 .1 ;'.
IF Addition /altcrationJrcplaccnlent ❑ Other.
For special hforalntlon use checklist
COP scription I Qty. I Ea I Total
f � Ik i, =, 0 i r r�1�: g (includes utility . �. Y -3QF oa - a ' ` T 1 , g4 f�j , v„ New 1- 2 -fan dwellings includos 100 ft. for each ulili connection )
�. - and 2 family dwelling ❑ Commercial/industrial SFR (I) bash 31
SFR (2) bath 437.78
• Accessory building ❑ Multi - family
SFR (3) bath 500.32
DMastcr builder ❑ Other: Each additional bath/kitchen 25.02
t, .) ��
_r W • - , ',�u,�;h +# :4., , . , -r ,. , I, 51 Fire sprinlder (_ sq. ft.) Page 2
Job site address: 4 l * • �� I Site utilities:
Catch basin or area drain 19.76
MN,M Drywall, leach line, or trench drain 18.76
Suite/bldg. /apt. no.: , Project name; Footing drain (no. linear ft.: ) Page 2
Cross street/directions to job site: Manufactured hone utilities 50.03
1 Manholes 18.76
Rain drain connector 18.76
Sanitary sewer (no. linear ft.: TO Page 2
Storm sewer (no. linear ft.: _) Page 2
Subdivision: Lot no,: Water service (no. linear ft.: _) Page 2
Tax map /parcel no.: Fixture or Item: _ _
Cv t } . , t a n r : -�� &mi ow preventer 31,27
. Z, Vii} n � , �6N 1 ?= a .. ;'} 1 &11 f � ,� ; + i
Backwater valve 12.51
IIIMMNCE72 I t l..t r� .,WI clothes washer 25.02 - --
IF • • • / • = • L , ; • Dishwasher 25.02
•
Drinking fountain 25,02
`?'� 7 �fHr knr l 8 Vii. E
_ Ejectors/sump , .en. • � ; _ y . - i r I t f:�,.t:l� l li �. ),+ y .: _ 1 P 25.02
t! is Sri _ . L1 L .
Expansion tank 1151
� f � � � � / . • ` Fixture/sewer cap 25.02
Address:
- Floor drain/floor sink/hub 25.02
IEMEAREVIRM Garbage disposal 25.02
Phone: Or ) 2 i ki Fax: ( ) Hose bib 25.02
M1 4 Man r f; t ■ : a p'`4. _ : AMA Ic maker 12.51
Business name:
APOLLO DRAIN & PL 1 BING SERV. INC Medieptor/ (value: $ va , 2g
Contact name. • : S ITN E KAFE Medical gas ( 5 ) P 12 e 2 2
Primer 12.51
Address: 2208 NW B : D Di E AVE #8 Roof drain (commercial) 12.51
City /State/ZIP: GRESHAM OR 97030 Sink/basin/lavatary 25.02
Phone: X503) 239 -8801 Fax: : ( 503 669 -9568 Solar units (potable water) 62.54
E -mail; OFFICE@APOLLODRAIN.COM Tub /shower /shower pan 12.51
i: i = a lit. r y Urinal 25.02
=' :: , -- - °.. -:.t:. Water closet 25.02
Business name: APOLLO DRAIN & PLUMBING SERV. INC Water heater 37.52
Address: 2208 NW BIRDSDALE AVE #8 Water piping/DWV _ 56.29
City/State/ZIP; GRESHAM OR 97030 other; 25.02
,Phone: ( 503 239 -8801 Fax: ( 503) 669 -9568 Subtotal
Minimum permit fee: 572.50 7.7 . SV
CCB Lie.: 4941840 � � um no 26-533PB Plan review (259'0 of permit fee)
Authorized signature: � I w ,����� State surcharge (12% of permit fee) e , 70
M� / t _ Date: Co IN TOTAL PERMIT FEE e v 2
TA.SuiIdin gwermi,S\PLMU•PenniiAppdoe t0/0l/09 +a0-4616T(10/02/COM/wEa)