Permit n CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT ( Permit#: PLM201300242
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 wim® Date Issued: 07/17/2013
Parcel: 1 S 134CD02700
Jurisdiction: Tigard
Site address: 11950 SW 119TH AVE
Project: Courton Subdivision: LERON HEIGHTS NO.3 Lot: 62
Project Description: Replace 75'of water service. 8/13/13, reprinted to add water repiping,(1)shower replacement and(1)water
heater. -
Contractor: JACK HOWK PLUMBING/RESCUE ROOTER Owner: COURTON, KEN
PO BOX 2830 11950 SW 119TH
CLACKAMAS, OR 97015 TIGARD, OR 97223
PHONE: 503-850-3100 PHONE:
FAX: 503-491-2932
FEES
Quantity Description Date Amount
1 ea Tub/Shower/Shower Pan 08/13/2013 $12.51
Specifics: 1 ea Water Piping/DWV 08/13/2013 $56.29
1 ea Water Heater 08/13/2013 $37.52
Type of Use: SF 1 12%State Surcharge- 08/13/2013 $20.26
Class of Work: OTR Plumbing
Type of Const: 75 If Water Service 08/13/2013 $62.54
Occupancy Grp:
Stories:
Total $189.12
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 No" j '•- 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 dire, questions to • NC by calling 503.232.1987 or 1.800.332.2344.
Issu:d By: / Permittee Signat re: 11111 1
Call 503.639.4175 by 7:00 a.m.for the next available ins.: ion 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.
CITY OF TIGARD PLUMBING PERMIT
11111 t;. COMMUNITY DEVELOPMENT P ermit #: PLM2013 -00242
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/17/2013
Parcel: 1S134CD02700
Jurisdiction: Tigard
Site address: 11950 SW 119TH AVE
Project: Courton Subdivision: LERON HEIGHTS NO.3 Lot: 62
Project Description: Replace 75' of water service.
Contractor: JACK HOWK PLUMBING /RESCUE ROOTER Owner: COURTON, KEN
PO BOX 2830 11950 SW 119TH
CLACKAMAS, OR 97015 TIGARD, OR 97223
PHONE: 503 - 850 -3100 PHONE:
FAX: 503 -491 -2932
FEES
Quantity Description Date Amount
75 If Water Service 07/17/2013 $62.54
Specifics: 1 12% State Surcharge - 07/17/2013 $8.70
Plumbing
Type of Use SF 10 ea Minimum Fee Adjustment - 07/17/2013 $9.96
Class of Work: OTR
Plumbing
Type of Const:
Occupancy Grp:
Stories:
Total $81.20
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 -001 -0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: t',v, 4 7 9 7c
•
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
This permit card shall be kept In a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each Inspection.
RUG-12-2013(MON) 07: 50 office staff (FAX)503 491 2932 P. 001/002
re - ,ICJ
Plumbin Permit A l.:: ,
•
Building Fixtures AUG 1 2 2013 FOR'OFFICE USC'ONLY. {>'-
C.ity of Tigard "ueue,v�
MI 13125 SW!Inll Blvd..`Crnrd, TIGARD paw.. / // = lit No.
.; p Plaine: 503.639.4171 Fax: p� ION
Plan fte• ,w "�°
P 01639.417$ INUQ��I� r` D't�� : OthcrPclmil o,;
TIGARD fns ection Line: 5 .-
Internet: www,tlgard-or.goV Daft Ready/By: and El Sec Page 2 for
d Win ed/Meihod Su reme t
in anon r1 14 . ry.-. t: NM , t1 '11 1 ot,litarI ..., p
n,v,, kM . C * +nd: dl. � MM� E 11 y a tQ, L3? M1"iu� il lr git4 � tf w + yn xMgz.s1e ,�: mif:n
New construction ❑Demolition For special lhjurmarion use checklist
Desert tion . Fa Total
&Addition/alteration/replacement - ❑Otter ., - �
,t,� '� �r„v ,r New 9.2-family dwellings(includes 100 ft.for each utili connection)
t1� if rl�rr4' 1 t It I'A"��IT 1 � 7'ili] 't t� 1Ertl°�lYt "i l-n�l�u +m ray ri'.� ( bath r
iffs j 91i , "�"l?:t ji tMl' "�,o �, ,' " �.6J4t l` (1 I),Ia1 ...� tti � k,Ly1'rl'+ac 1 SFR 1
a t,f�,H ,li9i tu•. a.a, ,. 1 , F,¢ ' t,tl iii m111 9?a. J£]n,..`.@]u!•, ' t1l,t�. ilU,.ti lei,. ) 312.70 I
Q>f i-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 137,78
❑Accessory building
SFR(3)bath 500.32
❑Multi-family _,
•❑Master budder Each additional bath/kitchen 25,02
❑Other:
f pi�{I�•:.1.fF/�.i`'1 j'(^%., p;�'a to\h•1 +tr _.^q tr"`u 1•L'5ia 7ir+roar,y,t,l}nT n , Fire sprinkler( sq.ll.) Fagc 2
1-,«,r,,1t,� ,��1�'41 a VI 11}t ^fl 1 1 1 a , 6 t,� 5 . {MGl Ittl�',1riWn��ntui)dlk ) i l�i•. -. ,�
wwL.0 �I.l�lal,xel ^.+ .IL'� •!d7�r£ -�°M11� ai? ,l,di 1 li . "11 SileutilltieS:
'C�k...?I,>..Isilltim ataWw.n.ti
Job site address: 1 1 el • / � J , I Catch basin or • ; - 18.76 W mil,
City/State/ZIP: l� a �La7� Drywcu,leach .. 18.76
Footing drai tar ft.; _ Page 2
Suitc/bldgJapt.nu.: Project name: /(,f
_Manufactured home utilities 50.03
Cross sncct/directiuns t0 job site: Manholes 18.76
Ram drain connector _18.76
• Sanitary sewer(no.linear IL: ' ) Page 2
Storm sewer(no.linear R,:___) Page 2
Water service(uo.linear ft.: ) . Page 2
Subdivision: - 1 Lot no.: Fl re or item: _
"Pax map/parcel no.: Dacktlow preventer 31.27
1§w,T A SI.1 M� IT i1Ci�
6 F iT.ifi5i l I4 y9 S] t. :: P:
Bacwater valve
=, , 4 ;:;i .»,.� h i ; t �V 1 , i„1 . W t - ia lr` Clothes washer ... stra
25PifEi/ may f )C 71 .1 / � � Dishwasher in Drinking _ 25.02 Mil
/�'C��,t �.3��fv,X���t/+`r"Cy' Drinking fountain 25.02 all
n�`''` A rMee''W1L 7 Ejectors/sump .
�p }}, f j� p�� 25.02
'..;,1, 1 1,r,Mt ,6f)1; i-4-/Dst'ti,l1Ct ipesT: t,��w;:k- 1 i y t VrT1r il) 1�,,. y{„r ..4 1.'M, dASl F.x ansiontank , 12-51,
,,:t,vi4,:c ,:L!. .... «.2.:, 4.,:o :It4 ...-ti4•u'!1�".TSy� te..:44, .:r:1-..11.--4,',.. ,..,r`,1&:::.t.L'.i,.Mb :cit ',.1.l� .t4 p
Nome: �� Fixture/sewer cap 25.02 .
Flom drairJftQor sinlckii 25.02 Address: //e� c�v ///
Garbage disposal 25.02 MUM
City/Stutc/ZIP: 7, a
Hose bib r .. �t�arr�;
Phone:( ,j '� b o g Fax:( ) ,.
lee maker 12.51
.14^4 rr' u.,.0 ,JWyRw , ( R4 Mli '.��%l,1
ti tZ�nigI�� C { lysr LY l.,_u1,
Interceptor/grease trop 25.p2.5k4 i. ,f.}aw.. .u:l(rk,i iierlCrww4"ai'a i/i.,6,,1%Ar 4.s .di a..:. .,1.61;3 it, MRu .NP� : `t
Business name:ARS dba JACK ROWIURESCUE ROOTER Medical gas(value:$_) Page 2
Contact name:JOYCE DENNIS • Printer 12.51
Address:P.O.BOX 2830
Roof drain(commercial) 12.51
Sink/basitt/lavatory ti+fiT�Ii.
City/State/ZIP:CLACKAMAS,OR 97015 tl rr�.r�.�
Solar tutus(potable water)
Phone:(503)1350-3100 Fax::(503)491-2932 Tula/shower/shower pan 12.51 /c3.7'5--5
E-mail: TDENNISQARS,COM Urinal • 25.02
n
25.02 illEdi,, r ,ir. tV,`t14c,Rf TiRnau,Nmyy.11�� P.Tg 0•1 ry' , t4 J .u7p ^F,f Water closet
u �.,1 � g4i�-:,Mt.ribw. ntVL"r. �.� A..c i .iiu+ ::1,.. :w.&w',.1,,:.:.e..a _...t 1-4.-. '
Water heater. 'w
Business name:ARS dba JACK AOWK/RESCIJE ROOTER 37.52
Address:P.O.BOX 2830 Water pipinpJDWv
/ 56.29 5(p• '
Other. 25.02
City/StateiZTP:CLACKAMAS,OR 970I5 - Subtotal , arair
�
Phone:(503)850-3100 Fax:(503)491-2932 Minimum permit fcc: $72.50 MN/04�
CCB Lic.:127325 PI • •ing Lie.no.:34-I68PB Platt review (25%of permit fee) �,�.7
Authorized signature: ,: ��
■ State surcharge(12%ofpermit fee) �t1�)��V
TOTAL PERmi ly ww 0..
I Tint nurse:JOYCE DE NN I S..:. .. .• Dat e=
This Main uU ppli cna oo expires i
f a permit.14 uut'o
Sl -_•. f �� •..-s.;;l. .�; "�reC tntiii eg 1�TI wf c �p ai f ? r: vic+e:.,:...
,"�.�Lr� o � � r !v-
g
I,DuildingNMrmilsU IMU-VumflApp.0 tf 440-46161(1 0/02k3 E8) �� 1 1 9.
AUG-12-2013(MON) 07: 50 office staff (FAX)503 491 2932 P. 002/002
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Payment Authorization Form
13125 SW Hall Blvd. • Tigard, Oregon 97223
TIGARD Building Division: 503.718.2439 • Planning/Engineering: 503.718.2421
Fax: 503.598.1960 • Internet: www.tigard-or.gov
Pcrmit No.: PX/2/aW�
Job Site Address: //19c-D SA/ //q,A ,G7-%&-
Project Name:
Credit Card Information: Please print clearly.
❑ VISA ® MasterCard OS-- )/ -1/--
[' Discover (credit card account number) qq��
Expiration date: 01/2015 (321) 1/61/D
Cardholder name on card: ARS PORTLAND PERMITS
Contact phone number: 503-850-3100
Billing address for this card: 965 RIDGE LAKE BLVD, SUITE 201
Billing ZIP code: 38120
Trust Account Information: For permit fees robe paid From established trust account.. .
Trust account number: N/A .
•
Contractor/Business name: .
Contact phone number:
I hereby give the City of Tigard permission to payfor the above referenced
permit with the credit card or trust account provided above.
Authorized Signature: 77��9,,� •
Name Printed: \mfel. /...0 /1/e
Date: .0t//a7,070
Please FAX this completed and signed form to 503.598.1960.
*** DO NOT EMAIL THIS FORM. ***
For your protection, this form will be destroyed after your payment has been processed
1:\JSuildi \Forms\Paymenauthouzalian_O31612due
JUL- 15- 2013(MON) 08:26 office staff (FPX)503 491 2932 P. 001 /003
P'luifij2iul ertlait Application
Building Fixtures
97 T'OR:OFFICE:� . ;�',� :-`; -
city of Tigard Received
� Ci blvd., Tigard, UOR �' 3 �� J � Date/B _ 7
� 11125 SW I Ittll �/,3 e l.., �OL, yap/3 - W.2 � y ,
Phone: 503.x.39.4171 Fix: 5113.59ir'19H6 15 2013 PlmtRcvic,v
AntNBY: Permit No
Oilier Permit No.:
TIIG ARD Inspection Line. 503.639,4175 Date Ready/By: Aids- Sec Page 2 for
I nternet: www.ngard•or.guv CITYOFTIGARD Aids- !a
Nntilied /Method: Supplemental Information •
a a' 7 •�' {{��++r� r y: i td 'ik, u:� t� x f f(� tI M a w���. (�7"� smt>^raa. ^Yfr..:R�r• •�;yy�,Q1'�y+� {.
t yi P �.. 'tl ar!'� 0 !S `r r�'tEYdV. S.4�x .J `4 �.1..M tit3lY?7} M
,�tiG2:: di :IC �r'Gl yl<.'tL;i„. x,61 � 51;�.�C,t��l���.'.,tr'��" � t�lte. t ��' '��:1'��rn��'�:Sn�:�lV;1����'�.� S�r �� i °,;,,I'r �k`MK ;, I
❑ New coast:Teflon ❑ Demolition For eeialinjormntian' use .checklist
Descri lion , t . , - Ea. Total
77��('.�.`,itr , Addition/alteration/replacement ❑ Other • • New 1- 2= family'dw"elliuts (includes 1'00 f1. for each utility connection)
t, t'k l l n i T ' 1 � r��^ y ti!: , , l t y °Dyyit 11 * t1`� 5 S 1 i•� .f ' t N ' r1 y � 1 b ath
��� { ; � �'.. M �� �, kdr,C"�� �� "1„s °Ilt�ct' � 5 " "I SFR ( ) la 312.70
:/ I- and 2 family dwelling ❑ Commercial/industrial SFR (2) hath 437,78
Acces n hu ildin • SFR (3) bath 50032
❑ ry g ❑ Multi - family
❑ Muster builder ❑ Oth
Each additional bath/kitchen 25.02
sA' �i a i�,d�) 'r�r tt4F r n ' y t �ctr i �T"n,�" t.. Fire sprinkler ( sq. R,) Page 2
, F f i N in .. + a,,, emo 1 °E�lit"5:'L Gf, Aa•' . a J6.de'u; r �1�SW� ? "Site utilities:
,lob site adriress: / W, a _ Catch basin or area drain 18.76
� v[
' City/State/ZIP: IP: /� Drywcll, leach line, or trench drain 1 g,76
__. ° Footing drain (na. linear ft.: ) Page 2
Suite bldg_ /upl_ no_: Projcut m.1= Manufactured home utilities 50.03
Cross street/directions (o job site: Manholes .. 18.76 -
Rain drain connector 18.76
Sanitary sewer (no, linear It: �) - Page 2
Storm sewer (no. linear tt„ __) Page 2
Water service (no, linear ft.: ) ! j Page 2 4 :i • J
Subdivision: Lot no.: _Fixture or item:
Tax map /parcel no 8ackflow preventer 31,27 M
4t /r4 tr 1� 8 V r^ r S 4 t i'Lr w r+ ^t r i* r r* 4x A" " N
S M i l na ,1:: �1 R V ' atA$ Ai�l i'tj , h ri X�,lt+'V.,4 .11 4 r•� �i AaCICWatCSVa1Ve 12.51
wL��i�Rtx .� �., �n ,sl �tl��+;I mt, s � °tar 1�.:G'� �ril�,ah« t a.,.t..}i8:4.n�'��,�.� "v t «w � i `��
=� /f A∎ ` 0► :r' ' I � ' Di he rltcr M 25.02
� � f.�� Dishwasher 25.02 M
�
4 . r 07 ' Mktg a ' / _ Drinking fountain 25.02
Ejectors /suinp 25.02
�pp . �,"�N� �•. � ., y ^tl,� ffi.�?C(11 r � � 91�Y�^J }�nJ tiVe �� i x r �} Y lift01 p', *S '+ t
tINi 1 g + g �' i�'t ,at.lE :'Y'�i iYp'..i ct ;1i� n t G ���I� Y s �� 1 ' III? FXP'ina tank
to �� m. u. nre w lewtl$ t� n��.,� ,. +n 7 (tit+L'� +9n�. 1 °rte!).(fi +awv:� 12.51
/ �� Fixturelscwercap 25.02
Floor drain /floor sink/hub
Address: / , , 25.02 �.
Garbage sal 25.02
City/Statc/Z1P ' 4 A .�! Hose bib dispo- ' _ 25.02 MIN
Phonne (( ) yy � g Fax. ( ) Ice maker 12.51
' �4c�1f,,lP �� � iGh�V1'rOO�t ilittq`+;t 7 �ln a �i t fItt t'p ikirj ,7 'm,'�,."I�r:;�
w..b'L'ill,w i- x�:1 uw]icn.,.teltafetu :.(lVirz,Ur, E1 t.,.i3;kreuirJz
,k ut ' )', Interceptor / trap w � 25.02
Business name: ARS dba JACK /IC/WIC/RESCUE ROOTER Medical gas (value: $ ) Page 2
Contact name: JOYCE DENNIS Primer 12.51
Roof drain (commercial) 12.51
Address: P.Q. BOX 2830
rSink/basin/lavatory 25,02
City /State/ZiP: CLACKAMAS, OR 97015 Solar unit: (potable water) 62.54
Phone: (503) 850 -3100 Fax:: (503) 491 -2932 Tub /shower /shower pan 12.51
-
Email JDENN1S a@ARS COM Urinal 25.02 _
g iVO i
t t d (� �7� �p tis j e SSC y �p x ro , e
St'"A, l lh P f `f �1','(� tt t r�./7 h �t�l� 'y ��(,y�1" I " I, r +^tl q ��, �� rv .93�f�(f {! Water C105e 25.02
t
j 1� 1 �i i •+ � j�n!':4•, i I . �� ..1!lf y_.T V 5 Y l YA l L r : N 4F! vi Itlla. y
[Sf�at"u�rSj4i}! �oYk c1 w .n1.,, a d� .. la .s, u9 . 1. nchw "fD].IC:axa Water heater 37.52
Business name: ARS Jba JACK HOWK/RFSCUE ROOTER water piping/DW V 56.29
Address: P.O. BOX 2830 Other. 25.02 /
\4 City /State/ZIP: CLACKAMAS, OR 97015 Subtotal �fff�
Phone: (503) 850 -3100 Fax: (503) 491 -2932 Minimum permit fee: $72.50 / iilv 41 0
-
CCB Lie_: 127325 Plumbing Lic. nu.: 34 -168pg Plan review (25 %ofpermit fee)
--- State surcharge(12 %ofpermitfee) � %V
Authorized signature: ` ..
' TOTAL PERMIT FEE IMIE. 0 •
Print name JOYCC DLNNlS Date:
f Imlication exp if a permit Is not obtained Fe i .,' , ii'liter..it :gF d n: u ,,.,
R ���.
Th �
J
' 7 ' ettgiel
" liodolo nef tiyTri ounly uirildmpindus ervice Board,
I Ia�iWii2114mniulpl .AfU- perroicApp t a 7 4AOaGlcrttwo o
JUL 15 - 2013(NON) 08:26 office staff (FAX)503 1191 2932 P.002/003
.Plutnbine: Permit Application - City of Tigard
Page 2 - Suppicinental Jnformatioln i
Fee Schedule: Residential Fire Su. c _
h y �c 4 , r sston S stems: � d��tV fi �rMtkBI fi,{ yy + q ', ' Jr` 'r: iy �1 t � "z indf t �yqi r q
�i .E ,, mac �,x: ., „ ' U '11 M t �F 1 Sr. 1( :' K .V 1L� la ..1.9:,. :i i",l t op E',i rfk ., ,.z ,:,k' I Fst,
Footing drain - 1" 100 50.03 0 to 2.000 $121.90
Footing drain - each additional 100' 37.52 MIIII - 2,001 to 3,600 - $169.69
Sewer - 1st 100' 62.54 3,601 to 7,200 $273
Min 7,201 and eater $327.54
Sewer - each additional 100'
writer Service - 1st 100', r 62.54 M . , ,
WatcrService - each additional tOO Medl�`d Cias S Stems
77.52 a i 4 +i /k t11. .7 -�" 'K 7 a ,
Storm &Ruin Drain - 1st !00' 62 54 . r
$1'.00 to $ t ' a Na31'ti$5.00 , 0:00 Mini"% ,w ' r ( 1:
. 1. 2 ;
u fe e $72.50 �c thW :',4rt;El !'� `,.: .ifgll v
Storm Rain Drain -each additional 100' $5.00mum fe
_ �� _ t � $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 far
,ti a� 3 + 1 F. ti'E•y,l,S ow: thie * i t i ;�ae> f ,;1 1 each additional $100.00 or fraction thereof; to
P
Inspection of existing plumbing or for and including $10,000.00.
$10,001.00 to $25,000.00 $148.50 for the
which no fcc is specifically indicated 90.00/1v IN
1 0 0 $10,000.00
. or fraction and $1.54 for
_ .
minimum ch. a - 1/2 hour each additional $100.00 or frn thereof; to
Inspections outside of normal business 90.00/hi $ 37 including 50 ot $25,000.00.
fi first 5250.
hours (minimum ch .,e -2 hours $25,001.00 to $50,000.00 5379.50 for the first $25,000.00 and $1.45 for
Reinspection Fees 90 00/frr each additional $100.00 or fraction thereof, to
and including $50,000,00.
Additional plan review for revisions 90,00nu $50,001.00 and up $742.00 fhr the first $50,000.00 and $1.20 for
(minimum char 'e- 1/2 hour , each additional $100.00 or fraction thereof.
Subtotal: _ =/, I
Commercial Fixture Work:
Are you capping, adding or replacing fixtures? If '� ;; , ; �'T 1�� �, :7 ys' j r v = 4 ti ✓ .;. -.mot,
g p "yes", 0: 1 ? 2. f i t �`,3,J l!, S, u' PA1 4 ..!..:1.„,,7, r 1 r -,4 '1".1 y ,1 5:., t %0.iThiAll . lri � ?i7
please indicate work performed by fixture. Failure to Plan review is required following.
any of the following.
accurately re r ort fixtures could result in increased sewer fees * . Please check all that apply.
b r,�, �� u r r isr 4 r ra �
1 : ���+ti,,'�q l:ir ,git , r � :4! " t ilta' ti x;iff' , r '1' '.; ❑ My new commercial building with water service 2" and
'1 n i .� a� 11 =111 i, ' ; 6 t l E ryyS �)' f j � „ ,q�, , ,, • ti ' h� , 3 .F `i • greater, except systems designed and stamped by licensed
. ils:',...�':.u...xa- ,.1".ria e•il .•:Sti �.'..8 ,i i P:' ''.d '. ,:..ia! .I:,.�ir�ri/ i)1 2= engineer.
Baptistry/Font
•
Bath - Tub /Shower • ❑ New exterior plumbing site utilities for any complex structure
• - b/S i/Whirlpool as defined in 0Al2.918-780-00210:
Car Wash - Each Stall -' ❑ Medical gas and vacuum systems for health care facilities.
- Drive Thru - • • ❑ Any multipurpose fire sprinkler system.
Cuspidor/Water Aspirator ❑ Any complex structure as defined in OAR918- 780 -0040.
Dishwasher - Commercial • •
- Domestic • Submit 2 sets of plans ►vith any or the above. '
Drinking Fountain
r y,� + ytHl t +}c , ` e u t r'rl� r rc p ✓ ?.;,),':'1:Z.1`..7,17,714",..,07-0'7t
dye Wash r! I `� u'�' 1 ? s1� i1 `� y +I y t,
1 [ I.lr ;zc, n ,.il. �, air +.tit u.. '4r.... , .iz.r,. Y� cM.�. �b 9.k:.,�.�5
Floor Drain /sink - 2" Isometric or riser diagram required for d is
r gt'stt is re aired for new buildings 4~ that meet the ualifications above,
• Car Wash Drain
Garbage - Domestic
Disposal - Commercial
- Industrial Comments regarding fixture work:
Ice MachfRcfrig_ Drains •
Oil Separator (Gas Station) _
Rec. Vehicle Dana Station -
Shower -Cans
-Stall
Sink -Bar/Lavatory _ -
- Bradley .
- Commercial *Note: If the fixture work under this permit results in an
- Service
increase of sewer EDUs, Pool Filter s, a sewer permit will be issued and
Washer - Clothes - fees assessed for the sewer increase must be paid before the
Water Extractor ! plumbing permit can be issued.
-
Water Closet - Toilet
Urinal
Other. "
Hrxturc3:_
h ttp : / /www or.gov/ city_ hal l / departments /ed /docs/PLMF- PetmitApp2doc •