Permit CITY OF TIGARD PLUMBING PERMIT
R'ry
s COMMUNITY DEVELOPMENT Permit Permit#: PLM2013-00307
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 /T Date Issued: 09/03/2013
Parcel: 25101 BCO2401
Jurisdiction: Tigard
Site address: 12650 SW HALL BLVD
Project: Snyder Roofing Subdivision: TIGARDIA TERRACE Lot: 3
Project Description: Reroute existing sewerline out of footing and reconnect,approximately 80'.3/17/14:Added 100 ft.of storm sewer.
Contractor: RENNER TRUCKING& EXCAVATING INC Owner: JFK PROPERTIES OREGON LLC
228 SW WALNUT ST 12650 SW HALL BLVD
HILLSBORO, OR 97123 TIGARD,OR 97223
PHONE: 503-846-1512 PHONE:
FAX: 503-846-1354
FEES
Quantity Description Date Amount
80 If Sewer Service 09/03/2013 $62.54
Specifics: 100 If Storm and Rain Drain 03/25/2014 $62.54
1 12%State Surcharge- 09/03/2013 $15.01
Type of Use: COM Plumbing
Class of Work: ALT
Type of Const:
Occupancy Grp:
Stories:
Total $140.09
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 B j..4•411111111.1. — ` / �`_ Permittee Signature: '
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.
Plumbing Permit Application
Utilities RECEIVED
City of Tigard 3 . ,3 oat s : 9g/g PenneNe.: ‘///b/3-Iao.3O?
• 13125 SW Hall Blvd.,Tigard,OR 97223 , Plan Review
C . Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Other Permit No.. , oVey�6i /(pc-
l I G n It t) Inspection Line: 503.639.4175 CITY OFTIGARD Dace Ready/By: Jura: 0 See Page 2 for
Internet: www.tigardor.gov BUILDING DIVISION Notifed/Me hod: _ - Supplemental Information
TYPE OF WORK FEE' SCHEDULE
❑New construction ❑Demolition % For spedal infes
ornfinn use checklist
Description I Qty. I Ea. I Total
®Addition/alteration/replatx:ment 0 Other: ,
New 1-2-family dwellings(includes 100 ft.for each utility connection)_
CATEGORY OF CONSTRUCTIO law J SFR(1)bath 312.70
m"- SFR(2)bath 437.78
❑ 1-and 2-family dwelling ®Commerei: .i earnest
SFR(3)bath 500.32
❑Accessory building ❑Multi-family
Each additional bath/kitchcn 25.02
❑Master builder ❑Other
Fite sprinkler( sq.ft.) Page 2
JOB SfTE INFORMATION AND LOCATION Site utilities:
Job site address:12650 SW Hall Blvd Catch basin or area drain 18.76
Drywall,leach line,or trench drain 18.76
City/State/ZIP:Tigard,OR 97223 Footing drain(no.linear ft.: ) Page 2
Suite/bldgJapt.no.: I Project Dame:Snyder Roofing Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear R:12) 80 Page 2 62.54
Storm sewer(no.linear ft.:k■: ) i Page 2 ( 2 ,y
Water service(no.linear ft.:_J Page 2
Subdivision: I Lot no.: Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK
Backwater valve 12.51
Clothes washer 25.02
Re-route exsisting sewer out of footing and reconnect Dishwasher 25.02
*C-1-60-4-4 gitirr.. a r..,rr4- A) p" M Tt p.,r (4 -e-c 3/k/ y Drinking fountain 25.02
100 Q Ejectors/sump 25.02
® PROPERTY OWNER I ❑ TENANT it Expansion tank 12.51
Name:JFK Properties Oregon LLC Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address: 12650 SW Hall Blvd
Garbage disposal 25.02
City/State/ZIP:Tigard,OR 97223 Hose bib 25.02
Phone:(503)620-5252 Fax:( ) Ice maker 12.51
•
0 APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02
Business name:Renner Trucking&Excavating Inc Medical gas(value:S�) Page 2
Contact name:Shaugbn Renner
Primer 12.51
Roof drain(commercial) 12.51
Address:228 SW Walnut St. Sink/basin/lavatory 25.02
City/State/ZIP:Hillsboro,OR 97123 Solar units(potable water) 62.54
Phone:(503)846.1512 Fax::(503)846-1354 Tub/shower/shower pan 12.51
E-mail:sbaugbu.reuner(4)gmaiLcom Urinal 25.02
CONTRACTOR
Water closet 25.02
Water heater 37.52
Business name:Renner Trucking&Excavating Inc Water piping/DWY 56.29
Address:228 SW Walnut St. Other: 25.02
City/State/ZIP:Hilbboro,OR 97123 Subtotal /A5: or
Phone:(503)846-1512 Fax:(503)846-1354 Minimum permit fee: $72.50
CCB Lie.:163385 2, a 5 Plumbing Lic.no.:PB463 7 1 I1 Plan review (25%of permit fee) --- '
b.
State surcharge(12%of permit fee) r5 0 i I IIIIIIIIIKUIIEIF Authorized signature: TOTAL PERMIT FEE jt fo d r
��� Date:8-29-13 T�permit application taping if•permit b not obtained within 1110 days
after it has bees seeepsed as complete.
'Fee methodology ace by TriCowty Building industry Service Board
t:Building\Permits\PI.MU-PamitApp.doc 10,01/09 440.46161110/02/COM/WEB)
CITY OF TIGARD PLUMBING PERMIT
11111- 4_ COMMUNITY DEVELOPMENT Permit#: PLM2013 00307
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/03/2013
Parcel: 2S101BCO2401
Jurisdiction: Tigard
Site address: 12650 SW HALL BLVD
Project: Snyder Roofing Subdivision: TIGARDIA TERRACE Lot: 3
Project Description: Reroute existing sewerline out of footing and reconnect,approximately 80'.
Contractor: RENNER TRUCKING&EXCAVATING INC Owner: JFK PROPERTIES OREGON LLC
228 SW WALNUT ST 12650 SW HALL BLVD
HILLSBORO, OR 97123 TIGARD,OR 97223
PHONE: 503-846-1512 PHONE:
FAX: 503-846-1354
FEES
Quantity Description Date Amount
80 If Sewer Service 09/03/2013 $62.54
Specifics: 1 12%State Surcharge- 09/03/2013 $8.70
Plumbing
Type of Use: COM 10 ea Minimum Fee Adjustment- 09/03/2013 $9.96
Class of Work: ALT
Plumbing
Type of Const:
Occupancy Grp:
Stories:
Total $81.20 I
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 sta within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules -'opted by the Oregon
Utility i ca ion -meter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may ',Alp copy of the rules
or dir ct questions to OUN by cal'•= 503.232.1987 or 1.800.332.2344. --w_
Iss ed By: /1/ Permittee •
/Mg -A. /4L•∎∎∎
4111110.
Call 503.639.4175 by 7:00 a.m.for the next available inspection •- =.
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
Site Utilities RECEIVED FOR OFFICE LSE: ONLY
City of Tigard Received Q �6 PermitNo.: �/
g - D 3 Date/By: / // ��
• 13125 SW Hall Blvd.,Tigard,OR 97223 • Plan Review
t: Phone: 503.718.2439 Fax: 503.598.1960 DateBy: Other Permit No.: 4/3:Z/5-00/6"4/3:Z/5-00/6"
1. It D Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: _ Supplemental Information
TYPE OF WORK FEE* SCHEDULE
❑New construction ❑Demolition For special information use checklist.
Description I Qty. j Ea. j Total
N Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
❑ 1-and 2-family dwelling N Commercial industrial SFR(2)bath 437.78
building SFR(3)bath 500.32
❑Accesso ry g ❑Multi-family
Each additional bath/kitchen 25.02
❑Master builder ❑Other:
Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address:12650 SW Hall Blvd Catch basin or area drain 18.76
City/State/ZIP:Tigard,OR 97223 Drywell,leach line,or trench drain 18.76
Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: I Project name:Snyder Roofing Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear R:) 80 Page 2 62.54
Storm sewer(no.linear ft.: ) Page 2
Water service(no.linear ft.: ) Page 2
Subdivision: I Lot no.: Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 25.02
Re-route exsisting sewer out of footing and reconnect Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
N PROPERTY OWNER I ❑ TENANT Expansion tank 12.51
Name:JFK Properties Oregon LLC Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address: 12650 SW Hall Blvd
Garbage disposal 25.02
City/State/ZIP:Tigard,OR 97223 Hose bib 25.02
Phone:(503)620-5252 Fax:( ) Ice maker 12.51 ,
N APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02
Business name:Renner Trucking&Excavating Inc Medical gas(value:$ ) Page 2 -
Contact name:Shaughn Renner Primer 12.51
Roof drain(commercial) 12.51
Address:228 SW Walnut St. Sink/basin/lavatory 25.02
City/State/ZIP:Hillsboro,OR 97123 Solar units(potable water) 62.54
Phone:(503)846-1512 Fax::(503)846-1354 Tub/shower/shower pan 12.51
E-mail:shaughn.renner@gmaiLcom Urinal 25.02
CONTRACTOR Water closet 25.02
Water heater 37.52
Business name:Renner Trucking&Excavating Inc Water piping/DWV 56.29
Address:228 SW Walnut St. Other: 25.02
City/State/Z1P:Hillsboro,OR 97123 Subtotal 62.54
Phone:(503)846-1512 Fax:(503)846-1354 Minimum permit fee: $72.50 72.50
CCB Lic.:163385 2. ,As Plumbing Lic.no.:PB463 1 Plan review (25%of permit fee)
7 I State surcharge(12%of permit fee) 8.70
Authorized signature: A TOTAL PERMIT FEE -9933,
Print name:Shaughn Ren','=�V Date:8-29-13 This permit application expires if a permit is not obtained within 180 days
after it has been accepted as complete.
- *Fee methodology set by Tri-County Building Industry Service Board.8
l:\Building\Permils\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB)
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
12650 SW HALL BLVD, TIGARD, OR, 97223
Commercial - Plumbing
399 Plumbing final
2014-03-14 00:00:00
PLM2013-00307
FAIL
1. Add to existing permit, storm sewer piping. 103.4.1
all else ok.
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
12650 SW HALL BLVD, TIGARD, OR, 97223
Commercial - Plumbing
399 Plumbing final
2014-03-27 00:00:00
PLM2013-00307
PASS - No C of O
Violation Summary:
Inspector Contractor