Permit CITY OF TIGARD PLUMBING PERMIT
• COMMUNITY DEVELOPMENT Permit#: PLM2013-00309
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/05/2013
Parcel: 25101 CA00400
Jurisdiction: TIGARD
Site address: 7940 SW HUNZIKER ST
Project: Hunziker Building Subdivision: 2007-064 PARTITION PLAT Lot: 1
Project Description: Backflow for irrigation.
Contractor: CEDAR LANDSCAPE Owner: MERITAGE FIVE LLC
14375 SW PATRICIA AVE 7940 SW HUNZIKER RD
HILLSBORO,OR 97123 TIGARD,OR 97223
PHONE: 503-625-3700 PHONE:
FAX:
FEES
Quantity Description Date Amount
2 ea Backflow Preventer 09/05/2013 $62.54
Specifics: 10 ea Minimum Fee Adjustment- 09/05/2013 $9.96
Plumbing
Type of Use: COM 1 12%State Surcharge- 09/05/2013 $8.70
Plumbing
Class of Work: ALT
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: ^^
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
rp Building Fixtures FOR�OFFICE USE ONLY
V R c i V E Received
..
City of Tigard 7/S1(3 r3� Permit No.:
• 13125 SW Hall Blvd.,Tigard,OR 977f2-p 4 2013 Plan Re: � p (3-da 9
h IN 8q.§O Plan Review
Phone: 503.718.2439 Fax: 503.59 0 Date/By: Other Permit No.:5(.410041 1 3,.�0�/a
Inspection Line: 503.639.4175 Date Read B orris: H See Page 2 for /
TIGARD Internet: www.tigard-or.gov CITY' r I lGARD Ready/By:
www.tigard-or.gov Notified/Method: 'I d Co Supplemental Information
` TYPE OF alitiOING DIVISION ' -: - - FEE*"SCHEDULE` - . - - ; •..
El New construction ❑Demolition For special information use checklist
Description I Qty. I Ea I Total
®Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft for each utility connection)
4 : . CATEGORY OF CONSTRUCTION. : SFR(1)bath 312.70
(/r El 1-and 2-family dwelling 21 Commercial/industrial SFR(2)bath 437.78
❑Accessory building Multi-family
SFR(3)bath 500.32
� ❑Multi-famil
Each additional bath/lcitchen 25.02
CI builder El d Fire sprinkler( sq.ft) Page 2
_ _ -- JOB SITE INFORMATION AND LOCATION__ - ..r.--. .. .. Site utilities: •
[,eCatch basin or area drain 18.76
Job site address:, / 77/z
''"--77- r Drywell,leach line,or trench drain 18.76
City/State/ZIP:
/ Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: Project name: f1 A,, �: ` A, Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
' " t Rain drain connector 18.76
1�
Sanitary sewer(no.linear R: ) Page 2
Storm sewer(no.linear ft.: ) Page 2
Water service(no.line ft: ) Page 2
Subdivision: Lot no.: Fixture or item:
Tax map/parcel no.: Bacicflow preventer Z 31.27 G Z 5-if
DESCRIPTION OF WORK Backwater valve 12.51
f-trl- - " - Clothes washer 25.02
��� .i -t-f�'� Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump
t, . - ion
❑ PROPERTY OWNER I-. Q TENANT.= Expans' tank 12.51
Name:
Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address: Garbage disposal 25.02
City/State/ZIP: Hose bib 25.02
1�4 Phone:( ) Fax:( ) Ice maker 12.51
❑ APPLICANT' al CONTACT.PERSON Interceptor/grease trap 25.02
3 Business name: Medical gas(value:$ ) Page 2
Primer 12.51
Contact name:
Roof drain(commercial) 12.51
Address:
Sink/basin/lavatory 25.02
City/State/ZIP: Solar units(potable water) 62.54
;`
Phone:( ) Fax: :( ) Tub/shower/shower pan 12.51
'Vv E-mail: Urinal 25.02
Water closet 25.02
. CONTRACTOR _
Water heater 3752
Business name: /67.,v4z,„1 effj�Z „/ Water piping/DWV 56.29
Address: / re? 714 fj���� ��� Other. 25.02
City/State/ZIP: ,/w2��/ �_ Q� 77/2 3 Subtotal
,6-2_5-/ / ! Minimum permit fee: $72.50 72 �j
Phone:(7�0� 3 7D� Fax:( ) - /�
LCB Lic.: C - Plumbing Lic.no.: //�33
Plan review (25%of permit fee)
7-26/11 State surcharge(12%of permit fee) 5?",7 i
Authorized signature: �ih, TOTAL PERMIT I.E.E. D/' 2 O
Print name:J7q
•
h j e// 4. G t q c- e. Date:�d_2 b_�3 This permit application expires if a permit is not obtained within 180 days
i v( after it has been accepted as complete-
*Fee methodology set by Tri-County Building Industry Service Board.
I:1Building\Pe nits\P1MU-PemitApp.doc 10/01/09 440-4616T(10/02/COM/WFB)
•