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Permit CITY OF TIGARD PLUMBING PERMIT 114 COMMUNITY DEVELOPMENT Permit#: PLM2013-00394 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/04/2013 Parcel: 2S105DD00700 Jurisdiction: Tigard Site address: 15165 SW SUNRISE LN Project: Depp Subdivision: MAPLE WOOD PARK Lot: 20 Project Description: Replace 10'of inlet line for septic replacement. Contractor: SPEEDY SEPTIC&ROOTER SERVICE Owner: DEPP,JASON E&MISHA TAYLOR PO BOX 1260 15165 SW SUNRISE LN BORING, OR 97009 TIGARD,OR 97224 PHONE: 503-663-2807 HONE: 503-663-2807 FAX: 503-663-9712 FEES Quantity Description Date Amount 10 If Sewer Service 11/04/2013 $62.54 Specifics: 1 12%State Surcharge- 11/04/2013 $8.70 Plumbing Type of Use: SF 10 ea Minimum Fee Adjustment- 11/04/2013 $9.96 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 ' rk__is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility N ''cation Cent. 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 OUNC ling 503.232.1987 or 1.800.332.2344. / Issu d By: f l� G��'�' ii t,. O 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. 11/04/2013 MON 11: 51 FAX X001/001 /11(-1-,X Al/je Plumbing Permit Application Site Utilities REEIV ' FOR OFFICE USE ONLY Cites of Tigard s Received J .1111 `r Dalc/Dy: /�©i l cnnit NO.: i _ao3 C rt 13125 SW Ball Blvd.,Tigard,OR 97223 AAII 2013 Plan Review Phone: 503.718.2439 Fax: 503.598.196>DO V 4 Date/By. Other Permit No.: Inspection Line: 503.639.4175 1'IGAKll CITY OF TI Date Ready/By: lurir Hi See Page entalI for Internet: www.tigard-or.gov (`+e ms Notified/Method: Supplemental Information GJ�RD ..TYPE OFW FEE'• SCHEDULE RV DING DIVISION :• . • ❑New construction ❑Demolition For • sped a! •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) . CATEGORY •OF_CONSTRUCTION .`.,;.SFR(1)bath 312.70 ® 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 ❑Accessory building ❑Multi-family SFR(3)bath 500.32 Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler(_sq.Ii.) Page 2 . JOB SITE INFORMATION AND LOCATION ' Site utilities: - Job site address:15165 SW Sunrise Lane Catch basin or area drain 18.76 n Drywell,leach line,or trench drain 18.76 City/State/ZIP:tigard or 97224 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: I Project name:jason depp Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: LO) Page 2 (y 7. 5-y Storm sewer(no.linear ft...19'r. Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: I Lot no.:700 Fixture or item: Fax map/parcel no.:2s105dd Backtlow preventer 31.27 DESCRIPTION OF.,WORK ,. Backwater valve 12.51 Clothes washer 25.02 Dishwasher 25.02 replace septic and 10 feet of inlet line Drinking fountain 25.02 Ejectors/sump 25.02 . . a PROPERTY OWNER • I . ❑ TENANT Expansion tank 12.51 Name:Jason Depp Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: 15165 SW Sunrise lane Garbage disposal 25.02 City/State/ZIP:tigard or 97224 Hose bib 25.02 Phone:(503)663.2807 Fax:( ) Ice maker 12.51 ., ® APPLICANT . ' . • ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name:Speedy Septic Medical gas(value:$ ) Page 2 Contact name:Jake Primer 12.51 Roof drain(commercial) 12.51 Address:po box 1260 Sink/basin/lavatory 25.02 City/State/ZIP:boring or 97009 Solar units(potable water) 62.54 Phone:(503)663.2807 I Fax: :(503)663.9712 Tub/shower/shower pats 12.51 E-mail:jakc®speedyscpticscrvice.com Urinal 25.02 Water closet 25.02 CONTRACTOR Water heater 37.52 Business name:Speedy septic Water Pip F/t m DWV 56.29 Address:po box 1260 Other: 25.02 City/State/ZIP: boring or 97009 Subtotal Phone:(503)663.2807 Fax:(503)663.9712 Minimum permit fee: $72.50 72.50 CCB Lie.: 194624 `7/2- /S Plumbing Li t o.: Plan review (25%of permit fee} .5 State surcharge(12%of permit fee) 8.7 Authorized signature: TOTAL PERMIT FEE 81.20 Print name:jake alien This permit application expires if a permit is not obtained within 180 days J' Date. 10.25.13 after it has been accepted as complete. "Fee methodology set by Tri-County Building Industry Service Board. ir\uuildingtrermits\Pt.MU-Permitnpp-doe 10/01/09 440-46I6T(10/02/COM/WEB)