Permit CITY OF TIGARD PL UMBING PERMIT
a COMMUNITY DEVELOPM Permit #: PLM2013 - 00423
13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/16/2013
TIGARD g Parcel: 1 S 134DA05300
Jurisdiction: Tigard
Site address: 11252 SW 105TH PL
Project: Pfeifer Subdivision: NODAK Lot: 1
Project Description: Relocate (1) kitchen sink, (3) new tub /shower valves & (1) clothes washer in house.
Contractor: REEL FAST PLUMBING COMPANY Owner: STEVE PFEIFER
PO BOX 1484 PO BOX 641
BORING, OR 97009 CANBY, OR 97013
PHONE: 503 - 481 -4362 PHONE: 503-803-2689
FAX: 503 - 658 -5010
FEES
Quantity Description Date Amount
1 ea Clothes Washer 12/16/2013 $25.02
Specifics: 1 ea Sink 12/16/2013 $25.02
3 ea Tub /Shower /Shower Pan 12/16/2013 $37.53
Type of Use: SF 1 12% State Surcharge - 12/16/2013 $10.51
Class of Work: ALT Plumbing
Type of Const:
Occupancy Grp:
Stories:
Total $98 08
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. : Ofl_137
l
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.
12/04/2013 06:33 503658501RECEIVEp REEL FAST PLUMBING PAGE 01/01
Pluaibiing Permit Auflication EC 4 2013
Building Fixtures FY )R r)rl it P i sr \l
City of Tigard CITY OF ['IGARU 1t
!3)25 SW Hall Fllvd,, Tigard, jNG ISION nntehry. / y / (21,93 ['crmitNo. tt �/3- .:9-3 R Phone: 503,639.4171 Fax: 503.59R.1960
DI ON tom, Rcvie+v
Inspection Lino: 503.639.4175 13a1eJlly; Other Fe,mit N. >,;
i� It n Date Itenrly/By. firti+ •�
Internet www.tigard
la See Parr 2 for ._i
- l Natif ro
csGMcthod, SupplCental Intern won
TYPE at wows PEE• ottt,F
0 New constniclion ❑ Demolition For sf+cxia tforniation we checklist. -
t1 Addition /alteration /replacement ❑ Other "` Deacrirtion Q . Fan �� Total
-- New 1 2-family dwettfnga (includes 100 ft, for each utility onnection)
CATEGOiRY OF CONSTRUCTION _SFR (1)hnth 312.70
_ c
a nd 2-family dwelling commercial/industrial SFR (2) bath — -__
_._ 437.78
0 Accessory building Si'R (3) bath
El Muiti- famil 500.32
)inch additional bath&itehen 25.02
_ Master builder 0 Other; —
.108 sat INFORMATION AND LOCATION S ite ntllities: Fire sprinkle
( sq. R,) _. Pnpe 2
Ms:
Job 5if c address; I Z c- h .5 IDS . 1, ,p1 i `rte R Cinch basin or area drain MI 1R.76
--- .�'" Drywall, l each lint, or trench drain 44 1 City /State /ZIP: �-; o � 97 2 2, 3 .. 18:76 T
— Footing dm (no. linear R.: ) Page 2
Suite/bldg. /apt. no.: Project: name:
Manufactured home utilities Crnaa street/directions to job site; - inn
- - Mnnholoa 1 8.76
Rain drain connector 18.76 - "�
-T ry -` Sanitary sewer (nn. linear II,: ) "p 7 "
"-� Storm sewer (no. linear it,: ) Page 2 .,_ ^
Water service (no, linear it: ) 11=1 liege 2 ~
Subdivision: _ + 1,01 no.: _FixhrnorReny -
Tax map /pascal no,: iinckFlnw presenter 31.27
_ JdtE9CItII"1TdN OF WORE
valve 12,51
,.`T_ (tel&-Q -_ k' < e A v a fu Clothes washer -.' 25.02 i .Si
Q1 f7 ss Dishwasher _ 25.02
--- -- __. Drinking fountain 25,02
Ejectors/mum) — 25.02 —.� .�
0' PIROPERT1t OWIS R 0 TENANT Expansion rank 12.51
Time: Fix-lure /newer cep " 25.02
d 'p.c. 4-4'
Floor drain/floor aink/htlb -
s' 25.02
Addrec
Garbage disposal 7.5.02
City+Stare/ZlP: ---° --- e p
--_,
Phone: ( ) � �-- lion bib 25.02 .W
ltax: ( ) lee maker -
12.51
0 APPLICANT' 0 CONTACT PERRON Inlcrccptneg•cagc 25.02 W
I3usitte.4,c name: Medical its (value; S
Page 2
Ci +nlnct name: -- �_� " —! Primer 12.51
Addrea¢: - ---• Roof drain (commercial) _ 12.51
Sink/baain/lavatory I 25.02 0 2,rj .C}-
City /State/ZIP: solar unila (potable water) 62.54
Phone: ( ) - Fax:: ( ) 'llilt /shower /ahowerpan 3 12.51 3 7 5 _
F - trail: ..W I lrinai 25.02
CONTRACTOR — Water *load 25.02 .
Wntcr healer 37.52
Busino name: RTEI, FAST PLUMBING COMPANY Water piping 56.29 - ✓
Addrexs: PO BOX 1484 Other: 25.02 51
City /Stuto/7,JP; BORING, OR 97009 _ _ _ b001 >,[ 9
Phone: ( 503) 481-4362 Hax: (503) 658 -5010 Minimum permit ft c $72 .51)
CCR Lie.: 1635- 7 , S Plumbing Lie, no.: 26 79RPB 7('i / Plan review (25% of permit fee) l` , 5
f Slate surcharge (12% ofpertmt fee) u
Authorized signature: . - j t ) g
4.r �r TO'F'AT PERMIT FEE q'�jp �8 A� ti
Print name: MICHAEL BIERDR/1 UF.R hare: f ? / t I mi. permit appli c:grires If a permit k net obtained retthtn IA dogs
after It hers here accepted as campkto. Ito
"Fee metlx delmay act ity Tri Building Indirtry 5rrvicc Dons I, .
Mini ltmtiNtrnitrAPI .Mill- Premit/1.,p,Aoo 1 a,ouoo 14n- netm11 nnvrnMnvnrl)