Permit CITY OF TIGARD PLUMBING PERMIT
1,114 44
_ • COMMUNITY DEVELOPMENT Permit#: PLM2014-00065
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/10/2014
Parcel: 25111 DD11400
Jurisdiction: Tigard
Site address: 8708 SW AVON ST
Project: Taylor Subdivision: CHESSMAN DOWNS Lot: 40
Project Description: Replace 30'of sewer service
Contractor: ENVIRONMENTAL WORKS Owner: TAYLOR, MICHAEL M &AURORA
2634 SE STEELE ST 8708 SW AVON ST
PORTLAND. OR 97202 TIGARD, OR 97224
PHONE. 503-719-6715 PHONE
FAX 503-482-7440
FEES
Quantity Description Date Amount
30 If Sewer Service 03/10/2014 S62 54
Specifics: 1 12%State Surcharge- 03/10/2014 $8.70
Plumbing
Type of Use: SF 10 ea Minimum Fee Adjustment- 03/10/2014 S9 96
Plumbing
Class of Work: ALT
Type of Const:
Occupancy Grp:
Stories:
Total S81 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 di questions tp OUNC by calling 503.232.1987 or 1.800.332.2344
sued By: ,,��AA �] �' Permittee Signature:
.Y`� `�'�l l Ll
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.
TO City of Tignrd Oage 2 or 3 2014-03-07 17'21 16(GMT) '15,030721666 rrorn MnttPiew L0wranCe
Plumbing„ Permit ApplicatiRf CEIVED
Site Utilities Ion °FFICI I NI ()NI \
1114 Cit. S Hall MAR 10 2014 Received o , j Penns No.: i -wed,
Date/By. / `/ 1 L �O f
+ 13125 SW Hall Blvd.,Tigard,()K 97223 1
Mali Review
■ Phone: 503.718 2439 Fax: 5113 i�iQ(;f;,,F TIGARD """'�'y oilier Pernui no.
Inspection Line' 503.(x39.4175 ---__
I I s_,A I:I, - ci ' Date tteadr 3y' tart' ti Sati'l'.c:e:far
•
Internet. ww,...ttgald-or.eos Qi1J1_ j)IEr DIVISION . Nc rficd'Mctlwd. I Nupplemcnlnl Information
TVPf OF{W kOR}'k�}{F�DIVISION FI.l.' sl III.I)I 1.I. i
Q Ncsa c1,n+tniel inn I El Demolition i or Teem mom-mum,use r11rrkIicl.
• --'-- — O . ... _.-. — Description rty l a I Taal
i
❑ ;liidition tlleralionircplactitent her.
New 1-2-family dwellings(includes 1(X)Il.Iiir each utility connection) ;
. ( sl'I:(.OR\ 01 (07i'.tRI4 1IO♦ SFR(I)bath 312.70 I ■
SFR(2)bath { ......!.1778
and 2-family dtselllnr ❑Cortuncrctal industrial - {
I _ "'-------------' SFR(31 bath 500 32
G.Aceessorn building El Multi-fat-nil,
-~` j -.._ Each additional bath.y tchen j 25.42
Master huilikr Other: ;Dire sprinkler( ;al 11.) Page'_
JOB SITE INFORMATION AND LOCA I IO\ Site utilities:
Job silt address: �' ',VC!' ` , , Jrk 1 Catch basin or area drain 1 18.76
G __....- e - J --= Drywell.leach line,or trench drain i I 111 76
( tty!State/ZIP: ! , • I t .�. -
__ - -_.. nutinr drain(no bneur 11.. 1 Pape 2
f� —i _
Suite/bldg./apt..iapt.no: Pmjcet Warne; ^ V /L tanufae steed home utilities 3(1.01
, (.rtnc clreet.direetion to job cite: -_ Manholes -- 7�_ 18.76-
Rain drain connect,Ir 18.76
Sanitary sewer(no linear ftraD) Page 2
Storm sewer(no.linear ft _) 1 Pate 2
waier service(no linear ft.:_) Page 2
•uhdis ision: Lot
------ Fixture or item:
Backflow prevcntcr 1 11 27
fax m tp:p"reef no: ._.. _____...._.-_.._._...�....____.........--•---_._.... ----..._ .
I 11aCkwater volt, ---- 2 S)
1) .S1 R O\ 01 W )RR
—„ Clothes washer 25.02.D SS _` 51�k 1 lAa�_nT— N-
Dishwasher 25.027+
Drinking fountain 25.02
- Ejectors/sump 1501
0 PROPERTY' OWNER ❑ TENANT • Expansion tank 12 51
Name:allle; Fixture cap L___ ! 25.(12 j
__.._.
Fluor draitufloorsinkuhuh 25.02
:Address:
—.— ----_-...- Garbage disposal 2;02
1 City/States/IP: ; hose bib 15 02
1 Phone:( 1 I Fits:( 1 Ice maker 1 2.51
PPLICAN I __ .o-I-AC°r rERson, interceprorrgrease trap 25 02
}------ -*c, �/k Medical gas!salt,,: 1 Page 2
Business name F 1 _�.._
' — �E'rinxr 1251
t ontact ram: S!*1� , t Altai P �1
Roof drain(:cmtmer�ial I 12•1
tAddress ( t r� - ! sink.i„.,inilavaton 25.42
('ih State/Ill: C I Solar units(potable*Amer) 1 6 .54 ,
Phone3 �' I`as. —+t " Iub(shower shoiaer pan 1- l2 1 __..._
J' � 1Gi. tG�� � 1L� �1 t • I� iO 'SUS
. L-ntai). is . Urinal -
.----.__-..__- + % ak i duset 25.02
corsa L%(TOR
--- water heater 37 52
Business nano: r _.._ r 1 ---
- , \ 1 Yl`1 t.' F 1 �� — �.w 1 .• water piptrtg/RA4'V 56.29
Address. I Other ! 25 02
Ca)151111c 7l P: - I Subtotal I i
Phone:{ I l';tx;[ ) Minimum permit live: $72.50 A- l
.._......_._ - -- _. Plan review (25°Poufperrnil fee) ��
('('ll Lic. Plumbing l.ic.nu,: I-- _ . ..._..._..____. .-I
� ' Stale surcharge(12%of purtmii tee) $.'p0 i
Authorized signature, - r�\� T(iTAl.PERM'l 1:E'I' i gi-
�s ] ` ! 1 ibis permit applicatiion ciipires if a permit is nut obtained within 180 days
Print name: i to-N.0,,}l ft
�s l �� ; Dale: M 1 W t
after tt has been stet ed as east nett.
"Fee areth(hlatopp.et to fit-County tluddnui I,uiu.n-Sets lie Board
i it,,siding,?ra;:;u?)\L.Pi-inum App do: F)-uu;r, k-.. ,:1, :((:.s'.:,4 LB
To. City of Toperc1 •efle 1 of 3 2014-03-07 17 21 10(GMT:) 0030721 050 From: Mmlth.w LowrellC.
FAX COVER SHEET
TO City of Tigard
COMPANY Plumbing Permit Application
FAX NUMBER 15035981960
FROM Matthew Lowrance
DATE 2014-03-07 17:21:10 GMT
RE 8708 SW Avon St
COVER MESSAGE
Please process the attached application. This can not be processed online because we
do not have a plumbing license.
Thank you.
Stephanie Mullins
503.719.6715
stephanie@eworksnw.com
WWW METROFAX COM