Permit o n CITY OF TIGARD PLUMBING PERMIT
11111 • • COMMUNITY DEVELOPMENT Permit#: PLM2015-00010
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/20/2015
Parcel: 2S112CA11700
Jurisdiction: Tigard
Site address: 7867 SW ASHFORD ST
Project: Taylor Subdivision: RENAISSANCE WOODS Lot: 43
Project Description: Shower replacement
Contractor: ROBERT FOWLER CONSTRUCTION SERVICES Owner: TAYLOR, PAUL S AND JOANNE C
18350 NE BALD PEAK RD 7867 SW ASHFORD ST
NEWBERG, OR 97132 TIGARD, OR 97224
PHONE: 503-550-5829 PHONE:
FAX:
FEES
Quantity Description Date Amount
1 ea Tub/Shower/Shower Pan 01/20/2015 $12.51
Specifics: 1 12%State Surcharge- 01/20/2015 $8.70
Plumbing
Type of Use: SF 60 ea Minimum Fee Adjustment- 01/20/2015 $59.99
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 dir questions to ` NC by calling 503.232.1987 or 1.800.332.2344.
lss d By: d I Permittee Signature: y-
0
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 AnnlicatiECEIVEi
Building Fixtures FOR OFFICE USE ONLY
City of Tigard JAN 2 0 2015 Received , ,'s flap/O
7/1
- 13125 SW Hall Blvd.,Tigard,OR 97223 Y � � Permit No.:�L,t���fJ`
Plan Review
Phone: 503.718.2439 Fax: 503 ��y: Other Permit No.:
Inspection Line: 503.639.4175 � F TIGARD
T I GARD i Ti�T/� t� (�* Date ReadyBy: tuna See Page 2 for
Internet: www.tigard-or.gov Rt1T1�1/ll\l DIVI.l�1Ilel Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
❑New construction ❑Demolition For special information use checklist
Description T 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
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:7867 SW Ashford Street Catch basin or area drain 18.76
Drywell,leach line,or trench drain 18.76
City/State2lP:Tigard,OR 97224 Footing drain(no.linear ft.: Page 2
Suite/bldg./apt.no.: I Project name: Manufactured home utilities 50.03
Cross street/directions to job site: Manholes _ 18.76 _
Rain drain connector 18.76
Sanitary sewer(no.linear ft.: ) Page 2 _
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
shower replacement
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
® PROPERTY OWNER I ❑ TENANT Expansion tank 12.51
Name:Paul and Joanne Taylor fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address:7867 SW Ashford Street
Garbage disposal 25.02
City/State/ZIP:Tigard,OR 97224 Hose bib 25.02
Phone:(503)6391912 Fax:( ) Ice maker 12.51
0 APPLICANT I ❑ CONTACT PERSON Interceptor/grease trap 25.02
Business name:Robert Fowler Construction Services Medical gas(value:$ ) Page 2
Primer 12.51
Contact name:Bob Fowler
Roof drain(commercial) 12.51
Address:18350 NE Baldpeak Road Sink/basin/lavatory 25.02
City/State/ZIP:Newberg,OR 97132 - Solar units(potable water) 62.54
Phone:(503)5505829 Fax::( ) Tub/shower/shower pan 1 12.51 12.51
E-mail:bobfewker01 @gmail.com Urinal 25.02
Water closet 25.02
CONTRACTOR Water heater 37.52
Business name:Robert Fowler Construction Services
Water piping/DWV 56.29
Address: 18350 NE Baldpeak Road Other: 25.02
City/State/ZIP:Newberg,OR 97132 Subtotal
Phone:(503)5505829 Fax:( ) Minimum permit fee: $72.50 72.50
CCB Lic.: 150987 ISA b Plumbing Lic.no.:pb705
Plan review (25%of permit fee) -
State surcharge(12%of permit fee) g.7C
Authorized signature: ! TOTAL PERMIT FEE g/-,2-G
Print name: ` Date: 1/13/15 This permit application expires if a permit is not obtained within 180 days
(r` after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
1\Building■Pmnits\PLMU-Perini 10/01/09 440-4616T(10/02/COM/WEB)