Loading...
Permit CITY OF TIGARD PLUMBING PERMIT I COMMUNITY DEVELOPMENT Permit#: PLM2015-00327 Date Issued: 09/29/2015 T IG,ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S126CA00500 Jurisdiction: Tigard Site address: 9185 SW HALL BLVD Project: US Bank Subdivision: FAIRVIEW PLACE CONDO Lot: 20 Project Description: Replacement of approximately 65'of water service. Contractor: APOLLO DRAIN& ROOTER SERVICE Owner: PPR SQUARE TOO LLC 2208 NW BIRDSDALE#8 BY US NATIONAL BANK OF OREGON GRESHAM, OR 97030 ATTN CORPORATE REAL ESTATE-TAX 2800 E LAKE ST MINNEAPLOIS, MN 55406 PHONE: 503-239-8801 PHONE: FAX: 503-669-9568 FEES Quantity Description Date Amount 65 If Water Service 09/29/2015 $62.54 Specifics: 1 12%State Surcharge- 09/29/2015 $8.70 Plumbing Type of Use: COM 10 ea Minimum Fee Adjustment- 09/29/2015 $9.96 Class of Work: ALT Plumbing 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 B1Z B}: Ce„/1 Permittee Signature: ��'�cjj�J 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. Sep. 25. 2015 4:54PM No. 1098 P. 1 Plumbing Permit Application Building Fixtures RECEIVED FOR OFFICE USE ONLY City of Tigard Da icBea 9.19�i jo PermicNo,: /I4€V5=CL1 -2 v 13125 SW Half Blvd.,Tigard,OR 9 2 S 2015 Plan Review 1 : Phone: 501718.2439 Fax: 503.598.1960 OtherPennilNo.: Date/18y: Inspection Line: 503.639.4175G'ITY OF TIGARD Date Ready/By: JWis: El $ee Page 2 for Internet: \BI o I DING DIVISION Noti eaMegod: O , Supplementriniormron•I n O1? WRD ' • E r)UL -•❑New construction ❑Demolition ___ For special information use checklist. Description I Qty. I Ea. I Total ®Addit ion/alteration/replaccmcnt ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF'CONSTRUCTION .; SFR(1)bath 312,70 C1 1-and 2-family dwelling el Commercial/industrial SFR(2)bath 437.78 . SFR(3)bath 500.32 CI Accessory building 17]multi-family Each additional buth/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.fl.) Page 2 JOB SITE INFORMATION AND LOCATION Sire utilities: Job site address;9185 SW Hall Blvd Catch basin or area drain 18.76 City/State/ZIP:Tigard OR 97223 - j Drywall,leach line,or trench drain I 18.76 Footing drain(no.linear ft.: ) Page 2 1 Suire/bldg./apt,no.: Project name:8111.689 C.t' /3-,.)/1'1 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.:65) � 1 Paget 62.54 Subdivision: Lot no.: Fixture or Item: Tax map/parcel no.: Bacldlow prcventer 31.27 DESCRIPTION OF'WORK Baclnvatcrvalvc 12.51 --- - ---- - ° ___ • - __--L Clothes washer 25,02 Replace approximately 65 feet of water service. -Dishwasher 25,02 Drinking fountain 25,02 Ejectors/sump 25.02 ❑ PROPERTY OWNER ❑ TENANT Expansion lank 12.51 Name:US Bank Fixture/sewer cap 25.02 - M - Floor drain/floor sink/hub 25.02 Address:9185 SW Hall Blvd --°-�•�~--- Garbage disposal 25.02 City/State/ZIP:Tigard OR 97223 Hose bib 25.02 _ Phone:(541)8488762 Y -- Fax ( ) Ice maker 12.51 ❑ APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name.Apollo Drains&Rooter Medical gas(value:S ) Page 2 - ` -- Primer 12,51 Contact name:Jason Fisher Roof drain(commercial) 12,51 Address:2208 NW Birdsdale Ave Ste 8 Sink/basin/lavatory 25,02 City/StateiZlP:Gresham,OR 97080 Solar units(potable water) 62.54 Phone:(503)239-8801 Fax: :(503)6699568 Tub/shower/shower pan 12.51 E-mail:plumbing®apollodrain,com Urinal 25.02 Water closet 25.02 CONTRACTOR Water heater 37.52 Business name:Apollo Drain&Rooter Water p 1 p i ng/ V DW 56.29 V V Address:2208 NW Birdsdnle Ave Ste 8 _ Other: 25.02 City/State/ZIP:Gresham OR 97080 Subtotal 62.54 Phone:(503)2398801 Fax:(503)6699568 Minimum permit fee: $72.50 I 72.50 Plan review (25%of permit fee) , 6i....... CCB Lie.:49418 n Plumbing Lie,no.:26-533PB /`/f State surcharge(12%of permit fee) 8.70 Authorized signature: G���� TOTAL PERMIT PEE Print name;Stefani Banc ni Date:09/25/2015 Thls permit appticadon expires if a permit is not obtained,rithin 110 days after it bas been accepted as complete. *fee methodology eel by'Ai-County Building Industr}Servica Board. ) 1.\Bm:Sng•Permu:,PL11U-^emrArp do: 100:;09 440.1616T(1o'02/CoMnvea) 4 x / - n 'Sep. 25. 20151 4:55P Nor 1098 . P. 2'... „< •■ :i 1. ( .= �1� r1,4,:%'••) . — FYI/-fci0tf t flog- : '� :,', V� � '�� t°y, y t ,..J.., .. 1f.add. Ei,= ) .. 1 1 a�° 1 1 !1 I • • } ' tin • 4"'k....' Y ). 14 g;24.,.._ , h• ,:• 5.I,Ff' 3Pti ;�a - ... i ;�.,y 1 C b' .. 11.. ! W nwGRa" i ::S .p rr L � 5 41 4 tt;d ewT 1'�' •' .-♦.._ ..._ —.•V - yy~�� rye ise. Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 9185 SW HALL BLVD, TIGARD, OR, 97223 Commercial - Plumbing 399 Plumbing final PASS - No C of O October 7, 2015 at 10:53:39 AM PLM2015-00327 Don Sylvester Violation Summary: Inspector Contractor