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Permit CITY OF TIGARD PLUMBING PERMIT .. COMMUNITY DEVELOPMENT Permit#: PLM2015-00353 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/20/2015 Parcel: 2S102CD00100 Jurisdiction: Tigard Site address: 9670 SW FREWING ST Project: Shiela Buchana Subdivision: FREWING'S ORCHARD TRACTS Lot: 17 Project Description: Adding a bathroom on the main floor,replacing 65 ft.of water service,and adding a clothes washer in the basement. Contractor: IMPERIAL PLUMBING INC Owner: FREWING STREET RENTAL LLC 1954 SW 35TH ST 5285 MEADOWS RD#171 GRESHAM, OR 97080 LAKE OSWEGO, OR 97035 PHONE: 503-515-1616 PHONE: FAX: FEES Quantity Description Date Amount 65 If Water Service 10/20/2015 $62.54 Specifics: 1 ea Clothes Washer 10/20/2015 $25.02 1 ea Ejectors/Sump 10/20/2015 $25.02 Type of Use: SF 3 ea Sink 10/20/2015 $75.06 Class of Work: ALT 2 ea Tub/Shower/Shower Pan 10/20/2015 $25.02 Type of Const: 2 ea Water Closet 10/20/2015 $50.04 Occupancy Grp: 1 ea Water Heater 10/20/2015 $37 52 Stories: 1 12%State Surcharge- 10/20/2015 $36.03 Plumbing Total $336.25 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Code an. all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started ithin 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adop ed b, the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- 90 You may obtain g cop of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. / / Issued By: \---1;� �� Permittee •Signature: _ �_A . I Add Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Alex 5037882733 p.1 Building Fixtures ,- ' ' FOR'OFFICE,liS! ONLY ' ' ., paw/ y: t. Pcnnil No.. 0 3 City of Tigard paw/By: b I �$' �S ,..a 13125 SW Nall 0Ivd.,Tigard_OR 97223 Plan Rcvicw Phone: 503.718.2439 Fax: 503.596.1960 Dare/11v: Other Pennu No,. 16GG is-00 yy�' TI'GAAD Inspection Line: 503.639.4175 Date Ready.By: Juric Ix7i See Papa for(�V Internet: www.tigard-or.gov NotifietVMetllod: .7X,0 Supplemental Informnliou i TYPE: OF WORK FEE" SC11N DULF. El ❑De nolition Ivor special Prformarinn use chct:filisr. K'ew construction Description t Ea. Total ®Additiolt/alterationirepIacemcnt ❑Other: NOV 1-2-Enmity dwelliugk rincludes ISO 0.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 313.70 o ❑Commercial/industrial SFR(2)bath 437.78 N I-turd 2-Family dwelling -- - SFR(3)both 500.32 ❑Aceesnary building El Multi-lamily Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler(___sy.tl.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Catch basin or area drain 18.76 Job site address:9670 SW Frewiny sr' Drywell,leach line.or trench drain T 18 76 CiR'IStule(7_IN:'i'igard OR - Footing drain(no.linear ft.: ) Page 2 Strite/bldg./apt.no.: Project name.: Nl, mtictured borne utilities 50.03 Cross street/directions to job site: Manholes i 13•76 rn. Rain drain connector I i.76 Sanitary sewer(no,linear ft._____) Page 2 . Storm sewer(no.linear H.' ) Page 2 .._- Water service(no,linear ll.:65) I Page 2 62.54 . Subdivision; Lot no.: :Fixture nr item: - Tux map/parcel no.: l3acl:flow preventer 31.27 _-. --- - Backwater valve 12.51 DESCRIPTION OF WORK Clothes washer I 1 25.02 25.02 Add a bathrnt u m un on the main hour.replb existing bathroom,add it washer box _-- 25.02 Dishwasher _ _ in the basement DrinkIne fountain 25.02 6:iectorslsump I 25.02 25.02 0 PROPERTY OWNER .__.._ I. ❑ TTENANT Expansion tank 17...51 - - - Fixture/sewer cap 25.02 Marne: - Floor dminifloorsink/hub 25.02 Address: Garbage disposal 25 02 CilyIState/ZIP: � I lose bib 25,02 Phone:( � � Ice maker 12,51 Ctax:( ) _ © APPLICANT ❑ CONTACT PERSON Intcrecptorigrenac trap 25.02 -. T Medical gas(value:E ) Page. Business name: 144,1- ' eit,,3�- /r tin() 1 • 'rimcr 12.51 Contact name: f ~/ l J ° v-° Address: i t, c 5(� �� Sink!basin/lavatory 3 25.02 75.06 LOA- City/State/ZIP: (pr'-13. L.,t,,,pt yam. ^ LOlt-- q 70U t/ Solar nulls(potable water) 62.54 -�y� r- y r Tub/shower/shower pan 2 12.51 25.02 Phonc:(S �1� ��1 (� Fa ':( ) _ Urinal 25.02 E-ntail: �'� � ��'L cid Ger 1,j I Water closet 2 25.02 50.04 CONT10ACTOR Water heater 1 37.52 37.32 Business name: imperisI pin mbing inc _ Water pipiltglllRrV 56.29 Address:1954 sw 35415:it Other: 25.02 City/Slide/ZIP:greshani or 970B0 Subtotal _....„300.22^ Phone:(503)5.151616 Fax:( ) Minimum permit fee: 5172.50 l - ---- / '- Plan review (25°A,or permit lee) CL'L3 Lic.:205817 gi?/!1 1?iun rg Lit no pt 1588 7(I(1 7 - -' � ; r. L---,-- Slate surcharge(12%oI'prmit fee) 36,03 Authorized Si)nature: TOTAL PERMIT FEE 336.25 >r fir`/'' F i I r J This permit application expires if permit is not obtained within 1841 days Print name:altx Itatku Date: 10177('l.> . slier it has been accepted as.complete_ ,'Fee inedtodulugy set by 711-County Building Industry.Service t3onrd. • • •