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Permit (67) ,, CITY OF TIGARD PLUMBING PERMIT 11111 I, COMMUNITY DEVELOPMENT Permit#: PLM2016-00405 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/02/2016 Parcel: 1S136CA01500 Jurisdiction: Tigard Site address: 7705 SW PFAFFLE ST Project: Hawthorne Villa Apartments Subdivision: None Lot: None Project Description: Install two water heaters in the laundry room of Building E-Location 1 (permit issued to office address of 7705, Building E address is 7709) Contractor: B&G EXCAVATION&PLUMBING LLC Owner: KRUEGER, RICHARD 4241 SE 136TH JIVANJEE, SAJ PORTLAND, OR 97236 21001 DAIRY CREEK RD NORTH PLAINS, OR 97133 PHONE: 503-761-2038 PHONE: FAX: 503-762-6710 FEES Quantity Description Date Amount 2 ea Water Heater 08/02/2016 $75.04 Specifics: 1 12%State Surcharge- 08/02/2016 $9.00 Plumbing Type of Use: MF 90 Investigation Fee 08/02/2016 $90.00 Class of Work: ALT 11 Investigation Plumbing 12% 08/02/2016 $10.80 State Surcharge Type of Const: Occupancy Grp: Stories: I i Total $184.84 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal 1 9Code, State of OR. Specialty Codes and all other 9P ty 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 By: -- le Permittee Signature: id I' 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 ApplicatC�'r'cn Building Fixtures lrfi CL1 FOR OFFICE I SE 0\1,1 Cl of Tigard AUG 2 2016 Received 1114 III g Date/By: �� Permit Nv�z/��p/6 Q� 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503 Date/By: Other Permit le Cie �/�©I?J';i Inspection Line: 503.639.4175 '' �A'F+TIGARD TIGARD BUILDING DIVISION Date ReadyBy: Juris: Et SeePage2for Internet: www ttgazd or gov V 'V Supplementalform Noufied/Method Information......., on El New construction I=1 Demolition For special infomullion use checklist. Description Qty. Ea. Total 1% ,ddition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) '�' ➢` 1'#ate/ s#.a" 1 4,� a/ oN �/ Wyss SFR(1)bath 312.70 ❑ 1-and 2-family dwelling Commercial/industrial SFR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR(3)bath 500.32 Each additional bath/kitchen 25.02 El Master builder ❑ Fire sprinkler( sq.ft.) Page 2 \..s �,- Ill 1 J'' F Other: L t ATT 1 i" Site utilities: Job site address: �D /� Catch basin or area drain 18.76 S` / / ,/ fir Drywell,leach line,or trench drain 18.76 City/State/ZIP: .-^7 //,4 4, v � / W Footing drain(no.linear ft.:_) Page 276 Suite/bldg./apt.no.: I Project name:.//,.. 77- -� v/2�� k1ifL� Manufactured home utilities 50.03 Cross street/directions to job site: HGt�`/ 7 J Manholes 18._7 Z Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 9A.5-' Q��d C� Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision: Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 dot I " Backwater valve 12.51 ... , � ,.a 04/: Clothes - ' 9 Q o es washer 25.02 / 'r`� / �� -- bl e J Dishwasher 25.02 �G-C it/ `- /� _,I)(1/i..-..1 A' G��r - Drinking fountain 25.02 / /t FJ. .79","'72-77A7-A/73- G / Ejectors/sump 25.02 -,x' 4 1 E a'''''''''Y''''' 1 ' ' \11:11L :, ® y \\ ` ,• Expansion tank 12.51 kk Name: Fixture/sewer cap 25.02 Address: Floor drain/floor sink/hub 25.02 Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 i C /• X11 s ► 1/> n erceptor/grease trap 25.02 Business name: Medical gas(value:$ )I Page 2 Contact name: Primer 12.51 " Roof drain(commercial) 12.51 Address: Sink/basin/lavatory 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax::( ) Tub/shower/shower pan 12.51 E-mail: Urinal 25.02 /'i�1 /�� Water closet 25.02 Water heater Z. 37.52 75.43 y Business name:3i4 EyG,v� e,,,),,/ /9/,,,,,o, L`� Water piping/DWV 56.29 Address: �t 4'�! � 70 ,eV '( �l s !� L_ TaSOther: j/JIi T/G T1Cnj /'-Ec 96,0 -241°Z /p.C`1 City/State/ZIP: p-r l,b( 0 q 70->?� �' l fO S ubtotal j S* D y Phone:(t' ) 76 f_�D 3 Fax:( ) Minimum permit fee: $72.50 /� Plan review (25%of permit fee) CCB Lic.: 76��3 Plumbing Lic.no.: /9/6 /23State surcharge(12%of permit fee) .L7) a /p . G Authorized Si " �j-�L / TOTAL PERMIT FEE /O t Print name: /Or (.41 C 1- Date: �2/a This permit application expires if a permit is not obtained within 180 days C/�" (VVJj�j. after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. 440-4616T(10/02/COM/WF.B) I:\Building\Permits\PLMU-PermitApp.doc 10/01/09