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Permit Support Document CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT t nPermit#: PLM2017-00175 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/15/2017 T[�t't8. 9 !waxing Parcel: 2S102CA00301 Jurisdiction: Tigard Site address: 9780 SW FREWING ST Project: SEWER TAP Subdivision: FREWING'S ORCHARD TRACTS Lot: 18 Project Description: TRENCH 70'OF SANITARY SEWER LINE AND RE-ROUTE WASTE UNDER HOUSE.ADD BATH LAV SINK AND MOVE WATER HEATER AND ROUGH IN NEW SHOWER VALVE.5/22/17,REPRINTED to add(1)clothes washer,(2)hose bibs,(1)lay,(1)tub/shower&(1)water closet. Contractor: PRO PLUMB Owner: O'LEARY, DAWN 4125 SE 102ND AVE 21487 SW ROELLICH AVE PORTLAND, OR 97266 SHERWOOD, OR 97140 PHONE: 503-867-5042 PHONE: FAX: FEES Quantity Description Date Amount 70 If Sanitary Sewer 05/15/2017 $62.54 Specifics: 1 ea Lavatories 05/15/2017 $25.02 1 ea Water Heater 05/15/2017 $37.52 Type of Use: SF 1 12%State Surcharge- 05/15/2017 $15.01 Class of Work: ALT Plumbing Type of Const: 1 ea Clothes Washer 05/22/2017 $25.02 Occupancy Grp: 2 ea Hose Bib 05/22/2017 $50.04 Stories: 1 ea Lavatories 05/22/2017 $25.02 1 ea Tub/Shower/Shower Pan 05/22/2017 $12.51 1 ea Water Closet 05/22/2017 $25.02 0 12%State Surcharge- 05/22/2017 $16.51 Plumbing Total $294.21 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 q tions to to UNC by calling 503.232.1987 or 1.800.332.2344. �r Issued :y: Permittee Signature: 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 Application Building Fixtures RECEIVED City of Tigard Reeoived �A t d 5 Aon 1 7 Penni!No,: M 13125 SW IJBIvd,,Tigard,OR 97KAY .I $ 2017 linfeIlly: /lam 7,...09/75-' . an RovI ' Phone: 503,718,2439 Fax: 503,598.1960 tDuoJBy: Other Permit itNo.: Inspection Line: 503,639,4175CITY OF TIGARD tt;AliIitoReayy: ruin! RI see Pogo 2 for Internet; www,tigard-or,gov IL iIf k. I 0 k Notifls I/Mcthod: Su i»Ninentnl information N ,,, ,,i '� r :!',:. ;'It. ' ,�,� Az.,Webb" i{��i +, M'�1Nv 1 ,..A7''',..,',;41,41::041',i t'I'I'' Hatt z Ix fig ; ,h', ia1 ell f,:','.4 :h V": ++ k!`\,`z'1', ti"t" 1d� FMI.'t:4:""$r 1.lM7N�F 1� Al,d MwA a " .,t �,a�r . r;z„a L I n Aw "'” J, " d �: .- � ,;: '. 1 ytd4, �'.9ta"1(S.•r If 0 New construction 0 Demolition For speelol',Vanua'in use checklist. LRYAddition/alteration/replacement 0 Other: i New I Qty. I Dia I Total 1.2.fumily dwellings(includes 100 ft.for onoh utility connection) P"r + SFYy rr�',4'd"LK�A1�,y,�r�*r9 r, �r)mi �'`!T Sit ' "m' 1 , .. t�1,)�l�1�� �.�' ��`(45�:' :,t,4''.Lk.t. _ 1t 'th.A`, ', f ��•y�g,y� ( R, Ik I'.%,A ath 312.70 94 1e„1, t� .��,,,jl .. y I f t� .4.,A'kl t:r,Li i,,jl'.,i, •,,,,,,,,,ASFR(I) 1-and 2-family dwelling 0 Commercial/industrial SFR(2)Nath 437.7K El Accessory building 0Multi-fancily SFR(3)balk 500.32 Master builderEach additional bath/kitchen 25,02 0 Other: rite spier( sq.R,) Page 2 Ar 1 � , k &j, 's�..a'!+ i hrRr'l.,', l rp,,.M 8 f, �1 d tl' %j r'' ' r r+ klt� � ht�a it.� .7=t17 � � ?'` Site utilities: Job site address: 1 1 t.) 3 t�1 e wi,�e S-1-- Catch btisin or arcane drain 1876 City/State/ZIP: -F it ct 1 � Drywcll;leach line,or trench drain 18,76 t 1Vooting irnin(no.linear R,:_) Page 2 Suite/bldg./apt,no,: d 1 Project name: C /L gg(L Metnufitlturcd home utilities 50.03 Cross street/directions to job site; !ij +Manholds 18,76 P � 1_ r Main drain � �-connector 18,76 1� Sanitary sewer(no.linear 11.; 1'nge 2 A - "i d.. rc�in.wrS-VA I,illAKtnimmisoNMI/r. �... ... . ,. .-,,:.Ai: %Ir' _ Stone sower(no.linear il.:„W_) Page 2 A Water se!rvlee(no.linear ft.: ) Page 2 Subdivision: ?Lw \I-01-1- 061 Lot no.: xturc r item Tax map/paredno,: I3ncpreventcr 31.27 M+'u ,�y,+i��k"`e,(t.r F'�+ ,;)rli i l ,, Stir 7} , ` o',,l• ,r' .,l'. LIACkWoler valve 12.51 Clothes washer l 25,02 1.-5"....02.-) T Dishwasher 25,02 Drinking fountain 25.02 Ejectors/sump 25,02 F h" ' ',,:'' Expansion tank 12,51 ,a��.r 13+ s a � , ,A 41f,»,•h4l�ldi���d"l6t.A.�., a^n h.l...,ti,•:,ux(,.,A.,",�.,i � d.i,rr ,,lt..kl<< ,.t,+ 1.c,. .'"�^I,ti: r.,.,jfi' Name: l )P-(..)..) .) © t L f ri-(Z.`y Fixture!�cwer cup 25.02 — 7 Floor drain/floor sink/huh 25.02 Address: . Garbage disposal 25.02 City/State/ZIP: tlosobib 25.02C�Q.DL..1 Phone:( ) Pax:( ) lee milker 12.51 . �y . ''11l' 71 ♦AI' � Y ',1) r% ',to;I\ LW ' .' lntcrce!tor/Brease trap 2S ,02. •l• 1 ' : r Business name: Medical gas(value:$_ ) Page 2 -' , Primer 12.51 Contact name: - Roof drain(commercial) 12.51 17,C..7-- Address: Sink/basin/lavatory , ' 25.02 L' 1- City/State/ZIP: Solar units(potable water) 62,54 *NEL Phone;( ) Fax;;( ) Tub/shower/shower pan - I 12.51 12.' I E-mail; /�� Urinal 25.02 ,Wc(aw7,,.(,t4 ., N .4r. S G, S tA� ¢'Fav�'4 °71*,:;K , �� t5.t Watel'Closet i 25,02 2, ,2 1. ,,,,a...l•1.7 .,,,_":, .:,Cv tnAboa �W+ t,4 ,1 r !„4,,..:M4,,,:4'„R r ,, t; v, •°" Water heater 37.52 Business name: The2.42Eusi"k .tV LA.) Waterp P i ing/DWV 56.29 Address: ,-LC7P(1-CP se I.‘0. J(A.'Lk- 6, Other: 25.02 - 1.11City/State/ZIP: ,,,.E.l avt.3 0a.- ti`11.USC _...__Subtotal -lid Phone:SO,cL. Fax; L Minimum permit fee: $72.50 I g CCB Lie.: Plan review (25%of permit the) _ I�s ��1- �s Plumbing Lic.nil /! I Sltlte surcharge(12%ofpermit lee) r_, cm. Authorized signature. � Gv'�-' 'rOTAr.PERMIT FEE 1,,, Z, ,.�1 17 Print name: t,t,(,VI ILS 411.t.1, t/ DOte.c1 1 r J/1 This permit application oxpiri,'s If n hermit Is not obtained within 180 daysJ ' ���' l (1 after it has been nerepted es complete, };t -J "Fos methodology set byTN-County Building Industry Service Board. i:\aolldlostOnmlts\PLMt1-ParmttPaittlor 1o/oi/e0 44e.4410'r(I0/02/COM/Waa) T /T •aD1d 'OC96TLCOS MN geeT3o,1d NV 6b=80 LTOZ-LT •AEW City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 9780 SW FREWING ST, TIGARD, OR, 97223 September 26, 2017 at 10:07:47 AM Record Type: Record ID: Residential - Plumbing PLM2017-00175 Inspection Type: Inspector: 399 Plumbing final Don Sylvester Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor