Permit Support Document (10) 111 CITY OF TIGARD mm PLUMBING PERMIT
- COMMUNITY DEVELOPMENT Permit#: PLM2017-00260
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/30/2017
Parcel: 2S102CB03600
Jurisdiction: Tigard
Site address: 10010 SW GARRETT ST
Project: HAUPT Subdivision: FREWING'S ORCHARD TRACTS Lot: 10
Project Description: BATHROOM. 9/21/2017: REPRINT permit to add 50'water service.
Contractor: BRUNER PLUMBING Owner: HAUPT, ROBERT ADAM
PO BOX 23985 10010 SW GARRETT ST
TIGARD, OR 97281 TIGARD, OR 97223
PHONE: 503-484-5105(CELL) PHONE:
FAX: 503-624-2173
FEES
Quantity Description Date Amount
1 ea Sink 06/30/2017 $25.02
Specifics: 2 ea Tub/Shower/Shower Pan 06/30/2017 $25.02
ea Water Closet 06/30/2017 $25.02
Type of Use: SF 1 12%State Surcharge- 06/30/2017 $9.01
Class of Work: ALT Plumbing
Type of Const: 50 If Water Service 09/21/2017 $62.54
Occupancy Grp: 0 12%State Surcharge- 09/21/2017 $7.50
Stories: Plumbing
Total $154.11
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 By: rjd Permittee Signature:
tf✓ 7"704/
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 A.npiieation
Building Fixtures .t)E 4 h'
1?.)1. (?1''. I( 1 1 `,r. ti\'.1
City of Tigard t� p teB .r,,;2///7 0"t x`1 ,0/7°,5 6 O
r -,---
__■ 13125 BW;Ha11131vd4 Tigard;,QR'.9r72223.;J •. ZO 1 Plan Reyiew •
; .:503.718.2439. Fax:'5113:598196 ; i1. r Dste/kty: • 0tbec Perot t No.:
•
' ;r l .•',:7rispactioli Line: SO13.639A175 .. CI (...)1- 1'%NJ/ % #- DateReady/By: lw 1a; lib See Page 2 rbr .
lufie►xtet WWW tigat4 of gov I i) 5�3 g °4 Notf6ed/MetLod mental Information
LLy \ LM C L 1
• L..,4:��. . ; i.,,, '� , M1 J � 1. _,y� 1 th,! ,s C r ,�+� .. .. .. ..- C . S + . :{ i. - `rA,-if,rr W -, +"v
0 New constriction 0 Demolition " For
special
rrlfarrnamion use checklist
_ Description I Qty. .I Ea. I Total
ID Addition/alteration/replacement 0 Mgr:, New 1-2-family'dwellings(includes 100 ft,for each utility connection)
w r << .,: u+ a,; SFR(1)bath 312.70
SFR(2)bath 437.78 -
D 1-and 2-family dwelling D Comn,exoasIi1ndtistriat —.
SFR'(3)bath 500.32
0 Acccsioky bhulduig ' :0 Multi-fatnily
•
Each,additionat bathflatchen 25,02,
❑Master builder D Other Fisc sprinider(..._s9.ft) ' Page 2
r
' .;',.&,''..72,r, + i� )I < f a"r;,::‘,.:':,'..- ';' ,..+ YnLf� ,,, -.• sire utilltles: —
.fob site address: Q�1'b s R ,Q, T3--� Catch basal or area drain 18.76
Drywell,leach line,or trench drain 18.76City/State/ZCp:`�".t:(A1� Dr1tfA /.1Y1 ' 1 Z
( Footing drain(no.linear ft,: Fags 2
Suite/bldg apt.no.. •11ti'rojc '-1+e: - Manufactured home utilities 50.03
Cros
job ioila to site: Manholes 18.76
Rain drain connector 18.76
' Sanitary sewer(no.linear ft,:_ ) Page 2
•
;. _ I
Storrs sewer(uo-linear ft.:,__) Page?....
Wa>er service(no.linear$.: ) 1 Page 2 !/1 V-iIi
Subdivision: Lot no_• • Fite or item: :
Tax map/parcel no.: ' .;aaekklow pFeventer.. :31.27;
S(3tF"� ��C , afu T7 7 -2 , r. '�•"r a•cicataterv�lva'
��.� �;� � '(- '� " 25,02
lo-4-e.4/. •�' tl;..l'4,, . eels 1 . .1Dalhwa,hir .., 25.a2
` `2-6 . :
. „ ill—0,0(2-6D Q Driltking Fopntaw
��rvu � .�f ��5�2;
E)eCCtirs%suirip 25.02;
u " n'. r u+ Expansi0nrank.i�''i }` ,' 1251 -
T �7Name: Fru+e/sewercap. 25.02
TFloor'drainigborsitar/hub' . . 25.02
Address:. - ...''25,02
Garbage disposal'
City/State/Z�: Hose bib. 25.02
Phone ( ) Fax ( ) lce•malret 12.51'
s l r ,,,±,-.,;:,r,-71-17,-,:—.7747174.7:7:77.:77,::r + } ;7 ante tose iyY�.bT 25.`02,
ry.t;i ti;: S__._.. . , 1..,,,-,.,,,',---,,.. v v,.. .. ....� i [/t 5
Medi a1 gas.(value:$_)
Page 2.,
Primer••
12.51
Contact name: . . . Roaf'dihm'(commercial) 12:51
Address: ,::: ..,'. ,S'inlr/basinnavatory _ .
02
City/State/a2: . - Solar.units(potable.water) 62,54
Phone:( ) • Fax:;( ) Tub/shower/shower pan 12.51
Drina( L
Frn�a14 ait r cloact 25.02
W
_ w, _ ...,.*ter. . . . r
Water heater 37 •.52 4I1 �,,.._ .
�Bush:was e j �'� • cur_ dp-NQ
Waterpiping/DWV - 56.29
fin/ �J qj .• '25.02
Address; , T � � li� .L�� Other; ..
' City/StateziP: ..-7,-. . .-8, 9 7 2.g Subtotal IDZ
/ Minimum permit fee: $7 .5 W
pone•;(b�< (p� 03--(22/-4.-7,..
-`+-tr e„r (12%of rmit fe
. ..- ., .-f"� Pian
CCBZio:: �, �� • �� .. ._ Stare,
... . : .. ..... . .. ems. 6)
Authorized si�ature: t TOTAL PBRMTI F$
�:,1
a.Fee penult
meapdob it y betel h�ormL7 e is dco'eh eitlea Nettbin.180 days
•
�r.�.�� r�-{•u��+'� nam- ,r/ /�7
Print name! r // - G f`1 !. . atter rt b Tri-County
g In uattY Service Board.
rJ) 1u.i-c.li r-t� CO' '
IABuildiag1Permit Pl.!U-PwAhltA P.doc 10101/09 440.4616T(10/02/COM/wBB)
q CITY OF TIGARD momPLUMBING PERMIT
III
' > COMMUNITY DEVELOPMENT Permit#: PLM2017-00260
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/30/2017
Parcel: 2S102CB03600
Jurisdiction: Tigard
Site address: 10010 SW GARRETT ST
Project: HAUPT Subdivision: FREWING'S ORCHARD TRACTS Lot: 10
Project Description: BATHROOM. 9/21/2017: REPRINT permit to add 50'water service.
Contractor: BRUNER PLUMBING Owner: HAUPT, ROBERT ADAM
PO BOX 23985 10010 SW GARRETT ST
TIGARD, OR 97281 TIGARD, OR 97223
PHONE: 503-484-5105(CELL) PHONE:
FAX: 503-624-2173
FEES
Quantity Description Date Amount
1 ea Sink 06/30/2017 $25.02
Specifics: 2 ea Tub/Shower/Shower Pan 06/30/2017 $25.02
1 ea Water Closet 06/30/2017 $25.02
Type of Use: SF 1 12%State Surcharge- 06/30/2017 $9.01
Class of Work: ALT Plumbing
Type of Const: 50 If Water Service 09/21/2017 $62.54
Occupancy Grp: 0 12%State Surcharge- 09/21/2017 $7.50
Stories: Plumbing
Total $154.11
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 By: �/ / s > 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 FixturesFIECiV tr)
4.ii.— - ,, - 1 uk w ] H. i ,1 ,,,,! \
,.,
Tigar
13125 SWQR7223 ,
City of Tigard
Hall'Blvd.; 9 ' -
, • itr. " phone: 501218.2439 Fix:'503.598.196,9„,SEP, 2 1 7.(1. 11-,,, DaPDgelaReee'vedlante43'y7 evt.r'2 //. 1 7 -(.Cg(11------ :w1:131'14:
m4:7°-'øZ/7
--all'26 0
Iii- 1'&A111 /
.,'Inspection Line: 503.639A175 CI'i Y —: , ..,..; Date Ready/fly
lads: lid See Page 2 fbr
,_
irdnillel: otww.tigard-or.gov I 1 f,,) c.,: rvisl; , Notifiedadethod: Sn.. mental Information
,.•_...--..,. ..,—„., _-'_,„-;. _.r.i'.'-._,-7,,'•,,,' ..1.' ---i-,. ---,_,-;.?;;' '-',.:•-•;:':•::'.: '7 ,:.17,.' "',"et-,',:6-•".r:t-'-":..-...';'-';',''f'4-4:';'---•;-1-, ,,,-,..,_0',p:,',Aktilf,,,t,.i!,,,ti(::::::,,e,,.?:.f.,;:21.-, ;;.-J ‘C. -
Ljr-i 1—: 1-• . For special thformation use checklist
o New construction Lj Demo mon
Description I Qty. I Ea. I Total
El Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includca 100 ft,for each utility connection)
',';',-'1;`•,3-'1-• ,--,,'' ''''---•''"'''"'-•': ''''''''';'' ;:'' •'I'' ''','''''}'-:'5'' '.,-' --."6' ,-,, ,f--`-,:i-±"' SFR.(1.)bath .31210
SFR(2)bath ' 437.78
El 1-and 2-family dwelling 0CeatrO:ereialfil1chrstrial
SFR(3)bath 500.32
El Accessory building ' El Mu10-family
Each,additional bath/kitchen . . 25.02
•
El Master'builder Fite sprinkler( sq.ft.) Page 2
-,..,,''',.': ,'"' .:•',.'6"'', I'.!,,,, i, !I:-,;' ''1'1'('1:-;L4.,''4A.,?,.,;•''•,`'42;'',.rfe: Site etiftilere
Job site address:\oD\A\cs, fArrtt 18.76
,
Drywell,leach line,or trench drain __-•
18.76
City/State/ZCP:171 bkr 1 i If/ II flil ° 1 123 Footing drain(no.linear ft.:_) Pa,ge 2
SurreibldFAPLIFa.; . . ' rc.l. I-!to: Manufactured home utilities . 50.03
--.—
Cross strect/clirectiotia to job alto: • Manholes 18.76
Rain drain connector 18.76
..
• ' Sanitary sewer(no.linear ft.: ) Page 2
• Srerm sewer(ro-linear S.:. ) .Page 2.
_ Water aervice(no.linear ft ..) Page 2 •2 .
r Subdivision: Lor no:. . Fixture or item: : , . -
.
.Aaelreew Preleater .31.27:
Backwater
'
Tax map/parcel no.:
,:i",..':^!,7::1:7.:-:"'',•`--'''''-',I,,,"- ''-:- .1- 'I,'' -"," '',:'' ' ' .. ' ,,,--t-.1,'',,.--'',,,-,..-1.-....--' (.:- ' • - - - - '
'..,•,,:..1,..,_-,_`:-,,..1.--,.FE---,L.':- -_,_..‘2, ;:-1 .'.......1,_:.,',.--,-;., ..,,.. - ' --,••','„,",'„-• '•-' '•••'-'' ''''''• :-'-.'", „ ',*, . ,,clothes..wolop ; , .. .. , 25,02• •
fil).••0`t ts ., ... ••-tii,.i,;‘,...i, ••':,•, ., ' • 2 .42.
il•eirVVV.r A)L-AA ID rl-00<2-6o ' Drbilting fountain
,
EfectOrthaiinp•• 2502
.:.
,,Pc.,7,17:1:,r.,--77,17:::-,-: ',--r;'- ',":: -7;;X'•.':-.v.::.i %,.•:''-.,,:;-1.:.6j'T.'F".1.1-'7:7.--7777-77z 77. Expliii•niiic . . 12.51
t-'1,-'`,5',,-.P-','',77.1 ',' '.,..' -.'''.-,' ' .' 4.4-1'..-.r. '.6.. ,,-,1' iz;,.-- 7._0 - ,2', `,.. ',-r... •', . '—' — .' . , , .
Fbue/sewer.cap 2502
' '• • ,...
FlOor'drainifient sidt/bub . 25.02
Garb*disposal
• . 25,,02
City/State?Zr?: Hose bib 25.02.;
•
Phone:( ) Fax:( ) • Ice'maket
',e'r'i''r,i1:',-1;.",7;:•1>•`•;-"; "1,;' ", . -;"-- 77-777.77,7. -7:-.•:_, .;._.„.., liger.coptotigrcoe 4,4, - .25.02
Page 2.'„,
,
-. Ptlnier
12.51
COntact narnel : ' • • • • • . ' • . Roof'drain(commercial) 12:51
, . .. . ... .
Address: Sink/basin/lavatory . . .• 25.02 •
City/State/ZW: - Solar units(potabk water) 62,54
Phone:( ) 1 Fax :( ) . Tub/shower/shower pan 12.51
• - - . - , . •
E-mail • 25.02. •
... 11Maf
: .
25.02 . 1
ti;,,r1:;F•';'•:,,,,q7.".., „,,.:;-:'F/'''”•, ,• '- --,,:.'..- . 1:,,•:•-, :.;,i:.;::',,
37.52
Buskessnanae: . v\fAr Lk_vyk_ •
•111. Watet piping/DWV • 56.29
• Adchcse: ' t NZ, 'ZIS I gc ,. Other; . '25.02
' City/State/7IP: -- 1-4.4.,v-ck 0_1Q, -9—7 2,g 1 . .
Subtotal
,
- • Minimum permit ke: $72.50 WiAM
FlIone:;,(g43) k,,VL-
V, t,(1). .;. . ., )FaX:.,( )3-k,'2:4•-?,t 7. , - . .. .
.. .„ PIAT,I.review 5%ef Ren *ft) ' • •
• . , .
CCB Lio.f' i,(K, 7 ' ' ' ' '' ''Phitrdiing- ‘lie•no•:'17,-sit- -44.4-sTF,.. , - . Stale surcharge(12%of permit fbo
Authorized signaturifitA ni , . . , .
' TOTAL P131111+BT.FEg
Bate
0.,,Lif -
c7c...., x sr- .
- di '2 i•I .7 permit application expireiif a pump*is riOt allitr;kett WithlkI80 days
Print reuxilai •'Mkt • oiler it has been accepted as complete.
-Z ..... .. . Feeamethodology set by Tri-County ElOildhig Industry Service Board.
...
hflt.A,a,--, b4i-L-L, „ , c
i .ding.... . , w,
1, .... „,n, „,.doe 10/01/09 • 4404616T(0/02/COMMSB)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10010 SW GARRETT ST, TIGARD, OR, 97223
Record Type: Record ID:
Residential - Plumbing PLM2017-00260
Inspection Type: Inspector:
399 Plumbing final Don Sylvester
Result:
PASS - NoCofO
Comments:
1 . Correction's are complete, plumbing final approved.
Violation Summary:
Inspector Contractor