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Permit (97) INq CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT Permit#: PLM2018 00235 TWAkt D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/16/2018 Parcel: 2S111CA13700 Jurisdiction: Tigard Site address: 9685 SW SATTLER ST Project: FURLOTT Subdivision: DARMEL Lot: 12 Project Description: Backflow preventer for irrigation. Contractor: INNOVATIVE LANDSCAPING Owner: FURLOTT, ELIZABETH L/RODNEY C 9630 SW OMARA ST 9685 SW SATTLER ST TIGARD, OR 97223 TIGARD, OR 97224 PHONE: 503-670-7632 PHONE: FAX: 503-670-7532 FEES Quantity Description Date Amount 1 ea Backflow Preventer 05/16/2018 $31.27 Specifics: 1 12%State Surcharge- 05/16/2018 $8.70 Plumbing Type of Use: SF 41 ea Minimum Fee Adjustment- 05/16/2018 $41.23 Class of Work: OTR 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 ',OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you : follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-5r90. You may ob -' a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: � Permittee Signature: / i Call 503.639.4175 by 7:00 a.m.for the next available ns s tion date. This permit card shall be kept in a conspicuous place on the job sit= ry{il completion of the project. Approved plans are required on the job site at the ti a each inspection. Plumbing Permit Application Site Utilities FOR OFFICE FSE O\L' IN - City of Tigard iev Received '41 13125 SW Hall Blvd.,Tigard,OR 9� Date/By: S ," Permit No.: / _ Phone: 503.718.2439 Fax: 503.59 1 0 r `lp1U Plan Review '� �� �_`� Inspection Line: 503.639.4175 �A P� Date/By: Other Permit No. ,^,` g pyo T I G A K D p 1V` �Date Ready/By. j`�'�' �®�W Internet: www.tigazd-or.gov �� A\O ©ytified/Method. kris I Supplemental Page 2 Informationnr TYPE � O1 {IS Vt 0 New construction 00 ON VIS special information use checklist ddition/alteration/replacement Description I Qty. I Ea. I Total ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY UP CONSTRUCTION -` SFR(1)bath I 1 312.70 .;14.4.-and 2-family dwelling 0 Commercial/industrial SFR(2)bath ❑Accessory buildingSFR(3)bath 437.78 0 Multi-family 500-32 ❑Master builder - Each additional bath/kitchen 25.02 0 Other: Fire sprinkler( sq.ft.) Page 2 JO13 SITE INFORMATION AND LOCATION Site utilities: Job site address: 9 65-- y ,4-. l@f.. Catch basin or area drain City/State/ZIP: i b cf?4 N.o,� ot z_� Drywell,leach line,or trench drain I I 18.76 Suite/bldg./apt.no.: Project name: Footing drain(no.linear ft.: ) Page 2 ��� ® 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 Subdivision: Water service(no.linear ft.: ) Page 2 Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer i31.27 3 1 l) 7 Il'F RIPTIO1Y WORK Backwater valve 12.51 �L-- _10VJ Clothes washer 25.02 �C `" -) Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump lia 25.02 PROPER (omit 0'TENANT`, ' Expansion tank 12.51' Name: c �� � *r' ,.,t j„��� Fixture/sewer cap 25.02 Address: r�,� t-�•l�l(C�h� , Floor drain/floor sink/hub 25.02 City/State/ZIP: -' 414V. 1 �� r 1=Jv��' Garbage disposal 25.02 Phone:( ) Hose bib 25.02 Fax:( ) Ice maker 12.51 AP)P'LICANT_, CONTACT PERSON ,- Interceptor/grease trap 25.02 Business name: 1.1 --) l l�i - ,9 C� 11 p t ', k Lam( Medical gas(value:$ ) Page 2 Contact name: c ` ct,e-,--." cl)11 t��f Primer 12.51 Address: �( _ 3® 3 V J C ^„ Lr Roof drain(commercial) 5.01 City/State/ZIP: � l�-(� • l (� .�7� � Sink/basin/lavatory 25.02 ( )( l�_C-3 Solar units(potable water) 62.54 Phone:( j) ) �(( f^I,,4'1 I Fax::( ) Tub/shower/shower pan 12.51 E-mail:}I n n,c2L..-1,�'„ve ko.sl'T[ ct?t q V iCr- rCo1M Urinal 25.02 "Cf>t �C14 Water closet 25.02 Business name: /� iC�C5 Water heater 37.52 Address: Y.-f- �Cl Water piping/DWV " �� 22... 56.29 Other: 25.02 City/State/ZIP: Subtotal 3 j 7 Phone:( ) Fax:( ) Minimum permit fee: $72.50 CCB Lie.: c A T l 7.2 Ste? 1 P1 j, no.: Plan review (25%of permit fee) ., Authorized signature: / 9% ` ‘ State surcharge(12%of permit fee) l i i /�,� r TOTAL PERMIT FEE �l,M Print name: / I Date: "J ;.-1G/ t This permit application expires if a permit is not obtained with t80 days ` after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. l:\Buiding\Permits\PLMU-pe. ,pp-doc 10/01/09 440-4616T(l0/02/COM/W EB) City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 9685 SW SATTLER ST, TIGARD, OR, 97224 Record Type: Record ID: Residential - Plumbing PLM2018-00235 Inspection Type: Inspector: 399 Plumbing final Don Sylvester Result: PASS - NoCofO Comments: 1 . 1 "Febco DC, model 850, serial #HE56372, for irrigation,located at left side of house behind fence- ok with test Violation Summary: Inspector Contractor