Permit CITY OF TIGARD PLUMBING PERMIT
: s COMMUNITY DEVELOPMENT Permit#: PLM2020-00263
Date Issued: 07/07/2020
Tf GARD 13125 SW Hall Blvd..Tigard OR 97223 503.718.2439 Parcel: 2S103BB11700
Jurisdiction: Tigard
Site address: 12160 SW ANN PL
Project: Travis Subdivision: YE-OLDE WINDMILL Lot: 36
Project Description: New shower pan for master bathroom remodel.
Contractor: OWNER Owner: TRAVIS, CRAIG B
12160 SW ANN PL
TIGARD, OR 97223
PHONE: PHONE:
FAX:
FEES
Quantity Description Date Amount
1 ea Tub/Shower/Shower Pan 07/07/2020 $12.51
Specifics: 1 12%State Surcharge- 07/07/2020 $8.70
Plumbing
Type of Use: SF 60 ea Minimum Fee Adjustment- 07/07/2020 $59.99
Plumbing
Class of Work: ALT
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 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: 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 �;:CEI F L. FOR OFFICE use ONLY
Received r1,, q'
City of Tigard JUN 18 2020 Date/By. 7l7 7 �g Permit N°fILfr/ , Z0 (�O dip 3'w
4 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503 S �T t pate By other Permit No.;
Inspection Line: 503.639.4175 .ter 5 +
T1G:1RD �I�,.C_?! ' ( e,4 rt"„ a..I Date Ready/By: lone ® See Paget for
Internet: www.tigard-or.gov 11 ' ''� ram''' Notified/Method. Supplemental Informant'',
TYPE OF WORK FEE* SCHEDULE
0 New construction 0 Demolition For special information use checklist
Description I Qty. I Ea, I Total
XAddition/alteration/replacement ❑ Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION. SFR(1)bath 312.70
I-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
0 Accessory building El Multi-family
SFR(3)bath 500.32
Each additional bath/kilehen 25.02
❑ Master builder ❑Other:
Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: i Li(,O $t-✓ 4 {"7rq c Catch basin or area drain 18.76
City/State/ZIP: -(- �l CAR_ c(-�-Z- _3 Drywell,leach line,or trench drain 18.76
+ '^i i Footing drain(no.linear II.: ) Page 2
Suitelbldg./apt.no.: I Project name: Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
0•"'rS 5 rCLJ 13 S'tr I Z 1 4,-Z Rain drain connector 18.76
Sanitary sewer(no.linear ft.: ) Page 2
Storm sewer(no.linear ft.:_) Page 2
Water service(no.linear ft.: ) Page 2
Subdivision: I Lot no.: Fixture or item:
Fax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
�/�p Clothes washer 25.02
/
". 'S 4�'y`'-t LL r�`"`,3'Lc'"' "/ &AA..`." Dishwasher 25.02
.,.ci Pa., 4+,T •C'f-rij t--t_g f L 4,7) 4l Drinking fountain 25.02
. N-v--e.J l Ejectors/sump 25.02
�4 PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 .
Name: Fixture/sewer cap 25.02
Cc P-
! � Floor drain/floor sink/hub 25.02
Address: I L(bp 3,„ „4-,,,, pty c t Garbage disposal 25.02
City/State/ZIP: Itc1;�Z [( q ZZ-3 Hose bib 25.02
Phone:((j ) 6-T- -6. ((, Fax:( ) Ice maker 12.51
g APPLICANT Ca...CON"1•ACT PERSON Interceptor/grease trap 25.02
Business name: Al(_l�0. ®, -r� L . Medical gas(value:$_) Page 2
Contact name:,04., 7 14, 1. Primer 12.51
Roof drain(commercial) 12.51
Address: (flr5 ( 14,,.., 54 . Sink/basin/lavatory 25.02
City/State/ZIP: L4J4-51- `,y.7 r C�` 01>V'-, Solar units(potable water) 62.54
Phone:(5jc,,> ) 819 _3 >,61 Fax; :( ) Tub/showerfshowerpan I. 12.51 (Z.S 1
-mail: / q 1 Urinal 25.02
]
1,1 Cam; ii,.,, x...5 {�.., f t je,.-L.(. co-,
Water closet 25.02
CONTRACTOR
Water heater 37.52
Business name: Qw"t-1;/- 45ater pig g 1 m DWV 56.29
Address: Other 25.02
City/State/ZIP: Subtotal 1 Z.11
Phone:( ) Fax;( ) Minimum permit fee: $72.50 7 ..so
CCB Lie.: Plumbing Lic.no.:
Plan review (25%of permit fee)
State surcharge(12%of permit fee) el 7a
Authorized signature: / _ _ TOTAL PERMIT FEE J/ Z��
Print name: -I /i f This permit application expires if a permit is not obtained within 180 days
C-r a,c, r.r�l Date: G f 2 after it.has been accepted as complete.
l "Fee methodology set by Tri-County Building Industry Service Board.
I:\Build-aig\PernutstPLMU-PennitAPp,doc 10/01/09 440-46167(10/02/COM/WE13)
Dianna Ornelas
From: matt <matt@allwaysonthelevel.com>
Sent: Thursday, June 18, 2020 4:45 PM
To: #Building Permit Technicians
Subject: RE: Plumbing permit application
Warning!This message was sent from outside your organization and we are unable to verify the sender.
That is correct.
Sent from my Verizon, Samsung Galaxy smartphone
Original message
From: #Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Date: 6/18/20 4:38 PM (GMT-08:00)
To: matt@allwaysonthelevel.com,#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Subject: RE: Plumbing permit application
Hi Matthew,
I just want to confirm that the owner is to be listed as the plumbing contractor on this permit, is that correct?
Thank you.
Dianna L. Ornelas(Howse)
Building Division Services Supervisor
City of Tigard I Community Development
13125 SW Hall Blvd I Tigard, OR 97223
503-718-2430 Direct 1503-718-2439 Permits
1
From: matt@allwaysonthelevel.com <matt@allwaysonthelevel.com>
Sent:Thursday,June 18, 2020 3:04 PM
To: #Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Subject: Plumbing permit application
Please let me know if you need anything else from us. Thank you, and we look forward to hearing from you.
Matthew N. Hatzi
Co-Owner
All-Ways on the Level LLC
(503)-819-3739
Matt@AllWaysOnTheLevel.com
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2