Permit C0 OF TIGARD PLUMBING PERMIT
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COMMUNITY DEVELOPMENT Permit #: PLM2009 -00345
T I GA R L� 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 12/03/2009
Parcel: 2S113BA00400
Jurisdiction: Tigard
Site address: 7632 SW DURHAM RD
Subdivision: Lot: 0
Project: Southwest Services
Project Description: Replace w /h. (On first floor in janitors closet)
Owner: FEES
BEHRINGER HARVARD WESTERN Quantity Description Date Amount
PORTFOLIO LP, BY EASLEY MCCALEB &
ASSOCIATES 1, PO BOX 190700 1 ea Water Heater 12/03/2009 $37.52
PHONE: 1 12% State Surcharge - 12/03/2009 $8.70
Plumbing
35 ea Minimum Fee Adjustment - 12/03/2009 $34.98
Contractor: Plumbing
MRP SERVICES
PO BOX 33585
PORTLAND, OR 97292
PHONE: 503 - 253 -1393
FAX: 503- 241 -6565
Type of Use: COM
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 -0100. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: 41-t n ermittee Signature:
1 ^ 1X V CaaII 503.639.4175 by 7:00 a.m. for an inspection that business day.
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.
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Dec. 3. 2009 9:42AM No, 6435 P. 2
Plumbing Permit ��' ",' t r/�
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r r 13125 S1V'lull Hlvd„ Tigard, OR 97 Date/By: mrZ(� S
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a .._ Ph me: 503.639.4171 Fax: 503.59>J��€1 0 3 2009 Oulu Nona Nn.:
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Inspection line: 503.639.4175
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❑ New construction ❑ Demolition Tor spedul luforumlion use checklist
Description 1 Qty. 1 Ea. 1 Total
14 Addition /alteration /replacement ❑ other: New 1- 2- family dwellings (includes 100 0. for each utility connection)
• CATEGORY OF CONSTRUCTION SFR (I) bath 249.2(1
❑ I- and 2- family dwelling , -r (� Commercial /industrial SFR (2) bath 350.00
❑ Accessory building ❑ Multi - family SFR (3) bath 399.00
. FR(3 _ ath -
Each additional bat /kitchen 45.00
❑ Master builder n Other:
Fire sprinkler ( s y. fl.) Page 2
•TOT! SITE INFORMATION AND LOCATION Silt u(ililics
Job site address: 1 7 (P � il� ) ! r 1 1 J f •1 / 1 M Catch basin or area dr in 16,60
City/State/ZIP: - 1 i f 1 Agh 0 ie- . Dr leach line, or Trench drain 16.60
l r i F drain (no. linear fl.: ) Page 2
Suite/bldg./apt. no Project name f l -
�- J - - lrl � � l �i Manufacnucd home utilities 110.00
Cross street/directions to job site:
Manholes 16.60
Rain drain egnncctnr 16,611
•S iiit:ry sewer (no. linear 0,; __....) Page 2
Storni sewer (no, linear R,: ._..._) Rage 2
Water service Ito. linear 0
Subdivision: 1 Lot no.:
14x1urc or Wm
Tax map/parcel no.: Absorption valve 16.60
DESCRIPTION OF 1VORIC Back flow prcvenler Page 2
Z )1,/; (' 1 ('1 (1 W �(;R - i /\ r W ON y I V.c r Backwater valve 16.60
u)u 1 r JANE• is C. ose f ._
C'lothts washer 16.60
1)ishwa.shcr 16.60
Drinking fountain 16.60
PIt(1PP.RI OWNER ❑ 1'F:NAN '
(1j):1) {_.. Ejectors /sump 16.60
Name: KICr(p1_� l an
� �� ��� > Expansion tank 16.60
Address: Fixture /sewer cap 16.60
•
City /Slalc /ZIP Floor drain /tloor sink 16.60
Phone: ( ) Fax: ( ) Oarbagc disposal 16.60
Hose hih 16.60
0 APPLICANT D coN7AcT vERsoN .
n i t r rte) JC�/ V ` 1 i U rr Ice maker 16,
Business rime: / i ? Inlerceptor/ trap 16,60 60
Contact name
_ k� � . _ . . 1 .�� -._.. - _. Medical as (value: S ) I'tigc
Address: To '/2' O ! Primer 16,60
X �
pow- f JAN f 0 r 7 r�j � Roof drain commercial
City /SCity/State/71P: 1 U i� U/ t 0 ! �'� I (' ) 16.60
/ n Siuk/hasin!lavatu 16.60
Phone: G�� J?_ J2 q I Fax:: r ' r y
TuhRhower /shower pan 16.60
( n`r rf
E -mail: 1 N Fo ca) M k. - s.. . V I (�i,1 . C Um Urinal 16.60
CONTRACTOR
Water closet iG.GU
Business rune. 1Vtt(cr heater 16.60 /
Address: a 7 //: Other:
I� T l (\I I) ( -f /J /�} Subtotal
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City/State/ZIP: 1 (( I���. --- ' V ll F � I L.r'i , (p0 p fee: S72.50 :1/, . V
Phnre: (f LI ;2 /. 12 0 , - irax: (�� ) [� 1, 1 . l y e Residential backlloty minimum permit fee: $36.25
CCI3 Lic.: ID ) X9 J Plumbing lac. no.: 3 • . - i ._ flan review (25% of permit fee)
f�
State sutchatge (12% of permit fee) cg, 10
Authorized signature:
TC}IAI,I'FRMf1 Hit:: 31,1_0
Print name: AC -1-1 (4;1_1v( ._ &'g I Date: j 1 01 This permit application expires il•a permit is not obtained within
f 180 days after it has been accepted as complete.
'Fre methodology sct by'I'ri- County Building Industry Sci vice Dowd.
miitildingtrunau'LAM'r rmiIApp . due 06/26'06 440- 45161 )