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Permit
J CITY O TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT PERMIT #: PLM2007-00529 ARD DATE ISSUED: 12/3/2007 TIG 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S135AA-03800 SITE ADDRESS: 08880 SW ELENA LN ZONING: R -4.5 SUBDIVISION: OAK STREET CONDOMINIUMS LOT: JURISDICTION: TIG PROJECT: OAK STREET CONDOMINIUMS Project Description: New SFA. Building 1. Backflow preventer for irrigation. Located left side of entry. CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: R3 FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB /SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES OAK STREET TOWNHOMES, LLC 12670 SW 68TH AVE # 400 Description Date Amount TIGARD, OR 97223 [PLUMB] Permit Fee 12/3/2007 $72.50 [TAX] 8% State Surcha 12/3/2007 $5.80 Phone : 503- 639 -3104 Total $78.30 Contractor: MULLEN COMPANY, THE 1601 SE RIVER RD HILLSBORO, OR 97123 REQUIRED ITEMS AND REPORTS Contact # : PRI 503-640-0113 FAX 503- 640 -4483 Reg #: LIC 92689 PLM 34 -260PB This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. 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 than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By: �� - iA / Permittee Signature• Call 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. Plumbing Permit Applic • EIVED Building Fixtures V :FOR OFFICE USE ONLY III City of Tigard i �' 0 .2007 DateB . /®9 35 Permit NOTIm�067_AO 51 ' a 13125 SW Hall Blvd., Tigard, OR 9 2 /� Plan Review II Phone: 503.639.4171 Fax: 50 t : d+:' t TIGARD Date/By: Other Permit No.: Inspection Line: 503,639.41 7 uIL NG ❑tVISLON Date Ready /By: 1uL�i ' - 1 See Page 2 for 1IG- . ,, Internet www.t ard -or. ov g g Notified Method: Supplemental laformatioa TYPE OF WORK FEE * SCHEDULE New construction ❑ Demolition For special information use checklist - Description 1 Qty. 1 Ea. 1 Total ❑ Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) ° • CATEGORY OF CONSTRUCTION . SFR (1) bath 249.20 ❑ I- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 ID Accessory building Multi- family SFR (3) bath 399.00 Each additional bath/kitchen 45.00 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION. Site utilities Job site address: eer rr0 5 trisM t L ,inP Catch basin or area drain 16.60 City /State /ZIP: % y 0 0r Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: 0 I I Project name:c ,1 T ,Aw/i �� pjs t Footing drain (no. linear ft.: ) Page 2 A Manufactured home utilities 1 10.00 Cross street/directions to job site: /L F4 / $ E fi Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: ) Page 2 Subdivision: 0,40 5 7 T' 14/4 g 01 ,,, I Lot no.:/....// Water service (no. linear ft.: _) Page 2 Fixture or item Tax map /parcel no.: Absorption valve 16.60 DESCRIPTION OF WORK Backflow preventer ( Page 2 . . Backwater valve 16.60 . Clothes washer 16.60 Dishwasher 16.60 • ❑ PROPERTY OWNER ❑- TENANT Drinking fountain 16.60 Ejectors /sump 16.60 Name: J1m 574, rtheir 0 9 ' Expansion tank 16.60 Address: i2 70 S �' 'dI ' F ' 44dI60 Fixture /sewer cap 16.60 City /State /ZIP: 7;C2,. 04 p 1 /' tl 72 2 3 Floor drain/floor,sink/hub 16.60 Phone: (6 )6 5I 4/ Fax: 03 )mfg'. 9og? Garbage disposal 16.60 ❑ APPLICANT ❑ CONTACT PERSON . Hose bib 16.60 '/ Ice maker 16.60 Business name: 4Ovtcii ST0n e �'►'► l� W �! Interceptor /grease trap 16.60 Contact name 6C 4 9 / 6a�,(f Medical gas (value: $ ) Page 2 .Address: / '2, 670 S- ��'f 4 /j pe �VDO Primer 16.60 i' City /State /ZIP: ri 3 a (29 it f 7 2 2 3 Roof drain (commercial) 16.60 Phone: 605 ) 1 5 1 _1313" Fax:: 6 - 0 5) �- '_ ?e j Sink/basin/lavatory 16.60 Tub /shower /shower pan 16.60 E- mail: 1y /kL6J ,. QS fOu,c, W Te L./rho mectom. Urinal 16.60 ' CONTRACTOR Water closet 16.60 Business name: //l U / f e� c- O ,44 6 A`l Water heater 16.60 Address: 6'0 / 6 J ' G. iS- K ` VC r , Other: City /State /ZIP: Hit C s r . D l q, 2 3 Subtotal � Minimum permit fee: $72.50 Phone: ( ) Fax: (5-0 6 ° a lp _p' 3 Residential backflow minimum permit fee: $36.25 --7a.cti CCB Lic.: `„ I ii5 -I Plumbing Lic. no • ?. 240 P 6 Plan review (25% of permit fee) 5 j Authorized signature: 1 State surcharge (8% of permit fee) ^ / / /�:,� TOTAL PERMIT FEE if . 30 Print name: �'A Date: / z © This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri- County Building Industry Service Board. 1.\ Building \Permits\PLMF- PermitApp.doc 12/27/06 440- 4616T(10 /02 /COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee (ea) •Total Square 'FOOtage:1 , .. Permit Fee: Footing drain - 1' 100' 55.00 0 t� 2,000• "' $115.00 Footing drain - each additional 100' • 46.40 2,001 to 3,600 $160.00 3,601 to 7,200 $220.00 Sewer- 1st 100' 55.00 7,201 and greater $309.00 Sewer - each additional 100' • 46.40 Water Service - 1st 100' 55.00 Medical Gas Systems: Water Service - each additional 100' 46.40 Storm &Rain Drain - 1st 100' 55.00 Valuatil n: Permit Fee: $1.00 to $5,000.00 Minimum fee $72.50 Storm & Rain Drain - each additional 100' 46.40 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each Fixture or Item Qty. Fee (ea) Total additional $100.00 or fraction thereof, to and including $10,000.00. Commercial Back Flow Prevention Device 46.40 $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for Residential Backflow Prevention Device each additional $100.00 or fraction thereof, to (minimum permit fee $36.25) 27.55 and including $25,000.00. Rain Drain, single family dwelling 65.25 $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for Inspection of existing plumbing or each additional $100.00 or fraction thereof, to and including $50,000.00. specially requested inspections - per hour 72.50 Subtotal: $50 and up $742.00 for the first $50,000.00 and $1.20 for each additional $100.00 or fraction thereof. Fixture Work: Plan Review for Plumbing Installations Are you capping, adding or replacing fixtures? If "yes", Plan review is required for any of the following. please indicate work performed by fixture. Failure to Please check all that apply. accurately report fixtures could result in increased sewer fees * . ❑ Any new commercial building with water service 2" and Quantity by (Fixture) Work Performed greater, except systems designed and stamped by licensed Fixture Type: Replace engineer. Previous Capped Added Existing ❑ New exterior plumbing site utilities for any complex structure Baptistry/Font as defined in OAR918- 780 -0040. Bath - Tub /Shower ❑ Medical gas and vacuum systems for health care facilities. - Jacuzzi /Whirlpool ❑ Any multipurpose fire sprinkler system. Car Wash -Each Stall ❑ Any complex structure as defined in OAR918- 780 -0040. -Drive Thru Cuspidor/Water Aspirator Submit 2 sets of plans with any of the above. Dishwasher - Commercial - Domestic . Drinking Fountain Isometric.or Riser Diagram Eye Wash ❑ Isometric or riser diagram is required for new buildings Floor Drain/sink - 2" that meet the qualifications above. -3' -4" Car Wash Drain Garbage - Domestic Comments regarding fixture work: Disposal - Commercial • - Industrial Ice Mach. /Refrig. Drains Oil Separator (Gas Station) Rec. Vehicle Dump Station Shower -Gang -Stall Sink -Bar/Lavatory - Bradley *Note: If the fixture work under this permit results in an - Commercial increase of sewer EDUs, a sewer permit will be issued and - Service fees assessed for the sewer increase must be paid before the Swimming Pool Filter • plumbing permit can be issued. Washer - Clothes Water Extractor • Water Closet - Toilet Urinal Other Fixtures: i: \Building\Permits\PLM- PermitApp.doc 12/27/06 CITY OF TIGARD BUILDING DIVISION PERMIT #: PUN/12007 13125 SW Hall Blvd., Tigard, OR 97223 ' DATE ISSUED: 12J3/2007 Phone: (503) 639 -4171 f11 Inspection Requests (24 Hrs.): (503) 639 -4175 �2':_.. INSPECTION WORKSHEET FOR DATE: 12/412007 TIME: 7:01AM PAGE: 34 SITE ADDRESS: 0888() SW ELENA LN CLASS OF WORK: SUBDIVISION: OAK STREET CONDOMINIUMS LOT #: TYPE OF USE: PROJECT NAME: OAK STREET CONDOMINIUMS DESCRIPTION: New SFA. Building 1. I3acicflow preventer for irrigation. Located left side of entry. OWNER: OAK STREET - i OWNHOME_ S, LLC, PHONE #: 503. 639 -3104 CONTRACTOR: MULLEN COMPANY, THE PHONE #: 503 - 640 - 0113 Inspection Request Scheduled For: Date: 12/4/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 060730-01 503. 969-9325 Y Corrections/Comments/Instructions: 1 Cry R,--,. Lit 9 X PASS ❑ PARTIAL APPROVAL ❑ CANCEL _ NO ACCESS _ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: `J \14-k---ii ` \\""'0- Date: 12-16/ `0 Phone #: (503) 718-