Permit 1.* CITY TIG B'oD
PLUMBING PERMIT
? - - e COMMUNITY DEVELOPMENT
PERMIT #: PLM2007 -00088
DATE ISSUED: 3/2/2007
A R
TIG D 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S126DC-04200
SITE ADDRESS: 09304 SW CORAL ST G4 ZONING: R - 12
SUBDIVISION: CORAL COMMONS LOT: JURISDICTION: TIG
PROJECT: CORAL COMMONS
Project Description: Detached garage. Rain drains & connector.
CLASS OF WORK: ACS GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: MF WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: U1 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: 100 ft
Owner: FEES
CORAL COMMONS LLC
1905 SW 257TH AVE Description Date Amount
TROUTDALE, OR 97060 [PLUMB] Permit Fee 3/2/2007 $72.50
[TAX] 8% State Surcha 3/2/2007 $5.80
Phone : 503- 666 -4240 Total $78.30
Contractor:
S & W UNDERGROUND
33611 SE CARPENTER LN
GRESHAM, OR 97080 REQUIRED ITEMS AND REPORTS
Contact # : PR1 503- 663 -9756
Reg #: LIC 127159
PLM 26 -788PB
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: ____ j__2 Permittee Signature: i ,P e , Q
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.
Ma r',02 07 09:24a CEDAR RIDGE HOMES 5036662408 p.5
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RECEIVES, F
Plumbing Permit Application A} d� �u Ms "`� "�t ti Y�. � _ ,
r .,, ,,..,, M AR 0 rs 4 , c „ f �` 4 0,1l)Ra() I•EICE 1tit ,O \I 14". `! _ 1 r�s
131 SW 2 2 0 0? Received ^�� 7 " �d 0
v DataR Permit o.. r \o2 '
!3125 SW Ha11 Blvd., Tigard, OR 972. ' Y ��
Ph
3 Phone: 503.639.4171 Fax: 503.5 • : p l ' OF T�GAP�D Plan Review
� Inspection Line: 503.639.4175 IN DIVISION
Date/By: other Permit No.:
'
TICIAR Date Rc IB
::4 rwe Internet: www.tigard- or. goy
Notified/ll4ethod. l""'' la Sea Page 2 for
I Supplemental Information
TYPE OF WORK FEE" SCHEDULE
® New construction ❑ Demolition For special information use checklist
Description
0 Addition/alteration/replacement ' ❑ Other: 1 QtY• Ea. Total
New 1- 2 -family dwellings (includes 100 ft. for each utility connection
CATEGORY OF CONSTRUCTION SFR (1) bath 1 24910
❑ I- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00
❑ Accessory building ❑ Multi- family SFR (3) bath 399.00
Each additional bath/kitchen 45.00
❑ Master builder ❑ Other:
Fire sprinkler ( sq. fl.) Page 2
JOB SITE INFORMATION AND LOCATION
Site utilities
Job site address: 9304 SW Coral St Catch basin or area drain 16.60
City / State/ZIP: Tigard/OR/97223 Drywell, leach line, or trench drain 16.60
Suite/bldg. /apt no.: 1 Project name: Coral Commons Footing drain (no. linear ft.: ) Page 2
Cross street/directions to job site: Manufactured home utilities 1 10.00
Manholes 16.60
Rain drain connector 1 16.60
Sanitary sewer (no. linear ft.: ) Page 2
Storm sewer (no. linear ft.: 100 1 Page 2
Water service (no. linear ft.: ) Page 2
Subditiision: I Lot no.:
Tax map /parcel no.: Fixture or item
Absorption valve 16.60
DESCRIPTION OF WORK
Backflow preventer Page 2
New Garage Construction Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
® PROPERTY OWNER J ❑ TENANT Drinking fountain
Ejector /sump 16.60
Name: Coral Commons, LLC
16.60
Expansion tank 16.60
Address: 1905 SW 257'" Ave. Fixture /sewer cap 16.60
City/State /ZIP: Troutdale/OR/97060 Floor drain/floor sink/hub 16.60
Phone: (503)666 -4240 Fax: (503)666 -2408 Garbage disposal 16.60
® APPLICANT ❑ CONTACT PERSON Hose bib i 6.60
Business name: Coral Commons, LLC
Ice maker 16.60
Imerceptor /grease trap 16.60
Contact name: Dean Grey Medical gas (value: S ) Page 2
Address: 1905 SW 257 Ave. Primer 16.60
City /State/ZIP: Troutdale/OR/97060 Roof drain (commercial) 16.60
Phone: (503) 666 -4240 Sink/basin/lavatory 16.60
( Fax: (503) 666 -2408
E -mail:
Tub /shower /shower pan 16.60
Urinal 16.60
CONTRACTOR Water closet 16.60
Business name: S & W Underground Water heater 16.60
Address: 33611SE Carpenter Lane . Other.
City/State/ZIP: Gresham/OR/97080 Subtotal
Minimum permit fee: 572.50
Phone: (503) 663 -9756 Fax: ( ) Residential backtlow minimum permit fee: 536.25
CCB Lie.: 127159 Plumbing Lic. no.: 26 -788pb Plan review (25 %ofpermit fee)
Authorized signature: .
State surcharge (8% of permit fee)
. ` - TOTAL PERMIT FEE 3 d
Print name: Shawn Finnert Date: 3/1/07 This permit application expires ifa permit is not obtained within
180 days after it has been accepted as complete.
*F� methodology set by Tri-County Building Industry Service Board.
l:\ auilding ''Yermin\PLM•PermitApp. 06/26/06 440- 46167(10/02/CQM/WEH)
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CITY ����^�U���U���
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BUILDING DIVISION PERMIT #: PLivi2007-00088
13125 SW Hall Blvd., Tigard, OR 97223 �- ` DATE ISSUED: 5/2./2087
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 3/1S/2007 TIME: 7:01AM PAGE: 41
SITE ADDRESS: O93Q4SVV CORAL [TQ4 CLASS OF WORK:
SUBDIVISION: CORALC0AXK40NS LOT #: TYPE OF USE:
PROJECT NAME: CORAL COMMONS
DESCRIPTION: Detached garage. Rain drains &connector.
OWNER: CORAL COMMONS LLC, PHONE #: 503.666
CONTRACTOR: S & W UNDERGROUND PHONE #: 503-663-9756
Inspection Request Scheduled For: Date: 3V15/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
340 Eto/nmdbain 044869�02 503-959'6135 Y
Corrections/Comments/Instructions:
//:2
•
; PASS | 1 PARTIAL APPROVAL n CANCEL NO ACCESS
| 1 FAIL 1 | CALL FOR INSPECTION || ADDITIONAL FEES ASSESSED
111 i 324
| � //� / Date:, / ' Phone (503) 718-
Inspector: ^ / / ` '
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