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Permit CITY 1 IRD PLUMBING PERMIT �� DEVELOPMENT SERVICES PERMIT #: PLM2006 - 00076 ��I: DATE ISSUED: 2/10/2006 , , +L - - 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S 112BD -00700 SITE ADDRESS: 14655 SW 76TH AVE 7 ZONING: R -12 SUBDIVISION: MARCIENE II APARTMENTS LOT: JURISDICTION: TIG Project Description: Repipe of 1st fl. Apartments 7, 8, 9 & 10. CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: MF WASHING MACH: BACKFLOW PREVNTRS: 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 BOOTH - HEYDON LLC PO BOX 1185 Description Date Amount LAKE OSWEGO, OR 97035 [PLUMB] Permit Fee 2/10/2006 $72.50 [TAX] 8% State Surcha 2/10/2006 S5.80 Phone : Total $78.30 Contractor: PLUMB CRAZY 52683 NE SHEENA PL SCAPPOOSE, OR 97056 REQUIRED ITEMS AND REPORTS Contact # : FAX 503 -543 -3920 PRI 503 - 544 -2160 Reg #: LIC 138864 PLM 3436 -PB • 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. 9- ( Issued By: - �0 i , ■ Permittee Signature. - i 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. Building Fixtures Plumbing Permit Application ' Sf % � ' 0 1 . 1 l b s City of Tigard 0 ' ; °` I O \I1 _ Received /0 /� Plan Review . f �-i� Permit N .: \V 2 (4) �(1 6 ! O G 13125 SW Hall Blvd., Tigard, OR 972. ���0�� Date/By.�' -� Phone: 503.639.4171 Fax: 503.598.1960 /ra,, j ' Date/By Other Permit No.: 24- Hour Inspection Line: 503.639.4175 ; C n141, Date Ready/By: L ® See Page 2 for Internet: www.ci.tigard.or.us 1 t `.` 20 i r ",. - Notified/Method: ( Supplemental Information .. TYP F f ®� FEE* SCHEDULE El New construction l 11 For special information use checklist Description 1 Qty. 1 Ea. 1 Total grAddition /alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath 249.20 ❑ 1- 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. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities Job site address: /4 6 ...c4- S(,/ -7 6 4_4 7 q v . 4 , // ? Catch basin or area drain 16.60 City /State /ZIP: Drywell, leach line, or trench drain 16.60 Suite/bldg./apt. no.: Project name.( �p „ Footing drain (no. linear ft.: ) Page 2 �C `� e � ` Manufactured home utilities 110.00 Cross str t /directions to job site: - Manholes 16.60 (�i/l ( rL(' Rain drain connector 16.60 Sanitary sewer (no. linear ft.: _) Page 2 Storm sewer (no. linear ft.: ) Page 2 Subdivision: 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 , p ✓y Backwater valve 16.60 Clothes washer 16.60 01,4 / � Dishwasher 16.60 �� J g r Drinking fountain 16.60 1ROPERTYOWNER ❑ .TENANT - Name: C r'l c! / � OY A" 1 GL ` Ejectors/sump 16.60 Expansion tank 16.60 Address: Fixture /sewer cap 16.60 City /State /ZIP: Floor drain/floor sink/hub 16.60 Phone: ( ) Fax: ( ) Garbage disposal 16.60 ❑ APPLICAN ❑ CONTACT PERSON Hose bib 16.60 • Ice maker 16.60 Business name: �ON J Interceptor /grease trap 16.60 Contact name: (n LJQ ry-e'- / Medical gas (value: $ ) Page 2 Address: / / 7/ 2 J t" � Lv 6r- J ,// 1Z(T Primer 16.60 City /State /ZIP: Fax: : ( ) Lve, - c 4 A 'Y 7ai� Roof drain (commercial) 16.60 Phone: `J � / � J t° �d1 Sink/basin/lavatory - 16.60 Tub /shower /shower pan 16.60 E -mail: Urinal 16.60 CONTRACTOR" Water closet 16.60 Business name: /�/u /,,, i r �4 25, Water heater 16.60 Address: Y Other: City /State /ZIP: Subtotal Minimum permit fee: $72.50 Phone: ( ) Fax: ( ) Residential backflow minimum permit fee: $36.25 CCB Lic.: Plumbing Lic. no.: Plan review (25% of permit fee) State surcharge (8% of permit fee) Authorized si ture,, TOTAL PERMIT FEE Print na = ,M� ` � _� Dat•:, 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. i:Building\Permits\PLMF- PermitApp.doc 06/05 440-4616T( I 0/02/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: PermitFee: ' . , Footing drain -1' 100' 55.00 0 to 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 Valuation , Permit.Fee: . Storm &Rain Drain - 1st 100' 55.00 $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 Qty. Fee(ea) Total additional $100.00 or fraction thereof; to and Fixture Or Item 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 specially requested inspections - per hour 72.50 and including $50,000.00. Subtotal: $50,001.00 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 Complex Structures Are you capping, adding or replacing fixtures? If "yes", A "complex structure" is defined as an installation of a plumbing please indicate work performed by fixture. Failure to system that meets any of the following criteria. accurately report fixtures could result in increased sewer fees *. Please check all that apply. Quantity by:(Fixture) Work Performed ❑ Any new commercial building. Fixture Type: Replace ❑ Any new exterior plumbing site utilities. Previous Capped Added . Existing ❑ A commercial building with installation, alteration or addition Baptistry/Font of nine (9) or more new or relocated plumbing fixtures. Bath - Tub /Shower ❑ Medical gas and vacuum systems for health care facilities Jacuzzi/Whirlpool providing services to human beings. Car Wash - Each Stall ❑ Plumbing installations, alterations or additions to food service - Drive Thru facilities where new plumbing fixtures, including interceptors, Cuspidor/Water Aspirator are being installed for the food service area. Dishwasher - Commercial ❑ Any new residential building containing three (3) or more - Domestic dwelling units. Drinking Fountain ❑ Any NFPA 13 -D multipurpose fire sprinkler system. Eye Wash Floor Drain /sink 2" Submit 2 sets of plans with any of the above. -3" -4" Car Wash Drain Isometric - or Riiser.Diagram - Garbage - Domestic ❑ Isometric or riser diagram is required for new buildings Disposal - Commercial three (3) or more stories in height. - Industrial Ice Mach./Refrig. Drains Oil Separator (Gas Station) Comments regarding fixture work: Rec. Vehicle Dump Station Shower -Gang -Stall Sink - Bar/Lavatory - Bradley -Commercial - Service Swimming Pool Filter Washer - Clothes *Note: If the fixture work under this permit results in an Water Extractor P Water Closet - Toilet increase of sewer EDUs, a sewer permit will be issued and Urinal fees assessed for the sewer increase must be paid before the Other Fixtures: plumbing permit can be issued. i:\ Building \Pennits\PLM- PermitApp.doc 07/06/05 CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2006.00076 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/1012006 Phone: (503) 639 -4171 4 ' � ��� l . Inspection Requests (24 Hrs.): (503) 639 -4175 .-!� _.. INSPECTION WORKSHEET FOR DATE: 11/3012006 TIME: 7 :00Am PAGE: 20 SITE ADDRESS: 14656 SW 76TH AVE 7 CLASS OF WORK: SUBDIVISION: MARCIENE II APARTMENTS LOT #: TYPE OF USE: PROJECT NAME: MARCIENE II APARTMENTS DESCRIPTION: Repipe ref 1st fl7Apartments 7 . OWNER: CO'GORMAN, MICHAEL PHONE #: 50 3. 385 CONTRACTOR: PLUMB CRAZY PHONE #: 503 4-2160 Inspection Request Scheduled For: Date: 11/3012006 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 04(' 76.02 503- 207 - 3668 N Corrections /Comments / Instructions: /2 Ae'V -61--1 / 4 c-Xe:___ / - , ,------I - Ca/ 1 4 PASS PARTIAL APPROVAL 11 CANCEL 1 I NO ACCESS FAIL I 1 CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: vl�� {/ Date: 1 / - Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM200&00076 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/10/2006 Phone: (503) 639 -4171 a '�� Inspection Requests (24 Hrs.): (503) 639 -4175 WA I L INSPECTION WORKSHEET FOR DATE: 8/15/2006 TIME: 7 :05AM PAGE: 1 SITE ADDRESS: 14666 SW 76TH AVE 7 CLASS OF WORK: SUBDIVISION: MARCIENE II APARTMENTS LOT #: TYPE OF USE: PROJECT NAME: MARCIENE II APARTMENTS DESCRIPTION: Repipe of 1st fl. Apartments 7, B, 9 & 10. OWNER: BOOTH- HEYDON LLC, PHONE #: CONTRACTOR: PLUMB CRAZY PHONE #: 503-544-2160 Inspection Request Scheduled For: Date: 3/15/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Piumbing final 0349.95.01 503267 -3668 N Corrections /Comments/ Instructions: PASS n PARTIAL APPROVAL d_4 ANCEL NO ACCESS LJ FAIL Ill CALL FOR INSPECTION ADDITIONAL FEES ASSESSED \-,7 T,, Inspector: V C) Date: 1 . Phone #: (503) 718- 4/ • . • •-• . ..,c: .. , • . , — CITY' OF TIGARD BUILDING DIVISION -: '., -,- - ... - ......._,::.- , . PERMIT #: Pi..M200(. • 13125 SW Hall Blvd., Tigard, OR 97223 ... •• • DATE ISSUED: Phone: (503) 639-4171 - ' 'Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: . il 1 - : ' './ 20( K;• - — TIME: 7106 ' PAGE: ) • , SITE ADDRESS: 1 SW 7 E;TH AVE 7 . , CLASS OF WORK: suEcovisioN „iviARCIE.NE II Al..'A.RTNIENTE..= LOT #: TYPE OF USE: PROJECT NAME ''' AR a ENE AP ARTM EN TS DESCRIPTION: Pepipe oi It fl. Arai 7, 8, 5 & 10 OWNER 1300D t.I.C. PHONE #: CONTRACTOR: PLUM ( - - :RA• 7 :Y PHONE #: 50a • Inspection Request Scheduled For: Dat W 1 i:J:: Pour Time: • Code # Inspection Description Confirm # Contact # Message 399 - Plumbing f1 034c.4901 %P:; :.:'€i?..:3E;B N .,,,. Corrections/Comments/Instructions: • , , , •. .• .• •• .,...,„:• , . • - .: -... - •'::-•- - --'''' . .• . . • . • • , . . • . . . . . - //,/ 0 / , / • 7 r 1 /0/ 1/ . -, '.1 / / ' ; / 1/ 1, . . i . - i., ..„ .._ ,.. i I I PASS 1 1 PARTIAL APPROVAL r1CANCEL NO ACCESS — FAIL : 1 1 CALL FOR INSPECTION 1 1 ADDITIONAL FEES ASSESSED • , • , ,-.--) '.) , l: ( ) -/ ri r\..., ! .: I. ,' I:: if! I,' , Inspector: ; v 1 .i - ts., Date: d 1 ). --- .: i/ - Phone #: (503) 718- l • CITY OF ��nx n n�'o� mwn���m���� • BUILDING DIVISION PERMIT #: PLM2006-O0076 13126SVV Hall 8hd, Tigard, OR07223 i DATE ISSUED: 21 10/2006 Phone: (503) 639-4171 Inspection Roquoa�(24Hmj: (503) 639-4175 .��W«�� INSPECTION WORKSHEET FOR DATE: 8/3/2006 TIME: 7:O5Am PAGE: 2 SITE ADDRESS 14656EW7GTH AVE 7 CLASS OF WORK: SUBDIVISION: MARC) ENE 11 APARTMENTS LOT #: TYPE OF USE: PROJECT NAME: MARC) ENE 1) APARTMENTS __ DESCRIPTION: Rn ipe of 1otO. Apartments 7, 8 OWNER: BOOTH-HEYD0NLLC' PHONE #: CONTRACTOR: PLUMB CRAZY PHONE #: 503-514'2180 lnspection Request Scheduled For: Date: 8/312005 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough-in 034329-01 Y Corrections/Comments/Instructions: C&A 97 , V . . �� PARTIAL ��N�EL �� N{�ACC�E8G \��-.~. � / . . FAIL fl CALL FOR INSPECTION ADDITIONAL FEES ASSESSED � "� - ..Inspector: / Oo�e� / �� ' Phone #: (5O3) i / . • • ` CITY OF TIGARD BUILDING DIVISION PERMIT #: Pi..iV1200= tail076 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/10/200f3 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 - 4175I INSPECTION WORKSHEET FOR DATE: 2/ TIME: 7 :03AM PAGE: 20 SITE ADDRESS: 14665 SW 7614 AVE. 7 CLASS OF WORK: SUBDIVISION: MAl'aCIFNE. 11 APARTMENTS LOT #: TYPE OF USE: PROJECT NAME: MARCIENE. 11 APARTMENTS DESCRIPTION: Izopiiye of 1st FL Apatt.re:it 7, f.1, 9 ii, 10. OWNER: f?t OTH- HEYDON ti.C, PHONE #: CONTRACTOR: PLUMB CRAZ Y PHONE #: 2160 Inspection Request Scheduled For: Date: ' 11: > /_xris.6 Pour Time: Code # Inspection Description Confirm # Contact # Message 3211 Plu mbing rough -in 026796 -01 ',50:.?-267-36(31.3 6 Corrections /Comments /Instructions: (7 7<1 / 1-11 • • • Ul • SS n PARTIAL APPROVAL n CANCEL ❑ NO ACCESS ❑ FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: PT) , Date: 1, Phone #: (503) 718- � /..;, 1.