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Permit IN a CITY OF TIGARD PLUMBING PERMIT i '' COMMUNITY DEVELOPMENT PERMIT #: PLM2008 - 00136 :T i c n K q' 1 3125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/2/2008 PARCEL: 1 S 135AA -01901 SITE ADDRESS: 10225 SW HALL BLVD ZONING: C - SUBDIVISION: METZGER ACRE TRACTS LOT: 037 JURISDICTION: TIG PROJECT: REDWOOD CENTER Project Description: Add area drain and rain drain connectors. CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: B 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 WAYNE GEHRIG 10225 SW HALL BLVD Description Date Amount TIGARD, OR 97223 [PLUMB] Permit Fee 4/2/2008 $72.50 [TAX] 12% State Surch 4/2/2008 $8.70 Phone: 503 -244 -1004 Total $81.20 Contractor: PRO DRAIN & ROOTER SERVICE, INC 3300 NW 185TH AVE #213 PORTLAND, OR 97229 REQUIRED ITEMS AND REPORTS Contact # : PRI 503 -533 -0430 FAX 503- 715 -4989 Reg #: LIC 108504 PLM 26 -776PB 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 rul r--direc uestions to OUNC by calling 503.246.6699 or 1.800.332.2344. 0 Is ued By: , ,(- Orr A//.J6A- Permittee SignaturQ.t 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 Application Building Futures FOR OFFICE USE ONLY City g of Ti and Received e/© l3 Plan R Permit No.: 114M ISM • 711 11 13125 SW Hall Blvd., Tigard. OR 97223 y e • � P hone: 503.639.4171 Fax: 503.598.1960 Plan Review Date/By: Other Permit No.: T I G A R p Inspection Line: 503.639.4175 Date Ready/By: ® See Page 2 for Internet: www.tigard- or.gov Notified/Method: //f Supplemental Information TYPE OF WORK FEE* SCHEDULE ❑ New construction ❑Demolition For special information use check list - Description [ 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 ❑ 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi- family SFR (3) bath 399,00 ❑ Master builder Each additional bath/kitchen 45.00 ❑ Other: Fire sprinkler ( sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities Job site address: / 0 ,2 S S ij o vi--1 i a hi d basin or area drain � 16.60 // d G. City /State /ZIP: �A /d' / b Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: 1 Project name: /// £4,d k j Footing drain (no. linear ft.: _ Page 2 Manufactured home utilities 110.00 Cross street/directions to job site: N d , f 11 4j / d Ftu►'� q q Manholes 16.60 11 1,0 if ! ! 13 Rain drain connector ( 16.60 /(9 la d Sanitary sewer (no. linear ft.: _) Page 2 Storm sewer (no. linear ft.: ) Page 2 Subdivision: 1 Lot no.: Water service (no. linear ft.: _) Page 2 Tax map /parcel no.: Fixture or item Absorption valve 16.60 DESCRIPTION OF WORK Backflow preventer Page 2 /I l- g 7 'e # ` -Kk e i_70/) Eh ,L0 f)(; s`4A-d Backwater valve . 16.60 A 0 (t l�dyJ Clothes washer 1 16.60 Dishwasher 16.60 ❑ PROPERTY OWNER 1 ❑ TENANT Drinking fountain 16.60 Ejectors /sump 16.60 Name: GJA yne 6:-i, 'it- Expansion tank 16.60 Address: /a Z Z S` s 011 a ► JU ` Fixture /sewer cap J 16.60 City /State /ZIP: 7T'q ii /d, tt Floor drain /floor sink/hub 16.60 Phone: (S 4) 3) e4,444 _ /e c l y Fax: ( ) Garbage disposal 16.60 ❑ APPLICANT ❑ CONTACT PERSON Hose bib 16.60 Business name: Ice maker 16.60 interceptor /grease trap 16.60 Contact name: Medical gas (value: $ ) Page 2 Address: Primer 16.60 City /State /ZIP: Roof drain (commercial) 16.60 Phone: ( ) Fax::( ) Sink/basin /lavatory 16.60 E -mail: Tub /shower /shower pan 16.60 Urinal 16.60 CONTRACTOR Water closet 16.60 Business name: -pre, _ 2)(.04t Water heater 16.60 • Address: Other: City /State /ZIP: Subtotal Minimum permit fee: $72.50 v Phone: ( ) Fax: ( ) Residential backflow minimum permit fee: $36.25 72. S , CCB Lic.: Plumbing Lic. no.: Plan review (25% of permit fee) _(--- Authorized signature: State surcharge (12% of permit fee) ( IQ TOTAL PERMIT FEE St 2.-p Print name: Date: 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) CITY OF TIGARD COMMUNITY DEVELOPMENT l • ,T► v n c nk' 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 toe Plumbing Signature Form 5 ± E Al 4 2008 CITY OF IMPORTANT PERMIT NOTICE BUILDING DIVISION PRO DRAIN & ROOTER SERVICE, INC 3300 NW 185TH AVE #213 PORTLAND, OR 97229 Permit #: PLM2008 -00136 Date Issued: 4/2/2008 Parcel: 1 S135AA -01901 Site Address: 10225 SW HALL BLVD Subdivision: METZGER ACRE TRACTS Lot: 037 Jurisdiction: C - Zoning: TIG Project Name: REDWOOD CENTER Description: Add area drain and rain drain connectors. Your company has been indicated as the plumbing contractor for the permit referenced above. In order for the plumbing permit to be valid, please have the appropriate individual from your company sign below and return this Plumbing Signature Form prior to the start of the work. Please mail the form to: City of Tigard, Building Division, 13125 SW Hall Blvd., Tigard, OR 97223, or you may fax the form to: 503.624.3681. If you have any questions please call 503.718.2433. No plumbing inspections will be authorized until this completed form is received OWNER: PLUMBING CONTRACTOR: WAYNE GEHRIG PRO DRAIN & ROOTER SERVICE, INC 10225 SW HALL BLVD 3300 NW 185TH AVE #213 TIGARD, OR 97223 PORTLAND, OR 97229 Phone #: 503 - 244 -1004 Phone #: 503 - 533 -0430 Reg #: LIC 108504 PLM 26 -776PB AN INK SIGNATURE IS REQUIRED ON THIS FORM X 6/ Si 7 ure • Au horized Plumber Name (printed)