Permit II .15: CITY OF TIGARD PLUMBING PERMIT
r' COMMUNITY DEVELOPMENT Permit #: PLM2009-00302
* Date Issued: 10/22/2009
TIGARDy 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 2 S101 CA00200
Jurisdiction: Tigard
Site address: 7904 SW HUNZIKER RD
Subdivision: Lot: 0
Project: Plas2Fuel
Project Description: Install (5) hose bibs.
Owner: FEES
WALL STREET INDUSTRIAL LLC & Quantity Description Date Amount
A RICHARD VIAL EXEC CENTER LLC, 7000 SW
VARNS ST 5 ea Hose Bib 10/22/2009 $125.10
PHONE: 1 12% State Surcharge - 10/22/2009 $15.01
Plumbing
Contractor:
EDWARD MULLEN PLUMBING
1601 SE RIVER RD
HILLSBORO, OR 97123
PHONE: 503 - 640 -0113
FAX: 503 - 640 -4483
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Total $140.11
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 n 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.
10/20/2009 09:44 FAX 5036404483 THE MULLEN COMPANY Z001/002
Plumbing Permit Application CEWED
Building Fixtures :,P , F - 'J '' - w� , l
1 .1 t* tI s k a FUR 0 11 1 14 U N1 () k ' + t, {i
,''''' Ci of Tigard OC T 2 0 2 009 Received � ie / • n N o po(
" n 13125 SW Hall Blvd., Tigard, OR 97223 Dare/ v: �1 /�Liya Q gQ
Plan Review
, ;i ce i 1 Phone 503.639 4171 Fax: 503.598CM OF TIGARD Date /By' Other Perms Na,:
r!' Inspection Line: 503.639.4175
hic BUILDING DIVISION Dete Resdy /By t ® See Page 2for
;• ,c.. r.gov Notified/Method: Supplemental Information
. ' TYPE OF WORK FEE" SCHEDULE
❑ New construction ❑ Demolition F orspecialInformation use checklist
Description I Oty. ) Ea. Total
® Addition /alteration/replacement 0 Other: New I.2 famIly dwellings (includcs 100 ft. for each utility connection)
I E ', ,,,
°A , „„TECrbRY OF, C)}N92 RU 1O 1N' S F R (I) bath 312.70
❑ 1- and 2- family dwelling ® Commercial /industrial
SFR (2) bath 437,78
r _ ■ tt
❑ Accessory building ❑ Multi- family
Each additional bath/kitchen 25.02
❑ Master builder ❑ Other:
Fire sprinkler ( sq. ft.) Page 2
,, JOB S1T : ;iriNF,{RM'ATI O N AND LOCATION Site utilities:
Job site address: 7904 SW HUNZIKER ROAD Catch basin or area drain '
Drywell, leach lint, or trench drain
City /State/ZIP: TIGARD, OR 97223
—
Footing drain (no. linear ft,: ) P 3
Suite/bldg./apt. no.: Project name: Manufactured home utilities 50.03 ,
Cross street/directions to job site: Manholes
Rain drain connector 18.76
—
Sanitary sewer (no. linear ft.: _ ) Page 2
Storm sewer (no. linear ft: _) Page 2
Water service (no. linear ft.: _ ) Page 2
Subdivision: Lo: no,: Fixture or Item:
Tax map/parcel no.: 13ackflow preventer 31,27
DES,IF ,WORK Backwater valve 12.51
Clothes washer 25.02
Dishwasher 25.02
PLUMBING 5 HOSE BIBS Drinking fountain 25.02
Ejectors /sump 25.02
".i P1 OPER`•J`"ic:0V,{ !(ER, •• ', n TENANT Expansion tank 1151
Name: Fixture /sewer cap 25.02
Address:
Floor drain /floor sink/hub 25.02
City /State /ZIP: Garbage disposal 25.02
Hose bib 5 25.02 / 5, /O
Phone: ( ) Fax: ( ) Ice maker _ 12.51 '
„ • 1/. ?LICAl1T D CONTACT PERSON Interceptor /grease trap 25,02
Business name: EDWARD MULLEN PLUMBING
Primer 12.51
Contact name: RAY MULLEN
— Roof drain (commercial) 12.51
Address: 1601 SE RIVER ROAD
Sink/basin/lavatory 25.02
City /State /ZIP: HILLSBORO, OR 97123 Solar units (potable water) 1 62.54
Phone: (503) 640 -0113 Fax:: (503) 640 -4483 Tub /shower /shower pan 12.51
E - mail: ray@edwardmullenplumbing.com Urinal t
. ' CON•FRAC EUR " Water closet t
:N , ,s ,,,.' • M , ., : - Water heater 37.52
Business name: EDWARD MULLEN PLUMBING Water piping/DWV 56.29
Address: 1601 SE RIVER ROAD Other: I 25.02
City /State/ZIP: HILLSBORO, OR 97123 Subtotal
Phone: (503) 640 -0113 Fax: (503) 640 -4483 Minimum permit fee: 572.50
CCB Lic.: 92689 I Plumbing Lic. ; 34-260PB Plan review (25% of permit fee)
State surcharge (12 °/a of permit fee) /5,
Authorized signature: — U
, .�� TOTAL PERMIT FEE f 7 O .1/
Pr name: RAY I LLE: Date: 0 - - This permit application expires If a perm.I is not obtained within 180 days
after it has been accepted as complete.
"Fee methodology set by Tri- County Building Industry Service Board,
I.IRniidiett \Permits \PLMrJ P:rmdAppdoc 10 /01t00 4,0 +5157(10 /02/COM/wE5)