Permit q CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit #: PLM2011 -00040
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/03/2011
Parcel: 2S102BCO2400
Jurisdiction: Tigard
Site address: 12805 SW WATKINS AVE
Project: Rizzutto Subdivision: Lot: 0
Project Description: Replacing water piping.
Contractor: BEAVERTON PLUMBING INC Owner: RIZZUTTO, CLYDE ALLEN
13980 SW TV HWY JULIE ANN
BEAVERTON, OR 97005 12805 SW WATKINS
TIGARD, OR 97223
PHONE: 503 - 643 -7619 PHONE.
FAX: 503 - 643 -7620
FEES
Quantity Description Date Amount
1 ea Water Piping /DWV 02/03/2011 $56.29
Specifics: 1 12% State Surcharge - 02/03/2011 $8.70
Plumbing
16 ea Minimum Fee Adjustment - 02/03/2011 $16.21
Type of Use: SF Plumbing
Class of Work: ALT
Type of Const:
Occupancy Grp:
Stories:
Total $81.20
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 -0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344._
Issued By: Petmittee Signature:
e
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
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.
Feb 02 2011 8:01RM Beaverton Plumbing Inc. 5039415759 page 2
Pal .�nbin2 Permit An lication ��N
Building Fixtures C�lv
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City of Tigard I� Received r gya
. . 13125 S W Rail Blvd., Tigard, OR 97223 ' Dete/B : Permit Na: • • W�
I N Phone; 503.639.4171 Fax: 503.598,i96) Plan Review
Inspection Una 503,639.4175 �'t1G' S1(�? "D' fruit No.:
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❑ New construction
r u• �,u� I , f� a,l,i4y ,.I Yh.; or! rte 1. J Il.S'r .. l t r
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i: tlr I cr�Ipy , s,;aracl l ,hg ro g l m,rl Prl n, New 1- 2 -flamf dwellln •. includes
l q p tl y� I I J j p p ^„ ides 100 14' Waned
fill,; l" IIi1111 1ul iill ilF�Mll��u�IV��IVh�i. ,l.{l111�l,'c�I1�lywaGilu�ieili IrabrollcIll'.iriil: : 16 1t4 ti l l,':l� .:1 lirt l IP� Ily����I����1,,I��l!I�,l .I 1111,�Iu ll l'�I�J SFR (1) bath t tbreao 312.70
® 1. and 2- f>`tmily dwelling Q Commercie1/induatrlal SFR (2) bath
437,7b
❑ Accessory building ❑Multi - family SFR (3) bath 500.32
� Each additional bath/kitchen 25.02
❑ MANN builder ❑
P Y i.I!;� P III II "rx r1G1 , 1ua�tagtq,a m nm�71 r rr c un v Fite sprinkler Page 2
II pT r�y d p@ 14 t � r1l G @1h 'I l iu (f9,fpr�1 {ipI I I " Ili t_eq,B.)
111 ill:�JYIig,itl llllil'!Ir�rl�I� tl ; la,1 dl,:211C U�7.l,Bil l u:: ° 1;II111111G�rJWIIItOulllul ::::, gll, uau ylllilli .� r .,.1{t,'�IFIt�C'� 1 1 1 �4 : y((� I�,ll ����jr l�l���{'Ij • its utilities:
Job site address: 12805 SW WAT S ST Catch basin or area drain
18.76
Drywall, leach line, MCI
City /State /ZIP: TIGARII, OR 97123 a trench drain
Suite/bldgJapt. no.; Project name: TONY RIZZ'UTTO Footing drain (no, ]hoar 14.. ___) p 2
Cross street/dlrections to job site: — Maouil:ohlrod bonze utilities 50.03
Manholes
Rain drain connector 18.76
Sanitary sewer (no. linear it.: Page 2
Storm sewer (no. linear ft.: _J P age 2
Subdivision: Water service (no, linear ft.: _j Paget
Lotno.: Fill tttori, -
Tax map /parcel no
l ppll riloil P1
oP glgli' I I I�IIn X11 Iv_itllU �irl rva ;rrlllmr.;,la u Ir 11il; rrli � Backf10wpreventa 31.27
I I II Itl all' ll.i ° ∎'.: 1 li F ,I�9 gil n,ofi R , i1 ' I � uL �Ii I II.1 ,1 I '������� X i110���� 'f11 it Backwater washe 12.51
RE-PIPE Clothe washer 25.02
Dishwasher 25.02
Drinking fbUiltain _ 25.02
lllll'�IlVill�'rhylllr r �! n l s Ilrr r I I;r n l 111xullll a Ilgy l�jr rl 1 , III ! a s Bjectars/sump 25.02
11!•�'gl it ,iclP1il .rall, r. �IIV Ilrli �I�IPI�I1�11�3,IIl 1 l I�� �ii�i���lil1�Vl��li� iil(all,a r1. I� ,Yr3, P antd°n litnk 12
Name: TONY RI7,ZUT-1O Fixture /sewer cap 25,02
Address; 12803 SW WATKINS ST Floor drain/floor sink/hub 25.02
—
City/State/ZIP: TIGRAD, OR 97233 Hose Darbage disposal 25.02
Phone: (303)639-2016 Fax ( ) Hose k 12.51
G�hE } � ! Iy II �° I p ^; 11 iIL'tl l � 1 I c h � +v o r l uar r � li r i � a Ice maker 12.51
fll�.� ii� �Ii1111.i �Il�ruilmlIlrl'Ir:��l�,l�ll ��li�(� ���!!i'.����I II Ill Iq��r!1r1l�jmulrY, Ilol�ill {un gluru „ur�llgiul�;V�IIl16���t��i�1 Interceptor/grease
” J�tll1���, �llc� ��„ Yirra} r• a�ligiuruulu' unie� ,liiilOiY�lr�wu�,r!B�iuiGYll qIV! t 25.02
Business game: Medical gas (value: $ ) - Pate 2
Contact name: Primer 12.51
Address; Roof drain (commercial) 1251
City / State/ZIP:
Solar 25.02
Solar units (potable water) 62.54
Phone: ( ) Fax:: ( ) Tub/shower /shower pan 12.51
E � Urinal
( 25.02
r, 1 @rl 1 0,11 r i 11t�lh lli'I'�� " l If r ll l �I I� 1 1 1,, ow14l yl 1111, " gill Vli e
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� �.!li��l��t��7:� 1� �1� �i� � ,�f�llp �!Il� 11��6�!I � �l��li��hlg � ��g;� ���1 +� ��i�,!� � .0 w r 25.02
Business name; BEAVERTON PLUMBING, INC _ 37.32
Address: 13980 SW TUALATIN VALLEY HWY Water pipirtg/pWV x 5 56.29
Other
City/State/ZIP: BEAVERTON, OR 97005' 23.02
Phone: (503) 643 -7619 Bubtoht 56.29
Fax: ( ) Minimum permit fee: $72,50 72.50
CCH Lic.: 12089 P1 . Is Lie. no,: 34 -4p3 Plan review (25% ofpennit 1be)
Authorized signature: , Stale surcharge ( fee) &70
TOTAL, PERMIT FEE 81,20
Print name: COLLEEN KNIGHTON 4, Dom; 02/02111 This permit application soiree II permit to sot obtained winds ltie days
Merit has hen aecepted as complete.
"Fee methodology set by 'hi•County Building Industry Service Board,
1: itulldlnalpemrNe1PLIKTAIrritayy,doe ID/n1p)p
440-4616T(1 DAZ/COAUWgg)