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Permit IN - � CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00479 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/24/2007 PARCEL: 25111 AD -19500 SITE ADDRESS: 14931 SW 88TH AVE ZONING: R -4.5 SUBDIVISION: LADY APPLE LOT: 019 JURISDICTION: TIG PROJECT: LADY APPLE Project Description: Install sprinkler system. CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1 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 BEACON HOMES NW, INC. 12703 SW 67TH AVE Description Date Amount TIGARD, OR 97223 [PLUMB] Permit Fee 10/24/2007 $36.25 [TAX] 8% State Surcha 10/24/2007 $2.90 Phone : Total $39.15 Contractor: CONTOUR LANDSCAPING INC 12485 SW TOOZE RD SHERWOOD, OR 97140 REQUIRED ITEMS AND REPORTS Contact # : PRI 503- 682 -1302 FAX Same as above Reg #: LIC 5698 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of O' Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire i' ork is no : ed within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires yo , • follow les opted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 -4Oh -0100. ou ma obtain copies of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Aft Issued B //j f, , - / Permittee Signature: i A ■ Call 503.639.4175 by 7:00 a.m. for an inspection that bus' ess day. This permit card shall be kept in a conspicuous place on the job site unti completion of the project. Approved plans are required on the job site at the time of each inspection. M Plumbing Permit Application RECEIVE Building Fixtures FOR OFFICE USE ONLY O C T 2 4 R eceived City of Tigard (0 5 Per No.:/ A IN gi p,/ 2 / "/ 7E11 13125 SW Hall Blvd., Tigard, OR 97223 CITY U� I IuHIiV Da Rv. r / l� Phone: 503.639.4171 Fax: 503.598.1 lUILDINGDIUISIO 1 Plan RDateBy: eview Other Permit No.: T I �_ ,` R D Inspection Line: 503.639.4175 Date Ready/By: 0 See Page 2 for Internet: www.tigard or.gov Notified/Method: , Supplemental Information � ' TYPE OF WORK FEE* SCHEDULE N Nvew construction ❑ Demolition For special information use checklist Description I Qty. 1 Ea. I 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 LI 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: (.t/ ` ' At/6 Catch basin or area drain 16.60 City/State /ZIP: 69l9-se4) e,r2 - ' 3 Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: I Project name: Footing drain (no. linear ft.: ) Page 2 Manufactured home utilities 110.00 Cross street/directions to job site: _ � Rain drain 16.60 [ � �C �f� ii. 3�� � �- l�� Ra dain connector 16.60 Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: ) Page 2 Subdivision: L14-1ThY / y�- Water service (no. linear ft.: _ ) Page 2 p� I Lot no.: / Fixture or item Tax map /parcel no.: Absorption valve 16.60 DESCRIPTION OF WORK Backflow preventer Page 2 Y-t-'" :s e / Backwater valve 16.60 25 Clothes washer 16.60 Dishwasher 16.60 ROPERTY OWNER I 0 TENANT Drinking fountain 16.60 �� M � Ejectors /sump 16.60 Name: r Expansion tank 16.60 Address: ear40 6c,u co c Fixture /sewer cap 16.60 City/State /ZIP: '- (9y2-) og._ q,F-a Floor drain/floor sink/hub 16.60 Phone: (6i-sy 5 5 ) Fax: ( ) Garbage disposal 16.60 ❑ APPLICANT ❑ CONTACT PERSON Hose bib 16.60 Ice maker 16.60 Business name: 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: ( ) I Fax:: ( ) Sink/basin/lavatory 16.60 Tub /shower /shower pan 16.60 E -mail: Urinal 16.60 CONTRACTOR Water closet 16.60 Business name: ., i G_/s Water heater 16.60 Address: 6 f85 $L,) Z-9Za--- / 2.4j Other: City/State /ZIP: t9'a� D r2-- Subtotal Phone: 5b3) ce e a /2 0 Minimum permit fee: $72.50 - Fa x: ( Re sidential ba ckflow minimum permit fee: $36.25 36 25 . CCB Lic.: P1 sing c. no.: Plan review (25% of permit fee) 45 �/ / State surcharge (8% of permit fee) 2 .g d Authorized signature: f _iii..„,„ TOTAL PERMIT FEE Print name: i ' / 9-/L8�> Date: /o -p 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 12 /27/06 440- 4616T(10 /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: Permit Fee: Footing drain - 1 e 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 Fixture or Item Qty. Fee (ea) Total additional $100.00 or fraction thereof, to and 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) l 27.55 3(0. ZS 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 existing plumbing or each additional $100.00 or fraction thereof, to Ins of p g p g and including $50,000.00. specially requested inspections - per hour 72.50 $50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for Subtotal: each additional $100.00 or fraction thereof Fixture Work: Plan Review for Plumbing Installations Are you capping, adding or replacing fixtures? If "yes ", Plan review is required for any of the following. please indicate work performed by fixture. Failure to Please check all that apply. accurately report fixtures could result in increased sewer fees ❑ Any new commercial building with water service 2" and Quantity by (Fixture) Work Performed greater, except systems designed and stamped by licensed Fixture Type: Replace engineer. Previous Capped Added Existing ❑ New exterior plumbing site utilities for any complex structure Baptistry/Font as defined in OAR918- 780 -0040. Bath - Tub /Shower ❑ Medical gas and vacuum systems for health care facilities. - Jacuzzi /Whirlpool ❑ Any multipurpose fire sprinkler system. Car Wash -Each Stall ❑ Any complex structure as defined in OAR918- 780 -0040. -Drive Thru Cuspidor/Water Aspirator Submit 2 sets of plans with any of the above. Dishwasher - Commercial - Domestic Drinking Fountain Isometric or Riser Diagram Eye Wash ❑ Isometric or riser diagram is required for new buildings Floor Drain/sink - 2" that meet the qualifications above. -3' Car Wash Drain Garbage - Domestic Comments regarding fixture work: Disposal - Commercial - Industrial Ice Mach. /Refrig. Drains Oil Separator (Gas Station) Rec. Vehicle Dump Station Shower -Gang -Stall Sink - Bar/Lavatory - Bradley *Note: If the fixture work under this permit results in an - Commercial increase of sewer EDUs, a sewer permit will be issued and - Service fees assessed for the sewer increase must be paid before the Swimming Pool Filter plumbing permit can be issued. Washer - Clothes Water Extractor Water Closet - Toilet Urinal Other Fixtures: i:\ Building 'Permits\PLM- PermitApp.doe 12/27/06 CITY OF TIGARD • BUILDING DIVISION PERMIT #: K;4ugEj7..0ac7g 13125 SW Hall Blvd., Tigard, OR 97223 t DATE ISSUED: 10/2.412007 Phone: (503) 639 -4171 ' A ariv, 11111tili Inspection Requests (24 Hrs.): (503) 639 -4175 °__.. INSPECTION WORKSHEET FOR DATE: 11/1/2007 TIME: 7:02AM PAGE: 49 SITE ADDRESS: 14931 SW 138TH AVE CLASS OF WORK: SUBDIVISION: l ADY APPLE-: LOT #: 019 TYPE OF USE: PROJECT NAME: LADY APPLE DESCRIPTION: Install sprinkler S rstem. OWNER: BEACON HOMES NW, INC., PHONE #: CONTRACTOR: CONTOUR LANDSCAPING INC PHONE #: 503- 682.13302 Inspection Request Scheduled For: Date: 11/1/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 058750`01 503 -774 -0305 N Corrections /Comments /Instructions: p D evic e "��2 -7 1., l Care i►...w. fr g PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Gb Vlate),' \S -n-- Date: i i 1 ) 1 b7 Phone #: (503) 718-