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Permit CITY OF TIGARD PLUMBING PERMIT -- COMMUNITY DEVELOPMENT Permit #: PLM2011 -00154 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/18/2011 Parcel: 2S104CD04700 Jurisdiction: Tigard Site address: 13867 SW BENCHVIEW TER Project: ARMELI Subdivision: HILLSHIRE ESTATES Lot: 47 Project Description: Bathtub and shower pan installation. Contractor: THE PLUMBERS INC. Owner: ARMELI, THOMAS F & TERRI F 90 NW 150TH AVE 13867 SW BENCHVIEW TER BEAVERTON, OR 97006 TIGARD, OR 97223 P PHONE: 503 - 579 -1857 HONE: 503 - 519 -6644 FAX: 503 - 684 -1202 FEES Quantity Description Date Amount 2 ea Tub /Shower /Shower Pan 05/18/2011 $25.02 Specifics: 1 12% State Surcharge - 05/18/2011 $8.70 Plumbing Type of Use: SF 47 ea Minimum Fee Adjustment - 05/18/2011 $47.48 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: % / Permittee Signature: i 1 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. May 17 2011 4:50PM The Plumbers Inc. 5034594540 p.l Plumbing Permit Application Building Fixtures �� 1:014. <11 I ;l`: (1\la City of Tigard! Received • 13125 SW Hall Blvd., Tigard OR 972 �� ^ Data/B : �',1 - __ O Phone: 503.718.2434 Fax: 503.5 l P� Review 1 : 1 114 Inspection Line: 503 639 \� �� Date/By: y Other Permit No.: I I t I f i Internet: �^- a t i fi Rd o: ran S See Pane I Internet: www tigard or.gov e P `�v Notified/Method: Supplemrtal Information . �.s "-.' a ce1 t�, o. E »`iPEt�.s' .° ; vl ii ,�a�s- III ;ImO+',f`. Sat lt, - .-§a :',9�IfA ^t:-t ..r : +,. i - : ,•rJl , -4A _∎: - vv t .. for .;z� nl j3' ,""5:,- 1..: ..; _r . d; €. . .,:`. r4 i, «s l ' t��'art�.7F`�, ' ,. _ , a. taxifk'�zkK1 � .. • h ip. ` rir b i.--f : ._14 j 'Yk 'b a Ti, v 't:_- .'d' LL li � i lr 1 ! i `t- ' , ' Ir y i s }lttf! § , -L4 . v: ,+..s.:���. btu. il�. d2» .�..atsl�l�.�;�all:i�tllF^ >�t�` i. uca "�ti.�.k,1i.'�.�.�,�r L '�a �t1E�= x111 ��€ aL���;..:: l�: �e3n a :z�a:<s ❑ New construction ❑ Dent,. '4 % \ Fors ecial in or ere ch t \1 Description Qty. Ea. Total ® Addition/alteration/replacement rent ❑ Otbef'� New 1 - 2 - family dwellings ( 100 ft. for each utility connection) iLJ. r i i fk V I M IL t §a i d t .( w� fi w r.n a rt ij .. .. ' . 0 . - -- SFR (1) bath I I 312.70 IS 1 • and 2 - family dwelling ❑ Commercial/industrial _ SFR (2) bath 437.78 12 Accessory building ❑ Multi-family SFR (3) bath 500.32 ❑ Master builder Each additional bath/lcitchen 25.02 ❑ Other: Fire sprinkler ( sq. ft.) Page 2 a Fl i i w e ,' t� S eat :vin ltd ` € '� = 1 ! d t.11 i ;11' : � : 1 ,_ € '. ,014,2 , . ... r via., ` -- 6 . --r° at 11,... . r � ;m Site utilities: Job site address: 1355(p`q 5� v te � .. (-64.4,-, Catch basin or area drain 18.76 City /State/21P: !X y t ' 0 -'�2, Drywell, leach line, or trench drain 18.76 J _ Footing drain (no. linear ft.: Page 2 Suite/bldg. /apt. no.: + Project name: Manufactured home utilities 50.03 Cross street'directions to job site Manholes 18.76 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: J Lot no.: Fixture or item: Taxmap /parcel no.: Bacldlow preventer 3 L27 � r ax m � /pa E lt d lg £ a kt_ zm c u�u _ nu'. 3- ' ! Backwater valve 3 ..tt�' "'"' ni.,'1Li'4: b.c;Sis t' p ... Ft s's.. z e 'di `r s .. ! ■5 dlu . 3/2 11! 1 oE� a i l 25 02 �i�, //o � 6 �� Clothes washer Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 iilulma nus I Feu wt c 12.51 E i* zl i m rr , a,r. ?.,'"1:1' 4 P �a t4 #: ` 4€ � , E ion tank ! 0 i i ,... iti::.In l ■a. rs t.E„y s € t u .. i Lam €- + Name: t 1J� ` Fixture/sewer cap 25.02 3 •'�' •ii � ,, Floor ge disposal sink /hub 25.02 Address: ( ty � f OR J Garbage disposal 25,02 City/State/ZIP: K r q-q_D_-� Hose bib 25.02 Phone: ) _ - .' 1 ti Fax: ( ) Ice maker 12.51 hi shot Phone: t 'l f ffi s3r 3= . y it zsna ,- Er' ;y'Y'Il r -- s'-" step". t :nmsit e . q 3 It1' interceptor/grease l 1illiiigiii .F `C' i .Al-lik.iv ,`.i ?r“ p � z, !�!�. + -�a � - ' ` „.. ` ®wa ke .rc,`I P 25.02 Business name: r" (t t f ��,k le Medical gas (value: $ ) Page 2 Primer 12.5 Contact name: ( mil _ Address: t6" $ t) (2(1 l,�(/ gtr4. . jn� Roof drai (commercial) 25.02 cial) 75.01 Address: \ �`"x+ Sink/basin/lavatory City/State/ZIP: . /r- a . Da- cc70` -S Solar units (potable water) 62.54 Phone: ( (� .. � ` Fax: : ( ) t Tub /shower /shower pan - 12.51 A E matt �(/ir� •-�' � f LA.4 �24eS ell Urinal 25.02 4rc seln 4y ioa, RIcm S�.: a x ' t: - rFl Water closet 25.02 ti !iii ..% � lf � a' . tit ie,igd s ern ' _ .,am ,Y r ` Water heater 37.52 Business name: - / 4 1LJC., . Water pipingNWV 56.29 Address: t acc g flt,l 0 R fp. . , . 7 Other. 25.02 Ciry /state /ZIP: � '� © q Q- Subtotal Phone: ( ) 51((v , Fax: ) ( Minimum permit fee: $72.50 7 , i - - p. 14- PI ing Lic, no.: ' Plan review (25% of permit fee) CCB Lie.: p Authorized si: State surcharge (12% of permit fey) A f ' / TOTAL PERMIT FEE !� 1I +Mi Print name: . /_ . ■ _ • S Date: This permit application expires if a permit is not obtained within 180 days 4 after it has been accepted as complete. 'Fee methodology set by Tri Cotinry Building Industry Service Roani 7. 1Huildi. lglPermiia�PLMi.I- PrrmitApp.doc 10/01/05 +40- 4616T(10/021COM/WBB)