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Permit 1 1 . CITY TIGARD PLUMBING PERMIT I"i DEVELOPMENT SERVICES PERMIT #: PLM2002 -00304 A .� � 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/5/02 SITE ADDRESS: 07520 SW BONITA RD PARCEL: 2S112BD -00100 SUBDIVISION: TIFFANY COURT APT. ZONING: R -12 BLOCK: LOT: 065 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: MF WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 5 URINALS: GREASE TRAPS: LAVATORIES: 5 OTHER FIXTURES: TUB /SHOWERS: 5 SEWER LINE: ft WATER CLOSETS: 5 WATER LINE: ft DISHWASHERS: 5 RAIN DRAIN: ft Remarks: Multiple units and addresses = 7520 Bonita / #9, 7560 Bonita / #32 14620 76th/ #53, 14640 76th/ #61,64. Replace existing fixtures FEES Owner: Type By Date Amount Receipt BOROS, STEFAN A + FIVIA PRMT CTR 8/5/02 $415.00 27200200000 PO BOX 1890 5PCT CTR 8/5/02 $33.20 27200200000 GRESHAM, OR 97030 Total $448.20 Phone 1: Contractor: LIBERTY PLUMBING 6107 SW MURRAY BLVD #135 BEAVERTON, OR 97008 REQUIRED INSPECTIONS Phone 1: 503 - 888 -8830 o Insp T Reg #: LIC 142162 Top --out out Insp PLM 34 -373PB Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246 - 1987. Issued By: b_S Permittee Signature: "i 1 � t Call (503) 639 - 5 b�0 P.M. for an inspection needed the next business"d ( ) Y p Y Plumb'li Permit Application Received FOR OFFICE USE ONLY Plumbing Date/By: Permit Nd , 0e2 - OD -30 1 / City Of Tigard Planning Approval Sewer Y g Te Form Date/By: PermitNo.: 13125 SW Hall Blvd. Plan Review Other Tigard, Oregon 97223 Date /By: Permit No.: Phone: 503- 639 -4171 Fax: 503 -598 -1960 4 11 1114' Post- Review Land Use _ � t , Date /By: Case No.: Internet: www.ci.tigard.or.us *� - "� ��" Contact Juris.: ❑ See Page 2 for 24 -hour Inspection Request: 503- 639 -4175 Name /Method: Supplemental Information. ' t .�.4 F SCHgOin*i .. i :;« �.,,N ,'� , rr r,h,��iy " ,P; ,� TYPEaOF�WORK,�: �$,,, � _. ,.,., ..�.,,,_ (for�special tnformatiop_use;checklist) . ❑ New construction ❑ Demolition Description I Qty. I Fee(ea) I Total Fat p g ,: t New ;l }s & dwell°gSl �� { Yx F ` , KAddition/alteration/re lacement El Other " "' '' " "` �'fr CAT•EGORYxOF CQNSTRUCTION _. . ' V,`6 ""-° (incl ud -,1,00 tt i for,eachru ' tilityrco nne 'ction) .,,.4 „,s .,,_ , 4,1 `' " �' °i'° `: SFR (1) bath 249.20 ❑ 1 & 2- Family dwelling ❑ Commercial/Industrial SFR (2) bath 350.00 ['Accessory Building ,®.Multi- Family SFR (3) bath 399.00 ❑ Master Builder ❑ Other: Each additional bath/kitchen 45.00 ;:At �, -=JOB SITE "INFORMAT :ION: = iiiii'lmic;ATION,, , � Fire sprinkler sq ft Page `j � Job site address: j 6 0 5,v'. Kr," A6 , ` `;r k` <, ;.: ;,site ut uttes01V.- t. , i .4:, ° €,. Suite #: Bldg. /Apt. #: Catch basin/area drain 16.60 Proje Name: Drywell /leach line /trench drain 16.60 1 Footing drain (no. linear ft.) Page 2 Cross street/Directions to job site: r - � G e t b � q � ) � Manufactured home utilities 110.00 1 Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear ft.) Page 2 Subdivision: Lot #: Storm sewer (no. linear ft.) Page 2 Tax map /parcel #: n i FPM Water service (no linear ft ) a 11iM, � DESCRIPT`ION=OF�WORK w, ,'.: ,.;}' �~ � �;�€.' � ,:,." . `� Fixtur'e „??or Item '`'�� .� . -4 . ' (i; I J t.-1-1A I ' Absorption valve 16.60 l 1Q;, l Ve/ L✓ (IA 1 (/ it / Backflow preventer - Commercial 46.40 N I i A t LA- � - i 1 0 - ( t • Backflow preventer - Residential 27.55 1 Backwater valve 16.60 Clothes washer 16.60 Dishwasher I 16.60 V.; ,b ®FPROPERTY OW, ,N:ER s ° ® I ANVIrrf: i e : Drinking fountain 16.60 r Name: Ejectors /sump 16.60 Address: Expansion tank 16.60 City /State /Zip: Fixture /sewer cap 16.60 ' Floor drain/floor sink/hub 16.60 Phone: Fax: Garbage disposal • 16.60 APPLICANT,e . , ,:,` 1 <<: M. `i is VOIMOTTERSONTM Hose bib 16.60 Name: Ice maker 16.60 Address: . . . Interceptor/grease trap 16.60 • Clt /State /Zl Medical gas - value: $ Page 2 Y p Primer _ 16.60 Phone: Fax: Roof drain (commercial) 16.60 E -mail Sink/basin/lavatory 7 _, 16.60 )tc-� T _ - '__ _ v T / s h ower /shower p an 16 ;,:�. =$�� �.��CQNT'R.ACTOR�.....� r.�:. e. r . . Business Name: 1._ i (T --)1 t,,,�6 Urinal 16.60 ,nA A ,' . Water closet l 16.60) , �1 l-, Address: to , , L111 t V (Gt� k Water heater 16.60 City /State /Zip: B a A v e „f4^ 1 DYZ 9'1-o © e Other: Phone 6 -6 ?, Fax :�,-b�- 6i1 .6 -$ 7 :: Plumbmg;PermttFeesz,,,; K 4 ._ ,iA, Subtotal $ ■mw-"m"wi ' ; CCB Lic. #: i 42.-(b2-- Plumb. Lic. #: 3 q.-373pg Minimum Permit Fee $72.50 $ Authorized it Residential Backflow Minimum Fee $36.25 Signature: �.1.iii,LLV 'L�a. � 1(' Date: , J1,. Plan Review (25% of Permit Fee) $ o -- 1 State Surcharge (8 /o of Permit Fee) $ i V1nc I • �lL��u TOTAL PERMIT FEE $ , L0_ I (Please print name) Notice: This permit application expires if a permit is not o tamed within All new Commercial building require 2 sets of plans with isometric or 180 days after it has been accepted as complete. *Fee methodology set by Tri- County Building Industry Service Board. riser diagram for plan review. Plumbing Permit Application - City of Tigard a Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: at '4 ' ga,... .a- ° r e . : . Qty `' :'']'#.4101 `; T°t Square; Footage:: Permit. Fee:" . ` . Stfe3Ut►ltttes Footing drain - 1" 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 • Val,uaii0 % :. ` `. ' Per nitFee:,.. = . . 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 additional $100.00 or fraction thereof, to and ,. Y ? Fiztur Or IWiji " 1.0 Fec f(KOlt `` `;Total' 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) 27.55 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 each additional $100.00 or fraction thereof, to Inspection of existing plumbing or 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: Are you capping, moving or replacing existing fixtures? If "yes ", please indicate worleperformed by fixture. Failure to accurately report fixtures could result in increased sewer fees *. Comments regarding fixture work: � ( ;e4 ; r Qua ntity by�(Ftxture)`Work Performed 1„Ftxture Type _ a gel � � 'a r''' ., ePtac a b t EM a . €_ 14, _ _ -: :', N ':Movedv;.Existing .,Oa "pped Baptistry/Font Bath - Tub /Shower f - Jacuzzi /Whirlpool Car Wash -Each Stall -Drive Thru Cuspidor /Water Aspirator Dishwasher - Commercial ) - Domestic Drinking Fountain Eye Wash Floor Drain /sink - 2" 3 „ . -4" Car Wash Drain *Note: If the fixture work under this permit results in an Garbage -Domestic increase of sewer EDUs, a sewer permit will be issued and Disposal - Commercial - Industrial fees assessed for the sewer increase must be paid before the Ice Mach. /Refrig. Drains plumbing permit can be issued. Oil Separator (Gas Station) Rec. Vehicle Dump Station . Shower -Gang i ' -Stall • Sink - Bar /Lavatory l , - Bradley 1 � V - Commercial - - Service Swimming Pool Filter Washer - Clothes Water Extractor . Water Closet - Toilet t • Urinal - Other Fixtures: ' Listing 11/2/2004 Case Activity g 11:17:05AM TIDEMARK Case #: PLM2002 -00304 COMPUTER SYSTEMS, INC. ,0� �.::� _,ti,.'`' /�`��" �il'q', ;y �`t� /',� ��£ ,.�;�,,, r�i�y %s g �`:SS�iI' i � 'r � � i i f: `� • i � . ,s. .7 [T Tlat ate 23 � Date s T � � ,�'__G; ° �,� ;. :.,.. ., ,m r o, ...J G <,.a✓'h I�,sr > „;. r,. .. ;, w.�,em, :-:�_�- >,,._;, _,. :�i.,w+,un;. .:�-,.., .. .-.. �. .�, ,,,,. ,.. ,,.;��,,I1 sa;r'�< ,, _�,�„ >..y � PLMA003 Application received 8/5/2002 None DONE JMT 8/5/2002 JMT PLMA005 Create Permit 8/5/2002 None DONE JMT 8/5/2002 JMT PLMA715 Rough in Insp 9/3/2002 None PASS MRS 9/3/2002 shower pan MRS PLMA725 Top -out Insp None 8/5/2002 JMT PLMA799 Final Inspection 1/5/2004 None PASS MRS 1/5/2004 MRS PLMA050 (F) Issue permit 8/5/2002 None DONE JMT 8/5/2002 BLD PLMC715 Rough in Insp 9/17/2002 None PASS MRS 9/17/2002 tub #53 MRS PLMA800 Case Finaled 1/5/2004 None PASS MRS 1/5/2004 MRS Page 1 of 1 CaseActivity..rpt