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Permit CITY TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00131 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/3/2007 PARCEL: 2S 102BB -01400 SITE ADDRESS: 09940 SW JOHNSON ST ZONING: R -4.5 SUBDIVISION: NO. TIGARDVILLE ADDITION AMEND LOT: 019 JURISDICTION: TIG PROJECT: BOGDEN Project Description: Replace 40' of sanitary sewer service. CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 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: 40 ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES ROBERT BOGDEN 9940 SW JOHNSON ST Description Date Amount TIGARD, OR 97223 [PLUMB] Permit Fee 4/3/2007 $72.50 [TAX] 8% State Surcha 4/3/2007 $5.80 Phone : 503- 639 -1091 Total $78.30 Contractor: ARS RESCUE ROOTER 28655 SW BOONES FERRY RD WILSONVILLE, OR 97070 REQUIRED ITEMS AND REPORTS • Contact # : PRI 503- 685 -9050 FAX 503- 685 -9381 Reg #: LIC 127325 PLM 34 -168PB 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 -0100. You may obtain copies of these rules or •' -ct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. • Iss ed By: , / OA/ . / Permittee Sign. -v ow? • Call 503.639.4175 by 7:00 a.m. for an inspection that b siness 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. , PR -2 -2887 11:27A FROM:RESCUE ROOTER 503-685-9185 T8: 5835981960 P.2/3 Plumbing Permit Application .. OFFICE, USE �1N1..>, lieceivcd 1 n Pcnmt No.: 1 7- dt9/.5/ City of Tigard Date/Ry O` 07 4 t rt 13125 SW Hall Blvd„ Tiger. ' "� _ f g Plan Review ■ Phone: 503.639.4171 Fax , . t'. 8. 6 pff1e/AY Other Permit No.: Inspection Line: 503.639,41 j © Al Date Ready/By: Naified/Mclhod: �uya! HI See Page 2 for YI(G'A1115 Internet: www,tigard or.gov L i/ 4 Supplemental Information • TYPE OF WORK" FEE* SCIIEDULE - ❑ New construction MI 6 o ti 1_ � , ... F special information use checklist. ��� Description 1 Qty. J Ea. ( Total ❑ Addition /alteration /replacement ill . New 1- 2- family dwellings (includes 100 ft, for each utility connection) 1 , • CATEGORY OF C 4 CIJON SFR (1) bath 249.20 ® I- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350,00 ❑ Accessory building ❑ Multi- family SFR (3) bath 399.00 Each additional bath/kitchen 45.00 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities + Job site address: 9940 SW Johnson St Catch basin or area drain 16.60 City /State /ZIP: Tigard OR 97223 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 ' 1 10.00 Cross street/directions to job site: Grant Ave Manholes 16.60 - Rain drain connector 16.60 Sanitary sewer (no, linear ft.: 42) 40 Page 2 55.00 Storm sewer (no. linear Ii.: ) Page 2 Water service (no. linear R.: ) I Page 2 Subdivision: ( Lot no.: Fixture or item Tux map /parcel no.: Absorption valve 16.60 DESCRIPTION OF WORK Backflow preventer Page 2 _ Replace 40' Sanitary Sewer Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16,60 _ Drinking fountain 16.60 ® PROPERTY OWNER J ❑ TENANT Ejectors /sump 16,60 Name: Robert Bogden - Expansion tank 16.60 Address: 9940 SW Johnson St Fixture /sewer cap 16.60 City /State /ZIP: Tigard OR 97223 Floor drain /(loorsink/hub 16.60 Phone: (503)639 Fax: ( ) Garbage disposal 16.60 Hose bib 16.60 ® APPLICANT ❑ CONTACT PERSON Ice maker 16.60 Business name: ARS /Rescue Rooter - Interceptor /grease trap 16.60 Contact name: Bob Ramsey Medical gas (value: $ ) Page 2 Address: 28655 SW Boones Ferry Rd Primer 16.60 . City /State /ZIP: Wilsonville OR 97070 Roof drain (commercial) 16.60 Sink/basin /lavatory 16.60 Phone: (503) 685 -9050 Fax: ; (503) 685 -9381 Tub/shower/shower pan 16.60 E -mail: rramsey @ars.com _ Urinal 16.60 CONTRACTOR Water closet 16.60 Business name: ARS /escue Rooter Water heater 16.60 Address: 28655 SW Boones Ferry Rd Other: - t Subtotal City /State /ZIP: Wilsonville OR 97070 Minimum permit fee: $72.50 7250 Phone: (503) 685 - 9050 Fax: (503) 685 -9381 Residential hackflow minimum permit fee: $36.25 CCB Lie.; 127325 tit 44 �/ Plumbing Lic. no.: 34 - 168PR Plan review (25% of permit fee) D t State surcharge (8%ofpermit fee) 5.80 Authorized signature: J 7 4,,f TOTAL PERMIT FEE 78,30 Print name: c NR t (F SP Sc., ,CC- Date: t-/-2 - O'�' This permit application expires if a permit is not obtained within P f j 180 days after it has been accepted as complete. *Fee methodology set by Tri- County Building Industry Service Board. t \Building \Permits\PLM- PermiiAPP doe 06/26/06 440. 4616•1!0 /02 /COMAVED) CITY OF TIGARD BUILDING DIVISION At• PERMIT #: PLM2007-00131 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/3/2007 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 4/4/2007 TIME: 7:01AM PAGE: 23 SITE ADDRESS: 09940 SW JOHNSON ST CLASS OF WORK: SUBDIVISION: NO. TIGARDVILLE ADDITION AMEND LOT #: 019 TYPE OF USE: PROJECT NAME: BOGDEN DESCRIPTION: Replace 40 of sanitary sewer service. OWNER: BOGDEN, ROBERT PHONE #: 503-639-1091 CONTRACTOR: ARS RESCUE ROOTER PHONE #: 503-685.9050 Inspection Request Scheduled For: Date: 4/4/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 505 Sanitary sewer 045977-01 503-793-8926 Corrections/Comments/Instructions: q' J3 _ce 7. i4 n PASS n PARTIAL APPROVAL LII CANCEL Lii NO ACCESS n FAIL fl CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED Inspector: (50 YckA- V/V) Date: ql /A 1 Y) Phone #: (503) 718-