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Permit CITY OF TIGARD PLUMBING PERMIT '` COMMUNITY DEVELOPMENT Permit #: PLM2012 00030 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 I r i' Date Issued: 02/10/2012 lJ�� Parcel: 2S113B000500 V Jurisdiction: Tigard Site address: 8172 SW DURHAM RD Project: Spec Space Subdivision: ROSEWOOD ACRE TRACTS Lot: D Project Description: Interior plumbing. V29/12, reprinted to add grease trap. Contractor: METICULOUS HOME SERVICES LLC Owner: DURHAM II LLC 12518 NE AIRPORT WAY, STE. 148, #343 8100 SW DURHAM RD PORTLAND, OR 97230 TIGARD, OR 97244 PHONE: 503 - 208 -2812 PHONE: FAX: 503 - 208 -2813 FEES Quantity Description Date Amount 2 ea Sink 02/10/2012 $50.04 Specifics: 1 ea Water Heater 02/10/2012 $37.52 1 12% State Surcharge - 02/10/2012 $10.51 Type of Use: COM Plumbing Class of Work: ALT 1 ea Interceptor /Grease Trap 02/29/2012 $25.02 Type of Const: 0 12% State Surcharge - 02/29/2012 $3.00 Occupancy Grp: Plumbing Stories: Total $126.09 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 Notifica on 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 q .estions • • UNC by - ling 503.232.1987 or 1.800.332.2344. Issued By: /4 ( Permittee Signature dY( 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. CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT Permit #: PLM2012 00030 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/10/2012 Parcel: 2S 113 B000500 Jurisdiction: Tigard Site address: 8172 SW DURHAM RD Project: Spec Space Subdivision: ROSEWOOD ACRE TRACTS Lot: D Project Description: Interior plumbing. Contractor: METICULOUS HOME SERVICES LLC Owner: DURHAM II LLC 12518 NE AIRPORT WAY, STE. 148, #343 8100 SW DURHAM RD PORTLAND, OR 97230 TIGARD, OR 97244 PHONE: 503 - 208 -2812 PHONE: FAX: 503 - 208 -2813 FEES Quantity Description Date Amount 2 ea Sink 02/10/2012 $50.04 Specifics: 1 ea Water Heater 02/10/2012 $37.52 1 12% State Surcharge - 02/10/2012 $10.51 Type of Use: COM Plumbing Class of Work: ALT Type of Const: Occupancy Grp: Stories: Total $98.07 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: if / I Permittee Signature: / Call 503.639.4175 by 7:00 a.m. for the 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. 02/29/2012 11:50 FAX 503 208 2813 METICULOUS HOME SERVICES k� I1 002 dc�; (1C� (oregce trip t '4 mi- - Plumbine Permit Application GG ®� F LO\ 12 - 00030 � Building Fixtures �` � o' \' City or TTigard ti � ti ,gip Iteettived �. - ^ Permit No.: pt 1,a - 3. 13125 SW Hall Blvd., Tigard, O 3 ' ,,C_� GP 0W t Re4l - • Phone: 503.639.4171 Fax: 503.598.196 c � \ �� C j ` p al m y; Other Ponnil No.: I , i , inspect Line: 503.639.1175 �0` c Q Date heady /By: .. _ brit. 51 see Pa ;e 1 for Internet www.tigard- ur.guv r0 � Notified/Method: - _ Supptemcntat Information TYPE OF WORK $ . Y - FEE* SCHEDULE _ .. 0 Ne construction • ❑ Demolition For spec injLryradnn use cheekliat- !W _ ..Des._erl. EIon _.. Qty. Total 7Addition /altt:ration/rePhIeelnent ❑ Other: W r.._. New I- 2 - family dwellings (includes (00 it. for emit utility connection) CATEGORY OF (:ONsimuc ION _ SI'R (1) bath 312.70 0 1- and 2- family d welling r...1 'ommercial/industtial Skit (2) bath ` . `. - 437.78 ' Sl'R (3) bath 500.32 ❑ Accessory building ❑ Multi tamily ^l Each additional bath/kitchen 25.02 ❑ Master builder ❑ Other: Fire,, sprinkler ( _ mi. 11) Page 2 JOB SITE INFORMATION AND LOCATION .......,, Site utilities: Job site address: !' ' i t Ork t I -rej -r- - Catch tnasin or area drain 18.76 ._. . _ r.....» _ ____..__ City/State/ZIP: I 1 �► fl -' �.Z�, -- r' "_.- ..r..T,..._. -. Drywcll, leach line, or trench drain 18.76 -1 Footing drain (no, linear ft. : Page 2 Suite/bldg. /apt. uo.: Project name: Manufactured home utilities 50,03 T Cros satreet/directions to job site; I l Manholes 18.76 F v V 1`'c� p u,» - '! e221e,2 .-4.L.).,.,...--.-_- ... Rain drain connector 18.76 . r S r 00 . ,...,, „_x__. -�_ Sanitary sewer (no. linear ft.; I Page 2 - ---- Storm sewer (no. linear ft.: ) Page 2 Water service (no. Iin*at It __..) Page 2 Subdivision: _T - 1.ot Flu,: Fixture Cr Items - Tux map /party) no,: Bec kIl nv ppnwcnter - ._ ..... _ 31. 27 DESCRIPTION OF WORK Ilackwxter ^ 12.51 ^, Clothes washer 25.02 -- i nAtgI.i f t'f .,. - ) CA, ,') i- S'/i /C, Dishwasher IN l c w) u-. 1.49 .k1 i -e C&l 3„.% .. ..W. 4 - itY.e4, `.' Drinking fou ntuin _ - 25.02 l;jecturs/sump 25.02 0 PROPERTY OWNER 0 Fxpanslon tank 12,51 Name ,•� _ .. - Fixture/sewer cap • 25.02 - Q s, Floor drain/floor sinklhub 25.02 Address: RI 09 S tAt) t. / Y► 4� e-d y .ti....._.... .� _... Garbage disposal 25.02 City /State/ZIP " 4 �. cc. , 2. (4 Hose bib �_ - 25.02 Phone: (5U_ 3z (r�N1�M q '7'T Fax: ( ) -__ -- Itxe maker_ 12.51 _ ❑ APPLICANT 0 CONTACT' PERSON intcreeptor/Wcasc trail 1 ._ 25.02 5Z. { iltisiness nmue j� � ( ,t ^ ^' Medical gas (value.5 ) ' Page2 ` j�L , -- Primer 12.51 (..�� tk J� • . , i • .L...„./.....L...._ _ ._..._�..... .r. Contact name: ^ Roof drain (commercial) 12.SI ress: 11 I ` V _ . .. T .. -- Add 1.� 11 ~ '�1t1 iw� '. !- 4.1 (f a 4 34 3 Sink/basin/hwatory 25.02 .._ . City /Stater /..it': , y , V r r - Q'1 Solar units (potable water) 6154 Phone: (a;�, ) , : • ' Fax:: ( ,i;) , �,;� ,)` 13 'fob /shower/showcr - -..... 12.51 E-mail: Urinal ..._ 25.02 ^. _� . ( ' ■ • I. (r� . L�� i Y1 Water close' 25.02 CON'1•RA( :1'OR ------ • -•^ \ � F :. ' - Water healer 37.52 Business name: t 4J�t)r � �''f ( S ,:;,i..,c, s Waterpiping/UWv 56.29 Address: 0. ' . tr;• � . 1..A.'Ad j�: 141 4-3E-}'3 "other: ^........,.,., 25.02 V __. ^ - -.. Clty /State /Z1P:..i , C ;Q. N 3 ., r> ()')), 3 6 -..._ ___... - - .._ -- Subtotal • Phone: (5 ' ) :141_111 Fax _ Minimum penult the: $72 F--- Tic,: r ( ) y 1 Zi (r) Fs S 7 ..... , Plumbing tic. no.: i 7 .7 3„. _._w..,.,,......._ review Po ) ;"`.: --.7 - ... State surcharge (1 2% ofpermit fee) • 3, 0 • Authorized signature: :. -•• -- -- ___ --. 'TOTAL PERMIT FEE ' l (7 Z ` (' not name: L , Date 1 7 Till, permit application expires If a permit I. not obtalecd wtthm on .rys ! _ A. _ 1 after It Ma been accepted as complete. • 'Pee methodology sot by 'Di-County Building Industry Soruioe Bon IWu11difaWerm{uWLMU- 1'enohAppd 10/01(19 44u_4.l6T(I0/02 /cOMrwEB) 02/09/2012 11:35 FAX 503 208 2813 METICULOUS HOME SERVICES Z 002 Plumbing Permit AppI cati 6 Building Fixtures FEB _ 9 2012 l 01: tll l I(l 1 >,r t/ \1.1 City of Tigard Received n !� �, 13125 SW Hall Blvd - Tigard, OR 97 , �F {GA �® �I h„V iirl :��r r_11 1 Phone: 503,619.4171 Fax: 503.5981 1 - { 1ooj ; Other Pe niit No.; i i 1 F i Inspection Line: 503.639.4 BUILDING DIVISION 1)stc Ready /By: hKb: &I See Page 1 for Interact: www.tigard•or.gov rtotified/method: IM p Supplemental Inrormadon TYPE OF WORK FEE* SCHEDULE 0 New constxuetion 0 Demolition For ; , • el i . , rnradoo use checklist Descri A Lion s i,,, Total V Addition /alteration/replacement ❑ Other: New 1- 2- farmll dwelll�s (includes 100 ft for each atili connection CATEGORY OF CONSTRUCTION SFR (I) bath EMI 312.70 ©1- and 2- family dwelling : otllrnercial/industrial SFR (2) bath IIIIIIIMI SFR (3) bath 500.32 0 Accessory building 0 Multi - family Each additional bttth/kitc`h+ ri 1111 25,02 El Master builder ©C+tltar: Fire sprinkler (_____ sq. fl.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: _— Job she address: !' Ur s Catch basin or area drain 18.76 W_ Drywall, leach line, or trench drain 18.76 City/State/ZIP: 1.G� ON( — — 2L} Footing drain (no, linear ft.: _ ) 111111 Pane 2 Sttite/bldg /egst. no ••l Project name: c S _ /ick R Manufactured home utilities MEI 50,03 MEM Cross street/directions to job site: Manholes 18,76 II M . MII Rain drain connector 18.76 O Sanitary sewer (no. linear ft.:..--.--,1 . - i 1E Storm sewer (no, linear ft.: 1 MI Page 2 ME -- - Water service (no, linear R �� .: Page 2 Subdivision: Lot rro.: Fixture or item: Tax map/parcel no.: Backflow preventer ___ 31.27 mi „ DESCRIPTION OF WORK Backwater valve 12.51 -" Clothes washer 2302 Mk ,, ri, l �' �' tM Dishwasher 25.02 • ,, • M. A ,{ ' Drinking fountain NM 25.02 Ejectors/sump 25,02 ROPERTY OWNER 0 TENANT Expansion tank 12.51 Name: Fixture/sewer cap 25,02 t. Floor drain/floor sink/hub 25.02 Address: (� .....,..._ _.... _--- .. ,.,.....,.., SL� S W s U! Qna (L _. Garbagcdispusa! 25.02 City/State/ZIP: �..� I^ Q 2 ' f,,� 4-} Hose bib 25.02 Phone: 60 3I-11 -. w _ Fax: ( ) 12.51 MINI ❑ APPLICANT 0 CONTACT PERSON Interceptor /grease trap 1111 25.02 IIII Business name: L , ' ` la t , Medical gas (value: $ ) Page 2 Contact name: Roof drain (commercial) 12.51 Address: p Ev 4 1 lk/b ►t S ink/basin/lavatury liEll 25.02 tit City /State/ZIP! O C di ,. + w Solar units (potable water) 62.54 Phone: (c ) Fax: x 3 Tub /shower /shower pan 12.51 -mail (-, Urinal 25.02 E-mail: il:0 t :.: A,- _ ic.4.tl01, - r C` Q( .., water closet 25.02 name: N\ heater 37,52 Business ne N\G 4J COQ c 74the S at "L j � fl, Water pipingfDWV 56.29 Address: 1 k , h L c S 1 l.. ` , -l-f 1.1, Other: 25.02 City /StatetZIP: b ( , ti)Q !‘ �" � 3 Q _ Subtotal • , f ' � Phone: (5Q ) -_ Fax: (S, ) • Minimum permit fie: $72.50 ME • / O Plumbing Lie. no_:' mown ' ii plan review (25 %ofpormit f State surcharge (12% of permit fire) f Authorized signature: J - .) TOTAL PERMIT FEE • 0 Print name: Q Date: This perndt application wpb's If a permit it not obtained within 180 days after it bas been accepted as movie's. *Fee methodology set by 'Fri Building Industry Service Board, I: lbulldlrgWermlulPLMU- PCmd[App.doc 10/01A9 440-46101 i0(021e0M/WEB) 02/10/2012 11:16 FAX 503 208 2813 METICULOUS HOME SERVICES Z 001 A—.- 7$4/ ( � tJ, Plumbin Pelrmit A )l eaden - City of Tigard r.. Ice, /7 M ' I Page 2 - Supplemental Information Fee Schedule: • Residential Fire Sul ' ression S stems: Site Utilities Qty Fri (es) Total Square E+ oota L e: Permit Fee: Footing drain - Is 100' ' 50.03 0 to 2,000 $121.90 - - - a,s 31.52 • 2 001 to 3 600 $169,69 Footing drain • each addi tional 100' � 3,601 to 7.200 $233.20 - - _.-. Sewer - 1st 100' 62.54 7 201 and t eater $327.54 _.. Sewer - each additional 100' 37.52 Water Service - lst 100' 62.54 Medical Gras Systems: . Water Service • each additions! 100' 37.52 Valuat Permit Fee: • Storm gt Ruin Drain - 1st 100' 62.54 $1.00 to $5 000.0) Minimum foe $72.50 Storm $r Ram Drain - each additional 100' ' 37.52 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1,52 for Qty. Fee (ea) Total each additional $ )00.00 or fraction thereof, to Other Inspecti o5r Fees and includin t $10 000.00. Inspection of ex plumbing or for $ 50,001.00 to $25,000.00 $148.50 for the first $10,000,00 and $1.54 fbr which no fee is specifically indicated 90,00/hr each additional $100.00 or fraction thereof, to minimum cha a –1/2 hour_, and including $25,000.00. Inspections outside of normal business 90.00/hr $25,001.00 io $50,000.00 $379.50 for the first $25,000.00 and $1.45 for hours minimum char e – 2 hours each additional $100.00 or fraction thereof, to Reinspection Fees 90.00 /hr and includin. $50 000.00. Additional plan review for revisions 90,00/hr $50,001.00 and up $742.00 for the first $50,000.00 and 51.20 for each additional 5100,00 or fraction thereof; (minimum charge i/Z hour ..�.._ -. Subtotal; CQmmelial Fixture Work: you capping, adding or replacing fixtures? If "yes ", Plan Review for Plumbing Installations please indicate work performed by fixture. Failure to Plan review is required for any of the following. accurate) re r ort fixtures could result in increased sewer fees'. Please cheek all that apply. Quanti by (Fixture) Work Performed ❑ Any new commercial building with water service 2" and nature Type: Replace greater, except systems designed and stamped by licensed Previous Ca, .. Added axlart : engineer. B. , tint /Font ❑ New exterior plumbing site utilities for any complex structure Bath -Ja z l /Whi ri M M defined gas and vacuum sy0 st ems - 3acuzi/Whirxwl 0 Mcal gas nd vacuum syems for health care iltciiities. Car Wash -Each Stall 111.1111.11111111111 Q Any multipurpose fire sprinkler system, -Drive Thru ❑ Any complex structure as defined in OAP 918- 780 -0040. w a Water As. irator MIIIIMENIMIlliellialiMill Dishwasher - Commercial 1111111.1111111111111 Submit a sets of plans with any of the above- - Domestic Drinkin Fountain M11111111111111111111111111111MIIIIMME Isometric or Riser Diagram Floor Drain/sink - 2" MIIMMIIIIIMIIIIMIIIMM isometric tic' riser diagram is required for new buildings 3" I ____that meet the al alifications above. .. Car Wash Drain IIIIIIIIINHIIIIIIMIIIIMIIIIIIIIIIIIIIIIMIIIM Garbage - Domestic Disposal - Commercial Comments regarding fixture work: IIMIIIIIMMIIIIIIIIIIIIIMIM - Industrial ice Mavh i Drains p RI ' M' Oil writer Gas Station ta Rheo. . vehicle C Station Shower -Gang -Stall Sink - 8ar/1.avatury M El - Bradley Conuncrolal *Note: lithe fixture work under this permit results in an - Service d increase of sewer EDUs, a sewer permit will be issued and Swimmin: Pool Filter fees assessed for the sewer increase must be paid before the Washer - Clothes - plumbing permit can be issued. Water Extractor Water Closet - Toilet Urinal Other Fixture&' hitp:// www, tigard- or. gov/ cityhall/ deparunents /cd /docs/PLMF- PermitApp clot Feb.17.2012 05:24 PM Genie Electric Con cti 503 762 9296 PAGE. 2/ 2 Mi Label Log '• �' "fi t „y Use this sheet to record minor label installations i i Department of Consumer & Rusin S rvicekA `i' only if the information cannot be entered online. ;��,, Building Codes Division � t),r: P.O. Box 14470, Salem, OR 97309 -0404 � '(, \CI �� \O +' a x or mail this log as soon as it is complete. (503) 378 -2804, Fax: (503) 378 -2799 ® Q \� www- rninorlabels,info G\ \ C PC .l aO/A.- 0003a Contractor's name: , 1 F • 4 . _r. - .� Phone: o J) 760 - &Fax: � � a� 4 Contractor license no.: 3 4 1- il e ic l ici 4 CCB no.: _ c5_,4/439__._._ ____ -- ___ ❑One- & two fatuit EL S2809 90 e. Install date: - d / 6 /r/ Job no.:__ c 4' 3 V W Commercial Job address: /0 ? 3 - '5,... j ' Po u-,~ l/ w...,.,,.. -_ Cit m�� 7 — 7 ZIP: _.�7.T i Work clescripp�ion: .. f ,' /3� r-,�r ,. o.4t • , f �hf G, - 4).•m , e' 47Af2' T" it"' 1). Busineesrprropi;rty owner: ,-r 6 ,.r. 0) e ' 1,_ Phone: (0 e 7 z_) Owner address: ` i i 5-0 .,, Mc. A , « "C ^�11 "7' City: t�'' � /— ZIP: "2 � "y' Installer's name: �- a e} C;.,... Alf i Installer's license no.: Li 1 - " 34 . r1 - ID One- & two - family ' El-3289981 Install date: Cila _ Job no. : .5 71/q, _ Commercial - - 1 7 3U./�'D(c Rot , Job address: � y ,,,,^, City: ► a f Z IP: q7 p�� y Work description: ..(.0 h. ea + e- �11C -C. ._. _. .. ._._ Business /property owner: A V l-biCe O- ,, 'g(1, L - Phone: C) 3- L / (o72 Owner address: t ."'( I.) - Durham m RI _ City: ZIP: 9 7'r e� Installer's name: _ __ _ Installer license no.: ^ . U One- & two - family Place sticker here. Install date: Job no.: _ ❑ Commercial Job address: _ „ -- City: ______ Work description: Business/property owner: Phone: ( Owner address: City:__...._..,.___. ZIP: Installer's name: W ,.,,,,,, _ Installer's license no.: _�� _,_„ ❑ One- & two - family Place sticker here. Install date: Job no.: ,.,.•_, ❑ Commercial - Job address: City: ..... .... - ZIP: Work description: Business/property owner: _ _...._,....._,.,....� . T - J�,_ Phone: ( ) Owner address: „,,, ZIP: Installer's name: Installer's license no.: --_ - ❑ One- & two - family Place sticker here. Install date: _ _ Job no.: ❑ Commercial Job address: __.,_.m .. City: --- _..... .,,_ . .....,__ ZIP: Work description: _ ... . _ Business /property owner: ___._ Phone: ( _ _ __ . • Owner address: , City: .. ZIP: _ Installer's name: _, __ ,,...._ Installer's license no.: 440 -2748 (10 /07 /COM) - . Feb.17.2012 05:24 PM Genie Electric Constructi 503 762 9296 PAGE. 1/ 2 8701 SE 156 Avenue Happy Valley, Oregon 97086 Construction, Electric C 503 - 762.9296 onstruction, Inc 503 -762 -9188 fax genleelccomcast.net Fax To: City of Tigard From; LeRoy White Fax: 503 -598 -1960 Pages: 2 (Including cover) Phenix 503-718-2439 Date: 2/17/2012 Re: Minor Label report ❑ Urgent 0 For Review ❑ Please Comment ❑ Please Reply ❑ Please Recycle • Message: The following is the minor label report for the work performed at 8172 SW Durham Rd. Please let us know if there is anything further you would like from us. Thank you, Cathy Pogue Genie Electric