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Permit A' CITY OF TIGARD PLUMBING PERMIT PERMIT #: PLM2006 -00168 vjl�� ' 13125 DEVELOPMENT HO BMEN9 Tigard, SERVICES DATE ISSUED: 5/1/2006 PARCEL: 2S 102DC -00502 SITE ADDRESS: 09130 SW O'MARA ST ZONING: R -4.5 SUBDIVISION: EDGEWOOD LOT: 013 JURISDICTION: TIG Project Description: Install 150 feet of sanitary sewer service and 50 feet of storm service CLASS OF WORK: NEW 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: 150 ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: 50 ft Owner: FEES • DANIEL & D FRANCO Description Date Amount 9130 SW OMARA ST TIGARD, OR 97223 [PLUMB] Permit Fee 5/1/2006 $156.40 [TAX] 8% State Surcharl 5/1/2006 $12.51 Phone : Total $168.91 Contractor: TCJ CONSTRUCTION 19750 SW PAGE CT. REQUIRED ITEMS AND REPORTS BEAVERTON, OR 97007 Contact # : PRI 503- 320 -7831 FAX 503- 259 -2432 • Reg #: LIC 67499 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 -0s 1 hrough OAR 952 -0001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 5 t - 246 -6.' ' o • 1 00- 332 -2344. Issued y: / l � 10 u _I , [ ; Permittee Signature: r A l ida\ A • Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business d 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. Building Fixtures Plumbing Permit Application FOR OFFICE: USE ONi City of Tigard D eI dip /I/) Permit No.: IL j/1M QQ��j Q n 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review 1 �'� Ow v 0 Phone: 503.639.4171 Fax: 503.598.1960 Date/By. • Other Permit No.: -ego T I G A It D Inspection Line: 503.639.4175 Date Ready/By. Jun ® See Page 2 for Internet: www.tigard- or.gov Notified/Method /1O' Supplemental informat TYPE OF WORK FEE* SCHEDULE ❑ New construction ❑ Demolition For special information use checklist. Description I Qty. I Ea. I Total ❑ Addition /alteration/replacemettt _Other: New 1 dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath 249.20 ❑ 1- 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 / 3l, � ,..,, O\' -' , . 63 Catch basin or area drain 16.60 City /State/ZIP: "-7C\ (,.7j) l .(,Q 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: Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear ft.: 4 Page 2 /0/, 4 • Storm sewer (no. linear ft.: . Page 2 5 DC) • Subdivision: I Lot no.: Water service (no. linear ft.: ) Page 2 Fixture or item • Tax map /parcel no.: • Absorption valve 16.60 DESCRIPTION OF WORK Back flow preventer Page 2 . L CO 4C ))\--1/ ) T ?(L` �� 1 � /C Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 ❑ PROPERTY OWNER I ❑ TENANT Drinking fountain 16.60 Ejectors/sump 16.60 Name: • 161.__. if i 0 1.6)N-A) 4 ) • Expansion tank 16.60 Address: Fixture/sewer cap 16.60 City / State/ZIP: Floor drain/floor sink/hub 16.60 Phone: ( ) Fax: ( ) Garbage disposal 16.60 APPLICANT ❑ CONTACT PERSON Hose bib 16.60 Ice maker 16.60 • Business name: 1 (3' - t tt&_ Interceptor /grease trap 16.60 Contact name: `T(L Uy J GL✓Ea(--, Medical gas (value: $ ) Page 2 Address: 1 c -/s 5, pp, � 5 c. Primer 16.60 . City /State/ZIP: D (Z1( A ( c42, 99 �5r7 Roof drain (commercial) 16.60 Phone: (�) 5Z0' r 3 ) 1 I Fax: : (5e.>3) z -+z 95Z- Sink/basin/lavatory 16.60 Tub /shower/shower pan 16.60 E-mail: Urinal 16.60 CONTRACTOR Water closet 16.60 Business name: („, 7s" ( - if -pop-, Water heater • 16.60 Address: ( ! 73 5,.. ( ffei 111 � &•-- ( T Other: T G n/ / � City /State/ZIP:. t4 q /r-(/ 1 Subtotal • 1 1 Minimum permit fee: $72.50 / Phone: (563 ) (,(t C -571/O. Fax: ) / - Residential backflow minimum permit fee: $36.25 '�5 (0 f VC CCB Lic.: (, I y G Plumbing Lic. no(/,L../ Plan review (25% of permit fee) - State surcharge (8% of permit fee) 9.. Authorized signature: /) n C �� TOTAL PERMIT FEE 1P 7 r Print name: -T/z. ! --r- _AA-, I Date: -/ -.� � This permit application expires if a permit is not obtained wi thin 180 days after it has been accepted as complete. • *Fee methodology set by Tri -County Building Industry Service Board. 1 :y r wi 07' q dhyt /odo6 44046 r6T(ra/a)JCOMAVEB) .. 0629 / 3 ; BUD c �t P'GIX� o N ! (° 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 - I 100' 55.00 0 to 2,000 $115.00 Footing drain - each additional 100' 46.40 2,001 to 3,600 $160.00 L� 3,601 to 7,200 $220.00 Sewer - 1st 100' 55.00 7,201 and greater $309.00 Sewer - each additional 100' 46.40 Gf(� • yp Water Service - I st 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) 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 Subtotal: $50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for • each additional $100.00 or fraction thereof • Fixture Work: Plan Review for Complex Structures Are you capping, adding or replacing fixtures? If "yes", A "complex structure" is defined as an installation of a plumbing please indicate work performed by fixture. Failure to system that meets any of the following criteria. accurately report fixtures could result in increased sewer fees *. Please check all that apply. • Quantity by (Fixture) Work Performed ❑ Any new commercial building. Fixture Type: Replace ❑ Any new exterior plumbing site utilities. Previous Capped Added Existing ❑ A commercial building with installation, alteration or addition Baptistry/Font of nine (9) or more new or relocated plumbing fixtures. Bath - Tub /Shower ❑ Medical gas and vacuum systems for health care facilities - Jacuzzi/Whirlpool providing services to human beings. Car Wash - Each Stall ❑ Plumbing installations, alterations or additions to food service - Drive Thru facilities where new plumbing fixtures, including interceptors, Cuspidor/Water Aspirator are being installed for the food service area. Dishwasher - Commercial ❑ Any new residential building containing three (3) or more - Domestic • dwelling units. Drinking Fountain - ❑ Any NFPA 13 - D multipurpose fire sprinkler system. Eye Wash Floor Drain /sink - 2" Submit 2 sets of plans with any of the above. • -3" -4" Car Wash Drain Isometric or Riser Diagram Garbage - Domestic ❑ Isometric or riser diagram is required for new buildings Disposal -Commercial three (3) or more stories in height. - Industrial Ice Mach./Refrig. Drains Oil Separator (Gas Station) Comments regarding fixture work: Rec. Vehicle Dump Station Shower -Gang -Stall Sink - Bar/Lavatory - Bradley -Commercial - Service Swimming Pool Filter Washer - Clothes *Note: If the fixture work under this permit results in an Water Extractor Water Closet - Toilet increase of sewer EDUs, a sewer permit will be issued and • Urinal fees assessed for the sewer increase must be paid before the Other Fixtures: _ plumbing permit can be issued. - i: Building \Pennits\PI.M- PertnitApp.doe 07/06/05 • CITY OF TIGARD BUILDING DIVISION PERMIT #: pLivu0UE' ( :) ifil3 13125 SW Hall Blvd., Tigard, OR 97223 • DATE ISSUED: ?`i/iD0 Iia Phone: (503) 639 -4171 �4, � i II Inspection Requests (24 Hrs.): (503) 639 -4175 �� ' la- '' INSPECTION WORKSHEET FOR DATE: 5/2r2QUt. TIME: 7:01AM PAGE: 10 SITE ADDRESS: ( 13() SW O'MARA :III CLASS OF WORK: SUBDIVISION: f:DOI _WOOL) LOT #: 01.E TYPE OF USE: PROJECT NAME: FRANCO DESCRIPTION: Install 1' 10 feet of sanitary eewer service and `j() feet of a:torni e.ervke for fut,ure bit. OWNER: FRANCO, DANIEL & DIANNA PHONE #: CONTRACTOR: TCJ CONSTRUCTION PHONE #: !f0:1' "►0 /;311 Inspection Request Scheduled For: Date: 5/a1?017& Pour Time: Code # Inspection Description Confirm # Contact # Message ?:ti'; Sanitary sewer 029173 01 503 -320 103 i N Corrections /Comments /Instructions: �;r • 0" . L- ' I ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL El NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: .M2006 -00168 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/1/ Phone: (503) 639 -4171 l) :��� Inspection Requests (24 Hrs.): (503) 639 -4175 °" INSPECTION WORKSHEET FOR DATE: 5/2/2006 TIME: 7:01AM PAGE: 9 SITE ADDRESS: 09130 SW O'MARA ST CLASS OF WORK: SUBDIVISION: EDC3EWOOD LOT #: 013 TYPE OF USE: PROJECT NAME: f RANCO DESCRIPTION: lns`i.aii 150 feet of sanitary sewer service and 50 feet of storm service for future lot. OWNER: F RANCO, DANIEL & DIANNA PHONE #: CONTRACTOR: TCJ CONSrRUC11ON PHONE #: 503-320-7031 Inspection Request Scheduled For: Date: 5/2/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 340 Storm drain 0291 -02 603. 320.7831 Y Corrections /Comments /Instructions: ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718-