Permit CITY TIGARD PLUMBING PERMIT
�i DEVELOPMENT SERVICES PERMIT #: PLM2006 -00081
'' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 2/14/2006
PARCEL: 2S114BD-00500
SITE ADDRESS: 09945 SW RIVERWOOD LN ZONING: R -4.5
SUBDIVISION: PICKS LANDING NO.2 LOT: 079 JURISDICTION: TIG
Project Description: Add sink.
CLASS OF WORK: ALT 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: 1 URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
RON DURRA Description Date Amount
9945 SW RIVERWOOD LN
TIGARD, OR 97224 [PLUMB] Permit Fee 2/14/2006 $72.50
[TAX] 8% State Surcharl 2/14/2006 $5.80
Phone : NA Total $78.30
Contractor:
BRUNER PLUMBING
PO BOX 23985 REQUIRED ITEMS AND REPORTS
TIGARD, OR 97281
Contact # : PRI 503- 624 -4880
FAX 503- 624 -2173
Reg #: LIC 81837
PLM 26 -445PB
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 direct questions to OUNC by
calling 503 -246- 9 or 1- 800 -332 -2 4.
Issued By: Permittee Signature: IA 1 / i
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business 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.
PROM, : .BRUNER 1 PLUMBING FAX NO. : 6242173 Feb. 14 2006 12: 18PM P1
• Building Fixtures
Plumbing Permit Applicatf: , '
Oily of Tigard IIIIIIIIMMIMIIIIIIRoceivcd bvi
r
� D a , c ✓B V; /-1 etc Permit N o L — Do
13125 $ W l )all 111tid., 'I •igard, OR 97223 ' 1 MU Review -
Phone: 503.639.4171 Fax; .503.598.1 , ».. ti Other Permit No.:
V. Other
,
24- Hour Inspection Line: 503.639.4175 t 1 • ' 1 J
�
111 Date Ready /By: .117 Sec Yuge 2 for
Internet: www.ci.ligard.or.us 1c' " ""
� Notified/Method: Suppleme«tnllnfnrm:,t;on
TYPE • OF,:. si '. 1\10 D , . . . • .. • ... FEE* SCHEDULE •
❑New construction • Demolition
For special information use checklist.
",�_- ascription LQty. l Pa, I Total " -
.,_.
Addition /alteration /replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection)
CATFOOXt,Y. OF,.CONSTAUC TION.,:, .. SFR ())bath 249 -20
famil dwelling Commercial/industrial and � - y g ❑ ] SFR (2) bath 350.00
❑ Accessory building ❑ Multi - family ---- ""7 SFR (3) bath 399.00
❑ Master builder ❑ Other: Each additional bath/kitchen 45.00
' Hire sprinkler ( . sq. ft.) Page 2
,... . 0 0N.')•,;OCi1T).ON-;: ,,; - ; : Site utilities
Joh site address; cq . J k V i a t a ( 9 Catch basin or area drain 16.60
City /State/ZIP: ' fl 1041 , ()V_ C 1 r 7 a ) t—J Drywall, leach line, or trench drain 16.60
Suite/bldg./apt. no.: Project name: Footing drain (no. linear ft.: ) Page 2
(AIL �� Manu facturcd home utilities 110.00
Cross street /directions to job site:
` Manholes 16,60
- Rain drain connector 16.60
Sanitary sewer (no. linear IL: . Page 2
• Storm sewer (no. linear ft.: ) Page 2 T
Subdivision: Lot no.: Water service (no. linear ft.: ) L Page 2
Tax map /parcel no.; Fi re or it
m..-
. •,....... Absorption valve
,, . 's ,, • .‘•• r r' ;' dESCRIPTIO a nRI{ ..•: • 1, ∎": / -; ;; : ^ ;. , ::,: • Absorpti ! 16 60
1 , , . , . OiF Backfl ow presenter Page 2
A a .—' ..AtA ) Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
s 1 ..; -, . .RO,F *12.TY}...... ..i.. . , r , ." :.,:, .:,;D: TF,N',ANT;; '; ''ij :::: ,':; +; "i
Drinking tbuntain 16.60
{,._ Y
Or\ w Expansion tank 16.60
Name: °•
Expansion tank 16.60
Address: c_'Si :: G- bvv--Q------ Fixture /sewer cap 16.60
City /State /ZIP: Floor drain/floor sink/hub 16.60 �.
Phone: ( ) Fax: ( ) Garbage disposal 16.60
• • Hose bib 16,60
' °. A
. ..1
. ..CANT. '. ❑"; ..,,;. ; ' :.. ::; -
- lee rnalOer 16.60
Business name: w� Interceptor /grease trap 16.60
Contact name: Medical gas (value: $ ) Page 2 - _
Address: Primer 16,60
City/State/ZTP: Roof drain (commercial) 16.60 l
Phone: ( ) Fax:: ( .
Sink/basin /lavatory i 16.60 { g t (,.A
Tub /shower /shower pan 16.60
E-mail: -
Urinal 16.60
C'O ['ER ORI;':�-';
�..,, A Water closet 16:60
Business name: '. , .. l 1 4 I JI /L1 I i WET heater 16.60
C)
Address: <Ot ' Other:
yCity /State/ZIP: ! i- 1 1.4 t 02 � 1 Q I Subtotal
l _ Minimum permit fee: S72.50 _ --)0 r 5-
Phone:�3) G� _ L i g--' i Fax: (.3) /a .3L-4 - C) I ' i 3 Residential back rninirnurn.permit fee: 536.25
CCB Lie.: 6 1 ��� ; f Plumbing Lie. no. :a{p - L /t/ S jL j Plan review (25% of permit fee)
�' slate surcharge (g% of permit fee) -5 ri:C)
Authorized signature:
TOTAL PERMIT FEE " (£
Print name: 0 ` nA. NV rye Date: Q� , f L.4 t 101:=3 This permit application expires if a permit is not obtained within
1 180 days after it has been accepter) as complete.
*Pee methodology set by Tri -County Building industry Service Board.
is \Building \Fermis \Pl -va2 -P nitADp.doe 06/05 44046161•(10/ce/C()M/WEB)
C ITY OF ��mu m n~�n mu�m�mm���
BUILDING DIVISION PERMIT '
| • ~~~"^~~~°""~~° ~°"°^~°"~~"° #: PLm20080008i
| 13125 SW Hall Blvd., Tigard, OR 97223 ~ DATE ISSUED 2114/2006
Phone: (503) 639-4171
| Requests �4Hmj:(5O3)S3Q~4175 .J�n�' " �--
INSPECTION DATE: &1E� PAGE: ' � 2/2/24/2006 T| � � �D3AN( � 103
SITE ADDRESS: CLASS RIVERV�}ODLN WORK:
SUBDIVISION: LOT TYPE � PICKS LANDING WC).2 #: 079 �
PROJECT NAME: � C0RRA
.DESCRIPTION: Add sink.
PHONE OWNER: PHONE #: � DURRA, RON NA
�
CDNTRAO7OR� BRUMERPLUKA��N@ P #: 603
Inspection Request Scheduled For: Date: Pour Time:
� ' 2/24/2006 '
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 027471-01 503-624`4860 N
Corrections/Comments/Instructions:
J .,_, ' ~ ^.j
•
^' Li PARTIAL APPROVAL ri CANCEL ri NO ACCESS
I I FAIL 7 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
1 l 4 �J� �� _ Inspector: �r~~~ �-~-� Date: ~ �� q Phone#' (�O3)71G'
� /~ v/ #: ` '