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Permit
Ir it ,,,, ,,,b i,•'' • v CITY OF TIGARD PLUMBING PERMIT ' .' COMMUNITY DEVELOPMENT PERMIT #: PLM2006 -00539 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/6/2006 PARCEL: 2 S 102 B D -02 300 SITE ADDRESS: 10030 SW WALNUT ST 1 ZONING: R -12 SUBDIVISION: WILLOWS APARTMENTS LOT: 040 JURISDICTION: TIG Project Description: Replace water service and double check valve. CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: MF WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: R1 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: ft WATER CLOSETS: WATER LINE: 250 ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES HANSON, DOROTHY L do FINGER, ROGER A + PHYLLIS Description Date Amount 610 NW SPRING AVE [PLUMB] Permit Fee 11/6/2006 $194.20 PORTLAND, OR 97229 [TAX] 8% State Surcha 11/6/2006 $15.53 Phone : Total $209.73 Contractor: BRUNER PLUMBING PO BOX 23985 TIGARD, OR 97281 REQUIRED ITEMS AND REPORTS 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 503.246.6699 or 1.800.332.2344. • Issued By: Permittee Signatures �� 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. m t iiuilding Fixtures Plumbing Permit Applicatio CEIVE® FOR OFFICE USE ONLY / City of Tigard NOV 62 2006 DateDate/By. Date/By. it /6�OP6 ,3 , Permit N V _ GG A � / v 13125 SW Hall Blvd., Tigard, OR 972 Plan Review : • Phone: 503.639.4171 Fax: 503.598.' t OF TARD Date/By Other Permit No • T I G A R 11 Inspection Line: 503.639.4175 BUILD D ISION Received Date Ready/By V See Page 2 for Internet: www.tigard- or.gov Noufied/Method Supplemental Information TYPE OF WORK FEE* SCHEDULE ❑ New construction ❑ Demolition For special information use checklist Description I Qty. I Ea. I Total '.ddition /alteration/replacement ❑ Other: New I- 2- family 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 a 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: I 0 0 g 0 S CA -I & nn -t- ' (-- S {-- Catch basin or area drain 16.60 City /State/ZIP: Ti u „�k Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: i I Project name: Gj C j GO w 4161> Footing drain (no. linear ft.: ) Page 2 Manufactured home utilities 110.00 Cross street /directions to job site: (� /? Manholes 16.60 - `' 4 V Nee_ T Rain drain connector 16.60 Sanitary sewer (no. linear ft.: _) Page 2 Storm sewer (no. linear ft.: ) Page 2 Subdivision: I Lot no.: Water service (no. linear ft.: 2.5) Page 2 Fixture 6r item Tax map /parcel no.: Absorption valve 16.60 DESCRIPTION OF WORK Back flow preventer Page 2 irL°� �1 /VI G � [, - / ��„ c.,....._ Backwater valve 16.60 a M (�J A'� - -k / � ( a (1- c %% '"�� a r_ Clothes washer 16.60 ` Dishwasher 16.60 ❑ PROPERTY OWNER I ❑ TENANT Drinking fountain 16.60 Ejectors/sump 16.60 Name: 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 - Interceptor /grease trap 16.60 Contact name: Medical gas (value. $ ) Page 2 Address: Primer 16.60 City/State/ZIP: Roof drain (commercial) 16.60 Phone: ( ) Fax.. ( ) Sink/basin/lavatory 16.60 Tub /shower /shower pan 16.60 E -mail: Urinal 16.60 CONTRACTOR Water closet 16.60 Business name: . 0 KU e) e r C V �*_ � J / Water heater 16.60 Address: Pe O , /gd,, Z 3 l r X Other: City / State/ZIP: Subtotal T`� r C3 Minimum permit fee: $72.50 .r;� 'hone. (5)3 ) 6 L y - Y O Fax: (5 .)"3) 6 •{ e( /3 Residential backflow minimum permit fee: $36.25 * I9 (/.O e - -- ( B Lic.: � e S 7 Plumbing Lic no.: 2_( - Plan n review (25% of permit fee) Aui ed signature: i+ l - State surcharge (8% of permit fee) /, j. 53 4v��' TOTAL PERMIT FEE .209. 73 Print name- #02( ��f�G�� Date / //p C This permit application expires if a permit is not obtained within l 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. 1 'Buildm: 'nmits\PLMF- PnmiApp doc 04/06/06 44046 16T( 10/02/COM/W EB) Plumbing Permit ADDlication - 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 u 100' • >1. 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 56 -4, Medical Gas Systems: Water Service - each additional 100' Z r 46.40 gaga Valuation: Permit Fee: Storm & Rain Drain - 1st 100' 55.00 7 $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 {fj (1() $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for Residential Back flow 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: /q.`24) $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. El 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.\Bwldmg\Penniu\PLM- PermilApp doc 07/06/05 CITY OF TIGARD i BUILDING DIVISION PERMIT #: PLM2006.00539 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/6/2006 Phone: (503) 639- 4171 Inspection Requests (24 Hrs.): (503) 639 -4175 1.L INSPECTION WORKSHEET FOR DATE: 1/10/2007 TIME: 7:03AM PAGE: 33 SITE ADDRESS: 10030 SW WALNUT ST 1 CLASS OF WORK: SUBDIVISION: WILLOWS APARTMENTS LOT #: 040 TYPE OF USE: PROJECT NAME: VVILLOW APTS DESCRIPTION: Replace water service and double check valve. OWNER: HANSON, DOROTHY L, PHONE #: CONTRACTOR: BRUNER PLUMBING PHONE #: 503 - 624 - 4880 Inspection Request Scheduled For: Date: 1/10/2007 Pour Time: Co. - = - _ • - on Description Confirm # Contact # Message 399 Plumbing final 041954 -01 503-624-4880 N Correc ions /Comme is /Instructions: P I PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 4 llV OS L Date: ) • 10 ' 0'7 Phone #: (503) 718- 2JLI • CITY OF TIGARD - BUILDING DIVISION . PERMIT #: PLM2006- 00539 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/6/2005 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 �' F'I �.. INSPECTION WORKSHEET FOR DATE: 1/4/2007 TIME: 7 :00AM PAGE: 13 SITE ADDRESS: 10030 SW WALNUT ST 1 CLASS OF WORK: SUBDIVISION: WILLOWS APARTMENTS LOT #: 040 TYPE OF USE: PROJECT NAME: WILLOW APTS DESCRIPTION: Replace water service and double check valve. OWNER: HANSON, DOROTHY L, PHONE #: CONTRACTOR: BRUNER PLUMBING PHONE #: 54362Q - 4880 Inspection Request Scheduled For: Date: 1/4/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 041804 -01 503- 624 -4880 N Corrections /Comments /Instructions: Clo epkti ‘) YYNAI"a(G%L. ‘ C.A_Apes P r�s.r a — t pl . ' 10' 7.i..N410.LL- 6 CA-Ntti (\ntkNba cAos`zU01 ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED (� 0' Inspector: " 1VC� V1� Date: � "\--- �� Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2006 -00539 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/6/2006 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 1/3/2007 TIME: 7:07AM PAGE: 37 SITE ADDRESS: 10030 SW WALNUT ST 1 CLASS OF WORK: SUBDIVISION: WILLOWS APARTMENTS LOT #: 040 TYPE OF USE: PROJECT NAME: WILLOW APTS DESCRIPTION: Replace ter service and c oubl chick valve: OWNER: HANSON, DOROTHY L, PHONE #: CONTRACTOR: BRUNER PLUMBING PHONE #: 503- 624 -4880 Inspection Request Scheduled For: Date: 1/3/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 041722 -01 • 503.624 -4880 N Corrections/Comments/Instructions: 5 5 185" uAR,D . ❑ PASS ❑ PARTIAL APPROVAL XLCANCEL ❑ NO ACCESS El FAIL El CALL FOR INSPECTION ❑ADDITIONAL FEES ASSESSED Inspector: %v oseo Date: \ " 0— ) Phone #: (503) 718 -1 1N CITY OF TIGARD , . ° BUILDING DIVISION PERMIT #: PLM2006 -00539 , 13125 SW Hall Blvd., Tigard, OR 97223 ✓ DATE ISSUED: 11/6/2006 Phone: (503) 639 -4171 ��N� Inspection Requests (24 Hrs.): (503) 639-4175 !i ° 7 I �— f INSPECTION WORKSHEET FOR DATE: 11/13/2006 TIME: 7 :04AM PAGE: 111 SITE ADDRESS: 10030 SW WALNUT STE CLASS OF WORK: SUBDIVISION: WILLOWS APARTMENTS LOT #: 040 TYPE OF USE: 1 ©� PROJECT NAME: WILLOW APTS DESCRIPTION: a tare Water s sVice_ancf: double rheck vatve_ _ el -) . OWNER: HANSON, DOROTHY L, PHONE #: CONTRACTOR: BRUNER PLUMBING PHONE #: 503-624 -4880 Inspection Request Scheduled For: Date: 11/13/2006 Pour Time: Code # Inspection Description Confirm # Contact # Me- age ,t 3 30 Water service , e ` e 039554 -01 503. 624 -4880 Y Corrections /C ments /Instructions: - 1 rte _A ._, - w_ S -1- e...Aiti /1-A. - 1L S Cc C ---.di- , 4 6 Ei z,„,.:L.. * ci./...--e. - A-- - t...:(., p s �-ei .P---k - ,.t..—IL_ c it . G ik, -4-e s-4-1.-i. v- (Lc..--v--1 . • 4 f dam- let - Q t C_e".. 4,. S �b ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS gyp; FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED \" Inspector: Date: ` 1 �� / O `� Phone #: (503) 718- - 2 — V 2 - Y