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Permit
1 3 3 0 - 0 W c.,_Q',LA . - C ITY OF TIGARD PLUMBING PERMIT I4' DEVELOPMENT SERVICES PERMIT #: PLM2006 -10016 -�+L '�I I- ' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: PARCEL: 2S104A 2S 104AC -10800 SITE ADDRESS: ZONING: R -4.5 ._SUBDIVISION: HANDY ACRES LOT: 034 JURISDICTION: TIG Project Description: Install 40' of new water service. - - — _ D x / 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: ft WATER CLOSETS: WATER LINE: 40 ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES MICHAEL WEINANDY Description Date Amount 13300 SW WALNUT TIGARD, OR 97223 [PLUMB] Permit Fee 4/1/2006 $72.50 [TAX] 8% State Surcharl 4/1/2006 $5.80 Phone : 503 - 579 - 8660 Total $78.30 Contractor: METRO PLUMBING CO PO BOX 873 REQUIRED ITEMS AND REPORTS NEWBERG, OR 97132 Contact # : PRI 503 -538 -4094 Reg #: LIC 101261 PLM 36 -63PB 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 -0 ough OAR 952 - 0001 -0100. You may obtain copies of these rule or direct questions to OUNC by calling 5 0 - 2 46 -66 1- 00- 332 -2344. Issued 1 Permittee Signatur , , fAM 7 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. Plumbing Permit Application FOR OFFICI: l til.: OyLl City of Tigard JR ECEIVE _ ! e B� s- f d j, % Perm No.. - -/' • e6/ 4, 13125 SW Hall Blvd., Tigard, OR 9722 =� i Phone. 503.639.4171 Fax: 503.598.1960 . Plan Review Date/By Other Permit No 24- Hour Inspection Line: 503 639.4175 MAR 6 4 , - , 1 0 I Internet: www.tigard- or.gov Re y�r ^ E3 See Page 2 for Noufed/Method (a Supplemental information TYPE OMTWQ]l I GARD FEE* SCHEDULE ❑ New construction BUILD 'i pi v„? I• 1 For , ecial in ormadon use checklist Description MI Ea. Total Addition /alteration/replacement 0 Other: New 1-2-family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR (I) bath 249.20 N. 1- and 2-family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi - family SFR (3) bath 399 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: tr'ir.. �mwMIBMI 1 - Catch basin or area drain 16.60 City/State/ZIP: '- i : 9 E „,,, o / Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: Project name: Footing drain (no. linear R: ) Page 2 t/ Manufactured home utilities ■ 110.00 Cross street/directions to job site: W 4 \ .i �tJv Manholes 16.60 -rive /1 To o �J 7 �/1ei4/ .�i [fir 7 (/ 33= Rain drain connector 16.60 r* 1 c, �i /di, 44 el. isy i„( 76 / Sanitary sewer (no. linear R: ) Page 2 Storm sewer (no. linear ft: Page 2 .a.) Subdivision: /////4 S /a / $ /C, ... I Lot no.: Water service (no. linear ft.: r Page 2 Tax map /parcel no.: Fixture or item Absorption valve 16.60 DESCRIPTION OF WORK i f Back Bow preventer Page 2 er,i 6/ 0 e) /4 e �/ 4 . '3 j Backwater valve 16.60 i- i / i/ f , Clothes washer ■ 16.60 Dishwasher 16.60 ❑ PROPERTY OWNER f ❑ TENANT Drinking fountain 16.60 '' `` \ 1 Ejectors/sump 16.60 '' Name: w� l N ot r O' )-1 L C I-i lP1 �C L Expansion tank 16.60 / Address: Fixture/sewer cap 16.60 City /State/ZIP: Floor drain/floor sink/hub 16.60 Phone: () I Fax: ( ) Garbage disposal 16.60 IEf APPLICANT ❑ CONTACT PERSON Hose bib 16.60 Ice maker Business name: 5yfie- T�t-�! rr ' r 16.60 Contact name. �� i /7/71e.,,,,, Interceptor /grease trap 16.60 w'Gge // , . Medical gas (value: $ ) Page 2 Address: 1597 JC'r / /v Gl . . Primer 16 60 City /State/ZIP: C LcYC�/e2 0i®� p Roof drain (commercial) 16.60 Phone: (3 .1E5'137 /3 yCK Fax: . ( ) Sink/basin/lavatory 16.60 E -mail: Tub /shower /shower pan 16.60 Urinal 16.60 CONTRACTOR Water closet 16.60 Business name: id r 4 , ,' . - Water heater 16.60 Address: PO /3 07 3 Other: City /State/ZIP. / i O/ Ok, 3 Subtotal Minimum permit fee: $72.50 _P Phone: (3() ) 6 Q9 Fax• ( ) Residential backflow minimum permit fee: $36.25 T CCB Lic.: I b Z6 / . O Plumbing Lic no.: at -63 Pe Plan review (25% of permit fee) Authorized signature: '7 / / State surcharge (8% of permit fee) , W 49." • TOTAL PERMIT FEE MIMI Print name _ ice /70 l j �� . J,...V Date 3/6/©6, This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tn -County Building Industry Service Board. I\ Build mg\Pmn its \PLM -Perm nAppdoe 12/30/05 4404616T(IW02/COM/WEB) Plumbing Permit Application - City of Tigard �- Page 2 - Supplemental Information Fee 'Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee (a) Tom Square Footage: Permit Fee: Footing drain - 1 ° 100' 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 $22000 Sewer - 1st 100' 55.00 7,201 and greater $309 00 _ Sewer - each additional 100' 46.40 Water Service - 1st 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 (a) 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 510,000.00 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 Inspection of existing plumbing or each additional $100.00 or fraction thereof to specially requested inspections - per hour 72.50 and including $50,000.00. 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 (Future) Work Performed ❑ Any new commercial building. Fixture Type: Replace ❑ Any new exterior plumbing site utilities. Previous , Capped Added E isting ❑ 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 - .1acum/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 p 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\Permits'PLM- PennuApp doc 07/06/05 CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2006 -10016 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/6/2006 Phone: (503) 639 -4171 zkirp „�yill∎ Inspection Requests (24 Hrs.): (503) 639 -4175 __- INSPECTION WORKSHEET FOR DATE: 9/13/2006 TIME: 7:02AM PAGE: 45 SITE ADDRESS: 13300 SW WALNUT ST CLASS OF WORK: SUBDIVISION: HANDY ACRES LOT #: 034 TYPE OF USE: PROJECT NAME: WEINANDY DESCRIPTION: Install 40' of new water service. I OWNER: WEINANDY, MICHAEL PHONE #: 503-579-8660 CONTRACTOR: METRO PLUMBING CO PHONE #: 503 -538 -4094 Inspection Request Scheduled For: Date: 9/13/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 330 Water service 036434 -01 503 - 867 -1549 N Corrections /Comments /Instructions: ,, L ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED . 1 Inspector: D ate: u Phone #: (503) 718- L CITY OF TIGARD . BUILDING DIVISION PERMIT #: PLM2006 -10016 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/6/2006 Phone: (503) 639 -4171 As " ■ , ,� .4. Inspection Requests (24 Hrs.): (503) 639 -4175 ' J °1 ' . ■ INSPECTION WORKSHEET FOR DATE: 9/13/2006 TIME: p,,I� .... PAGE: 44 SITE ADDRESS: S /3 300 S ►4/ ,L CLASS OF WORK: SUBDIVISION: HANDY ACRES LOT #: Q34 TYPE OF USE: PROJECT NAME: WEINANDY DESCRIPTION: Install 40' of new water service. OWNER: WEINANDY, MICHAEL PHONE #: 603 -579 -6660 CONTRACTOR: METRO PLUMBING CO PHONE #: 503.538.4094 Inspection Request Scheduled For: Date: 9/13/2006 ' Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 03643402 503 - 887 -1549 N Corrections/Comments/Instructions: — / X - / -- r .,,,,,,,,„- / ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718- CITY OF TIGARD p4. BUILDING DIVISION PERMIT #:? OD 6 — /O O l 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 .4 Inspection Requests (24 Hrs.): (503) 639 -4175 Will.. INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: / 3 30 a CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 3- (3-6( Pour Time: Code # Inspection Description Confirm # Contact # Message Corrections /Comments /Instructions: PcJ -4 57 I ki " scL v . CA t' t` L., 7"0 �� , �-v Mme,- ❑ PASS PARTIAL APPROVAL • ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: (J?)'-'---- Date: 31 13 Jo G. Phone #: (503) 718-