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Permit CITY OF TIGARD PLUMBING PERMIT II I COMMUNITY DEVELOPMENT Permit #: PLM2013 00003 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/03/2013 Parcel: 2S 110AB03200 Jurisdiction: Tigard Site address: 14285 SW 114TH AVE Project: Watkins Subdivision: COLE'S ACRES Lot: 15 Project Description: Replace 45' of water service. Contractor: RELIANT PLUMBING & MECHANICAL Owner: WATKINS, PETER & MAGGIE 11575 SW PACIFIC HWY SUITE 219 14285 SW 114TH AVE TIGARD, OR 97223 TIGARD, OR 97224 PHONE: 503 - 246 -1201 PHONE: 503-957-8472 FAX: 503 - 246 -1205 FEES Quantity Description Date Amount 45 If Water Service 01/03/2013 $62.54 Specifics: 1 12% State Surcharge - 01/03/2013 $8.70 Plumbing Type of Use: SF 10 ea Minimum Fee Adjustment - 01/03/2013 $9.96 Plumbing Class of Work: OTR Type of Const: Occupancy Grp: Stories: Total $81.20 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: Permittee Signature: /�itlg 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. Jan. 3. 2013 2:51PM Relient Plumbing and Mechanical No. 6982 P. 2 Plumbing Permit Application k�ixtures RECE el FOR OFFICE USE ONLY City of Tigard Received sly mft No©U y2O /3 __D0023 v 13125 SW Hall Blvd., Tigard, OR 97?�1 N O 3 20 . DateJe : 3 Per Plan Aevle Ao Phone: 501718.2439 Fax: 503.598.I960 Dale/ Other Permit No.: Inspection line: 503.639.4175 T 1. A R n CITY OF TIGAR l ate Re Ready/By: El See Page 2 for Interact: www.tigard•or,gov t . 1_ ► ! 1 + _L ed/Merhod: - / Supplemental Information ihi M7 00cWI) O: I1:d :?4 i0 :t lI)q ❑ New construction ❑ Demolition For spedal information use checklist Description I Oty. I Ea. I Total ® Addition/alteration/replacement ❑ Other: New 1 2 dwellings gs (inchtdes 100 ft. for each utility connection _CtJ : Sj.®= IffeRl 7 (IJ C(':CI)ib9I(lf.(f3Ut11i`t SFR (I) bath 312.70 ® 1- and 2- family dwelling ❑ Commercial/industrial SFR(2) bath 437.78 SFR (3) bath 500.32 ❑ Accessory building ❑ Multi- family Each additional bath/kitchen 25.02 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 Site utilities: Job site address. 14285 SW 114'" Ave Catch basin or area drain 18.76 City /State/ZIP: Tigard, OR 97224 13 tYll, leach line, or trench drain 18.76 Footing drain (no. linear ft.: ) Page 2 Suite/bldg./apt, no.: I Project name: Manufactured home utilities 50.03 Cross strect/dircctions to job ste: SW 114 Ave / SW Gaarde St. Manholes 18.76 Rain drain connector 18.76 Sanitary sewer (no. linear ft: ) Page 2 Stone sewer (no. linear ft.: ) Page 2 • Water service (no. linear ft.: t E) l Page 2 (li5it Subdivision: I Lot no.: Fixture or Item: Tax map /parcel no.: Backflow preventer 31.27 . - .1 Y 3ai a, .7 a try. -- Backwatcrvalvc 12.51 ._...- =� Clothes washer 25.02 replace water line . Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 i i . r g x h Expansion tank 12.51' Name: Maggie Watkins Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: 14285 SW 114'" Ave Garbage disposal 25.02 City/State/ZIP: Tigard, OR 97224 Hose bib 25.02 Phone: (541)740 -5415 Fax: ( ) Ice maker 12.51 .,. R_I-��1.�5�� p .....: - .,.. � 3�C9► r Interceptor /grease trap 25.02 Business name; Reliant Plumbing & Mechanical, Inc. Medical gas (value: S _ ) Page 2 Contact name: Andrew Bourke Primer 12.51 Roof drain (commercial) 12.51 Address: 11575 SW Pacific Hwy, #219 Sink/basin/lavatory 25.02 City/State/ZIP: 97223 Solar units (potable water) 62.54 Phone: (503) 246-1201 I Fax: : (503) 246 -1205 Tub /shower/shower 12.51 E -mail: andrew@r•ellantplumbing corn Urinal 25.02 25.02 • CtZi7,+yiAetL011 tom- Water heater 37,52 • Business name: Reliant Plumbing & Mechanical, Inc, Water piping/DWV 56.29 Address: Other: 25.02 City /State/ZIP: Subtotal ., - Phone: ( ) . Pax: ( ) Minimum permit fee: $72.50 '72„ CC Lie.: 169844 / / Plumbi, • 1 . - 7 B1 A� Plan review (25% of permit fee) S surcharge (12% of pennit fee) i A ID Authorized signatur : 1-A V W. TOTAL PERMIT FEE s ‘ , D �� Tit application expires It a permit V not obtained within 180 days Print name: Andrew Bourke _ �� - _ ' Aate:1 /3113 his permit it has been accepted as Complete *Fee methodology set byTn-Coanty Building industry Service Board, 6. TAlko:lA:ne\p...wkal 01 AR Ll..... :1 a.....e... I /Ism NW AM Aa1 AT, 111MIlrill InVQpI Jan. 3. 2013 2:51PM Relient Plumbing and Mechanical No. 6982 P. 1 � eziant PLUMBING & MECHANICAL, INC. • 11575 SW Pacific Hwy, Suite 219 Tigard, Oregon 97223 (503) 246 -1201 Office (503) 246 -1205 Fax CCB #169844 MBE #4738 WA #RELIAPM928DG FAX To: &,, -/ D 77 From: Fax: • • ;503. , _ ; . . Rages: • (Including.Co.ver) Phone: Date: 1 3 / Re:. X *rind • .. CC : / 1/2"5" Sik)11 �