Permit CITY OF TIGARD PLUMBING PERMIT
3 • COMMUNITY DEVELOPMENT Permit #: PLM2013 -00017
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/14/2013
Parcel: 2S 102BC00600
Jurisdiction: Tigard
Site address: 12675 SW GRANT AVE
Project: Wynkoop Subdivision:RTH TIGARDVILLE ADDITION, AMEN: Lot: 5
Project Description: Replace interior water lines like for like. (1) water heater installation and (1) water piping /DWV
Contractor: ADVANCED PLUMBING LLC Owner: WYNKOOP, CHRISTY
PO BOX 593 12675 SW GRANT AVE
PORTLAND, OR 97207 -0598 TIGARD, OR 97223
PHONE: 503 - 241 -4945 PHONE:
FAX: 360 -571 -4188
FEES .
Quantity Description Date Amount
1 ea Water Piping /DWV 01/14/2013 $56.29
Specifics: 1 ea Water Heater 01/14/2013 $37.52
1 12% State Surcharge - 01/14/2013 $11.26
Type of Use: SF Plumbing
Class of Work: ALT
Type of Const:
Occupancy Grp:
Stories:
Total $105.07
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: j /; O i rl a d Permittee Signature: Oki ( ,,1 nn 7( ,q Tf C /
Lf./1 Y, Il,( i`1"j�s[�( /T r / ^l-
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 10 13 06:49p Advanced Plumbing LLC 3605714188 p.2
Plumbing Permit Appilea
Site Utilities ' CE_ IV ED FOR OFFICE USE ONLY
City of Tigard JAN 14 2013 Recei /
te r 1 `t- 13 1. flit No.:put,( J/. ' Well
13125 SW Hall Blvd.. Tigard, OR 97223 . Plan Review
Phone: 503.718.2439 Fax: tilljld ry.��i A DetrlBv Other Permit No.:
TI G A R D Impaction Line: 503.639.41.V + i� 11C 1 1 V (>t � pate Ready/By: 0 S ee Pagc 2 for
Internet: www.tigard- or.goU�1NGD.L �_ ► Notitiied'Met 1( .O S pple me ntallnformatioo
TYPE OF WORK FEE* SCHEDULE
❑ New construction ❑ Demolition For special information use checklist
Description I Qty. I Ea I Total
® Addition /alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection)
CATEGORY OF CONSTRUCTION SFR (I) bath 312.70
® l- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 437.78
SFR (3) bath 500.32
El Accessory building ❑ Multi - family
Each additional bath/kitchen 25.02
❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2
30B SITE INFORMATION AND LOCATION Site utilities:
Job site address: 12675 sw grant ave Catch basin or arcs drain 18.76
Drywall, leach line, or trench drain 18.76
City /Suite/ZIP: Tigard, OR 97223
Footing drain (no. linear ft.: ) Page 2
Suite/bldg./apt. no.: I Project name: Christina Wynkoop Manufactured home utilities 50.03
Cross street/directions to job site: Manholes I8.76
Rain drain connector 18.76
Sanitary sewer (no. linear it: ) Page 2
Storm sewer (no. linear ft.: _> Page 2
Water service (no. linear ft.: ____) Page 2
Subdivision: I Lot no.: Fixture or item:
Tax map/parcel no.: Back:low prev enter 31.27
DESCRIP77ON OF WORK Backwater valve 12.51
Clothes washer 25.02
Replace interior water lines like for like. Install water heater
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
0 PROPERTY OWNER ❑ TENANT Expansion tank 1251
Name: Christina Wynkoop
Fixture/sewer cap 25.02
Floor drain/floor sinkihub 25.02
Address: 12675 SW Grant Ave
Garbage disposal 25.02
City /State/ZEP: Tigard, OR 97223 Hose bib 25.02 i
Phone: (503)3472890 Fax ( ) Ice maker 12.51
® APPLICANT lj CONTACT PERSON Interceptor /grease trap 25.02
Business name: Advanced Plumbing lie Medical gas (value: S ) Page 2
Primer 12.51
Contact name: Seth 11fcallister
Roof drain (commercial) 12.51
Address: po box 593 Sink/basintlavatory 25.02
City /State/ZIP: portland OR 97207 Solar units (potable wafer) 62.54 •
Phone: (503) 2414945 Fax:: (360) 5714188 Tub/shower /shower pan 12.51
E -mail: Sylviaadvancedpinmbing.net Urinal 25.02
Water closet 25.02
CONTRACTOR
Water heater 1 37.52 37.52
Business name: Advanced Plumbing Ik Water piping/DW V I 56.29 56.29
Address: po box 593 Other. 25.02
City /StaterZI P: Portland OR 97207 Subtotal 93.81
Phone: (503) 2414945 Fax: (360) 5714188 Minimum permit fee: $72.50
CCR Lic.: 178586 Plumbing Lic. no.: pb470 Plan review (25% of permit fee)
State surcharge (12%ofpermit fee) 11.26
Authorized signal TOTAL PERMIT FEE 105.07 I
Print name: Seth McAllister This Permit apphoation expires if a permit is not obtained within ISO days
after it has been accepted us complete.
•Fec methodology set by Tri.County Building Industry Service Board. •
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