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Permit CITY OF TIGARD PLUMBING PERMIT 1 1 11- v COMMUNITY DEVELOPMENT Permit#: PLM2013 -00228 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/03/2013 TIGARD Parcel: 2S104AA90291 Jurisdiction: Tigard Site address: 12646 SW KAREN ST 29 Project: Bellwood Terrace Subdivision: BELLWOOD TERRACE CONDO Lot: 29 Project Description: Install (1) clothes washer in each unit 29 and 30. Contractor: PRO DRAIN & ROOTER SERVICE, INC Owner: BELLWOOD TERRACE LLC 3300 NW 185TH AVE #213 PO BOX 189 PORTLAND, OR 97229 YAMHILL, OR 97148 PHONE: 503 - 533 -0430 PHONE: FAX: 503 - 296 -2419 FEES Quantity Description Date Amount 2 ea Clothes Washer 07/03/2013 $50.04 Specifics: 1 12% State Surcharge - 07/03/2013 $8.70 Plumbing Type of Use MF 22 ea Minimum Fee Adjustment - 07/03/2013 $22.46 Plumbing Class of Work: ALT 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: 0-A/ jO,P / e6 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. To: Page 2 of 3 20 -07 -01 19:21:14 (GMT) From: George Rican may C7 01 13;12:13PM;From:ProD Rooter Srvc. To:5032962419 ;5035339376 # 1/ 2 rlturnultng remit Applxeat Building Fixtures FOR OFFICE USE o•il.v City of Tigard JUL. U 1 2013 Received ©/.3 „ Tigard, 0 Date /Ily; I)'milk No �FTIGAR plan Review �!/ya0 % D0 ' ►3125 SW Hall Blvd Phone: 503,718.2439 Fax: 5 Other Permit. No.: Inspection n Line: 503639 .. Datr/By; BUILDING DIVISION Date RendylBy: � . //� T i C n F. D . :. , . n www.tigard- or.gov t . 117 ®ee 2 rot NNotified/Method! Notified/Method! d/Method� supSplcmentnrace t lnformallon ,TYPE'OP• WORK .. .: : ; FEE* ..:;SCHEDU)L1E ' 0 Ncw construction 0 Demolition For special information um checklist _ Description Qty. ( Ea. Total ® Addition/alteration/replacement 0 Other: Qty New 1- 2- family dwellings (includes 100 ft. for oath utiliry CATEGORY OF ; CONSTRIUC7f'ION SFR (I) bath 312,70 ❑ 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 437.78 El Accessory building 0 Multi- family SFR (3) bath 500.32 Each additional bath/kitchen 25.02 [] Master builder ID Other: Fire sprinkler (� sq. R.) Page 2 xol3 „ SITE: TNFOlzhitnr,ON ; 'AND _roc �x>lOrr> - _ ` � � .:. � '� : ,!'', Site utilities: i Job site address• i ' [� O � Karma ,) 2,61 /-41‘,30 Catch basin or l int drain 18,76 Cary /Stott /G1P Tigard, = 0 — R R9j-f 97223 ^ Drywc11, hatch line, or trench drain 18.76 Suite/bldg, /apt. no.: I Project name: Footing drain (no. linear n.: ) page 2 Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Ruin drain connector 18.76 Sanitary sewer (no. linear ft.: __) Page 2 Storm sewer (no. linear ft.: ) Page 2 water service (no. linear R.; _) Page 2 Subdivision: Lot no.: Fixture or Item: Tax map /parcel no.: Backflow preventer 31.27 ti>ESC1tIP7'ION OF.' ;WORK,,r Backwater valve 12.51 Install two wnsbcr boxes for unit # Clothes washer _ 2 25.02 5o ) tl4 Dishwasher 25,02 � 1 Drinking fountain 25.02 Ejectors/sump 25.02 '„ _ '' PROPERTY OWNER ' k ' ':: ❑ °TENANT f .? ': _ Expansion lank 12.51 Name: Fixture/sewer cap _ 25.02 Address; Floor drain/floor sink/hub 25.02 City/ State/ZIP: Garbage disposal 25,02 Hose bib 25.02 Phone: ( ) Fax ( ) Ice maker 12.51 ; ®,APPLICANT El CONTACT Interceptor /grease trap 25,02 Business name: ProDrain & Rooter Service Medical gus (value; $ ^ ) Page 2 Contact name: Lisa Bolke Primer 12.51 — Address: 3300 NW 185 4213 Roof d sin (commercial) 12.51 Sink/basin /lavatory 25.02 City /State/ZIP: Portland, OR 97229 Solar units (potable water) 62.54 Phone: (503) 533 -0430 Fax :: (503) 2962419 Tub /shower /showerpltn 12.51 E -mail: PLLMB)CNC ®PRODRAINPDX.COM Urinal 25.02 . ,..: •- :K,,as::,;:;:;1 : . , ;;: CONTRACTOR : " '' , ; 25.02 acct closet Water halter 37.52 Business name: ProDrain & Rooter Service Water pipinn/Dwv 56.29 Address: 3300 NW 185ht Ave #213 Other: 25,02 City / Statc/Z1P: Portland. OR 97229 Subtotal . 50,0 1 + Phone; (503) 533 -0430 Fax: (503) 2962419 _ Minimum permit fee: $72.50 1 2.5 CCB Lie.: 108504 Plumbing Lic, no.: 26 -776PB Plan review (25 %ofptrmit fcc) (J �� State surcharge (12% of permit fee) , I V Authorized signature: �r�a 1 l�-, - _ l v 7 TOTAL PERMIT FEE 0 i , Print name: Lisa Bolke Date: 6/28/13 • rhls permit application expires If a permit is not obtained within IUD days after It him been accepted Its complete. *Fee methodology set by Tri- County Building Iaduytry Scrvieo Board. io uslldieorermitao.MU- PerlaaApp,dee 10 /01x19 4•0•016T(10/021COWwtiu) To: Pages 1 of 3 2013 -07 -01 19:09:54 (GMT) From: Goorga Rlsan may FAX COVER SHEET TO COMPANY FAX NUMBER 15035981960 FROM George Risenmay DATE 2013 -07-01 19:09:34 GMT RE Plumbing permit ASAP - thank you :) COVER MESSAGE Please issue a permit for the application attached. Canyou let me know you recieved this? We are having issues with our fax machine. Lisa Bolke plumbing @prodrainpdx.com 503 - 746 -9705 WWW.EFAX.COM To: Pago 1 oT 3 2013 -07 -01 19:21:14 (GMT) From: OBOr9e RIBBn may FAX COVER SHEET TO COMPANY FAX NUMBER 15035981960 FROM George Risenmay DATE 2013 -07 -01 1921:02 GMT RE Singed copy of the application COVER MESSAGE thank you!! Lisa Bolke 503 - 746 -9705 plumbing @prodrainpdx.com WWW.EFAX.COM To: Paga 1 of 2 20'1 H -07 -03 '19:08:55 (GMT) From Georg. RlOanmey RECEIVED JUL 3 2013 FAX COVER SHEET CITYOFTIGARD TO BUILDIPJC DIVISION COMPANY FAX NUMBER 15035981960 FROM George Risenmay DATE 2013-07-03 19:02:41 GMT RE attn: Diane PLM2013-00228 COVER MESSAGE I am sending the updated credit form for PLM2013 -00228 WWW.EFAX.COM