Permit CITY OF TIGARD PLUMBING PERMIT
71 is COMMUNITY DEVELOPMENT Permit#: PLM2014-00071
TIGARD 13125 SW Hall Blvd..Tigard OR 97223 503 718.2439 Date Issued: 03/17/2014
Parcel: 25111 DD11400
Jurisdiction: Tigard
Site address: 8708 SW AVON ST
Project: Taylor Subdivision: CHESSMAN DOWNS Lot: 40
Project Description: Replace 5'-8'of sanitary line under garage slab
Contractor: CLEARWATER PLUMBING LLC Owner: TAYLOR, MICHAEL M&AURORA
11755 SE HOLGATE 8708 SW AVON ST
PORTLAND, OR 97266 TIGARD, OR 97224
PHONE 503-935-0918 PHONE
FAX 503-761-2143
FEES
Quantity Description Date Amount
8 If Sewer Service 03/17/2014 $62.54
Specifics:, 10 ea Minimum Fee Adjustment- 03/17/2014 $9.96
Plumbing
Type of Use: SF 1 12%State Surcharge- 03!1712014 58.70
Class of Work: ALT
Plumbing
Type of Const:
Occupancy Grp:
Stories:
Total S81 20
I 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 Notifica 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 scions to OUN. by calling 503 232.1987 or 1.800 332.2344.
Issue By: /' / Permittee Signature:
i
___-_Center. Call 503.639.4175 by 7:00 a.m.for the next available inspec 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.
03/17/2014 10:20 5032529225 T�11 IMPRESS PAGE 01/02
. Plumbing Permit Appli ,EIXEP
._ ' Building Fixtures 1I i vy� 1 014 OM-1•-I(-l• I:SF: ()NIA'
City Of Tigard Mn 1 7 2014 \•_rived 3 ( , 'N Penmat No -�f
111
13125 S W ball Blvd.,Tigard,OR 97223 t Dare ve Y t 7// 1 L E �r L I L 7/
Play Review
Phone 503.718.2439 !~ Ia4�TI�' a .01 Date/By: Other Permit No..
I i i;,�p,t.i Inspection Line: 503.639.417 Date Reedy/By. 3.6.. fil See Page 2 for
Internet: www.tigard-or.goI)ILDING Dl'lSl Notified/Method. Supplemental Information
. ,x c OIt•'WOEIr ' FEE*
D New construction ❑Demolition For special igformatiow use CJttCRlLSL
Description I Qty-. I Ea. ( Total
El Addition/alteration/replacement ❑Other: 1 New I-2-family dwellings(includes 100 ft.for each utility connection)
. ' , ,' . CATEGORY OF CONSTRUCTION SFR(1)bath 312,70
®1-and 2-family dwelling 0 Commercial/industrial I SFR(2)bath 437.78 .._
1 SFR(3)bath 500.32
b Accessory building ❑Multi-family
- Each additional bath/kitchen _ 25.02
❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2
z J(W t'INPORMATION•AND.LOCATION" Site utilities:
Job site address 8708 sw avon at Catch basin or area drain - 18.76
Citv/State/ZIP.tlgard oregon 97224 Dr}nvell,leach line,or trench drain 18.76
Footing drain(no.linear ft.;_) Page 2
Suite/b1dg./apt.no.: Frojcct name: /� %' • j j Manuf)auured home utilities 50.03 ,_-
Cross street/directions to job site: "1 Manholes 18.76
Rain drain connector 18.76
sanitary sewer(no.linear ft.:IC F) Page 2 ep,,-.2,,5 y
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.: _Backflow preventer 31.27
n> tUrIIO>r OF WORK • .
Backwater valve 12-51
Clothes washer 25.02 j
5'to 8'of new main house driap. TDishwastter 25.02 1
__ Drinking fountain . 25.02
Ejectors/sump 25,02
Q..PROPE1rr bw1'NEIt : ❑ .TEI�ji i ,. Expansion tank 12-51
Name Fixture/sewer cap 25.02_
floor dram/floor sink/bub 25.02
Address: N J.1
Garbage disposal 25.02
City/State/ZIP: Hose bib 25,02 ^
Phone:( ) Fax:( T) ; I Ice maker 12.51 i
f A0Litioit OPtrA r PERSON Interceptorigrease trap 1 25.02
Business name:Clear Water Plumbing Ik. Medical gas(value:$ ) Page 2
Primer 12.51
Contact name:gary townsend ---�
1 Roof drain(commercial) 12.51
Address:11755 se holgate Sirtivbasin/lavatory 25.02
City/State%ZIP`portland oregon 97266 Solar units(potable watery 62.54
Phone:(503)935 0918 Fax::(503)7612143 Tub/shower./shower pan 12.51
E-mail: Urinal 25.02
'i Water closet 25 02
.CONTRACTOR -
. . . ._ . ,. - • Water heater_ 37.52
Business name:ClexrWater Plumbing _ Water ptping/DWV 56.29
Address:11755 se holgate Other: - 1 25.02
City/State/ZIP:portland Oregon 97266 Subtotal
Phone:(503)935 0918 ' Fax (503)761 2143 Minimum permit fee: 572.50 72,...-7-1
Plan review (25%of permit Ina)
L-CCB Lic.:180730 1-Plumbing Lic,no.:0554 Sta surcharge(12%of permit fee) Y.7c
-Authorized signature:w TOTAL PERMIT FEE (� 3
Print name;Gary Townsend Date:3/13/14 This permit applicatlon expires if a permit is not obtained within 180 days
. after It has been accepted as eo®plete.
'Fee methodology it by Tn-County buildios Industry Service Bond
1-'9Uildinoemiu.sPlattl-Prrmi Aeo doe I x/01/09 440w616T(10t1s'CAM,'m)