Permit CITY OF TIGARD PLUMBING PERMIT
Permit#: PLM2014-00171
COMMUNITY DEVELOPMENT
Date Issued: 05/27/2014
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S111CA13600
Jurisdiction: Tigard
Site address: 9645 SW SATTLER ST
Project: Hanson Subdivision: DARMEL Lot: 13
Project Description: Replace 60'of water service,
Contractor: ANSPACH PLUMBING INC Owner: HANSON, BRYAN LEE& HELEN TR
18380 S FERGUSON RD 9645 SW SATTLER
OREGON CITY, OR 97045 TIGARD, OR 97224
PHONE: 503-789-3913 PHONE.
FAX: 503-631-7972
FEES
Quantity Description Date Amount
60 If Water Service 05/27/2014 $62.54
Specifics: 1 12%State Surcharge- 05/27/2014 $8.70
Plumbing
10 ea Minimum Fee Adjustment- 05/27/2014 $9.96
Type of Use: SF 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: •F „ Permittee Signature:
C-
A am
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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.
FROM : FAX NO. :5036317972 May. 26 2014 06:02PM P1
Plumbing Permit ApplicatECEIVE3
Site Utilities rr,t; 14FI( I I I. 0\i l
N _ City of
WHaIIara MAY 2 7 2014 027 "Y 'If v'� >y '1'1 0/v 00/7/
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phonic: s03,718.2439 Fax so5slYuFTIGARD
r»mnly. Other Permit
Inspection Line: 503 639.4375
i ic , ,
Date Ready/By i8 For Pare a for
Internet www.tigard-or.gov ' k t , k Nottlied/Method ig 88,4 Ltosmatien
"` _ .\a,K- i,.t2,..s.ia;.V n,1 .'1,'..:,,':_..,.: .-,. ._.. _ ...Y... Le, .:, I v 1.,:...:!-,...,,,a ,,,al Li 1.1`12
El New construction ❑Demolition For. , •, in coolies rue ch c
eck Total
Dcscl3J tion Qty.
Ga"ACrdition/alteratitxtlreplacemerrt 0 Other New 1-2-family dw ," ±.(includes 100 A for each tail' connection)
17-a",f �....... ... .. �. ..r.G :',.';:',7:::"77.7.7,:,,,,,,
...... v .Y. 4 `•/Park•
SFR( )bath 312.70
r J ,, 14.:,-;.,4,,:,,, .b,7! }. f ';1•...3 11;7' -
SFR(2)bath 437.78
2-farnily dew ❑Cornmercial/industria!
SFR(3)bath 500.32
❑Accessory building ❑Multi-fhtnily Each additional bath/kitchen 25.02
❑Master builder ❑C Fire sprinkler( sq.ft.) Page 2
* °...,._� _._..._ .. : T,, ' site utilities:� y '' ,i u
"' Catch basin oraraadraut 18.76
Job site address: q6 y _ /. r1 •• •• 18.76
_ Drywall,leach line,or trench drain
City/State/ZIP: l . J� Footing Drain(no.linear ft: _,__)
Page 2
SuiteIbldgJapt.no.: f Project name: .. , 10.v rh/t 5 Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.: Page 2
Storm sewer(no.linear&:.,..,._) Pagc 2
Water service(no.linear ft.: ,D Page 2
Subdivision: 1 Lot no.: Fixture or item:
h I3acktlow proventer 31.27
Tax map/parcel 1231
-1,,, t Badtwater valve
a�r� �,. ...._,�. ~' _ -"`w.�..,u,.;: << r k_ .,'k,,.r:: clothes washer 25.02
.,/ / /i 'i Dishwasher 25.02 if
Drinking fountain 25.02 -
Ejectors/Sump 111 25.02
l'.:7;7-,;:.7F, r N Expansion tank 12.51
w • ks.` �...:ti _._...,.. , � _4..,....k-'
,_Y . u. ?_.;f:lYL 25.02 -
Fixturelsewer csp
Name. /-7/-4 WS 0 A Floor drain/floor sink/hub 25.02 r
Address: Garbage disposal IIII 25,02
City/State/ZIP: Hose bib 25.02
ice maker 12.51
Phone:( ) Fax ( ) t. interceptor/grease trap 25.02
�
si Medical gas(value:$ ) Page 2 IIIIM
Business name / / ♦
Primer 12.51
Contact name: /116,/,./k ',fit") Roof drain(commercial) 11=1INEI
Address: ;3 gp ., r• .. Id Sink/basim/lavatary 25.02 MAI
City/State/Z1P: pr,0,9t7 c f y d' 97! _s" solar units(potable water)
C_ /
Phone:(503 ) 78 3x/3
Fax::(50.. ) (,) 3/- 'ze- Tub/shower/shower pan
Urinal 25.02
E-mail: Li i •OLJ/rin / /.1'N/ 9ir F,T Water don't 25.02
�' i. .. . ._,_ ..,....c..fLt-.., `'J-W--1. ,`-, Water heater �. 37.52
Business name: _ Y Water piping/DWV 56.29
Address: Other: - 25.02
Subtotal
City/State/ZIP:
-
Minimum permit fee: $72.50
Phone:( ) Fes,:,( ) Plan review (25%of permit fee)
CCB Lie.: Plumbing Lic.no.: -y State surcharge(12%of permit foc)
Authorized signature:
TOTAL PERMIT FEE Ft _,
This permit application expires if a penal!is not obtained within 120 days
Print name: / - p t • 2 Dad: //Z 04/ after it baa been accepted as complete.
,Foe methodology set by Th-Cowid Building Industry Service Bosrd.
t+Builb�'Po't'il -doe 1arolros 4ao iotor(roroycolwwl~4)
/�t1G 4(11/1 6t-E" TO Cerf/7L-E7-&-- D/V4i^7E - 141,14-6-7-6-- I, ,
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
9645 SW SATTLER ST, TIGARD, OR, 97224
Residential - Plumbing
399 Plumbing final
PASS - No C of O
May 28, 2014 at 9:10:47 AM
PLM2014-00171
Violation Summary:
Inspector Contractor