Permit (154) CITY OF TIGARD PLUMBING PERMIT
r '' Permit#: PLM2017-00476
' COMMUNITY DEVELOPMENT Date Issued: 11/20/2017
T(+GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S102DD00400
Jurisdiction: Tigard
Site address: 13816 SW FANNO CREEK DR
Project: Fanno Creek Village Subdivision: EDGEWOOD Lot: 3
Project Description: Replace(40)FT of water service.
Contractor: APOLLO DRAIN &ROOTER SERVICE Owner: SOLARES HOMES L L C
2208 NW BIRDSDALE#8 13556 TWIN CREEK LN
GRESHAM, OR 97030 LAKE OSWEGO, OR 97035
PHONE:
PHONE: 503-239-8801
FAX: 503-669-9568
FEES
Quantity Description Date Amount
40 If Water Service 11/17/2017 $62.54
Specifics: 1 12%State Surcharge- 11/17/2017 $8.70
Plumbing
10 ea Minimum
nimu Fee Adjustment- 11/17/2017 $9.96
Type of Use: COM 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: S—C
"ego-1/4%/P2r-f-4-fAK/A"
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.
Nov. 14. 2017 1 : 32PV No. 4115 P. 1
Plumbing Permit Application i
Site Utilities FOR 01,I,,CL USE OiNI..v
HV14 ?O1
City of Tigard! Remy // l(, I7 1 PermitNo,"z /7-6�&
n 13125 SW Hall Blvd.,Tigard,OR 97223 y-
. � �.�i r `K t- , + �, r�1;ea 1Leview
Phone: 501718.2439 Fax: 503.59819!01IP --)t r, F.- y, Other Permit No,:
TICARU Inspection Line: 503.639.4!75 'DateReady/By; lurk 1I ScoPage 2for
Internet; www,tigard-or.gov Notit5ed/Method: Supplemental Information
Li..'J ',.11' .r.ui::1 ;' I :;i0!),Cy";1 c,,
❑New eonstraction ❑Demolition For specie/informruion use checklist.
Description I Qty, I Ba, ( Total
Addition/alteration/replacement ❑Other: . New x-2-family dwellings(includes 100 ft.for each utility connection)
i lo,,iii,i,`" :al „u1,7 ir,',r,(;../', SFR(I)bath 312.70
Eli-and 2-family dwelling Commercial/industrial SFR(2)bath 437.78
IDAccessory building I=1 Multi-family SYR(3)bath 500.32
Each additional bath/kitchen 25.02
❑Master builder ❑Other:
- ---.-----------___.-- _.._ ._ Fire sprinkler( sq.8.) Paget
ti:Fr,',iii!: i . r112,104:,_rra,,i `1 ,[' ,-r urCii'. Site utilities:
Job site address: o. U�( n �� C V ^f c Catch basin or area drain 18.76
s Drywall,leach fine,or trench drain 18.76
City/State/ZIP: �� Gv AU CI-7.'1 0)
Footing drain(no.linear ft: ) Page 2
Suite/bldg./apt.no.; I Project name: '\T 1 G 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 ft.: ) Page 2
Water service(no.linear ft.--i 0) t Page 2 co'2.5'
Subdivision: Lot no.: Fixture or Item: .
Tax map/parcel no.: Backflow preventcr _.__ _3I.27
. Backwater valve 12.5I
n
r t _ Clothes washer t
1
r P-e O,u4 - ,00 Ao Lj()- ( 11.)�'t-ti l.• Dishwasher11.111 25.02
\\V-4_ kp�-LQ \ --\NL \O l W\ Drinking fountain 25.02
.0_ d-C CEJ _Ejectors/sump 25.02
rci`t'ol l_¢`i;ln 7 ri port; r71 1[I_sli'!v,bt i Expansion tank 12.51
Name: Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address;
Garbage disposal 1
City/State/ZIP: Hose bib 25.02
Phone;( ) Fax:( ) Ice maker 12.51
P !v_,;a 1rr ti;sji-e' ..of�'!i ,�i =to)��i Interceptorlgreasetrap 1
Business name: Of 1 Q >L�f goiter Sower r r Medical gas(value:$ ) Page 2
12.51
Contact name: ~l_` r t Yt i(-"k. S( �t�u Primer
�� Roof drain(commercial)
Address:AXE fut) 6, �� �L Sw, -tc. R Sinlr/bnsin/la',atory 1
City/State/ZYl': (5r4�1 Oi g'7030 './ Solar units(potable water)
I
Phone:(503gag Oar Fax:; p Tub/shower/shower an 12.51
E-mail.n \Uri! ,Q - o.ij 10Ctit 'iY1 • Call Urinal 25.02
• _ .. ._. . Water closet 25.02
•
..- ,cr fly•
Water heater
Business name; etpto(Lo j� i 7J11F. Water piping/1DWv56.29
Address:214 kilt) Al pd ``fI1+4 & Q Other, 25.02
City/State/ZIP: 3r(,$hfM Oft, '?030 Subtotal
Phone:(St$) 8Utedtic Fax;(5(g )(0.#4, 1.957 Minimum permit fee: $72.50 ^7'a,.5O
CCB Lie.: q• ' Plumbing Lic.no.: (p.- 6Plan review (25%of permit fee)
a State surcharge(12%of permit fee) D• Q
Authorized signature
AL.Ir /r ; .• TOTALPERMIT ffT FEB \Is.o. _i
Print name: �.\l\...% ,` (Q ��t� Date; i I l J[,1 Thts permit application expires if a permit is not obtained within 180 days
1 I + 1 after it has been accepted as complete,
'Pae methodology set by Tit-County Building Industry Service Board,
[:1BuildinalpermilslPI.MU,permiulpp4os 10/er/a9 +10-4616T(10/02/COMIWEB)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13816 SW FANNO CREEK DR, TIGARD,
OR, 97223
Record Type: Record ID:
Commercial - Plumbing PLM2017-00476
Inspection Type: Inspector:
399 Plumbing final Don Sylvester
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor