Permit CITY OF TIGARD PLUMBING PERMIT
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111 COMMUNITY DEVELOPMENT Permit#: PLM2018-00088
and OR 97223 503.718.2439
13125 SW Hall Blvd.,Ti Date Issued: 03/07/2018
TtaI1E.L 9
Parcel: 2S 103AD00507
Jurisdiction: Tigard
Site address: 11180 SW ERROL ST
Project: MEEKER Subdivision: ECHO HEIGHTS Lot: 10
Project Description: Plumbing for a new 795 sq.ft.ADU addition to existing home:(1)clothes washer,(4)hose bibs,(1)ice maker,(2)
sinks,(1)tub/shower,(1)water closet,and(1)water heater.
Contractor: AAPPLE PLUMBING Owner: MEEKER,ANDREW R&KATHLEEN A
PO BOX 1543 345 W 145TH ST#8C3
HILLSBORO, OR 97123 NEW YORK, NY 10031
PHONE: 503-648-1855 PHONE:
FAX: 503-647-2736
FEES
Quantity Description Date Amount
1 ea Clothes Washer 03/07/2018 $25.02
Specifics: 4 ea Hose Bib 03/07/2018 $100.08
1 ea Ice Maker 03/07/2018 $12.51
Type of Use: SF 2 ea Sink 03/07/2018 $50.04
Class of Work: ALT I ea Tub/Shower/Shower Pan 03/07/2018 $12.51
Type of Const: 1 ea Water Closet 03/07/2018 $25.02
Occupancy Grp: 1 ea Water Heater 03/07/2018 $37.52
Stories: 1 12%State Surcharge- 03/07/2018 $31.52
Plumbing
Total $294.22
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: 11- Z �
n
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.
Plumbing Permit Application
Building Fixtures FOR 01 11( F L SI, OyLv
City of Tigard ` ceived
`J ' (Vila.. . Date/By: 3 7/I Y 4•'J� Permit No.: /001 e !!+'D �1 a
ii 13125 SW Hall Blvd.,Tigard,OR 9722 l Plan Review
Phone: 503.718.2439 Fax: 503.598.1 0 y Other Permit No. s7. J,r-dthot
Date/By: a
Inspection Line: 503.639.4175 ')��
f I G A lt D t3 4 Date Ready/By: Juris: H See Page 2 for
Internet: www.tigard-oPgov A otified/Method: -J Supplemental Information
TYPE OF WORK j Pit' T ICY FEE* SCHEDULE
❑New construction ❑Derito i 3 I -' TI t ti t k For special inforntatton use checklist
(� l `� t ;ar Description Qty. I Ea. I Total
I"C Addition/alteration/replacement 0 O New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
1-and 2-family dwelling 0 Commercialindustrial SFR(2)bath 437.78
0 Accessory building 0 Multi-family SFR(3)bath 500.32
Each additional bath/kitchen 25.02
0 Master builder 0 Other:
Fire sprinkler(-sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: ft[ QO S W E.rro l sf- Catch basin or area drain 18.76
c� Drywell,leach line,or trench drain 18.76
City/State/ZIP: l,G r-d. a R q 7 2,2.3 Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: J Project name: j� R.1�.V Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
(A) a I i 1- C f 1T�. Rain drain connector 18.76
Ie T t ON E.r-- ,1^6 I Sanitary sewer(no.linear ft.:_) 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.: 2-5 103 AD OVJ D 7 Backflow preventer 31.27
DESCRIPTIONOFWORK .�, Backwater valve 12.51
New ARU, 7qS s, . ai.QlC1 L1011 -fro Clothes washer ! 25.02 S,�i�
Dishwasher 25.02
�X IS119 �rne_ Drinking fountain 25.02
Ejectors/sump 25.02
1,PROPERTY OWNER I 0 TENANT Expansion tank 12.51
Name: ,4 wci r ee co Meeker Fixture/sewer cap 25.02
3 LJ 1 . ,W I q6 h% s •f G3 Floor drain/floor sink/hub 25.02
Address: Garbage disposal 25.02
City/State/ZIP: kat, fur York , NY 10 6 31 Hose bib "/ 25.02 kb,L
Phone:(5 3) 6 6 • q„..5-63 Fax:( ) Ice maker r! 12.51 /J,. j
0 APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02
Business name:
Medical gas(value:$ ) Page 2
Contact name: Primer 12.51
Roof drain(commercial) 12.51
Address: Sink/basin/lavatory 2, 25.02 C`
City/State/ZIP: Solar units(potable water) 62.54
Phone:( ) Fax::( ) Tub/shower/shower pan 1 12.51 0_51
E-mail: Urinal 25.02
CONTRACTOR Water closet 1 25.02 }.5.0,
- Water heater r 37.52 3 7..S..
Business name: CC Gl ( - e I N,,,,,b / IA( Water piping/DWV 56.29
Address: P- 0. (0 X /Cif 3 Other: 25.02
City/State/ZIP: H ;
1 six cc (70, 92/ 23 Subtotal .)-601,--)t)
Fax: Minimum permit fee: $72.50
Phone:(S(!}) S(1 �1 ( )
CCB Lic.: I Plumbing Lic.no.: 3(� 3G� Hw Plan review (25%of permit fee)
1L.,
State surcharge(12%of permit fee) 3i, 5-1
Authorized signature: • ./Vla TOTAL PERMIT FEE/9.44.,n,
Print name: c i Date 3 This permit application expires if a permit is not obtained within 180 days
Gil' C Gtiv�r after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
I:\Building\Peimits\PLMU-PermitApp.doc 10/01/09 440-46I6T(10/02/COM/WEB)
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
11180 SW ERROL ST, TIGARD, OR, 97223
Record Type: Record ID:
Residential - Plumbing PLM2018-00088
Inspection Type: Inspector:
399 Plumbing final David Young
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor