Permit (111) CITY OF TIGARD PLUMBING PERMIT
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Permit#: PLM2019-002829
Parcel:
a ' COMMUNITY DEVELOPMENT Date Issued: 07/16/201
T i GA it f) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 2S 16/201 0200
Jurisdiction: Tigard
GENESIS NO.3 Lot: 73
Site address: 11485 SW SONNE PL
Project: Laws Subdivision:
Project Description: Replacing shower unit,lavatory,and backflow preventer for landscape irrigation.
Contractor: OWNER Owner: LAWS, DARREN C&DENA M
DARREN AND DENA LAWS 11485 SW SONNE PL
11485 SW SONNE PLACE TIGARD, OR 97223
TIGARD, OR 97223
PHONE: 503-871-3228 PHONE: 503-871-3228
FAX:
FEES
Quantity Description Date Amount
1 ea Backflow Preventer 07/16/2019 $31.27
Specifics: 1
ea Lavatories 07/16/2019 $25.02
1 ea Tub/Shower/Shower Pan 07/16/2019 $12.51
Type of Use: SF 1 12%State Surcharge- 07/16/2019 $8.70
Class of Work: OTR Plumbing
Type of Const: 4 ea Minimum Fee Adjustment- 07/16/2019 $3.70
Plumbing
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:
tr--L------ ?- ''
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 OFFICE USE ONLY
City of Tigard JUL1 ReceivedatBy ! G /' Al Pfr `yy'� 6 ^U0� 8-..
n 13125 SW Hall Blvd.,Tigard,OR 97223 ' �� �: Date/By:
Phone: 503.718.2439 Fax: 503.598.1960 Plan Review
Date/By: Other Permit No.:
TIGARD Inspection Line: 503.639.4175 L.--i° t -bate Ready/By: Juris. 0 See Page 2 for
Internet: www.tigard-or.gov .• ..Nbjified/Method: Supplemental Information
is It a
iW ti YPF ": , . '�' � V' F k01µ ._11 T�EE* 3C4 DUI. . , ..
❑New construction 0 Demolition For special information use checklist.
Description Qty. I Ea. I Total
®Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
01CATEGORYa.4411C0 5'`1tWJCfION ! ( )
" SFR 1 bath 312.70
® I-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78
❑Accessory building ❑Multi-family SFR(3)bath 500.32
Each additional bath/kitchen 25.02
❑ Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2
JOE SITE 1N1'ORMA"'IONSi ND LOCAIIPIO Site utilities:
Job site address: 11485 SW Sonne Place Catch basin or area drain 18.76
Drywell,leach line,or trench drain 18.76
City/State/ZIP:Tigard/OR/97223
Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: 1 Project name: 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.:_) Page 2
Subdivision: Lot no.: Fixture or item:
Tax map/parcel no.: Backflow preventer 1 31.27 31.27
I� �,,OBackwater valve 12.51
T, . DESCRIP-I()1 K4( 'C>l2K ..-. '
Clothes washer 25.02
Replace backflow preventer in exterior in-ground location
Dishwasher 25.02
Replace fiberglass shower unit with tiled shower including new shower pan and Drinking fountain 25.02
extend existing water line for additional sink in master bedroom Ejectors/sump 25.02
PROPEIfT"i OWNER .....-i',:0-,-„.1r"p 'Niil'iF„li 0 TENANT .',''; Expansion tank 12.51
Name: Darren and Dena Laws Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address: 11485 SW Sonne Place
Garbage disposal 25.02
City/State/ZIP:Tigard/OR/97223 Hose bib 25.02
Phone:(503)871-3228 Fax:( ) Ice maker 12.51
APPLIC NV 0 CONTACT-PERSON Interceptor/grease trap 25.02
Business name: Medical gas(value:$ ) Page 2
Primer 12.51
Contact name:Dena Laws
Roof drain(commercial) 12.51
Address: 11485 SW Sonne Place Sink/basin/lavatory 1 25.02 25.02
City/State/ZIP:Tigard/OR/97223 Solar units(potable water) 62.54
Phone:(503)871-3228 hex:T( ) --_. Pb7showeFTsTiuwei pan - "I2.51--"- _
E-mail:dena.laws@gmail.com Urinal 25.02
�" Water closet 25.02
4!,, ,'ili(f . -CtONt ' 0 1 „ ".,,
Water heater 37.52
Business name: 46(..)//1 Z► ,/1 Water piping/DWV 56.29 ,
Address: 1' Other: 25.02
City/State/ZIP: Subtotal 68.80
Phone:( ) Fax:( ) Minimum permit fee: $72.50 72.50
CCB Lic.: Plumbing Lic.no.: Plan review (25%of permit fee) 0
State surcharge(12%of permit fee) 81.20
Authorized signet TOTAL PERMIT FEE 81.20
Print name Date: 7/`(0f k C�1t This permit application expires if a permit is not obtained within 180 days
�v++ after it has been accepted as complete.
"Fee methodology set by Tri-County Building Industry Service Board.
I_\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(I0/02/COM/WEB)