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Permit (161) CITY OF TIGARD PLUMBING PERMIT 11111 st • COMMUNITY DEVELOPMENT Permit#: PLM2019-00334 T f[;A it n 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/19/2019 Parcel: 2S110BA04100 Jurisdiction: Tigard Site address: 14350 SW MCFARLAND BLVD Project: SCHUTTE Subdivision: SHADOW HILLS Lot: 24 Project Description: Replacing(2)shower pans. Contractor: RANIERI PLUMBING LLC Owner: SCHUTTE, EDWARD C W III 2229 NE BURNSIDE ST STE 132 AND JACKLYNN E GRESHAM, OR 97030 14350 SW MCFARLAND TIGARD, OR 97224 PHONE: 503-894-0107 PHONE: 503-547-7245 FAX: FEES Quantity Description Date Amount 2 ea Tub/Shower/Shower Pan 08/19/2019 $25.02 Specifics: 1 12%State Surcharge- 08/19/2019 $8.70 Plumbing Type of Use: SF 47 ea Minimum Fee Adjustment- 08/19/2019 $47.48 Class of Work: ALT Plumbing Type of Const: Occupancy Grp: Stories: Total $81.20 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.3 2.2344. Issued By: "1„,„0",,,,0"--<' / ,tel ' ' 47 PermitteeSignature: v Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Plumbing Permit Application,:,•-.- Building Fixtures 4 FOR OFFICE USE ONLY f�U 1 -0 9 r s�9 Received City of Tigard ��/�r� Permit N�1/_�� .. 33`/ Date/By: ) III '" 13125 SW Hall Blvd.,Tigard,OR 97223. ��l Plan Review Phone: 503.718.2439 Fax: 503.598.1960Date/By: Other Permit No.: T I GARD Inspection Line: 503.639.4175 Date Ready/By: Juris: ® See Page 2 for Internet www.tigard-or.gov Notified/Method Supplemental Information u/" �\ b✓. , .;,. s i�r *!w r'.rW 1< a ar r . ,r.%euvw « :t ❑New construction 0 Demolition For special information use checklist Description 1 Qty. Ea. 1 Total pil Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) 1 'eki Ogit1 :AI 'ION SFR(1)bath 312.70 1-and 2-family dwellingSFR(2)bath 437.78 0 Commercial/industrial 0 Accessory building 0 Multi-family SFR(3)bath 500.32 ❑Other Each additional al bath/kitchen 25.02 0 Master builder Fire sprinklersq. ) Page2 fi OSE QjA4,,,q$t440 �!1ON' iSite utilities: Job site address: I ti 3 co s l)l 11 C ca✓\4,e1 ilt v d . Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP: t V q i ri Oia. 9 7 2.2_4-1 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: 1 Project name: S c,1,‘v k,•.Q 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: 1 Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 r„'-- DESCRIPTION Q WORT Backwater valve 12.51 Clothes washer 25.02 R c acs Z SL.o4,-'2r V�,,`ves fa. 1 Dishwasher 25.02 s K e-e.4c-Q Z 5 kouv g/ P p.vx s 4- Drinking fountain 25.02 $v.r✓t2)in--A % Ejectors/sump 25.02 { PI;OPERTY OWNER r, [ Expansion tank 12.51 Name: Cb Sa v4, Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: %U 3 5-0 ,gW 14 e- ala Aum Garbage disposal 25.02 City/State/ZIP: -C. A�.k ©dL- q L L'- "1 { Hose bib 25.02 Phone:(503) 5 451 - 12, 4 s Fax:( ) Ice maker 12.51 " 'P)(.,1CkW; []i'diATiI6:fitRSON Interceptor/grease trap 25.02 ` Medical gas(value:$ ) Page 2 Business name: v NI n v ,h0 Primer 12.51 Contact name: N1 I e..le%et a,•,` Ok.Q q^ Roofb It- drain(commercial) 12.51 Address: I(p$(p q S 4..) 4'S-4'-‘") + X 3 3 Z Sink/basin/lavatory 25.02 City/State/ZIP: L,q h ..Q 0 S L,J C 0 1 0i2-.. ' i e) S % Solar units(potable water) 62.54 -ill Phone:(co 3) B?.% -78 Z 1 Fax::( ) Tub/shower/shower pan 2... 12.51 ZS.0 E-mail: M M iazf.�ek.� C Pei X . 1..../‘,..t L, 5A• Co•/\ Urinal 25.02 CONTRACTOR Water closet - 25.02 ' Water heater 37.52 Business name: RQ Qr. `v.0,00 tic Water piping/DWV 56.29 v Address: L`3 c 5 lr 9 4" � Other: 25.02 City/State/ZIP: p p op- ck,1 to-I-- Subtotal Phone:(cors) 1 l et .'(p(p 7 I Fax:( ) Minimum permit fee: $72.50 CCB Lic.: 9 s.---, Plumbing Lic.no.: Qt $ 3 7 Planreview (25%of permit fee) State surcharge(12%of permit fee) Authorized signature TOTAL PERMIT FEE Print name: A% ae,\ e�a An Date: 8 .\q . 1g This permit application expires it a permit is not obtained within 180 days after it has been accepted as complete. 'Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU-PermitApp.doe 10/01/09 440-4616T(10/02/COM/WEB)