Permit (7) irpi ., CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT
Permit#: PLM2019 00415
Date Issued: 10/16/2019
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S101 BCO2200
Jurisdiction: Tigard
Site address: 8330 SW HUNZIKER RD
Project: Western Partitions Inc Subdivision: None Lot: None
Project Description: Backflow preventer replacement.
Contractor: POWER PLUMBING CO Owner: HUNZIKER TWO, LLC
PO BOX 19418 BY MICHAEL/PAMELA ROACH MGRS
PORTLAND, OR 97280 956 WEST POINT RD
LAKE OSWEGO, OR 97034
PHONE:
PHONE: 503-244-1900
FAX: 503-244-8825
FEES
Quantity Description Date Amount
1 ea Backflow Preventer 10/15/2019 $31.27
Specifics: 1 12%State Surcharge- 10/15/2019 $8.70
Plumbing
Type of Use: COM 41 ea Minimum Fee Adjustment- 10/15/2019 $41.23
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: F
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 RECEIVED
City of Tigard OCT 8 2019 Received / Permit No:/240,,v),71/11
v Date/By: �s� 6 tel( 9")........ r i is_
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review `
a Phone: 503.718.2439 Fax: 503.598.1 y OF i l OARD Date/By: Other Permit No ci it „Gr?j(i f'
TIGARD Inspection Line: 503.634.4175 BUILDING DIVISION DateReady/By: �Juris ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: /""� Supplemental Information
TYPE OF WORK FEE* SCHEDULE
❑New construction 0 Demolition For special information use checklist.
Description Qty. ( Ea. I Total
®Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
❑ I-and 2-family dwelling ®Commercial/industrial
SFR(2)bath 437.78
SFR(3)bath 500.32
0 Accessory building 0 Multi-family
Each additional bath/kitchen 25.02
❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Catch basin or area drain 18.76
Job site address:8330 SW HUNZIKER RD
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.: I Project name: 1941/Ades- ) A v'y)1) ,nyManufactured home utilities 50.03
Cross street/directions to job site: j:/kb.... Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.:_ J Page 2
Storm sewer(no.linear ft.:_) Page 2
Water service(no.linear ft.: ) Page 2
Subdivision: I Lot no.: Fixture or item:
Backflow preventer 1 31.27 3O)-?
Tax map/parcel no.:
Backwater valve 1251
DESCRIPTION OF WORK 25.02
Clothes washer
REPLACE 1.5"DOUBLE CHECK Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
0 PROPERTY OWNER I ❑ TENANT Expansion tank 12.51
Fixture/sewer cap 25.02
Name: 25.02
Floor drain/floor sirddhub
Address: Garbage disposal 25.02
City/State/ZIP: Hose bib 25.02
Phone:( ) Fax:( )
Ice maker 12.51
0 APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02
Medical gas(value:$ ) Page 2
Business name:POWER PLUMBING CO
Primer 12.51
Contact name:JOSH CRUME Roof drain(commercial) 12.51
Address:P.O.BOX 19418 Sink/basin/lavatory 25.02
City/State/ZIP:PORTLAND,OR 97280 Solar units(potable water) 62.54
Phone:(503)244-1900 Fax::(503)244-8825 Tub/shower/shower pan 12.51
Urinal 25.02
E-mail:SERVICE@POWERPLUMBINGCO.COM
25.02
Water closet
CO TOR v 37.52
1:. = Water heater
Business name:POWER PLUMBING CO Water piping/DWV 56.29
Address:6611 SW MULTNOMAH BLVD. Other: 25.02
City/State/ZIP:PORTLAND,OR 97223 Subtotal 3e,j7
Phone:(503)244-1900 Fax:(503)244-8825 Minimum permit fee: $72.50 7),50
Plan review (25%of permit fee) -_..
CCB Lic.:52378 Plumbing Lic.�no�.:334--150PB
����-� State surcharge(12%of permit fee) t,1`.?
Authorized signature: lice /` 4 TOTAL PERMIT FEE SI*.k}
t C (CDate:10-8-19 This permit application expires if a permit is not obtained within 180 days
Print name:KRISTIE BRAMWELL after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
isBuilding\Permits\PLMU-PemutApp.dec 10/01/09 430-4616T(t0/O2/COM/WEB)