Permit CITY OF TIGARD PLUMBING PERMIT
$ COMMUNITY DEVELOPMENT Permit #: PLM2013 -00232
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/09/2013
Parcel: 1 S125DCO2000
Jurisdiction: Tigard
Site address: 7045 SW VENTURA DR
Project: Peters Subdivision: WASHINGTON SQUARE ESTATES Lot: 10
Project Description: Remodel - (1) clothes washer, (1) dishwasher, (1) sink and (1) water heater.
Contractor: AMERICAN PLUMBING SERVICES INC Owner: PETERS, MICHAEL DWAYNE
5905 N INTERSTATE AVE 7045 SW VENTURA DR
PORTLAND, OR 97217 TIGARD, OR 97223
PHONE: 503 - 289 -6498 PHONE: 503 - 683 -3285
FAX: 503 - 247 -2429
FEES
Quantity Description Date Amount
1 ea Clothes Washer 07/09/2013 $25.02
Specifics: 1 ea Dishwasher 07/09/2013 $25.02
1 ea Sink 07/09/2013 $25.02
Type of Use: SF 1 ea Water Heater 07/09/2013 $37.52
Class of Work: ALT 1 12% State Surcharge - 07/09/2013 $13.51
Type of Const: Plumbing
Occupancy Grp:
Stories:
Total $126.09
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 questio UNC by calling 503.232.1987 503.232.1987 or 1.800.332.2344.
Issued By: �"-- Permittee Signature:
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.
American Plumbing Service 503 - 247 -2429 p.1
Plumbin Permit A Elie cEivED
Site Utilities }Olt cariqc r I'St ONL ,,
City of Tigard JUL 8 2013 Received ] ' _ . ..
® 13125 SW Hall Blvd., Tigard, OR 97223 D to /By: J ' L� o(U1 - oo 23 Phone: 503.718.2439 Fax: 50 Ur TI Plan Review Other Permit No..
hupection Line: 503.639.4175
1Jt 1� nate�y:
I IGARD Internet: www.tigard �'LD�G ISroN Date Ready/By: Jurs. ® Sec Page 2 for
Notified/Method: Supplemental information
TYPE OF WORdt- FCE� SCH DIJLE
❑ New construction ❑ Demolition _ Fors edal i use checklist.
Description Qty. E a. T otal
Al Addition/alteration /replacement ❑ Other: New I - 2 family dwellings (includes 100 R. for cach utility connection)
' . CATEGORY OF, CONSTRUCTION . . ' ' SFR (1) bath 312.70
® 1- and 2- family dwelling El Commercial /industrial SFR (2) bath 437.78
El Accessory building ❑ Multi - family SFR (3) bath 500.32
Each additional bath /kitchen 25.02
❑ Master builder ❑ Other:
Fire sprinkler ( sq. ft.) Page 2
JOB 'SITE JNFORMATION AND LOCATION.. Site utilities:
Job site address: 7045 SW Ventura Dr Catch basin or area drain 18.76
City/State/ZIP: Tigard, OR 97223
Drywell, leach lint, or trench drain 18.76
Footing drain (no. linear ft.: ) Page 2
Suite /bldg. /apt. no.: 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.: _ 1 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.: Backllow preventer 31.27
,DESCRIPTION OF 'WORK • Backwater valve 12.51
Clothes washer 1 25.02 25.02
Remodel _
- Dishwasher I 25.02 25.02
Drinking fountain 25.02
Eiectors/sunip 7 5.0 1
® PROPERTY OWNER . . ❑ TENANT . . " ' Expansion tank 12.51
Name: Mike Peters Fixture/sewer cap 25.02
Address: 7045 SW Ventura Dr
Floor drain/Floor sink/hub 25.02
Garbage disposal 25.02
City /Slate /ZiP: Tigard, OR 97229
Hose bib 25.02
Phone: (503)683 -3285 Fax: ( ) Ice maker 12.51
® APPLICANT , -'❑ CONTACT.' PERSON' . Interceptor /grease trap 25.02
Business name: American Plumbing Medical gas (value: S ) Page 2
Contact name: Tony Johnston
Primer 12.51
Roof drain (commercial) 12.51
Address: 5905 N interstate Ave
Sink/basin/lavatory 25
tY 1 .02 25.02
City /State /ZIP: Portland, OR 97217 Solar units (potable water) 62.54
Phone: (503) 289 -1745 Fax:: (503) 247 -2429 Tub /shower /shower pan 12.51
E-mail: plumhingslrsip.enrrt urinal 25.02
Water closet 25
. CONTRACTOR '
Water heater 1 37.52 37.52
Business name: American Plumbing Services LP
Water pipitig/DWV 56.29
Address: 5905 N Interstate Ave Other: 25.02
City /Slate /ZIP: Portland, OR 97217 Subtotal
Phone: (503) 289 -6498 Fax: (503) 247 -2429 Minimum permit tee: $72.50 112.58
CCB Lie.: 151062 Plumbing Lic. no.: 26-567PB Plan review (25 of permit fee)
� State surcharge (12% of permit fee) l3.SI
Authorized signature: �
-- TOTAL PERMIT FEE / 24 ,D9
Print name: Kyle Harms Date: 07 - - This permit application expires if a permit is not obtained within 180 days
after it has been accepted as complete. _Y/
d
"Fee methodology set by TO County Building industry Service Bawd. . 9.9)
i\I3u dini\Po,'rnits' LW] Permit App doe 10;0I/09 440 - lb I ea( IOW /COY1M'F:B)
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
7045 SW VENTURA DR, TIGARD, OR, 97223
Residential - Plumbing
399 Plumbing final
FAIL
PLM2013-00232
George Heimos
1. Dishwasher hose to be securely anchored to underside of cabinet top. 807.4
2. Recall inspection when correction has been completed. Re-inspection required.
103.5.6.1
mike@sl27.com
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
7045 SW VENTURA DR, TIGARD, OR, 97223
Residential - Plumbing
399 Plumbing final
PASS - No C of O
PLM2013-00232
George Heimos
Violation Summary:
Inspector Contractor