Permit CITY OF TIGARD j PLUMBING PERMIT
f'1 $ COMMUNITY DEVELOPMENT irr � Permit#: PLM2013 00408
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 �4' Date Issued: 11/14/2013
Parcel: 1 S 134DB12600
Jurisdiction: Tigard
Site address: 11285 SW FOREST LN
Project: Braden Subdivision: 2008-038 PARTITION PLAT Lot: 1
Project Description: Remodel-Alteration&Add 1/2 bath. 11/20/13,reprinted to correct address from 11329 SW North Dakota to 11285
SW Forest Ln. -
Contractor: CANBY PLUMBING&CONSTRUCTION LLC Owner: HOME INVESTMENT SERVICES LLC
PO BOX 1051 BY BRADEN,JOHN N
CANBY,OR 97013 1102 N SPRINGBROOK RD, STE 113
NEWBERG,OR 97132
PHONE: 503-266-1212 PHONE:
FAX: 503-266-4391
FEES
Quantity Description Date Amount
1 ea Dishwasher 11/14/2013 $25.02
Specifics: 1 ea Hose Bib 11/14/2013 $25.02
1 ea Ice Maker 11/14/2013 $12.51
Type of Use: SF 1 ea Sink 11/14/2013 $25.02
Class of Work: ALT 3 ea Lavatories 11/14/2013 $75.06
Type of Const: 1 ea Tub/Shower/Shower Pan 11/14/2013 $12.51
Occupancy Grp: 2 ea Water Closet 11/14/2013 $50.04
Stories: 1 12%State Surcharge- 11/14/2013 $27.02
Plumbing
Total $252.20
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 'cation - -r. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or d. ct questions to OUN•by calling 503.232.1987 or 1.800.332.2344.
Is ed By: , A i Permittee Signa ` D
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.
CITY OF TIGARD
BUILDING DIVISION PERMIT#: pun 3-00y08
13125 SW Hall Blvd.,Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639-4171 Adi i ,
Inspection Requests (24 Hrs.): (503) 639-4175 ei ii
INSPECTION WORKSHEET FOR DATE: /l1lSl/3 TIME: /,'SO PAGE:
SITE ADDRESS: //�9 s�/"B1 afk.0 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
' Inspection Request Scheduled For: Date: ii//.cl/3 Pour Time:
Code # " Inspection Description Confirm # Contact # Message
3619 liovlb'ilo 1-1,1A,
Corrections/Comments/Instructions:
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•
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❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL _ ❑ CALL.FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 4---il Date: /l l 413 Phone #: (503) 718- ,,,2 70(.0
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
11285 SW FOREST LN, TIGARD, OR, 97223
Residential - Plumbing
399 Plumbing final
PASS - No C of O
PLM2013-00408
George Heimos
Violation Summary:
Inspector Contractor