Permit CITY OF TIGARD PLUMBING PERMIT
rr Permit#: PLM2014-00191
8 COMMUNITY DEVELOPMENT
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/05/2014
TIGARD Parcel: 1S126DC11300
Jurisdiction: TIGARD
Site address: 9851 SW TAYLOR CT
Project: Greco Estates,Lot 8 Subdivision: GRECO ESTATES Lot: 8
Project Description: Residential irrigation backflow.
Contractor: EDWARD MULLEN PLUMBING Owner: LF 8 LLC
1601 SE RIVER RD 5285 MEADOWS RD, STE 171
HILLSBORO, OR 97123 LAKE OSWEGO, OR 97035
PHONE: 503-640-0113 PHONE.
FAX: 503-640-4483
FEES
Quantity Description Date Amount
1 ea Backflow Preventer 06/05/2014 $31.27
Specifics: 1 12%State Surcharge- 06/05/2014 $8.70
Plumbing
41 ea Minimum Fee Adjustment- 06/05/2014 $41.23
Type of Use: SF Plumbing
Class of Work: OTR
Type of Const:
Occupancy Grp:
Stories:
Total $81.20
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: % T /
/C>E r -i-e ya Permittee Signature: —..) ./y
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
E . ..,Plumbing Permit Applicatio e
I)
Building Fixtures FOR OFFICE USE ONLY
JUN - 5 2014 Received
City of Tigard / Permit No.: /
111111 + 13125 SW Hall Blvd.,Tigard,050123.59978223196d' !(�� j Date/By: (/�j//y a-'/O�Q/�/���
■ Phone: 503.718.2439 Fax: . 1 O°r�r'1�„„� Plan Review 111 Other Permit N�.r p u�/�
lit-:t',1`9$J ri��l�l
Date/By: 1'S �7I/r./OQ6OQ
Inspection Line: 503.639.4175 i Date Ready/By: '/ See Page
2 for
iT I G A K l Internet: www.tl rd-or. ov Notified/Method: CO" Supplemental Information
_ TYPE OF.WORK FEE* SCHEDULE
New construction ❑Demolition For special information use checklist
•, Description I Qty. 1 Ea. I Total
S_IiI I'ddition/alteration/replacement d1r I lher: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF ;"', SFR(1)bath 312.70
® 1-and 2-family dwelling ❑CommerciaUindustrial SFR(2)bath 437.78
Accessory building SFR(3)bath 500.32
El Accessory Multi-family
Each additional bath/kitchen 25.02
❑Master builder El Other: Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address:9851 SW Taylor Ct Catch basin or area drain 18.76
City/State/ZIP:Tigard,OR 97223 Drywell,leach line,or trench drain 18.76
Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: I Project name:Greco Estates Manufactured home utilities 50.03
Cross street/directions to job site:Greenburg Road 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: I Lot no.:8 Fixture or item:
Tax map/parcel no.: Backflow preventer 1 31.27 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 25.02
Irrigation-Backflow
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
® PROPERTY OWNER • I ❑ TENANT Expansion tank 12.51
Name:LF 8,LLC
Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address:5285 Meadows Road Suite 171
Garbage disposal 25.02
City/State/ZIP:Lake Oswego,OR 97035 Hose bib 25.02
Phone:(503)657-3402 Fax:( ) Ice maker 12.51
® APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02
Business name:JT Smith Companies Medical gas(value:$ ) Page 2
Primer 12.51
Contact name:Wayne Pykonen
Roof drain(commercial) 12.51
Address:5285 Meadows Roads Suite 171 Sink/basin/lavatory 25.02
City/State/ZIP:Lake Oswego,OR 97035 Solar units(potable water) 62.54
Phone:(503)358-8955 Fax::( ) Tub/shower/shower pan 12.51
E-mail:waynep®jtsmithco.com Urinal 25.02
CONTRACTOR Water closet 25.02
Water heater 37.52
Business name: The Mullen Company Water P�tP in 8/D WV 56.29
Address: 1601 SE River Road Other: 25.02
City/State/ZIP:Hillsboro,OR 97123 Subtotal
Phone:(503)640-0113 Fax:( )
Minimum permit fee: $72.50 7,2 .50
Plan review (25%of permit fee)
CCB Lic.:92689 � � Plumbing Lic.no.:34-260PB State surcharge(12%of permit fee) 1-, 70
Authorized signature: , TOTAL PERMIT FEE ,/,2.0
Print name:Wayne Pykonen Date 6/4/2014 This permit application expires if 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:\Building1Permits1PLMU-PermilApp.doe 10/01/09 440-4616T(10/02/COM/WEB)
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
9851 SW TAYLOR CT, TIGARD, OR, 97223
Residential - Plumbing
399 Plumbing final
FAIL
PLM2014-00191
George Heimos
1. Cleanout plug needs approved thread sealant at: outside sanitary sewer. 316.1.1
2. Recall inspection when corrections has been completed.
3. Provide lawn irrigation backflow approval.
Violation Summary:
Inspector Contractor