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Permit CITY OF TIGARD PLUMBING PERMIT I a COMMUNITY DEVELOPMENT Permit#: PLM2014-00204 f G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/17/2014 T Parcel: 2S 110BB05500 Jurisdiction: Tigard Site address: 14210 SW 121ST AVE Project: Elliott Subdivision: ARLINGTON RIDGE Lot: 32 Project Description: Install(1)recirculating pump on existing water heater and(1)double check valve for irrigaton system. Contractor: THE PLUMBERS INC. Owner: ELLIOTT, RICHARD A& BRENDA M 90 NW 150TH AVE 14210 SW 121 AVE BEAVERTON,OR 97006 TIGARD, OR 97224 PHONE: 503-686-5095 HONE: 503-519-6644 FAX: 503-684-1202 FEES Quantity Description Date Amount 1 ea Backflow Preventer 06/17/2014 $31.27 Specifics: 25 Misc Other Fee 06/17/2014 $25.02 1 12%State Surcharge- 06/17/2014 $8.70 Type of Use: SF Plumbing Class of Work: ALT 16 ea Minimum Fee Adjustment- 06/17/2014 $16.21 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, o uspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility • • ification Center. ose rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or•'ect questions to OUNC b - 503.232.1987 or 1.800.332.2344. I sued By: /At' ( PermitteerSignature: Call 503.639.4175 by 7:00 a.m.for the next avai' 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. 06/17/2014 14:12 5036841202 THE PLUMBERS INC PAGE 01/05 The Plumbers Inc. RECEIVEn 90 NW 150th Ave. .Beaverton,OR 97006 JUN 1 7 2014 Ph:503-519.6544 IF= 503.684.1202 CITYOFTGq�D www.theplumbersinc.net BUILDIN(;DIVARD fax • FAX: Cj(:)`3— S l dQ PAGES: PHONE DATE: \ ( 4 RE: CC: ©Urgent 0 For Review 0 Please Comment 0 Please Reply 0 Please Recycle Comments: 06/17/2014 14:12 5036841202 THE PLUMBERS INC PAGE 02/05 plumbing Permit APPlient CEIVEP Site Utilities iiti OFi-i' L t�� 4,\1 A City of Tigard JUN 17 2014 Received ,��ArP.�.J],1 °ilfd/ —Qd• I Date/By: IN•-• 13125 SW Hall Blvd.,Tigard, Plan Review Phone 503.718.2439 Fax: 12.‘4,, Plan Date/By: Caller Permit No.: T i ci A.R I Inspection Line: 503.639. d 4 7 rI LDI N G DIVISION Date Ready/By: Aids: 21 Ste Page 2 for Internet: www ttgar -or go ra,�e d/MetE od For special information use checklist ❑New construction ❑Demolition Descri tion ay, Ea. Total ®Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 R for each utility connection -'` r^n „r:, 7777,'1 .1 ;' i, 1 F fLr ;t 7 rr r, r �u r 312.70 '..,17,1.i.{ ' d{ t. r � � r rat i. �i r!' ��1P � 11 $FR(i)bath :r;.._.. „•:.,: SFR(2)bath CA 1-ancl 2-Family dwelling ❑Commercial/industrial SFR(3)bath 500.32 ■Accessory.building ■ Each additional bathIkitchen 25.02 P Master builder ■ s Fire sprinkler(___sq.ft.) Page 2 r l 1 i Ir I } �: Site w f e Catth basin or area drain 18.76 Job site address:14210 SW 121.°Ave Drywell,leach line,or trench drarn 18 76 City/StateJZTP: OR drain Suite/bldg./apt no.: Project name:_ E i i r 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.: „) MI Lot no or Tax map/parcel no.: i _;::7:-; � r i.�:f.7r, i l 'i � 61�-.) .'d: r7 ,ire c: ;:u� .b. i .. :i ac,thes ® We will furnish , r r r , pump„on 1 drain outlet of install one Drinking fountain 25.02 1"Watts double check valve for the irrigat system. Ejectors/sump 25.02 ' , CI y . 1 Y 7 l +r. 1251 Expansion tank ' 1 k. .� ' ! . 5 r . . : , . . Fixture/sewer cap 25.02 Name:Richard Elliot Floor drain/floor sink/hub 25.02 Address:14210 SW 121st Ave Garbage disposal 1 City/State/ZIP:Tigard,OR � 25.02 I' Fax ( ) Ice maker 12.51 ip ,-4i, i 7'-"X51 ,3 rf t 77, 1:3T"f 1 f"_7,?7 'T+ r l 0! i �r+rn +,I t r+ C;- • name: Primer 12.51 Contact Address: Sink/basin/lavatory,: •,. Solar (potable �� Phone:( ) Fax::( ) Tub/shower/shower pan 12.51 Urinal ■ 25.02 E-mail: F _ ] 1 r^r ,. '' , r,•ei Water closet 12 I1ta..; i i .,f., , i{.. .,:i. ] 1>(I. ! al r...•... i.,1.."1' 1 !1{n 1:. 1. }n.,^Z•,7-` , I,a••�e r•+.r,:cl� -.r;t , :r.,.:fa .r sr. ., �7�i.�.: Water heater • r Water piping/DWV Address: I NW 150* Other:Recirc.Pump 1 25.02 City/State-ZIP:Beaverton,OR 97006 Subtotal 25.02 ! Minimum permit fee: $72.50 72.50 Plan review (25%of permit fee) Adak Plumbing r State surcharge(12%of permit fee) I Authorized sign 1 ir11�' --_ TOTAL PERMIT FEE 81.20 e . This permit application expires if a permit is not obtained within 180 days Print name:Judy bowel s Date:6/17/14 after it has been accepted as complete. "Fee methodology set by Tri-County Building Industry Service Board. 1:43:rildirtePennttsPLMV,YxmitApP.doa 10/01/09 440-46367(10/07/COM/WBB) 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 14210 SW 121ST AVE, TIGARD, OR, 97224 Residential - Plumbing 399 Plumbing ﬁnal FAIL PLM2014-00204 George Heimos 1. Back ﬂow device: provide lawn irrigation device backﬂow test results. 603.3.3 2. Remove apparent ground water from backﬂow device box and verify pipe joints are not leaking. 310.0 3. Recall inspection when corrections have been completed. 103.5.6.1 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 14210 SW 121ST AVE, TIGARD, OR, 97224 Residential - Plumbing 399 Plumbing ﬁnal FAIL PLM2014-00204 George Heimos 1. Correction from previous inspection not completed, backﬂow provide test results 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 14210 SW 121ST AVE, TIGARD, OR, 97224 Residential - Plumbing 399 Plumbing ﬁnal PASS - No C of O PLM2014-00204 George Heimos 1" watts model LF007M1QT, serial no. 012984 Violation Summary: Inspector Contractor