Permit CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2014-00243
T t G A RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/28/2014
Parcel: 2S 102CA00219
Jurisdiction: Tigard
Site address: 13145 SW ASH DR
Project: Sundance Investments Subdivision: VIEWCREST TERRACE Lot: 17
Project Description: Replace water piping and drains in entire house.Enlarge existing shower stall and relocate water heater.
Replacement of existing fixtures not required to be permitted.
Contractor: G&B PLUMBING&SONS INC Owner: SUNDANCE INVESTMENTS LLC
PO BOX 92 17420 SW 110TH AVE
ST PAUL, OR 97137 TUALATIN, OR 97062
PHONE: 503-868-1417 PHONE: 503-969-1233
FAX: 503-925-1707
FEES
Quantity Description Date Amount
1 ea Tub/Shower/Shower Pan 07/28/2014 $12.51
Specifics: 2 ea Water Piping/DVW 07/28/2014 $112.58
1 ea Water Heater 07/28/2014 $37.52
Type of Use: SF 1 12%State Surcharge- 07/28/2014 $19.51
Class of Work: ALT Plumbing
Type of Const:
Occupancy Grp:
Stories:
Total $182.12
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 ►• • I Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0"s. You may obtain a copy of the rules
or•• ect questions to 'UNC • -(ling 503.232.1987 or 1.800.332.2344.
I sued By: K I I ,, / \ Permittee Signature: r
bar
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 FOR OFFICE usENoNL1
111111 City of Tigard RECEIVED Received
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-
• Date/Br: 7a,k(/0„. L � //ate/5� a�3
13125 SW Hall Blvd.,Tigard,OR 9722 2 8 2014 Plan Review
Phone: 503.718.2439 Fax: 503.598. Date/By: Other Permit No
I G A R D Inspection Line: 501639.4175 Date Ready/By: funs: la See Page 2 for
Internet: www.tigard-or.gov (AY OF T D Notified/Method: Supplemental Information
TYPE OF N' N SCHEDULE
►ULE
❑New construction ❑Demolition For special Information use checklist
Description I Qty. I Ea. I Total
®Addition/alteration/replacement ❑Other New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTTRUC1' L SFR(1)bath 312.70
® 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78
❑Accessory building Multi-family
SFR(3)bath 500.32
❑Multi-famil
Each additional bath/kitchen 25.02
❑Master builder ❑Other: Fire sprinkler(-sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address:13145 SW Ash Dr. 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.: f Project name: Manufactured home utilities 50.03
Cross street/directions to job site:Ash Ave. 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:Viewcrest Terrace I Lot no.:17 Fixture or item:
Tax map/parcel no.:2S102CA00219 R464866 Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer ilk 25.02
Replaceing all plumbing water lines and Sanitary Sewer drains in side the house Dishwasher „,„.1--"--- 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
® PROPERTY OWNER I jJ TENANT Expansion tank 12.51
Name:Sundance Investments,LLC Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address: 17420 Sw 110'a Ave.
Garbage disposal „.0-I• 25.02
City/State/ZIP:Tualatin,OR 97062
Hose bib �i� 25.02
Phone:(503)969-1233 Fax:( ) Ice maker �1' 12.51
® APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02
Business name:Sundance Investments,LLC Medical gas(value:$ ) Page 2
Primer 12.51
Contact name:Scott Roof drain(commercial) 12.51
Address:17420 SW 110rx
Sink/basin/lavatory �.1"--4' 25.02
City/State/ZIP:Tualatin,OR 97062 Solar units(potable water) 62.54 /
Phone:(503)969-1233 Fax::( ) Tub/shower/shower pan I /...e 12.51 /-2•Jam/
E-mail:Hmsrobbins@comcast.net Urinal 25.02
Water closet ..2 25.02
CONTRACTOR Water heater / 1 37.52 37,5?,
Business name:G&B Plumbing&Sons,Inc. Water piping/DWV 56.29 N...51
Address:PO Box 92 Other. 25.02
City/State/ZIP:St.Paul,OR 97137 Subtotal
Phone:(503)868-1417 Fax:( ) Minimum permit fee: $72.50
CCB Lic.:184372 Plumbing Lic.no.:(air Pg !v3'"/ Plan review (25%of permit fee)
State surcharge(12%of permit fee) /47. s 1
Authorized signature 4 � TOTAL PERMIT FEE l�a./
Print name: i,,4- d 1 l l4 C Date: S This permit application expires if a permit is not obtained within 180 days
v Ott' J ` after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
11Building\Permits\PLMU-PermitApp.doe 10/01/09 440L4616T(l0/02/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
13145 SW ASH DR, TIGARD, OR, 97223
Residential - Plumbing
399 Plumbing final
PASS - No C of O
PLM2014-00243
George Heimos
Violation Summary:
Inspector Contractor