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Permit CITY OF TIGARD PLUMBING PERMIT 11111- Permit#: PLM2014-00407 • • COMMUNITY DEVELOPMENT 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/31/2014 TIGARD Parcel: 2S104AC11300 Jurisdiction: Tigard Site address: 12820 SW 134TH AVE Project: Schwendiman Subdivision: DEER POINTE Lot: 4 Project Description: Replace 30'of sanitary sewer line. Contractor: SANITECH LLC Owner: SCHWENDIMAN, DAVE&CINNAMON PO BOX 47 12820 SW 134TH AVE MOLALLA, OR 97038 TIGARD, OR 97223 PHONE: 503-213-4775 PHONE. FAX: 503-303-8238 FEES Quantity Description Date Amount 30 If Sewer Service 12/31/2014 $62.54 Specifics: 1 12%State Surcharge- 12/31/2014 $8.70 Plumbing 10 ea Minimum Fee Adjustment- 12/31/2014 $9.96 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: ,) Permittee Signature: D/V / C'"7 /_7 ON 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 ECEQ/F . Site Utilities rills ) 4 #-�. City of Tigard Received /a �y „ ll DEC 31 2014 �� /��rlao��-Ddy©7 'L",..„-; 0 13125 SW Hall Blvd.,Tigard,OR 97223tY /3i v Permit No. . Phone: 303.7 I 8 2439 Fax: 503.598.19 ,t Date/By:Review Other Permit No.: inspection Line: 503.639.4175 �� + Date/By ittt �' Date Ready/B „,. Internet: www.tigard-or.gov `3UltI li�N;tlt t�3�' x i ,6,I 1� SeePnee?for Dat Readicthod: I `/ Supplemental Information TYPE OF WORK FEE* SCHEDULE ❑New construction ❑Demolition For special information use checklist. Description ( Qty. 1 Ea. } Total rAddition/alteration/replacement ❑Other: New I-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 FiI-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 ❑Accessory building 1=1 Multi-family SFR(3)bath 500.32 ❑Master builder Each additional bath/kitchen 2i.02 ❑Other. Fire sprinkler( sq.it) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: 1 Job site address: � ► C ' 1 t 1 1 Catch basin or area drain 18.76 -1P) (+lientie Cit !State/ZIP: �. Drywell,leach line,or trench drain 18.76 y i f'�( t Cr- ' 7 t�d`J 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 j Rain drain connector 18.76 Sanitary sewer(no.linear ft.: 'ii'') i Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: Lot no.: Fixture or item: Tax map/pares no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 /+ Clothes washer 2 la.e . 3C "rt. -5�..f2t frtk .k(.i e4- 1 Dishwasher 25.0_ / � / 25.02 ,y,�- ._ , via (C.{y 'G�iGY7 i ,- 17 j • Drinking fountain 25.02 �! Pjaop L`}•L( Ejectors/sump 25.02 ❑ PROPERTY OWNER ❑ TENANT Expansion tank 12.51 Name: ( �1} 72� 1 �ty� s W�t' �.J 1l -) Fixture/sewer cap 25.0? Address: j� �L Floor drain/floor sink/hub 25.02 City/State/ZIP: Garbage disposal 25.02 i Hose bib 25.02 Phone:( ) I Fax:( ) Ice maker 12.51 0 APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 •Business name: : X��u . r�� J i. Medical Mledical gas(value:$ ) Page 2 _Contact name: 5-11/_, kinks ej Primer 12.51 PO Roof drain(commercial) 12.51 Address: U / 4)X Liz 763. Sink/basin/lavatory 25.02 City/State/ZIP: r� O( aJA �} { Solar units(potable water) 62.54 Phone:60 /. -y 7 75 `! Fax::(563 i0 3' ;?,t. . ? Tub/shower/shower pan 12.51 E-mail: c..j0-.t�t� k- 7 e /'3�LJ Ci. - rL t, Urinal 25.02 CONTRACTOR Water closet 25.02 ` Water heater 37.52 Business name: �JCLf2e k&!� L-L J E C_ Water piping/DWV 56.29 Address: PC) / X /__I Other: 25.02 City/State/ZIP: f})vLLt. L.(e4) G er763? Subtotal Phone:(9J3) 7/3 U 7 7 5 Fax:663),"3&3- )),3g Minimum permit fee: $72.50 CCB Lie.: S j 9 Plumbing Lic.no.: ,, Plan review (25%of permit fee) ��'/�' State surcharge(12%of permit fee) Authorized TOTAL PERMIT FEE Print name:r�/�{ A He fie," I Date: /�.3i/p_)l This permit application expires If a permit is not obtained within 180 days after it has been accepted as complete. ,,03 - 9A 9- / 75-/ "Fee methodology set by Tri-County Building Industry Service Board. CUiuil ding\Pcrmits1PL\tU-YermitApp.doc 1(/01/09 lI/ 44l-4616T(10/02/COAUWEB) 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 12820 SW 134TH AVE, TIGARD, OR, 97223 Residential - Plumbing 399 Plumbing ﬁnal FAIL PLM2014-00407 George Heimos 1st inspection test and connections ok, camera to come. Sanitech@molalla.net 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 12820 SW 134TH AVE, TIGARD, OR, 97223 Residential - Plumbing 399 Plumbing ﬁnal PASS - No C of O PLM2014-00407 George Heimos NOTE camera of sewer provided and pass, backwater valve installed, sewer below upstream manhole. Violation Summary: Inspector Contractor