Permit CITY OF TIGARD PLUMBING PERMIT
1111 * COMMUNITY DEVELOPMENT Permit#: PLM2015-00023
T t G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/26/2015
Parcel: 1 S 136AD01901
Jurisdiction: Tigard
Site address: 6910 SW OAK ST
Project: Botteron Subdivision: VILLA RIDGE Lot: 1
Project Description: Replace approximately 50 ft of drain for kitchen and laundry,in crawl space.
Contractor: JACK HOWK PLUMBING/RESCUE ROOTER Owner: BOTTERON, DAVID&CONSTANCE E
PO BOX 2830 6910 SW OAK ST
CLACKAMAS, OR 97015 TIGARD, OR 97223
PHONE: 503-850-3100 PHONE: 503-245-8330
FAX: 503-491-2932
FEES
Quantity Description Date Amount
1 ea Water Piping/DWV 01/26/2015 $56.29
Specifics: 1 12%State Surcharge- 01/26/2015 $8.70
Plumbing
Type of Use: SF 16 ea Minimum Fee Adjustment- 01/26/2015 $16.21
Plumbing
Class of Work: ALT
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• - •• to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issu By: ' '04/ .. Permittee Signature:
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 Applicao CEIVED
Building Fixtures K FOR OFFICE USE ONLY
City of T1gart1 SAN 2 6 2015 Received
-
Date/By: �� 0 Permit No ,Gf��/�� /O�3
• 13125 S1A Hall Blvd.-Tigard,OR 97223 Plan Review iL s
Phone: 503.639.4171 Fax: 503. oOF TIGARD Other Permit No:
TIGARD Inspection Line. 503.639.4175 DIVLSIQN Date/By.Re
Internet www.tigard-or.gov BUILDING Date Ready/By: Juris H See Page 2 for
Notified/Method Supplemental Information
-,.....::`,..,'4;.. T'I'FF OF WORK' n -,91:.7-17.7r,- 1 i i It c r
For special information use checklist
❑New construct toi t ❑Demolition
Description I Qty. I Ea. Total
Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
Y b` Y °` 'v. i '7 4 CFal� 0"Cp) ;777,::k� ;#v ra SFR(I)bath
_- . ,�, _.�. ..x�,w 312.70
►I 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
0 Accessory building ❑Multi-family
SFR(3)bath 500.32
El
builder Each additional bath/kitchen 25.02
❑Other:
Fire ire sprinkler
( sq.ft.) Page 2
3P iii g { �1V r P �r t �Wi ki,. $ � site nitltttes:- . e . - i _.T. , • gi,,,Ce :a .,w, :_.4.--,w
Job site address: - __ , Catch basin or area drain 18.76
'� ,
City/State/ZIP: I� I , / ' /, /, Drywell,leach line,or trench drain 18.76
Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: Project name: v ,
Manufactured home utilities 50.03
•
Cross street/directions to job site: Manholes 18.76•
• Rain drain connector 18.76
•
Sanitary sewer(no.linear is ) Page 2
Storm sewer(no.linear ft.:_) Page 2
Water service(no.linear ft.: ) Page 2
Subdivision: Lot no.: Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
��� �' '� Backwater valve
65) i r2 t r} )^t� "-k:. 1 12.51
<. a± » ,� " Clothes washer
...2-�+•--J; tom_ I.R�J�;�. u � la •l ■ 25.02
�- Dishwasher 25.02
'/ I .l R'��•�I 1�,t_ , ice, '� IO N . Drinking fountain 25.02
P t� �)_ z €,, 05.0-gs;m. r...,.. Jeans sump • 2$02
._,.,.. _.._.,_ a�.r. , , Expansion tank
12.51
Name: ! 1 , / �� 1 Fixture/sewer cap 25.02
Address: • �/ . �• Floor drain/floor sink/ttab 25.02 • •
Garbage disposal. 25.02 _
City/State/ZIP:- R��'�)� iv
Ad 6 Hose bib
Phone�'� / x:( ) Ice maker 25.02
iI '��/ Fa
12.51 -
4 n: !i:,1e- Interceptor/grease trap 25.02
Business name:ARS dba JACK HOWK/RESCUE ROOTER Medical gas(value:$ ) Page 2
Contact name:JOYCE DENNIS Primer 12.51
Address: P.O.BOX 2830
Roof drain(commercial) 12.51 •
Sink/basin/lavatory 25.02
City/State/ZIP:CLACKAMAS,OR 97015 Solar units(potable water) 62.54
Phone:(503)850-3100 • Fax::(503)491-2932 Tub/shower/shower pan • 12.51
E-mail:JDENNIS@ARS,COM Urinal 25.02
Sg.2,74:°p.`‘ 1 raj -•] Water closet 25.02
i Water heater -
Business name:ARS dba JACK HOWK/RESCUE ROOTER 37.52
Water piping/DWV 56.29
Address:P.O.BOX 2830 Other: 25.02
City/State/ZIP:CLACKAMAS,OR 97015 Subtotal
Phone:(503)850-3100 Fax:(503)491-2932 Minimum permit fee: $72.50 78,•5 0
CCB Lie.:127325 I9I (/G Plu �'ing Lie.no.:34-168PB Plan review (25%of permit fee) �-
�l State surcharge(12%of permit fee) g 70
Authorized signature. `tal , '_
►►�a�r�� TOTAL PERMIT FEE $j.�
Print name:JOYCE DENNIS aUli MI Date: ' �Er,y�7'his permit application expires if a permit is not obtained within 180 days J I(✓� after it has been accepted as complete.
G "Fee methodology set by Tri-County Building Industry Service Board.
I:\Bui]ding\PermitslPLMU-PermitApp.do 104 440-4616T(I0/ l g) ✓
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
6910 SW OAK ST, TIGARD, OR, 97223
Residential - Plumbing
399 Plumbing final
FAIL
PLM2015-00023
George Heimos
1. Support 2" laundry piping on right side in crawl 4' on center maximum along interior
foundation wall to where piping on left side goes below vapor barrier. Table 3-2 (provide
pictures of support)
2. Expose/uncover new 2-way outside cleanout. 103.5.1.3
3. Provide listing for outside sanitary sewer lining material. 310.3
4. Recall inspection when corrections have been completed. Re-inspection required.
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
6910 SW OAK ST, TIGARD, OR, 97223
Residential - Plumbing
399 Plumbing final
PASS - No C of O
PLM2015-00023
George Heimos
Violation Summary:
Inspector Contractor