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Permit IN111 CITY OF TIGARD PLUMBING PERMIT I COMMUNITY DEVELOPMENT Permit#: PLM2015-00050 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/18/2015 Parcel: 1 S134CB03100 i Jurisdiction: Tigard Site address: 12330 SW SUMMER CREST DR Mien Project: ROCHEFORT u.•vision: SUMMER HILLS PARK Lot: 30 Project Description: Remodeling both upstairs bathrooms and relocating water heater and washing machine. 3/4/15:Added(1)water heater. Contractor: EMORY PLUMBING Owner: ROCHEFORT, RAY 533 45TH PL SE 3875 GLENWOOD LOOP SE SALEM,OR 97317 SALEM,OR 97317 PHONE: 971-340-6068 PHONE: FAX: FEES Quantity Description Date Amount 1 ea Clothes Washer 02/18/2015 $25.02 Specifics: 3 ea Sink 02/18/2015 $75.06 1 ea Tub/Shower/Shower Pan 02/18/2015 $12.51 Type of Use: SF 2 ea Water Closet 02/18/2015 $50.04 Class of Work: ALT 1 ea Water Heater 03/11/2015 $37.52 Type of Const: 1 12%State Surcharge- 03/11/2015 $24.02 Occupancy Grp: Plumbing Stories: Total $224.17 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. pec Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if s not . • ed within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to • • the rule adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090 ,u may o' in a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. 1 A Issued By: 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 Application .... Building Fixtures F1ECEVED Itik .,i1 ;.. City of Tigard , , Received jr4' ENIZIMITEMFI EB 1 8 Z0V3 pinDateiBiZv'ir: trri 1.:. It 13125 SW lbill Blvd.,Tigard,OR 97223 F li ' Phone: 501 718.2439 Fax: 503,598.1960 rt es Date/By. Other Permit No.: hispootion Line: 503.639.4175 oF TiGAnv Rung til bre Page 2 for Interrie(: wWw.tigard-or.g(v , Supplenictir el i it fe,r.ti. ,,,,,,,,,,,, .. ,,,,,,:• ai>..,..,:i;, ,., . I.,..:17. Itlelli-v.1Yt!...."°.,.... .1:I.L.P541411°d:B Y1 zo., =.4..--,A,,-,. .,=...,r,, ,r, ..,'-,- -' .=,,,•,,, 0 New construction 0 Demolition For special btfonstadets we ckeddiss Total id Addition/alteration/replacement 0 Other: New 1-2-WWI dwell ,Aqincludes 100 it.for each utility connection) "'V) .• ' kti:7"Offei.'‘" "-',---'-',.44115.,440,0"1"0:A.zwew:gr.:,,,.<4,.r.,.. :iwq.,..:-2,:., - '- , I:.f,"' tr, '41;,4:4t>=4,',,,,,,,s;e;.*.n,,.- '',4t'",'i '..:3 4,4..; '4. 4 :, '4,A4X,',",,, ' ,• SFR(1)bath 312.70 .,..,...ir 0::::ss'i.;"..""'',44.4&44)44.4:.. ."Stg0":011474A44.1:440:4',A"444°,14,44,..,a"', ,.4,'.4 1.4,"*.^1W."•4 , 4 El 1-and 2-family dwelling 0 CommerciaVindustrial SFR(2)bath ' 437.78 I 1 3) 500.32 D Aeresscey building 0 Multi-family • -- SFR( bath Each additional bathlkitchen 25.02 ra- 0%Liter builder 0 Other: Fire sprinkler( sq.R.) Page 2 4,441. 0,411(OhNii.-11414,Ndi sSits,utilities'. alliM 18.76 Job site address: / 0 -5' LI ..„5 . , i. i\n Dryw-(41,teeth line,or trench drain allill I 8.76 City/State/ZIP' 77i- ,,,i Oar 9 7.2.21 ...... *.).'-' Footing drain(no.linear ft.:____) Page 2 Suite/bldg./apt.no.: Pr ojccl,snArrre:.. /4.t= _____,, Manufactured home taiLitue 50 03 Cross street/directions to job site: -12.Pe fi t I Or tvtanholes 1111111 8:7' Rain drain conrieetor 18. 6 ..- - .. C)--- 10-f-7---,--4c-4-- Sanitary sewer(no.linear-h.;_=„1„.......) Page 2 3).L. 1 ..... Storm sewer(no.linear ft: 1 Page 2 'tal ......w4. ......._......___. water service mo Meat ft.: ) Mil am ...,.. Subdivision: kjeir ariot no.: nature or Item: ........__- _ . ._ Backflow presenter 31.27 T8.-X map/parcel no,: Backwater valve Ion Ckria,;4tZ4 °-:::"Pt';■'...,-;",02! wogx, . -. 12.51 I 25.02 t' I)).. ;.J elvt4411`6LVIIh Dishwasher 25.02 /1 d . i .1 Reio,..,..i.t.. tii..,...+Pt rie,:i-ei a„, liki oqi,ili s,,,-4 r.le, ix;), Drinking fountain 25.02 * - Ejectors/sump 25.02 *Ii;;i,'" Wiliffilterifi iirf".4.1r3Ithias.401 Expansion tank 12.51 -; 1,,,i4IrnlifiVAA&Iti.ia,...',Mvwe,...kio4.4rso*.x.-.464 1 Fixtureisewer cap 25.02 Nanle'• i a/115,i,‘, Co As if 4,-41 _ --1 Floor drain/f1oor smk/hub 2.5.02 Address: _ ..11 ()adage disposal 251)2 . City/State/ZIP: Dose bib 25.02 I Phone:(50> ) V 0- 7o 4*C3 Fax:( ) Ice maker 12.51 ._... '4i,*.igP.tt,W4Cto'V'''.'","'rt'....•:V.,','>:fxit4t...,'.4-'§Vti,t..„:--Ii04,:z-tm:;,:„ : ,.,,,-,.,..,4„,..,-: .,-.>;,,, . Interceptor/grease trap 25.02 Medical gas(value:$ ) Page 2 Business rime: Primer 12.51 Contact name: Roof drain oxantriervial) 12.51 Address: Sink/basin/lavatory 25.02 s-,0 ,...._... . - " .................. ..._ ....._....... citystatrizip: Solar units(potable water) 62.54 Phone:( ) 1 Fax::( 1 Tubishower/shovver pen ' ( 12.51 12. 5? ...........____ . ..........._................__.........._.. ._.........__... ... ...._........._....... _____........_ ()final 25,02 E-mail: cl°set ..... . .2 25.02 ,,e,i,,,,i(.„A,..,%,,,,,,,Wb, .,,-.,,,,-A,;',01•--it'ro-,,,,,,',,, ',.;.4-;,,,.'..,.:'v,,,-..,-.:",' --,-.1'..-A,..0'.:-'41-.'1,:::-",.-.---,- -1':-`-,.- viawr heater, / 37.52 7 Business name: i-, ,1 . , /144„,44,, ' Water piping./DWV 56.29 ... i _.____ _ + -.--- t- Address: 333 NI, PI, J5.0' i Other: 25.02 City/State/ZIP:*' Jr. ,,,a0 . ,.. 7 yi\ ,..,...,.. A. Phu":(77/) -3ta-6(X6 F: . -r1 tt° Minimum permit fee: $72.50 r-C-CTI Lic.: '* ''' , .1., 'Ituitbing Lie.no.:p3 867 , 1..... . AV A.M. 1 Plan review (25%of permit fee) State surcharge(12%of Permit fee) f , Authorized signature: , TOTAL PERMIT FEE 1 ,,, This permit application expires If a permit Is not obtained within the days I runt name: Z.... , .-0,4,.:,, Date: "2.le This it hat been seeepted in tont**. ,04' •Fee methodology set by Tn-County Budding Industry Serviceloard. 1:=Buiteing,Perreitsilitft.,-PereinApp doe 10/0111* torssianutozicomwsn) iti),. OA. CITY OF TIGARD PLUMBING PERMIT• COMMUNITY DEVELOPMENT t Permit#: PLM2015 00050 TI G ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 IV Date Issued: 02/18/2015 Parcel: 1S 134CB03100 Jurisdiction: Tigard Site address: 12330 SW SUMMER CREST DR Project: ROCHEFORT Subdivision: SUMMER HILLS PARK Lot: 30 Project Description: Remodeling both upstairs bathrooms and relocating water heater and washing machine. 3/4/15:Added(1)water heater. Contractor: EMORY PLUMBING Owner: ROCHEFORT, RAY 533 45TH PL SE 3875 GLENWOOD LOOP SE SALEM,OR 97317 SALEM, OR 97317 PHONE: 971-340-6068 PHONE: FAX: FEES Quantity Description Date Amount 1 ea Clothes Washer 02/18/2015 $25.02 Specifics: 3 ea Sink 02/18/2015 $75.06 1 ea Tub/Shower/Shower Pan 02/18/2015 $12.51 Type of Use: SF 2 ea Water Closet 02/18/2015 $50.04 Class of Work: ALT 1 ea Water Heater 03/11/2015 $37.52 Type of Const: 1 12%State Surcharge- 03/11/2015 $24.02 Occupancy Grp: Plumbing Stories: Total $224.17 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 no ,started within 180 .. . of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow t - rules adopted • e._ s egon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. Y.• •. obtain = copy of the rules or direct questions to OUNC by calling 503.232.1987 .332.2344. Issued By: Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspe• ion date. /Pr This permit card shall be kept in a conspicuous place on the job site u• d completion of e project. Approved plans are required on the job site at the time • each inspection. CITY OF TIGARD PLUMBING PERMIT lig ' COMMUNITY DEVELOPMENT Permit#: PLM2015-00050 T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/18/2015 Parcel: 1 S134CB03100 Jurisdiction: Tigard Site address: 12330 SW SUMMER CREST DR Project: ROCHEFORT Subdivision: SUMMER HILLS PARK Lot: 30 Project Description: Remodeling both upstairs bathrooms and relocating water heater and washing machine. Contractor: EMORY PLUMBING Owner: ROCHEFORT, RAY 533 45TH PL SE 3875 GLENWOOD LOOP SE SALEM,OR 97317 SALEM, OR 97317 PHONE: 971-340-6068 PHONE: FAX: FEES Quantity Description Date Amount 1 ea Clothes Washer 02/18/2015 $25.02 Specifics: 3 ea Sink 02/18/2015 $75.06 1 ea Tub/Shower/Shower Pan 02/18/2015 $12.51 Type of Use: SF 2 ea Water Closet 02/18/2015 $50.04 Class of Work: ALT 1 12%State Surcharge- 02/18/2015 $19.52 Type of Const: Plumbing Occupancy Grp: Stories: Total $182.15 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. pecialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if wor. not started wit••• :+� :. s of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to fo • The rules ..:• -• • the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0091 ou may ob - copy of the rules or direct que • & NC b calling 503.232.1987 or 1.800.332.2344.• Issued r.y: • 4 / , Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available in •ection da 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 tiy of each inspection. Plumbing Permit Application Building Fixtures RECEIVED FOR OFFICE I .F: O\1.1 Received City of Tigard Permit No.: '�/� ■ 13125 SW Hall Blvd.,Tigard,OR 97223 FEB 1 $ 2015 Date/By: a2 �8 / - �/''�4utJ 1��' Sf� Plan Review i ■ Phone: 503.718.2439 Fax: 503.598.1960 Other Permit No.: I I GA R D Inspection Line: 503.639.4175 -m/ TIGARD imMte Internet: www.tigard-or.gov CI 1 ' OF DIVISI0 Ready/By: Juris 0 See Page 2 for 111 DIN otified/Methad: -j 2,:c Supplemental Information TYPE OF WO I FEE* SCHEDULE ❑New construction El Demolition For special information use checklist Description I Qty. I Ea. I Total g Addition/alteration/replacement ❑Other: New 1-2-family dwellings _ y �(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ® 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building ❑Multi-family 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: 233 0 .5. G! .s4 is Cl - 6r. Catch basin or area drain 18.76 ty Drywell,leach line,or trench drain 18.76 City/State/ZIP: I'I`,ah,/t ofq 9 72x3 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: Project name: `�j. Manufactured home utilities 50.03 Cross street/directions to job site: 1--oe H-t.i o,2_- 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.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 / ,� (01).6±44',15 n Clothes washer 1 25.02 , 0e- Rect od e.! )�%1 l ji�'tb f'i.U..^rs Dishwasher 25.02 ,1 Re la t- -44- (l t�'}-e.' lie.:; r e !L LA,./ct)j,014-ji."12. 0-)61., Drinking fountain 25.02 Ejectors/sump 25.02 (, PROPERTY OWNER ❑ TENANT Expansion tank 12.51 C' /Vet Fixture/sewer cap 25.02 Name: �a 't' O'1 9 Floor drain/floor sink/hub 25.02 Address: Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:(303 ) 3 V 0- 7014? Fax ( ) Ice maker 12.51 ❑ APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name: Medical gas(value:$ ) Page 2 Primer 12.51 Contact name: - Roof drain(commercial) 12.51 Address: Sink/basin/lavatory 25.02 I s,06 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax: :( ) Tub/shower/shower pan / 12.51 /2 51 E-mail: Urinal 25.02 - Water closet Z 25.02 2 OLf CONTRACTOR . Water heater 37.52 Business name: tom'1, /1 1/2, Water pipi t /��t, ng/D WV 56.29 Address: 533 Z i Pl. 5.1 Other: 25.02 City/State/ZIP: iSeitM 0R 5123/7 Subtotal f II Minimum permit fee: $72.50 CCB Lic.: 170738' i y0 'lambing Lic.no.:Pb g`/ Plan review (25%of permit fee) 9 State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE /i,„1 _/S Print name: Date: 9-g- f This permit application expires if a permit b not obtained within 180 days �,` /` after it has been accepted as complete. •Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Pwmite\PLMU-PermitApp.doc 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 12330 SW SUMMER CREST DR, TIGARD, OR, 97223 Residential - Plumbing 399 Plumbing ﬁnal FAIL PLM2015-00050 George Heimos 1. Provide minimum 3/4" hot supply pipe to water heater. (1/2") hot water maximum ﬁxture units on 1/2" is 7. 2. 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 12330 SW SUMMER CREST DR, TIGARD, OR, 97223 Residential - Plumbing 399 Plumbing ﬁnal FAIL PLM2015-00050 David Young Provide access for inspection. Code for lock box on front door not working. 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 12330 SW SUMMER CREST DR, TIGARD, OR, 97223 Residential - Plumbing 399 Plumbing ﬁnal PASS - No C of O PLM2015-00050 David Young Correction from ﬁnal inspection dated 5/29/15 complete. Violation Summary: Inspector Contractor