Permit IIICITY OF TIGARD PLUMBING PERMIT
° COMMUNITY DEVELOPMENT Permit#: PLM2015-00170
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/28/2015
Parcel: 2S111CA04700
Jurisdiction: Tigard
Site address: 9600 SW LAKESIDE DR
Project: Van Kleek Subdivision: SUMMERFIELD NO.12 Lot: 667
Project Description: Add lay and change shower valve in master bath.
Contractor: EAST WEST PLUMBING INC Owner: JIM& LANORE VAN KLEEK
10610 SE 145TH AVE 9600 SW LAKESIDE DR
HAPPY VALLEY, OR 97086 TIGARD, OR 97224
PHONE: 503-777-1594 PHONE:
FAX:
FEES
Quantity Description Date Amount
1 ea Lavatories 05/28/2015 $25.02
Specifics: 1 ea Tub/Shower/Shower Pan 05/28/2015 $12.51
1 12%State Surcharge- 05/28/2015 $8.70
Type of Use: SF Plumbing
Class of Work: ALT 35 ea Minimum Fee Adjustment- 05/28/2015 $34.97
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, 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: (4 or
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
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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
9600 SW LAKESIDE DR, TIGARD, OR, 97224
Residential - Plumbing
399 Plumbing final
PASS - No C of O
PLM2015-00170
George Heimos
Shower slider bar not installed, all else ok, owner will see contractor completes. (Part
missing)
Violation Summary:
Inspector Contractor