Permit y CITY OF TIGARD PLUMBING PERMIT
3 COMMUNITY DEVELOPMENT Permit#: PLM2015-00177
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/02/2015
Parcel: 2S110BC12200
Jurisdiction: TIGARD
Site address: 14811 SW 122ND PL
Project: Troy Park, Lot 8 Subdivision: TROY PARK Lot: 8
Project Description: Installation of residential backflow preventer for irrigation.
Contractor: TRADEMARK LANDSCAPES INC Owner: PRESTIGE INVESTORS LLC
PO BOX 2410 12670 SW 68TH AVE#300
OREGON CITY, OR 97006 TIGARD, OR 97223
PHONE: 503-631-3893 PHONE:
FAX: 503-631-4737
FEES
Quantity Description Date Amount
1 ea Backflow Preventer 06/02/2015 $31.27
Specifics: 1 12%State Surcharge- 06/02/2015 $8.70
Plumbing
Type of Use: SF 41 ea Minimum Fee Adjustment- 06/02/2015 $41.23
Class of Work: OTR
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 (j C Permittee Signature: 4 1�
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,
Site Utilities ,r�
City of Tigard Received 0 . , (� / Permit No.: G N 2O/6-00/17
Date/By:
13125 SW Hall Blvd.,Tigard,OR 97223 plan Review p�permit No.:H y'r�'OJY'd4�
■ Phone: 503.718.2439 Fax: 503.598.1960 Date/By:
Inspection Line: 503.639.4175 Date R�y/By: Jurist I 0 See Page 2 for
l Internet: www.tigard-or.gov _ Notified/Method: Supplemental information •
TYPE OF WORK
®New construction ❑Demolition - For pedal 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)
SFR(1)bath 312.70
CATEGORY OF CONSTRUCTION SFR
®1-and 2-family dwelling ❑Commercial/industrial (2)bath ndustrial 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:
Catch basin or area drain I 18.76
Job site address:14811 SW 122s°Place Drywell,leach line,or trench drain 18.76
City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: I Project name:Troy Park Lot 8 Manufactured home utilities 50.03
Cross street/directions to job site:SW Winterview Drive Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.:_J Page 2
Storm sewer(no.linear ft.:_) Page 2
Water service(no.linear ft.:___) Page 2
Subdivision:Troy Park I Lot no.:8 Fixture or item:
B�gow pre� 1 3127 31.27
Tax map/parcel no.:
Backwater valve 12.51
DESCRIPTION or WORK Clothes washer 25.02
Single Family Residence Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 1 25.02
Expansion tank 12.51
® PROP'klR2`Y OWNTsRc 1 Q 't' 25.02
Fixture/sewer cap
Name:Timberland Homes,Inc. Floor drain/floor sink/hub 25.02
Address:12670 SW 68a'Ave.,Suite 300 Garbage disposal 25.02
City/State/ZIP:Tigard,OR 97223 Hose bib 25.02
Phone:(503)620-8860 Fax:(503)598-9081 Ice maker 12.51
CONTACT Interceptor/grease trap 25.02
121 APPLICANT
Medical gas(value:$ ) Page 2
Business name:Timberland Homes,INe. Primer 12.51
Contact name:Laura Blake Roof drain(commercial) 12.51
Address:12670 SW 68"Ave.,Suite 300 Sink/basin/lavatory 25.02
City/State/ZIP:Tigard,OR 97223 Solar units(potable water) 62.54
Phone:(503)620-8860 Fax::(503)598-9081 Tub/shower/shower pan 12.51
Urinal 25.02
E-mail:laura&timberlandhomes.net
Water closet 25.02
CONTRACTOR Water heater 37.52
Business name:Trademark Landscapes,Inc. -Water piping/DWV 56.29
Address:PO Box 2410 Other. 25.02
City/State/ZIP:Oregon City,OR 97045-4545 Subtotal
503 631-4737 Minimum permit fee: 572.50
Phone:(503)631-3893 Fax:( ) Plan review (25%of permit fee)
CCB Lic.: • Plumbing Lic.no.: State surcharge(12%of permit fee)
Authorized signature: /� TOTAL PERMIT FEE
I� • }‘. .
This permit application empires if a permit is not obtained within ISO days
Print name: .. Date: ( / '� after it has been accepted as complete.
1 *Foe methodology set by Tri-County Building Industry Service Board.
t1
1:1BuildingWe mitslPLM - t/Wp.doe 10/01/09 . 16T(10/03� \,.
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
14811 SW 122ND PL, TIGARD, OR, 97224
Residential - Plumbing
399 Plumbing final
FAIL
PLM2015-00177
George Heimos
NOTE. Garage code ENT/09797/ENT does mot open garage, sorry!
1. Corrections number 2 and 3 previous inspection not completed.
2. Recall inspection when corrections have been completed.
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
14811 SW 122ND PL, TIGARD, OR, 97224
Residential - Plumbing
399 Plumbing final
PASS - No C of O
PLM2015-00177
David Young
Corrections complete.
1" febco model 850 serial# HD85448.
Violation Summary:
Inspector Contractor