Permit CITY OF TIGARD •
PLUMBING PERMIT
c i' ' COMMUNITY DEVELOPMENT Permit#: PLM2015-00254
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/04/2015
Parcel: 2S 1038800700
Jurisdiction: Tigard
Site address: 12545 SW 124TH AVE
Project: plumbing repipe Subdivision: BROOKWAY Lot: 7
Project Description: re-pipe water lines in house,including new water main. Remove tub/shower in basement,convert to stand alone
shower.Relocate bar sink 4'from current location.9/1/15,REPRINTED to add(1)Water repipe/DVVV for kitchen
sink&clothes washer. `
Contractor: TRUE BLUE PLUMBING LLC Owner: YINGER FAMILY REVOCABLE TRUST
17940 NW ARACADIA ST BY YINGER, KENT L&DEBORAH L TRS
PORTLAND, OR 97229 12545 SW 124TH AVE
PORTLAND, OR 97223
PHONE: 503-747-9989 PHONE:
FAX:
FEES
Quantity Description Date Amount
100 If Water Service 08/04/2015 $62.54
Specifics: 1 ea Sink 08/04/2015 $25.02
1 ea Tub/Shower/Shower Pan 08/04/2015 $12.51
Type of Use: SF 1 12%State Surcharge- 08/04/2015 $12.01
Class of Work: ALT Plumbing
Type of Const: 1 ea Water Piping/DWV 09/01/2015 $56.29
Occupancy Grp: 0 12%State Surcharge- 09/01/2015 $6.75
Stories: Plumbing
45 Misc Administration Fee 09/01/2015 $45.00
Total $220.12
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 q •ns o• NC by c. ing 503.232.1987 or 1.800.332.2344.
Issued y: Permittee Signature:
e)'t
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. CJ
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.
Location:
Record Type:
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Comments:
Inspection Date:
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Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
12545 SW 124TH AVE, TIGARD, OR, 97223
Residential - Plumbing
399 Plumbing final
PASS - No C of O
October 6, 2015 at 9:05:45 AM
PLM2015-00254
Don Sylvester
Violation Summary:
Inspector Contractor