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Permit (52) CITY OF TIGARD PLUMBING PERMIT ,71 q a COMMUNITY DEVELOPMENT Permit#: PLM2016-00372 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/12/2016 Parcel: 2S109DB01800 Jurisdiction: Tigard Site address: 13090 SW KOSTEL LN Project: Summit Ridge No.5,Lot 146 Subdivision: SUMMIT RIDGE NO.5 Lot: Multiple Project Description: 48 ft.of storm sewer to connect to lateral. Contractor: G CAM LTD Owner: VENTURE PROPERTIES INC PO BOX 1144 4230 GALEWOOD ST STE 100 CANBY, OR 97013 LAKE OSWEGO, OR 97035 PHONE: 503-263-2005 PHONE: FAX: FEES Quantity Description Date Amount 48 If Storm Sewer 07/12/2016 $62.54 Specifics: 1 12%State Surcharge- 07/12/2016 $8.70 Plumbing Type of Use: SF 10 ea Minimum Fee Adjustment- 07/12/2016 $9.96 Class of Work: ALT 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: •• • ittee Signature: (47.,m_e___ Call 503.•39.4175 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 r O I/ O r l 1( r I s l ()NI \ Received City of Tigard �" Date/B . t f Permit No.: • 1 i 7 13125 SW Hall Blvd.,Tigard,OR 97223 r Mhz `° g Phone: 503.718.2439 Fax 503.59 } t v Plan Review Ifryr` Other Permit No.:Inspection Line: 503.639.4175 1��tS3 t, ! Date RcadyBy rum: See Page 2 for Internet: www.tigard-or.gov . %v1 ..<t`1o{ti�ficd/Method Supplemental, Information TYPE OP.WORK ' "# 'tC.) t4`r'r, PEP ❑New construction 0 De iti "-'0. 7 .' For special iafonaebaa use checklist mLi :.-4-4:.`s'' j3 Description 1 Qty. 1 Ea. 1 Total ❑Addition/alteration/replacement ❑ $.,. New 1-2-family dwellings(includes 100 R.for each utility connection) 312.70 ta/1=wand 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR(3)bath 500.32 Each additional bath/kitchen 25.02 ❑Master builder ❑Other: • Fire sprinkler( ft.) Page sq. g 2 JOS SITE INVORMATION PION.:` Site utilities: Job site address: \'1O i i 1 �, A , Catch basin or area drain 18.76 V (� t`� 1 Drywell,leach line,or trench drain 18.76 City/State/ZIP: Footing drain(no.linear ft.:_) Page 2 Suite,/bidg./apt.no.: + Project name: Summit Ridget� t (44- ref.(6 Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.:U14,6 Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: I Lot no.:\\...k\i6) Fixture or item: Tax map/parcel no.: YY Backflow preventer 31.27 • Backwater valve 12.51 . ,r A \ ` d 93 Clothesshwwasher 25.02 V �4 \ V`�^�J k(1kThr Dishwasher 25.02 Lit,4_eivLi--- Drinking fountain25.02 Ejectors/sutnp 25.02 a PROPERTY OWNER 1 ©. Expansion tank 12.51 Name: Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: City/State/ZIP: Garbage disposal 25.02 Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 0 AP ICANl Q CONTACT Interceptor/grease trap 25.02 Business name: DR Horton Inc Medical gas(value:$ ) Page 2 Contact name: Emerald Weeks Primer 12.51 Roof drain(commercial) 12.51 Address: 4380 SW Macadam Ave Ste. 100 Sink/basin/lavatory • 25.02 city/state/zIP: Portland, OR 97239 Solar units(potable water) 62.54 Phone:(503 ) 222-4151 ext 1107 Fax::( ) Tub/shower/shower pan 12.51 E-mail: esweeks@drhorton.com Urinal 25.02 Water closet 25.02 . . roN11"Cr°11 Water heater37.52 Business name CIA.Arn _ Waterpiping/DWV 56.29 Address: � ,��/�O !\ � i {� ^�.� Other: 25.02 City/State/ZIP:Q-�x.) `�`� (.lg,`„ 1 VO J Subtotal- - Phone: Fax:( Minimum permit fee: $72.50 c �� Plan review (25%of permit fee) CCB Lic.:%1 6-ry 1 I Plumbing Lic.no.: �'�l.J State surcharge(12%of permit fee) Authorized signature ((�� , - / OA j' _, TOTAL PERMIT FEE Print name: i e ,,/ 1 Date- 1� This permit application expires if a permit is not obtained within 180 days i -iter it has been accepted as complete. *Fee methodology set by Tri-County Building industry Service Board. I:\Building\Parmiu\PLMU-PermkApp.duc 10/01/09 440.4616T(10/02/COM/WEB) City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13090 SW KOSTEL LN, TIGARD, OR, 97224 April 17, 2017 at 9:47:35 AM Record Type: Record ID: Residential - Plumbing PLM2016-00372 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor