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Permit (75) CITY OF TIGARD PLUMBING PERMIT 71 ' COMMUNITY DEVELOPMENT Permit#: PLM2017-00284 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/18/2017 E t g Parcel: 25111 BD01513 Jurisdiction: Tigard Site address: 14980 SW 100TH AVE Project: KNEZ Subdivision: ALDERBROOK FARM Lot: 6 Project Description: Plumbing for bath addition: (1)clothes washer,(3)lays,(1)tub/shower&(1)water closet. Contractor: CORNELIU MORARIU PLUMBING Owner: KNEZ, JOHN S JR&VICKI L 5235 SW 153RD AVE 14980 SW 100TH AVE BEAVERTON, OR 97007 TIGARD, OR 97224 PHONE: 503-317-9659 PHONE: FAX: 503-646-0941 FEES Quantity Description Date Amount 1 ea Clothes Washer 07/18/2017 $25.02 Specifics: 3 ea Lavatories 07/18/2017 $75.06 1 ea Tub/Shower/Shower Pan 07/18/2017 $12.51 Type of Use: SF 1 ea Water Closet 07/18/2017 $25.02 Class of Work: ALT 1 12%State Surcharge- 07/18/2017 $16.51 Type of Const: Plumbing Occupancy Grp: Stories: Total $154.12 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 'of sta -. within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules :dopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You ay stain a copy of the rules or direct questions to OUNCNCat calling 503.232.1987 or 1.800.332.2344. Issued ByC--" /-�`GX Permittee Signature: Jilll /r 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 APPIEI M Building Fixtures City of Tigard JUL 1 8 Received 7 ' �,1 i--odaV 2 01 t Date/By:: l 9 1 1 1 Permit No.. 13125 SW Hall Blvd.,TigatA OR 47223 Plan Review Phone: 503.718.2439 F 3 Ott Other Line: 503.b 1 "NG 0� V116/y13D T ° i=15 +7-�1 SO S I C;i£ l interact. wwwligatdH�i �®�1 /-� Date Ready/By: Jams: RI See Page 2 tar DIVISI r Notified/MCtho y Sung/mental lafarm ition [5PE OF WO ',Fiteicsautti a ` 1 0 New construction 0 Demolition J or_special O mas/en use checklist _ Description Qty. Fa. Total dditionfalterationlreplacentent -- ❑Other: New 1-2-family dwellings(includes 100 II.for each utility connection) CA EGORYY OF CO S'OCTC ION SFR(1)bath 312.74 and 2-family dwelling 0 Commercial/industrial SFR(2)trach 437.78 SFR(3)bath Q eleeessoty building 0 Multi-family 500.32}Master budder Each additional bath/kitchen 25.02 ❑Other: Fire sprinkler l sq.. ft.) Page 2 JOB SITE,INFORMA';ION AND t.0 TION " Site utilities: ) Job site address: iiie> �� Catch basin or arca drain l 18.76 City/State/ZIP: DrywelL leach line.or trench drain I 18.76 Footing drain(no.linear ft.;-_) Page 2 Suite/bldg./apt. f Project name: Manufactured home utilities I 50.43 Cross street/directions to job site: Manholes I 18.76 Rain drain connector ! 18.76 Sanitary sewer(no.linear II:__,j Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.:____/ i Page 2 Subdivision: Lot no.: _- Fixture or item; Tax map/parcel no.: BBaaceckkxtloawlrrpevavlventer i 3121,5271;DE CR1PTIC3T+WOIIK • Clothes washer , 25.02 /ciya.- . Dishwasher25.02 Drinking fountain 25.02 Ejectors/sump 25,02 PRQ!' RTY'owr.Rlt ©"rTENANT' Expansion tank 12.51 IName: ) �, "�"�i� Fixture/sewer cap 25.02 Address: V `s��/(,,�ilib /� �5.1 jra i Floor ge osink/hub 25.02 fr Garbage disposal 25.02 C• ity/State/ZIP: Hose bib 25.02 Phone:( } Fax:( } Ice maker 12.51 AP AI+Tt ,hl Al t Ott- interceptor/grease trap 25.02 ., Business name: Medical gas(value:S _} Page 2 /�t��p Primer C• ontact name: 11/� 5 u. / G j�/ 12.51 A• ddress: ! /f`-'- Roof'dmin(cnmmcrciai) 12.51 ,,/ Sink/basin/lavatory_ 3 25.02 75;04 City/State'ZIp: Solar units(potable water) 62.54 Phone: !'ice4. Fax::( ) Tub/shower/shower pan / I25 f I ,4c j E-mail: Urinal 25 02 a 9. , Water closet25.0237.52 07' ^y Water heater Bustnessmama: � NE'L.,IU 0/41e,' , fc3t_i L,(4) MI)1`!(22 Water pptnglDWV 56.29 WW 4 � AVE other ,..4, �City/State/ZiP_SAV .T ' J 7025.02 y Subtotal /3 744 Minimum permit fee: $72.50Phone:(513) 3 17- 165'9 Fax:( 03) «ir • -1 CCB Lie,: `P( Alit 1� Plumbing Lie./no.: pf.�!b / Plan review(25%of permit fee) e--- r7 � l tet/ '1,(! State surcharge(12%of permit fee) !4.5 r Authorized signature: ___ e TOTAL PERMIT FEE / C/ , Print name:CO tof i e t..,i LA t'4©1�A�.1`t,,,� Date: UV/0! 7 ThIs permit apptieation expires If a permit is not obtained within ISO days /// after tt heti. If steepled as eompk�. Fre methodology set by fri.County Building Industry Service Board. is laukhatcPrrmas,PLMU-Pe tAppsbm 10.01 09 44t46l6T(I0/O21COM WEB) City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 14980 SW 100TH AVE, TIGARD, OR, 97224 June 5, 2018 at 11 :55:08 AM Record Type: Record ID: Residential - Plumbing PLM2017-00284 Inspection Type: Inspector: 399 Plumbing final David Young Result: PASS - NoCofO Comments: Storm sewer approved on MST permit. Violation Summary: Inspector Contractor