Permit Support Document (42) , = PLUMBING PERMIT
CITY OF TIGARD
t rr� Permit#: PLM2018-00027
COMMUNITY DEVELOPMENT Date Issued: 01/18/2018
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S112CB05800
Jurisdiction: Tigard
Site address: 15356 SW 82ND PL
Project: Casquiero Subdivision: ASHFORD OAKS NO.2 Lot: 72
Project Description: Kitchen and bath remodel. 2/28/2018: REPRINT permit to add 2nd tub/shower.
Contractor: FLOW RITE PLUMBING Owner: CASQUEIRO, TRACY LYNN LIVING TRU
19902 SW JAY ST 15356 SW 82ND PL
BEAVERTON, OR 97006 TIGARD, OR 97224
PHONE:
PHONE: 503-258-7352
FAX:
FEES
Quantity Description Date Amount
2 ea Tub/Shower/Shower Pan 01/18/2018 $25.02
Specifics: 47 Minimum Fee Adjustment- 01/18/2018 $47.48
Plumbing
9 12%State Surcharge- 01/18/2018 $8.70
Type of Use: SF Plumbing
Class of Work: ALT
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: eA/ j�4/co 7�
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 Applicat. E' '4 > tl P/ ''T 1`4"I18
Building Fixtures l OR Orli( 1: t sl: (l\l.l
City of Tigard _ �`'' Reeeived
w 13125 SW Hall Blvd.,Tigard,OR 9722 F R 2 6 201ate1BY: ,...,1/..;2_
� ` Permit NSP ��� a
INPhone: 503.718.2439 Fax: 503.598.1960 Plan Revtew
Other Permit No.:
7 t c;,1 I;n Inspection Line: 503.639.4175OFDate ReadyBy: Jude: 0 See Page 2 for
Internet: www.tigard-or.gov r a day 0. yNotified/Method Supplemental Information
,..,e '� �bap�' _ i Td '.e,^ -' 'iP+;E 11 $�'F n mr a A �. �41, ,,, S
motre i.n. lalinig. ,. .i . ,..a,., ,,, �a'S 9 ,.W.M.VaPa. aar.j`'. . ",,,'I''t.o j� rte.tw,66, t,,,t ,s.o i ,,i.c,).,n,,s ., i AA?,'�"i P "' ,.4 .:k
0 New construction 0 Demolition For special information use checklist
Description I Qty. I Ea. I Total
®Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
a ;. 's ` t U s . SFR(1)bath 312.70
r K�i"d2E'm+ 5e�p�� 4u�!4 3'i3�a..lk+.sw53� �i E
❑1-and 2-family dwelling 0 Commercial/industrial • SFR(2)bath 437.78
❑Accessory building 0 Multi-familySFR(3)bath 500.32
❑Master builderEach additional bath/kitchen 25.02
0 Other: Fire sprinkler( ,sq.ft.) Page 2
r
l . . : �a r., a ?, s, „ `. h ..ix, l� Bite utilities:
tea: x�,'§5M
Job site address:15356 SW 82nd PI. Catch basin or area drain 18.76
City/State/ZIP:Tigard,OR 97224 Drywell,leach line,or trench drain 18.76
Footing drain(no.linear ft.: Page 2
Suite/bldg./apt.no.: I Project name: Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.:_) Page 2
Storm sewer(no.linear ft.: ) Page 2
Water service(no.linear ft.: ) Page 2
Subdivision: I Lot no.: Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
tlIV:RW�' e ' Tr ro ' � � , ABackwater valve
12.51
�* -� . �.r�, ;� ,+ a „? ; 1. '�d� �.
; clothes washer 25.02
adding to existing permit PLM2018-00027 another Tub/shower/shower pan for a
Dishwasher 25.02
total of two(2).
Drinking fountain 25.02
� � (+ A n Ejectors/sump 25.02
rfractlgifFPP' ,' 4,a 3�.PN"TTVWIM,6f 0 r t "' Expansion tank 12.51
Name: Fixture/sewer cap 25.02
Address:
Floor drain/floor sink/hub 25.02
Garbage disposal 25.02
City/State/ZIP: Hose bib 25.02
Phone:( ) Fax ( ) Ice maker
12.51
�� s !� f Interceptor/grease hap 25.02ui , , ,r.� �&4 � , ;
Ir
Business name:FLOW-RITE PLUMBING Medical gas(value:$ ) Page 2
Contact name:DEAN SPENCER Primer 12.51
Roof drain(commercial) 12.51
Address:19902 SW JAY STREET Sink/basin/lavatory 25.02
City/State/ZIP:BEAVERTON,OR 97003 Solar units(potable water) 62.54
Phone:(503)258-7352 Fax::(503)214-8423 Tub/shower/shower pan 1 12.51 12.51
E-mail:flow-riteplumbing®Iive.com Urinal 25.02
�' ,p ,,.�, Water closet
L,1. ;'t .«tl A y . . . ,, - 25.02
� "r 1 �' Water heater 37.52
Business name:AKA Enterprises,Inc dba Flow-Rite Plumbing
Water piping/DWV 56.29
Address:same as above Other: 25.02
City/State/ZIP:same as above Subtotal
Phone:(503)258-7352 Fax:(503)214-8423 Minimum permit fee: $72.50
P ttmbing Lic.no.:PB1194 Plan review
CCB Lic.:196936 (25%of permit fee)
State surcharge(12%of permit fee)
Authorized signature: TOTAL PERMIT FEE
Print name:Cohen Pe'a Date:2/26/18 This permit application expires if a permit is not obtained within 180 days
after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
t:\Building\Pemuts\PLMU-Pe,mitApp.doc 10/01/09
440-4616r(10/02/coMiwEB)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
15356 SW 82ND PL, TIGARD, OR, 97224
Record Type: Record ID:
Residential - Plumbing PLM2018-00027
Inspection Type: Inspector:
399 Plumbing final Don Sylvester
Result:
PASS - NoCofO
Comments:
1 . Caulk around base of tub and shower.
2. Plumbing final approved with correction.
Violation Summary:
Inspector Contractor