Permit CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit# PLM2012 -00274
Date Issued 09/19/2012
TIGARD 13125 SW Hall Blvd , Tigard OR 97223 503 718 2439 Parcel 2S1110601309
Jurisdiction Tigard
Site address 14865 SW 104TH AVE
Project Ritlop Subdivision DEL MONTE SUBDIVISION NO 2 Lot 18
Project Description (2) tubs - Shower halves, (1) clothes washer, (1) water piping DWV
Contractor BLUE LINE PLUMBING INC Owner RITLOP, FRANK
1820 SW WYNNWOOD AVE AKIN, ROBIN E
PORTLAND, OR 97225 14865 SW 104TH AVE
TIGARD, OR 97224
PHONE 503 - 706 -0091 PHONE 503-389-2636
FAX 503 - 644 -7373
FEES
Quantity Description Date Amount
1 ea Clothes Washer 09/19/2012 $25 02
Specifics: 2 ea Tub /Shower /Shower Pan 09/19/2012 $25 02
1 ea Water Piping /DWV 09/19/2012 $56 29
Type of Use COM 1 12% State Surcharge - 09/19/2012 $12 76
Class of Work ALT Plumbing
Type of Const
Occupancy Grp
Stories
Total $119 09
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 A I , Permittee Signature Oki APP1-04-nad
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
•
FROM : FAX NO. : Sep. 18 2012 03:16PM P1
RECEIVED
B P
SEP 18 2012 ,►
Building Fixtarea CITY OF TIGARD ' `'' .' , . , I I I, '
City of Tigard BUILDING DIVISION' ' (P lP- t/ >ae.. 1 - D 69 .
IS ( 13125 SW Hall Med., Tigard, OR 97733 f is Review
Irr Phone: 509,6393171 Fax: 503.398,1960 Mr Permit > :
Imago Ui ; 303.639,4115 v
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13 Now oonstlud1o11 C] Drenolitlon ,— Total
ETAdditim✓alteendad►eplacurnant 0 Other: New 1- 2-amur arrtillne(inelnee I. lox tech 00 h utility connection)
RR (I) Mb 1 312.70
�., . ...ter ,.. SFR (� bath 437,78
' 1 - and 2- Iiamlly dWRUi05 Q QotnrttalolaUmdttsttial
�• SPR (a) blttlt ' $00.32
0 Memory budding ❑ Asmttl•!rllty T — 25.02
!tester builder U Mere Fero sprinkle c._ n t 2.) � Pliv 7 -
LOGKTIOtV ' $tMildew
Job pile adtiha 4j S, /a .. CNalr burin 4 mss dren um 18.76 =
City/Slats/ZIP: D w > flan, Numb dram 1170
iAdtedbld8.lr►Pt. no.: Pvoject =tat home Wilda 50,03 NM
Cron etreetldlret:denn OA alto; Manholes ' 18,76
Ram dam en nc for 18.76
— �.- ' , Sanitary salvor (no. linear R: __.) Page 2
.-•- -. - - _°"-- — Sturm scow (no. linear ft.: ...„) IIIII tie 2 MI
- Wear genius (no Haw R,: _..) PaBe 2
Subd Msivn; i.a no-
'rout Inep/ptiraai no.: ..-- B,,, solve 1. �
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Chines wushcr 25.02 NMI
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I 4,. - - 4 Dtehwuleer 25.04
� �/ � ,,' rirlalrhfgll,.m eI n 25.02 Ell
4el I!„c:Z '2V1Z5 :,.. = 2102
CiI litOPIRTT OINXIIM ' - -' " .3 J D Term .. Expansion tot OEM
7777 G Z:: . -7" , 0 LL .,.. Pistons/sew cep NM 25,02
— —`-.'— floor drain/Soot slfddhub _ 2532
Menus: 1 Q !9 V .•..•,_..• ' Garb .... dlepaenl MEM
Cft m , .. , — 25.02
Phone: (50 . q 24 '_ Pax: ( ) ._,� Ice maker
riroP ,>I +(74' - `' 'p p _ , InteroapturI. ,. trap 2502 El
• Business nom _ Parma 2
Contact nom 12.51
Adam: EM:=1:111111 25 Ca
Ci>;'/StetorZrn: seer ugh rvotablc 62.54
?brow ( ) ' I parr ' ( ) - -. Ttlbhhtneetlibc sr pen 12.51
— - - ..._ - - -• urinal 25.02 i n
E- trail •— —. T.,.— 25.02
:lirreeat tong 37.52
Ha
� 4/ adli/ l . / & . Water' - 1186) WV NM 36 29
A d�k's"! /cF2 V • W,, tp 011op c)/ Other. ' I. 25.02
9p P: ?7c) 7 s424 'P 6 7 2 2 sc I Subtotal El
cso�) 7 2 a �i Nee (5 fv - ...... Ntioinxaau �amit Sm. 57230
GCI3 LW.: a/ /3 2 Plumbing U co.! I Plan, review (25,4 of permit too
Authorized rli;asntn: Stith wane (12 5 of pemrit the
s _ TOTAL PBRMR 1 1 1 1'•!)
EtAmrie: Wintrrn ieappointor MelrarU ah Wisat eitaMnd ': I
. IN � G lJ ' . / / — / � saw it Mtn, Nees Warn) aw aoerolete,
*Pce au theafbafy sot by 711 -Coeaty Nulldtna Industry knife Holftt•
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
14865 SW 104TH AVE, TIGARD, OR, 97224
Residential - Plumbing
399 Plumbing final
PASS - No C of O
PLM2012-00274
David Young
Violation Summary:
Inspector Contractor