Permit CITY OF TIGARD PLUMBING PERMIT
1111 = COMM UNITY DEVELOPMENT Perm #: PLM2013 00110
TIGARD 13125 SW Hall Blvd.. Tigard OR 97223 503.718.2439 Date Issued: 04/02/2013
Parcel: 2S104AB05900
Jurisdiction: Tigard
Site address: 12242 SW 131ST AVE
Project: Laun Subdivision: MORNING HILL NO.4 Lot: 88
Project Description: Installation of (1) tub /shower
Contractor: B AYRES PLUMBING & CONTRACTING INC Owner: LAUN, DANIEL S &
PO BOX 149 ELIZABETH E
CANBY, OR 97013 12242 SW 131ST AVE
TIGARD, OR 97223
PHONE: 503 - 266 -5955 PHONE.
FAX: 503 - 266 -5957
FEES
Quantity Description Date Amount
1 ea Tub /Shower /Shower Pan 04/02/2013 $12.51
Specifics: 1 12% State Surcharge - 04/02/2013 $8.70
Plumbing
Type of Use SF 60 ea Minimum Fee Adjustment - 04/02/2013 $59.99
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 Notificati - 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 qu ions to OUNC by calling 503.232.1987 or 1.800.332.2344.
i
Issued By. / Permittee Si
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.
04/03/2011 22:41 5032665955 TRISTA PAGE 02/02
Plumbing Permit ApplicatiorRECEIVED
Building Fixtures APR 01 2013 r(_)1; 01:11(1 I S1: o' i.1
City of Tigard Received / 13 CQ Permit N ! a X01 -00 / l0
1111 I i 41 13125 SW Hall Blvd., Tigard, OR 9 OF TIGARD Plan Review Other Permit 130.,
Phone: 503.718.2439 Fax: 503.5 g DaIeBY
- Inspection Line: 503.639.4175 D JNG DIVISION Date Rea dy/By: )aria: CI see Page t for
I ' 1 I nternee www.tigard -or.gov Netined/Method: Supplemental Intormatioe
❑ Demolition _ Far spedal Information use checklist
OSIew construction _ Desert tion 1lLirall Ea. Total
❑ Addition/altcretiOn/replacement ❑ Other: New 1 - 2- family dwellings (includes 100 ft. for each utility connection
77,1.•;:,.,:.r,: (1) bath Mill 312.70
SFR (2) bath 437.78
- and 2-family dwelling ❑ Copanaet ClaUmdusllrfel _
SFR (3) bath 500.32
Q Accessory building ❑ Multi-family Each additional bath/kitchen 25.02
❑ Master builder ❑ Other: Page 2
Fin sprinkler � sq. ft.)
`
• : : : Site utilities•
t z Catch basut or area drain 18.76
Job site address: 1'2_ $1•.) `31 s QV Drywall, leach lint, or trench drain 18.76
City/State/ZIP: ''' \ 4Ar 4rt d 9 e N 7-7- -5 Footing drain (no. linear ft.: � ) Page 2
Suite/bldg. /apt. no.: Project name: .. ,n 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.: _ 1 Page 2
Water service (no. linear ft.: ) Page 2
Subdivision: Lot no ' Fixture or item: -
Backflow preventer 31.27
Tax map /parcel uo "" 1l
- •7 ; , 7^x •....• Baekwater valve
25.02
Dishwasher 25.02
Drinking fountain 25.02
ljcctora /sump 25.02
- . 7 - Expansion tank 12.51
. ,...,� .., u.,., 25.02
Name: Floor drain/floor 1
Address: - Garbage disposal 25.02
City/State /ZIP: Hose bib 25.02
-
Phone: ( ) Fax: ( ) Ice maker 12.51
i:' 6° v ?WM. :7; �`.;' =, `j�;G:' :.i;: s7 Interceptor /grease trap 25.02 • „ „ , , . rt _ Medical gas (value: $ ) Page 2
.11, Business name: .11, . `„5 12.51
Primer
Contact name: I", 15 k 'C t 5 Roof drain (co mm ercial) 12.51
Address: c0 ' » Sink/basin/lavatory 25.02
City/State/ZIP: 0 (z cc-4-013 Solar units (potable water) 62.54 -
Phone
(66,3, ) 2\e1 i- 6, 5 s lax :: ) 2:6A, . 1 (So3 r 69 S A. Tub /shower /shower pan 1 12.51 )2, _ 5i
Urinal 1 25.02
E -mail: a r GS \V tn\Q�..'(, ( 2) . ..L\ . co m Water closet 25.02
;;< _ Water heater 37.52
Business name: e �` . • Water piping/DWV 56.29
Address: _Setter Other: - N 25.02
City/State /ZIP: Subtotal
Minimum permit fee: $72.50 '-- . 5
Phone: ( ) /M Fax: ( )
Plan review (25% of permit fee)
CCB Lie.: 4,i, l c s ' z S Phunbing Lic. no.: b - 3 O 1 State surcharge ( 1 2 % permit tSe) $ • qC
Authorized signature: ` , _ l
• " / / � / y - TOTAL PERMIT FEE '1,20
Tht, permit application eipirea if a permit is out obtained within 160 days
Print name: 'c- ,, e b s.sv. c $ Date: ,_____ after it has been accepted as complet
"Fee methodology set by Tri .County Building Industry Service Board
1: fluilding \PBrcnitiWLMU- PermitApp.doe 10/01/09 4404616T(10 /O7
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #P/0'701.3 -oo//b
13125 SW Hall Blvd.,Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: /0/02q/,f3 TIME: PAGE:
SITE ADDRESS: /0._ 1--10 2 51/1/ 1315 4 Cr' CLASS OF WORK:
SUBDIVISION: LOT#: • TYPE OF USE:
PROJECT NAME: .-
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
•
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
if? i-/)„. L (
Corrections/Comments/Instructidns:
Po 0/11 k Ow)c . d Arec-riL l i OPSC' /0,3,67
❑,PASS ' ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
*AIL ❑ CALL FOR INS'ECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: J % _ =. Date: ' Phone #: (503) 718-
i
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
12242 SW 131ST AVE, TIGARD, OR, 97223
Residential - Plumbing
399 Plumbing final
2013-10-29 00:00:00
PLM2013-00110
FAIL
No one home. No inspection made OPSC 103.5.1. Recall
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
12242 SW 131ST AVE, TIGARD, OR, 97223
Residential - Plumbing
399 Plumbing final
PASS - No C of O
PLM2013-00110
George Heimos
Violation Summary:
Inspector Contractor