Permit q CITY OF TIGARD PLUMBING PERMIT
I COMMUNITY DEVELOPMENT Permit#: PLM2014-00140
i t ;A RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/01/2014
Parcel: 1S126 DC11000
Jurisdiction: TIGARD
Site address: 9812 SW TAYLOR CT
Project: Greco Estates,Lot 5 Subdivision: GRECO ESTATES Lot: 5
Project Description: Installation of residential backflow preventer for irrigation
Contractor: MERTEN AND SON'S LANDSCAPE Owner: LF 8 LLC
PO BOX 261 5285 MEADOWS RD,STE 171
SAINT PAUL, OR 97137 LAKE OSWEGO, OR 97035
PHONE: 503-209-5159 PHONE.
FAX:
FEES
Quantity Description Date Amount
1 ea Backflow Preventer 05/01/2014 $31.27
Specifics: 1 12%State Surcharge- 05/01/2014 $8.70
Plumbing
Type of Use: SF 41 ea Minimum Fee Adjustment- 05/01/2014 $41.23
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 qu- • • OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued lily: / Permittee Sig ature:
'1012/44(r
Call 503.639.4175 by 7:00 a.m.for the next available insp ction 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 Applica ' EI,
Building Fixtures FOR OFFICE USE ONLY
g
City of Tigard A/223�y Permit No.:
91
• 13125 SW Hall Blvd.,Tigard,OR 1 2014 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 DateBy: Other Permit No.:
r
Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: Juris: 0 See Page 2 for
I I, 1,
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
. - TYPE J NG DIVISION FEE* SCHEDULE
•❑New construction ❑Demolition For special information use checklist
Description I Qty. I Ea. I Total
❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
® 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 500.32
❑Accessory building ❑Multi-family Each additional bath/kitchen 25.02
❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2
. JOB slit INFORMATION AND LOCATION Site utilities:
Job site address:9812 SW Taylor C7 Catch basin or area drain 18.76
Drywell,leach line,or trench drain 18.76
City/State/ZIP:Tigard,OR 97223
Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: I Project name:Greco Estates Manufactured home utilities 50.03
Cross street/directions to job site:Greenburg Road 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.:5 Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
• Clothes washer 25.02
Yard Irrigation
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
® PROPERTY OWNER 1 ❑ TENANT Expansion tank 12.51
Name:LF 8 Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address:5285 Meadows Road Suite 171 Garbage disposal 25.02
City/State/ZIP:Lake Oswego,OR 97035 Hose bib 25.02
Phone:(503)657 3402 Fax:( ) Ice maker _ 12.51
® APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02
Business name:JT Smith Companies t Medical gas(value:$ ) Page 2
Primer 12.51
Contact name:Wayne Pykonen
Roof drain(commercial) 12.51
Address:5285 Meadows Road Suite 171 Sink/basin/lavatory 25.02
City/State/ZIP:Lake Oswego,OR 97035 Solar units(potable water) 62.54
Phone:(503)657-3402 Fax::( ) Tub/shower/shower pan 12.51
E-mail:waynep@jtsmithco.com Urinal 25.02
Water closet 25.02
CONTRACTOR
Water heater 37.52
Business name:Merten and Son's Landscape Water piping/DWV 56.29
Address:Po Box 261 Other: 25.02
City/State/ZIP:Saint Paul,OR 97137 Subtotal
Phone:(503)209-5159 Fax:( )
Minimum permit fee: $72.50
CCB Lic.:8948 Plumbing Lic.no.: Plan review (25%of permit fee)
State surcharge(12%of permit fee)
Authorized signature: TOTAL PERMIT FEE
Print name:Wayne Pyko n Date:5/1!2014 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.
1:1Building\Permits\PLMU-PermitApp.doe 10/01/09 440-4616T(10/02/COM/WEB)
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
9812 SW TAYLOR CT, TIGARD, OR, 97223
Residential - Plumbing
399 Plumbing final
FAIL
PLM2014-00140
George Heimos
1. Provide a minimum 12” clear space below device to ground 603.3.4
2. Recall inspection when corrections have been completed. Re-inspection required.
103.5.6.1
Violation Summary:
Inspector Contractor