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Permit CITY OF TIGARD PLUMBING PERMIT rr Permit#: PLM2014-00191 8 COMMUNITY DEVELOPMENT 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/05/2014 TIGARD Parcel: 1S126DC11300 Jurisdiction: TIGARD Site address: 9851 SW TAYLOR CT Project: Greco Estates,Lot 8 Subdivision: GRECO ESTATES Lot: 8 Project Description: Residential irrigation backflow. Contractor: EDWARD MULLEN PLUMBING Owner: LF 8 LLC 1601 SE RIVER RD 5285 MEADOWS RD, STE 171 HILLSBORO, OR 97123 LAKE OSWEGO, OR 97035 PHONE: 503-640-0113 PHONE. FAX: 503-640-4483 FEES Quantity Description Date Amount 1 ea Backflow Preventer 06/05/2014 $31.27 Specifics: 1 12%State Surcharge- 06/05/2014 $8.70 Plumbing 41 ea Minimum Fee Adjustment- 06/05/2014 $41.23 Type of Use: SF Plumbing Class of Work: OTR Type of Const: Occupancy Grp: Stories: Total $81.20 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: % T / /C>E r -i-e ya Permittee Signature: —..) ./y Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. E . ..,Plumbing Permit Applicatio e I) Building Fixtures FOR OFFICE USE ONLY JUN - 5 2014 Received City of Tigard / Permit No.: / 111111 + 13125 SW Hall Blvd.,Tigard,050123.59978223196d' !(�� j Date/By: (/�j//y a-'/O�Q/�/��� ■ Phone: 503.718.2439 Fax: . 1 O°r�r'1�„„� Plan Review 111 Other Permit N�.r p u�/� lit-:t',1`9$J ri��l�l Date/By: 1'S �7I/r./OQ6OQ Inspection Line: 503.639.4175 i Date Ready/By: '/ See Page 2 for iT I G A K l Internet: www.tl rd-or. ov Notified/Method: CO" Supplemental Information _ TYPE OF.WORK FEE* SCHEDULE New construction ❑Demolition For special information use checklist •, Description I Qty. 1 Ea. I Total S_IiI I'ddition/alteration/replacement d1r I lher: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF ;"', SFR(1)bath 312.70 ® 1-and 2-family dwelling ❑CommerciaUindustrial SFR(2)bath 437.78 Accessory building SFR(3)bath 500.32 El Accessory Multi-family Each additional bath/kitchen 25.02 ❑Master builder El Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address:9851 SW Taylor Ct Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR 97223 Drywell,leach line,or trench drain 18.76 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.:8 Fixture or item: Tax map/parcel no.: Backflow preventer 1 31.27 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 Irrigation-Backflow Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER • I ❑ TENANT Expansion tank 12.51 Name:LF 8,LLC 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 Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Wayne Pykonen Roof drain(commercial) 12.51 Address:5285 Meadows Roads Suite 171 Sink/basin/lavatory 25.02 City/State/ZIP:Lake Oswego,OR 97035 Solar units(potable water) 62.54 Phone:(503)358-8955 Fax::( ) Tub/shower/shower pan 12.51 E-mail:waynep®jtsmithco.com Urinal 25.02 CONTRACTOR Water closet 25.02 Water heater 37.52 Business name: The Mullen Company Water P�tP in 8/D WV 56.29 Address: 1601 SE River Road Other: 25.02 City/State/ZIP:Hillsboro,OR 97123 Subtotal Phone:(503)640-0113 Fax:( ) Minimum permit fee: $72.50 7,2 .50 Plan review (25%of permit fee) CCB Lic.:92689 � � Plumbing Lic.no.:34-260PB State surcharge(12%of permit fee) 1-, 70 Authorized signature: , TOTAL PERMIT FEE ,/,2.0 Print name:Wayne Pykonen Date 6/4/2014 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. I:\Building1Permits1PLMU-PermilApp.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 Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 9851 SW TAYLOR CT, TIGARD, OR, 97223 Residential - Plumbing 399 Plumbing final FAIL PLM2014-00191 George Heimos 1. Cleanout plug needs approved thread sealant at: outside sanitary sewer. 316.1.1 2. Recall inspection when corrections has been completed. 3. Provide lawn irrigation backflow approval. Violation Summary: Inspector Contractor