Permit CITY OF TIGARD PLUMBING PERMIT
a COMMUNITY DEVELOPMENT Permit#: PLM2014-00315
T t ;A RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/18/2014
Parcel: 2S112CC01600
Jurisdiction: Tigard
Site address: 8355 SW DURHAM RD 2
Project: Durham Estate Apartments Subdivision: 2002-002 PARTITION PLAT Lot: 2
Project Description: Install 150'of water service
Contractor: CASEY'S PLUMBING Owner: KNEBEL FAMILY TRUST
PO BOX 30075 10666 SW LADY MARION DR
PORTLAND, OR 97294 TIGARD,OR 97224
PHONE: 503-253-0030 PHONE: 503-639-5966
FAX: 503-262-8251
FEES
Quantity Description Date Amount
150 If Water Service 09/18/2014 $100.06
Specifics: 1 12%State Surcharge- 09/18/2014 $12.01
Plumbing
Type of Use: MF
Class of Work: ALT
Type of Const:
Occupancy Grp:
Stories:
Total $112.07
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 Notific • enter. 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 estions to NC by calling 5/ .1
503.232.1987 or 1.800.332.2344.
Issu d By: Permittee Sig ( �
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.
Sep 18 14 11 : 31a Casey 's Plumbinc 5032628251 p. 1
Plumbing Permit ApplicationRECEIVEP
Building Fixtures SEP 18 2014
Received ^^
r City of Tigard ► Permit No.: CJt/±�
11111 ' 13125 SW Hall Blvd.,Tigard,OR 97V�Tv � oatdBy: IS � � J�
1y6a a UFTIGARU Daaltcriew
Phone: W 503.718.2439 Blvd. Fax 503.598. v 11 Other Permit W
BUILDING DatBy
TIC n F,l] Inspection Line: 503.639.4175 (DI DIVISION Date Ready/av: funs ®Sec Pape 2 for
Internet: www.tigard-or.gov ll V J Notified/Method: Supplemental information
TYPE OF WORK FEE* SCHEDULE
A/:,. -. ce •.ri - ❑Demolition
For special Information use checklist
Description I Qty. I Ea. 1 Total
dition/alteration/replacement M ❑Other: New 1-2-family dwellings(includes 100 R for each utility connection)
�. CATEGORY OF CONSTRUCTION SFR(1)bath 31230
►• wd' a •' • •Ili _ Commercial/industrial SFR(2)bath 437.78
❑Accessory building Multi-familySFR(3)bath 500.33
Each additional bath/kitchen 25.02
❑Master builder ❑Other. Fire sprinkler( sq.R) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 33.3 3 `���y,�Q ,� ~Catch basin or area drain 18.76
t-, _- �p (� Drywell,leach line,or trench drain 18.76
City/State/ZIP: l J` C IAA' L/e.. `1 1 aQ t.4 Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: -Project name: Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
9 0.._Cy ( C --S - 71 Rain drain connector 18.76
Sanitary sewer(no.linear ft.: ) Page 2
Storm sewer(no.linear It: ) Page 2
Water service(no.linear R:jct) i Page 2 /00..0 I.
Subdivision: Lot no.: Fixture or item; _
Tax map/parcel no.:
Backflow prcventer 31.27
DESCRIPTION OF WORK
Backwater valve 32.51
r Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
?Fr-PROPERTY OWNER ❑ TENANT Expansion tank 12.51
Name: 41-4_ 1_�1 - Fixture/sewer cap 25.02
LEII - `r►�c v K�. Floor drain/foorsink/hub 25.02
Address: t 0( (L L'fir, La- .0 y-iG'rl
Garbage disposal 25.02
City/State/ZIP: �A.._C C
Ci LC�1 �i''� ��aD� Hose bib 25.02
+ Phone:` J J) ,...cc��-c lt. r(r: Fax:( ) Ice maker 12.51
tl_ ,PPLICAN'T ❑ CONTACT PERSON Interceptor/grease trap 25.02
Business name: ��.• Medical gas(value:$ ) Page 2 •
Contact name:
�� �� L���� �yJ Primer 12.51
Roof drain(commercial) 12.51
Address: •C- r--)C><._ �1-1.-n Sink/basin/lavatory 25.02
City/State/ZIP: ,--)-Va_v-\ 1 C-'2 Ci-1. -t i4 Solar units(potable water) 62.54
Phone:(^J,:%3 '5=.D_ c L, Fax::(....e:- )� 1 r.) �c i Tub/shower/shower pan 12.31
Urinal ?5.02 E-mail: �vfZ\z_C_i- C cct.se lc p(..LL✓ ; thC),Cr ry
Water closet 25.02
CONTRACTOR
Business name: \-
Water heater 37.52
Ci;�P s'\"1 i'�t'Y�`]-v1\C` Water piping/DWV 56.29
{ Address: J
:•C. ?X_>67 S Other. 25.02
City/State/ZIP: C.;"1- -1 L] Subtotal /a..:).c_L
Phone:(••5'.11)) .=)-A•.2.)-GC;'�C`. Fax:(` ,4) ;AL -c6--)-- I Minimum permit fee: 572.50
CCB Lie.: l 41 1 Plumbing Lie.no.. -
Plan review(25%ol'permi[fee) -----
tf 1, State surcharge(12%of permit fee) Ii .'/
Authorized sianature2 1 c_�;tL _tZ-�`L('i(_t, )f /JJJ/ /// TOTAL PERMIT FEE //a,i�7
Print name: / `!\ I Date:9/f s/i./ This permit appiiradan expires if a permit is not obtained within ISO days
i ���C. Lt..,F'{.('-��C- F / after it has been accepted as comptere
'Fee methodology set by Tri-County Building Industry•Service Board_ J1
I,9u11A∎n.W.nnin1Piva t-P.r...∎,A..,,Am 11141,sM .ua�.IRrn nrmn`rsunvcw, C7/,j /ii
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
8355 SW DURHAM RD 2, TIGARD, OR, 97224
Commercial - Plumbing
399 Plumbing final
PASS - No C of O
PLM2014-00315
George Heimos
NOTE replaced like water service for like. (PEX for PVC)
Violation Summary:
Inspector Contractor