Permit CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2014-00321
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/24/2014
Parcel: 1 S126DC09600
Jurisdiction: Tigard
Site address: 9324 SW LEHMAN ST
Project: WAHLENMAIER Subdivision: 2006-030 PARTITION PLAT Lot: 3
Project Description: Backflow preventer for irrigation.
Contractor: PROGRASS INC. Owner: WAHLENMAIER, DAVID&KRISTIN
29895 SW KINSMAN RD 9324 SW LEHMANN ST
WILSONVILLE, OR 97070 TIGARD, OR 97223
PHONE: 503-682-6076 PHONE:
FAX: 503-682-9876
FEES
Quantity Description Date Amount
1 ea Backflow Preventer 09/24/2014 $31.27
Specifics: 41 ea Minimum Fee Adjustment- 09/24/2014 $41.23
Plumbing
Type of Use: SF 1 12%State Surcharge- 09/24/2014 $8.70
Class of Work: OTR
Plumbing
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: Permittee Signatu
41IPP
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.
Plumbing Permit Application
Site Utilities �� FOR OFFICE USE ONLY 1
City of Tigard Received -'
• `' g Date/By: R l`/i /��,-- PermitNo.:�Mapi/.�__V0.S�''
13125 SW Hall Blvd.,Tigard,O Plan Review J �•�J�
'� I Phone: 503.718.2439 Fax: ���� DateBy: Other Permit No.:
1 I�;n 1;I Inspection Line: 503.639.4175 1 D R
Q (� ate eadyBy: J . Ed See Page 2 for
Internet: www.tigard-or.gov < :Reset'` n(7tt Notified/Method: Supplemental Information
TYPE OF WORK-3 0% 'NV4 V. FEE* SCHEDULE
®New construction ❑Derholitigq, For special information use checklist
. Description I Qty. I Ea. I Total
❑Addition/alteration/replacement ❑Otlacti New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUrTION SFR(1)bath 312.70
® 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78
ID Accessory building 12 Multi-family SFR(3)bath 500.32
Each additional bath/kitchen 25.02
❑Master builder ❑Other:
Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address:9324 SW Lehman St. 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: 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.:_) Page 2
Water service(no.linear ft.:_) Page 2
Subdivision: I Lot no.: Fixture or item:
Tax map/parcel no.: Backflow preventer 1 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 25.02
Backflow Device Installation
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
® PROPERTY OWNER I ❑ TENANT Expansion tank 12.51
Name:Eric Bizon Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address:9324 SW Lehman St.
Garbage disposal 25.02
City/State/ZIP:Tigard OR. 97223 Hose bib 25.02
Phone:(541 )231-4313 Fax:( ) Ice maker 12.51
® APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02
Business name:ProGrass Inc. Medical gas(value:$ ) Page 2
Contact name:Ken Christopherson
Primer 12.51
Roof drain(commercial) 12.51
Address:29895 SW Kinsman Rd. Sink/basin/lavatory 25.02
City/State/ZIP:Wilsonville OR. 97070 Solar units(potable water) 62.54
Phone:(503)682-6076 Fax::(503)682-4975 Tub/shower/shower pan 12.51
E-mail:kenc®prograss.com Urinal 25.02
Water closet 25.02
CONTRACTOR _ -
Water heater 37.52
Business name:ProGrass Inc. Water piping/DWV 56.29
Address:29895 SW Kinsman Rd. Other: 25.02
City/State/ZIP:Wilsonville OR. 97070 Subtotal
Phone:(503)682-6076 Fax:(503)682-4975 Minimum permit fee: $72.50 72.50
CCB Lic.:8079 Plumbing Lic.no.:
Plan review (25%of permit fee)
State surcharge(12%of permit fee) 8.70
Authorized signature: -----_----- TOTAL PERMIT FEE 81.20
Print name:Ken Christopherson Date:9-22-14 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.
l:\Building\Permits\PLMU-PermitApp.doc 10/01/09 4404616T(I0/02/COM/WEB)
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
9324 SW LEHMAN ST, TIGARD, OR, 97223
Residential - Plumbing
399 Plumbing final
FAIL
PLM2014-00321
George Heimos
1. Back flow device requires a minimum 12” clear space below device to ground installed
in box. 603.3.3
2. Back flow device requires a minimum depth of 24” from backflow device to grade.
609.1
3. Recall inspection when corrections have been completed. Re-inspection required.
103.5.6.1
NOTE: Lawn irrigation Backflow device 1" Febco model 850, serial no. 1-1D61210
zoia@prograss.com
Violation Summary:
Inspector Contractor