Permit (134) CITY OF TIGARD• PLUMBING PERMIT
5 COMMUNITY DEVELOPMENT
Permit#: PLM2016-00574
Date Issued: 11/28/2016
T I C A R.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S111 BC01100
Jurisdiction: Tigard
Site address: 10220 SW VIEW TER
Project: BARNETT Subdivision: GREENBRIER Lot: 7
Project Description: Remodeling kitchen and two bathrooms. Replacing all plumbing fixtures.
Contractor: LIPPOLD PLUMBING&HEATING INC Owner: BARNETT, JEREMY R
PO BOX 895 15115 QUARRY RD
BORING, OR 97009 LAKE OSWEGO, OR 97035
PHONE: 971-404-7012 PHONE:
FAX:
FEES
Quantity Description Date Amount
1 ea Clothes Washer 11/28/2016 $25.02
Specifics: 1 ea Dishwasher 11/28/2016 $25.02
3 ea Hose Bib 11/28/2016 $75.06
Type of Use: SF 1 ea Ice Maker 11/28/2016 $12.51
Class of Work: ALT 4 ea Sink 11/28/2016 $100.08
Type of Const: 2 ea Tub/Shower/Shower Pan 11/28/2016 $25.02
Occupancy Grp: 2 ea Water Closet 11/28/2016 $50.04
Stories: 1 12%State Surcharge- 11/28/2016 $37.53
Plumbing
Total $350.28
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 Catc.44/c4..46
Permittee Signature:) '4 L_ IA,
Call 503.639.4175 by 7:00 a.m.for the next available inspection dat,
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.
pi b•
Perm t A p t a► ► • ' .
B: ��Eure,S v , „%
City of Tigard V. , � � DAte /I � /(; V' ,4',; «a- 157
li
13125 SW Midi 131vd.,Tigard,OR 9722 t Teview
Phone; 503.718,2439 lax: 503.39t19ftf1 y Other Penni"No.;
L,;.,
4. Inspection Line: 503.639.4175 i �� y r tG��ru%l►/
Y . t9 latK heset'tage2fa
Itaaxitet; www.trgattl•or.gou y s,. t� i',1 . .,, led/method. ,, .,
❑2dew cc ttitattoA D - Far spatialiafornratcre else chat-Mist.
Yy r E j Qty. f Es. Total
/ ddithr►n/atllerationlreplaeemcnt 0 Other Neer t 2 y ds a (inetudes 100 ft.for each utility connection)
f SFR(1)bath 312.74
-and 2-familydwelling 0 Commnereial/industrial SFR(2)bath ;
` SFR(3)bath 500.32
Q Accessory huildiasg 0 hfulti-;ami33
F,ach additional bath.'ksichen 25.02
❑Master builder 0 Other. Pre sprinkler( sq.ft) Page 2
ttzutoifi1 f "„ Slee i ities:
rSob site address- 16-)..,—.j....1:;- 4 ,,,,, �l (.�� , c.... basirtorareadrain 18.76
c"tf • 17rywelt,leach brie,or trench drain 18.75
t Footing drain(no,linear It: ) Page 2
Suiterbldg,'apt.no.; Project same; { /I
V
-(/c-) Mamtd'acturedhome utilities 50.03 Cross sitcet/dirEctihns to job site: Si^ / /
� 7 �A Manholes
18.76
L/( �Q� J -_-
moil
Rain drain connectiir 1110111111.1521111111111111.11
Saintary sewer(no.linear ft.:___„)
stone sewer(nil..linear It_:_ ) Page 2
Water service(no.linear ft.: ) Page 2
Subdivision: Lot no.: Fixture or item:
Sfax mapfaarcel nes.. 13ackflow presenter 31.27
�� Badwater valve 12.51
J/ Clothes washer 25.02
!- 1 i tie_/! �� - Dishwasher =� �. >;
1_2__)6,64,,g 11111.111ElaiiiM
tsj�tors,'sump � --
�P3 OPER P kI t l xpansion tank
0-7
Name: Pixturelsewer cap 25.02
Floor drain/fluor sink /1mb 25.02
Address- / 11 u�-y' g tarsal
/ fsarba a cis 25.02 INIMIll
City/State/7.11i:: e.C..� CDS - 7635 Hose bib Illni25.02 .U(,+
l Phone:q/ f' X/ / ( I sue.( ) Icy waiterillialigni
'Tai" CA N'F iF C;frill
.'oliFf Interceptov'grease trap 25.02
Business name: Medical gas(value:$ ) Page 2
Printer 32.5
Contact nanhe
Roof drain(commercial) 12.5I
Address: Sinklbasinflavatory MISU ?.4:2Z'
City(State/ZIP: Solar units(potable Neater) 62.54
Phone:( ) Yax.:( } Trrbshuwerlshmver pan 12516,())
1 mail: Urinal 25.02
Water closet �, 25.02 ej�Gl.
Business name;lippold Plumbing&Heating,Inc Water i in 1)WV 56.2
pP g, 9
ff Address:PO BOX$95 Other: 25.02 i
ICity'StateiZIP:Boring,OR*A'3t11 "shhbtrAai , t,� ,7
Minimum permit fee: $72.50 I
Phone:(97110147012 Fax:(NA) j
Plan review (25%of permit fee) I
CCB I,ic.:201597 Plumbing Lie.no.:P131417
(12%S`tatesurcharpcofpermit fee) 3 7,5
Authorized signature: `, „ +' TOTAL PERMIT FL • 15
t Print name:1tafas 111.ppa ld late:11-346 111%permit apptlortten elide'''.its°and.Is not obtained within 150 days
` atter it has been accepted as complete
*Fere rneahrulol agv set by T -County Building Industry Service Board
t Buttilrig'.Permits!,PLMt.-Pun'dt ppdm 10:01/04 420.3,16fl10/02:i:aM1NVER)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10220 SW VIEW TER, TIGARD, OR, 97224
Record Type: Record ID:
Residential - Plumbing PLM2016-00574
Inspection Type: Inspector:
399 Plumbing final Don Sylvester
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor