Permit (143) CITY OF TIGARD PLUMBING PERMIT
111 • COMMUNITY DEVELOPMENT Permit#: PLM2016-00581
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/29/2016
T f I<.D g Parcel: 2S103AD00808
Jurisdiction: Tigard
Site address: 10980 SW PATHFINDER WAY
Project: Dart Subdivision: PATHFINDER NO.2 Lot: 46
Project Description: Bathroom,kitchen and utility room remodel.
Contractor: BLUE LINE PLUMBING INC Owner: DART,CHRISTIE H
1820 SW WYNNWOOD AVE 10980 SW PATHFINDER WAY
PORTLAND, OR 97225 TIGARD, OR 97223
PHONE: 503-706-0091 PHONE:
FAX: 503-644-7373
FEES
Quantity Description Date Amount
1 ea Clothes Washer 11/29/2016 $25.02
Specifics: 1 ea Dishwasher 11/29/2016 $25.02
1 ea Ice Maker 11/29/2016 $12.51
Type of Use: SF 1 ea Sink 11/29/2016 $25.02
Class of Work: ALT 2 ea Lavatories 11/29/2016 $50.04
Type of Const: 1 ea Tub/Shower/Shower Pan 11/29/2016 $12.51
Occupancy Grp: 1 ea Water Closet 11/29/2016 $25.02
Stories: 1 12%State Surcharge- 11/29/2016 $21.02
Plumbing
Total $196.16
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 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 di -ct questions to O. C by calling 503.232.1987 or 1.800.332.2344.
Iss ed By: / Permittee Signature:
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.
numbing Permij Applicati ,
Building Fixtures . °' . x.�'.' ' , ,,,. ,Ii .. ( 1 •1 ,, 1 ,.
City of.Tigard6 Risce4veci // a - Pandit tNo.: Lrtao I -cb 58 l
13125 SW Hall Bivd..Tigard,OR 9722 ` z p 1
Pian Review alder Permit Na;
Thum 503.639.4171 Fox: 503. a '.j9f0i imams, N ��<(o 3'T p
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inspcation Linc: S03-639.4115 '7'''''''''''''''' 3 Onst Reedyflly: lana CI See Page 2 ter
lnttmtet: www.tiglad-or gov "'=:: Netilied/Mtdwd: $ctplementnl lntormeHae
Aemoiidon u Fore l ontraiioa use cutcalist
❑Naw construction. ❑ s= Ea. Total
Rif Addition/alteration/replacement 0 Other New 1-2-hml dweliags includes 100 R.for each utility connection
--. . • 4:,',COMPLY, OP: t*teia... .:::,•:. .. SFR(1)bath ' 312.70
.. E 437.78
®.1..and 2-ilmilydwelling 0 CwnmerciaUindusttial SFR(2)built
(J Accessory building Multi-family
hen Sr5.3022
[]Master builder y jam(. 0 Other, ��y� fit Fire .
L: 57i!EEE•... ,lin crit aftL�VimAl .AAY LOCA ION.-• 'Catch basin or area drain 18.76
.. �� 2
SuitokIdg./apt.no.: Project name: ''1,e\--e i _ Mimutitauted home utilities50.03 —
Cross streot/direcdons 0 job site: Manholes . 111 18,76
�. Sanitary sewer(no.linear ft.:___.) Pap 2
Page 2
Subdivision: La:no.: Fists ,1 I I
Tax.map/parcel no.: Backflow
-P ..2l,thIA___021:1_, Drinldng fountain il 25.02 IIIM
' Ejectors/seam 25.02
_,_ _ __
0 PROPERTY�` ''717--.,..7,.., :2'1'1NFA�1 T . • . 12.51
Nene: 69-0..c P sFixture/sewer cap IIII 25.02 1111
Arii.l
Address: SSPAr �
City/Siete/VP:
Phone:( ) Fax:( ) leo maker / 12,51
Business name:
Contact name; primer _11111111111111
Address: -----• .!� 12.51
_.... ..._.- ..—.._..., Sieldbasin4avatory 25.02 5
Cit'/State/1iP: Solar units(potable water) 62,54
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Pltc :( ) Fax::( )
tm /2.67
E-mail: Urinal 25.02
Widcr closet 25.02 A6-.02
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Business name: ,
��v, ���,* / v Water pipingMWV56.29
Address: /".,?.Q 4-7ki, /f%Ltew 41/F
Cit;y/State/Z1P: 'd% 41 .0` , O I /7 2- . _ other
Plume:(5-93) 70h gf Fax:( )
Minimum permit fee: 572.50 I —M.
CCi3 LW.: //3 2 plumbing Lic.no.:
State surcharge(12%of permit the �/.O
Authorized signature: rTOTAL PERMIT FEE 194./4f
�rt name: Date: /_27.."‘i Tai i pariah appileatloa maim it i Pernoit ill not obtained within reg days
cher It bee been accepted as eemptete.
"Pee methndoiogy set by Tot-County Building Industry Service 91741
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