Permit (114) CITY OF TIGARD PLUMBING PERMIT
P ar COMMUNITY DEVELOPMENT Permit#: PLM2017-00475
TfG ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/16/2017
Parcel: 2S 102BC05200
Jurisdiction: Tigard
Site address: 12515 SW PATHFINDER CT
Project: Ross Subdivision: YOLO ESTATES Lot: 1
Project Description: Replacing(2)tub shower pans,(2)water closets,(2)sinks,(1)dishwasher,and(1)ice maker.
Contractor: KENNEDY PLUMBING Owner: VANTAGE HOMES LLC
13985 SW FARMINGTON RD 1761 THIRD ST#103
BEAVERTON, OR 97005 NORCO, CA 92860
PHONE: 503-643-5535 PHONE:
FAX:
FEES
Quantity Description Date Amount
1 ea Dishwasher 11/16/2017 $25.02
Specifics: 1 ea Ice Maker 11/16/2017 $12.51
1 ea Sink 11/16/2017 $25.02
Type of Use: SF 2 ea Lavatories 11/16/2017 $50.04
Class of Work: ALT 2 ea Tub/Shower/Shower Pan 11/16/2017 $25.02
Type of Const: 2 ea Water Closet 11/16/2017 $50.04
Occupancy Grp: 1 12%State Surcharge- 11/16/2017 $22.52
Stories: Plumbing
Total $210.17
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. Yo /may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
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Issued By: Permittee Signature: L
IOW
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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 , • project.
Approved plans are required on the job site at the time of each inspection.
Plumbing Permit Applicatio .�: � i
Site Utilities FOR OFFICE USE ONLY
City of Tigard
1 7(11' Received /
'`� Date/By: [///642 Permit No.:f4 �U l ly,(�/�
13125 SW Hall Blvd.,Tigard,OR 97223 jjj/// / vti
a Phone: 503.718.2439 Fax: 503.59 .`1 y - Plan Review
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Inspection Line: 503 639 4175
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❑New construction ❑Demolition For special information use checklist" .
Description I Qty. Ea. Total
®Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
AT Y O! S'll` jieTl€J11 / SFR(1)bath 312.70
® I-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78
iiiAccessory building ❑Multi-fancily SFR(3)bath 500.32
Each additional bath/kitchen 25.02
❑Master builder 0 Other:
Fire sprinkler sq.ft.) Page 2
R 44 ( 3 ON a°IA0ettitrviginewittiagetAt Site utilities:
Job site address:12515 SW Pathfinder Ct 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.: 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 31.27
qtr ,` i I tit Backwater valve 12.51
Clothes washer 25.02
Replace tub/shower and shower,reinstall two toilets,two bathroom sinks,
Dishwasher 1 25.02 25.02
kitchen sink,dishwasher and ice maker line Drinking fountain 25.02
Ejectors/sump 25.02
gi=g , u 4t s4 ER aim '131Xi ` fExpansion tank 12.51
Name:Joe Ross Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address:12515 SW Pathfinder Ct
Garbage disposal 25.02
City/State/ZIP:Tigard,OR 97223 Hose bib 25.02
Phone:(503)528-4443 Fax:( ) Ice maker 1 12.51 12.51
, .t P./ i Interceptor/grease trap 25.02
Business name:Kennedy Plumbing Medical gas(value:$ ) Page 2
Primer 12.51
Contact name:Joel Dirickson
Roof drain(commercial) 12.51
Address:13985 SW Farmington Rd. Sink/basin/lavatory 3 25.02 75.06
City/State/ZIP:Beaverton,OR 97005 Solar units(potable water) 62.54
Phone:(503)643-5535 Fax: :(503-)643-3335 Tub/shower/shower pan 2 12.51 25.02
E-mail:jdirickson@kennedyplumbing.com Urinal 25.02
,a
t w wfa� Water closet 2 25.02 50.04
lingiNg , ,,,., �,� r r,•.:. Water
heater 37.52
Business name:Kennedy Plumbing WaterPip '1 In V 56.29
Address:13985 SW Farmington Rd Other: 25.02
City/State/ZIP:Beaverton,OR 97005 Subtotal 187.65
Phone:(503)643-5535 Fax:(503)643-3335 Minimum permit fee: $72.50
Plan review (25%of permit fee)
CCB Lie.:10967 Plumbing Lic.no.:34-42PB
,77R State surcharge(12%of permit fee) 22.52
Authorized signature: TOTAL PERMIT FEE 210.17
Print name:Joel Dir on Date:-11-15-17 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-\Building\Permits\PLMU-PermitApp.doe 10/01/09 440-4616T(10/02/COM/WEB)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12515 SW PATHFINDER CT, TIGARD, April 30, 2018 at 10:45:50 AM
OR, 97223
Record Type: Record ID:
Residential - Plumbing PLM2017-00475
Inspection Type: Inspector:
399 Plumbing final Aaron Cillo-Gobel
Result:
PASS - NoCofO
Comments:
Corrections completed.
Violation Summary:
Inspector Contractor