Loading...
Permit Support Document (26) CITY OF TIGARD PLUMBING PERMIT 71 COMMUNITY DEVELOPMENT ,,, ° ' °'° Permit#: PLM2018 00152 T [GAR O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/04/2018 V� "g"sum Parcel: 2S103AA02800 Jurisdiction: Tigard Site address: 10495 SW CLYDESDALE PL Project: Mullins Subdivision: CLYDESDALE Project Description: single level repipe. 4/5/2018: REPRINT permit to add installation of gas water heater. Lot: 9 Contractor: CRAIG ANDERSON PLUMBING INC Owner: MULLINS FAMILY REVOCABLE TRUST 2730 SE 15TH AVE BY MULLINS, HARRY J&LINDA L TRS PORTLAND, OR 97202 10495 SW CLYDESDALE PL TIGARD, OR 97223 PHONE: 503-232-1060 PHONE: FAX: 503-232-5263 FEES Quantity Description Date Amount 1 ea Water Piping/DWV 04/04/2018 $56.29 Specifics: 1 ea Water Heater 04/04/2018 $37.52 1 12%State Surcharge- 04/04/2018 $11.26 Type of Use: SF Plumbing Class of Work: ALT Type of Const: Occupancy Grp: Stories: Total $105.07 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: .. Permittee Signature: j �1����r� � /- p Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Pluming Permit Applicatio>ta Building Fixtures pi , C' Gt FOR OFFICE LSE ONLY 14 City of Tigard Received �' I-lr•� s A p • 13125 S44 Hall Rlvd-Tigard.OR 97223 Rtic9. /By /©� .!/// erma No �l'f Df$— 15 Phone. 503 718 2439 Fax- 503598,1960 Plan Raviciv T7CART9' Inspection Line_ 503.639.4175 °� Date/By- Inspection Other Perim!No.: Ilrtemet: w�ti�1 ugard-or av t� fly: Et,1 ! tltcid: Juris 0 See Patio 2 for TYPE OF 1Y'E)RK Supplemental Information ❑NewC(Ititin'[1Chott ... A s• ;.' FEE* SCHEnt1LE ❑Demolition For special Information use checklist. Additiitulaltcr�ttienhc X143 i m nt Description j Qty. Total Il 0 Other: CITY Or I l(is END New I-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRt t(;rI~n k s i 111100,...,71%)SFR(I)bath [ I-and 2-lirmilyclwelling 312.70 0 Coranncrciallindusttfal SER(2)bath 437.78 Accessory building SFR ❑Multi family (3)bath 500.32 —❑Master builder — Each additional bath/kitchen 25.02 El Other: Fire sprinkler " ---= JOB SI'Z'E INFORMATION AND LOCATION P ( s(l,ff.) Page 2 Job site.address. __.. to r Lr c L F: p � Site utilities: { ,f(r ls" "1Ci fir' l Catch basin or arca drain �.. 18:7(1 C'it /State//Ip: 13rr elL leach line,or trench drain 18.76 Suite/bldg./apt.no.: : — Fooling drain(no.linear 11.: ) pave 2 Project name: Cross streethlirections to job site: Manufactured home tdilitic s 50:03 —..--.�-- Manholes 18.76 __________ Rain drain connector 18.76 Sanitary sewer(no.linear f2.: ) Page 2 Storm sewer(no.linear ti. —` ) Page 2 Subdivision: —. Water service(no.linear 11.: ) ,e Lot no.: Fixture or item: ' 2 Tax mapir,„.ocl no.: 'tI »g '' [3ackllowprcven[er -" 31.27 DESCRIPTION OF valveWORK Clothes —, ji e 12.51 t ?tr�rs. te•u . n5t�i1 7t✓ t (/c�,n �° ttkeije,/44S- /A C'lotheswasher 25.02 Dishwasher ��..:..�.. _..M.. � 2):02 �`- -- Drinking Ibunta n 25,02 E_jectors/sump __......_........-____...._ 25.1)2 � ID PROPERTY It'PY (}WVER _� ❑ TENANT Expansion tank 12.51 Name: J` /- f,r,< ^. i1'kY r l e";74- }fixture/se wer cap 25.02 Address: Floor drain/floor:sub ink/h 25.02 City/StateI11P; Garbage disposal 25.02 Hose bib 25.02 Phone:( Fax;( ) Ice maker 12.51 _ APPLICANT 1ti-- ❑ CC)NTAc'r PERSON Interceptor/grease for/g — p criase trap 25.02 13usincss name: tf Medical gas(value:$ ) Page 2 a� :*• , .=moi��, C'antt)U name: ` ' Primer ai r '�1d� (� — 321 Roof Jr un(commercial) 12.51 Address' '''.''):•;)-•••,7) f c'-'1)"...)zr l/ ////'��C. City/Stater/IP: Sink/basin/lavatory 2$.02• �i'htino {) ) � r cm` ) Solar units(potable water) 62 54 f_x,� lax (; `� 3 --a t ' I`ubRhower/slaowEec pan 12.51 3� I.-mail. _ ),A — _- Urinal 25.02_ CONTRACTOR Water closet , 25.02 Business u•une; f i f - water heater' Address: ,s Jr � � Water piping/C)WV x( 29 i / a �p { .. p:'t /'.Y e? /.`{ total ethe 5,02 City/State/14P: Phone:(j 4 ) •) - 3 :',-- Subtotal i t 13 L.n Minimum permit fee: $72.50 Plih;eg i t Plan review (25%of permit fee) 1 Authorized signature: rF t tState surcharge(12%of permit fee) Print ttuttte f� . TOTAL PERmu FJ E '-r•3,ys . i)ate; t. This permit application expires if a permit not obtained within 180 day, after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service 1b ed. I ii hfi°ptl'u r,iuip1.9iI^-t'eniil App Sec 1 oto 1,Yr) .bi0-3elo'1(tlMii3.'('C?A1,`ICrEII) ,Y/)1,tr 2 ���� City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 10495 SW CLYDESDALE PL, TIGARD, OR, 97223 Record Type: Record ID: Residential - Plumbing PLM2018-00152 Inspection Type: Inspector: 399 Plumbing final Don Sylvester Result: PASS - NoCofO Comments: 1 . Repipe existing water lines, install new water heater- approved Violation Summary: Inspector Contractor