Permit (34) CITY OF TIGARD PLUMBING PERMIT
ni 1 COMMUNITY DEVELOPMENT Permit#: PLM2018-00294
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/13/2018
I�'' li Dg Parcel: 1S125DA03700
Jurisdiction: Tigard
Site address: 6614 SW WALNUT TER
Project: KOVALEV Subdivision: WALNUT TERRACE PARTITION Lot:
Project Description: (130)of water service.
Contractor: B&D EXCAVATION INC Owner: KOVALEV,VITALY&ANITA
18303 SE AMISIGGER ROAD 6990 SW CANBY ST
BORING, OR 97009 PORTLAND, OR 97223
PHONE: 503-762-0754 PHONE:
FAX:
FEES
Quantity Description Date Amount
130 If Water Service 06/13/2018 $100.06
Specifics: 1 12%State Surcharge- 06/13/2018 $12.01
Plumbing
Type of Use: SF
Class of Work: ALT
Type of Const:
Occupancy Grp:
Stories:
Total $112.07
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 • .fling 503 ;:'2.1987 or 1.800.332.2344.
�Issued B ,/ ,' ;; �` �-�,;-----�- Permittee Signature: "Offy i.
Call 503.639.4175 by 7:00 a.m.for the next available insp•I tion 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
Building Fixturesroiz orrice t si. ONLx'
City of Tigard - Received;, Rived ! y C
Date/By: �� fey Permit No.: �kX t
ill IIII 13125 SW Hall Blvd.,Tigard,OR 97223 + n7 i} n Plan Review
• Phone: 503.718.2439 Fax: 503.598.1960""'' .1 c5 t-'."Date/By:
'i Other Permit No.:
TI G A It D Inspection Line: 503.639.4175 1` - Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
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16 New construction 0 Demolition For special information use checklist
Description I Qty. I Ea. I Total
❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
'' € ac ii a t mit t 1: � e
-;--„,;‘1',4,:47' i N. --,4.40-,..„el.. �; SFR(1)bath 312.70
XI I-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 500.32
❑Accessory building 0 Multi-family Each additional bath/kitchen 25.02
0 Master builder 0 Other: Fire sprinkler(_sq.ft.) Page 2
1 .,- +n it 1 i L e , r E ' 8 P �77.t t f k n ^,aa"~ ,s� :*1 t.f ` ...e' Site utilities:
'''''.,'":77,t11::''
,
Job site address: / 6 L S'(� 0 t�-r 7� Catch basin or area drain 18.76
l9 f Drywell,leach line,or trench drain 18.76
City/State/ZIP: 5,..„, e7
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: 6 -t;1_, 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.:113 ) Page 2
Subdivision: I Lot no.: Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
. ; Backwater valve 12.51
- 7Ls=z Clothes washer 25.02
( 3 Q ([) .n- L n.i...2 Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
• " " Expansion tankt - t , , 1< 12.51
Fixture/sewer cap 25.02
Name:
Floor drain/floor sink/hub 25.02
Address:
Garbage disposal 25.02
City/State/ZIP: Hose bib 25.02
Phone:( ) Fax:( ) Ice maker 12.51
'' '� " `� c"-'1'' ,,{ . Interceptor/grease trap25.02
1 / ) (%t c� Medical gas(value:$ ) Page 2
Business name: 15
°rPrimer 12.51
Contact name: (I , 1-1-0L-1,---1 Roof drain(commercial) 12.51
Address: / b 1")/ t Cf--r `Sink/basin/lavatory 25.02
City/State/ZIP: f) e�.,it atl q 7 (egg Solar units(potable water) 62.54
Phone:( ) 311 o, >to�! Fax::( ) Tub/shower/shower pan 12.51
E-mail:
marl � ,, �,� Urinal 25.02
Yv �, �"' "�" �'�� Water closet 25.02
., �- P -"* Water heater 37.52
Business name: 1� " eft `,„.,� Water piping/DWV 56.29
Address: I ,61).ii % .
6 ! C�/ Other: 25.02
City/State/ZIP: 1),AA„ ty,. - ,76)ZSubtotal
(9) '')/t?- ' to 7 Fax:( ) Minimum permit fee: $72.50
Phone:(
Plan review (25%of permit fee)
CCB Lic.: (a 1� A Plumbing Lic.no.: ( iL -
State surcharge(12%of permit fee)
Authorized signature: i
rj TOTAL PERMIT FEE `/,Z,07
Date: ('2 I l S This permit application expires if a permit is not obtained within 180 days
Print name:
(� . after it has been accepted as complete.(Ur-- (
*Fee methodology set by Tri-County Building Industry Service Board.
I:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB)
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
6614 SW WALNUT TER, TIGARD, OR, 97223
Record Type: Record ID:
Residential - Plumbing PLM2018-00294
Inspection Type: Inspector:
399 Plumbing final David Young
Result:
PASS - NoCofO
Comments:
Water services complete.
Violation Summary:
Inspector Contractor