Permit (122) CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2018-00459
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/04/2018
Tf 0 Parcel: 2S110BC01700
Jurisdiction: Tigard
Site address: 12080 SW VIEWCREST CT
Project: WESTWOOD HOMES Subdivision: ESTATES AT ASPEN RIDGE Lot:
Project Description: 330 ft.of water service.
Contractor: H& H MECHANICAL Owner: WESTWOOD HOMES LLC
5757 SE WILLOW LN 12700 NW CORNELL RD
MILWAUKIE, OR 97267 PORTLAND, OR 97229
PHONE: 503-975-9787
PHONE: 971-678-5018
FAX: 503-659-2979
FEES
Quantity Description Date Amount
330 If Water Service 10/04/2018 $175.10
Specifics: 1 12%State Surcharge- 10/04/2018 $21.01
Plumbing
Type of Use: SF
Class of Work: ALT
Type of Const:
Occupancy Grp:
Stories:
Total $196.11
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:
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.
Plumbing Permit Application
Building FixturesFOR OFFICE 1'SE ONLY
RECEIVE.
City of Tigard .iateBy: ti 7 eived �I •Permitlet_
/fi/ /�r �j
IN - v 13125 SW Hall Blvd.,Tigard,OR 97223 n q Plan Review // ��II�!!! (( // 11
Phone: 503.718.2439 Fax: 503.598.1960 OCT 4 z o i U Date/By: Other Permit No.:
T I G A R D Inspection Line: 503.639.4175 Date Ready/By: Juris: El See Page 2 for
Internet: www.tigard-or.govl.'f{y Vi.1... liC=iAttfied/Method: Supplemental Information
TYPE OF WORK "BUILDING DIVISION FEE* SCHEDULE
®New construction ❑Demolition For special information use checklist
Description Qty. I Ea. 1 Total
0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 500.32
0 Accessory building 0 Multi-family
Each additional bath/kitchen 25.02
0 Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2
.108 SITE INFORMATION AND LOCATION Site utilities:
Job site address: 'sop) 61A) v S 1 a (2., Catch basin or area drain 18.76
G Drywell,leach line,or trench drain 18.76
City/State/ZIP:Tigard OR _I 1'Z,.Z
�� � Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: I Project name:1� 4• t Manufactured home utilities 50.03
Cross street/directions to job site: til1. ,,ate 7'r `G5 Manholes 18.76
G Rain drain connector 18.76
Sanitary sewer(no.linear ft.: ) Page 2
Storm sewer(no.linear ft.: ) age 2
Water service(no.linear ft.:3.,X4 Page 2 / 75-: 0
Subdivision: Lot no.: 7 Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
Backwater valve 12.51
DESCRIPTION OF WORK
WO IA AtCelt'v1 C-2 / 3 Q �ne� • Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
la PROPERTY OWNER I 0 TENANT Expansion tank 12.51
Name:Westwood Homes LLC Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address: 12700 NW Cornell Road
Garbage disposal 25.02
City/State/ZIP:Portland OR 97229 Hose bib 25.02
Phone: I'41- 61-' -eoi g Fax:(503)342-2403 Ice maker 12.51
02 APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02
Business name: In '' f UMW.) >.`( Medical gas(value:$ ) Page 2
Primer 12.51
�T"1
Contact name: //��COI• CC C�� p J
Roof drain(commercial) 12.51
Address: i a ^ O(„l .-2r Sink/basin/lavatory 25.02
City/State/ZIP: Solar units(potable water) 62.54
Phone:Mt )67-.<-- 7/5 Fax::( ) Tub/shower/shower pan 12.51
E-mail. ARA SO4 e IA '1L X /
U hOW112SL •(CQW\ Urinal 25.02
Water closet 25.02
CONTRACTOR
Water heater 37.52
Business name:H&H Mechanical Water piping/DWV 56.29
Address:5757 SE Willow Lane Other: 25.02
City/State/ZIP:Milwaukie OR 97267 Subtotal / 757 to
Phone:(503)975-9787 Fax:(503)659-2979 Minimum permit fee: $72.50
Plan review (25%of permit fee)
CCB Lic.:178122 Plumbing Lic.no.:
State surcharge(12%of permit fee) 021,Gtj
Authorized signature: "?.,27.),Z,..."_..,, � TOTAL PERMIT FEE 6/q , //
This permit application expires if a permit is not obtained within 180 days
Print name:Dusti ague Date:1,0/21' y after it has been accepted as complete.
Y *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
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12080 SW VIEWCREST CT, TIGARD, OR, 97224
Record Type: Record ID:
Residential - Plumbing PLM2018-00459
Inspection Type: Inspector:
399 Plumbing final Don Sylvester
Result:
PASS - NoCofO
Comments:
1 . Water service from meter to property line , 330ft - ok to cover.No test or meter at this
time. Provide address at job site.
Violation Summary:
Inspector Contractor