Permit CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT s. j Permit#: PLM2018-00457
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ai Date Issued: 10/03/2018
Tr C I q lz_[) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S111 DC00400
Jurisdiction: Tigard
Site address: 15720 SW ALDERBROOK CIR
Project: 18-303 Subdivision: SUMMERFIELD NO.8 Lot: 451
Project Description: Install tankless water heater. 10/10/18:REPRINT to add(1)sink in the garage.
Contractor: THE PLUMBERS INC. Owner: PINERO,ALLEN ARTHUR
90 NW 150TH AVE PINERO, MARY ELLEN FRANCES
BEAVERTON, OR 97006 15720 SW ALDERBROOK CIR
TIGARD, OR 97224
PHONE: 503-519-6644 PHONE:
FAX: 503-684-1202
FEES
Quantity Description Date Amount
1 ea Sink 10/03/2018 $25.02
Specifics: 1 ea Water Heater 10/03/2018 $37.52
10 Minimum Fee Adjustment- 10/03/2018 $9.96
Type of Use: SF Plumbing
Class of Work: ALT 9 12%State Surcharge- 10/03/2018 $8.70
Type of Const: Plumbing
Occupancy Grp:
Stories:
Total $81.20
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:i/e/e4: p/./1,1".4%/1--4:4 c _ /ge-t75eA-"L
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 Ap•lication (,,,,,
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Building Fixtures EIVEI)
, FOR ()F1,-1('1". ISL (fs LI'
City of Tigard Received
It 13125 SW Hall Blvd.,Tigard,OR 9722B)r {
II , 1 0 2018 Date/By:
Plan Review Pemtit
Phone: 503.718.2439 Fax: 503.598.1960Date/By: Other Permit No.:
1 GAR 6, Inspection Line: 503.6394175
Cl'IY ()F TIGARD Date Ready/By: hats El See Page 2 for
'' Internet: www.tigard-or.gov • • - - Noti lied/Method. Supplemental Information
-"--,,,‘•":''."‘.‘,np-"-1 P.:., 1 I'' ;,„i -....‘,R1-7 ''--4,,,H1,,
''''" `'.4 .,"-- -,.,'',, " ' - .....,,,A,0,- ' ,--,1',..71 "-, . information use checklist al
In New construction 0 Demolition For special
Description I Qty. I Ea. I Total
tp Addition/alteration/replacement 0 Other: ., ,., _, New I-2-family dwellings(includes 100 ft.for each utility connection)
ii - --139ii..,17:-Iz' SFR(1)bath 312.70
jkf 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 hath/kitchen 25.02
0 Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2
:4,,4 i.--;,?:itaii: VITCtoci4tiij: -.k4;;Iti,,. ,..- Site utilities:
": :' /1 ''''16'-' Catch basin or area drain 18.76
Job site address: 15:1 zo 2,1,7.ifictiriti„-661,,, (///1--.
Drywell,leach line,or trench drain 18.76
City/State/ZIP: /1110,- i D4:-- 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: Lot no.: Fixture or item:
Tax map/parcel no.:
Backflow preventer 31.27
' Backwater valve 12.51
Clothes washer 25.02
Dishwasher 25.02
4 4 1 A / ' - Drinking fountain 25.02
a.("t' ( , 25.02
h1 AO, t. ' ' aif . . _Ejectors/sump
,4 t6,,;•,,,,v,m1,7,,,:ti 3,:,,i,,,,,),it.i,51i , ,,,4,:4e,A,, s,,,,k ,..,,,,,-",,,r,,m,,,,,,,,,250.,:,,,i7,,,,,,,,,..1„,...::,,-,.„;,,,,,,,,,j,,,,,,14,1,,,,,,1,,,,, Expansion tank
12.51
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Fixture/sewer cap 25.02
Name:
Floor drain/floor sink/hub 25.02
Address: Garbage disposal 25.02
City/State/ZIP: I-lose bib 25.02
Phone:( ) Fax:( ) Ice maker 12.51
, ,, ..:. ,4. .=. !--#.14. Interceptor/grease trap 25.02
Business name: 1 1 i
' Medical gas(value:$_) Page 2
Vit itit oe p s 1 Pi(
Primer 12.51
Contact name: "TIT/CLtf-4 j -77,,,t,4, freir Roof drain(commercial) 12.51
Address: 610 [... v„,/ 1 c--,,c)--th. Alt/ Sink/basin/lavatory f 25.02
City/State/ZIP: ) , ,_&i cit-fpv.\, D - of":511... :i Solar units(potable water) 62.54
-
Phone:(S(51 ) t'''. 1 I- 4,/,(tieZtet Fax::( ) Tub/shower/shower pan 12.51
Urinal 25.02
E-mail: ,.., t ..,x, i i / ,' , ti , Jut-
- Water closet 25.02
heater Water 37.52
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Business name: I Ii-c eho „.4..i.,li, /3 /I vii ,.
6 Water piping/DWV 56.29
Address:
,
e i 0 (,..1,7 .i ,, / j2)
Other:
25.02
City/State/ZIP: Subtotal
Minimum permit fee: $72.50
Phone:(502) 16,1,- - Fax:( )
Plan review (25%of permit fee)
CCB Lie.: Plumbing Lic.no.: pm4- -
State surcharge(12%of permit fee)
(--
Authorized signature: TOTAL PERMIT FEE
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permit application expires if a permit is not obtained within 180 days
Print name: le_ ,, IA v -/- Date: /Obi 0/1/7 Thisafter it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
,l10..:1,4“IrtitImkite1P1 KM I...Poi...nit Ann line inint/00 440-46161*(10/02/COWWEB)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
15720 SW ALDERBROOK CIR, TIGARD, January 24, 2019 at
OR, 97224 9:42:54 AM
Record Type: Record ID:
Residential - Plumbing PLM2018-00457
Inspection Type: Inspector:
399 Plumbing final Aaron Cillo-Gobel
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor