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Permitr CITY OF TIGARD PLUMBING PERMIT ''1 a COMMUNITY DEVELOPMENT Permit#: PLM2020-00283 Date Issued: 7/28/2020 T E G ART) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S114A615400 Jurisdiction: Tigard Site address: 9300 SW DURHAM RD Project: WHITNEY Subdivision: 2003-031 PARTITION PLAT Lot: 2 Project Description: Replacing 35 ft.of water service. Contractor: OWNER Owner: WHITNEY, ERIK&ALAN 9300 SW DURHAM RD TIGARD,OR 97224 PHONE: PHONE: FAX: FEES Quantity Description Date Amount 35 If Water Service 07/28/2020 $62.54 Specifics: 1 12%State Surcharge- 07/28/2020 $8.70 Plumbing Type of Use: SF 10 ea Minimum Fee Adjustment- 07/28/2020 $9.96 Class of Work: ALT Plumbing Type of Const: Occupancy Grp: Stories: Total S81.20 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 Issued By: Permittee Signature: / C 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 h1 -, Site Utilities ��EC�i1� .. 1 FOR OfFICF: CSE OV_l eeei ed City-ofTigard Datc/By: 7 V7i7 Pcmtii No.: n)/L �.l�.-�ys7Q7 13125 SW Hall Blvd.,'Iigard,OR 97223 2020 Plan Review /�r/-lO�e u'�`iIJ • _: Phone: 503.718.2439 Fax: 503.598.1960 JUL 1 4Other Permit No.: Date 8y: Inspection Line: 503.639.4175 Date Ready/BY: luris ® See Pa 2 for T1l.iARD Internet wv\nvti and-or. ov CITY OFTIGARy o '1�--t. PP g g I Notified/Method: Su lemental Information _._._.. TYPE O'F_ , 1 ) -..' fit, ,,t r FEE* SCIIEDI'LE al ❑New construction - ❑Demolition pedal information use checklist pp� Description ( 121Y. L'a. Total la Addition/alteration/replacement ❑Other: New 1-2-family dwellings t ncludes 100 ft.for each utility connection) r ,ta*t o+t"', t�, �� CATEGmee OF 5 ' ON SFR(I)bath - 312.70 ® I-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 El Accessory building ❑ Multi-family SFR(3)bath 500.32 Each additional bath kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.B.) it Page 2 snip _ JCI1f`: INFOR ::„ I I t y myr => Site utilities: Job site address: - Catch basin or area drain 18.76 1 ,` �� 0�� " Drywell,leach line,or trench drain 18.76 City/State/ZIP: ID qr4 O� q?a a y Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: Project name: �f�,bt� r� 1�,Q,`// Manufactured home utilities 50.03 Cross street/directions'�" to job site: A-I [ ,0L, cross S S ,r ce -, Manholes 18.76 fb�( („J.,,g'f. of- T r S G.Iral -t;��1 scat cot Rain drain connector 18.76 •e.S I `I�,kt) io J `✓;� ekA, paAiLee Sanitarysewer(no.linear. _) Paget ��,�N1 � T I? J Storm sewer(no.linear ft.:_) Page 2 F �je-+ Water service(no.linear ft.: ' Page 2 (pa Subdivision: ,c 003 -6 3/ Q .f rb,, 4- I Lot no.: a Fixture or item: Tax map/parcel no.: • s 4� g t 5 YO Backflow preventer r 31.27 • _ . r.,, .t ° Backwater valve 12.51 C4 1� (1le9 �� Si ' - Clothes washer 25.02 _ Dishwasher 25.02 IA I e-02_3A1 I � e��-a Drinking fountain 25.02 fijectorstsump 25.02 agf ' ''A F i'8.�• -,-4T , --' Expansion tank 15.51 .,..-... �,lc _ Fixtwe/sewercap 2 .02 Name: ��i Floor drain/floor sink/hub 25.02 Address: 73bO 51A) ,,,f k1✓iq Act, Garbage disposal 25.02 City/State/ZIP: 1- (.ti 002, 7 ' r)/ Hose bib 25.02 Phone:(' �1) (' -.2l4 3 I Fax:( ) Ice maker 12.51 -� '�,tiram )r;,n Interceptorlgreasetrap 25.02 //�� Medical gas(value:$_) Page 2 Business name: � G Q3 L` - Primer 12.51 Contact name: Roof drain(commercial) 12.51 Address: Sink/basin/lavatory 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) I Fax: :( ) Tub/shower/shower pan 12.51 Urinal 25.02 E-mail: fr-r-I1.4 1-4014 in t' „i ,r rr. _ Water closet 25.02 Water heater 37.52 Business name: ©t�N�. Water piping/DWV 56.29 'i Address: Other: 25.02 City/State/ZIP: Subtotal C0.25 t( Phone:( ) Fax:( ) Minimum permit fee: $72.50 WI Plan review (25%of permit fee) 1 CCB Lie.: Plumbing Lie.no.: State surcharge(12%of permit fee) . ,.,.,r a.1-70 Authorized signature: TOTAL PERMIT FEE .�--zs p$,,r Print name:/� Date: 7 f Y`.2O This permit applicafion expires if a permit ie not obteioed within 1 0 days "�. 4 utter it has been aeemmit as complete. "Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU•PermitApp.doc 10/01/09 440.4616T(l 0/021COM/WEB) t 111, Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: �a as ir, ;:' Square Fcm ge Permit Fee: Footing drain-I"100' 50.03 0 to 2.000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer-1st 100' 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' , 62.54 6e1,7tr Medical Gas S stems: Water Service-each additional 100' 37.52 . ,;gromoveimping74 Storm&Rain Drain-1st]00' 62.54 $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37 52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for "' i{ p �- = each additional$100.00 or fraction thereof,to and including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to (minimum charge-1/2 hour) and including$25,000.00. Inspections outside of normal business 90.00/hr $25,001 00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr and including$50,000.00. Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for (minimum charge-1/2 hour) each additional$100.00 or fraction thereof Subtotal: 6 6 7 sq/ Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. Quantity by El/din TV Pe Plan Review for Plumbing Installatim F, ture Type for Replace/ Plan resicwisrequired for any of the liillorring. Work Performed: Capped Added Relocate BBaath ttistry/Font Please check all that apply. -Tub/Shower ❑ Any new commercial building with water service 2"and Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer. -Drive Thru ❑ New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780-0040. Dishwasher -Commercial a Medical gas and vacuum systems for health care facilities. -Domestic ❑ Any multipurpose fire sprinkler system. Drinking Fountain ❑ Any complex structure as defined in OAR918-780-0040. Eye Wash Floor Drain/sink -2" Submit 2 sets of plans with any of the above. -3" Car Wash Drain ❑ Isometric or riser diagram is required for new buildings Garbage -Domestic-non-food Disposal -Domestic-food related that meet the qualifications above. -Commercial-food related -Industrial-food related Ice Mach./Refrig.Drains Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Gang -Stall Sink/Lav -Non-food related -Bradley -Commercial-food related -Service Swimming Pool Filter Washer-Clothes *Note: If the fixture work under this permit results in an Water Extractor increase of sewer EDUs,a sewer permit will be issued and Water Closet-Toilet fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fixtures, L\Building\Permits\PLMU_PermitApp.doc 2