Permit (2) CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2020-00233
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 6/5/2020
Parcel: 2S109AB03300
Jurisdiction: Tigard
Site address: 13424 SW MOUNTAIN RIDGE CT
Project: Cole Subdivision: THREE MOUNTAINS ESTATES Lot: 26
Project Description: Jacuzzi tub to free standing tub remodel. 7/10/2020: REPRINT permit to add(1)tub, (1)shower and(2)lays.
Contractor: RANIERI PLUMBING LLC Owner: COLE, FREDERIC J JR&ANN
2229 NE BURNSIDE ST STE 132 13424 SW MOUNTAIN RIDGE CT
GRESHAM, OR 97030 TIGARD, OR 97224
PHONE: 503-894-0107 PHONE:
FAX:
FEES
Quantity Description Date Amount
2 ea Lavatories 07/20/2020 $50.04
Specifics: 3 ea Tub/Shower/Shower Pan 06/05/2020 $37.53
1 12%State Surcharge- 07/20/2020 $10.51
Type of Use: SF Plumbing
Class of Work: ALT
Type of Const:
Occupancy Grp:
Stories:
Total $98.08
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 Fixtures FOR OFFICE USE ONLY
Cityof Tigard . ,. 2 Received , /�S,s
y Permit V 1'
IIII4 ll LOZU Dare/Hy: / l'O 2d GE-(J IUL�y�c LO 'dU 3
• 13125 SW Hall Blvd.,Tigard,OR 97223 �' Plan Revie
' i Phone: 503.718.2439 Fax: 503.598.196r01 Date/By: Oher Permit No.:
Inspection Line: 503.639.4175 .,i i ,.Jt- I IGiaRD Date Ready/By: orris: ® See Page 2 for
c "'I) Internet: www.ti and-or. ov k3Li1?_CJia1G DIVISION
g g Notified/Method: El See Page 2 Information
F TYPE OF WORK FEE* SCHEDULE
❑New construction ❑Demolition For special information use checklist.
Description I Qty. I Ea. I Total
®Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
a ,s* _. CATEGORY OF CONSTRUCTIO -ri� . ;y SFR(1)bath 312.70
❑ 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 500.32
❑Accessory building 0 Multi-family
Each additional bath/kitchen 25.02
E Master builder ❑Other: Fire sprinkler(_sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATIONAiiill Site utilities:
Catch basin or area drain 18.76
Job site address:
13424 SW Mountain Ridge Ct Drywell,leach line,or trench dram 18.76
City/State/ZIP: Tigard,OR 97224
Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: I Project name: Cole 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: I Lot no.: Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
'" - Clothes washer 25.02
ADDING FIXTURES TO EXISTING PERMIT.PERMIT#PLM2020-00233 Dishwasher 25.02
Per Inspector,add to existing permit 1 tub,1 shower,2 sinks Drinking fountain 25.02
Ejectors/sump 25.02
❑ PROPERTY OWNER AI ❑ TENANT Expansion tank 12.51
Name' Fixture/sewer cap 25.02
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
0 APPLICANT ® CONTACT PERSON Interceptor/grease trap 25.02
Business name: Ranieri Plumbing Medical gas(value:$_) Page 2
Primer 12.51
Contact name: Peyton Rich Roof drain(commercial) 12.51
Address: PO BOX 503 Sink/basin/lavatory 1. V5 2 25.02
City/State/ZIP: Corbett,OR 97019 Solar units •otable water) 62.54
Phone:( 503) 719 6671 Fax: :( 503) 719 7583 "ub .'rower/ ower pan 2 12.51
E-mail Urina 25.02
-; • Water closet 25.02
CONTRACTOR
Water heater 37.52
Business name' Ranieri Plumbing Water piping/DWV 56.29
Address: p0 BOX 503 Other: 25.02
City/State/ZIP: Corbett,OR 97019 Subtotal
Fax:(503 )719 7583 Minimum permit fee: $72.50
Phone:( 503) 719 6671 Plan review (25%of permit fee)
CCB Lic.: 190577 Plumbing Lic.no.: PB887
State surcharge(12%of permit fee) D✓
Authorized signal _ TOTAL PERMIT FEE / t 4 J
Print name: Peyton Rich Date: 06/26/20 This permit application expires if a permit is not obtained within R0 days
after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
1:\Building\Permits\PI.MII-PeomitApp.doc 10/01/09 440-4616T(10/02/COM,WFR)
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Site Utilities Qty. Fee res) Total Square Footage: Permit Fee:
Footing drain-161 100' 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 Medical Gas Systems:
Water Service-each additional 100' 37.52 w Permit' `re_...�.:'
`'V'al cation:
Storm&Rain Drain-1st 100' 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
Other Inspections or Fees Qty. Fee(ea) Total 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:
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*. Plan Review for Plumbing Installations
Quantity by Fixture Type Plan review is required for any of the tollowing.
Fixture Type for Replace/ Please check all that apply.
Work Performed: Capped Added Relocate
Baptistry/Font ❑ Any new commercial building with water service 2"and
Beater,except systems designed and stamped by licensed
Bath: -Tub/Shower
engineer.
-Jacuzzi/Whirlpool
Car Wash: -Each Stall El New exterior plumbing site utilities for any complex structure
-Driv
Each Thru as defined in OAR918-780-0040.
Cuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities.
Dishwasher: -Commercial ElAny multipurpose fire sprinkler system.
Domestic El Any complex structure as defined in OAR918-780-0040.
Drinking Fountain
Eye Wash Submit 2 sets of plans with any of the above.
Floor Drain/sink: -2"
3" Isometric or Riser Diagram
❑ Isometric or riser diagram is required for new buildings
-Car Wash Drain that meet the qualifications above.
Garbage -Domestic non-food
Disposal: -Domestic food related
-Commercial food related
-Industrial food related
Ice Mach./Refrig.Drains Comments regarding fixture work:
Oil Separator(Gas Station)
Rec.Vehicle Dump Station
Shower: -Gang
-Stall
Sink: -Lav/Bar non-food related
-Bradley
-Com/Serv/Util food related
-Service *Note: If the fixture work under this permit results in an
Swimming Pool Filter increase of sewer EDUs,a sewer permit will be issued and
Washer-Clothes fees assessed for the sewer increase must be paid before the
Water Extractor
Water Closet-Toilet plumbing permit can be issued.
Urinal
Other Fixtures:
l:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2