Permit CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2020-00204
T t G AR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/20/2020
Parcel: 2S112CB09800
Jurisdiction: Tigard
Site address: 15298 SW KENTON DR
Project: Colaco Subdivision: ASHFORD OAKS NO.2 Lot: 112
Project Description: Replacing(2)lavatories,(1)tub/shower,and(1)water closet for bathroom remodel.
Contractor: OWNER Owner: COLACO, NICHOLAS JAMES
NICK COLACO METKE, DANIELLE
15298 SW KENTON DRIVE 15298 SW KENTON DR
TIGARD, OR 97224 TIGARD, OR 97224
PHONE: 971-322-8719 PHONE:
FAX:
FEES
Quantity Description Date Amount
2 ea Lavatories 05/19/2020 $50.04
Specifics: 1 ea Tub/Shower/Shower Pan 05/19/2020 $12.51
1 ea Water Closet 05/19/2020 $25.02
Type of Use: SF 1 12%State Surcharge- 05/19/2020 $10.51
Class of Work: ALT Plumbing
Type of Const:
Occupancy Grp:
Stories:
Total $98,08
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: - / /„ Permittee Signature: �r
7 ��jjQQss 7/
Call 503.639.4176 by 7:00 a.m.for the next available inspection date. /Q
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Piumbing Permit Apnlicatio>R ECE1VED
Building Fixtures MAY - 2020 FOR (Wile r I;4B ONLY
City of Tigard
+ 13125 SW Hall Blvd.,Tigard,OR 97223Ca`i' 'OF TIGARD > y //��� I t, 7i•�/ ��
'III Phone: 503.718.2439 Fax: 503.598.i196Q?_DING DIVISION Due1Bion y.-•ry •'-�.)-
Inapection Lice: 503.639.4175
( ;�,%,I:i r Date Ready/By: kris: ®See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
T :OF- WORK, FEE* SCI1kDULE
❑New construction ❑Demolition For special information ore checklist .Ya
Description I Qty I Pa- I Total
Addition/alteration/teplacement 0 Other New 1-2-family dwellings(includes 100 ft.for each utility connection)
: CATEGORY OF CONSTRUCTION � ," SFR(I)bath 312.70
1-and 2-family dwelling 0 CommereiaVitthstrial SFR(2)bath 437.78
❑Accessory building 0 Multi-family SFR(3)bath 500.32
Each additional bath/kitchen 25.02
❑Master builder ❑Other: ire sprinkler( sq. ) Page 2
.
_ _4.O$„41_TE INFQRMA7 4I4 T1ON Site utilities:
Job site address: Catch basin or area tllair 18.76
15 2 a F� s(Ai kt?tM'o f\ tX '
Drywall,leach line,or trench drain 18.76
City/State/ZIP: '-r; rd D R , 9"7 2. �1
gc 2 Footing drain(no.linear ft.: ) Page 2
Suite/bldg apt.no.: Project name: Co 1 ty,tp Manufactured home utilities 50.03
Cross street/directions to job site: h•$k„..vcD rx I vmsr Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.:_) Page 2
Storm sewer(no.linear ft.: ) Page 2
Water service(no.linear ft.:„) Page 2
Subdivision: I Lot no.: Fixture or Item:
Tax map/parcel no.: 2 S I Z C.6&920O Backflow preventer 31.27
Backwater valve 12.51
.4 <- k r:w. Rgcka_kI)t'TIONI:of WORK
'A / �t Clothes washer 25.02
/S L�ICL411 !(2) Z4 cI.)Ul / 1.4 J< I �J Dishwasher 25.02
i.,A."t -r (/'`G c.v� Drinking fountain 25.02 -
Ejectors/su Ejectors/sump 25.02
� �ti' OWNER 0 TENANT Expansion tank 12.51
Fixture/sewer cap 25.02
Name: [�} C 1 J u 5 C G t t G O Floor drain/floor sink/hub 25.02
Address: l S l.-cl% SO tc e✓1 n D(: J L... - Garbage disposal 25.02
City/State/ZIP: `;9 a rLl, t7 R c{�'2 2+i Hose bib 2s.02
Phone:(Qi!) �"Z2 �7 I ct Fax:(sf33) �Z�" -I( � 3 Ice maker 12.s1
0 APPLICANT .tor i rAc'i 1ERSON Interceptor/grease nap 25.02
Business name:
Medical gas(value:$_) Paget
Primer 12.51
Contact name: N;t k. C0 t C.J Roof drain(commercial) 12.51
Address: 15 2 9$ 5 t..3 Ke-A -• DC�'1 - Sink/basin/lavatory 2 25.02 .60,v 1.1
City/State/LIP: -5-r)a.Jth t7(Z cl 7 2_Z'-{ Soler units(potable water) 6254
Phone:(97 i ) "77 L--y 7 i Fax::(So?3) L f-z-.1 -f 173 Tub/shower/shower pan � 12.51 (2 3j ,
E-mail: c�' 'CKC�I�tt; c1yt�1(A, f cc•rt. Urinal 25A2
Waterc10 25.02 5 oz
N:c.Kco lwto77 Gt� 1 P1 10 ��_1.tke 1 3 1 ,1, ;,°" Water heater 37.52 li
Business name: ) 6, 7`� Water tin
r/ P P g/DwY 56.29
Address: Other: 25.02
City/State/ZIP: - Subtotal '7,57
Phone:( ) Fax ( ) Minimum permit fee: $72.50
GCB Lie.: Plumbing Lic.no.: Plan review (25%of permit fee) '
State surcharge(12%of permit fee) cis'Authorized signature. Co
/ TOTAL PERMIT FEE "16,D D
NI t t L L This penult application expires if a permit b sot obtain d within 180 days
Print name: o i D.A.tit u Date: C, 6 2 U after it has been accepted as complete.
'Fee methodology set by Tri-County Building Industry Service Board.
I:nBuildirgWPer PLMU-Pe,oulAppdoc 10/01a9 440g6161-(IO/OLCfM/WE8)
Plumbing Permit Application - City of'I'igard
Page 2 -Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Site Utilities Qt''- Fee00' ,Total Square Footage: Permit Fee: it.,< _
Footing drain-1"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 S233.20
Sewer-tat 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 Valuation' Permit Fee:
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 Qn`" Fee tea) Tate ". each additional$100.00 or fraction thereof,to
p 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
Reinspeclion 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 -
Quant1 y by FixtureType r Plan review is required for any of the following.
Fixture Type for / Replace/ Please check all that apply.
Work Performed: Capped Added Rdiimre ` ❑ Any new commercial building with water service 2"and
Baptistry/Font greater,except systems designed and stamped by licensed
Bath: -Tub/Shower engineer.
-Jacuzzi/Whirlpool ❑ New exterior plumbing site utilities for any complex structure
Car Wash: -Each Stall as defined in OAR918-780-0040.
-Drive Thin
0 Medical gas and vacuum systems for health care facilities.
Cuspidor/Water Aspirator
Dishwasher: -Commercial ❑ Any multipurpose fire sprinkler system.
CIAny complex structure as defined in OAR918-780-0040.
-Domestic
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: -Iav/Bar non-food related
-Bradley
-Com/Serv/Util food related
-Service *Note: If the fixture work under this permit results hi 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:
Illuilding\Permits\PLMF_PermitApp.doc 08/04/2011 2