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Permit CITY OF TIGARD PLUMBING PERMIT '- COMMUNITY DEVELOPMENT Permit#: PLM2020-00446 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/6/2020 Parcel: 2S112AB00400 Jurisdiction: Tigard Site address: 7500 SW LANDMARK LN Project: Spec Space Subdivision: None Lot: None Project Description: ADD(1)lay, (1)water closet,(1)hose bib,(1)water heater and 100 feet of water service. Contractor: LOCAL PLUMBING COMPANY Owner: LANDMARK LANE LLC 20833 SW OLDS PL ATTN GLENN HAYTER SHERWOOD, OR 97140 23643 SW STAFFORD HILLS DR WEST LINN, OR 97068 PHONE: 503-642-2067 PHONE: FAX: 503-642-5954 FEES Quantity Description Date Amount 100 If Water Service 11/06/2020 $62.54 Specifics: 1 ea Hose Bib 11/06/2020 $25.02 1 ea Lavatories 11/06/2020 $25.02 Type of Use: COM 1 ea Water Closet 11/06/2020 $25.02 Class of Work: ALT 1 ea Water Heater 11/06/2020 $37.52 Type of Const: 1 12%State Surcharge- 11/06/2020 $21.01 Occupancy Grp: Plumbing Stories: Total $196.13 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 952-001-001D 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: 7 Permittee Signature: / <� ;2 mow/�Q �,-Jd� i fi /c J7Cw 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. Plum bing Permit Application ,, 6 Building Fixtures RECEIVED FOR OFFICE: 1 S1. O\I 1 City of Tigard RECEIVED Receives 13125 SW Hall Blvd.,Tigard,OR 97223 NO Q Vq R DateJBy: /�3 lQ 4 GI Permit No pLM , „, Phone: 503.718.2439 Fax: 503.598.1960 0 20�u PlanRcvkv/ R - j I ;,1,f> I.me.g rdTYPE OF WORK ITY l I/�i t\}31 totified/Metbod�� ,� - Olhcr Perm® See Page 2 for PP tenlal Information +rI Inspectiona Internet www.tigard-or.gov and-or. ov ,- m,s P .A- ' LL yFEE• SCHEDULE [ Ne.•construction D Demolition For 'rein!in°emotion use checklist. Description i r Addition/alteration/replacement 0 Other: �_ Q Ea. f Total New 1-2-family dwellings(includes 100 ft..for each utility connection) 1 CATEGORY OF CONSTRUCTION SFR(1)bath l ❑I-and 2-famil Y 8 dwellin 312.70 G Commercialiindustrial437.78 CI Accessory building 0 Multi-family 500.32 Master builder D Other: Each additional batMcitchen 25.02 Fire sprinkler( sq.ft.) Page 2 JOB SITEINFORMATION AND LOCATION Job site address: 7 600 Sly I n n„..' j J _ _ Catch basin or area drain 18.76 City/State/ZIP: ^T'+' [ ��ZZ3 l&tVI.0 t Footing drain(no.linear 11.: ) Page 2 j Suite/bldg./apt.no.: Project name: " "u Manufactured home utilities 50.03 ! Cross street/directions to job site: Manholes I Rain drain connector 18.76 18.76 I Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.:Mb Page 2 Subdivision: Lot no.: 1 Fixture or item: Tax map/parcel no.: Backtlow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 T-'(" I�Le.{..gp,.. Clothes washer 25.02i ?ULLA) 3 I f1A11a ram' is� f - X { f-6/.a Dishwashergfo 25.02 Drinking fountain 25.02 /x,'e 7— ST 25.02 —ff Ejectors/sump © PROPERTY OWNER n 0 TENANT Expansion Name: 12.51 — Fixture/sewer cap Floor drain/floor sink/hub r Address: Garbage disposal- 1 City/State/ZIP: t Hose bib - Phone:( ) Fax:( 1 - 25.02Ice maker 12.51 APPLICANT 000NTACT PERSON ,Interceptor/grease trap 25.02 .)(3✓}l trtlj '� (a at,,,_ 4Qo-A 2 Busincss name:► Contact name, r e '' xa t l� Primer ■ a0933 _ b 1 e1 , ��� Roof drain(commercial) 12.51 Address: City/State/ZIP: y Sink/basin/lavatory I` c 2 - (.2 Solar units(potable water) . �� Phone:(64:59 rQ b'_ 37l7 Fax::( ) pan Urinal ®E-mail: � SZ /oc1X/-pi i Irk 1f7 . C...mr1,1_ k, t! Water closet CONTRACTOR ' �� Business name:A I�„�,`,�S•� Cods�� ,��t�� �� Water Water P WV Address:-.1 , ✓ - f toCm.Q ' t�'+n.6t •- a r City/Stale/ZIP: S'IA1 rar.4 97/ / Subtotal Phone:(�Y(o,_ l Fax:( ) $72.30 - CCB Lie.: --7e2,6 Plumbing Lic.no.: a/,#ifPlan reVieW (25%of permit fee) State surcharge(12%of permit fee) Authorized si • Print name: (,. �' �� Date: This permit application expires tf a permit is not obtained within 188 days Jafter It has been accepted as complete. *Fee methodology set by TO-County Building Industry Service Board. L'.is ildiigtPenniia\PLMU-PermiApp.doc 1001/09 410.4616T(IO02/COMIWEB) Plumbing Permit Application - City of Tigard Page 2-Supplemental Information Fee Schedule: Residential Fire Su I '����,,��i��}�.�I`�/�t-p°��`! � .�d � , 3 /�'{� n yi , ,� �¢ {r.,ession S stems: Z�_ � ,:-F-P.s,. +--.- ,911.- F � '- 'liar :a f�l� �i.f.,L6 lr j 7' N`a ti r rV. i f 1 t :.•A'eJ;•y,. box Footing dram-1 $ 1 100' 50.03 0 to 2,000 ,.` 21.69 37. ` dF,.. • II Footing drain-each additional 100' 952 2,001 [0 3,600 $169.69 3,601 to 7,200 S233.20 Sewer-1st 100' 62.54 Sewer-each additional 100' 7,201 and greater $327 54 37.52 Wafer Service-1st 100' t 62.54 Water Service-each additional 100' 37.52 b Medical Gas stems: Storm&Rain Drain-1st 100' �,s * ,, °e.. ,,: 62.54 Storm&Rain Drain-each additional 100' $1.00 to$5,000.00 Minimum fee$72.50 ` i 37 52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and S 1.52 for s:t, J= ?Y ,�}STjsv:- .„ each additional$100.00 or fraction thereof,to Inspection of existing plumbing or for and including$I 0,000.00. $10,001.00 to$25,000.00 $148.50 for the first S 10,000.00 and$1.54 for which no fee is specifically indicated 90 00/lu (minimum charge- 1/2 hour) each additional S100.00 or fraction thereof,to Inspections outside of normal business 90 00 and including$25,000.00. r hours(minimum charge-2 hours) S25,001.00 to S50,000.00 S379.50 for the first$25,000.00 and$1.45 for Reinspecti s Fees 90 00Por each additional$100.00 or fraction thereof,to and including S50,000.00. Additional plan review for revisions 90.00/hr 350,001.00 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*. Quantl 'byFlxtureType .. ,.� ,�, ,,.-_ Fixture type for Replace( .F:Rail Ai* i P�n11I ;fi att iiiW' ' Work Performed:. Capped Aad RelocatePlan review is required for any of the following. Baptistry/Font Please check all that apply. Bath Tub Shower ❑ My new commercial building with water service 2"and Jacuzzi/Whirlpool Whirlpool greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer. -Drive Thor ❑ New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780-0040. Dishwasher -Commercial ❑ Medical gas and vacuum systems for health care facilities. -Domestic ❑ Any multipurpose fire sprinkler Drinking Fountain P system. Eye Wash 0 Any complex structure as defined in OAR918-780-0040. Floor Drain/sink -2" 3,. Submit 2 sets of plans with any of the above. -4" Car Wash Drain hoil etrie 'r W er,Diagrt m "Garbage -Domestic-non-food ElIsometric or riser diagram is required for new buildings 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 70 Shower -Gang �0 L-A/ Ip�i?. �-//^L�-X7/ -Stall Sink/lav --Non-food related I , -Bradley -Commercial-food related -Service Swimming Pool Filter i 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 I fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. rY \\LPC-SRV I\Folder Redirections\haleys\Desktop\Permit Applications 1Cit2of Tigard Permit App.doc