Permit CITY OF TIGARD PLUMBING PERMIT
'' 'ry' COMMUNITY DEVELOPMENT Permit#: PLM2020-00472
T EG ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/20/2020
Parcel: 2S112BB12300
Jurisdiction: Tigard
Site address: 14100 SW FANNO CREEK PL
Project: Lethco Subdivision: COLONY CREEK ESTATES NO.4 Lot: 103
Project Description: (1)garbage disposal,(1)sink,and replacing existing water piping.
Contractor: OWNER Owner: LETHCO, WILLIAM L
14100 SW FANNO CREEK PL
TIGARD, OR 97224
PHONE: PHONE:
FAX:
FEES
Quantity Description Date Amount
1 ea Garbage Disposal 11/20/2020 $25.02
Specifics: 1 ea Sink 11/20/2020 $25.02
1 ea Water Piping/DWV 11/20/2020 $56.29
Type of Use: SF 1 12%State Surcharge- 11/20/2020 $12.76
Class of Work: ALT Plumbing
Type of Const:
Occupancy Grp:
Stories:
Total $119.09
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:
' 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 Application Building Fixtures RECEIVED FOR OFFICE USE ONLY
City of Tigard NOV 102020 Received !
Date/By: //�v 1v O v Permit No.: 7"rV 2, `t
• 13125 SW Hall Blvd.,Tigard,OR 97223 -
`�j, Gi
Plan Review
Phone: 503.718.2439 Fax: 503.598 yS- Other Permit No.:�` -� _�L,p
Inspection Line: 503.639.4175 �°'�0 F TI AR iD Date/By: !''
l ix:ARnBUILDING DIVISION Date Ready/By: // / is: HI See Page 2 for
Internet: Line:www.tigard-or.gov Notifieddlethod Supplemental Information
TYPE OF WORK t FEE* SCHEDULE
❑New construction ❑Demolition For special information use checklist
Description I Qty. I Ea. I Total
®Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
`CATEGORY:OF CONSTRUCTION SFR(I)bath 312.70
-and 2-family dwelling ElCommercial/industrial SFR(2)bath 437.78
SFR(3)bath 500.32
❑Accessory building 1 am Each additional bath/kitchen 25.02
❑Master builder El Other: Fire sprinkler(_sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address:14100 SW Fanno Creek Place Catch basin or area drain 18.76
Drywell,leach line,or trench drain 18.76
City/State/ZIP:Tigard, OR 97224 Footing drain(no.linear ft-: ) Page 2
Suite/bldg./apt.no.: I Project name:
/'cJ7t [1:. 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
New water pipe installation Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
is PROPERTY OWNER ❑ TENANT Expansion tank 12.51
Name:Alexandra Orozco Fixture sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address:14100 SW Fanno Creek Place Garbage disposal 1 25.02 $25.02
City/State/ZIP:Tigard, OR 97224 Hose bib 25.02
Phone:(904)718-7063 Fax:( ) Ice maker 12.51
® APPLICANT ® CONTACT PERSON Interceptor/grease trap 25.02
Business name:N/A Medical gas(value:$_) Page 2
Primer 12.51
Contact name:
Roof drain(commercial) 12.51
Address: Sink/basin/lavatory 1 25.02 $25.02
City/State/ZIP: Solar units(potable water) 62.54
Phone:( ) Fax::( ) Tub/shower/shower pan 12.51
E-mail: Urinal 25.02
Water closet 25.02
CONTRACTOR
Water heater 37.52
Business name:OWNER Water piping/DWV 1 56.29 $56.29
Address: Other: 25.02
City/State/ZIP: Subtotal $106.33
Phone:( ) Fax:( ) Minimum permit fee: $72.50
Plan review (25%of permit fee)
CCB Lie.: Plumbing Lic,no.:
State surcharge(12%of permit fee) $12.76
Authorized signature: TOTAL PERMIT FEE $119.09
Print name: ,AQ,p�/Qq Date:11/16/2020 This permit application expires if a permit is not obtained within 180 days
_f/ _iV; after it has been accepted as complete.
*Fee methodology set by Tri-County Building industry Service Board.
I1BuildmglPermits\PLMU-PermirApp.doc 10/01/09 440-46167(10/02/COM/WEB)
Plumbing Permit Application - City of Tigard
Page 2 -Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Site Utilities Qty. Fee(ea) Total Square Footage: Permit Fee:
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 $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
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' 3752 $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
pe 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 following.
Fixture Type for Replace/ Please check all that apply.
Work Performed: Capped Added Relocate
0 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
Car Wash: -Each Stall ❑ New exterior plumbing site utilities for any complex structure
as defined in OAR918-780-0040.
-Drive Thru
ElMedical gas and vacuum systems for health care facilities.
Cuspidor/Water Aspirator
Dishwasher: Commercial ❑ Any multipurpose fire sprinkler system.
Domestic ❑ 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
4" ❑ 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: -LavBar 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:
1:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2
•
Branden Taggart
From: Branden Taggart
Sent: Friday, November 20, 2020 4:27 PM
To: Alexandra Orozco
Cc: Alex Orozco; William Lethco; Dianna Ornelas
Subject: RE: Plumbing Permit: PLM2020-00470 - 14100 SW Fanno Creek Place.
Attachments: Invoice.pdf
Importance: High
Alexandra,
I was informed that you live in a condominium, so I have created the Plumbing permit. The balance due is$119.09, and I
have attached an invoice above for you to reference. The permit fees can be paid online through our
website: https://aca.accela.com/tigard/Default.aspx. From there,click on the Building tab, enter the permit number
(PLM2020-00470) in the Record Number field, and click Search. Once paid, please notify us at
TigardBuildingPermits@tigard-or.gov, and I will email the permit paperwork to you.
Thanks,
Branden Taggart
■ City of Tigard
g Senior Permit Technician
Community Development
TIVA
1312.5 SW Flail Blvd
Tigard,OR 97223
(503j718-.2449
bra ndent@tigard-o r.gov
From:#Building Permit Technicians
Sent:Thursday, November 19, 2020 4:53 PM
To: 'Alexandra Orozco' <orozco842003@yahoo.com>
Cc: 'Alex Orozco'<alex.orozco@murraysmith.us>; 'William Lethco' <wlethco12@gmail.com>; Dianna Ornelas
<Dia n na @tiga rd-o r.gov>
Subject: RE: Plumbing Permit - 14100 SW Fanno Creek Place.
Hi Alexandra,
After reviewing the Plumbing Permit Application,we are missing the second page. We will need you to complete the
Commercial Fixture Work section on the second page to determine if sewer SDC fees are applicable for the sink. I have
attached the application above for you. Also, please revise the Description of Work section to include the full scope of
work.
Thank you,
1
Branden Taggart
City of Tigard
L a.k, Senior Permit Technician
Community Development
13125 SW Halt Blvd
Tigard, OR 97223
(503)718-2449
bra ndent@tigard-or.gov
From:#Building Permit Technicians
Sent:Tuesday, November 17, 2020 4:35 PM
To:Alexandra Orozco<orozco842003@yahoo.com>
Cc: Alex Orozco<alex.orozco@murraysmith.us>; William Lethco<wlethco12@gmail.com>
Subject: RE: Plumbing Permit
Hello Alexandra,
We have received your application and it is in the que for processing. Please allow 1-2 weeks and the permit technicians
will contact you when the permit is ready and with instructions to pay fees online.
Thank you.
Dianna L.Ornelas
Building Division Services Supervisor
City of Tigard I Community Development
13125 SW Hall Blvd I Tigard, OR 97223
503-718-2430 Direct 1503-718-2439 Permits
From:Alexandra Orozco<orozco842003@yahoo.com>
Sent: Monday, November 16, 2020 9:32 PM
To:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Cc:Alex Orozco<alex.orozco@murraysmith.us>; William Lethco<wlethco12@gmail.com>
Subject: Re: Plumbing Permit
Caution!This message was sent from outside your organization.
Good evening,
Please find the completed application attached.
Thank you!
Alexandra Orozco and William Lethco
Address: 14100 SW Fanno Creek PI, Tigard, OR 97224
Cell: 904-718-7063
On Monday, November 16, 2020, 07.54:29 PM PST, William Lethco <wlethco12(a�omail.com> wrote:
Forwarded message
From: William Lethco <wlethco12(cDcimail.com>
Date: Sun, Nov 15, 2020, 7:10 PM
2
subject: Plumbing Permit
To: <TigardBuildingPermits@_tigard-or.gov>
Hi, I'm remodeling my kitchen and will be replacing the sink, faucet and garbage disposal in the process. In addition, the
copper water piping in the kitchen, a bathroom, and laundry room were replaced with pex.
I'm trying to fill out the plumbing permit application form and don't understand the fee schedule on it. Since my house is
not a NEW family dwelling and I only need an inspection mostly for new water pipe installation, how do I fill it out the fee
schedule?And what would the estimated fees be for the inspection?
Attached is a copy of a blank plumbing permit application that was emailed to me.
Thank you.
William Lethco
cell: 904-718-7000
email: wlethco12gmail.com
3