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Permit
CITY OF TIGARD PLUMBING PERMIT a COMMUNITY DEVELOPMENT Permit#: PLM2020-00469 Date Issued: 11/20/2020 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S103CD06100 Jurisdiction: Tigard Site address: 11710 SW FAIRVIEW LN Project: Lee Subdivision: TERRACE TRAILS Lot: 21 Project Description: Remodel(3)bathrooms. Contractor: PORTLAND PLUMBING CO Owner: LEE, GREGORY D 16110 S HILLTOP RD LEE,VIRGINIA L OREGON CITY, OR 97045 14 LANDS END LN SEQUIM,WA 98382 PHONE: 503-723-8800 PHONE: FAX: 503-723-8801 FEES Quantity Description Date Amount 1 ea Fixture/Sewer Cap 11/20/2020 $25.02 Specifics: 3 ea Lavatories 11/20/2020 $75.06 2 ea Tub/Shower/Shower Pan 11/20/2020 $25.02 Type of Use: SF 2 ea Water Closet 11/20/2020 $50.04 Class of Work: ALT 1 ea Water Heater 11/20/2020 $37.52 Type of Const: 1 12%State Surcharge- 11/20/2020 $25.52 Occupancy Grp: Plumbing Stories: Total $238.18 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 503.232,11987 or 1.800.332.2344. Issued By: / �j/ _ / Permittee Signature: �,Af �J��/ C4-y�G ( d v Y 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 l felt rli 1 It 1 P`,i trail City of Tigard y., // Z i t 4) 4't) Ptrrnit No/)L.t7 20 e-001 1 13125 S W Nall Blvd.,Tigard,OR 97223 Pia n Review Phone 503,7182439 Fax: 503.598.1960 p Other Permit No.: y. u t, lnaptv7 cur Line 503.634.4175 tbste Readviay. hair: € 1a See Page 2 for Internet: www,tigard-or.gov Notifiinkideffmd: t Supplemental Information TYPE OF WORK .. FEE* SCHEDULE ®New construction ❑Demolition For special infortrturdors use char lrax Deecnption I Qty. I Ea, Total Atldiition alier211on/replacem.ent 0 Other New I-.2-raamtty dwellings flisctudea too ft.for each utility(00u: ction) CATEDORE OF CONSTRUCTH IN SFR(I)bath 312.70 3-and 2-Family dwelling CICarnmereiskinzinctrial SFR(2)bath 437.78 ❑Accessory building ElMulti-famly SFR(3)hath 50032 Each additional bath/kitchen 25.02 ❑Master builder ❑Other 1 1 , .�. Fire sprinkler( ,sq.ft) _ 1 Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: ' Sob site address: ('l� Ceuta bay or area drain 18,76 City/State/ZIP: -%""' Dryweil,leach line,or trench drain 18.76 f/{rx`'4) e it .3 ....( Footing drain(no.linear ft.; ) Page 2 Suite Bldg apt.no.: ( Project names - ^, , , Manufactured home utilities 50.03 Cross street'direciiarrs to job site: : Manholes 18,76 3t,x ,5; .,,..•,.na.> " i`- /l ,l, trz- Rain drain connector 18.76 Sanitary sewer(no.linear ft,:, ) l Page 2 Y 1. Storm sewer(no.ling fl,: ) Page 2 Water service(no.linear ft: ) Page 2 Subdivision: Lot no.: ' Fixtureer Henn Tax map/parcelno.: i Backtlowprtiventer _ 31,27 DESCRI PTION OF WORE j ' [ Backwata'valve 11.51 Clothes washer I 25.02 AlteDf , .. g j"i!r z dwiw-t_La°4.-7< I. i Dishwasher 25.02 3 j Drinking fountain 25.02 _ ' Ejectors/sump 25.02 'FRI'Y OWNER 0 TENANT , Expansiontatrk 12.51 II ' : f , F'ei 1 'XIt^ i^'$n Fixture/sewer cap d 25.02 Floor drain/floor sinlohub 25.02 Address: lei'fink "S eta Fence;c,ssc aA.. i,.dV Garbage disposal 25,02 City/State/ZIP: - 3 - ca r4. ap"'' Huse bib 25.02 j Phone:(7w,c,)' g, --it,-7 f'x Fax:( ) 1 fee maker 12.51 A4PPLICANT 0 CONTACT PERSON 6ntext•. xtor/grea etrap 25.02 Business r,arne: �"el Medical gas(values 5 . ) Page 2 .:*a.L. ,iaS ,,,,, ,tr a.:. P>W.a,, _.. Primer 12,5I Contact name: --- it'll A s: (;3t 415.= (/12,41- At`.avar#t,at) - Roof drain(commercial) 12.51 Address: as Sinklbnsiroavatmy 'y 25.02 '75",45 k City/State/ZIP: , s e fir. .7 r:> =o Solar units(potable water) 62.54 Phone:( j z') bed. ,,,my.'.)e-y, Fax::( ) Tub{attowertah©wer pan Z 12,5 i 7 z;its &-mail: ! a `6' Urinal 25.02 TA,/ TB-f/4i4,- ( 4' i - - Water closet 2 25.02 ctl.0 CYIt l'I RAC3 OR _Water heady -I 37.52 7„es-°„ Business name: e At„-,. j),e,t4ta3rsr�- Water t to !DWV 56.29 Address: ILL /t'G? S Ai„Ili e,mew it Other 25,02 t ty StetefZlP: Subtotal _ Z 4,':r el%(2, el L= -s- if e s .. Mtnnnwaa p -mit fee: 572.50. 7 ,.p"tx.,w. Phone:( . 1 1E>r' 1 3 Fax:( ) CCB Lie.:t# PlumbingLic.no.: r ,,yy Plan review (25%ofpermit fee) l. F . .„� / I AL' 2 P' Statesurcharge(12%ofpermitfee) a;,.Z.,S Authorized signature: , a., l c TOTAL PERMIT FEE 24+>p 6, Print nain ' i e t Date:} / � ,Vie,, This permit application expires If a penal*is sat obtained within ISO days suer It Mesa been accepted as complete. *rev eel eAok,ry sal by Tr1-Cooney Huitding Industry Ser.ice Hear. t:11114,0f440b: 0410,MU.PaeuaAPp.duc 100109 440.66141(1002K0MiwEA) Ptri ,-.2 cl „24-.) - 00 y Water Meter Fixture Unit Worksheet for Additions/Remodels/ADUs Please complete the following information: Customer Name: clizz..es 4 VA 0&, LILI-j-- ( I._fp., riA,-.12,1. — 6)24.,,,,,c11 6:1.47 7 lir;e..t.-: Service Address: Street/Suite #: // 7.to c4,..; fif,,e wiTa,., LAr City: riF.-Aius+ State: GA Zip: `77.z. z ? Phone Number: Si;'3 -B Bo -1 i 4/ Email: rf...-trb e,- )._, 4-1',67-0 4 4 ( t i Al Please fill in the number of each fixture you currently have. Please fill in the number of fixtures you propose to add. Multiply the quantity by the point value to arrive at the current Multiply the quantity by the point value to arrive at total, the proposed total. Fixture Unit Current Point Current Proposed Point Proposed Quantity Value Total Addition Value Total Bar sink x 1 = x 1 = Bidet x 1 = x 1 = Clothes washer / x 4 = 4 x 4 = Dishwasher / x 1.5 = A< x 1.5 = Hose bib / x 2.5 - 2 4:- — / x 2.5 = .-2 . • Hose bib, each x 1 = x I = Kitchen sink / x 1.5 = i+, er x 1.5 - Laundry sink x 1.5 = x 1.5 = Lavatory 3 x I = ; x I = / Water closet, 1.6 GPF ? x 2.5 -- -7, s- x 2.5 = Bathtub/whirlpool x 4 = / x 4 = --s--' r Shower stall -2. x 2 = 4- — I x 2 = —:Z.. Bath/shower combo / x 4 = zir-• x 4 - Current Points: 2.,5. Proposcd Increase: 0 S— Current Points+ Proposed increase- ..ZS.5- -New Total Points - Required Meter Size c' ,--' ' (...'...1.', - Meter Sizes: Ito 30 points= 5/8" 30.5 to 37 points ='A" 37.5 and over points= I" New Meter Size Needed for New Total Points: Cost: $ (see page I) Current Meter Size per Utility Billing: Cost: $ (see page I) New Meter Size Cost minus Current Meter Size Cost= $ (This is Your Cost to Increase Meter Size Due to Additional Fixture Units) *********4.*****iiiiiit•*********•***************.******************•••••iptio***********•** FOR OFFICE USE ONLY ,A, ,, , (fi,1 A, 6 C it. /4--1r7-L---,--- Current Meter Size Confirmed with UB SE,1_ /I t I 41 C_k-I ,.,---"t i--...--&\ k( Signature of UB Representative Date It/Building/Forrns/WaterMeters_070114_Add.dOCX Page 2 Dianna Ornelas From: UB Online Sent: Thursday, November 19, 2020 4:59 PM To: Michael Dobbs Cc: #Building Permit Technicians; mfdgen@gmail.com Subject: FW: Edelweiss Construction (Mike Dobbs) Lee Job Plumbing Permit and Water Fixture/Meter Worksheet Attachments: Revised Water Meter Unit Worksheet Edelweiss Construction LeeJob.pdf Categories: Dianna Mike, With the current meter fixture worksheet and removing the hose bib, the property will not need to upgrade it's current meter size of 5/8 inch. Kind Regards, Jill (she/her/hers) Ili A WO, .': Jill 4'Yi1lJCAREE4Ay `, City of Tigard-Utility Billing ar "44x�^ Senior Accounting Asst (888)826-7211 Payments (503)718-2460 UB Main 4""v j tbigtigard-or.g+ov (503)718-2494 vur Tigard5OR 97223d From: Michael Dobbs<mfdgen@mac.com> Sent:Thursday, November 19, 2020 1:19 PM To: UB Online<UBOnlinepay@tigard-or.gov> Cc: Dianna Ornelas <Dianna@tigard-or.gov>; mfdgen@gmail.com Subject: Re: Edelweiss Construction (Mike Dobbs) Lee Job Plumbing Permit and Water Fixture/Meter Worksheet Caution! This message was sent from outside your organization. Jill the client has elected to cap off/disconnect the hose bib on the house to make up the for the difference in the point values so we are now at 28.5 combined total which keeps us with a 5/8" meter. Here is the updated worksheet. Thank You, Mike Dobbs On Nov 19, 2020, at 10:17 AM, Michael Dobbs<mfdBen@mac.com>wrote: 1 Jill, is there someone that has the authority I can talk to in the department seeing as we are only .5 over? Thank You, Mike Dobbs On Nov 19, 2020, at 9:59 AM, UB Online<UBOnlinepayPtigard-or.gov> wrote: Good Morning, I have reviewed the fixture count worksheet with Mike. With the changes in the fixture count,the meter will need to be upgraded to a % inch meter from the current 5/8 inch meter. I have no authorization to allow the meter to not be upgraded to the correct size. Kind Regards, Jill (she/her/hers) <image001.jpg> <image002.jpg> From: Michael Dobbs<mfdgen@mac.com> Sent: Wednesday, November 18, 2020 6:47 PM To: Dianna Ornelas<Dianna_@tigard-or.gov>; UB Online <UBOnlinepay@tigard-or.gov> Cc: mfdgen@gmail.com Subject: Edelweiss Construction (Mike Dobbs) Lee Job Plumbing Permit and Water Fixture/Meter Worksheet To Whom It May Concern: Here is the water fixture/meter worksheet and plumbing permit filled out. We are only .5 over on the worksheet and hoping that we can remain with the existing 5/8" meter; I'm honestly trying to spare my clients the tremendous additional charges of upgrading if at all possible. Please feel free to call or email me at: 503-880- 9329/mfdgen@gmail.com. Thank you for your help with this, Mike Dobbs Edelweiss Construction Thank You, Mike Dobbs DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail may be disclosed to another party unless exempt from 2 ♦ disclosure under Oregon Public Records Law. E-mails are retained by the City of Tigard in compliance with the Oregon Administrative Rules "City General Records Retention Schedule." 3