Permit CITY OF TIGARD PLUMBING PERMIT
111 p COMMUNITY DEVELOPMENT Permit#: PLM2020-00510
Date Issued: 12/22/2020
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 2S106AD08500
Jurisdiction: Tigard
Site address: 16973 SW FRIENDLY LN
Project: Cardona Subdivision: RIVER TERRACE EAST Lot: 192
Project Description: Relocate(1)hose bib and add 30'of cold water piping for future bar sink in outdoor kitchen, No water meter
upsizing is required per UB.
Contractor: SERVICE PLUS PLUMBING LLC Owner: ROSARIO,ANGEL E CARDONA
305 SE CHKALOV DR STE 111 -253 BERRIOS, LORENA MONTES
VANCOUVER,WA 98683 16973 SW FRIENDLY LN
BEAVERTON, OR 97007
PHONE: 503-927-4482 PHONE:
FAX:
FEES
Quantity Description Date Amount
1 ea Hose Bib 12/22/2020 $25.02
Specifics: 1 ea Sink 12/22/2020 $25.02
1 ea Water Piping/DWV 12/22/2020 $56.29
Type of Use: SF 1 12%State Surcharge- 12/22/2020 $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
sttoOUNC by calling 503.232.1987� or 1.800.332.2344.
Issued By: Grvdr Permittee Signature: fjevi 1611 L/64176
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 i i t-C r. FOR OFFICE LSE ONLY
City of Tigard )EC 1 7 Received )2/LI/74 e }? �� PemtNo 4f 1C`Ze LIV 't-
ei 13125 SW Ilan Blvd.,Tigard,OR 97223 LC Plan Review
IIIII = Phone: 503.718.2439 Fax: 503.598.1960 Other Permit No..
rY GI_Tl GAR v DateBy:
T'1 U�R D Inspection Line: 503 639.4175 n r ,_ _ Date Ready/By: Saris_ Ed See Page 2 for
Internet: www.tigard-or.gov Noti ied/Method: Supplemental Information
'TYPE OF WORK FEE* St;IIEDULE
❑New construction 0 Demolition For special information use checklist.
Description I Qty. I Ea: I Total
•X Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
X 1-and 2-family dwelling I ❑Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 500.32
❑Accessory building ❑Multi-family Each additional bath kitchen 25.02
❑Master builder ['Other: Fire sprinkler(_sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Catch basin or area drain - 18.76
Job site address: 119 7 3 5W F uic1 L n
Z.-y Drywall,leach line,or trench drain 18.76
i
City/State/ZIP: e a.,e; t , f� 100 1 Footing drain(no.linear ft.: Page 2
Suits/bldg./apt.no.: Project name: Caydon 0. 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 sower(no.linear ft.: ) Page 2
Water service(no.linear ft.:_) Page 2
Subdivision: Lot no.: Future or item:
Dackflow preventer 31.27
Tax map/parcel no.:
Backwater valve 12.51
DESCRIPTION OF WORK 25.02
j�,_w' ( I Clothes washer
` 5 k d'G.1�t?vet_aY a {0� 1- o T 10 14 Wa k Dishwasher 25.02
V Ip1V1f k �W 'FU WV( S 1 V11L.- 1C.0 10 C(.t}C 0r -e)GI9-i Y1Gj Dri
nking fountain 25.02
'^ JJt_b�. J Ejectors/sump 25.02
Y 1 PROPERTY OWNER ❑ TENANT Expansion tank 12.51
1 Fixture/sewer cap 25.02
Name: Ph e,l �_v1-ao
Floor drain/floor sink/hub 25.02
Address: I lD /3 Sly -FAaid iv Lin Garbage disposal 25.02
City/State,ZIP:.p�� , y � gl bo 1 Hose bib i 25.02
(-in)Q1� ( // ''^q qt12.51
Phone: `-(S7'u�-1 S Fax:( ) Ice maker
0 APPLICANT, . CONTACT PERSON Interceptor/grease trap 25.02
Business name: Sexy ice__ T
n Medical gas(value:$_) Page 2
`VS ('lum6i R5 Primer 12.51
Contact name: Larkaon pe, a.c Roof drain(commercial) 12.51
Address: 1a 0 S A tE SVw \IL{( St- Sink/basim'lavatory I 25.02
City/State/ZIP. Peykkav\al nI2- 9-1 C) Solar units(potable water) 62.54
None:(rQ3)1? 0.- D11 � Fax: :( ) Tub/shower/shower pan 12.51 Urinal 25.02
E-mail: -I Y1'k, a S2,V\f\f,-R„vt\)5 p1,1)w1VJ 11'1‘i.Q S Water closet 25.02
CONTRACTORI Water heater 37.52
Business name: S' st�� �V+ Ws QbVlry\,� Water pipin8/DWV / 56.29
Address: I a b3S IN 6 >,3 w1 )ey 5 \L(li Other: 25.02
City/Statc/ZIP: Poif-k-1 0 V. Cf 7a a() Subtotal /L'�r 5-_g
1 Minimumpemiitfee: $72.50
Phone:(�' qa''-y�� Fax( ) Plan review (25%of permit fee)
CCB Lie.: Plumbing Lic.no.: {� "t 2:40
7
p� � '� ' 1J� Stale surcharge(12%of permit fee) /Z. k
Authorized signature: �r.:Y�-'2� 4 /e TOTAL PERMIT FEE /H.0 R(
Print Heine:
t l�1 O Date:I 1 ill/Z(] This permit application expires it a permit is not obtai mat within 180 days
fit a�r� after it has been accepted as complete.
1 "` l`�l I "Fee methodology set by Tri-County Building Industry Service Board.
L\BisdingtPmnils\PLMU-PermitApp doe 10/0I/00 440-4616T(10/02/COM/WEB)
Dianna Ornelas
From: Angel Cardona <acr21081@gmail.com>
Sent: Thursday, December 17, 2020 7:28 AM
To: Planner on Duty
Cc: #Building Permit Technicians
Subject: Re: Electrical Permit
Caution!This message was sent from outside your organization.
Thanks! Have a good weekend!
Please let me know how to proceed.
On Thu, Dec 17, 2020 at 6:41 AM Planner on Duty<tigardplanneronduty@tgard-or.gov>wrote:
Hi Angel-
I am forwarding your email to our building department.Thanks,
Agnes Lindor
Planner on Duty
City of Tigard I Community Development
13125 SW Hall Boulevard
Tigard, Oregon 97223
Monday-Thursday 8am-5pm
Phone: 503.718.2421
Email:Tigardplanneronduty@Tgard-or.gov
Original Message
From: Angel C<acr21081Pgmail.com>
Sent: Wednesday, December 16, 2020 9:14 PM
To: Planner on Duty<tigardplannerondutyPtigard-or.gov>
Subject: Electrical Permit
Hi - I got a visit today from one of the city inspectors and he pointed out I needed to take out a permit for some electric
work I did in my home. I just tried to search the site and didn't find a way to submit this type of permit request?
My address is 16973 SW Friendly Ln, Beaverton 97007. The project I built was an outdoor kitchen counter for which I
did the following 2 items:
/V4%6 A ;1, /2- •11 cr-77'- U ii jc.t rt` 7 /� -1'r £c'4-=7'
- plumbing work- I already contacting my plumbing company and they are getting the required permits.
- electrical work(for which I need permits) - leveraging the existing CGFI outdoor outlet that I already had, I jumped 3
additional outdoor rated electrical outlets (which are protected by this first outlet) for my outdoor kitchen. All electrical
wire was wired in the required liquid tight tubes and the electrical outlets are housed in outdoor rated outlet boxes.
Let me know know if this description works, please advise how to proceed.
1
1
Water Meter Fixture Unit Worksheet for Additions/Remodels/ CEI V ED
DEC 1 7 2020
Please complete the following information: CITY OF TIGARu
Customer Name: f l/4GI( \ Cv(,�c n 6\ BUILDING DIVISION
Service Address: Street/SuiteJ #: 116973 S/tf T Y►oid ki In
City: ?pet oieY 0 State: e 0 Zip:97OO7
Phone Number: L' 7,(.1;5-00q c" Email: ac.V a 1 Q t e c..0 .l p dl,-1
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 0 x 1 = 0) I x 1 = 1
Bidet (3 x 1 = Q x 1 =
Clothes washer I x 4 = i-+ x 4 =
Dishwasher I x 1.5 = 1 , x 1.5 =
Hose bib I x 2.5 = (2,5 x 2.5 =
Hose bib,each I x 1 = I x 1 =
Kitchen sink i x 1.5 = I,.5 x 1.5 =
Laundry sink 0 x 1.5 x 1.5 =
Lavatory x 1 = x 1 =
Water closet, 1.6 GPF 3 x 2.5 = —I, x 2.5 =
Bathtub/whirlpool I x 4 = LI x 4 =
Shower stall 1 x 2 = a x 2 =
Bath/shower combo ( x 4 = t-I x 4 =
Current Points: 33 Proposed Increase: I
u�j
Current Points+Proposed Increase=34 =New Total Points =Required Meter Size /14
Meter Sizes: 1 to 30 points=518" 30.5 to 37 points=3/4" 37.5 and over points= 1"
New Meter Size Needed for New Total Points: 1\i1 t1 Cost: $ IJ j 61 (see page 1)
Current Meter Size per Utility Billing: Cost: $ (see page 1)
New Meter Size Cost minus Current Meter Size Cost= $ 1.1 /
(This is Your Cost to Increase Meter Size Due to Additional Fixture Units)
FOR OFFICE USE ONLY
Current Meter Size Confirmed with UB J B� 12/17/20
Signature of UB Representative Date
I:/Building/Forms/WaterMeters_070119 Add.dOcx Page 2
Dianna Ornelas
From: UB Online
Sent: Thursday, December 17, 2020 6:25 PM
To: #Building Permit Technicians
Cc: Service Plus Plumbing
Subject: RE: Angel Cardona Water Meter Wrksht - 16973 SW Friendly Ln
Attachments: 16973 SW Friendly Ln 121720.pdf
The above-mentioned address has a 3/4 inch meter and will not require any meter upgrades.
Kind Regards,
Jill
(she/her/hers)
:#i A WO, Jill
„vitt9 cPiNgE mart , -'� City of Tigard-Utility Billing
Vi' ' X. Senior Accounting Asst
[CARD (888)826-7211 Payments
�° (503)718-2460 UB Main.
jiiibgtigard-or gov
(503)718-2494
Tigard RHall, 97223d
From:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Sent:Thursday, December 17, 2020 2:39 PM
To: UB Online<UBOnlinepay@tigard-or.gov>
Cc: Service Plus Plumbing<serviceplusplumbing@icloud.com>
Subject: FW: Angel Cardona Water Meter Wrksht- 16973 SW Friendly Ln
Hello UB,
Please see attached for water meter worksheet for your review. Please email your approval at your earliest
convenience.
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:Service Plus Plumbing<serviceplusplumbing@icloud.com>
Sent:Thursday, December 17, 2020 2:20 PM
To:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Subject: Fwd: Angel Cardona Water Meter Wrksht
1