Permit Plumbing Permit Application
Building Fixtures RECEIVED FOR OFFICE USE ONLY
Cityof Tigard 1/ L� R`clvea ,
Date18 ermit No.: f ' )/�
-III ■ 13,125 SW Hall Blvd.,Tigard,OR 97223 �tq 1 f C i/ryl� I �43 I
t e - Phone: 503.718.2439 Fax: 503,598,19 2 2 AfZl Plan Review
DatoBy: Other Permit No.:
TIGARD Inspection Line: 503.639.4175 DateReady/By:.. fans. ® See Pa.e2 for
Internet www,tigard-or gov . • r.. Nonfiedidethod ;T,r., Supplemental Information
-i., t - H '.-.,!Z --� .2N4 • ® t "Eal�'. ` "+, it„.yam-.,-4-- "a
El New construction t5 f semolltlon For special information use checklist
Description 1 Qty. I Ea. I Total
74 Addition/alteration/replacement ai❑Other New 1-2-family dwellings(includes 100 ft.for each utility connection)
tar:,.-:: '-'' �:. , ORY OF CONa'"r,I'U. O<r q•,3: 4x` ,Sii-.'`'. SFR(1)bath 312.70
tbtr i 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 500.32
❑Accessory building ❑Multi-family
Each additional bath/kitchen 25.02
❑Master builder 0 Other Fire sprinkler( sq.ft.) Page 2
-bO13 O[Y141'&T1ON.a119t7 Qi4- Sal,-;--, Site utilities: ,
Job site address: t I.SOO SU-) C&roux, S Catch basin or area drain 18.76
F m� - Drywell,oting leach litre,se trench drain 2
City/State/ZIP: UYI1C_ -t
y Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: Project name. Manufactured 50.03
Cross street/directions to job site: Manholes 18.76
Rain drain connector 18.76
Alt Sanitary:sewer(no.linear R.: eq 1 Page 2 •
'� �'--r"/"�l Storm.sewer(no.linear ft.:_) Page 2
Water service(no.linear 11.:. ) Page 2
Subdivision: rLot no.: Fixture or Item:
Tax map/parcel no.: Backflow preventer 31.27
E ,xw - r ,, Backwater valve 12.51
( ": :' ESCRII I'ION,AR 54 , „ Fi m'` _ : k t
Clothes washer 25,02
�Ala 1`4��.-.J -L..1.i., i�� _ , 1 0 f v� '. */ '. ` Dishwasher 25.02
l , 1Y7 V e U , Drinking fountain 25.02
tpe,Ltirni'lx9 t{' 7 -j 10 i f jectors/sump 25.02
Lai "}aa' "°" '- '�° i tg Expansion tank 12.51
`i l '- { ..ROr T'?FOt3 1t� , E], - -?d1 . i
Name: e i i. a � Fixture/sewer cap 25.02 '
Floor drain/floor sink/utb 25.02
Addr.;.s:
--.- Garbage disposal 25.02
City/State/ZIP: Hose bib 25.02
Phone: 330 de.'1 Fax:( ) Ice maker 12.51
art PL It� f a t ❑ C a ,.''"'+ g*I Ihtereeptor/grease trap 25..02
ate, ,. _ >t,=t,r _.
�+ Medical gas(value::S_). Paget
Business name: it 4, //# 'I, - - _ �.u.
Primer 12.51
Contact name: ' ' / t
a�_.a, i - -L Roof diain(commercial) 12.51
Address: 170 t,.L LA, _ Sink/basin/lavatory 25.02
City/State/ZIP: ik _ ., ,!3' i Solar units(potable water) 62.54 ,
Phone:rtr7 ..44,""�/ Fax: 'tit% t 2 Tub/shower/shower pan 12.51
Email 3 n s e ryl pt l j/,� �*' Urinal 2.5 02
z ,r „ t+o '* 771 t, Water closet 25.02
-`.� S) -*�x,.,w.- .0 ' R1CT01t.�}tl,.; :' `;'F'' . Waierheater 37,52
Business name A...i,_a jiI_-v Water piping/DWV 56.29
Address: 0 t fl c Liz Other. 25.02
City/State/ZIP: .A_O1 -0 oflp�� Subtotal
Phone:G('R)n t 3-L 1'l l S. Fax:Wes - Minimum permit.fee: $72.50
PlaCCB Lie.: 101t ko slel Plumbing.Lie,no.:�1" 1 g States review (25%ofpermitfee)
surcharge(12/o of permit fee)
Authorized signature: TOTAL PERMIT FEE
Print IIaIne:Nt� s Date: 3��.2j}'J 1 This permit application texpires been
a permit is not obtainedwithin ito days
4 11`llllll ``r 1 aftor It has peeaaccep[ed as eoroptete.
*Fee methodology set by Tri-County Building Industry Service Board.
1:1Building\PerminsPLMU-PeemaApp.doc 10/01/09 440-04167(10/02/COMAVEe)
Branden Taggart
From: Branden Taggart
Sent: Monday, March 22, 2021 9:42 AM
To: Eric Hefley
Cc: Jeff S
Subject: FW: Plumbing Permit from Sanitech - 11800 SW Carmen St.
Attachments: Scan_0018.pdf
Hi Melissa,
Thank you for the completed Plumbing Permit Application. Once the Sewer permit fees are paid,we can release the
hold on the Plumbing Permit and issue the Sewer permit.
Thanks,
Branden Taggart
R City of Tigard
r 9 Senior Permit Technician
-w - Community Development
C
13125 SW Hall Blvd
Tigard, OR 97223
(5031718-2449
brandent@tigard-o r.gov
From: sanitech@molalla.net<sanitech@molalla.net>
Sent: Monday, March 22, 2021 9:16 AM
To: Branden Taggart<brandent@tigard-or.gov>
Subject: RE: Plumbing Permit from Sanitech - 11800 SW Carmen St.
Warning!This message was sent from outside your organization and we are unable to Allow sender I Block sender
verify the sender.
Branden,
Please see the attached plumbing permit application for 11800 SW Carmen Street Tigard.
Melissa Hefley
Sanitech LLC
PO BOX 47
Molalla, OR 97038
Sanitechftmolalla.net
(503)213-4775
From: Branden Taggart<brandent@tigard-or.gov>
Sent: Monday, March 22, 2021 8:10 AM
To:Jeff S<Iefferv.scharn@gmail.com>
Cc: Eric Hefley<sanitech@molalla.net>
1
Subject: RE: Plumbing Permit from Sanitech - 11800 SW Carmen St.
Importance: High
Hi Jeff,
Since the Plumbing permit was created online without a sewer permit, I have placed the Plumbing permit on hold. In
order to remove the hold, we will need to receive a completed Plumbing Permit Application—attached
above. Additionally, I have created the Sewer permit,and the fees must also be paid before inspections can resume.
The balance due is$5,835.00, and I have attached an invoice above for you to reference. The fees can be paid online
now at https://aca-prod.accela.com/TIGARD/Welcome.aspx by searching for the permit record number SWR2021-00066
under the Building tab. There is a 3%service fee for credit cards, but e-checks do not have a service fee. Please let us
know if you have questions.
Thank you,
Branden Taggart
4 City of Tigard
m. Senior Permit Technician
Community Development
13125 SW Hall Blvd
Tigard„ OR 97223
(503)718-2449
bra nde nt@tigard-or.gov
From:Jeff S<jeffery.scharn@gmail.com>
Sent:Thursday, March 18, 2021 6:01 PM
To: Branden Taggart<brandent@tigard-or.gov>
Cc: Eric Hefley<sanitechPmolalla.net>
Subject: Plumbing Permit from Sanitech
Branden,
Enclosed is the receipt for the City of Tigard permit to install my sewer line. I am ready to pay the SDC fee at your very
earliest convenience. Please feel free to contact me ASAP at this email address or via phone at 503-330-2968.
Thanks!
Sincerely,
Jeff Scharn
11800 SW Carmen St
Tigard, OR 97223
503-330-2968
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