Permit CITY OF TIGARD PLUMBING PERMIT
11111 11 COMMUNITY DEVELOPMENT Permit#: PLM2021-00053
T f GARL7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 2/10/2021
Parcel: 2S112BB05500
Jurisdiction: Tigard
Site address: 8305 SW FAN NO CREEK DR
Project: STONE Subdivision: COLONY CREEK ESTATES NO.2 Lot: 38
Project Description: (1)new shower stall and (1)clothes washer.
Contractor: J WALTON PLUMBING LLC Owner: SIDNEE STONE
PO BOX 822218 8305 SW FANNO CREEK DR
VANCOUVER, WA 98682 TIGARD, OR 97224
PHONE: 360-831-1840 PHONE:
FAX:
FEES
Quantity Description Date Amount
1 ea Clothes Washer 02/09/2021 $25.02
Specifics: 1 ea Tub/Shower/Shower Pan 02/09/2021 $12.51
1 12%State Surcharge- 02/09/2021 $8.70
Type of Use: SF Plumbing
Class of Work: ALT 35 ea Minimum Fee Adjustment- 02/09/2021 $34.97
Plumbing
Type of Const:
Occupancy Grp:
Stories:
Total $81.20
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: '\ /�,�• y { _,i Permittee Signature:
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.
Plumbins Permit AuDlic�.tio a E C E I VE 6
Building Fixtures 2021 cult utlIc1 i sr n.l v
JAN 2 7 Received
City SW Tigard i mbBy: v ?,I Permit No.: D/ y .f _ado�3
13125 SW Haft Blvd.,Tigard,OR 972nITV OF TIGARD Plan Review P !LO ( C/ r
1 It Phone: 503.718.2439 Fax: 503.5 DIVISION Dak/B Other Permit No.:
Inspection Line: 503.639.4175 �v r r
71(:Al..,tl Date Ready By: tuns: ® See Page 2 for
Internet: www.tigard-or.gov Naitir<VMetl+od: 'jam,, Supplemental laformatbn
TYPE OF WORK FEE*SCHEDULE
0 New construction I ❑Demolition For cep.dri infnrmnrinn use checklist
Description I Qty. I Ea. 1 Total
Additionlaiterationireplacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(I)bath 312.70
`-t-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
0 Accessory building El Multi-familySFR(3)bath 50032
Each additional bath/kitcben 25.02
❑Master builder ❑Other: Fire sprinkler(_sq.ft.) Page 2
JOB SITE INFORMATION AM) LOCATION Site utilities:
Job site address: L) C A )( �l 6.[` K. i)j.. Catch basin or area drain 18.76ry f1 �} Dwell,leach line,or trench drain 18.76
City/State/ZIP: 11 y�(I) 0 % 7 2-2 Footing dram(no.linear ft.: ) Page 2
Suite/bldg./apt.no,: Project name: �- Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
Rain drain connector 18.76
I/F2 4-�' �.7T 7L was`f�6V/' , v`Sanitary sewer(no.linear ft.: ) Page 2
Q (t/ /S fZE NOr / 3U�"-7�Z6 + _ dO a atersewerolio.iliecrft ) Page2
1![' Water service(no.linear ft.:____) Page 2
Subdivision: Lot no.:- Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
Backwater valve 12.51
DESCRIPTION OF WORK i v'(,_
,, Clothes washer .. 1 25.02 f
ADD N P 7 a"fUW E/L" d i�0()6- - Dishwasher ' 25.02
C ( ) L L.-o i14'S5 S tZ` Drinking fountain 25.02
Ejectors/sump 25.02
0 PROPERTY OWNER 0 TENANT Expansion tank 12.51
Name: [)�/ S )M�_ Fixnusfsewercap 25.02
(✓ [ Floor drain/floor sink../hub 25.02
Address:
Garbage disposal 25.02
City/State/ZIP: Hose bib 25.02
Phone:( ) Fax:( ) Ice maker 12.51
4,APPLICANT 0 CONTACT F '">` Interceptor/grease trap 25.02
Business name: '� 4.2.%( N ei t UM(1 f�'L,. L C Medical gas(value:S_) Page 2
X h A Primer 12.51
Contact name: U P t A-) c^-(t1(`)
�7 _ C.-
Address: Roof drain(commercial) 12.51
(/ b �,�/ r / Sink/basin/lavatory 25.02
City/State/ZIP: 4 1 1 L G.
( riebJFJ) ) A- jV6v(-( Solar units(potable water) 62.54
Phone:( 0) 71 ( �j,} p�Fax::( ) Tub/shower/shower pan 1 12.51 i
E-mail: A5py t �(+ ..1ek' )1 iiF-19//ti C e (' M Urinal 25.02
Water closet 25.02
CONTRACTOR
Water heater 37.52
Business name: 5 A J-'i t. A 5 R t b U
Water piping/DW V 56.29
Address: Other: 25.02
City/State/ZIP: Subtotal
Phone:( ) Fax:( ) Minimum permit fee: S72.S0
Plan review (25%of permit fee)
CCB Lie.: 2./53Li 3 Plumbing Lie.no.: P 20
1 State surcharge(12%of permit fee)
Authorized signature' �Ii -��� 11 f1. �,`t i/3 TOTAL PERMIT FEE
Print name: A 5Z)i+) i{'+'{Gt t.�t ter* Date: ( 5-.2.I This permit applita8 vert on expires if a per Is net obtained wilMa tali days
i after it bus been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
I:tBuilduq 7crmnsIPLMU-PamnApp,do. I0/0 V09 4444616T(I0l02/COM WEB)
Water Meter Fixture Unit Worksheet for Additions/Remodels/ADI4CEIVED
Please complete the following information: JAN 2 7 2021
TIGCustomer Name: Sr Di.)E'er 5m 6' CITY OF DIVISION
t] DIV UILDING ISION
Service Address: Street/Suite#: 8 3 05 50 1 Arisvo C2rei< D'c
City: `jorCt LA„1p State: d R, Zip: 972Z aJ
Phone Number: 543-5"f5-- 7937 Email:ER.11)4ir Ci 7 3 drRe rye(,,.+yt//<. Co../
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 J x 4 = 41 x 4 =
Dishwasher / x 1.5 = /, r x 1.5 =
is`Outside Water Spigot / x 2.5 = 2.5- x 2.5 =
Water Spigot,each add'I I x 1 = t x 1 =
Kitchen sink I x 1.5 = /.5 x 1.5 =
Laundry sink x 1.5 = x 1.5 =
Lavatory(bathroom sink) Z. x I = I x 1 =
Water closet,1.6 GPF(toilet) Z x 2.5 = Z.j x 2.5 =
Bathtub/whirlpool x 4 = x 4 =
Shower stall x 2 = / x 2 = 2
Bath/shower combo 1 x 4 = 1 x 4 =
Current Points: /8 Proposed Increase: Z
Current Points+Proposed Increase= U .�7 ,l
p Z =New Total Points =Required Meter Size fJ
Meter Sizes: 1 to 30 points=5/8" 30.5 to 37 points=3/4" 37.5 and over points= l"
New Meter Size Needed for New Total Points: Cost: $ (see page 1)
Current Meter Size per Utility Billing: Cost: $ (see page 1)
New Meter Size Cost minus Current Meter Size Cost= $
(This is Your Cost to Increase Meter Size Due to Additional Fixture Units)
*************************************************************************************
FOR OFFICE USE ONLY
Current Meter Size Confirmed with UB
Signature of UB Representative Date
1:/Building/Forms/WaterMeters_070120_gdd.doCX Page 2 1
Dianna Ornelas
From: UB Online
Sent: Wednesday, January 27, 2021 5:04 PM
To: #Building Permit Technicians;Jason walton
Subject: RE: Permit App - 8305 SW Fanno Creek Dr
Attachments: 8305 SW Fanno Creek Dr 012721.pdf
The approved fixture unit worksheet is attached. Due to the current meter size and additional fixtures, there is no need
to increase the meter size.
Kind Regards,
Jill
(she/her/hers)
..i A WCi,,, Jill
6:,:mtlill CAN BEAsyr li - " City of Tigard-Utility Billing
1r • Senior Accounting Asst
TIGARD (888)826-7211 Payments
rjs.,Sir (503)718-2460 U6 main
jillb@tigard-or.gov
BE 4 (503)718-2494
BG KIN 13125 SW Hall
igard, OR9722d 97223
From:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Sent: Wednesday,January 27, 20214:42 PM
To:Jason walton <jason@jwaltonplumbing.com>
Cc: UB Online<UBOnlinepay@tigard-or.gov>
Subject: FW: Permit App-8305 SW Fanno Creek Dr
Hello Jason,
Thank you for the permit application to add a shower staff and relocate a clothes washer.
I have copied our Utility Billing Division (UB)to review and approve of the water meter worksheet.
The permit application has been placed in the que for processing. Please allow 1-3 weeks for the permit technicians to
contact you when the permit is ready and with instructions to pay permit 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:Jason walton <jason@jwaltonplumbing.com>
Sent: Wednesday,January 27, 20214:09 PM
1
To:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Subject: Permit App
Warning!This message was sent from outside your organization and we are unable to verify the sender.
If I did it wrong please advise Thanks
Jason Walton
PLUMBING
.Walton
J.Walton Plumbing LLC
PO BOX 822218
Vancouver, WA 98682
jasonOjwaltonplumbing.com
(360) 831-1840
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 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."
2
Branden Taggart
From: #Building Permit Technicians
Sent: Monday, February 8, 2021 11:05 AM
To: 'Jason walton'
Subject: RE: Permit App: PLM2021-00053 - 8305 SW Fanno Creek Dr
Attachments: Permit.pdf
Hi Jason,
The permit for Sidnee Stone, located at 8305 SW Fanno Creek Drive, is ready to issue now. The balance due is$81.20,
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 PLM2021-00053 under the Building
tab. There is a 3% service fee for credit cards, but e-checks do not have a service fee.
Once the balance due is paid, please email the Permit Technicians at TigardBuildingPermits@tigard-or.gov so that we
may issue this permit. After payment has been made,we will email the permit to you.
Thank you,
Branden Taggart
ti City of Tigard
i e#x Senior Permit Technician
" Community Development
13125 SW Fair Blvd
Tigard, OR 97223
(50-3J 718-2449
bra nde nt@tigard-or.goy
From:#Building Permit Technicians
Sent:Wednesday,January 27, 2021 4:42 PM
To:Jason walton <jason@jwaltonplumbing.com>
Cc: UB Online<UBOnlinepay@tigard-or.gov>
Subject: FW: Permit App-8305 SW Fanno Creek Dr
Hello Jason,
Thank you for the permit application to add a shower staff and relocate a clothes washer.
I have copied our Utility Billing Division (UB)to review and approve of the water meter worksheet.
The permit application has been placed in the que for processing. Please allow 1-3 weeks for the permit technicians to
contact you when the permit is ready and with instructions to pay permit 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
1
A
503-718-2430 Direct 1503-718-2439 Permits
From:Jason walton <jason@iwaltonplumbing.com>
Sent: Wednesday,January 27, 2021 4:09 PM
To:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Subject: Permit App
Warning! This message was sent from outside your organization and we are unable to verify the sender.
If I did it wrong please advise Thanks n_
Jason Walton
PLUMBING
I, ton
J. Walton Plumbing LLC
PO BOX 822218
Vancouver, WA 98682
jason@jwaltonplumbing.com
(360) 831-1840
2