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Permit
CITY OF TIGARD PLUMBING PERMIT I COMMUNITY DEVELOPMENT Permit#: PLM2021 00251 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 6/21/2021 Parcel: 2S110AD04201 Jurisdiction: Tigard Site address: 14635 SW 106TH AVE Project: Daline Subdivision: LANG HILL Lot: D Project Description: Convert tub to shower.Add a toilet and re-pipe sink. Contractor: OWNER Owner: DALINE, DAVID CLARKE DALINE, PHYLLIS MAE 14325 SW BEEF BEND RD#C5 TIGARD, OR 97224 PHONE: PHONE: FAX: FEES Quantity Description Date Amount 1 ea Sink 06/16/2021 $25.02 Specifics: 1 ea Tub/Shower/Shower Pan 06/16/2021 $12.51 1 ea Water Closet 06/16/2021 $25.02 Type of Use: SF 1 12%State Surcharge- 06/16/2021 $8.70 Class of Work: ALT Plumbing Type of Const: 10 ea Minimum Fee Adjustment- 06/16/2021 $9.95 Plumbing 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: ff Van/fDe/Wege Permittee Signature: 0 AppUc t -n 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 6 / ,2/ Building Fixtures DECEIVE i 1 (`I{ `ll l It l 1 sl (,,I Received ' A City of Tigard Date/By: I b 1l,Z/ Permit No.:��/v'zD•r (�OZ�j .- 13125 SW Hall Blvd.,Tigard,OR 97223 ICJ 12021Plan Review 11. Phone: 503.718.2439 Fax: 503.598.1960 J Date/By: Other Permit No.: TIGARD Inspection Line: 503.639.4175 Date Ready/By: Jnds: H See Page 2 for Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: Supplemental Information TYPE OF WORK BUILDING DMSIU'N FEE* SCHEDULE 0 New construction 0 Demolition For special information use checklist p. Description I Qty. I Ea. I Total dditionlalteration/replacement 0 Other: New l-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 jp-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address:14035 SW I Oior" Aria- Catch basin or area drain 18.76 City/State/ZIP: `(',� �Q �j1 nilDrywell,leach line,or trench drain 18.76 vr�. ill Footing drain(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 • 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 G _}� Clothes washer 25.02 Cct4Vt -r TV es 1 D ../��e12. Dishwasher 25.02 MA ''[D 1 L. -1 T2%e"'"P 1 P E- 51)J)&- Drinking fountain 25.02 Ejectors/sump 25.02 ROPERTY OWNER I 0 TENANT Expansion tank 12.51 Name:"�,�p J\'p �/NU,.I'PJE- Fixture/sewer cap 25.02 1 t4r-2 S. g to i�b,%Ave Floor drain floor sink/hub 25.02 Address: tG? Garbage disposal 25.02 City/State/ZIP: b X t c . '7 2 Z.4 Hose bib 25.02 Phone: 3) 730 5163 Fax:( ) Ice maker 12.51 ❑ APPLICANT pONTACT PERSON Interceptor/grease trap 25.02 Business name: Medical gas(value:$ ) Page 2 Primer 12.51 Contact name: 3011/4-41/4 j\V -{.#1.1N)q- (commercial)Roof drain 12.51 Address: Sink/basin/lavatory 25.02 J City/State/ZIP: Solar units(potable water) 62.54 Phone:,5b3 730 5� 1rt 3 Fax::( ) Tub/shower/shower pan 12.51 E-mail:G '�.•�i ate / 0L.C,I AL,co \ Urinal 25.02 Water closet 25.02 / CONTRACTOR �/ Water heater 37.52 Business name: I1��e'(Z (.�t�,I +/��1 V`^�-� Water piping/DWV 56.29 Address: y VI 2.0 5T•J IRA FJ - ST Other: 25.02 City/State/ZIP: 4-0:107k,r1C"Vd t C e..• 9 2.24. Subtotal (pt I55 Phone: ' 3 S,t["( "A3 1 Fax:( ) Minimum permit fee: $72.50 CCB Lie.: 1' ' 01 Plumbing Lic.no.:Pe,t 3 76 State review (25%of permit fee) ate surcharge(12%of permit fee) Authorized sit ture: TOTAL PERMIT FEE ilk Print name: i f Date: S/'f 2( This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. "Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMO-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) Branden Taggart From: davedaline@comcast.net Sent: Thursday, June 3, 2021 5:03 PM To: Branden Taggart Subject: RE: Residential Plumbing Permit Submittal - 14635 SW 106th Ave. Follow Up Flag: Follow up Flag Status: Flagged Caution!This message was sent from outside your organization. Allow sender I Block sender Hi Branden, Jill from the Water department will call you. She said don't worry about the worksheet "You have 1 inch meter, there is no way you need an increased meter" Thanks, Dave. From: Branden Taggart<brandent@tigard-or.gov> Sent: Wednesday,June 2, 2021 7:32 AM To: DALINE CONSTRUCTION <davedaline@comcast.net> Subject: RE: Residential Plumbing Permit Submittal - 14635 SW 106th Ave. Dave, Good question. Since our Utility Billing Department oversees water meters, I think it's best to ask them this question. You can reach our Utility Billing Department directly by phone at (503) 718-2460 or by email at ubonlinepay@tigard-or.gov. Thanks, Branden Taggart IIa City of Tigard ! a. Senior Permit Technician ``''11 Community Development 13125 SW Hall Blvd Tigard, OR 97223 (503)718-2449 brand e nt©ti g and-o r.gov From: DALINE CONSTRUCTION <davedaline@comcast.net> Sent: Wednesday,June 2, 2021 7:28 AM To: Branden Taggart<brandent@tigard-or.gov> Subject: RE: Residential Plumbing Permit Submittal - 14635 SW 106th Ave. 1 .,,, .,,..,+....,::. .x,,,,..r..s.ax.xusu<xueu x::✓.,r..uuxur+.aaeraruaea.aauarrauu.r uruy,s. .. u .,..:.uaa,.eauxa u,.uuuuu a ... ,,,,. ...,.„ ,.,,. .,. .,,,.,,,,. ,. ur,e..rn ,rYar<.,r. r....rrrr .,,,.,,.x>,,,,.r,..., Thanks, Branden The meter that serves my condo is also the meter that serves 3 other units. When filling out the worksheet, should I list the fixtures of all 4 units? Thank you, Dave. Original message From: Branden Taggart<brandent@tigard-or.gov> Date: 6/1/21 5:09 PM (GMT-08:00) To: dave@daline.com Subject: Residential Plumbing Permit Submittal- 14635 SW 106th Ave. Hello David, We received your Plumbing permit submittal. However, when adding plumbing fixtures, we require that our Water Meter Fixture Unit Worksheet is completed and sent to our Utility Billing Department for approval at ubonlinepay@tigard-or.gov. Our Utility Billing Department will determine if your existing water meter is sufficient for your plumbing remodel. Please let us know if you have questions. Thank you, Branden Taggart 7° n City of Tigard ,,$t Senior Permit Technician Community Development 13125 SW Hall Blvd Tigard, OR 97223 (503)718-2449 brandent©tigard-or,gov 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