Permit CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2021-00374
Date Issued: 9/2/2021
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S110AD90019
Jurisdiction: Tigard
Site address: 14864 SW 109TH AVE
Project: Smith Subdivision: CANTERBURY WOODS CONDO Lot: 19
Project Description: Replace existing tub/shower with shower pan and surround panels.
Contractor: MLP PLUMBING COMPANY Owner: SMITH, CHRISTIAN I& EMILY M
4505 SW 194TH CT 11635 SW FAIRVIEW LN
ALOHA, OR 97007 TIGARD, OR 97223
PHONE: 503-686-4915 PHONE:
FAX: 503-641-2407
FEES
Quantity Description Date Amount
ea Tub/Shower/Shower Pan 09/02/2021 $12.51
Specifics: 1 12%State Surcharge- 09/02/2021 $8.70
Plumbing
Type of Use: MF
60 ea Minimum Fee Adjustment- 09/02/2021 $59.99
Class of Work: ALT 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
Issued By: n „ Permittee Signature: e747PL
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.
DECEIVE
Plumbing Permit Application AUG 3 1 Z021 ,,. 6-8 S1 21
Building Fixtures CITY OF TIGARD
City of Tigard 'I 1ILDING DIVISION mien,„RerAved 7/I/ z/ 4) !) Permit Nwii„ ii 2 c+ 1 ly
`I�1 13125 SW Hall Blvd.,Tigard,OR 97223 pW RavieN
Phone: $03.718.2439 Fax: 503.598.1960 DYdpy Othcr Penal(Na:
i`r t Inspection Line: 503.639.4175 Owe R /gy .el 7, ° ®See Page 2 roe.
Internet: www.tigard-or.gov Notified/A4erhod I. 'L7 '.t i .. ,tallaformation
❑New construction ❑Demolition tr7`1 . 7— 7 tv,_i--t speda77nfornwdon nseehecMLt
�/ Description -• I Qty. I Ea. .I Total
12J Addition/altcration/rcplacernent ❑Other: New 1-2-family-dweltinga(includes 100 ft for each utility connection)
SFR(1)bath 312.70
❑ 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath' - 437.78
-SFR(3)b81h. �50032
❑Accessory building Multi-family peen adilidgita)beth/Wtcllbn' ` 25 92
❑Master builder ❑Other.
Fire sprinkler( .sq.R) . I I Pa842
_ itiit ny I! 7IO1 t ),<„i.t:i ielt • .m L i! Ut91J,�� 'Site utilities: . -
Job site address: - ZI/ lie J f Oti 4 Catch basin or aka'drain - 18.76
Dryvxtl,leach line,or trench drain 18.76
City/State/ZIP: d az 224- Footing drain(no.linear ft.:_ Page 2
Suite/bldg./apt.no.: Project name: it I) ,().j�/"trtityri Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no_linear R:_) Page 2
Stoim;<eovef.(iip huieai5ti ' .. ' ::'Page ' • ' .
1 Waterseivice(no.7inesiR:' .• I' ' ' Paget i
Subdivision: .�3/r [Sl� Lot no.: Fixture or item:
Tax map/parcel no,: Backflowpreventer 31.27
ml-�;`I� it.ah traial ' '!a)a ; ". ) ", Baoktvalervalve 12.51
* 1 Clothes washer . . . 25.02
/.... L l, t<,,''('r riir' _ e7 r--IL_ C-'/ 77/ Dshwasher 25.02
:)/ G Z,. e.::7L /fJ/v / .;i7 . t:. G_ .JCt/.''le A 1' Drinkingfountain25.02
Ejectori/somp;:.;' .:' 25.02
c -1 <t 1.4a))cf,)+ qI-ii.tiy s - ;;; „ . a1 1 :10 iv-tt ,.'=.cys .. Expansion tank' 12.51
:� i Fixture/sewer cap t
Name: Iii eft /� ((,�
• + 13 ( tn-di . )s - " Floor drain/floor sink/hub ' 25.02
Address: '4g'/ 5 4 f f�I'7f/ i Garbage '.v � V� tr
City/State/ZIP:—17-i4citif j j2 4 77 Hose bib 25 t
Phone:( air) j ' . " - Fax:( ° Ice maker_
J..i,_ I. .')i . ( .v;ti n, 1I • fi�i c{iiktr.rc!r 1JltC.liN."''••,' lnterceptod&eaSC traP '. t
Business name: . - �t•,.7 / .52,7 3,-Ach4A L.� Medical gas(value;$_) '
age 2
L"(/ `-r,/"l .iel Primer ( .
Contact name: / Roof drain(commercial)
Address: D ,I,....1 (i 4 Sink/basin/lavatory t
City/State/ZIP• 4-/a,,.)�/ ip f Solar units(potable water)
Phone: ) j7 _ f a/ Fax::p -61 0 Tub/shower/shower pan rq,51
E-mail: ( / t';44 � v /kl Urinal r
s,y..
Water closet r
.'(d �r,;�r.. _ ... .*- v`'�2" 5�.. Water heater" ..
37,52
Business name: Lp` L, . / Water piping/DWV 56.29
Address:446 Sryj I q Lpoi0. Other: 25.02
City/State/ZIP: 012.4.19/2-, Cy 7lf72 Subtotal y29
Phone:( ) Fax ( ) Minimum permit fee: $72,50
4315
�n •r�� . Plan review (25%of permit fee) .1•2_
CCB Lie.: PlumbingLic.no.: I r')4
State surcharge(12%of permit fee) •e n
Authorized sign. ! Q - .. TOTAL PERMIT FEE
Print name: 7f�.1 ', A `f'�/'�/ Date: D , )2.1 Tu Pa°..,„ppGeatieo expires St a permit o not obtained.within l drys
/ _ 'after it has been accepted as tom Iete..
i`J •Fee methodology set by Tri-County Building Industry Service Board.
t:)eaadinsTennneP U•rermAApp.do 10ro1ro9 49a.4616T(IO/O2JCOMM'EB)
r. -v
Plumbing Permit Application - City of Tigard
Page 2 -Supplemental Information
Fee Schedule: Residential Fire Su, 'ression S stems:
tF a'{{ Sul tl r. it eiAr t'' 07.R-77,lrl^i.-,t ,.__ a �,:i;il. ( 'j:i''ii ft .::}. -,
Footing drain-I*100' 50.03 0to2000 •- ' $121.90 -
Footing drain-each additional 100' 37.52 2,00I to 3 bDD S 169.69
_ 3,601 to 7 00 $233.20 '
Sewer-1st 100' 62.54 7,201 and r r' . -$327.54 , . . _
Sewer-each additional 100' 37.52
Water Service- 1st 100' 62,54
Medical Gas S "stems '
Water Service-each additional 100' 37.52 i
Storm&Ram Drain-1st 100' 54 62 - _
S 100 to$S 000.00 Mmimtrm fee S72.SD
Storm&Rain Drain each additional 100' 37.52 $5,001.00 to$10,000 00 $72 30 for the first$5,000 00 and S 1.52 for
. ;each additional$100.00 or fraction thereof,to
Il2,1ijiI , 1,11:0.-,rftl(llif ii I, j.., 'J,;_ 1; 7 ".t`l:..l;;r_'' l:if 1
�._..�_ _,] 'and iiiclndin_S1o000.00.
Inspection of existing plumbing or for ■ ■ $10,001.00 to S25,000.00 $148:50 for the first$10,000.00 and S1.54 for
which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to
minimum char e-1/2 hour • and uicludin:525 000.00. • -
Inspections outside of normal business _ 90.00/hr _ S25,001 00 to$5D,000 00. $379 50 for the first$25,000 00 and$1.45 for
hours minimum char. -2 hours ',,. 'each edditiorjal S 100.00 or fractioit1ltereof,to
Reinspection Fees _ 90.00/hr _ • and'rricliidin_S50 000.00.
Additional plan review for revisions _ 90.00/hr _ $50,001.00 and up $742.00 for the first$50,000.00 and$120 for
minimum char le-1/2 hour each additional$100.00 or fraction thereof. •
Subtotal: •
Commercial Fixture Work: ..
Are you capping,adding or replacing fixtures? If"yes",
please indicate work performed by fixture. Failure to ••- 1
accuratel re r ort fixtures could result in increased sewer fees* . 'I tI .� r t ;"l I.i i„u t l ii= I l:,"i°l't
Plan review is required for any of the following. '
iaA< tl t t 1'a, 'kt Please check all that apply .
t?a
,, a ;txt r *`�`<' :,..Jw'`. -.Et -tL "til " 0 Any new commercial building with water service 2"and
Baptistry/Font greater,except systems designed and stamped by licensed
Bath: -Tub/Shower engineer.
-Jacuzzi/Whirlpool
Car Wash: -Each Stall 0 New exterior plumbing Site utilities for any complex structure
Drive Taroas define-in OAR91&780-0040. . . . .. _. .
Cuspidor/Water Aspirator 0 Medical gas and vacuum systems for healthcare facilities.
Dishwasher: -Commercial ❑ Any multipurpose'fire'sprinkler system.
❑ Any complex structure as defined in OAR918-780-0040.
Domestic
Drinking Fountain
Eye Wash Submit 2 sets of plans with any of the above.
Floor Drain/sink: -2"
Pal' • .`AkrrJiii..4g1r t Psi: 1 fl __ cii' _.._Li
4" • Isometric or riser diagram is required for new buildings
-Car Wash Drain that meet the i ualifications above. .
Garbage -Domestic non-food
Disposal: -Domestic food related ..
-Commercial food related '
-Industrial food related
Ice MachiRefrig.Drains CommentsA, - irpeg dig!/fixture work:
Oil Separator(Gas Station) t)1!,r vK • x A.i(
Rec.Vehicle Dump Station � /�-��
Shower -Gang t Ltd Y- 'a`yrJk2t 01 1
-Stall / ' �p r
Sink: -lav/Bar non-food related 2`/ Sf/j,;/w DJ," ( )- -4'-
-Bradley /
-Com/Serv/Util food related Pl'S .
-Service *Note: Jthe fixture-wo under this permit results in an
Swimming Pool Filter increase of sewer EDUs,a sewer permit will be issued and
Washer-Clothes fees assessed for the sewer increase must be paid before the
Water Extractor
Water Closet-Toilet plumbing permit can be issued.
Urinal
Other Fixtures:
1,1Ruildine\Permits1PLMF PermitAnn.doc 08/04/2011 9
Tina Escalera
From: Janette Chumley <jchumley@probuildor.com>
Sent: Tuesday, August 31, 2021 12:55 PM
To: #Building Permit Technicians
Subject: RE: Plumbing Permit Application
Follow Up Flag: Follow up
Flag Status: Completed
Categories: Tina
LWarning!This message was sent from outside your organization and we are unable to verify the sender.
They had a tub and panels surround. We are putting in one of the home depot shower pans with the panel surrounds.
They want a shower vs a tub.
Janette Chumley
�� Project Manager
PROBuild Project
503-734-4141
CONTRACTORS jchumlevCo.probuildor.com
OR CCB#207772 Your review matters. Share your PROBuild experience:
WA LIC#PROBUCL842J1 Google I Yelp 1 Facebook 1 Website
Office 503.206.7939
Fax 503.764.9390
From: #Building Permit Technicians [mailto:TigardBuildingPermits@ tioard-or.gov]
Sent: Tuesday, August 31, 2021 12:42 PM
To: Janette Chumley
Subject: RE: Plumbing Permit Application
Hi Janette,
We will do our best to accommodate this request. In regards to this application my supervisor is asking if the
shower unit will be new or existing? For future applications this information would be helpful on the front page
under the `description of work' section.
Thank you,
Tina Escalera
Permit Tech Assistant
City of Tigard I Community Development
13125 SW Hall Blvd.Tigard, OR 97223
From:Janette Chumley<jchumlev@probuildor.com>
Sent: Tuesday, August 31, 2021 12:05 PM
1
To:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Subject: RE: Plumbing Permit Application
Thank you. It's the same application,just one condo below the last one.Thank you so much. If there is any way to
expidite this, it would be greatly appreciated, the customer lost her sight suddenly and had to have emergency surgery
so we are trying to get her bathroom done before she comes home.Thank you so much for your compassion on this
one.
Blessings,
Janette
Janette Chumley
fRoBuild Project Manager
Direct 503-734-4141
CONTRACTORS LT= jchumlevOprobuildor.com
OR CCB#207772 Your review matters. Share your PROBuild experience:
WA LIC#PROBUCL842J1 Gooale Yelp I Facebook I Website
Office 503.206.7939
Fax 503.764.9390
From: #Building Permit Technicians [mailto:TioardBuildingPermits@tigard-or.gov]
Sent: Tuesday, August 31, 2021 11:49 AM
To: Janette Chumley
Subject: RE: Plumbing Permit Application
Hi Janette,
You have submitting the application correctly, thank you.
This submittal has met the requirements needed to begin review. We will contact you for payment,if applicable, or
when the permit is ready to issue.
Thank you,
Tina Escalera
Permit Tech Assistant
City of Tigard I Community Development
13125 SW Hall Blvd.Tigard,OR 97223
From:Janette Chumley<Ichumlev@probuildor.com>
Sent:Tuesday,August 31, 2021 11:25 AM
To: #Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Subject: Plumbing Permit Application
Is this where I submit a plumbing permit application?
2
Janette Chumley
fR011uild Project Manager
Direct 503-734-4141
CONTRACTORS atfi= jchumlevOprobuildor.com
OR CCB#207772 Your review matters. Share your PROBuild experience:
WA LIC#PROBUCL842J1 Google I Yelp I Facebook I Website
Office 503.206.7939
Fax 503.764.9390
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."
3