Permit n CITY OF TIGARD PLUMBING PERMIT
!! COMMUNITY DEVELOPMENT Permit#: PLM2021-00331
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/2/2021
Parcel: 2S 112BD02500
Jurisdiction: Tigard
Site address: 14875 SW 79TH AVE
Project: Dodds Subdivision: DURHAM ACRES Lot: 49
Project Description: 100 ft.of rain drains for(2)accessory buildings.
Contractor: ERIC'S QUALITY BUILDING INC Owner: DODDS, RICHARD P
4204 EGAN ST DOWNS, MALISSA M
GERVAIS, OR 97026 14875 SW 79TH AVE
TIGARD, OR 97224
PHONE: 503-989-5762 PHONE:
FAX:
FEES
Quantity Description Date Amount
100 If Storm Sewer 08/04/2021 $62.54
Specifics: 1 12%State Surcharge- 08/04/2021 $8.70
Plumbing
Type of Use: COM 10 ea Minimum Fee Adjustment- 08/04/2021 $9.96
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: Ho-(.l,�.j Va.v�D�W2gz Permittee Signature: Qw Apia-ILCZ1.4-1.„0-vx..
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 Annhcat
' iRECEIVED
Building Fixtures JUL 3 0 2021 i 4 IR it{ i it I ‘ii ()NI \
City of Tigard RDateiliy: 0 ::,:5 if l'ir. Permit No.: Ali?tla?I -.(0331
.g3TY OF TIGARD
, ‘ 13125 SW Hall Blvd..Tigard,OR Eloti
111% Plan Review
a Phone. 503.718.2439 Fax: 50 I 3 ,,,,
' r INC DIVISON I Art2.r 0
DairlDy: Other Permit No
Inspection Lute: 503.639.4175 Date Ready/By: RIM 1 gi See Page 2 for
1 I'';A I-) Internet: www.tigard-orgov Notified/Method: Supplemental Information
' ' t--- ''''''' ''' FEE* SCHEDULE
0 , II PE, OF WORK ' ''''''''''''' ' For special information ule checklist.
'ew construction 0 Demolition
--------- --- Description I Qty. I Ea, I Total
0 Addition/alteration replacement 0 Other: * (II-)2b-family dwellings(includes 100 ft.for each utility connection)
312.70
CATEGORY OF CONSTRUCTION ' N5117wk
SFR(2)bath 437.78
CI 1-and 2-family dwelling 0 Commercial/industrial
- SFR(3)bath 500.32
Eilk/Gessory building 0 Multi-family
.. Each additional bath/kitchen . 25.02
D Other: Fire sprinkler( • sq.ft.) Page 2
C3 Master builder
-I ------" Site utilities
- - JOHSIT F IN FORMATION AND..!..0(..:1ATIO Si
'
--- Catch basin or area drain 18.76
Job site address: irg:: /7.S.- -C.-4 U 7-- -71; Ile- Drywell,leach line,or trench drain 18.76
........---, of im
City/State/ZIP: ro 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 x 18.76
- ----- Rain drain connector . 18.76 _-
Sanitary SOW'(no.linear ft.:____,) Page 2
- Storm sewer(no.linear ft./11,) Page 2
Water service(no.linear ft.: ) Page 2
Subdivision: Lot no: Fixture or item:
_ ._...._
Backflow preventer 31.27
Tax maprparcel no.. --
. _ _
3 .DEscrup,rioN OF won.. ____Backwater valve 12.51
4 Dishwasher C : 6. ' Argrer ' S. /79P01
lik at zr7 „ a//1 4° 4 ., 1"
r Clothes washer
25.02
/
25.02 __
1- 0 4.• /6 .‘ 111 infigril. ifif
10 Drinking fountain 25.02
Ejectors/sump 25.02
--"-
0 PROPERTY OWNER 0 TENANT Fxpansion tank 12.51
Fixture/sewer cap 25.02
Name: W/cif .„,..,"j--(_//162Y.,..---,, e--
Address: /707 ....5* cbd .-----qtrkterVeile, Floor drain/floor sink/hub
Garbage disposal 25.02
City/State/ZIP: 4/149.44/707 0/e Bose bib 25.02
25.02
Phone:t ) I Fax:( 1 lee maker 12.51
CONTACT FE_R__S_ON Intereeptorigrease trap 25.02
Business name: de, i :3'.' 412 * v. Medical gas(value:$ 1 Page 2
Primer 12.51
Contact name: ,/- ?: * Z-44",
Roof drain(commercial) 12.51
Address: '7,;;;Z!, ./E--oir a,0'7 ....C11. Sink:basin/lavatory 25.02
r- -City/State/ZIP:6iei-i)40k,/s-/ 67.4' Solar units(potable water) 62.54
t".Phone:( ) Fax::( ) Tub/shower/shower pan _12.51
tt[
Urinal
CoNittAcMR
......,...__ _
-
- ----------i water closet
_-- . -- ..._- Water heater 25.02
25.02
37.52
Business name: ----
Water pipin t `V 56.29
"Address:
- fOCJZ° Other: ill° , AL; ,• 25.02
City/State/Z1P: //e7 3.07e.e.ari " "I Subtotal 1._ (e\
Phone:( 1 Fax:( ) Minimum permit fee: S72.50 ‘2,:,'",j. 56)
CCB Lie,: „2.,31 j 1 if..rsi Plumbing Lie,no.: Plan review (25%of permit fee)
Authorized signature: 1"."--- .€-.-4-- State surcharge(12%of permit fee) if", 7141
TOTAL PERMIT FEE Pi 02-0
i[Print name: This permit application expires if a permit is not obtained within ISO days Dat
after it has been accepted as complete.
*Fee mthodotoy set by Tri-County Building Industry Service Board.
MBuddlneMerrnesMLMV-PenuaApadoc I5/0IM0 44046161110/02,COMINER)
Plumbing Permit Application - City of Tigard
Page 2 -Supplemental information
Fee Schedule: Residential Fire Suppression Systems:
,
Site Utilities Qty. Lee tea) ToM1 Square Footage: Permit Fee:
Footing drain-1'100 50,03 0 to 2,0011 $121.90
2.001 to 3,600 $169.69
Footing drain-each additional 100' 37.52
3,601 to 7,200 $233.20
Sewer- 1st 100' 62.54 7,201 and greater $327.54
Sewer-each additional 100' 37.52
Water Service- 1st 100' 62.54 Medical Gas Systems:
Water Service-each additional 100' 37.52 , .
, Valuation: Permit Fee:
Storm&Rain Drain 1st 100' 62.54 6 fret
$ to$5,000.00 Minimum tee$72.50
Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for
each additional$100.00 or fraction thereof,to
Other Inspections or Fees Qty. Fee(a) Total
and including$10,000.00
Inspection of existing plumbing or for $10,001.00 to S25,000.00 $148.50 for the first$10.000(X)and$1.54 for
which no fee is specifically indicated (4).00/hi each additional$100.00 or fraction thereof,to
(minimum charge-1/2 hour) and including$25,000.00.
Inspections outside of normal business 90,00/hr $25,001.00 to$50,000,00 $379.50 for the first$25,000.00 and$1.45 for
hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to
Reinspection Fees 90,00/hr and including$50,000.00.
Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for
each additional$100.00 or fraction thereof
(minimum charge-1/2 hour)
Subtotal:
Commercial Fixture Work:
Are you capping,adding or replacing fixtures? If"yes",
please indicate work performed by fixture. Failure to
accurately report fixtures could result in increased sewer fees*. Plan Review for Plumbing Installations
quantity by Fixture Type Plan review is required for any of the following.
Fixture Type for topiary/ Please check all that apply.
Work Performed: Capped Added Relocate
El Any new commercial building with water service 2"and
Baptism rs/Font greater.except systems designed and stamped by licensed
Bath: -Tub/Sliowet engineer.
-Jacuzzi/Whirlpool 0 New exterior plumbing site utilities for any complex structure
Car Wash: -Each Stall
as defined in OAR918-780-0040.
-Drive Thru
0 Medical gas and vacuum systems for health care facilities.
(:mixidor,Water Aspirator
0 Any multipurpose fire sprinkler system.
Dishwasher: -Commercial
0 Any complex structure as defined in OAR918-780-0040.
-Domestic
Drinking Fountain
Submit 2 sets of plans with any of the above.
Fye Wash
Floor Drain/sink: -
-3- Isometric or Riser Diagram
El isometric or riser diagram is required for new buildings
-Car Wash Drain
that meet the qualifications above.
Garbage -Domestic non-food
Disposal: -Domestic food related
-Commercial food related
-Industrial food related
Ice Mach.Refrig.Drains Comments regarding fixture work:
Oil Separator(Gas Station)
Rec.Vehicle Dump Station
Shower: -Gang
-Stall
Sink: -Lav/Bar non-food related
-Bradley
-ComiServititil food related
-Service *Note: If the fixture work 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
tither Fixtures:
1:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2
Dianna Ornelas
From: #Building Permit Technicians
Sent: Monday, August 2, 2021 10:54 AM
To: Allen Baer
Subject: RE: Rain Drain/Plumbing permit app 14875 SW 79th Ave
Hello Allen,
Thank you for your application submittal.
Please allow 1-2 weeks for processing and the permit technicians will contact you when the permit is ready to issue.
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:Allen Baer<allen@ericsqualitybuilding.com>
Sent: Friday,July 30, 2021 10:23 AM
To:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Subject: Re: Rain Drain/Plumbing permit app 14875 SW 79th Ave
.a.
Warning!This message was sent from outside your organization and we are unable to verify the sender.
Hello Allyson,
Please find attached the Rain Drain permit application revised to show total lineal ft. of
storm pipe.
Hope this is what you are looking for.
Allen
On Thu,Jul 22, 2021 at 7:38 PM Allen Baer<allen@ericsqualitybuilding.com>wrote:
Please see attached for permit# MST2021-00279
Thank you!
Allen Baer
1