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Permit
r.w. ..uue..as., rrunn,.,. .'-'-r,.r.,r+rvw w.xs...".,.xw.u:.uo-�sm;.ewur...�.aurr uiu,. .,. a••..,r.:,..., a rcau..,, .. ..._, ,,,n .x,��,.ad�rtr«wrr uswt+sussnu,re�..Fuisr.+xussaa.«n. s ue>,xf4u�s .u.t. n CITY OF TIGARD PLUMBING PERMIT III : COMMUNITY DEVELOPMENT Permit#: PLM2021-00430 Date Issued: 11/2/2021 TIGARD 13125 SW Hall Blvd,Tigard OR 97223 503.718.2439 Parcel: 2S1110600101 Jurisdiction: Tigard Site address: 10250 SW MURDOCK ST Project: IRVING Subdivision: None Lot: None Project Description: 120 ft.of sanitary sewer to connect an existing dwelling to sewer. Contractor: BLACK ROCK UNDERGROUND LLC Owner: IRVING, JAMES A& KAREN D 267 NE 34TH PLACE 10250 SW MURDOCK ST HILLSBORO,OR 97124 TIGARD,OR 97224 PHONE: 503-747-9312 PHONE: FAX: 503-214-5886 FEES Quantity Description Date Amount 120 If Sanitary Sewer 11/01/2021 $100.06 Specifics: 1 12%State Surcharge- 11/01/2021 $12.01 Plumbing Type of Use: COM Class of Work: ALT Type of Const: Occupancy Grp: Stories: Total $112.07 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: FicrU,y Va-vw Pe,Wege Permittee Signature: 0, ,Ator,Lizeulicr-frt 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. RECEIVED l'iurnhint; Permit Application 202 Building Fixtures OCTminimin. .. Citti of Tigard CITY OF TIGARD �M Nano!�,, ��,.,� ,_ III • 11125 SW plait ltivd..T;gard• G DIVISION Plan nesse t4)/`�/,�� ( ._. Phone: 30171 k,243) fax 5 1>sieNty: ( / t>rh:,Kiwi Yu. 7 I t,A tt I) hispNction Line: 503.6.19.4175 Dace Reads it): �/// - 0 ter P ke 2 f r html:. c wk•x.tigard.or'.gos hourrcsrtrIrlikrl.iQ//9 f f77--. 'V/� Suypknrrelal Inrarmanen TYPE OE 'WORK FEE' SCHEDULE Nett tonsil uc:pion ❑Danahtitm for veils/information,rue clrttkilist f)cscnption ] (11y l Fa. 1 Total Add;tlor,uht:ra1utrlrcllluctmcni ❑()Ihcr r'i 1-2-famllsduelling%i includes t0011.(or eitch utility connection) CATEGORY OF CONSTRUCTION SIR 01 bath 312.70 gi I-and 2-tinnily dwelling 0('ouimertial'industrial SFR(2)badt 417.78 SFR13)bath -_ _- ____ - 500.32 ❑Accessory building Q Multi-family - -- Loch additional bath'kitchen 25 02 ©Master builder 0 Other: "" Mire spnnkleri�sq.III Page 2 JOB SITE (NFORAL\TION AND LOCATION Site utilities: r 31.14,;.itc addreSs: C }e 1 ,y,, Catch basin or area drain IS 6 �..� 5�...._.__`�W L 3U '!_Q�- .�_l_.-._------- Drywall.belch line,or trench drain I R.76 C'IQ+State'ZIP: "�\ l.% Footing drain(no.linear ft.:_t ;r Page 2 Suileibldg.up no,: 1'' ex:i b ste a : • yvi�C/'� Mauufaaiurctl home tallow. 50 0; Cross street directions to job silt. ✓ Manhole 1 A.7h --- Rion drain connector 1 B..76 Sanitary sera(no.linear It.:1ap 1 J Page 2 /(.10,ap Storni scwcr(no,linear ft:_I Page 2 Wale:sets,Let(nt, ;incur It.: ) 1'agc 2 Subdivision. Lot nu.; _ Future or teem: 'Fox tnaptparccl no.: q>t\ir`ccdt ett'STtt C W o. }a v%Nltl(: Back floss pro olio. 11.27 D ]DEKC'R1PI ION 1)H %%ORA 'rTM S(,W� 13aekrvntcr solve 12 51 ,1 we L 0\, c 1, rnSko: A Clothes hastier 25.02 1 � �-W �?wV1�A'� Dishtta5lw:r 25.02 __...SCAR" W' t\\ •Cay�n._.!f.i.Ow\it i0 Xs,\\` thinking fountain 25.02 rcJ{ s �>P a C L D p f A pt_f E;cctotx sump ____ 25.02 0 PROPERTY' OWNER v f t 0 TENANT Forma%itxr tank 12.51 `Y Narin: / fixtures.cvcttap 25.02 6/ v��c/C•�1 /I/% '� }1rn+r dairy Door r,ink/htih 25,02 Address: -- f3artvagc dispoQI 1 25.02 ('ity:Stu1r'tIP: Huse bib 25.02 Phone I 1 E.1%.t 1 Icc maker 12.51 Inttrca ltnf wsc nap 25.02 a APPLICANT Q CONTACT PERSON p 1p' 1 Bost c,v name: Medical ga;(value S 1 Page 2 Primer 12.51 Contact name: - -- Root drain lconunen:tat 1 12 51 \iktres : Sink.ba_vimlasni ry 25.02 C'it 'State'ZIP: Solar unit. potable wurer b2,5-I , Phone:( 1 Fax::( ) Tuh/shovel slnivrcr pan 12.51 `_ t'rival 25.02 E•rnA;1• .1YAio� Lee+[OG IYAAG 1 loon d GOly, u"arcr closet 25.02 CONTRACTOR Water heater 17.52 Business name Vt'ti(,. 1 �0-c l" V/\tAg `1r 4 Lc_ Y,AIM pipin);'I)WV - Sf Address: �-] i�� \ t cJ f)t et'. 'i.11? �) ) (;tylStatr'71P j\�., or Q oil. on 1'�� Subtotal tOi • (A Phone:t tA ) /41.Qaa► Fax:( I Minimum permit Io S72.50 "- - 111 Plan eel ten' (25"i,orperniit l"ce) (.'CII 1 ie. I 1 Piur»bin}lie.no,: p I(� 5 ------._____.---�_- ---- _-_--- _r- Siatc Mrrchatgc I In.of permit fcc) /,j 01 Authpriicd signature: ' 7OlAt.FERMI! 1LL/41 st)? ' efiy...._Print name: 'pre W rn[_v e,{`A -1 Date: 10 t 1 11 Ellis pvrmlt appikallua etpl rs It a in frith 6nut idgidaevl aphis tau Beta J slier It had bete rcerpted ON tumphdr. 'tali mettwdo1,)net by iti-Cuw,ly itu4Liinu tn,k,any Setvxa Iavoid 1 i.n.d,on Poin.:V1.M6-14.' iApp,kw Ire 0100 4M'-4 141114'Lc'o.j ar,i1 it Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information ' Fee Schedule: Residential Fire Suppression Systems: Site Utilities toy. Fee teat Total Square Footage: Permit Fee: Footing Mum•1"low 51101 0 to 2,000 S121 y0 Ftoatingdrain-cachaddd ionit IOW ),52 '_,Intl la 1,600 5169,69 3,60t to 7,2011 S233.20 xs Sctiar-Ih1 141(' t 1?,t , � , 'Ot and 5regreatergreater $327 c4 t Sever-each additional 100' I !'`2 3-7-sit kv.i.s r,i,t:-1st I otr 62.54 Medical Gas Systems: __ _ Water 5.rvicc-each additions: I nil' W 37.5. Valuation: J Permit Fee: Shorn&Rain(train•1st 1041' 62.54 $1.00 to 55,000,00 Memento,tc,572.5(l Sionn ekc Rain Iran-each adohuonal 100' 37.52 S5,001.(Xi to S 10,000,00 S72.50 for the tint S5,(NKl.tt/t and SI.52 for Qty. Fee teal Total each additional S100.00 or fraction thereof.to Other intipections or Fees andincludinbS10,000.00. Inspection of existtrog plumbing;or for 510,001.100 to S25.00(L0f0 SI411.50 for Ihr first S{0.000_00 and S 154 for which no fee is specifically indicated 90.000ar each additional S100.00or fraction thereof,to (minimum charge—1'2 howl and including S25,100,00. Inspertiana outside rof normal husinexs 90.00 hr $25.00(.00 to S50,000 00 ,379.50 for the first$25.000.00 and$1.45 for hours f minimum charge-•2 hour,) each additional S 100,011 or fraction thereof,to IteinWcctton ices 40.00°hr and including S50.000110. Athltuna+l plan n+iesx fix rcxis+ortts Ml Otl l.r $511,00I.00 and up $742.01)for the first$50.000.00 and Si'20 far each additional 5100.00 or fraction thereof, 1 nunimurn charge—I'2 hour) Solgatali /dd al Commercial Fixture Work: .%re you capping-adding or replacing fixtures? If"yes", please indicate Mork perforated by fixture. Failure to accurately report fixtures could result in increased sewer fees*. Plan Review for Plumbing Installations I Quantify In Fixture 1 ype Plan review is tcyuiresl our.ins oI the firliuuing. Fixture Type for !trotter-, Please check all thus apply. Work Performed: r spired shard R.k eatr 0 Any new commercial building with water service 2"and noptiatry'1'o:r.t greater.cxsrpt systems designsd and stamped by licensed Oath: .Iub'Shower , engineer, JacuuiiWhirtpool 0 New exterior plumbing site utilities for any complex structure Cat Wash: -Each Stall as defined in OAR918.7h0•0 -10, -Drive Thou (,'upidor,�Warcr Aspirator ❑ Medical gas and vacuum systems for health care facilities. Dishwasher -Commercial inl 0 Any multipurpose fire sprinkler system. 0 Any complex structure as defined in OAR41li-780-004 Drnnestie 0.Drinking Fountain Lye Wash Submit j sets of pions with any of the,,hove. floor fkain.'sink: 2" __ -:'• Isometric:or Riser Diagram ❑ isometric or riser diagram is required for new buildings -Car Wash Drain Crartrage -l)o nestic non-foil that meet the qualifications above, Disposal: -Uumcstie food related Commercial loud related industrial Mod related Ice tstreWRcfric Drisinii Comments regarding fixture work: , oil Separator Kiss Station) , Rec.Vehicle'dump Station , ShaTarr: -bang -Stall Sink: •Late liar nun-food related Itradle, -Crxn7iers11.1u1 hood related •krxice *Note: lithe fixture work under this permit results in an Swimming Pool Fehcr Increase of sewer F:DI1s,a sewer permit still be issued and «asnoY'Clotho - fees assessed for the sewer increase must be paid before the Water p.xtra,:tar tl;arr Closet•I ilc: plumbing permit can be issued. Urinal .. ()thee Fixture. 4 l:\Eiuilding'1'crntits'•,P1.'ll i'.rm:tApp.doc 08'04r.f01) I A Branden Taggart From: Branden Taggart Sent: Wednesday, October 20, 2021 8:46 AM To: 'Black Rock Underground, LLC' Subject: Sewer Connection Permits for James & Karen Irving: PLM2021-00430 & SWR2021-00270 - 10250 SW Murdock St. Attachments: Plumbing Permit Invoice.pdf; Sewer Permit Invoice.pdf Hello Drew, The Plumbing and Sewer permits for James and Karen Irving, located at 10250 SW Murdock Street, are ready to issue now. I have attached invoices above for you to reference, and the fees due are as follows: 10250 SW Murdock St. Permit# Fees Due PLM2021-00430 $ 112.07 SWR2021-00270 $ 6,120.00 Total: $ 6,232.07 The above fees can be paid online now through our website: https://aca.accela.com/TIGARD/Default.aspx. From there, click on the Building tab, enter the permit numbers in the Record Number field, and click Search. Once paid, please notify us at tigardbuildingpermits@tigard-or.gov, and we will email the permit paperwork to you. Furthermore,the permit fees for both permits will need to be paid before we can issue either of them. Please let us know if you have questions. Thank you, Branden Taggart 711 w City of Tigard Senior Permit Technician M Community Development 13125 SW Hall'Blvd Tigard, OR 97223 (503)718-2449 brandentitigard-or,gov 1