Permit CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT
Permit#: PLM2022-00114
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 3/24/2022
Parcel: 2S102AA02400
Jurisdiction: Tigard
Site address: 12160 SW MAIN ST
Project: Spec Space Subdivision: None Lot: None
Project Description: Interior plumbing:Adding(2)sinks and (2)water closets;Installing(1)ejector/sump,(1)water heater,and 30 ft.of
sanitary sewer.
Contractor: ROME PLUMBING INC Owner: CCC2REB
17295 SW EDY RD PO BOX 1310
SHERWOOD, OR 97140 SHERWOOD, OR 97140
PHONE: 503-625-1452 PHONE:
FAX: 503-625-1452
FEES
Quantity Description Date Amount
ea Ejectors/Sump 03/24/2022 $25.02
Specifics: 2 ea Sink 03/24/2022 $50.04
2 ea Water Closet 03/24/2022 $50.04
Type of Use: COM 1 ea Water Heater 03/24/2022 $37.52
Class of Work: ALT 1 12%State Surcharge- 03/24/2022 $19.51
Type of Const: Plumbing
Occupancy Grp:
Stories:
Total
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: e--?�� 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.
Plumbing Permit Application • ,f.'s.. _ - a ; ;�2 -
Building Fixtures FOR OFFICE USE ONLY y���
City of Tigard I' E '"`d 11 /�} Permit No.: '��:/ • yat/y/yp 0O II il
ol 13125 SW Hall Blvd.,Tigard,OR 97223eBy, '�/ I v/) t/" 'r
Phone: 503.718.2439 Fax: 503.598.1960Ian Review Al ��/
Date/By: !r Other Permit No.: ` �l a;- . /
1 I c n A D Inspection Line: 503.639.4175 MAR 8 70Z? Date Ready/By: lu s: See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Ili -*T Supplemental Information
TYPE OF WORK CITY OF TIGARU t' ..x.,e1 I. FEE* SCHEDULE
❑New construction ❑Derritik.MIDING of\IIsloN For special information use checklist
Description Qty. I Ea. I Total
14 Addition/alteration/replacement ❑Other. New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
❑ 1-and 2-family dwelling �CotnmercialIindustrial SFR(2)bath 437.78
SFR(3)bath 500.32
❑Accessory building 0 Multi-family
Each additional bath/Idtchen 25.02
❑Master builder ❑Other: Fire sprinkler(____sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 12, i(sp MOW- S r- Catch basin or area drain 18.76
City/State/ZIP: T i ,,rt Drywell,leach line,or trench drain 18.76
ski y Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: Project name: J cry c� Manufactured home utilities 50.03
Cross street/directions to job site: "` Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.:30 ) j Page 2 (rya_cif
Stonn sewer(no.linear ft.: ) Page 2
Water service(no.linear ft.:_) Page 2
Subdivision: ,2 S I g Aft or39 (k) Lot no.: Fixture or item:
Tax map/parcel no.: Y Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 25.02
A 41 i• 2- a marks . ' Dishwasher 25.02
'] rws T Zd 2--1.- t9t� 2- Drinking fountain 25.02
T Ejectors/sump l 25.02 23,Q,
❑ PROPERTY OWNER ❑ TENANT Expansion tank 12.51
Name: CCC 2... ,b Fixture/sewercap 25.02
Floor drain/floor sink/hub 25.02
Address: Po 100j, 3 D Garbage disposal 25.02
City/State/ZIP: 5 iNvertAto 0 d Hose bib 25.02
Phone:(6'o3 ) 7 i 0.- (e II) Fax:( ) Ice maker 12.51
AM. D,VNTACT PERSON Interceptor/grease trap 25.02
Business name: R,,t,ty60,J co j' LLL Medical gas(value:$_) Page 2
1 r y Primer 12.51
Contact name: gob &auxRoof drain(commercial) 12.51
Address: po goy- i Ya Sink/basin/lavatory 7 25.02 - , )h
City/State/ZIP: $game.Lock)eL o r TVA) Solar units(potable water) 62.54
Phone:(503 ) 1(0-- (sf(3 Fax::( ) Tub/shower/shower pan 12.51
E-mail:Rolf, aL7 bc.,0 f G 5d M ,Gbh Urinal 25.02
Water closet `L 25.02 co,, 011
CONTRACTOR
r) Water heater 1 37.52 �'7,)�
Business name: Kap^(� P 1 V iv ►3IN)G Water piping/DWV 56.29
Address: 1 ,2 15- G v-) 17,D/ 2e) Other: 25.02
City/State/ZIP: S'n 10o00 D 11-- c 1 It°1 O Subtotal
Phone:(503 ) g o i--quo 1 Fax:(9)3 ) CO2. -I 1 52.. Minimum permit fee: $72.50
CCB Lic.: C ( 14 Plumbing Lic.no.:f 4-L PJ Plan review (25%of permit fee)
(� State surcharge(12%of permit fee) i�1
Authorized signature: �j t� (� TOTAL PERMIT FEE 1(prd./3
Print name: t� / F_-'-Tr Date:3_g -2Z This permit application expires if a permit la not obtained within 110 days
1.2 1 �y ,, after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
I:\Building Pnaits1PLMU-PeomitApp-doc IO'O l,o9 440-4616T(10/02/COMIWEB)
Plumbing Permit Application - City of Tigard
Page 2 -Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Site Utilities Qty. Fee(ea) Total Square Footage: Permit Fee:
Footing drain-le 100' 50.03 0 to 2000 $121.90
Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69
3,601 to 7,200 $23320
Sewer-1st 100' ,3d 62.54 I,Z,59 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 $1.00 to$5,000.00 Minimum fee$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
Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to
Other Inspections or Fees and including$10,000.00.
inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for
which no fee is specifically indicated 90.00/hr 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: (,2•c'I
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 P .imhing Installation
art
Quantity by Fixture Type Plan review is required for any of the following.
Fixture Type for Replace/ Please check all that apply.
Work Performed: Capped Added Relocate ❑ 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 ❑ 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.
Cuspidor/Water Aspirator ❑ 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.
Eye Wash
Floor Drain/sink: -2"
3" Isometric or Riser Diagram
❑ 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
IceMachJRefrig.Drains Comments regarding fixture work:
Oil Separator(Gas Station)
Rec.Vehicle Dump Station
Shower: -Gang
-Stall
Sink: -1.avBar non-food related ?_
-Bradley
-Com/Serv/Util 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
Other Fixtures:
I:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2
Branden Taggart
From: Branden Taggart
Sent: Tuesday, March 8, 2022 2:34 PM
To: NW Precision Design (Darin)
Cc: rob@bcoregon.com
Subject: FW: Plumbing Permit Submittal - 12160 SW Main St.
Attachments: Received Plumbing Permit Application.pdf
Importance: High
Hi Darin,
Mark VanDomelen, our Building Official, followed up with me regarding the Plumbing Permit Application we received
this morning for the interior plumbing work taking place at 12160 SW Main Street—associated with Building permit
BUP2022-00012. The incomplete application was submitted by Barton Construction for Rome Plumbing this morning,
and we just received the newly revised application with a signature. It sounds as if my previous email was
misinterpreted. Please see my email below to Rob Barton. Have a good day.
Thank you,
Branden Taggart
■ City of Tigard
Senior Permit Technician
Community Development
T1 t;.A 1W
13125 SW Hall Blvd
Tigard,OR 97223
(5031718-2449
brandent@tigard-or.gov
From:#Building Permit Technicians
Sent:Tuesday, March 8, 2022 1:03 PM
To: rob@bcoregon.com
Subject: Plumbing Permit Submittal- 12160 SW Main St.
Importance: High
Hello Rob,
We received the Plumbing Permit Application attached above today. However,we are missing a completed "Description
of Work" section along with a signature on the application. Since this application is incomplete,we will not be keeping
it. Like before,you may deliver the revised application to our drop box between the hours of 8:00 a.m. and 5:00 p.m.,
Monday through Thursday. We are closed on Fridays. Also,you are welcome to submit the application by email if you
can scan it. We will place the application in our queue for processing after it is deemed complete. Please note that our
processing timeline for over-the-counter permits is 1-3 weeks, but we are currently running about(3)weeks due to our
workload.
Thank you,
1