Loading...
Permit , CITY OF TIGARD PLUMBING PERMIT '.. COMMUNITY DEVELOPMENT Permit#: PLM2022-00152 Date Issued: 4/28/2022 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S101AA00101 Jurisdiction: Tigard Site address: 12150 SW 68TH AVE Project: Landmark Ford Used Car Building Backflow Subdivision: WEST PORTLAND HEIGHTS Lot: 9 Project Description: Installing backflow device at building required by water provider. Contractor: POWER PLUMBING CO Owner: CORLISS, JAMES L&CORA K PO BOX 19418 LEASE TO: FORD LEASING PORTLAND, OR 97280 DEVELOPMENT COMPANY PO BOX 23970 TIGARD, OR 97281 PHONE: 503-244-1900 PHONE: FAX: 503-244-8825 FEES Quantity Description Date Amount 1 ea Backflow Preventer 04/28/2022 $31.27 Specifics: 1 12%State Surcharge- 04/28/2022 $8.70 Plumbing Type of Use: COM 41 ea Minimum Fee Adjustment- 04/28/2022 $41.23 Class of Work: ADD 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: / Cd(10/ Permittee Signature: Freie_aff i 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 RECEIVED Building Fixtures APR 14 2022Received ^ FOR OFFI('►LL ► SE ONLY City of Tigard I ILLY OF I a.iAIIL Date/By: i1/)//a 2.. ( Pennit No. p a& -C�,( III ea13125 SW I tall Blvd,Tigard,O��J It ,p Plan Review r �T s Phone: 503.718.2439 Fax: SIY3. 1✓fi t'it �u� �n Date/By 4A./4 Other Permit No.: Inspection Line: 503.639.4175 t I G 1 It h Date Read}By: See Page 2 for Internet: www tigard-or.gov Noiified;Method:Y/ �. � Supplemental Information TYPE OF WORK _ Q c c ' VA-/1yEE* SCHEDULE 0 New construction 0 Demolition For special infornmsion use checklist. Description I Qty. I Ea. I Total ®Addition/alteration/replacement D Other: New 1-2-family dwellings(includes 100 ft for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 IDI-and 2-family dwelling ®Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 0 Accessory building 0 Multi-family Each additional bath/kitchen 25.02 0 Master builder ❑Other: Fire sprinkler(_sq.II) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 12150 SW 68TH AVE Catch basin or area drain 18 76 City/State/ZIP:TIGARD, OR 97223 Dry'wcll,leach line,or trench drain 18.76 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: Project name:22-574 Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no linear ft.:_1 Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.• ) Page 2 Subdivision. 1 Lot no.: Fixture or item: -- --_-------- ---- - --------- -._.. ------.-_. 'Fax map/parcel no.: Backflow preventer 1 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 LANDMARK FORD USED CAR BUILDING BACKFLOW Dishwasher _ 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 0 PROPERTY OWNER 0 TENANT Expansion tank 12.51 Name: Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: --------.--- Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 0 APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name:POWER PLUMBING CO. Medical gas(value:$ I Page 2 Primer 12.51 Contact name:JOSH CRUME Roof drain(commercial) 12.51 Address: P.O. BOX 19418 Sink/basin/lavatory 25.02 City/State/ZIP: PORTLAND, OR 97280-9418 Solar units(potable water) 62.54 Phone:( 503-244-1900 Fax: ( 503)-244-8825 -rub/shower/shower pan 12 51 E-mail.SERVICE@POWERPLUMBINGCO.COM Urinal 25.02 CONTRACTORWater closet 25.02 Water heater 37.52 Business name:POWER PLUMBING CO. ._ --_- __ - Water pipingrlWV 56.29 Address:6611 SW MULTNOMAH BLVD Other. 25 02 City/State/ZIP.PORTLAND, OR 97223 Subtotal Phone:( 503-244-1900 Fax 15031-244-8825 Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lie:52378 l Plumbing Lie no: 34 150PB c State surcharge(12%of permit fee) Authorized signature J{ & 4,u..�� OTAL PERMIT FLI: �f� d Print name:KRISTIE B�LL Dale. This permit application expires if a permit is not obtained within ISo days 4 14 2022 after it has been accepted as complete. "Fee methodology set by Tri-County Building Industry Service Board I tBuilding'Permits'PLMU-PermitApp doe IO'01,09 440-4616T(I0'02/COM,'WEB) 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 dram-I" 160' 50 03 0 to 2,000 $121.90 Footingdrain-each additional 100 37.52 2-001 to 3,600 $169.69 _ 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 $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 Other Inspections or Fees Qty. Fee(ea) Total each additional$100.00 or fraction thereof.to [� and including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 S148 50 for the first$10,00000 and$1.54 for which no fee is specifically indicated 90 n0ir each additional$100.00 or fraction thereof,to (minimum charge—1/2 hour) and including$25,000.00. Inspections outside of normal business 90(5/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 (minimum charge—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 accurately report fixtures could result in increased sewer fees*. Plan Review for Plumbin: Installations 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 Baptistry/Font ❑ Any new commercial building with water service 2"and -- greater,except systems designed and stamped by licensed Bath: -Tub/Shower engineer. -Jacuzzi/Whirlpool Car Wash -Each Stall ❑ New exterior plumbing site utilities for any complex structure as defined in OAR918-780-0040. -Drive Thru Cuspidor/Water Aspirator _ ❑ Medical gas and vacuum systems for health care facilities. Dishwasher: -Commercial ❑ Any multipurpose fire sprinkler system. -Domestic ❑ Any complex structure as defined in OAR918-780-0040. Drinking Fountain Eve Wash Submit 2 sets of plans with any of the above. Floor Drain/sink: -2" 3" Isometric or Riser Dia_ram ❑ Isometric or riser diagram is required for new buildings -Car Wash Drain Garbage Domestic non-food that meet the qualifications above. Disposal: -Domestic food related -Commercial food related -Industrial food related Ice Mach!Rcfrig Drains Comments regarding fixture work: Oil Separator(Gas Station) Rec.Vehicle Dump Station PLEASE CALL JOSH CRUME WITH QUESTIONS 503-936-5669 Shower: -Gang -Stall Sink -Lay/Bar 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 Water Extractor fees assessed for the sewer increase must be paid before the Water Closet-Toilet plumbing permit can be issued. Urinal Other Fixtures: t I:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2