Permit CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2022-00293
Date Issued: 8/1/2022
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1 S134CD00700
Jurisdiction: Tigard
Site address: 11825 SW KATHERINE ST
Project: Killion Subdivision: LERON HEIGHTS NO.3 Lot: 77
Project Description: Adding(2)sinks,removing(1)tub/shower,and replacing(1)water closet for remodel. WATER METER UPSIZE
REQUIRED PRIOR TO FINAL INSPECTION.
Contractor: RELIANT K PLUMBING Owner: KILLION, RANDALL L
PO BOX 17728 KILLION, JUI-MEI H
SALEM, OR 97305 11825 SW KATHERINE ST
PORTLAND, OR 97223
PHONE: 503-999-2203 PHONE:
FAX: 503-371-3706
FEES
Quantity Description Date Amount
2 ea Sink 08/01/2022 $50.04
Specifics: 1 ea Tub/Shower/Shower Pan 08/01/2022 $12.51
1 ea Water Closet 08/01/2022 $25.02
Type of Use: SF 1 12%State Surcharge- 08/01/2022 $10.51
Class of Work: ALT Plumbing
Type of Const:
Occupancy Grp:
Stories:
Total $98.08
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
Issued By: ermittee Signature:
c
Call 503.639.4175 by 7:00 a.m,for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Plumbing Permit Application
Site Utilities
City of Tigard ///'''����+' // Received
g �����
Date/By:
1 Permit No
13125 SW Hall Blvd.,Tigard,OR 972 y'
Phone: 503.718.2439 Fax: 503.598. 9 Plan Review Other Permit No.:
Inspection Line: 503.639.4175 f' Date/By:
r AUG 12022 Date Ready/By: Juris: ® See Page 2 for '
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
. r
TYPE OF WOW VTY'QF TIG S HEDULE ;
❑New construction E16019M For special information use checklist
Description I Qty. I Ea. Total
®Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
® 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78
❑Accessory buildingSFR(3)bath 500.32
❑Multi-family
Each additional bath/kitchen 25.02
❑Master builder ❑Other:
Fire sprinkler( sq.ft.) Page 2
�JQ$ SITEIN ORMATION'AND LOCATION' Site utilities:
Job site address:
W Katherine St Catch basin or area drain 18.76
Drywell,leach line,or trench drain 18.76
City/State/ZIP: Tigard OR 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 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.:_) Page 2
Storm sewer(no.linear ft.:_) Page 2
Water service(no,linear ft.:_) Page 2
Subdivision: Lot no.: Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
DSCRIPTTON OF, Wf?RZ ! Backwater valve 12.51
Clothes washer
shower, toilet, 2 sinks with Dishwasher 25.02
yV14 Drinking fountain 25.02
/ Ejectors/sump 25.02
❑;PROPERTY OWNER ❑ ,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
Q APPLICANT ❑;CONTACT PERSON Interceptor/grease trap 25.02
Business name: Reliant K Plumbing INC Medical gas(value:$ ) Paget
Primer 12.51
Contact name: Igor KOvalchuk
Roof drain(commercial) 12.51
Address: 1435 West Meadows Dr NW Sink/basin/lavatory 25.02 2
City/State/ZIP: Salem OR 97304 Solar units(potable water) 62.54
Phone:( ) 503-999-2203 Fax: :( ) Tub/shower/shower pan 12.51
E-mail: Urinal 25.02
reliant_k@comcast.net
Water closet 25.02 1
CONTRACTOR Water heater 37.52
Business name: Reliant K Plumbing INC Water piping/DWV 56 29
Address: 1435 West Meadows DR NW Other: 25.02
City/State/ZIP: Salem OR 97304 Subtotal
Phone:( ) 503-999-2203 Fax:( ) Minimum permit fee: $72.50
Plan review (25%of permit fee)
CCB Lie.: 160364 Plumb'
Lie.no.: 27_72
State surcharge(12%of permit fee)
Authorized signature: TOTAL PERMIT FEE
Print name: Igor Kovalehuk Date: 6/1/22 This permit application expires if a permit is not obtained witt s
after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
1:ABuildingAPermitsVPLMU-PermitApp.doc I0/01/09 440-4616T(10/02/C0M/WEm
Water Meter Fixture Unit Worksheet for AddWns/Remo VMV EQ
Please complete the following information: AUG 12022
Customer Name: t dL. CITY OF TIGARD
BUILDING DIVISION
Service Address: Street/Suite# 11$9-$ _ 5Wcity: 1^�.c�� State: Zi q�?L 3
Phone Number: 3 _. `t o20 5' Email: r- 1� k Ze�. (02 ke4v+n_S, . Coe-t'
Please fill in the number of each fixture you currently have. PIease fill in the number of fixtures you propose to add.
Multiply the quantity by the point value to arrive at the current Multiply the quantity by the point value to arrive at
total. the proposed total.
Fixture Unit Current Point Current Proposed Point Proposed
Quantity Value Total Addition Value Total
Bar sink x I = I x I
Bidet x 1 =
X 1 —
Clothes washer ��_ x 4 = Lj x 4 =
Dishwasher I x 1.5 = 1. x 1.5 =
Hose bib x 2.5 = x 2.5 =
Hose bib,each x 1 = _ x I -
Kitchen sink x 1.5 = �S x 1.5 =
Laundry sink p_ x 1.5 1- x 1.5 =
Lavatory x 1 = ( x 1
Water closet, 1.6 GPF L x 2.5 = 10 _ x 2.5 =
Bathtub/whirlpool _ x 4 = x 4 = w_
Shower stall �? x 2 = x 2 _
Bath/shower combo �L x 4 =$ � x 4
Current Paints: Proposed Increase: '-
3
Current Points+Proposed Increase= 3(0- 5— =New Total Points =Required Meter Size _
Meter Sizes: 1 to 30 points=5/8" 30.5 to 37 points=3/4" 37.5 and over points=1"
New Meter Size Needed for New Total Points: 3/4
Cost: $ u. � �_., ( p1)
Current Meter Size per Utility Billing: /8 Cost: $_ (see Page 1)
New Meter Size Cost minus Current Meter Size Cost= $
(This is Your Cost to Increase Meter Size Due to Additional Fixture Units)
b 1 A
FOR OFFICE USE ONLY Current mtr size should have been a 1". With a 3/4 inch meter needed
now, UB will change mtr size at no additional cost.
Current Meter Size Confirmed with U13 - 1 X11gR IP P IP P
Signature of UB Representative Date
t,/Building/Forms/WaterMemrs Q70119-1dd.dOcx Page 2
Branden Taggart
From: Jill Bentley
Sent: Wednesday,June 29, 2022 10:09 AM
To: Julie Drinkwater
Cc: Branden Taggart; Allyson Armstrong
Subject: RE: protocol for decreased points on the water meter worksheet
Attachments: 11825 SW Katherine St 062922.pdf
Hi Julie,
After reviewing the documentation, the customer should have had a one inch meter but only has a 5/8 inch meter
currently.
With the reduction in fixture units that brings it down to a 3/4 inch meter, we will change the meter to a 3/4 inch at no
cost.
Kind Regards,
Jill
(she/her/hers)
WORLU Jill
ICU
-'r City of Tigard'-Utility Billing CAN BE AVy
Senior Accounting Asst
(8M 825-7211 Payments
(503)718-2460 UB Fain
jillb@tigar -origov
(503)718-2494
13125 SW Hall Blvd,
KIL Tigard, OR 97223
From:Julie Drinkwater<JulieD@tigard-or.gov>
Sent: Wednesday,June 29, 2022 9:55 AM
To:Jill Bentley<JILLB@tigard-or.gov>
Cc: Branden Taggart<brandent@tigard-or.gov>
Subject: protocol for decreased points on the water meter worksheet
Hello Jill
Attached please find the water meter worksheet for the Killion project. Allyson found that there is actually a decrease in
points, but I was wondering if the worksheet should still be reviewed by utility billing.
Thank you
Julie Drinkwater
Permit Technician
City of Tigard I Building Department
13125 SW Hall Blvd
Tigard, OR 97223
503-718-2804
1