Permit (2) CITY OF TIGARD MASTER PERMIT
. ' COMMUNITY DEVELOPMENT Permit#: MST2022-00110
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/11/2022
Parcel: 2S 102 BC00700
Jurisdiction: Tigard
Site address: 10115 SW WALNUT ST
Subdivision: NORTH TIGARDVILLE ADDITION,AMENDE Lot: 5
Project: Garccia
Project Description: Adding an attached storage area and additional living space to existing house. REPRINT:adding(1)
sink,(1 water closet), (1)tub shower.
BUILDING
Floor Areas Required Setbacks Required
Stories: 1 Bedrooms: 2 First: 574 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 20.5 Bathrooms: 1 Second: 0 sf Garage: 0 sf Front: 20 Smoke
Yes
Dwelling Units: 0 Third: 0 sf Right: 5 Detectors:
Total: 574 sf Value: $91,618.92 Rear: 15
PLUMBING
Sinks: 1 Water Closets: 2 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0
Lavatories: 2 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 0 SF Rain Drains: 0 Storm Sewer: 0
Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 0 Water Lines: 0 Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 0 Backwater Value: 0
Drywell-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 1 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 0
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add'l 500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 8
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0
601-1000 amp: 0 601+amp-1000v: 0
1000+amp/volt: 0
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All N
Other: N Other Description: Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ALT SF VB R-3 574
Owner: Contractor:
GARCIA,IMER VALDOVINOS OWNER Required Items and Reports(Conditions)
MARTINEZ,IVET ALVAREZ 1 Ersn Cntrl 503-639-4175
10115 SW WALNUT ST
TIGARD,OR 97223
PHONE: PHONE:
FAX:
Total Fees: $4,401.72
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
oc9-nn1-nn1 n thrnnnh AR oc9-nni neon Vyiti map nhta r}/y a rnny.nf}he rnlac nr rlirart nuActinne to hl INt'by callinn Fn3 939 11=027,, a�11�p1-419 9Rdd
Issued By: � .m fy Permittee Signature: (► V
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
Building Fixtures RECEIVED FOR OFFICE USE ONLY lr
City of Tigard ACT 1 1 2022 Received iiU \ (I PennitNo.:;Mry�-'��`,,1 ,fjG►tG
Date/By: 1 /I j'-I- f �`lir"
13125 SW Hall Blvd.,Tigard,OR 972 Plan Review
I Phone: 503.718.2439 Fax: 503.598I11,OGF TIGARD Plan Re: Other PertttitNo.:
Inspection Line: 503.639.4175 I Date Ready/By: funs: ® See Page 2 for
TIGARD '^'r "'''°!S1®. Supplemental Information
Internet: www.tigard-or.gov �U1LI1' � Notified/Method
- - TYPE OF War
' } FEE* SCHEDULE
0 Demolition For special information use checklist
0 New constructionDescription I Qty. 1 Ea. I Total
I ]Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
. SFR(1)bath 312.70
CATEGORY OF CONSTRUCTION
SFR(2)bath 437.78 a,/
❑ 1-and 2-family dwelling 0 Commercial/industrial
SFR(3)bath 500.32
❑Accessory building 0 Multi-family Each additional bath/kitchen 25.02
❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2
JOB SI ,;INFORMATION AND LO g A - Site utilities:
L l T Catch basin or area drain 18.76
Job site address: I r- 4. V 5 titi '. 61`��rl-J '1- 5 Drywell,leach line,or trench drain 18.76
City/State/ZIP: "�%eisot. d �' 4_,2- 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: I Lot no.: Fixture or item:
Backflow preventer 31.27
Tax map/parcel no.:
Backwater valve 12.51
DESCRIPTION OF WOR : i
- -,°-• ' -- -- ' Clothes washer 25.02
<Acid i A1 , ) t--.11 A 1/ c n ow C t - Dishwasher 25.02
i rn .(�(1.T •R 10 Drinking fountain 25.02
" Ejectors/sump 25.02
g i ` ° Expansion tank 12.51
PROPPRTI OWNER m.1 • u . %>
-1 „/� v Fixture/sewer cap 25.02
Name: �YyN t7� (�(� V` If � Floor drain/floor sink/hub 25.02
Address: `D`k 5 S co wl(7U` 4. 5 4_ Garbage disposal 25.02
City/State/ZIP: T I tciktal • or ,. et-4_2L_ Hose bib 25.02
Ice maker 12.51
Phone:( ) Fax ( ) Interceptor/grease trap 25.02
0 APPLICANT 0 CONTACT PERSON
Medical gas(value:$ ) Page 2
Business name: 12.51
5" rn c Primer
Contact name: Roof drain(commercial) 12.51
Address: Sink/basin/lavatory 25.02
City/State/ZIP: Solar units(potable water) 62.54
Phone:( ) Fax: ( ) Tub/shower/shower pan 12.51 1
-Urinal 25.02
E-mail: • Water closet 25.02 f
CONTRACTOR 4 Water heater 37.52
. -
r C Water i in WV 56.29
Business name: ,�'l1 t-..� I( � J-%j(�/Y, ,j I`j l� P P P�
Address: 3p Other: 25.02
City/State/ZIP: 4=4c1::: R. cf°7r3 Subtotal
Minimum permit fee: $72.50
Phone:(r�j� 8 - ( 3� Fax:( ) Plan review (25%of permit fee)
CCB Lic.: k 0 010 8
Plumbing Lic.no.: State surcharge(12%of permit fee)
Authorized signature: TOTAL PERMIT FEE / ),°"
.
This permit application expires if a permit is not obtained within ISO days
Print name: M pit( d U'(j 1 Z7, Date:j f f1 n n after it has been accepted as complete.
`I I (�6 *Fee methodology set by Tri-County Building Industry Service Board.
1-)Building\Permits\PLMU-PermitAPP.doc 10/01/09 440-4616T(10/02/COM/WEB)
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
'` ( Fee««tfiaj �rotat
:-.540,411,.F9pta FOP- Permit Fee:
Footing drain-I s`100' 50.03 0 to 2,000 $121.90
Footing drain-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 S stems:
Water Service-each additional 100' 37.52
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
c t °i s aie`rbi�^z ,; t t each additional$100.00 or fraction thereof,to
eie
t- `�ati 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
(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
�.9 �Of l t. r
accurately report fixtures could result in increased sewer fees*. P ai- 4y 6lil t ijiiii ,, ta„ t t
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•
0 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
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
Eye Wash Submit 2 sets of plans with any of the above.
Floor Drain/sink: -2"
3" Isometric or Riser Diagram
4,> 0 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: -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 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