Permit (4) CITY OF TIGARD PLUMBING PERMIT
s COMMUNITY DEVELOPMENT Permit#: PLM2023-00369
T I G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 8/22/2023
Parcel: 1 S135DCO2000
Jurisdiction: Tigard
Site address: 11865 SW 91ST AVE
Project: Greenburg Oaks Apartments Subdivision: None
Lot: None
Project Description: Replacement of(4)hose bibs.
Contractor: CALIBER PLUMBING&MECHANICAL INC Owner: VILLA LA PAZ LIMITED PARTNERSHIP
2615 NW ST HELENS RD BY COMMUNITY PARTNERS FOR
PORTLAND, OR 97210 AFFORDABLE HOUSING INC
PO BOX 23206
TIGARD, OR 97281
PHONE: 971-563-1672 PHONE:
FAX:
FEES
Quantity Description Date Amount
4 ea Hose Bib 08/21/2023 $100.08
Specifics: 1 12%State Surcharge- 08/21/2023 $12.01
Plumbing
Type of Use: MF
Class of Work: OTR
Type of Const:
Occupancy Grp:
Stories:
Total $112.09
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: Permittee Signature:
" Sep 0pplicatt6n.
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 - City of Tigard
Page 2 -Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Site Utilities Qty. Fee(ea) Total Square Footage: Permit Fee:
50.03 0 to 2,000 $121.90
Footing drain-l Y 100' 2,001 to 3,600 $169.69
Footing drain-each additional 100' 37.52 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 $72each adf for
$100.00 or fra first$5,000.00 ction thereof,to
d$1.52 for
Other Inspections or Fees Qty. Fee(ea) Total 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 each$379.50ad for
thenal$100.00 first
$25,000.00
25,000.Dian thereo and$1.45 f,or
o
hours(minimumF charge-2 hours) and including$50,000.00.
Additional
Reinspection Fees 90.00/hr $742.00 for the first S50,000.00 and$1.20 for
90.00/hr $SO,OD L00 and up
Additional plan review for revisionseach additional$I00.00 or fraction thereof.
(minimum charge-1/2 hour)
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 Plumbing Installations
Quanti 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/Whirl.00l -- 0 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 El Any multipurpose fire sprinkler system.
Dishwasher: -Commercial ❑ Any complex structure as_defrned 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
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 Comments regarding fixture work:
Ice Mach./Refrig.Drains
Oil Separator(Gas Station)
Rec.Vehicle Dump Station
Shower: -Gang
-Stall
Sink: -LavBar non-food related
-Bradley ---
-S til 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 I= fees assessed for the sewer increase must be paid before the
Water Extractor
Water Closet-Toilet plumbing permit can be issued.
.
Urinaler
Other Fixtures:
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