Permit (3) IIIII
CITY OF TIGARD PLUMBING PERMIT
a COMMUNITY DEVELOPMENT Permit#: PLM2023-00195
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503,718.2439 Date Issued: 6/22/2023
Parcel: 2S 113B000300
Jurisdiction: Tigard
Site address: 8040 SW DURHAM RD
Project: Creekside Community High School Subdivision: None Lot: None
Project Description: Add(1)backflow preventer and(1)hose bib.
Contractor: ALLIANT SYSTEMS LLC Owner: TIGARD-TUALATIN SCHOOL DISTRICT NO. 23J
351 NW 12TH AVE 6960 SW SANDBURG ST
PORTLAND, OR 97209 TIGARD, OR 97223
PHONE: 503-619-4000 PHONE:
FAX: 503-230-9238
FEES
Quantity Description Date Amount
1 ea Backflow Preventer 05/26/2023 $31.27
Specifics: 1 ea Hose Bib 05/26/2023 $25.02
1 12% State Surcharge- 05/26/2023 $8.70
Type of Use: COM Plumbing
Class of Work: NEW 1 ea Water Piping/DWV 05/26/2023 $56.29
Type of Const: 0 12%State Surcharge- 05/26/2023 $6.75
Occupancy Grp: Plumbing
Stories:
Total $128.03
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 e 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set fo h OAR 952- 01-0010 through OAR 952-001-0090. You may obtain a copy of the rules
Issued By: P re mittee 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 - City of Tigard
'age 2 -Supplemental Information
Fee chedule: Residential Fire Suppression Systems:
$9ki, * , �[ ,"AT ° Square Footage: Permit Fee:
kk5 0'� � '4:4-' 55 K 5',1 .,P,rs'" ''''rc 5':4**''ig n. 4 k k?
0 to 2,000 $121.90
50.03
Footing dra,. -1"100' 2,001 to 3,600 $169.69
Footing drain- ach additional 100' 37.52 3,601 to 7,200 $233.20
Sewer-1st 100' 62.54 7,201 and greater $327.54
Sewer-each additio :1 100' 37.52
Water Service-1st 101 62.54 Medical Gas Systems:
Water Service-each addit mal 100' 37.52 Valuation: Permit Fee:
Storm&Rain Drain-1st 101 62.54 $1.00 to$5,000.00 Minimum fee$72.50
Storm&Rain Drain-each addit.nal 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 es 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.
$50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for
Additional plan review for revisions 90.00/hr each additional$100.00 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 fe•.*. Plan Review for Plumbing Installations
Quantity by Fixture Type Plan review is required for any of the following.
Fixture Type for Repine/ Please check all that apply.
Work Performed: Capped Added Reieeate 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 • New exterior plumbing site utilities for any complex structure
Car Wash: -Each Stall . defined in OAR918-780-0040.
-Drive Thor 0 .1 ical gas and vacuum systems for health care facilities.
Cuspidor/Water Aspirator ❑ Any .,ultipurpose fire sprinkler system.
Dishwasher: -Commercial in Any c., plex structure as defined in OAR918-780-0040.
-Domestic
Drinking Fountain Sub 't 2 sets of plans with any of the above.
Eye Wash
Floor Drain/sink: -2"
3,. Iso 1 •tric or Riser Diagram
a" ❑ Isometric or rise I iagram is required for new buildings
-Car Wash Drain that meet the quali ations above.
Garbage -Domestic non-food
Disposal: -Domestic food related
-Commercial food related
-Industrial food related Comments regarding fixt.re work:
Ice MachiRefrig.Drains
Oil Separator(Gas Station)
Rec.Vehicle Dump Station
Shower: -Gang
-Stall
Sink: -LavBar non-food related
-Bradley
-Com/Serv/Util food related
-Service *Note: If the fixture work under this permit •suits in an
Swimming Pool Filter increase of sewer EDUs,a sewer permit will be • ued and
Washer-Clothes fees assessed for the sewer increase must be paid i fore the
Water Extractor plumbing permit can be issued.
Water Closet-Toilet
Urinal
Other Fixtures:
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