Permit (32) CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2023-00352
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 8/10/2023
Parcel: 2S112CA15000
Site address: 7850 SW LAYTON LN Jurisdiction: Tigard
Project: Brookside, Lot 10 Subdivision: BROOKSIDE SUBDIVISION
Project Description: Backflow preventer for irrigation. Lot: 10
Contractor: BRAVO LANDSCAPE MAINTENANCE
Owner: BLACKWOOD HOMES INC
1153 VANDERBECK LN, OR 97071
PO BOX 4188
TUALATIN, OR 97062
PHONE: 503-951-0208 PHONE:
FAX:
FEES
Quantity Description Date
Amount
1 ea Backflow Preventer 08/10/2023 $31.27
Specifics: 1 12%State Surcharge- 08/10/2023
$8.70
Plumbing
Type of Use: SF
41 ea Minimum Fee Adjustment- 08/10/2023 $41.23
Class of Work: OTR 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 —
�!/�3 Permittee
. �.. - Oti;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 - City of Tigard
Page 2 -Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Qty. Fee(ea) Total Square Footage: Permit Fee:
Site Utilities 0 to 2,000 $121.90
Footing drrainn- I"" 50.03 100' 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 S5,001.00 to$10,000.00 $72.50 each addoti na r the first$100 000or fr0.00action thereof,to
and$1.52 for
Other Inspections Fees
Qty. Fee(ea) Total and including$10,000.00.
Inspection of existingg 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
and including$25,000.00.
(minimumhour)
nsec chargeutsie 1/2 o mal
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
each additional$100.00 or fraction thereof,to
•
Rehours(minimum charge—2 hours) 90.00/hr and including$50,000.00.
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 fees*. Plan Review for Plumbing Installations
Quantity by Fixture Type Plan review is required for any of the following.
Replace/ Please check all that apply.
Fio Type for Capped Added Relocate ❑ Any new commercial building with water service 2"and
Worrkk Performed:
Baptistry/Font greater,except systems designed and stamped by license
d
Bath: -Tub/Shower engineer.
-Jacuzzi/Whirlpool 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 ❑ Any multipurpose fire sprinkler system.
Dishwasher: -Commercial ❑ Any complex structure as defined in OAR918-780-0040.
-Domestic
Drinking Was Fountain Submit 2 sets of plans with any of the above.
Eye Wash
Floor Drain/sink: -2" 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: -IavBar 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 plumbing permit can be issued.
Water Closet-Toilet
Urinal
Other Fixtures:
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