Loading...
Permit (33) CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT Permit#: PLM2023-00353 TIGARD13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 8/10/2023 Parcel: 2S112CA14600 Site address: 7764 SW LAYTON LN Jurisdiction: Tigard Project: Brookside, Lot 6 Subdivision: BROOKSIDE SUBDIVISION Project Description: Backflow preventer for irrigation. Lot: 6 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 Specifics: $31.27 1 12%State Surcharge- 08/10/2023 $8.70 Type of Use: SF Plumbing 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 By: ' � �' Permittee 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 Building Fixtures RECEIV ■ FOR OFFICE USE ONLY City of Tigard -eived ell 1111 13125 SW Hall Blvd.,Tigard,OR 97223 q Date/By: g/ dt)-3 Permit No.: n/,M Jbas3 • Phone: 503.718.2439 Fax: 503.598.1960 A U U I U 2U2; Plan Rev ew / Y /� Inspection Line: 503.639.4175 Date By: Other Permit No./nSt�g�6/0( 7IGARD Date Ready/Bye Jr' for Internet: www.tigard-or.gov CITY OF TIGAP '� See Page 2 for oti fiedMelhod: /-}-( Supplemental Information TYPE OF WORK BUILDING DIVISION FEE* SCHEDULE 0 New construction ❑Demolition For special information use checklist ❑Addition/alteration/replacement Description ❑Other Qty. I Ea. Total 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 ElCommercial/industrial SFR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR(3)bath 500.32 ID Master builder Each additional bath/kitchen 25.02 ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address:' Z CI!' 2,. 1r/O/ O� �� Catch basin or area drain 18.76 City/State/ZIP Drywell,leach line,or trench drain 18.76 Footing drain(no,linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name: ? b Gl r ! ( / Manufactured home utilities 50.03 Cross street directions to job site: [[JJ // Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.: ) Page 2 Subdivision: Water service(no.linear ft.: ) Page 2 Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 _ DESCRIPTION OF WORK Backwater valve �� a� ( 12.51 �f C'1k /�]4/ re jc7 Clothesshw washer efJ`�-� Y� Pre 1 l � ��� 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 0 PROPERTY OWNER I 0 TENANT Expansion tank 12.51 Name: Fixture/sewer cap 25.02 Address: Floor drain/floor sink/hub 25.02 City/State/ZIP: Garbage disposal 25.02 Hose bib 25.02 Phone:( ) j Fax:( ) Ice maker 12.51 ❑ APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name: Medical gas(value:$_) Page 2 Contact name: Primer 12.51 Address: Roof drain(commercial) 12.51 Sink/basin/lavatory 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) I Fax::( ) Tub/shower/shower pan 12.51 E-mail: Urinal 25.02 ry CONTRACTOR Water closet 25.02 Business name:L-� 0 /fac l77 Cyam_ r/�� Water heater 37.52 Address: // r J �JJ�����s `'�/! {/ �(�(r Waterpiping/DWV 56.29 6` !/� ��y PC� Other: 25.02 City/State/ZIP: {`��hq. 3� 77 Subtotal , Phone: �IG' / t//7� Fax:( ) Minimum permit fee: $72.50 7J S`o Lk.: 2__ Lic.no.: Plan review (25%of permit fee) CCB L State surcharge(12%of permit fee) it 2 0 Authorized signattue: �"" �� ��� TOTAL PERMIT FEE O �'IL Print name /�© ›V f )� 1{� Date (�7 4(.7 jhis ermit application expires if a permit is not obtained within 188 days after it has been accepted as complete. Fee methodology set by Tri-County Building industry Service Board. liBaildingtPemtits\PLMU-pertnitApp.doc 10/01/09 440-4616T(10/07JCOM/WEB) b. Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: SQty. Fee(ea) Total Square Footage: Permit Fee: Footing Utilities 100' 0 to 2,000 $121.90 Footing drain-1" S0.03 2,001 to 3,600 $169.69 37.52 Footing drain-each additional 100' 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 ea h additional first72.50 for the 1005,0 or00 fract on thereof,to d$1.52 for Qty. Fee(ea) Total and including$10,000.00. Other Inspections Fees 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 and including$25,000.00. (minimum charge—1/2 hour) $379.50 Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 each additional$100.00 or a hon thereof,to and$1.45 for hours(minimum charge—2 hours) and including$50,000.00. Reinspection Fees 90.00/hr $742.00 nd 0 Additional plan review for revisions 90.00/hr $50,001.00 and up each additional$100.00 or the first 0fractian $1.2 ffor (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. 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 ❑ New exterior plumbing site utilities for any complex structure Car Wash: -Each Stall as defined in OAR918-780-0040. -Drive Thru ❑ Medical gas and vacuum systems for health care facilities. Cuspidor/Water Aspirator ❑ Any multipurpose fire sprinkler system. Dishwasher: -Commercial 0 Any complex structure as defined in OAR918-780-0040. -Domestic Drinking Fountain Submit 2 sets of plans with any of the above. Eye Wash Floor Drain/sink: -2" Isometric or Riser Diagram -3" q•• 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: -Lav/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 plumbing permit can be issued. Water Closet-Toilet Urinal Other Fixtures: I:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2