Permit CITY OF TIGARD PLUMBING PERMIT
' 1 pi
". 2 • COMMUNITY DEVELOPMENT
Permit#: PLM2023-00267
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 6/28/2023
Parcel: 1 S135CD13500
Jurisdiction: Tigard
Site address: 9720 SW NACIRA LN
Project: Navarro Subdivision: GREENBURG PINES Lot: 6
Project Description: Tankless water heater installation.
Contractor: RON THOMPSONS PLUMBING LLC Owner: NAVARRO,OSCAR
15039 SE WYEAST AVE NAVARRO-REYNOLDS, LILLIAN A
DAMASCUS,OR 97089-8833 9720 SW NACIRA LN
TIGARD,OR 97223
PHONE: 503-267-1899 PHONE:
FAX:
FEES
Quantity Description Date Amount
1 ea Water Heater 06/28/2023 $37.52
Specifics: 1 12%State Surcharge- 06/28/2023 $8 70
Plumbing
Type of Use: SF 35 ea Minimum Fee Adjustment- 06/28/2023 $34.98
Class of Work: ALT 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 sus., ._. for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. ' . : - les 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.
a.
Plumbing Permit Application - City of Tigard
Page 2 -Supplemental Information
Fee Schedule: Residential Fire Su r r ression S stems:
VT
s fir-,'- , �^ ' �ry?P Y•, Y' 'E r,r,'.
, 1 t gam, teal i". Y . ` T ':4.,VD. -X_ ;,+3, , ry�is`, 5 _. ,; . ..,
Fo �_ �`. 1-rme '0 03°:' 010 2,000 $121 90
Footing drain-1"100' 50.03 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 S stems: _
37.52 ' : < ` S f- + xc-T 'e"a r 4 3'r6:fi`.'d
Water Service-each additional 100' ��.l�s.�ij✓,Z�jlarr. • �,,-J .. L1� �� _ �E"' `
Storm&Rain Drain-let 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
each additional$100.00 or fraction thereof,to
t, '- e f 1,f . -ci-7 41174 ?,f and including $10 0,0
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
hour) and including$25,000.00.
(minimumnp charge-of o oral
Inspections outside normal business 90.00ltu $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
90.00/hr and including$50,000.00.
Add tionaltionplan Fees $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for
A
(minimum review for revisions 90'OOmr 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 y( ,, �� ,-.
accurately report fixtures could result in increased sewer fees
- ,raoi '�.ybjr4rig'yy��eePrx+_ Plan review is required for any of the following.
ri `r d ei T, '1'U a e plyacea Please check all that apply.
rE7xture evaenor F x > r
�"N'otk.�Perfo"l•�red.. .': �> ce� ed„� -fir,VOW' ❑ 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 0 Medical gas and vacuum systems for health care facilities.
Cuspidor/Water Aspirator 0 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" .� ..� - `:4 1 . _ -' ',. .
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 Maeh./Refrig.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: lithe 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:
1:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2