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Permit (48) • CITY OF TIGARD MASTER PERMIT ' a : . COMMUNITY DEVELOPMENT Permit#: MST2023-00122 T r G A RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/07/2023 Parcel: 2S104DC00800 Jurisdiction: Tigard Site address: 13704 SW BENCHVIEW PL Subdivision: BENCHVIEW ESTATES Lot: 8 Project: NEGRU Project Description: New detached dwelling. 5/8/23: Parks and Transportation demo credits applied from BUP96-00535. BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 4 First: 1610 sf Basement: 1499 st Left: 5 Parking Spaces: 0 Height: 30 Bathrooms: 4 Second: 1375 sf Garage: 661 sf Front: 15 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Total: 4484 sf Value: $726,761.67 Rear: 15 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 2 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 7 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Drains: 0 Storm Sewer: 100 Tubs/Showers: 5 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Footing Drain: 0 Ice Maker: 0 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0 Drywell-Trench Drain: 0 Other Fixtures: 1 Other Fixture Units: Bar sink MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 6 Clothes Dryers: 2 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 5 Furn>=10OK: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'l 500 sf: 9 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Y Other: N Other Description: Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 4484 Owner: Contractor: NEGRU,MICHAEL P OWNER Required Items and Reports(Conditions) NEGRU,DORINA S 1 Ersn Cntrl 503-639-4175 16790 SW SILER RIDGE LN 2 Geo Tech Required BEAVERON,OR 97007 PHONE: PHONE: FAX Total Fees: $23,913.45 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 oc9_nnl_nnln fhh,.,, n{{h OAP oc nn1-nnon Vni i mnv nhfain n rnrn,of the n,I<c nr rlir<rt ni ieetinnc to rL IMP h„rollinn cell OA7 nr 1 RCM Y19 9744 Issued By: 4"�—i_-.....--,.,4 Permittee Signature: all 503.639.4175 by 7:00 a.m.for the next available inspecti e. 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 lob site at the time of each Inspection. r, s Building Permit Application /l l /_ Residential City of Tigard RECEIVE �"� ateBy: it f,' Permit No.:/ ,� ��r1t7I7=� • Ph1ne S50 Hall Blvd.,Tigard,OR 98.1 Ian Review Alt ✓ l b Phone: 503.718.2439 Fax: 503.598.1960 Da[eBy: f'l!I �P`�'i`��' �'3"-0O O T 1 t1A 8 D Inspection Line: 503.639.4175 n 6 pate ReadyBy: runs: ®See Page 2 for Internet: www.tigard-or.gov APR 2023 No[ified/Meth j 5 elemental lo[ormadon TYPE I - ;).5' ,,Ic ;s i.,r 0 New construction ❑D Permit fees*are based on the value of the work performed. El Addition/alteration/replacement ❑Other• Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ��) _'�/ _' Q ® 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ �[! �,t0 r ❑Accessory building 0 Multi-family Number of bedrooms: 4 ❑Master builder ❑Other: Number of bathrooms: 4 n 'tR SITE INFO �'' z-'"" Total number of floors: 3 Si yi--- Job site address: 13704 SW Benchview Place New dwelling area: 4484 square feet City/State/ZIP: Tigard,Oregon 97223 Garage/carport area: 661 ,{ square feet ;5.- Suite/bldg./apt.no.: Project name: Negru Residence Covered porch area: si'ci square feet f 4C1 Cross street/directions to job site: SW Benchview Terrace and SW Benchview Place Deck area: � �ie0 " 1 square feet 11 Other structure area: square feet iMIJIRED DATA:COMMERCIAL USE CHECKLIST Subdivision: Morning Star Tract"E" Lot no.: Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the _',�,-, to -;",` 3�LiR�. A"r.. i U .'4 , "'"`F , ,,� work indicated on this application. Single Family Residence Valuation: $ Existing building area: square feet New building area: square feet PROPERTY [YV- � t ' 6' . i 1 @ it 1 t Number of stories: Name: Michael P Negru Type of construction: Address: 17535 SW Tualatin Valley Hwy Occupancy groups: City/State/ZIP; Beaverton, Oregon 97003 Existing: Phone:(503 ) 490-4458 Fax:( ) New: 0 APPLICANT 0 CONTACT PERSON 'BUILDING PERMIT FEES* _..... - (Please refer to fee sehedate) Business name: .. . Contact name: Michael P Negru Structural plan review fee(or deposit): Address: 17535 SW Tualatin Valley Hwy FLS plan review fee(if applicable): City/State/ZIP: Beaverton Oregon 97003 Total fees due upon application: Phone:(503 )490-4458 Fax::( ) Amount received: E-mail: mikenegruCotyahoo.corn --sr , t,,, r _ CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted PhotoVoltaic Solar Panel System. Business name: Submit two(2)sets of roof plan with connection details Address: r'dlq and fire department access,along with the 2010 Oregon Solar Installation Specialty Code checklist. City/State/ZIP: Permit Fee(includes plan review $180.00 and administrative fees): Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lie.: Total fee due upon application: $201.60 Authorized signature: This permit application expires ifs permit is not obtained / within 180 days after it has been accepted as complete. Print name: Michael P Negru Date: 11/18/2021 *Fee methodology set by Tri-County Building Industry Service Board. I:tBuilding1Pennits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(l l/02/COM/WEB) Mechanical Permit Application FOR OFFICE USF ON1.1 City of Tigard Received r r Ill-II • 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: r Phone: 503.718.2439 Plan Review Other Permit: Inspection Line: 5036394175 RECEIVE Date By: I I 1 1 I:I1 nspecon . . - Date Ready/By: orris. H See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental information APR 6 2023 TYPE OF WORK COMMERCIAL OF TIGARD COMMERCIAL FEE*SCHEDULE-USE CHECKLIST w construction ❑Addilion/alteratygg7ig}�idt I�ISION Mechanical permit fees*are based onde the value of he work CCCSSSUUUIL U performed.Indicate the value(rounded to the nearest dollar)of all Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. gl CATEGORY OF CONSTRUCTION Value:$ and 2-familydwellingRESIDENTIAL EQUIPMENT/SYSTEMS FEES* ❑Commercial/industrial ❑ Accessory building Far special information use checklist. Multi-family ❑Master builder ❑ Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Job site address: 1 3 f Q" , ill �f'i�flrl p L. Air conditioning 46.75 r W Furnace 100,000 BTU(ducts/vents) _ 46.75 City/State/ZIP: t(t&(t ) 0 e.- E� . L'z? Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: Project name: IVF( /miges Heat pump 61.06 Duct work 23.32 I Cross street/directions to job site: Gilt.) t^ • Hydronic hot water system 23.32 Residential boiler(radiator or `y hydronic) _ 23.32 �tl Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision: Lot no.: Other: 23.32 Tax map/parcel no.: Other fuel appliances: Water heater 23.32 1 DESCRIPTION OF WORK Gas fireplace/insert 33.39 Flue vent for water heater or gas fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 ❑ PROPERTY OWNER ❑ TENANT r Other: 23.32 Name: Environmental exhaust and ventilation: Range hood/other kitchen Address: equipment 33.39 Clothes dryer exhaust . 33.39 Ii- City/State.ZIP: Single-duct exhaust(bathrooms, Phone:( ) Fax:( ) toilet compartments,utility rooms) 23.32 Attic/crawlspace fans 23.32 APPLICANT ❑ CONTACT PERSON Other: 23.32 do Business name: `V\N Frvw rp,ve ,ci �n /r Fuel piping: 'i{�a1 t , ( ."T V �-C $14.15 for first four;54.03 for each additional Contact name: ` L I Furnace,etc. Address: 1 (�2> /ram 1 MI/ Gas heat pump City/State/ZIP: OJ 1� .' / +0/a/�-- Wall/suspended/unit heater Water heater Phone:(jDJ))/ 41q i) (/ , Fax:: :::( ) �q �,,/y� Fireplace /Z 1 1�G (1V �G b V C„`ar"..) Range E-mail: 1 Barbecue CONTRACTOR Clothes dryer(gas) Business name: ,,, , A„we Other: Address: •f ,/ ;/ �/�'�/Y`� MECHANICAL PERMIT FEES* Subtotal City/State/ZIP: Minimum permit fee(S90.00) Phone:( ) Fax:( ) Plan review(25%of permit fee) State surcharge(12%of permit fee) CCB lie.: TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signatur v * Fee methodology set by Tri-County Building Industry Service Board Print name: Date:%J1 'L� I:\Building\PemnuUlEC_PennitApp_082520.da 440-4617T II/02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Submittal Requirements: • (2) sets of plans, drawn to scale. • (2) sets of equipment cut sheets. • (2) copies of site plan for ground and roof top equipment location and screening per Tigard development code. Commercial & Multi-Family Fee Schedule: Total Valuation: Permit Fee: $0.00 to$500.00 Minimum fee$69.06 $500.01 to$5,000.00 $69.06 for the first$500.00 and $3.07 for each additional$100.00 or fraction thereof,to and including $5,000.00. $5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and $2.81 for each additional$100.00 or fraction thereof,to and including $10,000.00. $10,000.01 to $50,000.00 $347.71 for the first$10,000.00 and $2.54 for each additional$100.00 or fraction thereof,to and including $50,000.00. $50,000.01 to $100,000.00 $1,363.71 for the first$50,000.00 and $2.49 for each additional$100.00 or fraction thereof,to and including $100,000.00. $100,000.01 and up $2,608.71 for the first$100,000.00 and $2.92 for each additional $100.00 or fraction thereof. 118uildinglPermits\MEC_Pertni1App_082520.doc 2 , Electrical Permit Application FOR OFFICE USE ONLY Cityof Tigard Received g DateB': IIIMEMFMMIII II 2• 13125 SW Hall Blvd.,Tigard OR 97223 ECEIVE Phone: 503.718.2439 Fax: 503.598.196 P; . ; Related Permit#: Inspection Line: 503.639.4175 Ready Date/By: Jnis ® See Page 2 for TICARD0. Internet: www.tigard-or.gov A�R 2n.)g Notified/Method: Supplemental Information ��_�tt��//'',,•�� TYPE OF WORK N 11 ] PLAN REVIEW v construction ❑Addition/alteration/re�I l7�TIGARD Please check all that apply(submit 2 sets of plans wiitems checked). 0 Service or feeder 400 amps or more 0 Building over three stories. Demolition ❑other: BUILDING DIVISION where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings. and 2-familydwelling 0Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. ❑ Multi-family El Master builder ❑Other: ❑Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived .�g ❑Addition of new motor load of system. 1 lob#: J lob site address: l5 " �� j/ L 100HP or more. ❑"A","E","1-2","1-3", _ 0 Six or more residential units. occupancy. City/State/ZIP: 771) 0,-- 0 Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: I Project name: ) �i�p ❑Hazardous locations 0 Supply voltage for more than /t_ 0 Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE Description I Qty. I Each I Total I • New residential single-or multi-family dwelling unit. Subdivision: I Lot#: Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.adrift 500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential (with above sq.ft.) 75.00 2 Limited energy,multi-family 75.00 2 residential(with above sq.ft.) ❑ Renewable Energy 0 See Page 2 PROPERTY OWNER ( ❑ TENANT Services or feeders installation,alteration,and/or relocation Name: 200 amps or less • 100.70 2 Address: 201 amps to 400 amps 133.56 2 •401 amps to 600 amps 200.34 2 City/State/ZIP: 601 amps to 1,000 amps 301.04 2 Phone:( ) Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 . 1 intended for sale,leas or exchange,according to S 447,449,6770n0,an 701.e.. 201 amps to 400 amps 125.08 2 Owner signature: Date: o' 4 17 401 amps to 599 amps 168.54 2 LICANT I ❑ CONTACT PE N / Branch circuits—new,alteration,or extension,per panel A.Fee for branch circuits with Business n e: above service or feeder fee, 7.42 2 each branch circuit Contact name: 44 �� B.Fee for branch ed r e,ts without service or feeder fee,first 56.18 2 Address: /.JA{�--� r (t � l VI branch circuit City/State/ZIP:f rS ir .a, �y C'�I" /_-vv3 Each add'1 branch circuit 7.42 2 r- '- •--e, V ? Miscellaneous(service or feeder not included) Phone:( ) l d 7 4 . Fax::( ) Each manufactured or modular 67.84 2 ^n 4 y T-3 U ��,,yy p ' 6.49 dwelling,service and/or feeder Email: Ifvh GG-c/ C3QtJ �C2, Reconnect only • 67.84 2 CONTRA OR ! Pump or irrigation circle 67.84 2 Business name: -y9h. _ » Sign or outline lighting 67.84 2 TO f f VY r Signal circuit(s)or limited-energy ❑ See Page 2 2 Address: panel,alteration,or extension. City/State/ZIP: Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:( ) I Fax:( ) Investigation(1 hr min) 90.00/hr Email: Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lie.: I Electrical Lie.: I Suprv.Lie.: specifically listed(%:hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal: Print name: Date: ❑Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized si TOTAL PERMIT FEE: • j This permit application expires if a permit is not obtained within ISO Print name. Date: r!� days after it lus been accepted as complete. Fs • Number of inspections allowed per permit. t.1Building\Permits\ELC PanstApp_ELR_ERE.doc Rev 06/17/2015 615 11/05/COM/WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE Description I Qty, 1 Each Total 1 Fee for all residential systems combined: $75.00 Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 133.56 2 ❑ Audio and Stereo Systems* 15.01 to25 kva 200.34 2 Wind generation systems in excess of 25 kva: ❑ Burglar Alarm 25.01 to 50 kva 301.04 2 50.01 to 100 kva 552.26 2 ❑ Garage Door Opener* too kva(fee in accordance with OAR 918-309-0040) 552.26 2 El Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 3 ❑ Vacuum Systems* >100 kva-no additional charge 0.0 3 Each additional inspection over allowable in any of the above: ❑ Other: Each additional inspection is 66.25/hr charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr specifically listed(!/,hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES SubtFee for each commercial system: $75.00 allow al(Fore on Paget}, • (SEE OAR 918-309-0000) Number of inspections allow al per permit. Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I-113uilding'Perinhs'ELC PerailtApp ELR_ERE.doc Rev 06/17/2015 Plumbing Permit Application BuildingFixtures RECEIVED RECEIVED FOR OFFICE USE ONI.1' City of Tigard 1 ` Received Pe 0 � -00/s -� ■ 13125 SW Hall Blvd.,Tigard,OR 97223 Date By: W l 2 Plan Review Phone: 503.718.2439 Fax: 503.598.10R U23 Date/By: Other Permit No.: Inspection Line: 503.639.4175 Ti I. RI) Internet: www.ligard-or.gov Date Ready/By: lud>: See Page 2 for ((( ITY OF TIGARD Notified,/Method Supplemental upplemental Information TYPE OF WOI ILUING DIVISION FEE* SCHEDULE tl ew construction uDemolition For special information use checklist. Description I Qty. I Ea. I Total • Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 R.for each utility connection) CATEGORY OF CONSTRUCTION SFR(I)bath 312.70 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 6 SFR(3)bath 500.32 Accessory building 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: .3 7.0(, x� �,,e J OL DCatch basin or area drainen 18.76 City/State/ZIP: 7-f.'i/: �D_ /17 I V� s r Footing drain c drain 18.76e �r�'� /` Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name: 7/C.CVO /2 t. Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.: Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: I Lot no.: Fixture or item: Tax map/parcel no. Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ❑ PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name: Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name: Medical gas(value:$_) Page 2 ICf ri" _ 2O Primer 12.51 Contact name: G( p�-� �'1 �/ Roof drain(commercial) 12.51 Address: ! 7d--1 V oy(,.. Sink/basin/lavatory 25.02 City/State/ZIP: gr " 'l90 3 / Solar units(potable water) 62.54 Phone:( I>) V?# .-fi,9 Fax: :( ) Tub/shower/shower pan 12.51 E-mail: 01� !"V n/T�- j j t h/1 Urinal 25.02 1� Water closet 25.02 CONTRACTOR Water heater 37.52 Business name: r-,(-��( ./InJ.1r Water 1 m WV 56.29 Address: Other: 25,02 City/State/ZIP: Subtotal Phone:( ) Fax:( ) Minimum permit fee: $72.50 CCB Lic.: Plumbing Lic.no.: Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signet TOTAL PERMIT FEE Print name: Date:�/ This permit application expires it a permit is not obtainedwithin ISO days //1/ .!!!!!! after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. 1:1Buitdiog4Permils\PLMU-PermaApp.dac 10/01/09 440-4616T(10/02/COM/WEB) 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: Footing drain- 100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 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 $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 Fees 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. Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for (minimum charge-1/2 hour) each additional$100.00 or fraction thereof. 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 ❑ Any new commercial building with water service 2"and BaptistryiFont greater,except systems designed and stamped by licensed Bath: -'rub/Shower engineer. -Jacuzzi/Whirlpool ❑ New exterior plumbing site utilities for any complex structure Car Wash: -Each Stall as defined in OAR918-780-0040. -Drive Thtu Aspirator El Medical gas and vacuum systems for health care facilities. Cuspidor/Water ❑ Any multipurpose fire sprinkler system. Dishwasher: -Commercial al ❑ Any complex structure as defined in OAR918-780-0040. -Domestic Drinking Fountain Eye Wash Submit 2 sets of plans with any of the above. Floor Drain/sink: -2" -3" Isometric or Riser Diagram -4" ❑ 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 Ice Mach./Refrig.Drains Comments regarding fixture work: 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 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 Water Closet-Toilet plumbing permit can be issued. Urinal Other Fixtures: I:\Building\Permits'PLMF_PermitApp.doc 08/04/2011 2 AM , C 'r ' N'WW Pr IR ED Building Division TZGAR� So -,3" op i-d i�T1NG 0 e & Two-Family Dwelling INS ,E( , .rs ' : *,:.4 uVED Fees Checklist ( 21 PERMIT INFORMATION: Application Date - FEE VERSION �J 1 7 41, Permit#: r(\,S f'7 2 Do i a"�-, Plan #: 7i3°) S Floors: 3 Valuation: -7 7 , to Covered Porch: L{ 9 Basement f 4 cr Bedrooms: Deck: 160x2 —_ 3 1"Floor /6/0 WC (toilets) L.I. Deck Cover: 2"d Floor (3 7 5 Lavatories Patio Cover ----- 3`a Floor Tub/shower Accessory Struct. R-3 Total 5 Laundry Tray jzf5 Water Heater l Ca(g$ Garage Exhaust Vents Gas Flue Vents Total for Elec. S Backflow Prey. / Heat Pump AC # for Electrical BBQ j�,- Gas Fireplace #Fuel Lines 4- 6o4--- cnik,4— (,..ciLes v.3-e-,S1-..s-e-it) ._e___>> FEES: Description: Fee Ap lie : Fee Entered: DC Prov Revw: Planning Info Proc/Arch: Lg$2.00 (over 11x17) I S Info Proc/Arch: Sm $.50 (up to 11x17) 1 0 Metro CET: Residential Use / I/ ✓ School CET: District: �(� Tigard CET: Admin Tigard CET: ODHCS L. Tigard CET: AH 47. Electrical Permit: Permit Fee: Limited Energy: / 12% State Surcharge LL- Mech. Permit: Permit Fee: 12% State Surcharge , Plumbing Permit: Permit Fee: `"// 12% State Surcharge Erosion Control: w/Permit- Ping 4---"" Notes: C,) .1.5 J \ � �y— BR.AP D�h EEuI TTirEECF 1EH1"'NDOnOUU lT3 E D 7 ,.' J) Li -) j-I.& rc /- �: 1Ze`)I-c_kSP,t1 C)NiSAPR 0E p _ ,�`_1 { ef 1\Bumeg cams\RetrvnC,bj�eckF .doc 12/13/22MCP C Per p-5llDI • I (i) 14_0, krus.,:at1 'A> proRs -