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HomeMy WebLinkAboutPermit CITY OF TIGARD PLUMBING PERMIT a,. COMMUNITY DEVELOPMENT Permit#: PLM2023-00181 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 5/17/2023 Parcel: 2S 103DD00404 Jurisdiction: Tigard Site address: 10685 SW FAIRHAVEN ST Project: Egleston Subdivision: FAIRHAVEN COURT Lot: 4 Project Description: Moving(1)tub and installing(1)shower pat. 5/8 meter upsize required. Contractor: OWNER Owner: EGLESTON, DAVID ROY&CINDY LOU 10685 SW FAIRHAVEN ST TIGARD, OR 97223 PHONE: PHONE: FAX: FEES Quantity Description Date Amount 2 ea Tub/Shower/Shower Pan 05/17/2023 $25.02 Specifics: 1 12%State Surcharge- 05/17/2023 $8.70 Plumbing Type of Use: SF 47 ea Minimum Fee Adjustment- 05/17/2023 $47.48 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 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: • ..„, "Z�_/ / Permittee Signature: � �/ ,g,‘'... 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 FOR Dale,: 1'51: ON 1.) eceived Cityof TigardE , g Date/By, .� l77 /4 P t .��:,2t� ez's' 13125 SW Hall Blvd.,Tigard,OR 97223 1 7 PlanReview / a Phone: 503.718.2439 Fax: 503.598.1960 t,l `,e 2023 Date1B � ? Inspection Line: 503.639.4175 e ��r�eeP �� r I C;A P.I) Date Ready/By: Turfs: la See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information CITY OF TIGARD TYPE OF WORK BUILDING DIVISION FEE* SCHEDULE 0 New construction 0 Demolition For special information use checklist Description I Qty. I Ea. I Total a Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 511 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: t 06 e S S w ,'rs het t/eh S� Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP: l?Ot rd , &R 9 722,3 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no,: , Project name: 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 L MO K� u 6 40 Q t Cia washer 25.02 Q� // Dishwasher 25A2 ivatt,�•7km✓� / IA.94a1.1I i S`.O4.c e!Z Drinking fountain 25.02 PQ✓) Ejectors/sump 25.02 at PROPERTY OWNER 0 TENANT Expansion tank 12.51 Name: pp,,,, d 'G 1"--- Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: (p 6 g s F4 t r Ado/en Se Garbage disposal 25.02 City/State/ZIP: T�a e ©E. 972.23 Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 121 APPLICANT fa CONTACT PERSON Interceptor/grease trap 25.02 Business name: Medical gas(value:$ ) Page 2 Primer 12.51 Contact name: ii-riejat s,/ (• '( Roof _[ � Roof drain(commercial) 12.51 Address: ?5 Z©23 5 t 7Z N N Ave S er . dt (lat. Sink/basin/lavatory 25.02 City/State/ZIP: t.Q0.tp m Va.ltey , 0,e `l*Ia'-ba6 Solar units(potable water) 62.54 Phone:(S7,3)go-7 €: j q f Fax::( ) Tub/shower/shower pan S. 12.51 E-mail: tbvt(o(M9>ott4 @ t�f) t4t.g 1.- aOof'Y- Urinal 25.02 Water closet 25.02 CONTRACTOR Water heater 37.52 Business name: Frb0 tc 47 €594,,r{,L Q R Water piping/DWV 56.29 Address: f Other: 25.02 City/State/ZIP: Subtotal Phone:( ) Fax:( ) Minimum permit fee: $72.50 CCB Lie.: P lumbing Lic.no.: Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature �i TOTAL PERMIT FEE Print name: ei . VI 44 Date: This permit application expires if a permit is not obtained within 180 days I , after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMu-PermitApp.doc I0/R 1/09 440-4616T(10102/COM/WEB) Property Owner Statement RECEIVEn Regarding Construction Responsibilit� es Oregon Law requires residential construction permit applicants who are not licensedN r j pP v�ith� Construction Contractors Board to sign the following statement before a building imFii liy issued. (ORS 701.325(2)) BUILDING DIVISION This statement is required for residential building, electrical,mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt from licensing under ORS 701.010(7), need not submit this statement.This statement will be filed with the permit. Please check the appropriate box: I own, reside in, or will reside in the completed structure and my general contractor is: Name CCB# Expiration Date I will inform my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. or I will be performing work on property I own, a residence that I reside in, or a residence that I will � reside in. If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If I change my mind and hire a general contractor, I will select a contractor who is licensed with the CCB and will immediately give the name of the contractor to the office issuing this Building Permit. I have read and understand the Information Notice to Homeowners About Construction Responsibilities, and I hereby certify that the information on this homeowner statement is true and accurate. fu--- Print Name of Pe t Applicant Ce_ob S7/77ZO3 Signature of Permit pplicant Date Permit#: ♦� Address: Issued by: Date: f 1- This Copy for Permit Offices Information Notice to Owners About Construction Responsibilities �t`?? (ORS 701.325 (3)) r:ia. Homeowners acting as their own general contractors to construct a new home or make a substantial improvement to an existing structure,can prevent many problems by being aware of the following responsibilities: • Homeowners who use labor provided by workers not licensed by the Construction Contractors Board, may be considered an employer, and the workers who provide the labor may be considered employees. As an employer, you must comply with the following: • Oregon's Withholding Tax Law: Employers must withhold income taxes from employee wages at the time employees are paid. You will be liable for the tax payments even if you don't actually withhold the tax from your employees. For more information, call the Department of Revenue at 503-378-4988. • Unemployment Insurance Tax: Employers are required to pay a tax for unemployment insurance purposes on the wages of all employees. For more information, call the Oregon Employment Department at 503-947-1488. • Oregon's Business Identification Number(BIN): is a combined number for both Oregon Withholding and Unemployment Insurance Tax. To file for a BIN, call 503-945-8091 or go to http://www.oregon.gov/DOR/BUS/docs/211-055.pdf for the appropriate forms. • Workers Compensation Insurance: Employers are subject to the Oregon Workers Compensation Law, and must obtain Workers Compensation Insurance for their employees. If you fail to obtain Workers Compensation Insurance, you could be subject to penalties and be liable for all claim costs if one of your workers is injured on the job. For more information, call the Workers Compensation Division at the Department of Consumer and Business Services at 503-947-7815. • Tax Withholding: Employers must withhold Social Security Tax and Federal Income Tax from employee wages. You may be liable for the tax payment, even if you didn't actually a('`;;hold the tax. For a Federal EIN number, call the IRS at 1-800-829-4933 or visit their website at www.irs.gov. Other Responsibilities of Homeowners: • Code Compliance:As the permit holder for a construction project, the homeowner is responsible for notifying building officials at the appropriate times, so that the required inspections can be performed. Homeowners are also responsible for resolving any failure to meet code requirements that may be found through inspections. • Property Damage and Liability Insurance: Homeowners acting as their own contractors should contact their insurance agent to ensure adequate insurance coverage for accidents and omissions, such as falling tools, paint overspray, water damage from pipe punctures, fire, or work that must be redone. Liability Insurance must be sufficient to cover injuries to persons on the job site who are not otherwise covered as employees by Workers Compensation Insurance. • Expertise: Homeowners should make sure they have the skills to act as their own general contractor, and the expertise required to coordinate the work of both rough-in and finish trades. CONSTRUCTION CONTRACTORS BOARD PO Box 14140, Salem, OR 97309-5052 Telephone: 503-378-4621 —Fax:503-373-2007 Website Address:www.oregon.gov/ccb f/property_owner adopted 9-23-08 This Copy for Permit Applicant ED Water Meter Fixture Unit Worksheet for Additions/Remo s MAY 1 7 2023 Please complete the following information: � j,,� CITY OF TIGARD Customer Name: )41 +C� 6-jC'<S to 1 DUILDING DIVISION Service Address: Street/Suite#: (G'Cj 6 S :.5t-,0 *-1—r., ;-i6, -ei.,1 S. City: l' .i jet, co ( State: 4 v< Zip: 77 2 `Z5 Phone Number: Email: Please fill in the number of each fixture you currently have. Please fill in the number of fixtures you propose to add. Multiply the quantity by the point value to arrive at the current Multiply the quantity by the point value to arrive at total. the proposed total. Fixture Unit Current Point Current Proposed Point Proposed Quantity Value Total Addition Value Total Bar sink f x 1 = I x 1 = Bidet x 1 = x 1 = Clothes washer x 4 = 4 x 4 = Dishwasher : x 1.5 = i„ x 1.5 = 1st Outside Water Spigot I x 2.5 = 7 c x 2.5 = Water Spigot,each add'l x 1 = x 1 = Kitchen sink l x 1.5 = t „ j x 1.5 = Laundry sink x 1.5 = x 1.5 = Lavatory(bathroom sink) `-- X 1 = X 1 = Water closet,I.6 GPF(toilet) 1p,. x 2.5 = c x 2.5 = Bathtub/whirlpool 47 x 4 = LA ‘ x 4 = Shower stall x 2 = 1 x 2 = 1,, Bath/shower combo x 4 = x 4 = '1 Current Points: ?A-, Proposed Increase: Current Points+Proposed Increase= - =New Total Points =Required Meter Size ,/') Meter Sizes: 1 to 30 points=5/8" 30.5 to 37 points=3/4" 37.5 and over points= 1" New Meter Size Needed for New Total Points: Cost: $ (see page 1) Current Meter Size per Utility Billing: Cost: $ (see page 1) New Meter Size Cost minus Current Meter Size Cost= $ (This is Your Cost to Increase Meter Size Due to Additional Fixture Units) ************************************************* ********************************* FOR OFFICE USE ONLY ".„_) , Current Meter Size Confirmed with UB S 11 'L Signature of UB Representative Date I:/Building/Forms/WaterMeters_070121_Add.dOCx Page 2 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT q Water Meter Fixture Unit Worksheet TIC, 1, R D For Additions /Remodels /ADUs 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov LOCATION: City of Tigard —City Hall WATER METER SALES: Utility Billing By Email Only. Please contact 13125 SW Hall Blvd. ubonlinepay@tigard-or.gov Tigard, OR 97223 to discuss sending documents and payment METER: SIZE: FEE: Pricing effective 07/01/2022 5/8" $11,258.00 Fee includes: 3/4" $16.094.00 water system development charge, 1" $29,588.00 water meter, and 1-1/2" $87,787.00 meter installation fee. 2" $142,227.00 DETERMINING METER SIZE FOR RESIDENTIAL CUSTOMERS City of Tigard Water Service Area uses the American Water Works Association Manual and the Oregon Plumbing Specialty Code to determine the size of meter needed to adequately serve buildings. Due to the variety of home sizes built in the Tigard area, we count the fixture units of all homes to determine the appropriate meter size. Use the worksheet on Page 2 to calculate the current number of fixture units compared to the proposed increased number of fixture units, which will determine whether an increased meter size will be required. Submit this signed worksheet with your building or plumbing permit application submittal. DOCUMENTATION Once you are ready to purchase the new meter, please provide the following items to the Utility Billing counter: • Completed water meter fixture unit worksheet for additions, remodels, ADUs, etc. (on back page). • Copy of building or plumbing permit application date-stamped by building division. • Copy of issued building or plumbing permit. Your fixture count will be verified and your request will be processed upon receipt of these documents. No exceptions. INSTALLATION TIME Once the upgraded meter size has been purchased, most meters are installed within 10-14 business days. I:/Building/Forms/WaterMeters_070121_Add.dOCX Page 1