HomeMy WebLinkAboutPermit (11) CITY OF TIGARD PLUMBING PERMIT
1114
F COMMUNITY DEVELOPMENT Permit#: PLM2023-00438
Date Issued: 10/16/2023
T[G A R O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S 112CA14500
Jurisdiction: Tigard
Site address: 7750 SW LAYTON LN
Project: Brookside, Lot 5 Subdivision: BROOKSIDE SUBDIVISION Lot: 5
Project Description: Backflow preventer for irrigation.
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 10/16/2023 $31.27
Specifics: 1 12%State Surcharge- 10/16/2023 $8.70
Plumbing
Type of Use: SF 41 ea Minimum Fee Adjustment- 10/16/2023 $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:
. 1
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 RECEIVED .()., Ol l l(l: L'SI. OM.v
Received Permit No.:
City of Tigard Date/BY: d d i/6,14 + y' cc l j(
■ 13125 SW Hall Blvd.,Tigard,OR 97 Plan Review
I Phone: 503.7182439 Fax: 503.59. .t Other Permit No.: )ii
Inspection Line: 503.639.4175 Date Read B : huffs: fa See Page 2 for
TIC A R D Internet: www.tigard-or.gov CITY OF TIGARD eNotified/Method:ea Supplemental Information
C/ New construction ❑Demolition For special information use checklist
Description I Qty. I Ea. I Total
❑Addition/alteration/replacement_ ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
SFR(1)bath 312.70
_ v _ � _: Y SFR(2)bath
FA 1-and 2-family dwelling ID Commercial/industrial 437.78 SFR(2)bath 500.32
❑Accessory building ❑Mulri-family, Each additional bath/kitchen 25.02
0 Master builder 0 Other: Fire sprinkler(__sq.ft.) Page 2
}, G Site utilities:
fZ� Y M.r I`�i:fj4‘ �'�Ni'tli:' Omt &}E�#k(`2 4I -
s 7' 50 �1 TO lid Catch basin or area drain
18.76
Job site address: S
Drywell,leach line,or trench drain 18.76
City/State/ZIP: T i G,A&') 0 R 91 W 4 Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: I Project name: Manufactured home utilities 50.03
Cross street/directions to job site: - 1 nl lb LANtroNi 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: gKO0VS1.0
iv I Lot no.: 6 Fixture or item:
Backflow preventer / 31.27
no.:
Tax map/parcel12.51
- = �_� , Backwater valve
} . ®p., P' ` p p Clothes Washer 25.02
lG�i�JI . D►, `a. . ,� v 25.02
f Dishwasher
Drinking fountain 25.02
Ejectors/sump 25.02
.,: , ,r`t Expansion tank 12.51
Fixture/sewer cap 25.02
Name: Floor drain/floor sink/hub 25.02
Blackwood Homos, INC Address: PO Box 4188 Garbage disposal 25.02
City/State/ZIP: Tualatin, OR 97062 Hose bib 25.02
Phone:(SQ ) t),12._ cgO) Fax:( ) Ice maker 12.51
s; Interceptor/grease trap 25.02
p ., Medical gas(value:$ ) Page 2
Business
Di171Qr a _ .
Primer 12.51
Address: ff sl Roof drain(commercial) 12.51
State ' 0 ZIP: 7(f Sink/basin/lavatory 25.02
phone: Fax Solar units(potable water) 62.54
Email:
Tub/shower/shower pan 12.51
' 25.02
,CCB license no PB lac # ;p Oda.. urinal 25.02
v 7 3 '' n ,1 '" . Water closet
--_^ - Water heater
37.52
Name:, Water piping/DWV 56.29
Adcktl,$$* BI; I AF �d"Moines, INC Other: 25.02
pO4 Subtotal
+Ofttl +l2 ZAP Minimum permit fee: $72.50
Phone: Fax:- Plan review (25%of permit fee)
Emaii State surcharge(12%of permit fee)
II ___.x�,46,.. _, _- TOTAL PERMIT FEE ,1
Print name: ----0\A it__,\.{(46 I
This permit application aspires it a permit is not obtained wit 4
I80 days
Date: after it has been accepted as complete.
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*Fee methodology set by Tri-County Building Industry Service Board.
440-46 16T(10/02/COM/WEB)