Permit (16) ,INCITY OF TIGARD PLUMBING PERMIT
2 . COMMUNITY DEVELOPMENT Permit#: PLM2023-00456
T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/6/2023
Parcel: 2S 115AA00100
Jurisdiction: Tigard
Site address: 16116 SW 108TH AVE
Project: Brightwaters at Red Hawk Subdivision: WILLOW-BROOK-FARM Lot: 36
Project Description: Freshwater re-pipe for all fixtures.
Contractor: SUNSET HEATING COOLING&PLUMBING LLC Owner: DHP BRIGHTWATERS LLC
607 S IDAHO ST 32 MEADOW HILL DR
PORTLAND, OR 97239 TIBURON, CA 94920
PHONE: 503-234-0611 PHONE:
FAX:
FEES
Quantity Description Date Amount
8 ea Clothes Washer 11/06/2023 $200.16
Specifics: 8 ea Dishwasher 11/06/2023 $200.16
2 ea Hose Bib 11/06/2023 $50.04
Type of Use: MF 8 ea Ice Maker 11/06/2023 $100.08
Class of Work: ALT 12 ea Tub/Shower/Shower Pan 11/06/2023 $150.12
Type of Const: 16 ea Water Closet 11/06/2023 $400.32
Occupancy Grp: 8 ea Water Heater 11/06/2023 $300.16
Stories: 1 12%State Surcharge- 11/06/2023 $168.12
Plumbing
Total $1,569.16
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
S
Issued By: . ::e:Kis'...j Permittee Signature: S 1+.e 15 r 1 :e k-��ip
2 Call 503.639.417 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 ApplicatiREC E IVE D
Building Fixtures OCT 1 6 2023 FOR OFFICEUSE ONLY
City of Tigard
Received 13125 SW Hall Blvd., y 1 5�s Iiii Tigard,OR 972 tier• Cot t 6 `� - Permit
Phone:503.718.2439 Fax: 503.59811k10 Y OF TIGARD F :�,�
DatclBy: - OlhcrPermit No.:
TIGARD Inspection1Jne: 503.639.4175 BUILDING DIVISION pate Read/B
Internee www.tigard-or.gav Notified/Method: (O�ol , Iris: I S Pace 1:Inr
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❑New construction ❑Demolition .Fa special information use checklist
Description
(3Addition/altetationlreplacement El Other: I Q. I [ Total
_ NNewI-2-latrilly dwellings(includes 100 ft.for each utility connection)
Tit ._ GATH4.iit' 'C'ONS Oril ONr: - .. ._?,J a. SFR(1)bath 312.70
❑1-and 2-family dwelling ❑CommerciaVindustrial SFR(2)bath 437.78
❑Accessory buildingErg-Ali-family SFR(3)bath 50o,3z
❑Master builderEach additional bath/idtchen 25.02
D Other: Fire sprinkler( sq.ft.) Page 2
_ . _ ,z0 Irk , Attb I,OG IT!•.0 _'.__ -t Site utilities:
Job site address: t,, t �? �` Catch basin or area drain
o. la 1 12 SN 1 V�t� M 18.76
Footing
City!&tatCity/State/ZIP:lP:l-O r�(;1n{� 1 C "11'Zt1 F 1,leach line.or trench drain 18.76
Footin drain(no.linear ft:�) Page 2
Suite/bldg./apt.no.: 1 Project name: y % -VV a•VeCC..
Manufactured home utilities 50.03
Cross street/directions to job site:
FOY. tin t'l 3 0* Manholes 18.76
Rain d
Rain drain connector I8.76
Sanitary sewer(no.linear ft.:"_) Page 2
Storm sewer(no.linear It.:___) Page 2
Water service(no.linear ft.: ) Page 2
Subdivision: I Lot no.: Fixture or item:
Tax map/parcel no.: Backflowprcvcnter 31.27
;"-, ,t y=4- ARStG'12Y>'TTt1N OF ,ORI _ �ma Backwater vat" 12.51
Fr \r\tNu4er Y-eytpe 1 ilr all -fix .res Clothes washer
8 25.02
25.02
Drinking fountain 25:02
- Ejectors/sump 25.02
C3 7*5; e1u„�; pr Tl
6. ap�, -: _A
_ e'`�n_ °"'�._.z. ;% Expansion tank 12.5I
Name: Fixture/sewer cap 25.02 I
Address: Floor drain/floor sink/hub 25.02 I
Garbage disposal
City/State/ZIP: 25.02
Hose bib 25.02
Phone:( ) Fax:( ) Ice maker 12.51
CY ff -_
it"F.
icAi4tr._. . 4 -WM: *WO*TOR Inteiceptor/greaso trap 25.02
Business name:vvene o P turn Medical gas(value:S ) Page 2
Contact name:Lul/').e V O►1e h e l d ✓ Framer 12,51
Address: 31. Nw to r gt Roofdrain{eomtnercial) 12.51 T
Sink/basin/lavatory 25.02 .
City/State2lP:g_i d{')g- I e1 . W ti (rb Lja Solar units(potable water) 62.54
Phone:aid))T%-BD?{ Fax::( ) Tub/shower/shower pan (1,,. I2.51
E-mail:L-upe@ bent o plum al'ng•c QM
Urinal 2
s.02
--,,•.-• Witter clout I to 25.02
4���� PILLuYY�bine� Water heater , 37.52
Business name. t
norm Waterpiping/DWV 56.29
Address:�j'ej 1v 1-13 m aother: 25.02
J
city/State/ZIP:12a ?-Ft•P 16 m q'D l,tc2 Subtotal
Phone:(3(9V113- d?,G1 Fax:( ) Minimum permit fee: $72.50
CCB Lie.:21 D51 II Plumbing Lie.no:}} 4Q� Plan review(25%of permit fee)
Statesurchatge(12%ofpermit fee)
Authorized signatu LI/1 1 �j�/7� �1 TOTALPERMiT FEE
Print name:L 1Alp t Qt p i 1 ell Y1 Date:!01/3 2 d1S Th permit application expires if a permit Is not obtsioed uitidn 133 days
�(`` Y t after tt tuts been accepted as complete.
*Fee methodology act by Tri-Costly Building Industry Service Board.
I:113sUdingpWermitsTLICIXFeraMApp,Joc 1G I aI 446.4616T00/02/C(Mt/A'na)
Plumbing Permit Application - City of Tigard
Page 2-Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
., -�H .�tt -, 11 V4 . Total wSifiraWaotage Perm tT ee` 7 s
Footing drain-1'100' 50.03 0 to 2,000 S121.90
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 F ah T Peru t ft.- " — -�,,,
Storm&Rain Drain-1st I00' 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
�I Sj1 a t10II keese f + Fee" tea/»` Total each additional$100.00 or fraction thereof,to
and including$10,000.00.
Inspection of existing plumbing or for $10,001.00 to S25,000.00 $148.50 for the first SI0,000.00 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 90,00Thr $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
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
accurately report futures could result in increased sewer fees*. , PISIlRE.t✓rile ff01r 11II1.Ytig iastaIlatioiis ` 4
e; Quaatttyb}F.txtuFe Type_.,_ Plan review is required for any of the following.
i tureTypdfor ~' �V, = Repliq'< Please check all that apply.
ep k Peifaiited. n. .'piled ,_madded Beloeate:
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 El Medical gas and vacuum systems for health care facilities.
Cuspidor/Water Aspirator 0 Any multipurpose fire sprinkler.system.
Dishwasher: -Commercial ❑ 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"
3,. x .:ItliiiiewIZ�Ied _Ser i iif' _ ' .,
-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 Comments re ardin fixture work-
Ice Mach./Refrig.Drains wear1V o t
Oil Separator(Gas Station) t
Rec.Vehicle Dump Station
Shower: -Gang
-Stall OV\
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 plumbing permit can be issued.
Water Closet-Toilet
Urinal
Other Fixtures:
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