The URL can be used to link to this page

Permit CITY OF TIGARD PLUMBING PERMIT 11 COMMUNITY DEVELOPMENT Permit #: PLM2010 -00301 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 09/14/2010 Parcel: 2S104AC09300 Jurisdiction: Tigard Site address: 13262 SW BOUNEFF ST Subdivision: MORNING HILL NO. 9 Lot: 236 Project: Campa/Hamilton Project Description: Replace less than 100' of water service. Owner: FEES CAMPA, CRAIG S & HAMILTON, MARY E Quantity Description Date Amount 13262 SW BOUNEFF ST TIGARD, OR 97223 100 If Water Service 09/14/2010 $62.54 PHONE: 503-579-4578 1 12% State Surcharge - 09/14/2010 $8.70 Plumbing 10 ea Minimum Fee Adjustment - 09/14/2010 $9.96 Contractor: Plumbing OWNER PHONE: FAX: Type of Use: SF Class of Work: ALT 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 • ' • . 's suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Uf otification Cente . hose rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules •r direct questions to OUN ., c. 1 a 503.246.6699 or 1.800.332.2344. Issued By: �� i / ` � Permittee Signature: ,,, 1 _ d a iiitlVW�t�WWW�� Call 503.639.4175 by 7:00 a.m. for an inspection that business day. 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 Anulicatio Building Fixtures EC t _ City of Tigard S E P 1 4 2010 Da e/sy: 7 y 10 Permit No.: �0� &/ III 13125 SW Hall Blvd, Tigard, OR 97223 0 Plan Review Date Phone: 503.639.4171 Fax 503.39 Date/By: Other Pemrit No.: Inspection Line: 503.639.4175 QTY OF TIGARD `' " " Ins t') Internet: www.tigard- or.gov BUILDING DIVISION Notified/Method: ''�' ®see Supplemental Information TYPE OF WORK FEE* SCHEDULE ❑ New construction ❑ Demolition For special irlfornrarion use checklist Description 1 Qty. 1 Ea. 1 Total ❑ Addition/alteration/replacement ❑ Other: New 1- 2 -family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath 312.70 N 1- and 2 -family dwelling ❑ Commerciallindustrial SFR (2) bath 437.78 ❑ Accessory building ❑ Multi-family SFR (3) bath 500.32 y 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: 13 d f.1 .5 (1) built to v . 5,..--i- Catch basin or area drain 18.76 ` ell, leach line, or trench drain 18.76 V City/State/ZIP: --rt DJ.f. 0.� 17,r 3 Footing drain (no. linear ft.: ) Page 2 Suite/bldgJapt. no.: l Project name: Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 . hr ft" vw . „ t - � Ot I n v p, Rain drain connector 18.76 Q Sanitary sewer (no. linear ft.: 016 ) Page 2 Storm sewer (no. linear R: _) _ Page 2 Water service (no. linear R:) Page 2 Subdivision: I Lot no.: Fixture or item: Tax map /parcel no.: Backflow preventer 31.27 ater DESCRIPTION OF WORK valve 12.51 Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 A PROPERTY OWNER I 0 TENANT Expansion tank 12.51 Fixture /sewer cap 25.02 Name: C, r �� haw w . r l/1� 4q 1 , Floor drain/floor sink/hub 25.02 Address: 13 , . a 4.§I l) �6 v LI Garbage disposal 25.02 City/State/ZIP: T x-L (S,� ( 1 - 7 a 13 Hose bib 25.02 Phone: (S1)5 ) S7'1 -4478 Fax: ( ) Ice maker 12.51 ❑ APPLICANT ❑ CONTACT PERSON Igor /grease trap 25.02 Business name: Medical gas (value: $ ) Page 2 Primer 12.51 Contact name: Roof drain (commercial) 12.51 Address: Sink/basin/lavatory 25.02 City/ State /ZIP: Solar units (potable water) 62.54 Phone: ( ) I Fax: : ( ) Tub/shower /shower pan 12.51 E -mail: Urinal 25.02 Water closet I 25.02 I CONTRACTOR j � Water heater 37.52 Business name: Water prping/DW V 56.29 Address: Other 25.02 City/State/ZIP: Subtotal Phone: ( ) Fax: ( ) Minimum permit fee: $72.50 7A- . T) CCB Lic.: Plumbing Lic. no.: Plan review (25% of permit fee) , State surcharge (12% of permit fee) R 70 Authorized signature: TOTAL PERMIT FEE R'' , I217 it l s r A. AL_ . Print name: ' Date: Thb permit application expires if a permit b not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board 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 -1 100' 50.03 0 to 2,000 $121.90 Footing drain - each additional 100' 37.52 2,00110 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 Dram - 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 Other Inspections or Fees �. Fee (ea) Total each additional $100.00 or fraction thereof; to P and inchiding $10,000.00. Inspection of existing plumbing or for 510,001.0010 $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", Plan Review for Plumbing Installations please indicate work performed by fixture. Failure to Plan review is required for any of the following. accurately report fixtures could result in increased sewer fees *. Please check all that apply. Quantity by (Fixture) Work Performed ❑ Any new commercial building with water service 2" and Fixture Type: Replace greater, except systems designed and stamped by licensed Preview' Capped Added Existing engineer- Baptistry/Font ❑ New exterior plumbing site utilities for any complex structure Bath - Tub /Shower as defined in OAR918- 780-0040. - Jacuzzi/Whirlpool ❑ Medical gas and vacuum systems for health care facilities. Car Wash - Each Stall - Drive Thnr ❑ Any multipurpose fire sprinkler system. Cuspidor/Water Aspirator ❑ Any complex structure as defined in OAR918- 780-0040. Dishwasher - Commercial - Domestic Submit 2 sets of plans with any of the above. Drinking Fountain Eye wash Isometric or Riser Diagram Floor Drain/sink - 2 " ❑ Isometric or riser diagram is required for new buildings that meet the qualifications above. - 4" Car Wash Drain Garbage - Domestic Disposal - commercial C regarding fixture work: -Industrial g Ice Mach/Refrig. Drains Oil Separator (Gas Station) Rec. Vehicle Dump Station Shower -Gang -Stall Sink -Bar/Lavatory - Bradley - Commercial *Note: If the fixture work under this permit results in an - ice increase of sewer EDUs, a sewer permit will be issued and Swimming Pool Filter fees assessed for the sewer increase must be paid before the Washer - Clothes Water Extractor plumbing permit can be issued. Water closet - Toilet Urinal Other Fixtures: