Loading...
Permit 101 a CITY OF TIGARD AL-' PLUMBING PERMIT • COMMUNITY DEVELOPMENT © P erm i t #: PLM2013 00127 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 y ®j Date Issued: 04/18/2013 Parcel: 25111 CB01735 Jurisdiction: Tigard Site address: 10310 SW HOODVIEW DR Project: Switzer Subdivision: HOOD VIEW NO.2 Lot: 34 Project Description: Connect existing house to sewer service. Installing approximately 60' of sanitary sewer line and reversing the plumbing under the house. 4/24/13, reprinted to change contractor. Contractor: RIVER CITY ENVIRONMENTAL Owner: SWITZER, KRISTEN C & CARL R PO BOX 30087 10310 SW HOODVIEW DR PORTLAND, OR 97220 TIGARD, OR 97224 P PHONE: 503 - 806 -6446 PHONE: 503 - 252 -6144 FAX: 503 -288 -3658 FEES Quantity Description Date Amount 60 If Sewer Service 04/18/2013 $62.54 S Dec ifics: 1 12% State Surcharge - 04/18/2013 $10.51 Plumbing Type of Use: SF 25 Misc Other Fee 04/18/2013 $25.02 Class of Work: ALT Type of Const: Occupancy Grp: Stories: Total $98.07 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 or direct question OUNC by calling 503.232.1987 or 1.800.332.2344. C , . Issued By: 0 / • Permittee ignature: . 1 .D1-((r4-4--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 Applicatio 'RE 1 •'� GOVEt Building Fixtures FOR OFFICE 1 �I: ONLY City of Tigard APR 2 4 2013 Received yi i7 i , Permit No.: , e ,KA 01 3 - ; 7 - q 13125 SW Hall Blvd., Tigard, OR 97223 I Phone: 503.718.2439 Fax: 503.598.1 ,yN OF TI GARD DateB Plan Re vi ew Other Permit No.: Inspection Line: 503.639.4175 D �1 G DI VI S I O' Date Ready/By: luris: ® See Page 2 for TIGARD Internet: www.tigard- or.gov BUILDING Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ❑ 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) CATEGORY OF CONSTRUCTION SFR (1) bath 312.70 ❑ 1- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 437.78 SFR (3) bath 500.32 ❑ Accessory building ❑ Multi - family Each additional bath/kitchen 25.02 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION OCATION Site utilities: Job site address: 10 3 1 n � i�(� lO� J 1 4.1....) -j2. Catch basin or area drain 18.76 Drywell, leach line, or trench drain 18.76 City /State /ZIP: Footing drain (no. linear ft.: Page 2 Suite/bldg. /apt. no.: I Project name: i T 2=-f r2- 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 13c a or i1/4-57 ✓L � � 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 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: ( ) Fax: : ( ) Tub /shower /shower pan 12.51 E -mail: Urinal 25.02 CONTRACTOR Water closet 25.02 Water heater 37.52 Business name: Il/� CI U Vo�M� �/1 7 �G. Water piping/DWV 56.29 Address: Other: 25.02 r Subtotal City/State /ZIP: -t -la 1/1 � 1 Og (1, - 29r Li Phone: (5) j) t--) (ft - 2_100F) 1 Fax: ( ) Date: � - - Minimum permit fee: $72.50 l CCB Lic.: \ Ll 1 5 Plumbing Lic. no.: Z,( • Plan review (25% of permit fee) P Print name State surcharge (12% of permit fee) Authorized signature: ,' 1 TOTAL PERMIT FEE ,���/ r ' This permit application expires if a permit is not obtained within 180 days Ill 5 p� v 1 ) I Z�l ` after it has been accepted as complete. *Fee methodology set by Tri- County Building Industry Service Board. 1:\ BuildiagWermitsWPLMU- PennitApp.doc 10/01/09 440- 4616T(10/02ICOM/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 - 1 100' 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 Q ty. 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 Baptistry/Font greater, except systems designed and stamped by licensed Bath: =Tub /Shower engineer. - Jacuzzi/Whirlpool Car Wash: -Each Stall ❑ New exterior plumbing site utilities for any complex structure as defined in OAR918- 780 -0040. -Drive Thru Cuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities. Dishwasher. Commercial ❑ Any multipurpose fire sprinkler system. Domestic ❑ Any complex structure as defined in OAR918 -780 -0040. Drinking Fountain Eye Wash Submit 2 sets of plans with any of the above. Floor Drain/sink: - 2" 3" Isometric or Riser Diagram ❑ 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 WaterCloset - Toilet plumbing permit can be issued. Urinal Other Fixtures: I:\ Building \Permits\PLMF- PermitApp.doc 08/04/2011 2 CITY OF TIGARD PLUMBING PERMIT ■ COMMUNITY DEVELOPMENT Permit #: PLM2013 -00127 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/18/2013 TIGARD 9 Parcel: 25111 CB01735 Jurisdiction: Tigard Site address: 10310 SW HOODVIEW DR Project: Switzer Subdivision: HOOD VIEW NO.2 Lot: 34 Project Description: Connect existing house to sewer service Contractor: UNDERGROUND SOLUTIONS Owner: SWITZER, KRISTEN C & CARL R 33541 WATSON RD 10310 SW HOODVIEW DR SCAPPOOSE, OR 97056 TIGARD, OR 97224 PHONE: 503 -806 -6446 HONE: 503 - 849 -9875 FAX: FEES Quantity Description Date Amount 60 If Sewer Service 04/18 /2013 $62.54 Specifics: 1 12% State Surcharge - 04/18/2013 $10.51 Plumbing Type of Use: SF 25 Misc Other Fee 04/18/2013 $25.02 Class of Work: ALT Type of Const: Occupancy Grp: Stories: Total $98.07 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 or direct • - • • OUNC by calling 503.232.1987 or 1.800.332.2344. Issue. By: Permittee Signature: t&iA , I I , V V V Call 503.639.4175 by 7:00 a.m. for the next available inspection > . V ' This permit card shall be kept in a conspicuous place on the job site until completion of the pr• =ct. Approved plans are required on the job site at the time of each inspection. Plumbin! Permit Application Building Fixtures City 22 Permit No.: • 131 SW of Tigard and Blvd., Tigard, OR 97223 Date/By: � �� C/ �I ���1 �7 IN 1 Phone: 503.718.2439 Fax: 503.598.1960 Review Plan Dat eBy: WON" Other Permit No.: /3 at Inspection Line: 503.639.4175 Date Read B Ju ris: ®See Page 2 for Internet: www.ti T I G A R U ard -or. ov Ready /By: g g g Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ❑ 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) CATEGORY OF CONSTRUCTION SFR (1) bath 312.70 ❑ 1- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 437.78 SFR (3) bath 500.32 ❑ Accessory building ❑ 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: t (' 31 (\ u � -tL� Catch basin or area drain 18.76 I U S ( '� � t ^� � Drywell, leach line, or trench drain 18.76 City /State /ZIP: J(1,/�/( 1 0 (` l TZt�y 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: l/ (P Manholes 18.76 I � " � Rain drain connector 18.76 Sanitary sewer (no. linear ft.: c., n) Page 2 (O.Z- Sy 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 col/ Y ec � S � Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors /sump 25.02 PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 F-� `C \ eA 8 Ccw' c)� 1 � �� Fixture /sewer cap 25.02 Name: 71' n � r , Address: 10310 S \ h Gtk ` i e W b 1--- Floor ge disposal sirklhub 25.02 Garbage disposal 25.02 City /State /ZIP: 1 M/61 0 2 ( 1 - ThZZ` - ) Hose bib 25.02 Phone: ( (ft - (.0-1 y Le Fax: ( ) Ice maker 12.51 ❑ APPLICANT ❑ CONTACT PERSON Interceptor /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: ( ) Fax: : ( ) Tub /shower /shower pan 12.51 E -mail: Urinal 25.02 Water closet 25.02 CONTRAC Water heater 37.52 Business name: U V (\ ✓J_ :,n (I C-jo o -hU0' Water piping/DWV 56.29 Address: 3 5 LI i �\/ /+4e ( 2r{ Other: f DE26 A.)(p ' 25.02 a516 y City/State /ZIP: a ovse 0 I loS ( Lt.t g/ r3 ut - 4,0 Z � vtt6�Subtotal 1 Phone: (5 j) �Oi - 1 I Fax: ( ) Minimum permit fee: $72.50 !^ Plan review (25% of permit fee) CCB Lic.: ply y el 1 5 , Plumbing Lic. no.: p ` ( J (( J State surcharge (12% of permit fee) 1 57 Authorized signature: . f 7 / TOTAL PERMIT FEE Q^g , D7 I' / Thi pe rmit application expires if a permit is not obtained within 180 days Print name:` ,�- h k 14, h ;2.....,..t. 7„. Date: / �` / / after it has been accepted as complete. *Fee methodology set by Tri- County Building Industry Service Board. 1 \ Building \Permits\PLMU- PermitApp.doc 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 - 1 100' 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 Other Inspections or Fees Qty. Fee (ea) Total each additional $100.00 or fraction thereof, to P 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 Baptistry/Font greater, except systems designed and stamped by licensed Bath: - Tub /Shower engineer. - Jacuzzi/Whirlpool Car Wash: Each Stall ❑ New exterior plumbing site utilities for any complex structure -Drive tall as defined in OAR918- 780 -0040. Cuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities. Dishwasher: Commercial ❑ Any multipurpose fire sprinkler system. - Domestic ❑ Any complex structure as defined in OAR918 -780 -0040. 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 Garbage Domestic non - food that meet the qualifications above. 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: - Lav/Bar 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 WaterCloset - Toilet plumbing permit can be issued. Urinal Other Fixtures: I: \Building\Permits\PLMF- PermitApp.doc 08/04/2011 2 Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 10310 SW HOODVIEW DR, TIGARD, OR, 97224 Residential - Plumbing 505 Sanitary sewer 05/14/2013 14:14 PLM2013-00127 PASS NOTE Camera 4" sanitary sewer from 2-way clean-out to public lateral. Pass Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 10310 SW HOODVIEW DR, TIGARD, OR, 97224 Residential - Plumbing 505 Sanitary sewer 05/14/2013 14:14 PLM2013-00127 PASS NOTE Camera 4" sanitary sewer from 2-way clean-out to public lateral. Pass Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 10310 SW HOODVIEW DR, TIGARD, OR, 97224 Residential - Plumbing 399 Plumbing final 05/14/2013 00:00 PLM2013-00127 PASS - No C of O Violation Summary: Inspector Contractor