Permit CITY OF TIGARD PLUMBING PERMIT
111. COMMUNITY DEVELOPMENT Permit#: PLM2014-00005
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/08/2014
Parcel: 2S112BD07700
Jurisdiction: TIGARD
Site address: 7790 SW HANSEN LN
Project: Brittany Meadows, Lot 13 Subdivision: BRITTANY MEADOWS Lot: 13
Project Description: Backflow for irrigation.
Contractor: GREAT SCAPES INC Owner: PACIFIC EVERGREEN HOMES LLC
12473 SE CENTRAL PARK CT 7410 SW OLESON RD#133
PORTLAND, OR 97086 PORTLAND, OR 97223
PHONE: 503-784-3869 PHONE:
FAX:
FEES
Quantity Description Date Amount
ea Backflow Preventer 01/08/2014 $31.27
Specifics: 1 12%State Surcharge- 01/08/2014 $8.70
Plumbing
Type of Use: SF 41 ea Minimum Fee Adjustment- 01/08/2014 $41.23
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 952-001-00 0. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.3 2.2344.
giall11110 _-
Issued By: •ermittee Signature:
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 OFFICE USE ONLY
City of Tigard �N Received III i ° Plan Re: I Irl it, �!. Permit No.: //1- C.vs.
a 13125 SW Hall Blvd.,Tigari;�_'.,•!
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-I'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
h 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
Baptistry/Font
CI Any new commercial building with water service 2"and
greater,except systems designed and stamped by licensed
Bath: -Tub/Shower
-Jacuzzi/Whirlpool engineer.
CI Car Wash: Each Stall New exterior plumbing site utilities for any complex structure
Drive Stall as defined in OAR918-780-0040.
Cuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities.
Dishwasher: Commercial CI Any multipurpose fire sprinkler system.
Domestic 1:1 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"
Isometric or Riser Diagram
❑ 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
7790 SW HANSEN LN, TIGARD, OR, 97224
Residential - Plumbing
399 Plumbing final
2014-01-15 00:00:00
PLM2014-00005
PASS - No C of O
1" wilkins model 350, serial no. A263793
Violation Summary:
Inspector Contractor