Permit CITY OF TIGARD PLUMBING PERMIT
_ COMMUNITY DEVELOPMENT Permit#: PLM2014-00251
TI G A R.L7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/30/2014
Parcel: 2S 110DB90442
Jurisdiction: Tigard
Site address: 15483 SW 114TH CT 44
Project: MESSINGER Subdivision:TAINS AT SUMMERFIELD CONDO-PH Lot: 44
Project Description: Replacing shower pan.
Contractor: WESTERN PLUMBING Owner: MESSINGER LIVING TRUST
9460 SW TIGARD AVE SUITE 101 BY MESSINGER,ANN B TR
TIGARD,OR 97223 15483 SW 114TH CT#44
TIGARD, OR 97224
PHONE: 503-639-5296 PHONE:
FAX: 503-684-9015
FEES
Quantity Description Date Amount
1 ea Tub/Shower/Shower Pan 07/30/2014 $12.51
Specifics: 1 12%State Surcharge- 07/30/2014 $8.70
Plumbing
Type of Use: MF 60 ea Minimum Fee Adjustment- 07/30/2014 $59.99
Plumbing
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, 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 questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature:
Call 51�9.4175 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.
07/30/2014 09:24 5036849015 WESTERN PLUMBING INC PAGE 01/03
Plumbing Permit Application •
Building Fixtures �ft�� 4 Ul< t)1'1.0 1 l ti l-. ti-N1
City of Tigard v V Received •
Permit No.:
DaedBy: • -:__ � • 614-, _A.
;. ..f•• 13125 SW Hall Blvd.,Tigard,0 Plea Review
g Phone: 503.718.2439 Fitt 50 91.) 4(
.1960 may, Other Permit No.:
Inspection Line: 503.6394175 J Q\Q
T N w: 1
Date Ready/By: . hris: B Sae Pate I for Internet www.tigard.or.gov
Notified/Method
_ sL "m� . a a r r .:� cn^T 1 .. a -,w �, Sc pal larol omaeoe
f .' ' yF!n. C`atria n! :'., 2rc a+^ a li °v,
•^ ,° s r '` - , w g o- 1. r, dam + �* � 1� 's s i.
^l9 .�.. + ri?:.� "1r. 1,,.,..�.�pwa tr,T.rrr+ P^.:�' �ro+nk.. .t�'�. �,°.9�:�.w�.'x"�r��. `., ,ta'?.icu,..^���C.. ,.. �''.�:?:r:i:..�aT.t+r +:w^ �H .�a.9+'..e'W�i
❑New construction iblir pv.`-\\ fro- e For spedol',on ion use checklist■1 1:t Addition/alteration/ lacement 'E7 0 .. , key Sri tion Q . Ea. Totai
roP New 1-2-familf dwellings(includes 100 ff.for each utility connection)
r. (1)bath 312.70
❑ 1 and 2-family dwelling ❑Commercial industrial SFR(2)bath 437,78
SFR(3)bath 500.32
El Accessory building Multi-family Each additional bath/kitchen 26.02 _-
❑Master builder ❑Other
q, i Yt 17 Fire sprinkler sq.ftJ Page 2�
X9�i5'.�4 WtC';: , , ., Site utilities:
Job site adt ess: 1 �` Catch basin or area drain 18.76
City/State/ZIP: �� � + ]1 Dryweil,leach line,or trench drain 18.76-
T Footing drain(no.laver ft.:,, ,) Page 2
Suite/bldg./apt.no,: 4 4 Project name: J 1 ' M>uiutactupt d home utilities 50.03
Cross sheet/directions to job site. Manholes 18.76
Rain drain connector 18.76
S itary 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
+ Backwater valve 12.51
;rf,' Clothes washer 25.02
e 1:w (, r�l�4 Dishwasher 25.02
Chinking fountain 25.02
Ejectors/sump 25-02
r Expansion tank 12.51
Name: Q< •I fir, FtXturcJscwer cap 2$.U2
�l 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
t t tntet ceptor/grease trap 25.02
: '
Business name CS• 1 i 4(L.M�.'✓ Medical gas(value:$ ) Page 2
Primer 12.51
Contact name:
- Roof drain(commercial) 12.51
Address: Sink/basin/lavatory i 25-02
City/State/ZIP: Solar units(potable water) 62.54
Phone:( ) Fax::( ) Tub/shower/shower pan { 12.51 f e 51
E-mail: Urinal 25.02
.
i. -r. +?o , Water closet R � 1rl a ' ` 25.02
+!k°'?ln<r F1 r, :.4.. r . ... a:.1., , ,u.+t :,.,,. ..
Water heater 37.52
Business name:Western Plumbing,Inc. Water i n DWV 56.29
P Pi 8/
Address:9460 SW Tigard Street,Suite 101 Other: . 25.02
City/State/ZIP:Tigard,OR 97223 Subtotal /QQ SI
Phone:(503)639-5296 Fax:(503)684-9015 Minimum permit fee: $72.50 2'
CCB Lie.:2439 Plumbing Lie.no.:3429PB Plan review (25°�tyf permit fee)
Authorized signature: 4 Z `/ , t/
State surcharge(I2%of permit fee) ",3
" / � ,_ia`t.'!/_ /� r�I TOTAL PERMIT FEE %I,_
Print dame: tl Aat6: 'i This permit application expires if a permit h not obtained within 180 days
/, ►11� /3G�/ 7f offer it hes been acxpted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
1:1Buiding\Poanits\PLMt1-PmmitApp.dac 10/01/09 440-46161(10/07/COM/WEB)
07/30/2014 09:24 5036849015 WESTERN PLUMBING INC PAGE 02/03
Plumbing Permit ADDlication - City of Tigard
Page 2-Supplemental Information
Fee Schedule: Residential Fire Su r 'ression S stems:
Footing drain-1 100' 50.03 0 to 2.000 $121.90
Footing drain-each additional 100' 37.52 MEM 2 001 to 3 600 $169.69
Sewer-1st 100' 62.54 3,601 7 01 and 200 $32724
14 ter $327.54
Sewer-each additional 100'
Water Service-1st 100' 62.54 MN Medical Gas S stems:
Water Service-each additional 100' MI 37.52 —
Storm&Rain Drain-1st 100' 62,54 -
$1.00 to$5.000 00 Minimum fee$72.50
Storm 8t 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
+ -+ each additional$100.00 or fraction thereof,to
• and includin•510 000.00.
Inspection of existing plumbing or for $10,001.00 t0$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 ch :e-1/2 hour) and includin:$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 char_c—2 hours each additional$100.00 or fraction thereof,to
Reinspection Fees _ 90.00/hr and inohidin_$50.000.00.
Additional plan review for revisions 1111 90.00/hr - $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for
(minimum eh'. —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
accuratel report fixtures could result in increased sewer fees*.
F.. •. GF sari d 4a t t t t...,o-+ 1 ('
�w'a g∎ 1 �., Ilt;'4 •t. 4.- i�}n 1 1 i i k dt •.` :.;rt -. ..m.�r r.✓,'?aU
r��.��.���, �•;�, Kx<r�i j. f ll
''
,,,.', Plan review is required for any of the following.
.vi::.R i'i,w:..4,:,M�,. xk.:�. k� .. 'G4�.�.:-,.t-. ,r,... J't•,;•.�•eV«+h, .r-.Rain;,,„wa: Please check all that 1
Bagrcistry/Font aPp y'
Bah Tub/Shower ❑ Any new commercial building with water service 2”and
laauzi/Whirlpoot greater,except systems designed and stamped by licensed
Car Wash -Each Stall engineer.
-Drive Thru ❑ New exterior plumbing site utilities for any complex structure
Cuspidor/WaterAspirator as defined in OAR918-780-0040.
CI Dishwasher -Commercial Medical gas and vacuum systems for health care facilities.
-Domestic ❑ Any multipurpose fire sprinkler system.
Drinking Fountain ❑ Any complex structure as defined in OAR918-780-0040.
Eye Wash
Floor Drain/sink -2" Submit 2 sets of plans with any of the above.
-3,,
Car Wash Drain
Garbage Domatio non food ❑ Isometric or riser diagram is required for new buildings
Disposal -Domestic—fbod related that meet the •ualifications above.
-Commercial—food related
-Industrial-food related
toe MachiRefrig,Drains
Oil Separator(Gas Station) _ Comments regarding fixture work:
itec.Vehicle Dump Station
Shower -Gang
-Stall ----
Sink/Lav -Non-food related
-Bradley -
-Commercial-food related
-Service
Swimming Pool Filter *Note: If the fixture work under this permit results in an
Washer-Clothes
Water Extractor increase of sewer EDUs,a sewer permit will be issued and
Water Closet-Toilet fees assessed for the sewer increase must be paid before the
-
Urinal plumbing permit can be issued.
Other Fixtures:
http://www.tigard-or.gov/city_hail/departments/cd/docs/PLMF-Per'mitApOdoc