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Permit II q CITY OF TIGARD PLUMBING PERMIT : COMMUNITY DEVELOPMENT Permit#: PLM2014-00278 T[( A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/20/2014 Parcel: 2S102CA00238 Jurisdiction: Tigard Site address: 13210 SW ASH DR Project: Elliot Subdivision: VIEWCREST TERRACE Lot: 7 Project Description: Replace(1)kitchen sink,(1)dishwasher,(2)lays,(1)shower,(1)tub,(2)water closets and(1)water heater for residential remodel. Contractor: DELTA PLUMBING INC Owner: ELLIOTT, KEVIN 12205 SE 108TH AVE 13210 SW ASH DRIVE HAPPY VALLEY,OR 97086 TIGARD,OR 97223 PHONE: 503-998-0683 PHONE: FAX: FEES Quantity Description Date Amount 1 ea Dishwasher 08/20/2014 $25.02 Specifics: 1 ea Sink 08/20/2014 $25.02 2 ea Lavatories 08/20/2014 $50.04 Type of Use: SF 2 ea Tub/Shower/Shower Pan 08/20/2014 $25.02 Class of Work: ALT 2 ea Water Closet 08/20/2014 $50.04 Type of Const: 1 ea Water Heater 08/20/2014 $37.52 Occupancy Grp: 1 12%State Surcharge- 08/20/2014 $25.52 Stories: Plumbing Total $238.18 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: �J /��7'/� J Permittee 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 RECEIVED FOR OFFICE USE ONLY City of Tigard Date/By: 0/2&// /( Permit Nol.L f y�/ e70,.2`7 f 13125 SW Hall Blvd.,Tigard,OR 972 ((, A y y� NI Phone: 503.718.2439 Fax: 503.598:176f1 0 2014 Plan Review Date/By: Other Permit No.: Inspection Line: 503.639.4175 Date Read gun See Page 2 for l I C,A R D Ready/By:www.tigard-or.gov CITY OF PGA RD Notified/Method: //6"-- Supplemental Information *1 r TYPE of ING rIVJ.SION FEE* SCHEDULE ❑New construction ❑Demolition For special information use checklist. Description I Qty. 1 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 ❑Accessory building Multi-family SFR(3)bath 500.32 ❑Multi-famil 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: / ,/0 5 '� At Catch basin or area drain 18.76 City/State/ZIP: Q l Drywell,leach line,or trench drain 18.76 7;(-3/412/1 �+ ._ Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: Project name: 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 Dishwasher J, 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 3 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax::( ) Tub/shower/shower pan Z 12.51 E-mail: Urinal 25.02 Water closet Z 25.02 CONTRACTOR Water heater ( 37.52 Business name: B. - rAT� IV.. l.✓� 4. Water i m WV 56.29 PP €� Address: k_2.0s..., st52. /08 Other: - 25.02 City/State/ZIP: Ha Ver//G Subtotal a , /� 46 Phone:(/S ) Ar Fax:( ) _ Minimum permit fee: $72.50 CCB Lic.:/5Q. 4', Plumbing Lic.no.:P6 66Z,.... Plan review (25%of permit fee) a 5,Sot State surcharge(12%of permit fee) r► Authorized signature: TOTAL PERMIT FEE e.-3?,/� �/ This permit application expires if a permit is not obtained within 180 days Print name: V a�� Date: 1(2.0/��/ after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I3Building\Permits'PLMU-PermitApp.doc 10/01/09 440-46161(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-1st 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 Baptistry/Font ❑ Any new commercial building with water service 2"and 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'Dim 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 El 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./Being.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 Filer 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: 1:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2 Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 13210 SW ASH DR, TIGARD, OR, 97223 Residential - Plumbing 399 Plumbing ﬁnal FAIL PLM2014-00278 George Heimos 1.. Caulk master bath shower walls. 310.4 2. Recall inspection when correction has been completed. Re-inspection required. 103.5.6.1 Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 13210 SW ASH DR, TIGARD, OR, 97223 Residential - Plumbing 399 Plumbing ﬁnal PASS - No C of O PLM2014-00278 George Heimos Violation Summary: Inspector Contractor