Permit CITY OF TIGARD PLUMBING PERMIT
_ COMMUNITY DEVELOPMENT Permit#: PLM2015-00149
Date Issued: 05/13/2015
T f G AR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 1
WAWAParcel: 2S103CA01600
Jurisdiction: Tigard
Site address: 13410 SW HOWARD DR
Project: JOHNSON Subdivision: WOODCREST Lot: 5
Project Description: Replacing existing galvanized water piping and Relocating(1)clothes washer and(1)water heater.5/18/15:
Reprinted permit to include 40 ft.of water service and(1)bar sink.
Contractor: STANDARD PLUMBING& HEATING Owner: JOHNSON, CHERYL R
8318 SW SPRUCE 13410 SW HOWARD DR
PORTLAND, OR 97223 TIGARD, OR 97223
PHONE: 503-246-3338 PHONE:
FAX:
FEES
Quantity Description Date Amount
40 If Water Service 05/18/2015 $62.54
Specifics: 1 ea Clothes Washer 05/13/2015 $25.02
1 ea Sink 05/18/2015 $25.02
Type of Use: SF 1 ea Water Piping/DWV 05/13/2015 $56.29
Class of Work: ALT 1 ea Water Heater 05/13/2015 $37.52
Type of Const: 1 12%State Surcharge- 05/18/2015 $24.77
Occupancy Grp: Plumbing
Stories:
Total $231.16
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 2344.
Issued By: 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 FOR OFFICE LSE O\l.l
City of Tigard �` 'C � s/!i/( /yam- Permit No.: P -�20yg
. • 13125 SW Hall Blvd.,Tigard,OR 9722 G V G Plan Review ( •�J/
Phone: 503.718.2439 Fax: 503.598.1 G� Date./By: Other Permit No.:
I"I G A k U Inspection Line: 503.639.4175 . 1615 Date Ready/By: kris: ® See Page 2 for
Internet: www.tigard-or.gov 1 i. 1 Notified/Method: _ Sup.lemental Information
❑New c s 1 traction 0 De IT G 0 For special information use checklist
Description I Q . 1 Ea L Total
a •ddition/alteration/replacement ❑ 0 er: New 1-2-family dwellings(includes 100 ft.for each utility comection)
SFR(1)bath 312.70
e -and 2-family dwelling 11:1 Commercial/industrial SFR(2)bath 437.78
building SFR(3)bath _ 500.32
❑Accesso ry g ❑Multi-family
Each additional bath/kitchen 25.02
❑Master builder ❑Other:
(1, Fire sprinkler(_sq.ft.) Page 2
ite utilities:
Job site address: /3 i.j j v J '7C?,`k4 n� ryff'pr�'atch basin or area drain 18.76
City/State/ZIP: (� iv. Drywell,leach line,or trench drain 18.76
��fe' r+t Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: ((// f 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.:1 P ) / Page 2 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
7 5°1 r .c,n/k 4 od�011t.'nk -i,) Dishwasher 25.02
4jv "r"? it 't/ci*-✓‘SWtr � P)t}'5`y-;; per„,r-} Drinking fountain _ . 25.02
6/18//4--- e r Ejectors/sump 25.02
❑ PROPERTY OWNER 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 2.5-1)}.
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 25.02
CONTRACT 1 Water heater 37.52
Business name: `S' ,�(ptire1 '1'44/%1 )/J Water piping/DWV 56.29
Address: Other: 25.02
City/State/ZIP: Subtotal 13.-7.5p
Phone:( ) Fax:( )
Minimum permit fee: $72.50
CCB Lic.: .730 4 Plumbing Lic.no.: X-?)/05 Plan review (25%of permit fee)
J State surcharge(12%of permit fee) `(�, S7
Authorized signs • . r � ,1\��jI TOTAL PERMIT FEE ci Ei ff-2
Print name: Date: /` This permit application expires if a permit is not obtained w hin 180 days
D A,?/(1G/� E. �`�R'j / it after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
1:11uilding\ermita\PLMU-PmnitApp.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-In 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 S stems:
Water Service-each additional 100' 37.52
Storm&Rain Drain-1st 100' 62.54 I
$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
Cltllelr 113 eCtion3 or each additional$100.00 or fraction thereof,to
Q 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*. •
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
13aptistry/l•ont 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 is required for new buildings
-Car Wash Drain
Garbage Domestic non-food that meet the •ualifications 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: -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\Petmits\PLMF_PermitApp.doc 08/04/2011 2
q CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2015-00149
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/13/2015
Parcel: 2S 103CA01600
Jurisdiction: Tigard
Site address: 13410 SW HOWARD DR
Project: JOHNSON Subdivision: WOODCREST Lot: 5
Project Description: Replacing existing galvanized water piping and Relocating(1)clothes washer and(1)water heater.
Contractor: STANDARD PLUMBING& HEATING Owner: JOHNSON, CHERYL R
8318 SW SPRUCE 13410 SW HOWARD DR
PORTLAND, OR 97223 TIGARD, OR 97223
PHONE: 503-246-3338 PHONE:
FAX:
FEES
Quantity Description Date Amount
1 ea Clothes Washer 05/13/2015 $25.02
Specifics: 1 ea Water Piping/DWV 05/13/2015 $56.29
1 ea Water Heater 05/13/2015 $37.52
Type of Use: SF 1 12%State Surcharge- 05/13/2015 $14.26
Class of Work: ALT Plumbing
Type of Const:
Occupancy Grp:
Stories:
Total $133.09
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 qu-. .• • ! NC by calling 503.232.1987 or 1.800.332.2344.
Issue. By: 110 Permittee Signature: �r ,,i i
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 O\l l
City of Tigard Received
g Date/By: S! i 3/f 3 1 Permit No.: Aril r
• 13125 SW Hall Blvd.,Tigard,OR 97223 \ �� y" v, ' y '
ill ■ Phone: 503.718.2439 Fax: 503.598 GE, v Plan 13y: Other Permit No.:
Date/13y:
Inspection Line: 503.639.4175
TI G n K ) 20 ` NDotte f R ed veB t o : r, a: 0 See Page t for
Internet: www.tigard-orgov AA13 -, , Supplemental Information
rmation
TYPE OF WORK
+• FEE" SCHEDULE
❑New construction ❑13490 ,, btv ISk• ' For s - ', in ormation use checklist.
D‘1G Description Qty. Ea. Total
®Addition/alteration/replacement ❑ New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
el 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78
❑Accessory building ❑Multi-family SFR(3)bath 500.32
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:13410 SW Howard Drive Catch basin or area drain 18.76
City/State/ZIP:Tigard OR 97223 Drywall,leach line,or trench drain 18.76
Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: I Project name:Johnson Manufactured home utilities 50.03
Cross street/directions to job site:Off 121° 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 1 25.02 25.02
Repipe Galv Domestic water in Aqua-pax
Dishwasher 25.02
Relocate W/H and W/M to garage area 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:Standard Plumbing&Heating Co,Inc Medical gas(value:$ ) Page 2
Primer 12.51
Contact name:Don Alton
Roof drain(commercial) 12.51
Address:P,O,Box 19205 Sink/basin/lavatory 25.02
City/State/ZIP:Portland,OR 97280-0205 Solar units(potable water) 62.54
Phone:(503)246-33k 3 8 Fax::(50 3)244-1279 Tub/shower/shower pan 12.51
Urinal 25.02 C O N 9R& 0&efi C/4 S T es N K7 r
CONTRACTOR Water closet 25.02
Water heater 1 37.52 37.50
Business name:Standard Plumbing&Heating Co.Inc Water piping/DWV 1 56.29 56.29
Address:P.O.Box 19205 Other: 25.02
City/State/ZIP:Portland,OR 97280-0205 Subtotal
Phone:(503)246-3338 Fax:(503)244-14279 Minimum permit fee: $72.50 IN: :.
CCB Lic.:07309 Plumbing Lic.no.:26-72PB Plan review (25%of permit fee)
State surcharge(12%of permit fee)
Authorized signature: ,` _ �� ���, �,0 t TOTAL PERMIT FEE
Print name:Donald E Alton Date:5/13/2015s permit application expires if a permit is not obtained within 180 days
after it has been accepted as complete.
"Fee methodology set by Tri-County Building Industry Service Board.
I:\Building\Pennita\PLMU-PertnitApp.doc 10/01/09 440-4616r(10/02/CO B) $ 1d.34/
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
13410 SW HOWARD DR, TIGARD, OR, 97223
Residential - Plumbing
399 Plumbing final
PASS - No C of O
July 8, 2015 at 9:23:37 AM
PLM2015-00149
George Heimos
sidcheryl@myfrontiermail.com
Violation Summary:
Inspector Contractor