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Permit 1111 q CITY OF TIGARD PLUMBING PERMIT 3 ' COMMUNITY DEVELOPMENT Permit#: PLM2015-00151 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/14/2015 Parcel: 2S 111 CA00700 Jurisdiction: Tigard Site address: 9880 SW SATTLER ST Project: PHOENIX REDEVELOPMENT INC Subdivision: ALDERBROOK FARM Lot: 10 Project Description: Connect existing house to sewer service,approx. 150'. No reimbursement district fee,lateral not usable. Contractor: SIERRA CONSTRUCTION&EXCAVATION LLC Owner: PHOENIX REDEVELOPMENT INC PO BOX 30642 516 SE MORRISON ST, STE 700 PORTLAND, OR 97294 PORTLAND, OR 97214 PHONE: 503-492-9242 PHONE: FAX: 503-252-9808 FEES Quantity Description Date Amount 150 If Sanitary Sewer 05/14/2015 $100.06 Specifics: 1 12%State Surcharge- 05/14/2015 $12.01 Plumbing Type of Use: SF Class of Work: ALT Type of Const: Occupancy Grp: Stories: Total $112.07 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 •regon Utility ''cation Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy o the rules or di ct questions to OUNC by ca . g 50 .232.1987 or 1.800.332.2344. — Iss d By: , �- Permittee Signature: Z�■ \ 1 'NO 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. L ' Plumbing Permit Application Building Fixtures RECEIVED FOR OFFICE USE ONLI City of Tigard ' Received Permit No.: } p 13125 SW Hall Blvd.,Tigard,OR 970M 6 2015 DateBy: l��� ,►� t LI'/�/�'! /57 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit No. /Peitc----02 TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date ReadyBy. runs: M See Page 2 for G-1 Internet: www.tigard-or.gov DIVIgiON Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ❑New construction ❑Demolition For special information use checklist Description I Qty. Ea. 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 LX'/and 2-family dwelling ❑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: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: t3 1 sly S-TT Lr g_p Catch basin or area drain 18.76 City/State/ZIP: lI �t Drywell,leach line,or trench drain 18.76 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: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: Page 2 /57.54 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 C-w g L� T l D>� Clothes hwa washer 25.02 l N E IUST►4� 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 `O ❑ APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 C. Medical gas(value:$ ) Page 2 Business name: Primer 12.51 Contact name: Roof drain(commercial) 12.51 (x Address: Sink/basin/lavatory 25.02 0 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax::( ) Tub/shower/shower pan 12.51 1 E-mail: Urinal 25.02 14-) Water closet 25.02 CONTRACTOR Water heater 37.52 cis Business name: c ' (t0coil-I©N. A A') Cpt,uS. Water piping/DWV 56.29 ..... Address: P.Q . 1C) -3019/.0.. Other: 25.02 tea- City/State/ZIP: 7T D L� 9v. (9L Ll p Subtotal /j7.' I\b Phone:(93 1(Ligg 9p,(4a Fax:(56S) SP- R8 Oa Minimum permit fee: $72.50 ( ---- p Plan review (25%of permit fee) "- CCBLic.: I9Qgg3 .5l /I . 'lumbin j.no.: p.8 g4 1 I7 _ t State surcharge(12%of permit fee) 74). --/ Authorized signature: ! T,* 0 //3 TOTAL PERMIT FEE /69,O Print name: Date:l r` /, This 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\Permits\PLMU-PermitApp.doe 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-I St 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 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 Thru 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./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 Water Closet-Toilet plumbing permit can be issued. Urinal Other Fixtures: I:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2 SAITLEr ST 15210 ., a*" fs 9900 ¢ ` �r �`a��*" M -. . `� 9960 ; `"„ 151- `� . 9739 r.# eog �"'�' 9765 15240 F ; r.._ 't ,-„..?.--...t-„•t-r,-4.,t 9787 `I 9773 t 15260 15250 9884 15213 15201 .M..� ., . U A S l_. t i 15225 F 9945 9935 9888 „ 15286 ' 9798 7 9758 iiiit 15280 15237,=, ` el v 82 0. ._ . _ ; 9955 , 9925 # �._..t -- i 98891 15241 9715 .._., aw; �. 15259 . _:,�.... 9867 KARL,[ S7 9845' 9725•cis. r y w,« car Feet 0 12� Tom, \..-C>. 111•111•11 ' PLO/ - a6/s/ Debbie Adamski From: Mike White Sent: Wednesday, May 13, 2015 3:26 PM �5f /1/€4.)6)/ /�ST, lLfjj To: Debbie Adamski Cc: Ray Woolf; Kenny Fisher pU Au c �i iJ6, -7;4-f-T �f y r42L Subject: Sattler sewer extention Attachments: Mike White.vcf -i4 f/0i Aid /PTO • Debbie, The sewer main line looks good. It is now okay to issue the sewer permit for the existing home 9880 SW Sattler. Thanks, Mike ErClive white L� r`of Tigard r SenorEngtneer+ng'echninan g nee-"g. 5+-2.-3)639-4171 eat2464 •'KeV Zoga-d-or.go`' 137.25 S .n&5v 'card,OR 97223 DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retained by the City of Tigard in compliance with the Oregon Administrative Rules "City General Records Retention Schedule." 1 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 9880 SW SATTLER ST, TIGARD, OR, 97224 Residential - Plumbing 399 Plumbing final PASS - No C of O PLM2015-00151 George Heimos NOTE: documentation for septic tank pumping provided from Byer's Septic Tank service, gravel receipt for 3/4"- crushed #2and Washington Co. Dept of health received. Violation Summary: Inspector Contractor