Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Permit
CITY OF TIGARD PLUMBING PERMIT n ' • COMMUNITY DEVELOPMENT Permit#: PLM2015-00204 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/29/2015 TIGARD Parcel: 2S112CA09600 Jurisdiction: Tigard Site address: 7458 SW ASHFORD ST Project: Turley Subdivision: RENAISSANCE WOODS Lot: 22 Project Description: (1)new shower in master. Investigative fees collected for BCC2015-00029. Contractor: SARKINEN PLUMBING Owner: TURLEY, CHRISTOPHER N&JANINE R 9502 NE 72ND AVE 7458 SW ASHFORD ST VANCOUVER,WA 98665 TIGARD, OR 97224 PHONE: 503-761-2902 PHONE: FAX: FEES Quantity Description Date Amount 1 ea Tub/Shower/Shower Pan 06/29/2015 $12.51 Specifics: 1 12%State Surcharge- 06/29/2015 $8.70 Plumbing Type of Use: SF B0 ea Minimum Fee Adjustment- 06/29/2015 $59.99 Plumbing Class of Work: ALT 1 ea Investigation Fee 06/29/2015 $90.00 Type of Const: 1 ea Investigation 12%State 06/29/2015 $10.80 Occupancy Grp: Surcharge Stories: Total $182.00 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 ma obtain a copy of the rules or direc -•-stions o : • calling 503.232.1987 or 1.800.332.2344. Is ed By: 1 / / Permittee Signature: AO,- fir 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 lF VE Building Fixtures �t�it i �l i' FOR OFFICE USE ONLY `J g Dater / L/�/5�e, _i/ City of Tigard Permit No.: [/ pS(L 13125 SW Hall Blvd.,Tigard,OR! 9 2 019 Plan Review (f/�11 7 " ■ Phone: 503.718.2439 Fax: 503.598.1960 Date/By:Review / Other Permit No.: DateJBy: fff Inspection Line: 503.639.417 , , , T 1 G A R D Date Ready/By: Juris: HI See Page 2 for Internet: www.tigard-or.gov` . • • ' 1(JAKD Notified/Method: Supplemental Information ❑New construction ❑Demolition For special information use checklist Description I Qty. I Ea. I Total Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) SFR(1)bath 312.70 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 a d Site utilities: Job site address: ',G�s� slnf /,5 e,2 )fS'T Catch basin or area drain 18.76 City/State/ZIP: 775 it 02 ?7 a•01,t7 Footing drain line,ne trench drain age 2 77 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: Project name: ! �, v� 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: Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 Ake Fi 1G/t/2te, ,7-nJ 1ATlt,e(9o*'. f Dishwasher 25.02 G/ 7 c.N Pill S/N ,t Drinking fountain 25.02 Ejectors/sump 25.02 =❑ PROPERTY OWNER ❑ TENANT 111 Expansion tank 12.51 Name: C(. 45'..4 r NiA) ,E TJAL-a Fixture/sewer cap 25.02 4 4►? A /1 Ago. s* Floor drain/floor sink/hub 25.02 Address: ri 5 $ ^ Garbage disposal 25.02 City/State/ZIP: T 75 p,�r) t9 '7 a-a(f Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 ❑ APPLICANT • 4CONTACT PERSON Interceptor/grease trap 25.02 Business name: C do O,e2 C e 1 p 40 /S t f I j detc Medical gas(value:$ ) Page 2 Contact name: v 10 jt/t B WG�# Primer 12.51 Roof drain(commercial) 12.51 i Address: ?. • N /�© 8 a Sink/basin/lavatory 0 25.02 City/State/ZIP: 'Oft'r�pr-t) 0� ' 7 ? 3 .L. Solar units(potable water) 62.54 Phone:(la) (17)5-....„1,9 3 Fax: :( ) Tub/shower/shower pan 1 12.51 /a.Sl E-mail: I i C@ C,Do c2 Or Ai ✓ 0i' C Urinal 25.02 Water closet 25.02 CONTRACTOR _ Water heater 37.52 Business name: s4Qk RA)e 'h'*I b/..,/ 7 Water piping/DWV 56.29 Address: 5 5�6 a N 7.2_�, fl JE ` Other: 25.02 V City/State/ZIP: A NW o vQI W_A r' Subtotal Phone:(Y 2) 0 - ,,f 34/ Fax:(3(�)9,-- 0-37 6 Minimum permit fee: $72.50 7a•S1) Plan review (25%of permit fee) ---- CCB Lic.: f 7 a p 5- Plumbing Lic.no.: p kg 1 1 S State surcharge(12%ofpermit fee) 1.70 Authorized signature: TOTAL PERMIT FEE ez-l.?0 �� "^ This permit application expires if a permit is not obtained within 180 days Print name: Tip LA,y,�g�,� Date: � S P complete. ' after it has been accepted as corn lete "Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/O2/COMIWEB) I N �'��TI A T�V 4 = IOO , g, C) : 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 Storm&Rain Drain-1st 100' 62.54 �uatl0> Permt_ ee_. $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 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*. Quantity by Fixture Type Plan review is required for any of the following. Fixture Type for Replace/ Please check all that apply. Icper[orm 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 -Each Stall ❑ New exterior plumbing site utilities for any complex structure Drive tall 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 12 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 is required for new buildings -Car Wash Drain Garbage Domestic non-food that meet the 'ualifcations 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