Permit 111111
CITY OF TIGARD PLUMBING PERMIT
s COMMUNITY DEVELOPMENT Permit#: PLM2015 00206
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/01/2015
TIGARD Parcel: 2S103AA01702
Jurisdiction: Tigard
Site address: 10770 SW WALNUT ST
Project: CONDESD LLC Subdivision: ECHO HEIGHTS Lot: 2
Project Description: Installing 60 ft.of sewer. Septic tank to be pumped and filled.
Contractor: NW HOME SERVICES LLC Owner: CONDESD LLC
6941 SE BIXEL WAY 3041 WINKEL WAY
MILWAUKIE, OR 97267 WEST LINN, OR 97068
PHONE: 503-722-9599
PHONE:
FAX: 503-722-9779
FEES
Quantity Description Date Amount
60 If Sanitary Sewer 06/30/2015 $62.54
Specifics: 1 12%State Surcharge- 06/30/2015 $8.70
Plumbing
Type of Use: SF 10 ea Minimum Fee Adjustment- 06/30/2015 $9.96
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. Sta • •f OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expir 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 ollow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1691. You m o• ain a copy of the rules
or direct que to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued B Permittee Signature: / ill
Call 503.639.4175 by 7:00 a.m.for the next availab• inspection dat .
This permit card shall be kept in a conspicuous place on the job si until complet•n of the project.
Approved plans are required on the job site at the time . each ins!•ction.
Plumbing Permit Application 4A.
i
Building Fixtures ,, .� FOR OFFICE USE ON1.1
City of Tigard Rece By: Permit No.:
w 13125 SW Hall Blvd.,Tigard,OR 97223 0-°C3 Date/By: /,J�j ' 1 /�7 J- /�/�'� V E 5�-[XZ�(S lij
Phone: 503.718.2439 Fax: 503.598.19}y ,` Plan Review
( f
• O°1�� NIINV Date/By: Other Permit No..'aa)Q /S-00070
T I G A R D Inspection Line: 503.639.4175 _VA'it" `C1(!' Date Ready/By: Juria: 0 See Page 2 for
Internet: www.tigard-or.gov , S`ro Notified/Method: Supplemental Information
❑New construction ❑ einolition 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 ❑Comercialndustrial SFR(2)bath 437.78
m
SFR(3)bath 500.32
❑Accessory building ❑Multi-family
Each additional bath/kitchen 25.02
❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2
Site utilities:
Job site address: /0 1-... 70 54, A 7.- Catch basin or area drain 18.76
City/State/ZIP: / ` Drywell,leach line,or trench drain 18.76
jJ i c'+" 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.: (r) ) / Page 2 ._; ,5"'11
Storm sewer(no.linear ft.: ) Page 2
Water service(no.linear$.: ) 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
! i'a,
t 77-4 /1-�v ."'L -el. /%-r-e 4- C/ t/`Sr ti ,( Dishwasher 25.02
4,,,,,,,,,,,... "C 6, .74,-/ A on•,h.5 4 6•' S.�n C T - Drinking fountain 25.02
Ejectors/sump 25.02
El PROPERTY O Expansion tank 12.51
Fixture/sewer cap 25.02
Name: .
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
❑ APPLICA ❑ CONTACT PERSON Interceptor/grease trap 25.02
Medical gas(value:$ ) Page 2
Business nameyl,/ {, 5i°v,C_, S
Primer 12.51
Contact name:
Roof drain(commercial) 12.51
Address: Sink/basin/lavatory 25.02
City/State/ZIP: Solar units(potable water) 62.54
r„_ ) Fax::( ) Tub/shower/shower pan 12.51
44` Urinal 25.02
0 e ✓,« - ,- - Water closet 25.02
CONTRACTOR'.
' Water heater 37.52
Business name:Al/ Aft.. • v, C-• S Water piping/DWV 56.29
Address: ‘9' '/ 5e- ,,k--0/ Zr.o / Other: friil 21raillir-wwmi 25.02
City/State/ZIP: A /✓„ .e t5/2 Subtotal
Phone:(5127)727- 75771 Fax:(. ,-.3)7Z 9�r �f h, Minimum permit fee: $72.50 7g-
/7/ 35 g 9/9i 12/ . r�'
CCB Lic.: /fie Plumbing Lic.no.: Plan review (25%of permit fee) -�
State surcharge or/.of permit fee) V:70
Authorized signature: TOTAL PERMIT FEE (f/,;.16'
j r�/ This permit application expires if a permit is not obtained within 180 days
Print name: JOee‘f f'/jlry' 5 7 after it has been accepted as complete.
"Fee methodology set by Tri-County Building Industry Service Board.
I:\Building\Permits\PLMU-PermitApp.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 atilt Qty. Fee(ea) Total Square Footage: Permit Fee:
Footing drain-l'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 $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
Qty. ' a) 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*.
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 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 ❑ 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 s 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: -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 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\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
10770 SW WALNUT ST, TIGARD, OR, 97223
Residential - Plumbing
399 Plumbing final
PASS - No C of O
PLM2015-00206
George Heimos
Violation Summary:
Inspector Contractor