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Permit - n CITY OF TIGARD PLUMBING PERMIT �. COMMUNITY DEVELOPMENT Permit#: PLM2015-00271 T IGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/18/2015 Parcel: 1 S133DCO2800 Jurisdiction: Tigard Site address: 11925 SW MORNING HILL DR Project: Williams Subdivision: MORNING HILL NO.1 Lot: 3 Project Description: Installation of new water heater. Contractor: DELTA PLUMBING INC Owner: WILLIAMS, LASHANDA EARLINE 12205 SE 108TH AVE 11925 SW MORNING HILL DR HAPPY VALLEY,OR 97086 TIGARD, OR 97223 PHONE: 503-998-0683 PHONE: FAX: FEES Quantity Description Date Amount 1 ea Water Heater 08/18/2015 $37.52 Specifics:, 1 12%State Surcharge- 08/18/2015 $8.70 Plumbing Type of Use: SF 35 ea Minimum Fee Adjustment- 08/18/2015 $34.98 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, State • OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expir: if ork is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires yo to fo ow the rules adopted by the Oregon Utilit ••• ica is --nter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001 0090. Y•u may obtain a copy of the rules • direct questions to O' C by c- •-• 503.232.1987 or 1.800.332.2344. Issued By: C"; , Permittee Signature: / Call 503.639.4175 by 7:00 a.m.for the next available inspection •:te. This permit card shall be kept in a conspicuous place on the job site until corn. ?tic, o t • project. Approved plans are required on the job site at the time of each inspecti.n. Plumbing_Permit Application Building Fixtures RECEIVED FOR OFFICE USE ONLI City of Tigard Received /S , ) /5'-0e,dr 7/ Date/By: O � p Permit No.. �JL`'J � ihi 13125 SW Hall Blvd.,Tigard,OR 97j(; 1 8 2 5 Plan Review ■ Phone: 503.718.2439 Fax: 503.59 Date/By: Other Permit No.: Inspection Line: 503.639.4175 T I G A R U CITY C k_ ` i" . Date Ready/By: runs: 0 See Page 2 for Internet: www.tigard-or.gov Notified/method: S up .lemental 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 Site utilities: Job site address: l kQ' S („>(./ 49 c ,‘f Catch basin or area drain 18.76 �� Drywell,leach line,or trench drain 18.76 City/State/ZIP: Oa-- Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: Project name: W _ 4-rC12-- 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 i Ws-IL/VT L \{e (' Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ❑ PROPERTY OWNER ! EM 1 Expansion tank 12.51 LA- Fixture/sewer cap 25.02 Name: y S � M{t L� /1-71A t4_,1,t4_,1, Floor drain/floor sink/hub 25.02 Address: 1 k T2.--S- � © k( "(C ` r L L Garbage disposal 25.02 City/State/BP: 1117674111 C ` t'l ( Q 2 Aft., Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 ❑ APPLICANMEIF ❑ 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 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Far-: :( ) Tub/shower/shower pan 12.51 E-mail: Urinal 25.02 -.-•--°---- Water closet 25.02 CONTRACTOR Water heater 1 37.52 Business name: Ll,) (V& F c\( C_. Water piping/DWV 56.29 Address: `'L'. ) C S €' (O9 Other: 25.02 City/State/ZIP: kilt-71 Y 012 c.&_\-1 v(L-_ Subtotal ? Minimum permit fee: $72.50 -7'a, Phone:(�� ( Cl, - �� f Fax:( ) CCB Lic.: (q . $it( Plumbing Lic.no.: et, S‘ Z Plan review (25%of permit fee) State surcharge(12%of permit fee) �. 70 Authorized signature: A TOTAL PERMIT FEE Q/,010 Print name d \� Date: 0 - b^Zp This permit application expires if a permit is not obtained within 80 days 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 di Qty. Fee(ea) Total Square Footage: Permit Fee: Footing drain-1°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 Valuat' 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 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 1 I Quantity by Fixture T}pe 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 mer ❑ 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 that meet the .ualifications above. Garbage -Domestic non-food 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 Water Closet-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 11925 SW MORNING HILL DR, TIGARD, OR, 97223 Residential - Plumbing 399 Plumbing ﬁnal PASS - No C of O PLM2015-00271 George Heimos Violation Summary: Inspector Contractor