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Permit CITY OF TIGARD PLUMBING PERMIT IN 1 COMMUNITY DEVELOPMENT • Permit#: PLM2015-00358 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 joi '/ ' Date Issued: 10/20/2015 T t C.;�Iz t� 9 �1 Parcel: 2S102CC03300 Jurisdiction: Tigard Site address: 10375 SW MCDONALD ST Project: Mohammad Subdivision: FRELEON HEIGHTS Lot: 1 Project Description: Re-pipe residence.4/12/16:Reprinted permit to include(1)dishwasher,(2)sinks,(5)lavatories,(3)water closets, and(1)water heater. Contractor: TNT PLUMBING Owner: MOHAMMAD, KELLY S&HARRIS H 19845 SW PIKE ST 7225 SW 160TH AVE ALOHA, OR 97007 BEAVERTON, OR 97007 PHONE: 503-341-2009 PHONE: FAX: 503-649-5050 FEES Quantity Description Date Amount 1 ea Dishwasher 04/12/2016 $25.02 Specifics: 2 ea Sink 04/12/2016 $50.04 5 ea Lavatories 04/12/2016 $125.10 Type of Use: SF 1 ea Water Piping/DWV 10/20/2015 $56.29 Class of Work: ALT 3 ea Water Closet 04/12/2016 $75.06 Type of Const: 1 ea Water Heater 04/12/2016 $37.52 Occupancy Grp: 1 12%State Surcharge- 04/12/2016 $44.28 Stories: Plumbing 45 Misc Administration Fee 04/12/2016 $45.00 Total $458.31 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 1.800.332.2344. r Issued By: / Permittee Signature: Cy' — / 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. CITY OF TIGARD PLUMBING PERMIT III r • COMMUNITY DEVELOPMENT Permit#: PLM2015-00358 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/20/2015 Parcel: 2S102CC03300 Jurisdiction: Tigard Site address: 10375 SW MCDONALD ST Project: Mohammad Subdivision: FRELEON HEIGHTS Lot: 1 Project Description: Re-pipe residence. Contractor: TNT PLUMBING Owner: MOHAMMAD, KELLY S& HARRIS H 19845 SW PIKE ST 7225 SW 160TH AVE ALOHA, OR 97007 BEAVERTON, OR 97007 PHONE: 503-341-2009 PHONE: FAX: 503-649-5050 FEES Quantity Description Date Amount 1 ea Water Piping/DWV 10/20/2015 $56.29 Specifics: 1 12%State Surcharge- 10/20/2015 $8.70 Plumbing Type of Use SF 16 ea Minimum Fee Adjustment- 10/20/2015 $16.21 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 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 t e rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. / Issued By : � / • Permittee Signature: 1-1. / // , /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 A lication �°" �� PP Building Fixtures OCT 2 U 2015 FOR OFFICE I SE OBI 1 City of Tigard Received M Permit No."0 _r/ n 1 ill - _ r lateB �/ O ti:t[1 . S; N 13125 SW Hall Blvd .•are, •' 97 . TV OF 11GAR Plan Review Phone: 503.718.24 : Fax: 503.598.1'•! t e/g Other Permit No.: Inspection Line: 503.. -.- a�4 I t`"��"� Date Ready By: luris ® See Page 2 for TIGARD Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK ❑New construction ❑Demolition FEE* SCHEDULE For special information use checklist. Addition/alteration/replacement ❑Other: Description I Qty. I Ea. I Total CATEGORY OF CONSTRUCTION New 1-2-family dwellings(includes 100 ft.for each utility connection) SFR(1)bath 312.70 I-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 ❑Accessory building ❑Multi-family SFR(3)bath 500.32 ❑ Master builder ❑Other: Each additional bath/kitchen 25.02 JOB SITE INFORMATION AND LOCATION Fire sprinkler( sq.ft.) Page 2 Job site address: `(33--15 SW piviDon ack_ Site utilities: Catch basin or area drain 18.76 City/State/ZIP: --T,, q')a a t4 Drywell,leach line,or trench drain 18.76 Suite/bldg./apt.no.: Project name: Footing drain(no.linear ft.:_) Page 2 Cross street/directions to job site: Manufactured home utilities 50.03 Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.: ) Page 2 Subdivision: Lot no.: Water service(no.linear ft.: ) Page 2 Tax map/parcel no.: Fixture or item: DESCRIPTION OF WORK Backflow preventer 31.27 Backwater valve 12.51 to- 1 i Q- Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 ❑ PROPERTY OWNER I ❑ TENANT Ejectors/sump 25.02 , Expansion tank 12.51 Name: \A GrtC, s 1 M`t ` Ml` ,I ` Fixture/sewer cap 25.02 Address: Floor drain/floor sink/hub 25.02 City/State/ZIP: Garbage disposal 25.02 Phone:( I Fax:( ) Hose bib 25.02 V(APPLICANT ❑ CONTACT PERSON Ice maker 12.51 Business name: �^ ` Interceptor/grease trap 25.02 1 ,`�1��Q `O1 S ULI Medical gas(value:$ ) Page 2 Contact name: 1 1�hM in T �Ck S�- Primer 12.51 Address: 1 Cif 4S C�,J �`t K„e_ s4,-- Roof drain(commercial) 12.51 City/State/ZIP: aNa. � C)(10 Sink/basin/lavatory 25.02 Phone:(CAT)) -sm.'. ao Fax:Fax::( ) Solar units(potable water) 62.54 ,^l{�` 1 Tub/shower/shower pan 12.51 J. E-mail: �l i- Y\l:-!1'1`(Ni-1 .C cJ '�►Nk Cte. -� �' Urinal 25.02 CONTRACTOR ' Water closet 25.02 Business name: Water heater 37.52 Address: Water piping/DWV ` 56.29 GC,,� City/State/ZIP: Other: 25.02 Phone:( ) Fax:( ) Subtotal CCB Lie.: �ssgOS //LC�//7 Plumbing Lic.no.: TM5� Minimum permit fee: $72.50 Plan review (25%of permit fee) Authorized signature: 7�/1�7 State surcharge(12%of permit fee) Print name:T'i.0° l r .. 1 ko/c'c C Date: IV 0� `S TOTAL PERMIT FEE 2+ 2.,(3 C\B \uilding Pemnits\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 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 Sewer-1st 100' 62.54 3,601 to 7,200 $233.20 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Water Service-each additional 100' 37.52 Medical Gas Systems: Storm&Rain Drain- 1st 100' 62.54 Valuation: Permit Fee: Storm&Rain Drain-each additional 100' 37.52 $1.00 to$5,000.00 Minimum fee$72.50 $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 Inspection of existing plumbing or for and including$10,000.00. which no fee is specifically indicated 90.00/hr $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for (minimum charge-1/2 hour) each additional$100.00 or fraction thereof,to Inspections outside of normal business 90.00/hr and including$25,000.00. hours(minimum charge-2 hours) $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for Reinspection Fees 90.00/hr each additional$100.00 or fraction thereof,to Additional plan review for revisions 90.00/hr and including$50,000.00. (minimum charge 1/2 hour) $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for Subtotal: each additional$100.00 or fraction thereof. 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 ❑ New exterior plumbing site utilities for any complex structure Car Wash -Each Stall 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 U 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/Lav -Non-food related -Bradley -Commercial-food related -Service Swimming Pool Filter *Note: If the fixture work under this permit results in Washer-Clothes an Water Extractor increase of sewer EDUs,a sewer permit will be issued and Water Closet-Toilet fees assessed for the sewer increase must be paid before the Urinal Other Fixtures: plumbing permit can be issued. C:\Users\Owner\Downloads\PLMF_PermitApp(1).doc 3 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 10375 SW MCDONALD ST, TIGARD, OR, 97224 Residential - Plumbing 399 Plumbing ﬁnal FAIL April 11, 2016 at 1:21:51 PM PLM2015-00358 David Young Provide permit for all new ﬁxtures not on permit. Dishwasher, 2 sinks, 5 lavs, 2 WC's, and water heater. No inspection done. Violation Summary: Inspector Contractor 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 10375 SW MCDONALD ST, TIGARD, OR, 97224 Residential - Plumbing 399 Plumbing ﬁnal PASS - No C of O PLM2015-00358 Don Sylvester 1. Corrections are complete, plumbing ﬁnal approved. Violation Summary: Inspector Contractor