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Permit , I • CITY OF TIGARD � PLUMBING PERMIT COMMUNITY DEVELOPMENT Permit#: PLM2015-00373 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/02/2015 Parcel: 2S111 DC09300 Jurisdiction: Tigard Site address: 15750 SW OAKHILL LN Project: BYERS Subdivision: SUMMERFIELD NO.10 Lot: 564 Project Description: Moving existing kitchen sink. 11/9/2015: REPRINT permit to add(2)tub/shower,(2)lays and(2)water closets for master bath and guest bath. Contractor: PACIFIC CREST PLUMBING Owner: BYERS, LARRY 1810 SW 104TH 15750 SW OAKHILL LN PORTLAND, OR 97216 TIGARD, OR 97224 PHONE: 503-252-8800 PHONE: FAX: FEES Quantity Description Date Amount 45 Misc Administration Fee 11/09/2015 $45.00 Specifics: 1 ea Sink 11/02/2015 $25.02 2 ea Lavatories 11/09/2015 $50.04 Type of Use: SF 2 ea Tub/Shower/Shower Pan 11/09/2015 $25.02 Class of Work: ALT 2 ea Water Closet 11/09/2015 $50.04 Type of Const: 1 12%State Surcharge- 11/09/2015 $18.01 Occupancy Grp: Plumbing Stories: Total $213.13 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. Issued By: , Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspec on da e. This permit card shall be kept in a conspicuous place on the job site until completion • the pr ect. Approved plans are required on the job site at the time of each inspection. r iiq' CITY OF TIGARD PLUMBING PERMIT t Permit#: PLM2015-00373 E g COMMUNITY DEVELOPMENT ia', 1 " Date Issued: 11/02/2015 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 25111 DC09300 Jurisdiction: Tigard Site address: 15750 SW OAKHILL LN Project: BYERS Subdivision: SUMMERFIELD NO.10 Lot: 564 Project Description: Moving existing kitchen sink. Contractor: PACIFIC CREST PLUMBING Owner: BYERS, LARRY 1810 SW 104TH 15750 SW OAKHILL LN PORTLAND, OR 97216 TIGARD, OR 97224 PHONE: 503-252-8800 PHONE. FAX: FEES Quantity Description Date Amount 1 ea Sink 11/02/2015 $25.02 Specifics: 1 12%State Surcharge- 11/02/2015 $8.70 Plumbing 47 ea Minimum Fee Adjustment- 11/02/2015 $47.48 Type of Use: SF 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 the rules or direct stions to •. C by calling 503.232.1987 or 1.800.332.2344. Issu d By: i / Permittee Signature: /,0 ei 4 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 c: • - 'on o - .reject Approved plans are required on the job site at the time of each inspection. Plumbing Permit Application . . Building Fixtures (� ,�� FOR OFFICE 'USE.ONLY a,- �� eived City of Tigard 1�` ' �`L ti_ Permit No.• , / 111r 'I a. at Vii. %- !1/� f 13125 SW Hall Blvd.,Tigard,OR 97223 % �� N•, Phone: 503.718.2439 Fax: 503.598.1960 view a . Other Permit No.: P gte/By: Inspection Line: 503.639.4175 Date Read /B runs El Page 2 for T I GARD Internet: www.tigard-or.gov �` Ready/By: g �� Notified/Method: Supplemental Information TYPE OF WORK Ay. FEE* SCHEDULE ❑New..eonstruction ❑Demolition ° V For special information use checklist / Description Qty. Ea. I Total Jr_j Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) . CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 d 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 an ' SFR(3)bath 500.32 ❑Accessory building ❑Multi-family --- Each additional bath/kitchen 25.02 El Master builder ❑Other: Fire sprinkler(-sq.ft.) Page 2 'JOB,SITE INFORMATION AND LOCATION Site utilities: Job site address: X�7.� SLR BQ,4!/� /.t__I . Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP: 7-76 /2 - Q Z `7.4,3_4 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: 1 Project name: . /5e_.S Manufactured home utilities 50.03 Cross street/directions to job site: T Z-. 7 Manholes 18.76 / -f�. el.e -G2� •,eL4"/LZ. 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: ..SeZ,,c40.45fj ----/' -'-e.-?: Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 j, / _ Clothes washer 25.02 dVJL S/rvK 244-'44 3/"1-� " ►"I 'c'\eAJ Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name: ZAC,.Z/2- t/E,e,S Fixture/sewer cap 25.02 / Floor drain/floor sink/hub 25.02 Address: 2.6-7s> 5z...6 0,..4,�,t,[jC Z z,c,'. Garbage disposal 25.02 City/State/ZIP: 7-2_6,r'/Z. , r SRC '=?7D-.3-V Hose bib 25.02 Phone:(97,) 5-70_�..7_s--7 Fax:( ) Ice maker 12.51 ❑ APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Medical gas(value:$ ) Page 2 Business name: sec Q.../ . 1:2 --:----.-) Primer 12.51 Contact name: Roof drain(commercial) 12.51 Address: Sink/basin/lavatory ' 25.02 U City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax: :( ) Tub/shower/shower pan 12.51 E-mail: Urinal 25.02 Water closet 25.02 CONTRACTOR Water heater 37.52 Business name:7 c l /G F S / '‘.7.(-.?3/i/' Water piping/DWV 56.29 Address: 78/0 SE /ly,( Other: 25.02 City/State/ZIP: , „_ , e:)rZ "7"7�fc- Subtotal -',0� Phone:,Sj) 2.s2- D Fax:( ) Minimum permit fee: $72.50 77 Plan review (25%of permit fee) /1 CCB Lic.: 7.- )1 S7,7 Plumbing Lic.no.: 9 (12%35-A State surcharge(12/0 of permit fee) -70 Authorized signal. e:`�' 7// / TOTAL PERMIT FEE $''„Ap Date: This permit application expires if a permit is not obtained within 180 days Print name: ..2:4,z./-2.7L---a S �� 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-1st 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 Baptistry/Font ❑ Any new commercial building with water service 2"and greater,except systems designed and stamped by licensed Bath: -Tub/Shower -Jacuzzi/Whirlpool engineer. 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" 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: -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 Filer increase of sewer EDUs,a sewer permit will be issued and Washer-Clothes Water Extractor fees assessed for the sewer increase must be paid before the 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 15750 SW OAKHILL LN, TIGARD, OR, 97224 Residential - Plumbing 399 Plumbing ﬁnal FAIL PLM2015-00373 David Young Not ready for ﬁnal inspection. 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 15750 SW OAKHILL LN, TIGARD, OR, 97224 Residential - Plumbing 399 Plumbing ﬁnal PASS - No C of O PLM2015-00373 Don Sylvester Violation Summary: Inspector Contractor