The URL can be used to link to this page

Permit CITY OF TIGARD PLUMBING PERMIT ,,0117:k ,.lr COMMUNITY DEVELOPMENT Permit#: PLM201500375 Date Issued: 11/02/2015 TIGARD_ 13125 SW Hall Blvd.Tigard OR 97223 503 718 2439 Parcel 2S103B606800 Jurisdiction Tigard Site address: 12442 SW 122ND AVE Project. Tapia Garcia Subdivision: BROOKWAY Lot: C Project Description Relocating piping for(1)dishwasher and(1)sink. Contractor. OWNER Owner: TAPIA, SERGIO SERGIO TAPIA GARCIA 12442 SW 122ND AVE 12442 SW 122ND AVE TIGARD, OR 97223 TIGARD, OR 97223 PHONE 503-481-3408 PHONE FAX FEES Quantity Description Date Amount 1 ea Dishwasher 11/02/2015 $25 02 Specifics: 1 ea Sink 11/02/2015 $25 02 22 ea Minimum Fee Adjustment- 11/02/2015 $22 46 Type of Use: SF Plumbing Class of Work• ALT 1 12%State Surcharge- 11/02/2015 $8 70 Type of Const Plumbing 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 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 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 Building Fixtures t1 ) "� FOR OFFICE USE ONLY � City of Tigard �� Date/Byd 'r uyj Permit No , V '1 13125 SW Hall Blvd,Tigard,OR ' 3 - -- - Plan Review ' 2 Phone. 503 718.2439 Fax: 503.598.1960 `L�1C3 Date/By Other Permit No T l G A R D Inspection Line 503.639 4175 (\('•� D Date Ready/By Suns ® See Page 2 for Internet. www tigard-or.gov vl. ; Noufied/Method Supplemental Information TYPE OF WOR�K��'�� Y ltt11$0R. FEE* SCHEDULE 1 �� y ll �" For special information use checklist. ❑construction �3, n�li n a� P f Description � Qty � Ea � Total Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312 70 I-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 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 17 zit/7 S co 1'7� ✓1 s ,�j v L Catch basin or line,drain 18.76 77 ✓ /G�- //! Drywell,leach line,or trench drain 18.76 City/State/ZIP: 779 r)r `0 r 77?-? Footing drain(no.linear ft ) Page 2 Suite/bldg./apt.no.: I Project name: G( /9 /t e�o f-&j Manufactured home utilities 50 03 Cross street/directions to job site: , l 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 — / n Clothes washer 25 02 Ae G-i C e p;/0 r fit ,Ia r JJ r 5�(i(f,S 11 P li Dishwasher / 25 02 rl S';p1 )-C / / Drinking fountain 25 02 Ejectors/sump 25 02 ❑ PROPERTY OWNER I ❑ TENANT Expansion tank 12 51 Fixture/sewer cap 25.02 Name: D Q_,r1 To TQ. FG .ti l,(f Ct Floor drain/floor sink/hub 25 02 Address: lJ a S CI / P. 'Ct 7/�,L �� tl �-� Garbage disposal 25 02 City/State/ZIP: 't.% < 'y 6 r 777;7- -' Hose bib 25 02 Phone:( 563) h.f • 3 rQ Fax:( ) Ice maker 12 51 ❑ APPLICANT ❑ 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:( ) Fax: :( ) Tub/shower/shower pan 12.51 E-mail: Urinal 25.02 CONTRACTOR Water closet 25.02 C Water heater 37 52 W N C Business name: Water piping/DWV 56.29 Address: Other 25 02 City/State/ZIP: Subtotal Phone:( ) Fax:( ) Minimum permit fee. $72.50 7 a SO CCB Lic.: Plumbing Lic.no.: Plan review (25%of permit fee) .. State surcharge(12%of permit fee) q.76 Authorized signature ,411✓t/- TOTAL PERMIT FEE g/, Print name- N Date: ��` //5 This permit application expires if a permit is not obtained within 180 days 3.47 a /`/ frA / ` after it has been accepted as complete. *Fee methodology set by Tn-County Building Industry Service Board I\Budding\Permus\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 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 ec Ins tions or Fees Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to Inspections 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 Dave Thru 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 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: l:\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 12442 SW 122ND AVE, TIGARD, OR, 97223 Residential - Plumbing 399 Plumbing ﬁnal FAIL PLM2015-00375 David Young Not ready for ﬁnal inspection, need rough in inspections. 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 12442 SW 122ND AVE, TIGARD, OR, 97223 Residential - Plumbing 399 Plumbing ﬁnal PASS - No C of O PLM2015-00375 Chip Barnett Violation Summary: Inspector Contractor