Permit p CITY OF TIGARD
j PLUMBING PERMIT
• COMMUNITY DEVELOPMENT ��j Permit#: PLM2015-00384
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued:
Parcel: 2S111BDO S1116D01701
Jurisdiction: TIGARD
Site address: 9908 SW MURDOCK ST
Project: Murdock Street Partition Subdivision: ALDERBROOK FARM Lot: 5
Project Description: Installation of water service(370')and storm sewer clean-out(30")for future lots 2&3.(9908&9912 SW Murdock
St)11/17/15 REPRINTED to change contractor
Contractor: HILLSBORO PLUMBING CO Owner: SAGE BUILT HOMES LLC
PO BOX 1823 1815 NW 169TH PL, STE 1040
HILLSBORO,OR 97123 BEAVERTON,OR 97006
PHONE: 503-640-2525 PHONE:
FAX:
FEES
Quantity Description Date Amount
30 If Storm Sewer 11/16/2015 $62.54
Specifics: 370 If Water Service 11/16/2015 $175.10
1 12%State Surcharge- 11/16/2015 $28.52
Type of Use: SF Plumbing
Class of Work: NEW 45 Misc Administration Fee 11/17/2015 $45.00
Type of Const:
Occupancy Grp:
Stories:
Total $311.16
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 Noti 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 di questions to c NC b ailing 503.232.1987 or 1.800.332.2344.
sued By: Permittee Sig lure:
Call 503.639.4175 by 7:00 a.m.for the next available insp, ••n 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
COMMUNITY DEVELOPMENT Permit#: PLM2015-00384
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/16/2015
Parcel: 25111 BD01701
Jurisdiction: TIGARD
Site address: 9908 SW MURDOCK ST
Project: Murdock Street Partition Subdivision: ALDERBROOK FARM Lot: 5
Project Description: Installation of water service(370')and storm sewer clean-out(301 for future lots 2&3.(9908&9912 SW Murdock
St)
Contractor: EDWARD MULLEN PLUMBING Owner: SAGE BUILT HOMES LLC
1601 SE RIVER RD 1815 NW 169TH PL, STE 1040
HILLSBORO,OR 97123 BEAVERTON,OR 97006
PHONE: 503-640-0113 PHONE:
FAX: 503-640-4483
FEES
Quantity Description Date Amount
30 If Storm Sewer 11/16/2015 $62.54
Specifics: 370 If Water Service 11/16/2015 $175.10
1 12%State Surcharge- 11/16/2015 $28.52
Type of Use: SF Plumbing
Class of Work: NEW
Type of Const:
Occupancy Grp:
Stories:
Total $266.16
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
Uti moth ica i. enter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
• direct questions to ' NC • ..fling 503.232.1987 or 1.800.332.2344.
Issued By: � Permittee Signature: C�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 completion;A.- project.
Approved plans are required on the job site at the time of each inspection.
Plumbing Permit Application
Building Fixtures RE(,EEVE") FOR OFFICE USE ONLY
City of Tigard 1JJ EWE")
11 Received 1 ✓
- `� g Date/By: �� !�P � Penntt No.: ���b �0,)3s,„cf
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.196 6 '•2 Date/By: Other Permit No.:Nep.ao/,,r-DcGC/
Inspection Line: 503.639.4175 Date Read /B luris. ® See Page 2 for
TIGARD Internet: www.ti and-or. ov Ready/By: I >
g g t _ Notified Method: Supplemental Information
TYPE t') 1 FEE* SCHEDULE
❑ Ness construction • Demolition For special information use check list.
Description [ Qty. I Ea. I Total
❑ .\ddition alteration replacement El Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CON IC:TION s 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: 9q g flu Q-7�s 5T Catch basin or area drain 18.76
City/State/ZIP: Drywell,leach line,or trench drain 18.76
Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: Project name: j")CtQDoClrxgrei*r NLP 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 GA.
Water service(no.linear ft.:376 Page 2 /75,to
Subdivision: Lot no.: Fixture or item:
Tai map%parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 25.02
l `a-TtaFLL (-06-7-f2 c 4201 Dishwasher r 25.02
a Fu>'u 2 LU rs , Drinking fountain 25.02
Ejectors/sump 25.02
PROPERTY OWNER I ❑ TENANT Expansion tank 12.51
Fixture/sewer cap 25.02
Name: e u t /4-0)-€ 5
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
tj;cJNIACT , :, ,T. 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
Water closet 25.02
CONTRACTOR
Water heater 37.52
Business name: tv,e, �V t ked C Orin �G h� Water piping/DWV 56.29
Address: 1600 cr_ R v-ett_ 12,40A, Other: 25.02
City/State/ZIP: 0 1Ns YO D 9 7 1 2 3 Subtotal of 3 7 47
Phone:( Fax:( ) Minimum permit fee: $72.50
5� GY0 -oil 3 / Q� f-
CCB Lic.: 7Z6, g t Plumbing Lic.no.:3Cf`_a�6P`J Plan review (25% permit fee) a$S
,/�.1 State surcharge(12%of permit fee) 2
Authorized signature: TOTAL PERMIT FEE g66,./6,
Print name: CA�� �/ Date: /////?2/ This permit application expires if a permit is not obtained within 180 days
after it has been accepted as complete.
"Fee methodology set by Tri-County Building Industry Service Board.
1:'BuildingPennits'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- I" 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 nonnal 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 Replacer Please check all that apply.
Work Performed: Capped Added Relocate
Baptistry/Font CI Any new commercial building with water service 2"and
greater,except systems designed and stamped by licensed
Bath: -Tub/Shower
engineer.
-Jacuzzi/Whirlpool
El Car Wash: Each Stall New exterior plumbing site utilities for any complex structure
Drive Stall as defined in OAR918-780-0040.
CI Cuspidor/Water Aspirator Medical gas and vacuum systems for health care facilities.
Dishwasher: Commercial ❑ Any multipurpose fire sprinkler system.
Domestic 111 Any complex structure as defined in OAR9I 8-780-0040.
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✓Refig. Drains Comments regarding fixture work:
Oil Separator(Gas Station)
Rec.Vehicle Dump Station
Shower: -Gang
-Stall
Sink: -Lav/Bar non-food related
-Bradley
-Com/Sery/Util food related
-Service *Note: If the fixture work under this permit results in an
Swimming Pool Filler 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\P LM F_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
9908 SW MURDOCK ST, TIGARD, OR, 97224
Residential - Plumbing
399 Plumbing final
PASS - No C of O
December 11, 2015 at
11:19:46 AM
PLM2015-00384
Don Sylvester
1. Future water service for lots #2 - ok Note: no test at this time.
2. Future 4" storm sewer Lat. for lot #3 - ok
Violation Summary:
Inspector Contractor