Loading...
Permit (81) iti CITY OF TIGARD PLUMBING PERMIT :��! I ' COMMUNITY DEVELOPMENT Permit#: PLM201600164 Date Issued: 03/29/2016 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S102DC05000 Jurisdiction: Tigard Site address: 9190 SW EDGEWOOD ST Project: WESTWOOD HOMES LLC Subdivision: 2006-051 PARTITION PLAT Lot: 3 Project Description: Backflow for irrigation. Contractor: ALL METRO LANDSCAPE Owner: WESTWOOD HOMES LLC PO BOX 1812 12700 NW CORNELL RD BEAVERTON, OR 97075 PORTLAND7 OR 9 229 PHONE: 503-481-4732 PHONE: FAX: 503-372-9162 FEES Quantity Description Date Amount 1 ea Backflow Preventer 03/29/2016 $31.27 Specifics: 1 12%State Surcharge- 03/29/2016 $8.70 Plumbing Type of Use: SF 41 ea Minimum Fee Adjustment- 03/29/2016 $41.23 Plumbing Class of Work: ALT Type of Const: Occupancy Grp: Stories: Total $81.20 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal C'•-, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit it expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law req re. you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR :5.-I'1-0090. Y�• ,y obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987• .-.:. . 44. 1 Issued By: Permittee Signature: t3 ' Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Plumbing Permit Application 1 Building Fixtures " -w FOR OFFICE FSE Uy1.1 V-S41) °, R?EIe3 City of Tigard `y" Pennit No.: i1o t ` �Iin 13125 SW Hall Blvd.,Tigard,OR 97223 p ?0$ via w Phone: 503.718.2439 Fax: 503.598.12 .,III %-,10 Date/By: Other Permit No.: I I t. \I:I7 Inspection Line: 503.639.4175 ,�` .11(-11 ‘"1/4. x^ (d1 Date Ready/By: la See Page 2 for Internet: www.tigard-or.gov ,--, 1 I .. 1,` Notified/Method: IF ' Supplemental Information b . .,' .,SN','.,, v .. a . `,V,' e 'i " T ,li;ir.,' ❑New construction /r*Irttion For special information use checklist Description Qty. I Ea. Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) °, Ti " y E r a t �� @ : 'max $1 - ' d s a . .�,'�� 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 JOB S, ' * AND LOCATION; Site utilities: Job site address: eti' $ W ..2.5zc Atter Cl Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP: r �.-el a.✓ Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: Project name: ( Ewe/"ttkic2 /kriev.,c LC C_ 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: Lot no.: Fixture or item: n Tax map/parcel no.: Backflow preventer • / 31.27 3l O-7 .- IiT-SCItIPTION OF.WORK .` Backwater valve 12.51 .,, Clothes washer 25.02 r Dishwasher 25.02 ACC (it, Drinking fountain 25.02 Ejectors/sump 25.02 i l', , n x' Expansion tank 12.51 Name: "��J/��i /i3/ '.c.b 75iA yslf G G G Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: /).'?OO .L.) . Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone ( ) Fax ( ) Ice maker 12.51 E. Aipik In C] CONTACT IP'EISAN Interceptor/grease trap 25.02 Medical gas(value:$ ) Page 2 Business name: V.0 Ls f--,,,,j oo,1 14-6-0„_t_S 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 * g r r p., y :4 a i Water closet 25.02 Water heater 37.52 Business name: ,ek-t.'L 11v`� © Water piping/DWV 56.29 Address: F o l.:01::) K ('8 Ca- Other: 25.02 City/State/ZIP: 5 Li j'`tKi D (2- ,1 5- Subtotal 3/ 1-7 Phone:( 5 D3 $1 -t'732_ Fax:( ) Minimum permit fee: $72.50 "7,9) CCB Lic.: LC( , -7 '0 9 Plumbing Lic.no.: Plan review (25%of permit fee) _ State surcharge(12%of permit fee) t 70 Authorized signature. `! -.----s - TOTAL PERMIT FEE /rate, Print name: dJ�� M N 0V j 5 Date: Zj'- - - , tp 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. (' 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: ���y Residential Fire Su s t ression S stems: 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 1 4 Storm&Rain Drain 1st 100' 62.54 "". * ' �' ° " k;.rN"'4.`` $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 ax 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*. p y;{e,+ r p �1 tstalboions 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 -Jacuzzi/Whirlpool engineer. Car Wash: Each Stall ❑ New exterior plumbing site utilities for any complex structure Drive tall as defined in OAR918-780-0040. EJCuspidor/Water Aspirator Medical gas and vacuum systems for health care facilities. Dishwasher: Commercial 0 Any multipurpose fire sprinkler system. Domestic 0 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- 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 -Can/Sery/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: 1:ABuilding\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 9190 SW EDGEWOOD ST, TIGARD, OR, 97223 Residential - Plumbing 399 Plumbing final PASS - No C of O April 4, 2016 at 10:04:37 AM PLM2016-00164 Don Sylvester 1. 1" Wilkins DC , model 850, ser# A527231 , for irrigation, located at north corner of property by fence - ok with test Violation Summary: Inspector Contractor