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Permit (10) CITY OF TIGARD PLUMBING PERMIT .1104 COMMUNITY DEVELOPMENT Permit#: PLM2016-00203 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/13/2016 T I G A lF 1) g Parcel: 2S109DA09800 Jurisdiction: Tigard Site address: 15288 SW OAK VALLEY TER Project: BALAKRISHNAN Subdivision: SUMMIT RIDGE NO.2 Lot: 87 Project Description: Plumbing remodel:(1)clothes washer,(1)dishwasher,(1)garbage disposal,(1)sink,and(1)shower. Contractor: STANDARD PLUMBING&HEATING Owner: BALAKRISHNAN, SRIDHAR&LESLIE 8318 SW SPRUCE 15288 SW OAK VALLEY TER PORTLAND, OR 97223 TIGARD, OR 97224 PHONE: 503-246-3338 PHONE: FAX: FEES Quantity Description Date Amount 1 ea Clothes Washer 04/13/2016 $25.02 Specifics: 1 ea Dishwasher 04/13/2016 $25.02 1 ea Garbage Disposal 04/13/2016 $25.02 Type of Use: SF 1 ea Sink 04/13/2016 $25.02 Class of Work: ALT 1 ea Tub/Shower/Shower Pan 04/13/2016 $12.51 Type of Const: 1 12%State Surcharge- 04/13/2016 $13.51 Occupancy Grp: Plumbing Stories: Total $126.10 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: �/G / 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 Cit of Tigard Received /� City ganDate/By: y 3 /ty - Permit No.: /M D0'/^%Ix 41 11111 I 13125 SW Hall Blvd.,Tigard,OR 97223 V Plan Review LI ��! �✓ Phone: 503.718.2439 Fax: 503.598.1960 10\*"'�" Date/By: Other Permit No.: I I t -�I I� Inspection Line: 503.639.4175 . ,`6 Date Ready/By: lw ® See Page 2 for Internet: www.tigard-or.gov Fj Notified/Method: to Supplemental Information .x eWiti 01. " . + a'V. „ a° ttn,L.-,' as.,z Kir �-- -.� ..: x£, ....i,. ; _...�,w Vie_ ❑New construction ❑Demoli�iprO !�\ For special information use checklist ,'1\`� A`�� Description Qty. Ea. Total 7 Addition/alteration/replacement 0 Ot +� New 1-2-family dwellings(includes 100 ft.for each utility connection) ' *fir. s ., i,t1 "+F :gse ....w;,.- t +,le j!sN.w,ts.i �,xre -„ '- "...r.?, SFR(1)bath 312.70 / -and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building 0 Multi-family Each additional bath/kitchen 25.02 ❑ Master builder 0 Other: Fire sprinkler ( sq.ft.) Page 2 S �S �E 3firOI t6ii Tr 7cki** . ": Site utilities: _ Job site address: /5-1.1. a d O I•*/ V I-yi Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 1.--City/State/ZIP: CA_ Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name: Manufactured home utilities 50.03 Cross street/directions to job ite:/ Manholes 18.76 0...-6‘ i i r 1� r 1( 3_,02.e' Rain drain connector 18.76 a;0 7 ii ••, ' Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision: 1 Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 3 I.27 a:ii7. z r r 'r= . Backwater valve 12.51 f - Clothes washer I 25.02 al..57 c-)2--- Dishwasher -)'LDishwasher 25.02 as ox. a• ' L(Jirl �/� Drinking fountain 25.02 iv Qin,` Ejectors/sump 25.02 ' r€ ,s xl r Expansion tank 12.51 e � Name: -kis.- c:,--,- I, -Q, iji- i� R 16 /,,4t) Fixture/sewer cap 25.02 / Floor drain/floor sink/hub 25.02 Address: �Z ci- 5�} (�C.I;k� Garbage disposal / 25.02 as'0)- City/State/ZIP: --c7 6' 7-( 6 9'77 Z' 4 Hose bib 25.02 Phone:(50 3) 22_7_a_t.�If Fax ( ) Ice maker 12.51 cr_ ii cON1ACT N Interceptor/grease trap 25.02 Business name: `7--AAi441M PLwyri. ;r 3 1 were `i I,(/� Medical gas(value:$ ) Page 2 Contact name: Primer 12.51 e,A.) A L T la Roof drain(commercial) 12.51 Address: ( 5 5-----,,,_, ��1.e �- Sink/basin/lavatory / 25.02 a74-4,,� City/State/ZIP: ejei-1,14NM 0/4e. 7 7 2 2 Solar units(potable water) 62.54 Phone:(533) , i.f . :.. Fax: :(57) ' '- /2-7,?" Tub/shower/shower pan / 12.51 .5/ (� �� Urinal 25.02 E-mail: D� G 5� t , Water closet 25.02 �k,t. ' 5 �l�§ ...:.5, 9, ',',d.. rv. kt.9 s r; Rs l:, Y4 . . �.,..„a 'r.. q1:44- 37.52 7 Water heater 37.52 Business name: S-7A.N4 A-4/1 P iN: ✓ )47-?s " Water piping/DWV 56.29 Address: �� Other: 25.02 City/State/ZIP: P�' -""��[� c))27 7 z_.-'• Subtotal //, .5' Phone 3 ) a yL-3 53,: i'-' Fax:0c;) ) . Vy--72 75 Minimum permit fee: $72.50 CCB Lic.: 2 /A z=E: � `] Plan review (25%of permit fee) (,7 3 Cc' Plum Lic no.: ell/ �p6 State surcharge(12%of permit fee) /`Y! '5d \ Authorized signature: TOTAL PERMIT F ! , i Print name:/Or34.,) . P L-T-&A) Date: This permit application expires if a permit is not obtained ss in 180 dan.----) after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:Building Permits PI.MU-PermitApp.doc 10 01 09 440-4616T110 02 COM WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: ��- 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 S stems: Water Service-each additional 100' 37.52 Storm&Rain Drain-1st 100' 62.54 erVf " " {' p+ $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 �f= 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*. Plaltlf + i `,fo1C P�Ill111S�SUAt©9S 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 D Any new commercial building vwith 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 as defined in OAR918-780-0040. Cuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities. Dishwasher: Commercial ID 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" soM, ,O,or . ser ` 4 0 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 -Corm/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: I:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2