Permit (51) IfiCITY OF TIGARD PLUMBING PERMIT
S COMMUNITY DEVELOPMENT Permit#: PLM2016-00329
T(C3 A RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/28/2016
Parcel: 25111 BD01702
Jurisdiction: Tigard
Site address: 9912 SW MURDOCK ST
Project: Murdock Street Partition,Lot 2 Subdivision: ALDERBROOK FARM Lot: 5
Project Description: Residential backflow preventer for irrigation.
Contractor: TRUSCAPES INC Owner: SAGE BUILT HOMES LLC
21600 NW AMBERWOOD DR. 1815 NW 169TH PL, STE 1040
HILLSBORO, OR 97124 BEAVERTON,OR 97006
PHONE: 503-969-2144 PHONE:
FAX: 503-531-9216
FEES
Quantity Description Date Amount
1 ea Backflow Preventer 06/28/2016 $31.27
Specifics: 1 12%State Surcharge- 06/28/2016 $8.70
Plumbing
Type of Use: SF 41 ea Minimum Fee Adjustment- 06/28/2016 $41.23
Class of Work: OTR Plumbing
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 N. ' - io .-nter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direquestions to• NC b calling 503.232.1987 or 1.800.332.2344.
111,
Issu-. By: `. Permittee Signature: -.,. . M
APA
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 Applica ' p --- ,
Site Utilities .. ".j 4' '. _:'. .
FOR OFFI( F FSF O\F.1
City of Tigard �� Received
III . 13125 SW Hall Blvd.,Tigard,OR 9)3231 8 20 j 1) Y Date/B : (.�Er
j�
j tM2v«a_�jQ 3 a�
1 0 Permit No.:
_ Phone: 503.718.2439 Fax: 503.598 1960 Plan Review
TIG R D Inspection Line: 503.639.4175 s ') i
Date/By:ReOther Permit No.:P--age 2 for _00030
Internet www.tigard-or.gov Date Read/B J,,5 r
Ready/By: I S See Page 2 for
1 1 13 Notified/Method: Il
YPI Supplemental Information
®New construction ❑Demolition For special information use checklist
❑Addition/alteration/replacementDescription I Qty. Ea. Total
0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
11 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
❑Accessory building 0 Multi family SFR(3)bath 500.32
❑Master builder ❑OEach additional bath/kitchen 25.02
Other:
Fire sprinkler( sq.ft.) Page 2
JOB SrrE INFORMATION AND LOCA`CUQN"" ' Site utilities:
Job site address:9912 SW Murdock St Catch basin or area drain 18.76
City/State/ZIP:Tigard,OR 97223 Drywell,leach line,or trench drain 18.76
Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: I Project name:
Manufactured home utilities 50.03
Cross street/directions to job site:SW 100th Ave
Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.: ) Page 2
Storm sewer(no.linear ft.: ) Page 2
Subdivision: Water service(no.linear ft.: ) Page 2
Lot no.:
01. Fixture or item:
Tax map/parcel no.: Backflow preventer 1 31.27 31.27
O�±1 OF'WORi€ Backwater valve 12.51
Installation of backflow device for irrigation system. Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
Cm"PRO R 'Y OiY' ER [ TENANT Expansion tank 12.51
Name:Sage Built Homes Fixture/sewer cap 25.02
Address:1815 NW 169th P1 Suite 1040 Floor drain floor sink/hub 25.02
City/State/ZIP:Beaverton,OR 97006 Garbage disposal 25.02
Phone:( ) Hose bib 25.02
Fax:( ) Ice maker
12.51
il3 ApPucA l f ' tx El copirrAer PEI N Interceptor/grease trap 25.02
Business name:Truscapes Medical gas(value:$ ) Page 2
Contact name:Stacey Whitfield Primer 12.51
Address:21600 NW Amberwood Dr. Roof drain(commercial) 12.51
Sink/basin/lavatory 25.02
City/State/ZIP:Hillsboro,OR 97124
Solar units(potable water) 62.54
Phone:(503)707-0213 I Fax::(503)352-4607 Tub/shower/shower pan 12.51
E-mail:stacey@truscapes.com Urinal 25.02
CAa`OlClr'. Water closet 25.02
Business name:Truscapes Water heater 37.52
Water piping/DWV 56.29
Address:
Other: 25.02
City/State/ZIP:
Subtotal
Phone:(503)707-0213 Fax:(503)352-4607 Minimum permit fee: $72.50
CCB Lic.:7962 umluny Lic. o.:
I
Plan review (25%of permit fee)
Authorized signature: .r�• State surcharge(12%of permit fee)
g? Lr o/tVIO1A."' TOTAL PERMIT FEE SI/.cr-)
Print name:Stacey Whifield Date:6/27/16 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\PermitslPLMU-PerntitApp.doe 10/01/09 440-4616T(]0/02/COM/WEB)
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Site Utilities k 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
Storm&Rain Drain-1st 100' 62.54 luation: PermitFe
$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
each additional$100.00 or fraction thereof,to
Other Insplops or 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*.
Quantity by Fixture Type PlitlflC Review'for Plumbing Pluilbilit lostaliations
Fixture Type for
Replace/ Plan review is required for anyof the following.
Work Performed: Capped Added Relocate 4
Baptistry/Font Please check all that apply.
Bath -Tub/Shower ❑ Any new commercial building with water service 2"and
-Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed
Car Wash -Each Stall engineer.
-Drive Thru 0 New exterior plumbing site utilities for any complex structure
Cuspidor/Water Aspirator as defined in OAR918-780-0040.
Dishwasher -Commercial 0 Medical gas and vacuum systems for health care facilities.
-Domestic 0 Any multipurpose fire sprinkler system.
Drinking Fountain 0 Any complex structure as defined in OAR918-780-0040.
Eye Wash
Floor Drain/sink -2" Submit 2 sets of plans with any of the above.
Isometric or.. . er,Piagram
Car Wash Drain
Garbage Domestic-non-food
0 Isometric or riser diagram is required for new buildings
Disposal -Domestic-food related that meet the qualifications above.
-Commercial-food related
-Industrial-food related
Ice Mach./Refrig.Drains
Oil Separator(Gas Station) Comments regarding fixture work:
Rec.Vehicle Dump Station
Shower -Gang
-Stall
Sink/Lav -Non-food related
-Bradley
-Commercial-food related
-Service
Swimming Pool Filter *Note: If the fixture work under this permit results in an
Washer-Clothes
Water Extractor increase of sewer EDUs,a sewer permit will be issued and
Water Closet-Toilet fees assessed for the sewer increase must be paid before the
Urinal plumbing permit can be issued.
Other Fixtures:
C:\Users\Stacey\Downloads\PLMU PermitApp.doe 2
1111 Site Utilities — Plumbing Permit Application
Plan Submittal Requirements
TIGARD
A plumbing permit for site utility plumbing work is required for sanitary sewer, storm sewer
and potable water systems on private property.
1. SITE PLAN and vicinity map showing the geographic location (fully dimensional,drawn
to scale) labeled with:
A. 0 map&tax lot# El project name ❑ site address ❑ suite number
❑ zoning 0 applicant name ❑ phone number
B. North arrow.
C. Scale (architectural or engineering only).
D. Street names.
E. Building pads with project location.
2. PLUMBING PLANS-Two (2) complete sets, civil only.
All details listed below shall be incorporated into the plumbing plans:
A. Storm drainage plan showing:
1) Finish elevations throughout the developed site.
2) Grade breaks determining area serving each catch basin.
3) Location of catch basins.
4) Pipe size.
5) Type of material.
6) Slope of piping.
7) Manholes and field drains.
8) Cleanouts provided for each 100 feet or fraction thereof.
9) Roof drain laterals specifying cleanouts at each upper terminal.
10) Location of existing or proposed connection to a public sewer line.
B. Utilities plan showing:
1) Sanitary sewer line location,pipe size,type of material, slope of piping,manholes
and cleanouts provided as required for storm.
2) Size and location of domestic water piping and drainage.
3) Proposed location of connection to a public water or sanitary sewer line.
I:\Building\Permits\PLMF-PermitApp.doc 12/30/05
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
9912 SW MURDOCK ST, TIGARD, OR, 97224
Residential - Plumbing
399 Plumbing final
PASS - No C of O
PLM2016-00329
David Young
Violation Summary:
Inspector Contractor