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Permit
CITY OF TIGARD PLUMBING PERMIT .' COMMUNITY DEVELOPMENT Permit#: PLM2016-00330 T E G A IA D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/28/2016 Parcel: 2S 111 BD01701 Jurisdiction: TIGARD Site address: 9908 SW MURDOCK ST Project: Murdock Street Partition,Lot 3 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 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 Plumbing Class of Work: OTR 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 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 que ' OUNC by calling 503.232.1987 or 1.800.332.2344. Issued y: r Permittee Signature: W 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 Site Utilities I f 1OR 0141( F t SI' O\Ll City of Tigard Received ,,,, `\ III 13125 SWDate/By: /aw�w PermitNo.: P�N36)1 ez3V Hall Blvd.,Tigard,OR:,9'223 a* i`S Phone: 503.718.2439 Fax 503.598219o* Plan Review M�jrdp j a 3 Date/By: Other Permit No.: T i G A x D Inspection Line: 503.639.4175 # Date Ready/By: Juris Fa See Page 2 for Internet: www.tigard-or.gov , ' Notified/Method: Supplemental Information � i it -. i is o ' iii' s ®New construction 0 Demolition For special information use checklist Description Qty. I Ea. ] Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF coNs#'Rt3 T"I8ti >, SFR(l)bath 312.70 ® 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR(3)bath 500.32 ❑Master builderEach additional bath/kitchen 25.02 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION"AND LOCATION Site utilities: Job site address:9908 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 Water service(no.linear ft.: ) Page 2 Subdivision: I Lot no.:X, `,Ij Fixture or item: Tax map/parcel no.: Backflow preventer 1 31.27 31.27 Y1<ISRIMON OP 'l'©R ,. Backwater valve 12.51 Clothes washer 25.02 Installation of backflow device for irrigation system. Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 Aa P tort TY t3 a , Expansion tank 12.51 Name:Sage Built Homes Fixture/sewer cap 25.02 Address:1815 NW 169th PI Suite 1040 Floor drain/floor sink/hub 25.02 Garbage disposal 25.02 City/State/ZIP:Beaverton,OR 97006 Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 as APP A'1' ll „ C,C( A rals Interceptor/grease trap 25.02 Business name:Truscapes Medical gas(value:$ ) Page 2 Contact name:Stacey Whitfield Primer 12.51 Roof drain(commercial) 12.51 Address:21600 NW Amberwood Dr. Sink/basin/lavatory 25.02 City/State/ZIP:Hillsboro,OR 97124 Solar units(potable water) 62.54 Phone:(503)707-0213 Fax::(503)352-4607 Tub/shower/shower pan 12.51 E-mail:stacey@truscapes.com Urinal 25.02 :: Water closet 25.02 - Water heater 37.52 Business name:Truscapes 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 '.umbin Lic no.: Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: , , /1,_ / TOTAL PERMIT FEE q 7,9-0 Print name:Stacey Whifield Date:6/27/16 I 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(i0/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 -Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities . - Fee(ea) t°tal Square Footage: Permit Fee: Footing drain-1st 100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 Sewer-1st 100' 62.54 3,601 to 7,200 $233.20 Sewer-each additional 100' 7,201 and greater $327.54 37.52 Water Service-1st 100' 62.54 Water Service-each additional 100' 37.52 Medical Gas Systems: Storm&Rain Drain-1st 100' 62.54 Valuation: Permit Fee: Storm&Rain Drain-each additional 100' $1.00 to$5,000.00 Minimum fee$72.50 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for (tllBr=lnspectlito>r>ls or am < ' eft) ' Total each additional$100.00 or fraction thereof,to Inspection of existing plumbing or for and including$10,000.00. $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 (minimum charge-1/2 hour) each additional$100.00 or fraction thereof,to Inspections outside of normal business 90.00/hr and including$25,000.00. hours(minimum charge 2 hours) $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for 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*. Quanti.Y by Fixture Type `flan 1 e:for P ui Fixture Type for Replace/ � 5 Work Performed: Capped Added Relocate Plan review is required for any of the following. 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 ❑ 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. 4" Car Wash Drain Isometric or:R s r:D a 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 Washer-clothes *Note: If the fixture work under this permit results in an 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.doc 2 114 q 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. ❑ map&tax lot# El project name El site address El suite number ❑ zoning El 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. Utilitieslan showing: g 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 9908 SW MURDOCK ST, TIGARD, OR, 97224 Residential - Plumbing 399 Plumbing final PASS - No C of O PLM2016-00330 David Young Violation Summary: Inspector Contractor