Permit (37) 1114
CITY OF TIGARD PLUMBING PERMIT
. ' COMMUNITY DEVELOPMENT Permit u: PLM2017 00167
T f ALD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/04/2017
Parcel: 2S110BC08800
Jurisdiction: Tigard
Site address: 12490 SW WINTERVIEW DR
Project: SPEARS Subdivision: THORNWOOD Lot: 59
Project Description: Replacing water heater with(1)tankless water heater,and installing(1)expansion tank,and(1)hub drain.
Contractor: CLASSIC PLUMBING LLC Owner: SPEARS, TIMOTHY&TIFFANY
521 S BALINE ST 12490 SW WINTERVIEW DR
NEWBERG, OR 97132 TIGARD, OR 97224
PHONE: 503-554-1605 PHONE:
FAX: 503-538-8570
FEES
Quantity Description Date Amount
1 ea Expansion Tank 05/04/2017 $12.51
Specifics: 1 ea Floor Drain/Floor Sink/Hub 05/04/2017 $25.02
1 ea Water Heater 05/04/2017 $37.52
Type of Use: SF 1 12%State Surcharge- 05/04/2017 $9.01
Class of Work: ALT Plumbing
Type of Const:
Occupancy Grp:
Stories:
Total $84.06
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. __-7
Issued By: Permittee Signature: ` ZtP--) C.e'.9
"0#iterteee..,_ 7
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
City of Tigard �'� Received I. t+'� Date/BY: 0 .1��7 Permit No.:�,�n )7 HCl 7
1114 13125 SW Hall Blvd.,Tigard,OR 972 V Plan Review G/,/
= Phone: 503.718.2439 Fax: 503.598.1 Date/By: Other Permit No.:
I I(;ARD Inspection Line: 503.639.4175 J ��`� ate Ready/By: Juris: ® See Pa Ye ,l�__GTO)
Internet: www.tigard-or.gov MP\ g
i Q ted Method: Supplemental Information
TYPE OF WORK `.e 1 CA/,�00 FEE* SCHEDULE
❑New construction 0 De ,e 'r��\N For special information use checklist.
i Description I Qty. Ea. Total
11 ddition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONS 1'RUCTION SFR(1)bath 312.70
1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
0 Accessory building 0 Multi-family SFR(3)bath 500.32
0 Master builderEach additional bath/kitchen 25.02
0 Other: Fire sprinkler( sq.ft.) Page 2
10B SITE INFORMATION ATION • Site utilities:
� � �,
Job site address: \a � e��\��r
Catch basin or area drain 18.76
City/State/ZIP: ` TA �a\-s, Drywell,leach line,or trench drain 18.76
Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: oject name: 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: I Lot no.: Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION:FSORK` Backwater valve 12.51
Vii, rClothes washer 25.02
Z4k (`\/ -+ ` �a Dishwasher 25.02
'‘,417 \'1k__O �1 'iV` Drinking fountain 25.02
� t/ V(` � Ejectors/sump 25.02
' '-❑ PROPERTY OWNER ,- 0 TENANT Expansion tank 12.51
Name: �; % j. Fixture/sewer cap 25.02
' 'M� �'/ i Floor drain/floor sink/hub 25.02 j,4
Address: olio �t14)44.4,1% .,,4.1 .) 4DY,
`rGarbage disposal 25.02
City/State/ZIP: ��`tr � ,ie y Hose bib 25.02
Phone:( ) �I� Fax:( ) Ice maker
12.51
APPLICANT M1 T❑ CONTACT PERSON 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
CON RACTOR Water closet 25.02
-
Water heater 37.52
'37.5-.)._Business name: \ , IL RLLL- Water i m DWV 56.29
Address: , t>\QI r& S-\ Other:p p
25.02
City/State/ZIP: �4j4
L�3i N 1 Subtotal 7S(,I5�
Phone: • v 9 o�p c Fax: A3° 5Sel 0 Mirti"""rrpertai.1-fa 0 -25\,115
Plan review (25%of permit
CCB Lic.: ` �` Plumbing Lic.no.: �Yo�1;1 p fee)
State surcharge(12%of permit fee) r Cf,v
Authorized signature: a,, . Z TOTAL PERMIT FEE IV/. C(i
Thispermit application expirespermity
Print name: i ?....„.JA.--s..\
\\ Date:S W pp'cation if aptis not obtained d within 180 days
1 1 1 1� after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
1:\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: Residential Fire Suppression Systems:
Qty. Fee(ea) Total
Site Utilities Square Footage: Permit Fee:
Footing drain-151 100' 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(es) Total, a each clu additional 0 or fraction thereof,to
hand 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*. Plan Review for Plumbing Installations
s
Quantity by Fixture Type Plan review is required for any of the following.
Fixture Type for Reptace/ Please check all that apply.
Work Performed: Capped Added Relocate
0 Any new commercial building with water service 2"and
Baptistry/Font greater,except systems designed and stamped by licensed
Bath: -Tub/Shower engineer.
-Jacuzzi/Whirlpool
Car Wash: -Each Stall 0 New exterior plumbing site utilities for any complex structure
as defined in OAR918-780-0040.
-Drive Thru
Cuspidor/Water Aspirator 0 Medical gas and vacuum systems for health care facilities.
-Commercial
al 0 Any multipurpose fire sprinkler system.
Dishwasher:
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>' Isometric or Riser Diagram
4"
0 Isometric or riser diagram is required for new buildings
-Car Wash Drain that meet the qualifications above.
Garbage -Domestic non-food
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
-Com/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
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12490 SW WINTERVIEW DR, TIGARD, OR, June 19, 2017 at 10:22:40 AM
97224
Record Type: Record ID:
Residential - Plumbing PLM2017-00167
Inspection Type: Inspector:
399 Plumbing final Aaron Cillo-Gobel
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor