Loading...
Permit (40) � a, CITY OF TIGARD PLUMBING PERMIT 712,',; COMMUNITY DEVELOPMENT Permit#: PLM2017-00267 13125 SW Hall Blvd.,Ti Date Issued: 07/05/2017 f[C1 .t and OR 97223 503.718.2439 9 Parcel: 25111 DA01500 Jurisdiction: Tigard Site address: 8720 SW LODI LN Project: LODI LANE Subdivision: APPLEWOOD PARK Lot: 11 Project Description: Replacing existing water piping throughout house,and installing(1)water closet,(2)sinks,and(1)clothes washer. Contractor: WEST LINN PLUMBING Owner: VANDYKE, LAWRENCE A&KARLA A 16470 SW BROOKMAN RD 8720 SW LODI LN SHERWOOD, OR 97140 TIGARD, OR 97224 PHONE: 503-740-8251 PHONE: FAX: FEES Quantity Description Date Amount 1 ea Clothes Washer 07/05/2017 $25.02 Specifics: 2 ea Sink 07/05/2017 $50.04 1 ea Water Piping/DWV 07/05/2017 $56.29 Type of Use: SF 1 ea Water Closet 07/05/2017 $25.02 Class of Work: ALT 1 12%State Surcharge- 07/05/2017 $18.76 Type of Const: Plumbing Occupancy Grp: Stories: Total $175.13 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 Orego• Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of th- u)e's or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. ////� 4� Issued By:/' Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available' spec'•n date. This permit card shall be kept in a conspicuous place on the job site , completion of the project. Approved plans are required on the job site at the time of each inspection. Plumbing Permit Application Building FixturesFou OFFICE LSE ONLI' City of Tigard Received j t 1 Date/By: 7�j�'I/ Permit No.: �r„/1 �y,'�j 13125 SW Hall Blvd.,Tigard,O Q G,r 1 ? liz( 7 Plan Review Phone: 503.718.2439 Fax: 503. 9 . 960 . Date/By: Other Permit No.: �; T I G A R D Inspection Line: 503.639.4175 �`J� ®(yf% c Q Date Ready/By: rur s: ® See Page,7 I U ��� Internet: www.tigard-or.gov �`� `. `10\ Notified/Method: ..0 Supplemental Information TYPE OF WORK i �`�����`���\\\"` `CI' FEE* SCHEDULE ,,,, ion For special information use checklist El New construction El Description Qty. I Ea. I Total dition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 X ❑and 2-family dwelling Commercial/industrialSFR(2)bath 437.78 ❑Accessory building El Multi-family SFR(3)bath 500.32 Each additional bath/kitchen 25.02 ❑Master builder El Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: ('7 2 0 L©d Dry1 C:vhel;:slnL:::,:ench City/State/ZIP: tGS CY- 15,s( 9722c--( -7 2 2 C/ Fooin drain 2 J 1 ! �I 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: 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 ' 'Y ° ', Backwater valve DESCRIPTION OF" VOR� 12.51 r s: Clothes washer 25.02 2StJuZ V `} Y \C e t e- \ c\- �'N�� Dishwasher j , , / 25.02 t C Y V fox- Drinking fountain 25.02 T -�-o;k-eT aid �S �rAl� a ,./\,\ .S Ejectors/sump 25.02 0 PR,OPER Y OWNER y{ O N Expansion tank 12.51 r tt Asa. ,.. Name: Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 ® APPLICANT , y 0.CONTACT PE N Interceptor/grease trap 25.02 Business name: Medical gas(value:$ ) Page 2 Contact name: Primer 12.51 Roof drain(commercial) 12.51 Address: Sink/basin/lavatory a25.02 1; City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax::( ) Tub/shower/shower pan 12.51 E-mail: Urinal 25.02 CT n Water closet j__ 25.02 01 C.'... Water heater 37.52 Business name: f rn .� ` 1 f �Y \ �llk �C _ Waterpiping/DWV , a- 56.29 5;, Address: 1(pvd 70 b (o D K�c4%,(\_ 25.02 �- V d Other: °C City/State/ZIP: S/P V.w b c C` of (37/Ll U Subtotal (S/,. l Phone:(��2 (o - ''2S/ Fax:( ) Minimum permit fee: $72.50 w �p� 7tkG,r CCB Lic.: / t� Plumbing b Cq Plan review (25%of permit fee) S Lic.no.: � State surcharge(12%of permit fee) (y,-)(, Authorized s' ature: d-Jth Y\V1 )) SC % r 1 ` TOTAL PERMIT FEE Print n. e: / Date: / 5 c This permit application expires if a permit is not obtained within 180 days l / after it has been accepted as complete. , *Fee methodology set by Tri-County Building Industry Service Board. I:\B 'ding\P . its\PLMU-PermitApp.doc 0/01/09 440-4616T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty Fee(ea) Total Square Footage: Permit Fee: Footing drain-I'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 Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to Other Inspections or Fees 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 each additional$100.00 or fraction thereof. (minimum charge-1/2 hour) 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*. Itn.*view for Plumbing Installations 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 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 0 New exterior plumbing site utilities for any complex structure Car Wash: -Each Stall as defined in OAR918-780-0040. -Drive Thru Cuspidor/Water Aspirator 0 Medical gas and vacuum systems for health care facilities. Cuspidor/Water -Commercial al 0 Any multipurpose fire sprinkler system. Commer ❑ Any complex structure as defined in OAR918-780-0040. -D Drinking Fountain Eye Wash Submit 2 sets of plans with any of the above. Floor Drain/sink: -2" Onelie 4 SCT a 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: 8720 SW LODI LN, TIGARD, OR, 97224 August 22, 2017 at 12:58:37 PM Record Type: Record ID: Residential - Plumbing PLM2017-00267 Inspection Type: Inspector: 399 Plumbing final David Young Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor