Permit (82) CITY OF TIGARD PLUMBING PERMIT
4r Permit#: PLM2017-00439
a 3 COMMUNITY DEVELOPMENT
Date Issued: 10/25/2017
TLGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S1126D03400
Jurisdiction: Tigard
Site address: 7992 SW MARA CT
Project: Gabbert Subdivision: MARA WOODS Lot: 5
Project Description: Replacing(1)clothes washer,(1)dishwasher,(1)garbage disposal,(1)ice maker,(1)sink,(1)lavatory,(1)water
closet.
Contractor: PARAMOUNT PLUMBING CO Owner: SAVEREIDE, KAREN B&
16211 SE 81ST AVE GABBERT,JAMIE E
JOHNSON CITY, OR 97267 7992 SW MARA CT
TIGARD, OR 97224
PHONE:
PHONE: 503-269-7516
FAX:
FEES
Quantity Description Date Amount
1 ea Clothes Washer 10/25/2017 $25.02
Specifics: 1 ea Dishwasher 10/25/2017 $25.02
1 ea Garbage Disposal 10/25/2017 $25.02
Type of Use: 1 ea Ice Maker 10/25/2017 $12.51
Class of Work: 1 ea Sink 10/25/2017 $25.02
Type of Const: 1 ea Lavatories 10/25/2017 $25.02
Occupancy Grp: 1 ea Water Closet 10/25/2017 $25.02
Stories: 1 12%State Surcharge- 10/25/2017 $19.52
Plumbing
Total $182.15
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 obain a copy of the rules
or direct questions to OU by calling ,3.232.1987 or 1.800.332.2344. ill77
Issued By: / / / Permittee Signature:
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
RECEVE Received �h /}�(
City of Tigard Date/By: W al c//2 "/J. Permit No.:/1/‘(,),Op. VS 9
III U 13125 SW Hall Blvd.,Tigard,OR 97223 0 C T 2 5 2017 l/ , /
I Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Other Permit No.``// -Fq
Date/By: GG C�G�7^�6 !
Inspection Line: 503.639.4175
IICARD Cir/ e _ i� Q Date Ready/By: Juris H See
e Page 2 for
Internet: www.tigard-or.gov Notified/Method: T Supplemental Information
, DIVISION
TYPE OF WORK FEE* SCHEDULE
❑Newnstruction 0 Demolition For special information use checklist
Description Qty. Ea. Total
ddition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
'1.:1„WA''''' ' " CATEGORY OF CONSTRUCTION w„ SFR(1)bath 312.70
G -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 ❑Other: Fire sprinkler( sq.ft.) Page 2
QB SITE INFORMATION AND LOCATIO C Site utilities:
Job site address: 172. „cu A tt .1.--- Catch basin or area drain 18.76
Drywell,leach line,or trench drain 18.76
�/
City/State/ZIP: 'C 4,-,1
f Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: Project name: ti O d et'?t r4Vet,'--4. 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 OF WORK Backwater valve 12.51
// Clothes washer 25.02
�e,,,t!'d!e ,e 1C-4,e ) /" E e4�J At% Dishwasher / 25.02
/.{4„. / Drinking fountain 25.02
Ejectors/sump 25.02
❑ PROPERTY OWNER ,:n TENANT Expansion tank 12.51
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
0 APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02
is"4/4.,,,..t atz,,,--7-714,,,,Z.:7 C�_ Medical gas(value:$ ) Page 2
Business name:
Primer 12.51
Contact name: /' .11-7-/-, _„_.
Roof drain(commercial) r� 12.51
Address: 7/2-7 S c1
t e/ ' _ Sink/basin/lavatory 2- 25.02
City/State/ZIP: 7 74_.).4,. c. ‘ (V.4 ? Zs.7 Solar units(potable water) 62.54
Phone:(5 4) 2,1,'-7-576- Fax: :( ) Tub/shower/shower pan 12.51
E-mail: Urinal 25.02
Water closet ,/ 25.02
CONTRACTOR Water heater 37.52
Business name: /4%44 A�Gti7 /4:21‘,"+.S/,', t ), Water piping/DWV 56.29
Address: .. /Z S l-.. Ze/"/1L-t_- Other: 25.02
City/State/ZIP: 74j,.(&)q c� �i,•e OIG. 7-72.c `- Subtotal
Phone:(SOX) ZS5'_�S/ Fax:( ) 7/!72e' Minimum permit fee: $72.50
Plan review (25%of permit fee)
CCB Lic.: /Z S5'cSS o/t'///� P umbing Lic.no.: 2 4,--G-2-9-eo State surcharge(12%of permit fee)
Authorized signature: /e i ' TOTAL PERMIT FEE
Print name: �� �, 4 Date: This permit application expires if a permit is not obtained within 180 days
G N \ after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
I:\Building\Permits\PLMU-PermitApp.dor 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:
Site Utilities,. (2ty. ' Fee(ea) Total Square'Footage: P mat Fee:
Footing drain-1 S'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 Valllha 'ion: 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��� O a 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*. Plan Review for Pill*twig 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 R1OC9.t
0 Any new commercial building with water service 2"and
Baptistry/Font greater,except systems designed and stamped by licensed
Bath: -Tub/Shower
-Jacuzzi/Whirlpool engineer.
Car Wash: Each Stall
0 New exterior plumbing site utilities for any complex structure
Drive tall as defined in OAR918-780-0040.
Cuspidor/Water Aspirator 0 Medical gas and vacuum systems for health care facilities.
Dishwasher: Commercial
0 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" son etr� r4 ser Jagr`am
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
-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\Pennits\PLMF PermitApp.doc 08/04/2011 2
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
7992 SW MARA CT, TIGARD, OR, 97224 February 5, 2018 at
8:47:55 AM
Record Type: Record ID:
Residential - Plumbing PLM2017-00439
Inspection Type: Inspector:
399 Plumbing final David Young
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor