Loading...
Permit (133) CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT Permit#: PLM2017-00488 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/22/2017 TE Ga1t`L 9 Parcel: 2S112BB01900 Jurisdiction: Tigard Site address: 8250 SW COLONY CREEK CT Project: Farnsworth Subdivision: COLONY CREEK ESTATES Lot: 15 Project Description: Replace 60'of main water service from meter to under house. Contractor: PAUL'S PLUMBING Owner: FARNSWORTH, RYAN&SARAH 5516 SE FOXFIRE WAY 8250 SW COLONY CREEK CT MIKWAUKIE, OR 97222 TIGARD, OR 97224 PHONE: 503-245-9092 PHONE: FAX: FEES Quantity Description Date Amount 60 If Water Service 11/22/2017 $62.54 Specifics: 1 12%State Surcharge- 11/22/2017 $8.70 Plumbing Type of Use: SF 10 ea Minimum Fee Adjustment- 11/22/2017 $9.96 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 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. Issued By: 14111 Permittee Signature: (-2 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 RECEIVED FOR OFFICE USE ONLY City of Tigard Received q Date/By: �l 7 �!� Permit N d X��/7.__k)L��� 1111 m 13125 SW Hall Blvd.,Tigard,OR 972 2 2 2017 / �'/ (1 li` Phone: 503.718.2439 Fax: 503.598.1960 Plan Review CITY OF TIGARD RD Date/By: Other Permit No.: Inspection Line: 503 639.4175 /'� 1 I G A R I) � Date Ready/By: J isy El See Page 2 for Internet: www tl and or ov A'�. V�r/ S�+I!p g g not ��Ivt\7 DIVISIO� Notified/Method Supplemental Information r v ° {" r � . :-..i`-.�,. .'. � .�°�f�G }a :',',-'1,.,„.,•.' .a, ' ' . �,�a.,. � � ".� ti...;:,. ❑New construction ❑Demolition For special information use checklist. Description Qty. Ea. Total Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) 'A 46 R' N Ucfio >. '.. *1,:-:1',7; ," SFR(1)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 -,0-. OB'*E` l ill~`O1 ATiQN AND I CAT1UN f "$ Site utilities: Job site address: O co 5 tG, tl. Cif Lit t Catch basin or area drain 18.76 7:41 ^� (`� Drywell,leach line,or trench drain 18.76 City/State/ZIP: (t Arg 1 / ,3' Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: J 1 Project name: ) 1,f 1' 0 j'+f 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 Stonn sewer(no.linear ft.:_) Page 2 r Water service(no.linear ft.: ( C) Q,o' Page 2 Subdivision: 1 Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 -11 Backwater valve "C.::; 7 iiii'Titi OF,W-®RR ::-:/.'.''-,:, # )." 12.51 Clothes washer 25.02 f q -- k ,- 5tio - &t fl' � �� Dishwasher 25.02 f tj5Jl pp.i, jJS Drinking fountain 25.02 Ejectors/sump 25.02 EI ERT`'(' o $ TE$ NT"A 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 5' �r.: �:_t ��,`. Q NTAI �� i."= Interceptor/ tease trap 25.02.02 Business name: f) 'J 1 pt,., c�rJ. 60 Medical gas(value:$ ) Page 2 Primer 12.51 Contact name: p ....../ Roof drain(commercial) 12.51Address: c t/VSk rOyhre 14)All Sink/basin/lavatory 25.02 City/State/ZIP: am„, b Gj'7 A,aSolar units(potable water) 62.54 Phone:( ")1 3 --- 7'O3 Fax:©( g)3 c13_ti(p.S9 Tub/shower/showerpan 12.51 E-mail: Urinal 25.02 ft" s � � t „ .7 T / -litWater closet 25.02 Water heater 37.52 Business name: .5.' F Water piping/DWV 56.29 Address: Other: 25.02 City/State/ZIP: Subtotal Phone:( ) Fax:( ) Minimum permit fee: $72.50 7,2,SO CCB Lic.: ( � Gr Plumbing Lic.no.: 3'a 3"1� Plan review (25%of permit fee) State surcharge(12%of permit fee) e, ?, Authorized signature: �7_ ,�/ ���y� TOTAL PERMIT FEE ,/o,2e) Print name: I" le t. L. � (SitJka. Date: f/f in/ti 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(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems .r .�Qty} - I ral � t�l�� s '��` s,.. ` o v , � 2,00� .• . , ...$121.90 Footing drain-1 100' 50.03 0 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 " 1 0Ol anit.. e Storm&Rain Drain-1st 100' 62.54 $1.00 to$5,000.00 Minimum fee 872.50� Storn&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 Tota each additional$100.00 or fraction thereof,to bth o �10 Or'. �)m eta 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*. PI ,Reviw fir PllInliingti+E>in Quantity by Fixture.Type Plan review is required for any of the following. FixtureTypefor = Replace/ Please check all that apply. Work Performed, Capped Added Relocate ❑ 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 ❑ 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 -Commercialiator ❑ Any multipurpose fire sprinkler system. 0 Any complex structure as defined in OAR918-780-0040. -Domestic Drinking Fountain Eye Wash Submit 2 sets of plans with any of the above. Floor Drain/sink: -2" ,x . a fir' ;'5 rattli , .. 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/Sery/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