The URL can be used to link to this page

Permit (210) CITY OF TIGARD PLUMBING PERMIT p COMMUNITY DEVELOPMENT Permit#: PLM2018-00039 Date Issued: 01/25/2018 f t(-BAR L) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel 2S 25/201 7400 Jurisdiction: Tigard Site address: 12575 SW 115TH AVE Project: FAUTH Subdivision: HUNTER'S GLEN Lot: 30 Project Description: Removing existing tub and shower and replacing with a new tile shower. Contractor: TROY ELLIOTT PLUMBING Owner: FAUTH, BRIAN T&KATRINA M PO BOX 1958 12575 SW 115TH AVE NORTH PLAINS, OR 97133 TIGARD, OR 97223 PHONE: PHONE: 503-309-5750 FAX: FEES Quantity Description Date Amount ea Tub/Shower/Shower Pan 01/25/2018 $12.51 Specifics: 1 12%State Surcharge- 01/25/2018 $8.70 Plumbing Type of Use: SF 60 ea Minimum Fee Adjustment- 01/25/2018 $59.99 Plumbing Class of Work: ALT 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: e-14104.-- Call 503.639.4175 by 7:00 a.m.for the next available in ton .ate. This permit card shall be kept in a conspicuous place on the job site u til completion of the project. Approved plans are required on the job site at the time of each inspection. Plumbing Permit Application Building Fixtures ....n ,, �' - FOR OFFICE [Si; OVEN " x { City of Tigard Received /} _ �/ g Date/By: lcj 1 D -- Permit No.:/441Z46.7,400 11 NI II 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 ,� i - +i i f' Date/By: Other Permit No.: TI G A R D Inspection Line: 503.639.4175 Date Ready/By: Juris: la See Page 2 for Internet: www.tigard-or.gov ;,' Notified/Method: l� rt,i`-A. '�:(� Supplemental Information F" TYPE OF WORC t t) �J ° FEE* S. HEDULE ❑New construction mbti it i', =- For special information use checklist. Description Qty. Ea. I Total CK Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY SOF.CONS 1RUGTION SFR(1)bath 312.70 lgj 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 INFOR11ATION ANDOcA ION Site utilities: Job site address: /15-7S ] 1 /yTh_ 1 Catch basin or area drain 18.76 City/State/ZIP: T7 G A�� co � Drywell,leach line,or trench drain 18.76 L 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 I L 5-1 - 4v0 toV,. vNI 7- 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 b , ktr* RI O F„PORI 4 ;: Backwater valve 12.51 y� Q , � Clothes washer 25.02kphe e Kk 7-143 by0 5/VIA, , r ,/ Dishwasher 25.02 '0 R j w tTfoi5 11, (f(2A-CIA.v�, ka Drinking fountain 25.02 '11 G v O Ejectors/sump 25.02 ` 4: ROIER iC O iNER 10" Eff m:, y, Expansion tank 12.51 Name: 2 p_i ]/411 c r Fixture/sewer cap 25.02 Address: `25-�L� 5� �`"i��' �GCT11 Floor drain/floor sink/hub 25.02 7� �� n 7 Garbage disposal 25.02 City/State/ZIP: T--` 6442 ) /K c/7L7.4 Hose bib 25.02 Phone:(567) ©6,6 7 gitI 41 Fax:( ) Ice maker 12.51 fj'a PL CA t h ," q 'A( PERSON_ , Interceptor/grease trap 25.02 Business name: Bt,4,,,,,L. �, vwwD Medical gas(value:$ ) Page 2 fr.../,:mAtz •`l.� Primer 12.51 Contact name: Roof drain(commercial) 12.51 Address: 1 %85514 // (� I l b S�t� � `0 Sink/basin/lavatory 25.02 City/State/ZIP: 7'7 f_ i.. /1 `� Ci`� 14 Solar units(potable water) 62.54 Phone:(93 )2"41„..,l V?�^b7`%4 Fax::( ) Tub/shower/shower pan / 12.51 )A. S1 '44- E-mail: b 7 , nn�__ Urinal 25.02 �� 0.9 i h;' �_ Water closet 25.02 4 CONTRACTOR `, r ■^ Water heater 37.52 Business name: `Tu Y /U J l a? (L VI''`O t 14,�µ uw Water piping/DWV 56.29 Address: ev o ,[d J 19 5'6 Other: 25.02 City/State/ZIP: N 7" PctiAi 9'71 3 Subtotal ��-51 Phone:503) 3 01 5-750 JFax:`( ) Minimum permit fee: $72.50 CCB Lic.: i 5 2 j 3 O Plumbing Lic.no.:3y..Y O .�1 Plan review (25%of permit fee) J State surcharge(12%of permit fee) ' 70 Authorized signature: _ \ t' 1 c3 ' m:--i Lt TOTAL PERMIT FEET � it �.1 I �s This permit application expires if a permit is not obtained within 1h0 days Print name: / ' + i�f�'�1` Date: r�� I ll after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Burlding\Permits LMU-PermitApp.doe 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: to lJ till es wra Qty 'a Fee ea) Total �` Q C of ge s. ermit Fed: Footing drain-Pt 100' 50.03 0 to 2,000 $121.90 2,001 to 3,600 $169.69 Footing drain-each additional 100' 37.52 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 Fee( y f l each additional$100.00 or fraction thereof,to op�s or''Fees Qt• Othe�r.Inspeciiand 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/lir $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*. Plan ReVi vv or lambing Ii stallatio s ,, 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 ❑ 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 0 Medical gas and vacuum systems for health care facilities. Cuspidor/Water Aspirator 0 Any multipurpose fire sprinkler system. Dishwasher: -Commercial ❑ Any complex structure as defined in OAR918-780-0040. -Domestic Drinking Fountain Submit 2 sets of plans with any of the above. Eye Wash Floor Drain/sink: -2" 3» VI 't' Isoflietric 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 Comments regarding fixture work: Ice Mach./Refrig.Drains 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 plumbing permit can be issued. Water Closet-Toilet 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: 12575 SW 115TH AVE, TIGARD, OR, 97223 March 12, 2018 at 9:46:38 AM Record Type: Record ID: Residential - Plumbing PLM2018-00039 Inspection Type: Inspector: 399 Plumbing final David Young Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor