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Permit (262) IN CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT Permit#: PLM2018-00024 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/17/2018 T t t "�fa 1� g Parcel: 2S111AD02800 Jurisdiction: Tigard Site address: 14600 SW 89TH AVE Project: MARONEY Subdivision: PINEBROOK TERRACE Lot: 25 Project Description: (1)sink,(1)shower pan,and(1)water closet for converted garage. Contractor: OWNER Owner: MARONEY, SHARON SHARON MARONEY MURPHY, DANIEL A 8500 SW COLONY CREEK CT 14070 SW HALL BLVD TIGARD, OR 97224 TIGARD, OR 97224 PHONE: 503-260-7751 PHONE: FAX: FEES Quantity Description Date Amount 1 ea Sink 01/17/2018 $25.02 Specifics: 1 ea Tub/Shower/Shower Pan 01/17/2018 $12.51 1 ea Water Closet 01/17/2018 $25.02 Type of Use: SF 1 12%State Surcharge- 01/17/2018 $8.70 Class of Work: ALT Plumbing Type of Const: 10 ea Minimum Fee Adjustment- 01/17/2018 $9.95 Plumbing 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: / / Permittee Signatur, � 41- 0 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 Applications F ,_ Building Fixtures FOR OFFICE ISE 01 I.1 City of Tigarded n'V 17 2018 DateiB / /2 / - 1 Permit No.: pL, ae=�/i?y III13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: D «f Plan `Review I Phone: 503.718.2439 Fax: 503.598. r"}i; E 1 eDate/By- `‘.. other Permit No.:,f S 7- ��/7.,�-/T Inspection Line: 503.639.4175I - i• S5 ia�C/� J 8 f - d .J_ T I G A R D r s p o Date Ready/By: kris: ® See Page 2 for Internet: www.tigard-or.gov , I T ' '" I:' >,t.x / a e ' +totified/Method: Supplemental Information TYPE OF WORK M . FEE* SCHEDULE 0 New construction 0 Demolition For special information use checklist Description Qty. I Ea. Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTIi ,"" SFR(1)bath 312.70 ❑ 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 buildingSFR(3)bath 500.32 ❑Accessory 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinlder( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: /974,Co 5 Lt3 59 >` Catch basin or area drain 18.76 City/State/ZIP: /� Drywell,leach line,or trench drain 18.76 ty -ft c.\ a. di" Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: Project name: M /.)-,c, E. 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 Backwater valve 12.51 DESCRIPTION OF WORK ,. _ Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 BPROPERTY OWNERfi ❑ TENANT Expansion tank 12.51 Fixture/sewer cap 25.02 Name: 5 1,air`© Fes( ick /c & !/� -/1 V f. Floor drain floor sink/hub 25.02 Address: g3-C/ C) 5' C )!to61 C 1,\,A �(Cs,'r .}- `' Garbage disposal 25.02 City/State/ZIP: 'I-is c . r G 0 1701?-z( Hose bib 25.02 Phone:(563 , ' / 7.57/ Fax:( ) Ice maker 12.51 0 APPLICANT 'ti = 0CONTACT PERSON Interceptor/grease ease traP 25.02 Business name: ei Medical gas(value:$ ) Page 2 Primer 12.51 Contact name: Roof drain(commercial) I 12.51 Address: Sink/basin/lavatory r 25.02 5-u a City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax::( ) Tub/shower/shower pan 1 12.51 0.(.7"-- E-mail: Urinal 25.02 Water closet ) 25.02 ;72.5^02. CONTRACTOR Water heater 37.52 Business name: O c. h -e c Water piping/DWV 56.29 Address: Other: 25.02 City/State/ZIP: Subtotal Minimum permit fee: $72.50 Phone:( ) Fax:( ) CCB Lic.: Plumbing Lic.no.: Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature L)Z)711?,../l., „,476!‘) .7)-)---t-----C TOTAL PERMIT FEE g/ Print name:646i is() t( permit application expires if a permit is not obtained within 180 days t ( {v� Date:/.--- after it has been accepted as complete. Jl *Fee methodology set by Tri-County Building Industry Service Board. :\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,' Fe (ea) Total 'site Utm#4e�W ;� � �� Square Footage: Permit 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 Storm&Rain Drain-1st 100' 62.54 Valuation: Permit Fee:, $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 Qtr. Fee(ea) - Total and includingadi $10,l 0.0. or fraction thereof,to and $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*. Pll� r Plumbing Installation Quantity by Fixture Type Plan review is required for any of the following. Fixture Type forReplace/ Please check all that apply. Work Performed: CaPPed Added Relocate Baptistry/Font 0 Any new commercial building with water service 2"and greater,except systems designed and stamped by licensed Bath: -Tub/Shower engineer. -Jacuzzi/Whirlpool Each Stall 0 New exterior plumbing site utilities for any complex structure Car Wash: - as defined in OAR918-780-0040. -Drive Thi 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" Isometric or Riser DlagraMIV.. 4" 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\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: 14600 SW 89TH AVE, TIGARD, OR, 97224 Record Type: Record ID: Residential - Plumbing PLM2018-00024 Inspection Type: Inspector: 399 Plumbing final Don Sylvester Result: PASS - NoCofO Comments: 1 . Correction 's are complete- plumbing final approved. 2. Note: no rough-in inspection was done, permit's were not taken out by previous owner, it appears that everything is working. 3. This inspection was for the garage conversion only. Violation Summary: Inspector Contractor