Loading...
Permit (143) CITY OF TIGARD PLUMBING PERMIT .' Permit#: PLM2018 00171 COMMUNITY DEVELOPMENT Date Issued: 04/18/2018 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S110AC00200 Jurisdiction: Tigard Site address: 11017 SW ANNAND HILL CT Project: Annand Heights,Lot 13 Subdivision: None Lot: None Project Description: Backflow preventer for irrigation. Contractor: CONTOUR LANDSCAPING Owner: ANNAND HILL LLC 12485 SW TOOZE RD BY M DALE RICHARDS SHERWOOD, OR 97140 12665 SW NORTH DAKOTA ST TIGARD, OR 97223 PHONE: PHONE: 503-682-1302 FAX: 503-682-1302 FEES Quantity Description Date Amount 1 ea Backflow Preventer 04/18/2018 $31.27 Specifics: 1 12%State Surcharge- 04/18/2018 $8.70 Plumbing 41 ea Minimum Fee Adjustment- 04/18/2018 $41.23 Type of Use: SF Plumbing Class of Work: OTR 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 .2344. % Issued By: •ermittee Signature: r or � 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 FOR OFFICE USE Otii.N" City of Tigard ) " `, Permit No.: pW 13125 SW Hall Blvd.,Tigard,OR 97223 - Plan ext ������� � ' � { g Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit No. s -�fV i 7,� 1 5 b Inspection Line: 503.639.4175 TIGARD ?idate Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: j;Z'.Br Supplemental Information w ' ''' : TYPE OF WORK '-11„it i. I ;AM)- $) FEW,'*MEDDLE ew construction 0 Demolition_ •. x x•+' For special information use checklist ) ",,t _,_ + Description Qty. I Ea. I Total I=1 Addition/alteration/replacement I=1 Other:' New 1-2-family dwellings(includes 100 ft.for each utility connection) ATEGDAY OF CONSTRUCT1 $ SFR(1)bath 312.70 1-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 0 Other: Fire sprinkler( sq.ft.) Page 2 � JOB SITE INFORMATION AIVI) LOCATIONtl° Site utilities: Job site address: C l 611 (4) Catch basin or area drain 18.76 �� Drywell,leach line,or trench drain 18.76 City/State/ZIP: 'VO �� ��� Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: 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: 1 Lot no.: 13 Fixture or item: Tax map/parcel no.: Backflow preventer ( 31.27 3i,)_-7 • .- Backwater valve 12.51 *SCRIPTI ..IOF. Cb ' - " Clothes washer 25.02 ZPSOLS-6,1)1.0 --"CL- L5 A---(-6/0;-% Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ' Expansion tank 12.51 7" OPERTY OV ❑ T.. � ) �y� C Fixture/sewer cap 25.02 Name: ()k i]n)1/4)W 0 60 " A'105Floor drain/floor sink/hub 25.02 Address: S w fUb (-6 ' 6 Garbage disposal 25.02 City/State/ZIP: [(p�.1 O.(Z 97 Z2 3 Hose bib 25.02 Phone:( ) / I. Fax:( ) Ice maker 12.51 '❑ APP Y1 ' a NTA a Interceptor/grease trap 25.02 Business name: Medical gas(value:$ ) Page 2 Primer 12.51 Contact name: Roof drain(commercial) 12.51 Address: Sink/basin/lavatory 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax::( ) Tub/shower/shower pan 12.51 Urinal 25.02 E-mail: ,, Water closet 25.02 7, CONTRA '0''''.7' k ,r,„ = , -: a ''ri Water heater 37.52 Business name: Co wVOL) LI`AJ Pa<' `- 1 l't) , Waterpiping/DWV 56.29 Address: r a E i� (cw b C Q Other: 25.02 City/State/ZIP:S -,0.(L akj--1 I Subtotal 3).}t.,-, Phone:(j J 0;'),,--<J( a.� Fax:( 891,-' 13 C• . _ Minimum permit fee: $72.50 7),ji) ‘4/ Plan review (25%ofprrnut fee) CCB Lic.: � 6g Plumbing Lic.no.: T. 70 State surcharge(12%of permit fee) , , Authorized signature: CPu,t,02-Ptr ] TOTAL PERMIT FEE:, D j t7 V Print name: U 1✓r%i y)1J Date:U/1 l I ' 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: .ite Util heFee(ea) 'TOW Square Footage• Permit Fee f Footing drain-151 100' 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 k£ z Valuation: 3'errnitt 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 ©r'Fees Qty (e&� T° 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*. `" lan ��ev>< `w for Ilumb�g Il�ltallahons �X Quantity bsFixture 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 -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 0 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" 1some�`1e o �s iagra n 4 0 Isometric or riser diagram is required for new buildings -Car Wash Drain g q g 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/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 Water Extractor fees assessed for the sewer increase must be paid before the 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: 11017 SW ANNAND HILL CT, TIGARD, OR, 97224 Record Type: Record ID: Residential - Plumbing PLM2018-00171 Inspection Type: Inspector: 399 Plumbing final Don Sylvester Result: PASS - NoCofO Comments: 1 . Note: wrong address on permit, should be 11917 not 11017 SW Annand Hill Ct. 2. 1 " Febco DC, model 850, serial # 56361 , for irrigation,located by water meter- ok with test Violation Summary: Inspector Contractor