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Permit (27) CITY OF TIGARD PLUMBING PERMIT Permit#: PLM2018-00250 COMMUNITY DEVELOPMENT Date Issued: 05/23/2018 TfG1lR L? 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S112CB00700 Jurisdiction: Tigard Site address: 15164 SW CHANDLER LN Project: Mangold,Lot 6 Subdivision: MANGOLD SUBDIVISION Lot: Project Description: backflow preventer for irrigation. Contractor: ALL METRO LANDSCAPE Owner: WESTWOOD HOMES LLC PO BOX 1812 12700 NW CORNELL RD BEAVERTON, OR 97075 PORTLAND, OR 97229 PHONE: 503-481-4732 503-406-2442 FAX: 503-372-9162 FEES Quantity Description Date Amount ea Backflow Preventer 05/23/2018 $31.27 Specifics: 1 12%State Surcharge- 05/23/2018 $8.70 Plumbing 41 ea Minimum Fee Adjustment- 05/23/2018 $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 permi 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 re ires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OA 52-001-00 . You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 :: 32.2344. Issued By: Permittee Signature: 1' 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 OT L1' City of Tigard Received y v Permit No.: III 13125 SW Hall Blvd.,Tigard,OR 97223 1111 �0�� Date/By: w i f �l ir- Phone: 503.718.2439 Fax: 503.598. Plan Review O"�(.��p��t Inspection 503.639.4175 ate/:y: Other Permit No.:f,��-y.��, TIGARD p t na: •ead/B :m.52 310 Internet: www.tigard-or.gov _p* W CAT. eady/By: Juris: See Page 2 for f S� olified/Method: --me�q,� i'' C� /Gs�rro I Supplemental Information TYPE OF WORKcci , .x FEE* SCHEDULE L1 New construction 0 ' ❑Demoli For special information use checklist \- Description I Qty. I Ea. I Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) i * " '0` `: CATEOOR ,' OF CONSTRUCTION ._ ..: ., =. SFR(1)bath 312.70 61 and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR(3)bath 500.32 ❑Master builder Each additional bath/kitchen 25.02 ❑Other: FiJOBSsprinkler( sq.f.) Page 2 � rn. .... �TE.IIFOR1174TION AND LOCATION' '' Site utilities: Job site address: t j t. C 14 S Lam: c-k_c�1^.. `c� (-e✓L L Catch basin or area drain 18.76 City/State/ZIP: `rt5� l Drywell,leach line,or trench drain 18.76 i,,.-C Footing drain(no.linear ft.: Suite/bldg./apt.no.: I Project name: ijAs e., -) Page 2 Manufactured home utilities 50.03 Cross street/directions to job site: t4"" �S l � Manholes 18.76 l • Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.:_) Page 2 Subdivision: ►k -f/ Water service(no.linear ft.:_) I Page 2 ` '( C Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer / 31.27 3/.2.7 . ,Y _. :z D S ,TION; si 1'O '' Backwater valve 12.51 Clothes washer 25.02 --{ Dishwasher 25.02 lL��! Drinking fountain 25.02 Ejectors/sump 25.02 fPIt E1 TYO .., r 12.51 u< � *. � µ � �], I'ENr1r.NT=_; µ Expansion tank Name: Fixture/sewer cap 25.02 Address: Floor drain/floor sink/hub 25.02 City/State/Z1P: Garbage disposal 25.02 Hose bib 25.02 Phone:( ) Fax ( ) 5 .� Ice maker 12.51 . : » ❑ ONTACT�PERSON„ Interceptor/grease trap 25.02 Business name: '` � 1.4) Medical gas(value:$ ) Page 2 Contact name: Primer 12.51 5�� t Roof drain(commercial) 12.51 Address: v i3 o n C v2 Sink/basin/lavatory 25.02 City/State/ZIP: q /� a e``i\re If�Z t1" ON,- `L-7 e '1 Solar units(potable water) 62.54 Phone:( u5 ` `S l �17I Fax::( ) Tub/shower/shower pan 12.51 E-mail: p4 k�� (. C i,v C c � CLA Si"' ti-C-`t. Urinal 25.02 -*_ , i, Water closet . ,,, v ,,,- x , .� QNF'FRAct'QIt K f 25.02 c .,. ;a Water heater Business name: _ /� a 37.52 "2��'t. - Water piping/DWV Address: 56.29 Other: 25.02 City/State/ZIP: Subtotal 3i-917 Phone:( ) Fax: -7d sv ( ) Lr-5Minimum permit fee: $72.50 CCB Lic.: Plumbing Lic.no.: Plan review (25%of permit fee) - Authorized signature: !' Zr �� State surcharge(12%of permit fee) D" �\ TOTAL PERMIT FEE g i s I Print name: -r_V V v -y- C D _ ©,l This permit application expires if a permit is not obtained within 180 days J I (\ (/ after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU-PermitApp.don 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: te°Utilihes t F Aea)` ‘,..r°41 $qua re,Footage• Permit Fee: t> � w �, 'F Qty, � 0 to 2,000 $121.90 Footing drain-1s`100' 50.03 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: 37.52 , . N ; Water Service-each additional 100' rfV 41141llQn: jerinit 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 F t*a) 'Total each additional$100.00 or fraction thereof,to U�+��'Inspections or Fees = 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. $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for 90.00/hr Additional plan review for revisions 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 y A a�.. �* accurately report fixtures could result in increased sewer fees*. ��a PlanI�vl<e`mw�fpr. g basttiP* Quantity by_Fixturje Type. .{ Plan review is required for any of the following. Fixture Type forReplacel. Please check all that apply. ,Work Performed: Capped Added Relocat, 0 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 0 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" Iso I 1 is Miser Diagram� . 4" ❑ 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: 15164 SW CHANDLER LN, TIGARD, OR, 97224 Record Type: Record ID: Residential - Plumbing PLM2018-00250 Inspection Type: Inspector: 399 Plumbing final David Young Result: PASS - NoCofO Comments: 1 " Wilkins model 350, serial number A681142 located right front by sidewalk. Violation Summary: Inspector Contractor