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Permit (46) CITY OF TIGARD PLUMBING PERMIT • COMMUNITY DEVELOPMENT Permit#: PLM2018-00229 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/14/2018 T r c;;t R.C� g Parcel: 2S112CB00700 Jurisdiction: Tigard Site address: 15134 SW CHANDLER LN Project: Mangold,Lot 3 Subdivision: MANGOLD SUBDIVISION Lot: Project Description: Backflow preventer for landscape 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 PHONE: 503-406-2442 FAX: 503-372-9162 FEES Quantity Description Date Amount 1 ea Backflow Preventer 05/14/2018 $31.27 Specifics: 1 12%State Surcharge- 05/14/2018 $8.70 Plumbing Type of Use: SF 41 ea Minimum Fee Adjustment- 05/14/2018 $41.23 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, S .te of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will -xp re if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires yo follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-10 -0090. u may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: ‘:( ('‘f 1111.'. � ' Permittee Signature: 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. E1) Plumbing Permit Applicati%ECEIV Building Fixtures FOR OFFICE USE ONLY W�Y 14 ?_018 City of TigardReceived Cl/cdir/ I Permit No.It/tat)/� ;y � 111 13125 SW Hall Blvd.,Tigard,OR 97 TIGARD Plan Review p�,,/ T,/' W Phone: 503.718.2439 Fax: 503.5 9401 Date/By: Other Permit N/"!i�/r% / OF IN : �Inspfr u ection Line: 503.639.4175 BUILDISCDIVISIONTIGARD Date Ready/By: Juris: 0 See Page 2 for www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK ' FEE* SCHEDULE :: New construction 0 Demolition For special information use checklist Description Qty. Ea. Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY'OF CONSTRUCTION SFR(1)bath 312.70 D-1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 o 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 INFORMATION AND LOCATION. Site utilities: Job site address: \53 `I 7;,, C �„ Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP: ` 113tti41 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: I Project name: ,Au.5 u ic+ Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 d j i 4 LL/g IS 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: jS u 'L.p I Lot no.: 3 Fixture or item: Tax map/parcel no Backflow preventer 31.27 `` °'1 ' Backwater valve 12.51 DIP! CPII011fF ,�,1. ' ., Clothes washer 25.02 1 ,r . LO,_, Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ?FR RTY,,OWN>;jt ' ,A Expansion tank 12.51 Name: [JO C li w}C,-i Fixture/sewer cap 25.02 ~k,"\ -- 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 APP CAl1> " .' ' cON'tACT o , Interceptor/grease trap 25.02 Business name: AL_L_ T� � C(9 Medical gas(value:$ ) Page 2 Primer 12.51 Contact name: kI? V „) r -> Roof drain(commercial) 12.51 Address: ? j 5, k'12t'2- Sink/basin/lavatory 25.02 City/State/ZIP: i ky (___11©'7 Solar units(potable water) 62.54 Phone:( ci 5 Lf$( ,ti.../9, '-i Fax::( ) Tub/shower/shower pan 12.51 E-mail: �tivtA�)i Qc eS`tNLC-dh r k Urinal 25.02 Water closet 25.02 Water heater 37.52 Business name: Water piping/DWV 56.29 Address: ,cz-t-`--�- Other: 25.02 City/State/ZIP: Subtotal Phone:( ) Fax: 6-ie..13 ' Minimum permit fee: $72.50 ( ) / CCB Lic.: Plumbing Lic.no.: t 0 Q Plan review (25%of petrnit fee) V State surcharge(12%of pernut fee) Authorized signature: TOTAL PERMIT FEE p� D � Print name: Pte- U' 1 Date91 fj�j ( This permit application expires if a permit is not obtained within 180 days / � 0 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: S tS Utilities ty. - ', ' .. J" Fee Total ' s*re oota' � � er t= e. Footing drain-1"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 Permit Fe ::x, x : - .� _ 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 iQ11,--,' each additional$100.00 or fraction thereof,to Other Inspections or Fees <' Q i!-, F e ) 4t'tal " and including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the fust$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*. ` � r i an epr Plb Installations Quantity by Fixture Type y� Plan review is required for any of the following. Fixture Type foe ., Reply'` Please check all that apply. Work ierformeth 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 engineer. -Jacuzzi/Whirlpool Car Wash: -Each Stall 0 New exterior plumbing site utilities for any complex structure as defined in OAR918-780-0040. -Drive Thru Cuspidor/Water Aspirator 0 Medical gas and vacuum systems for health care facilities. C ❑CW Any multipurpose fire sprinkler system. Dishwasher: -Commercialirator 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,, Isormetr l o r Ricer Diagrrtn 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/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: 15134 SW CHANDLER LN, TIGARD, OR, 97224 May 15, 2018 at 10:00:09 AM Record Type: Record ID: Residential - Plumbing PLM2018-00229 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS - NoCofO Comments: 1 " Wilkins model 350 ser#A681422 approved with test report. Violation Summary: Inspector Contractor