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Permit (43) CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT Permit#: PLM2018-00230 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/14/2018 T I i;,k h Cy 9 Parcel: 2S112CB00700 Jurisdiction: Tigard Site address: 15158 SW CHANDLER LN Project: Mangold,Lot 5 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: 503-406-2442 503-481-4732 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, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will .xpire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires ou to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-401-1090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. l Issued By: .„, / Permittee Signature: i //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 roject. Approved plans are required on the job site at the time of each inspection. Plumbing Permit Application ECEI v E1) Building Fixtures FOR OFFICE USE ONLY firnY 1 4 2018 City of Tigard Received / Permit No. 1111 44(01.01- --,02?13125 SW Hall Blvd.,Tigard,OR 972 wry/f,p /�p (� Date/By: �11G1�`�' {,ZpC�Tjrj„13U M g �1 1 V1,T IGARD Plan Review �KC,�(/�a Phone: 503.718.2439 Fax: 503.598. Other Permit Nos 1/ Inspection Line: 503.639.4175 Date/By: j�for/ ...„0 T I G A R D BUILDINGIHVI DIVISION) Ready/By: Juris: H See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE w 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) s" CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 -and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 buildingSFR(3)bath 500.32 0 Accessory 0 Multi-family Each additional bath/kitchen 25.02 0 Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION'11NI) LOCATION" Site utilities: Job site address: t ci 5-^ / i d Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP: Ti5c Vim. Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: I Project name: iLiktiVne 1c4 Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 tk-A -L...L/12-c)<:-) 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: /4``t.A-N(.,c1-1-7 I Lot no.: 5 Fixture or item: Tax map/parcel no.: Backflow preventer '; 31.27 DESCRIPTION O OiH Backwater valve 12.51 Clothes washer 25.02 Dishwasher 25.02 C-`" Drinking fountain 25.02 Ejectors/sump 25.02 0 PROPERTY OWNER TENANT , Expansion tank 12.51 Name: a Fixture/sewer cap 25.02 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 0 APPLICANT: 0 CONTACT PERSON Interceptor/grease trap 25.02 Medical gas(value:$ ) Page 2 Business name: /-. -- ML-1-0,e, L.-(3 Contact name: (46-V ! 11�l."2-% > Primer 12.51 Roof drain(commercial) 12.51 Address: Pc ,:›0'X lt; (E Sink/basin/lavatory 25.02 City/State/ZIP: B-Cl:.L'rtA. �71.,•1 C w_ '1"'( t) 1 5 Solar units(potable water) 62.54 Tub/shower/shower pan 12.51 Phone:(50� '�-i �) iv-13 '�_ Fax::( ) i� Urinal 25.02 E-mail: fy.Al" 0t'kCe c,„,,,,,,,,,4„-A__.,....._ Water closet 25.02 t) CONTRACT/5R. Water heater 37.52 Business name: E _ Water piping/DWV 56.29 .V- Address: Other: 25.02 City/State/ZIP: Subtotal Phone:( ) Fax:( ) s-I AC 4Cr, Minimum permit fee: $72.50 CCB Lic.: Plumbing Lic.no.: Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: ci._ r----;) TOTAL PERMIT FEE a"1.).€) Print name: :J 'y VN 5' s;vb Date: _kit This permit application expires if a permit is not obtained within 180 days 1 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: i Qty. Fee Total ' F areootage ermit Fee: 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 Storm&Rain Drain-1st 100' 62.54 Viluatiton:, .4 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 (ea) Total each additional$100.00 or fraction thereof,to hu 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*. 'Plan Rev ±for PlumbimgII t Nati©is Quantity by 1ixture Type w Plan review is required for any of the following. Fixture Type for. ' Replace/ 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 Stall 0 New exterior plumbing site utilities for any complex structure Car Wash: -Each Tani as defined in OAR918-780-0040. -Drive Cuspidor/Water Aspirator ❑ 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" Tsome} Or Riser Diagram 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: 15158 SW CHANDLER LN, TIGARD, OR, 97224 May 15, 2018 at 10:11 :23 AM Record Type: Record ID: Residential - Plumbing PLM2018-00230 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS - NoCofO Comments: 1 " Wilkins model 350 ser#A681424 approved with test report. Violation Summary: Inspector Contractor