Permit (38) CITY OF TIGARD PLUMBING PERMIT
tr COMMUNITY DEVELOPMENT Permit#: PLM2018-00184
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/26/2018
Parcel: 2S 104AB 14400
Jurisdiction: Tigard
Site address: 12094 SW REDBERRY CT
Project: Progress Landing,Lot 2 Subdivision: PROGRESS LANDING Lot: 2
Project Description: Irrigation backflow.
Contractor: TRUSCAPES Owner:
21600 NW AMBERWOOD DR
HILLSBORO, OR 97124
PHONE: 503-707-0213 PHONE:
FAX: 503-352-4607
FEES
Quantity Description Date Amount
1 ea Backflow Preventer 04/26/2018 $31.27
Specifics: 1 12%State Surcharge- 04/26/2018 $8.70
Plumbing
Type of Use: SF 41 ea Minimum Fee Adjustment- 04/26/2018 $41.23
Class of Work: OTR Plumbing
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 OVNC by calling 503.232.1987 or 1.800.332.2344.
'''''(
Issued By: ser , <_____ Permittee Signature: (41.p0,1 1 J---'
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 REcEIV FOR OFFICE USE ONLY
City of Tigard "eived `://24,
II IN13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: /, "e77-----
Cil7 PermitNyaiit.J �ef/`f/ c
Plan Review
I Phone: 503.718.2439 Fax: 503.598.1960 APR 2 6 2018 Date/By: Other Permit No.:
Inspection Line: 503.639.4175 Date Read/B kris: H See Pa
TIGARD
/` iTYOFTIG Ready/By: nt2Inr
Internet: www.tigard-or.gov ,�jL.1r �1 ,(b�Notified/Method: Supplemental Information
TYPE OF W01111114DI Y b., E* SC* I ,
El1 V New construction El Demolition
ON For special information use checklist
Description Qty. Ea. Total
El Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUC` ON SFR(1)bath 312.70
El1-and 2-family dwelling El Commercial/industrial SFR(2)bath 437.78
❑Accessory buildingSFR(3)bath 500.32
0 Multi-family
Each additional bath/kitchen 25.02
❑Master builder 0 Other:
Fire sprinkler( sq.ft.) Page 2
, > JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: ci e^� �T Catch basin or area drain 18.76
< `^-' I Drywell,leach line,or trench drain 18.76
City/State/ZIP: ,/t c71�
l ` Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: 1 Project name: ./S5 £-O`lji 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: V t,y ,/ 5 1_,c4r\.)n\ Lot no.: (D Fixture or item:
Tax map/parcel no.: / Backflow preventer 31.27
Backwater valve 12.51
` `` DESCRIPTION OF �NO� '_
��, ��� Clothes washer 25.02
21 J�,') ( � ;'U c t S(l 'Vic)i 9)5kreM Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
®' 1: ERTY.+ VPNER TENANT Expansion tank 12.51
Name: (k. ) Fixture/sewer cap 25.02
cklQ �11 Floor drain/floor sink/hub 25.02
Address: T l'3 AVw bcesoTWn 9V14?-� ��
� q rG�c 0 Garbage disposal 25.02
City/State/ZIP: 1� f ' N <i Hose bib 25.02
Phone:( ) (i 5_ _ p9•�� Fax: 3) 6q --057 `.j
$YIce maker 12.51
APPLICANT 1 CONTACT uiRso)V yt Interceptor/grease trap 25.02
Business name: t,' taQ tiv5
Medical gas(value:$ ) Page 2
PrimerContact name: �S - J Roofd 12.51
� drain(commercial) 12.51
Address: ,;V,/- [7(.4 33 W tck (42-e\ hi *P' ) Sink/basin/lavatory 25.02
City/State/ZIP: ( ec1 O1\ 1.7b0(i. Solar units(potable water) 62.54
Phone:(S .$) i1 5- ,,,094 Fax: :(5r-3) 6 7 0_ C1 q 2 Tub/shower/shower pan 12.51
E-mail: Urinal 25.02
CONTRAR - ' Water closet 25.02
� .(!4:1471.,, sa s.., Sa,.. *41.111-':t.:04 it :` Water heater 37.52
I to �j�
Business name• r l !A L e,� p p g/
Water i in DWV 56.29
Address: '�"
to ;,t) W 00 �(-- - Other: 25.02
City/State/ZIP: '7j- I1S , t -C4 / Subtotal �a
Phone:( 103 5 3 i 1 to Fax: t Minimum permit fee: $72.50 s
„� o - Plan review (25%of permit fee)
CCB Lic.: 794).02_ Plumbing Lic.no.:
State surcharge(12%of permit fee) 1:', 7d
Authorized signature: i - ' (‘ •.--- TOTAL PERMIT FEE f, i)
/-4„(J This permit application expires if a permit is not obtained within 180 days
Print name: ( � Date: ` 1 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(l0/02/COM/WEB)
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Su s pression Systems:
Si eS f ° ;Qty. F ea Totalllar rinit Feetfrs
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
Valuation: Permit 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 or Fees Fee(ea) Total 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$100.00 or fraction thereof.
Subtotal:
Commercial Fixture Work:
Are you capping,adding or replacing fixtures? If"yes",
please indicate work performed by fixture. Failure to
z R'i
accurately report fixtures could result in increased sewer fees*. Plan Review for foryilumlbing Inst latl ,
Qua$ity by Fixture Type " Plan review is required for any of the following.
Fixtur&Typ+x forneiilace/ Please check all that apply.
Work Performed: Capped Added RRelocate 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
Drive tallThras defined in OAR918-780-0040.
Cuspidor/Water Aspirator 0 Medical gas and vacuum systems for health care facilities.
Dishwasher: Commercial ❑ 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"
�'f,;.@ Rtsviriagram
4„ ❑ 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:
12094 SW REDBERRY CT, TIGARD, OR, 97223 April 30, 2018 at 11 :59:08 AM
Record Type: Record ID:
Residential - Plumbing PLM2018-00184
Inspection Type: Inspector:
399 Plumbing final David Young
Result:
PASS - NoCofO
Comments:
1 " febco model 850, serial # 67412 located right front by sidewalk.
Violation Summary:
Inspector Contractor