Permit (39) CITY OF TIGARD PLUMBING PERMIT
.11111 '14
COMMUNITY DEVELOPMENT Permit#: PLM2018-00202
T I CA.R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/30/2018
Parcel: 2S114BD01100
Jurisdiction: Tigard
Site address: 9890 SW RIVERWOOD LN
Project: BALLAS Subdivision: PICK'S LANDING NO.2 Lot: 72
Project Description: Replacing(1)kitchen sink and repairing piping,moving(1)hose bib,and installing(1)dishwasher and(1)garbage
disposal.
Contractor: BOGER PLUMBING Owner: BALLAS, ERIC A
711 JEFFERY CT LIN, JENNIFER E
NEWBERG, OR 97132 9890 SW RIVERWOOD LN
TIGARD, OR 97224
PHONE: 503-975-6026 PHONE:
FAX:
FEES
Quantity Description Date Amount
1 ea Dishwasher 04/30/2018 $25.02
Specifics: 1 ea Garbage Disposal 04/30/2018 $25.02
1 ea Hose Bib 04/30/2018 $25.02
Type of Use: SF 1 ea Sink 04/30/2018 $25.02
Class of Work: ALT 1 12%State Surcharge- 04/30/2018 $12.01
Type of Const: Plumbing
Occupancy Grp:
Stories:
•
Total $112.09
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 =l:."-.-'- .
Issued By: 0010111111.r . ( Permittee Signa ure:
//LPL-dealr
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 RECEIVE E
FOR OFFICE USE onL1
City of Tigard APR 3 2018 Received q j� `v
0 Date By: o Permit No.: /)�Mei ��-
cial
13125 SW Hall Blvd.,Tigard,OR 97223 f- l'c f (l,}
Phone: 503.718.2439 Fax: 503.598.19 } OF I /► Plan Review
k j��� V 1 I la/!(l Date/By: Other Permit No.: fln sr vii t 7
T I G A R D Inspection Line: 503.639.4175 BUILDING ����� 14
to Read/B / ,�(JLii,
Internet: www.tigard-or.gov t V I Ready/By: Jur�s See Page 2 for
� Notified/Method: le� Supplemental Information
'
.. TYPE OF WORK FEE* SCHEDIJLEhµ
❑New construction ❑Demolition For special information use checklist
Description Qty. Ea. I Total
gAddttion/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
;;;CATEGORY OF COjNSTRUCTION ;' .. SFR(1)bath 312.70
54 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
❑Accesso SFR(3)bath 500.32
rY buildin g ❑Multi-family
❑Master builderEach additional bath/kitchen 25.02
0 Other: Fire
, x sprinkler( sq.ft.) Page 2
,4 SOB SITE'IN1 ORMATION 140 LOCATION Site utilities:
Job site address: el ,w' g 1�,,�-i�%c i Catch basin or area drain 18.76
elm
City/State/ZIP: '`(- t 9A 6..t✓�� 6-' t 7 � � Drywell,leach line,or trench drain 18.76
6 1 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: I Lot no.: Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
,�s `' Backwater valve
DESC I O 'worn(' 12.51
�, ,� ,,, , ,4 i Clothes washer
rt,, , - /ek/L f/1.1 1<) C. -tri 25.02
/ / /' Dishwasher i 25.02
C/ `///k/',- 4 tA. �Gf A 0' Drinking fountain 25.02
v � 1-0 As(!1 f1 t'kvj ly" ‘44 t„ec +� Ejectors/sump 25.02
ti PROPE:T 9 V R Iy 0.„T NAirr V 4" Expansion tank 12.51
Name: 'C i c ex ( Fixture/sewer cap 25.02
�4vv� Floor drain/floor sink/hub 25.02
Address: '2Y? 7
yaL_Azi.u-er,,,e,...,,I Garbage disposal25.02
City/State/ZIP: �C� i Cli d1 1.Z �y ' -j�1.
`�"Y ` ` Hose bib , 25.02 2s-01-.))_
Phone:( ) Fax ( ) Ice maker 12.51
„w APL%CAk' : . 3.7` c3, cd.T.Tacf,iiftso6k s ` 4Interceptor/grease trap 25.02
Business name: oC-S II..4 Medical gas(value:$ ) Page 2
Contact name: Primer 12.51
Roof drain(commercial) 12.51
Address:
Sink/basin/lavatory25.02 ,26
City/State/ZIP: - , t�1
Solar units(potable water) 62.54
Phone:( ) Fax::( ) Tub/shower/shower pan 12.51
E-mail: n Urinal
Y(,l 25.02
w
v Water closet 25.02
`. #fe .,ta T l OR
Water heater
Business nam- ��� � 37.52
(/ /f! .t.L) L✓ Water piping/DWV 56.29
Address: i 1 r �� 25.02
4 l., L Other:
City/State/ZIP: ,ec.v 6(-_,At • I C( \3"L Subtotal 16f0.tJ''
Phone:(5e,.3 ) 6"3c Fax:("N..) ) 5-3.21. .6 L j((\ Minimum permit fee: $72.50
CCB Lic.: )CA j l� !cr •-f%/ Plumbing Lic.no. ' l Q (� Plan review (25%of permit fee)
�!�'l \ / ft-i a State surcharge(12%of permit fee) d
i.a
Authorized signature: 73 C i ) �+"
TOTAL PERMIT FEE /a et
Print name: T43 ,1,---k c. _ ,(---. Date: C(g'L1 c5 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:
a 'emE
Site Utilities � .w
F ty` lea ;Total" uokof ag t e .
Footing drain-15`100' 50.03 0 to 2,000 $121.90
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:
Water Service-each additional 100' 37.52i
Valtiaton. �% Permit Fee.r: .£
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
Q F ) d � each additional$100.00 or fraction thereof,to
Other Iaaspections or FeesTota
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
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
4 Plan.R yiew
accurately report fixtures could result in increased sewer fees*.
or" Plumg
bi Ins o` 4, "
Quantity byFixture 'pe Plan review is required for any of the following.
Fixture Type for ;, teptace/ .[ Please check all that apply.
York Performed: Capped Added °= elosate 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" ,
3>, s etric or Riser J iagra
❑ 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/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 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:
9890 SW RIVERWOOD LN, TIGARD, OR, 97224 June 5, 2018 at 11 :26:12 AM
Record Type: Record ID:
Residential - Plumbing PLM2018-00202
Inspection Type: Inspector:
399 Plumbing final David Young
Result:
FA I L
Comments:
Provide access for inspection.
No one home, no answer at door 11 :25 am.
Called prior and left message as requested with inspection request.
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9890 SW RIVERWOOD LN, TIGARD, OR, 97224 June 6, 2018 at 10:07:28 AM
Record Type: Record ID:
Residential - Plumbing PLM2018-00202
Inspection Type: Inspector:
399 Plumbing final David Young
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor