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Permit (188) CITY OF TIGARD PLUMBING PERMIT Permit#: PLM2018-00311 11COMMUNITY DEVELOPMENT 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/27/2018 T[ �" Parcel: 2S114BD02800 Jurisdiction: Tigard Site address: 9620 SW RIVERWOOD LN Project: BEACH Subdivision: COPPER CREEK STAGE 3 Lot: 68 Project Description: Replacing(2)shower valves in(2)bathrooms. Contractor: TITAN PLUMBING COMPANY LLC Owner: BEACH, JEFFREY L 110 E 8TH ST GASTON, GREER A NEWBERG, OR 97132 9620 SW RIVERWOOD LN TIGARD, OR 97224 PHONE: 503-997-9460 PHONE: FAX: FEES Quantity Description Date Amount 2 ea Tub/Shower/Shower Pan 06/27/2018 $25.02 Specifics: 1 12%State Surcharge- 06/27/2018 $8.70 Plumbing Type of Use: SF 47 ea Minimum Fee Adjustment- 06/27/2018 $47.48 Plumbing Class of Work: ALT Type of Const: Occupancy Grp: Stories: Total $81.20 Required Items and Reports(Conditions) Code Municipal and Specialty This permit is issued subject to the regulations contained in the Tigard p State of OR. 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 PP PP 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 952-001-0 990. You may btain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. 7Air Issued By: Permittee Signature: fah, Call 503.639.4175 by 7:00 a.m.for the next available i spe' ion date. This permit card shall be kept in a conspicuous place on the job site • it completion of the project. Approved plans are required on the job site at the time of each inspection. Plumbing Permit Application /4 .ft, ' 9. F'' I N Building Fixtures "OH orrice I sl, ()Nil E CE I Received City of Tigard 6 / 1 •� Permit No.:�J T�,L 3 Iii13125 SW Hall Blvd.,Tigard,OR 97223 c� Date/By: 7 y Y) % 0 Phone: 503.718.2439 Fax: 503.598.1960 JUN 2 7 2018 PlanReview Other Permit No.: Date/By: T I G A R p Inspection Line: 503.639.4175 Date Ready/By: Jung ® See Page 2 for Internet: www.tigard-or.gov C! OF '!GARI Notified/Method: Supplemental Information `LYPE OF` ) :4 fir _ _ ` z� F Er,SCHED LE 0 New construction 0 Demolition For special information use checklist Description I Qty. I Ea. I Total r, 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 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 0 Accessory building 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler(-sq.ft.) Page 2 500 SITE INFORMATION AND LOCATION ! Site utilities: Job site address: ^�� Catch basin or area drain 18.76 /�'tel✓ s ' U re_oceet34.e- Drywell,leach line,or trench drain 18.76 City/State/ZIP: i r)R q�!- .�a. / Footingdrain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: Project name:(,'* BB ' `'fmS°�?yt 71�.A.:+-ttr^TX((��,' Manufactured home utilities 50.03 Cross street/directions to job site: g;ZiNIC-c e( Manholes 18.76 S1_ ) /" '-- Ccrx (, Rain drain connector 18.76 LC/ l n !� I Sanitary sewer(no.linear ft.: Page 2 5t(-) R\1j --"'VIC) Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision: Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 Backwater valve 12.51 DESCRIPTION OF WORK • Clothes washer 25.02 C- 11\ I VL S ®1.�.0 C VI 3,,_ �� ' �>'L Dishwasher 25.02 C.(n� .y.cY .1-(,,j/�1-ti-)u:Je r VoL-d+IJC� i ii) Drinking fountain 25.02 A ¢'1 '16 /mac l. X65 Ejectors/sump 25.02 lin PROPERTY OWNER ❑,TENANT Expansion tank ■ 12.51 - Name: I_ Fixture/sewer cap 25.02 �P �'Y �E'�� t/` id-`r t r?c O' Floor drain/floor sink/hub 25.02 � Address: � �t L � � e_ Garbage disposal ■ 25.02 - City/State/ZIP: T1 &' 4l O 7 2! Hose bib 25.02 Phone:(503) ,:t c,7..c.7 Fax:( ) Ice maker 12.51 APPLICANTQ CONTACT PERSON =. -, Interceptor/grease trap 25.02 Business name: "._5:___.___._____6(,t,/,,d__<.."._,_ Medical gas(value:$ ) Page 2 & �1 C -?T)zv('1-/ Primer 12.51 Contact name: t,-44-( -1) 376_S''t; -) Roof drain(commercial) 12.51 Address: p,:-.;i ,` 1 '`F `Jr.,-" Sink/basin/lavatory 25.02 City/State/ZIP: Us-) z.- , J;;" CI 7-i 2-- Solar units(potable water) 62.54 Phone:('Y W ) s3 Z._.-- it I' Fax::( ) Tub/shower/shower pan KM 12.51 CNiN E-mail: Urinal 25.02 Water closet 25.02 CONTAA 'OR Water heater 37.52 Business name: .7,-4 C rjGl),_,[© �i l�l'j Water piping/DWV 56.29 / Address: i •:--. " -ST ✓ Other: 25.02 City/State/ZIP: /4/.(4.,,j ,74, ,et 7/3A. Subtotal MPH Phone:('se) b 1• Fax:( ) Minimum permit fee: $72.50 g 1 CCB Lic.: e-/14657)__ Ail umbing Lic.no.: Plan review (25%of permit fee) ' State surcharge(12%of permit fee) L Authorized signature: . �tip TOTAL PERMIT FEE ,r_ • r This permit application expires if a permit is not obtained w in 1: .ays Print name: Lu I l j�4-pn n re. r"f / 1 after it has been accepted as complete. l // *Fee methodology set by Tri-County Building Industry Service 'i,d. 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: Site utilities " Qty..` ,Fee(a) Total Square Foota e: = _ Permit 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 Valuation: Permit Feet $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 ( y. FeeeA each additional$100.00 or fraction thereof,to Other 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*. Quantiy by Fixture Type Plan Review for Plumbing Installations Fixture Type for Replace/ Work Performed Capped Added i Relocate Plan review is required for any of the following. Baptistry/Font Please check all that apply. Bath -Tub/Shower .. "" 0 Any new commercial building with water service 2"and Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer. -Drive Thru 0 New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780-0040. Dishwasher -Commercial ❑ Medical gas and vacuum systems for health care facilities. -Domestic 0 Any multipurpose fire sprinkler system. Drinking Fountain 0 Any complex structure as defined in OAR918-780-0040. Eye Wash Floor Drain/sink -2" Submit 2 sets of plans with any of the above. Isometric or Riser Diagram Car Wash Drain Garbage -Domestic-non-food 0 Isometric or riser diagram is required for new buildings Disposal -Domestic-food related that meet the qualifications above. -Commercial-food related -Industrial-food related Ice Mach./Refrig.Drains Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Gang -Stall Sink/Lav -Non-food related -Bradley -Commercial-food related -Service Swimming Pool Filter *Note: If the fixture work under this permit results in an Washer-Clothes Water Extractor "' increase of sewer EDUs,a sewer permit will be issued and Water Closet-Toilet fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fixtures: C:\Users\squaredeal39\Downloads\PLMF_PermitApp(1).doc 2 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 9620 SW RIVERWOOD LN, TIGARD, OR, 97224 Record Type: Record ID: Residential - Plumbing PLM2018-00311 Inspection Type: Inspector: 399 Plumbing final David Young Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor