The URL can be used to link to this page

Permit (196) CITY OF TIGARD• PLUMBING PERMIT 111 I COMMUNITY DEVELOPMENT Permit#: PLM2018-00426 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/12/2018 l c;rk I<.t y g Parcel: 1S125DA07800 Jurisdiction: Tigard Site address: 9185 SW 69TH AVE Project: Brown Residence Subdivision: KINGS VIEW Lot: 75 Project Description: Adding(2)sinks,(1)tub,and(2)water closets for bathroom remodel. Work has already been done. Contractor: OWNER Owner: BROWN, REBECCA E REBECCA BROWN 9185 SW 69TH AVE 9185 SW 69TH AVENUE PORTLAND, OR 97223 TIGARD, OR 97223 PHONE: 503-245-3938 PHONE: FAX: FEES Quantity Description Date Amount 2 ea Lavatories 09/12/2018 $50.04 Specifics: 1 ea Tub/Shower/Shower Pan 09/12/2018 $12.51 2 ea Water Closet 09/12/2018 $50.04 Type of Use: SF 1 12%State Surcharge- 09/12/2018 $13.51 Class of Work: ALT Plumbing Type of Const: Occupancy Grp: Stories: Total $126.10 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 1.800.332.2344. Issued By: �� IG2_ Yi Permittee Signature: • /olio/Z.; 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 Received City of Tigard Date/By: 7 l� if Permit v2,sottf...ve) q� . III13125 SW Hall Blvd.,Tigard,OR 9722k r ? (� ^i^ Plan Review )�) pM Phone: 503.718.2439 Fax: 503.598.196@` 1 ('-'i'� Other PC l 1/`1 -5 7 Date/By: v t-[� Inspection Line: 503.639.4175 Date Ready/By: Juris: H See Page 2 for T I G A IZ D Internet: www.tigard-or.gov Notified/Method: Supplemental Information t>wlc..i ii 4a.i la'vt,awry TYPE OF WORK FEE* SC !JLE 0 New construction ❑Demolition For special information use checklist Description Qty. I Ea. I 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 Nand 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 VI 1- I=1Accessory building 0 Multi-family SFR(3)bath 500.32 Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fires rinkler( s 4.ft.) Page 2 P `JOB SITE INFORMATION AND LOCAUON Site utilities: Job site address: a 'g5- 6 W CpI61-th v E Catch basin or area drain 18.76 City/State/ZIP: Il GA R D ©l1 at 7 2.-3 Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: I Project name: Manufactured home utilities 50.03 Cross street/directions to job site: 2,� (q•kil OFF TA y US/12..5 Manholes 18.76 F'S r n�\it`/ 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: K t kJ G5 'vt C w I Lot no.: -7 ' Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 ESORIPTIO� s A VORK Backwater valve 12.51 Clothes washer 25.02 \ ba-kik /Z V ( .{i -_ u/Ld- ) '( Dishwasher 25.02 Lk3 L{,kt L ,V1111,(-E-- 511 6'±116(117L-25 +0 (i`; Drinking fountain 25.02 Ejectors/sump 25.02 Expansion tank 12.51 Pt2QPERTY OER .,, � W ,� NANT p Name: RE,&V C.e- B Ro W Fixture/sewer cap 25.02 Flf �,- r C w�� Ave G b drain/flooresink/hub 25.02 Address: 1 1/v lX Garbage disposal 25.02 City/State/ZIP:'+' Co-A.R.,p 01K cif-7 2 Z 3 Hose bib 25.02 Phone:( 3) 2 T 5-39 3 3 Fax ( ) Ice maker 12.51 * . � Interceptor/grease 25.02 r � �)Plt.]<CANT : �" s ��] 08}�1TAC't" 'FRSONtrap Business name: Medical gas(value:$ ) Page 2 3 Primer 12.51 Contact name: Roof drain(commercial) 12.51 Address: Sink/basin/lavatory A 25.02 50,0 Li City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax::( ) Tub/shower/shower pan [ 12.51 12,5 1 E-mail: Urinal 25.02 Water closet a 25.02 50,0 7 CONTRACTOR' . . _ -' Water heater 37.52 Business name: , Water piping/DWV 56.29 Address: ` Other: 25.02 City/State/ZIP: Subtotal ( i a... Phone:( ) Fax:( ) Minimum permit fee: $72.50 CCB Lic.: Plumbing Lic.no.: Plan review (25%of permit fee) ( xState surcharge(12%of permit fee) ic Authorized signature: +J, r J�� TOTAL PERMIT FEE a(!.(o Print name: (Z:1�3 -Ia A , N Date:qd 2/2.0/ 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-PennitApp.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: to Utilitie 0 .1, Fee(ea) Total Square Footage: Permit Fee: Footing drain-l5`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 accurately report fixtures could result in increased sewer fees*. Plan Review forlelumhing Instillations Quantity by Fixture Type 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 Bath: Tub/Shower greater,except systems designed and stamped by licensed -Jacuzzi/Whirlpool engineer. Car Wash: Each Stall 0 New exterior plumbing site utilities for any complex structure Drive tall as defined in OAR918-780-0040. Cuspidor/Water Aspirator 0 Medical gas and vacuum systems for health care facilities. Dishwasher: Commercial 0 Any multipurpose fire sprinkler system. Domestic ❑ 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" o Riser Diagram ;w. 4 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 Water Extractor fees assessed for the sewer increase must be paid before the Water Closet-Toilet plumbing permit can be issued. Urinal Other Fixtures: I:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2