Permit (176) CITY OF TIGARD PLUMBING PERMIT
III ■ COMMUNITY DEVELOPMENT Permit#: PLM2019-00092
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/12/2019
7 r ;;E a�� g Parcel: 2S103CA02600
Jurisdiction: Tigard
Site address: 11905 SW JAMES CT
Project: Graham Subdivision: TRAVPORT PARK Lot: 6
Project Description: Adding 80 ft of sanitary sewer for new sewer conisation.
Contractor: ROTO ROOTER SERVICE&PLUMBING CO Owner: GRAHAM, BRENTON
23311 MADERO ST RAMSEY, BRIDGET
MISSION VIEJO, CA 92691 11905 SW JAMES ST
TIGARD, OR 97223
PHONE: 503-682-9774 PHONE:
FAX: 503-685-9754
FEES
Quantity Description Date Amount
80 If Sanitary Sewer 03/11/2019 $62.54
Specifics: 1 12%State Surcharge- 03/11/2019 $8.70
Plumbing
Type of Use: SF 10 ea Minimum Fee Adjustment- 03/11/2019 $9.96
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 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 503.232.19= . .'a .2344.
Issued By: ,`' ' ee Signature:
/5
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.
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Plumbing Permit Application ' - i
Building Fixtures •n,73 FOR OFFICE I. SE ()NIA
Received
City of Tigard 2 /7//� Pe 1, Y,�7
' Date/By: c J it �l//�j
13125 SW Hall Blvd.,Tigard,OR 97113,, - / 6 '� �
Phone: 503.718.2439 Fax: 503.598.1960 Plan Review • y��O
Date/By: �(
T I( R 1� Inspection Line: 503.639.4175 Date Ready/By: Jur s: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
0 New construction 0 Demolition For special information use checklist �l
Description Qty. Ea. Tota-
Additton/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF;CONsTRU N SFR(1)bath 312.70
a-Land 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 500.32
❑Accessory building 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: Catch basin or area drain 18.76
IS S.� pr Mr;� CT Drywell,leach line,or trench drain 18.76
City/State/ZIP: '/3V R.O7 O/Z 7 �23
/ Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: 1 Project name: '-'11, b,.., , Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
S 4.--- I - n -DR,
r� 1 Rain drain connector 18.76
Sanitary sewer(no.linear ft. C.)) Page 2
. C:G v\...7-1---)
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
DES>CRIPTON F W0 Backwater valve 12.51
ks
'' r"'-' +t ` A '''''''''.84'' Clothes washer 25.02
0 v-t r 5'' ...?*./9 Tt- Dishwasher 25.02
!4C,C)C_ TO SZ '1Z 000 72,a-ef ?_1R,7 Drinking fountain 25.02
Ejectors/sump 25.02
OFLPROPERTY OWNER '.'5.:_ .. x :L ❑ '1'El(1` *
Expansion tank 12.51
Name: `` � 7,s o N Gil-4419-1/77
Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address: 1 1C/0 S . 1.3 `, 1,,t. c_7` _ . Garbage disposal 25.02
City/State/ZIP: 2'(7,,d,ten) Ofi- 17 ZZ '3 Hose bib 25.02
/
Phone:( ) Fax ( ) Ice maker 12.51
t APPLICANT _ ❑ CONTACT PERSON 4 ' eP gr P
Interc tor/ ease trap
n C Medical gas(value:$ ) Page 2
Business name: UUP
;� ' '�,�� Primer 12.51
Contact name: O 7t-_11�Ole l/3-r �' I
Roof drain(commercial) 12.51
Address: ? S(.� 1305-1-56-c /'`'6�i+Ly, �./' Sink/basin/lavatory 25.02
� C "t
City/State/ZIP: / ,�-�S( 0.�LE i�' 4)--(0 76 Solar units(potable water) 62.54
Phone: p59 Fax:: Tub/shower/shower pan 12.51
Urinal 25.02
E-mail:�i.1Fs,,lt"(:s may. P____/+S(A) Ccs , Lori Water closet 25.02
CONTRACTOR
Water heater 37.52
Business name: \`�� �`' `l ` Waterpiping/DWV 56.29
Address: 30 Other: 25.02
City/State/ZIP: Subtotal
Phone:( ) Fax:( ) Minimum permit fee: $72.50
CCB Lic.: I '�C`.t(�rj, Plumbing Lic.no.: '7 6 .-/ ,,.-'l Plan review (25%of permit fee)
` State surcharge(12%of permit fee)
Authorized signature: ""---•----, TOTAL PERMIT FEE
Print name: u Q 1 Date: 3_ /
r 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:
Site utilities v. Qty. Fee(u) Total Square Footage: Permit Fee.
Footing drain-l'100' 50.03 Oto 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 i ee.
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
Fee(ea) Totalj„„ each additional$100.00 or fraction thereof,to
Other Inspections or Fees 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*. '1'; Plan Review for dumbing Installations
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 0 Any new commercial building with water service 2"and
Baptistry/Font greater,except systems designed and stamped by licensed
Bath: -Tub/Shower
-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"
3»
Is4ittetric or Riser Diagram
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 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
N
111111f
TIGARD
ah"3 * 'rl
City of Tigard m,-,,,, �-
March 11,2019
RE: 11905 SW James Court
Tigard,Oregon 97223
Subject: Sewer Reimbursement District No. 22
Please accept this as confirmation that the recorded instrument for the Reimbursement District is merely
a notice of the fees required to connect to the sewer and is not a lien.
Reimbursement Districts are created in accordance with Chapter 13.09 of the Tigard Municipal Code.
Section 13.09.090 provides that
The City Recorder shall cause notice of the formation and nature of the reimbursement district to be filed in the office of the
County Recorder so as to provide notice to potential purchasers of properft within the district. Said recording shall not create
a lien.
There is no requirement to connect to a sewer constructed through a reimbursement district or pay any
fee until connection is made.The only time connection to the public sewer system would be required is
if one of two would happen (1) the septic system were to fail, (2) if the property were to develop.
This Reimbursement District expired on 3/12/2017.Therefore,no fair share costs are associated with
this district any longer. Homeowners that connect to the public sanitary system are required to pay a
$5,650 System Development Charge plus an inspection fee of$35. These fees are to be paid at the time
of connection to the city sewer. Fees are subject to change and typically increase July 1 of each year.
Property owners are responsible for disconnecting their existing septic system according to Washington
County rules and would be required to get a Plumbing permit from the building department.
13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.639.4171
TTY Relay: 503.684.2772 • www.tigard-or.gov
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
11905 SW JAMES CT, TIGARD, OR, 97223
Record Type: Record ID:
Residential - Plumbing PLM2019-00092
Inspection Type: Inspector:
399 Plumbing final Don Sylvester
Result:
PASS - NoCofO
Comments:
1 . Change existing house over from septic system to public San sewer
system- approved
1 . Pump and backfill septic tank- approved
2. Inspection by water test and camera, provide a copy of the pump receipt to the city.
Violation Summary:
Inspector Contractor