Permit (161) CITY OF TIGARD PLUMBING PERMIT
:: •
COMMUNITY DEVELOPMENT Permit#: PLM2019-00141
•T[G,ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/08/2019
Parcel: 2S 103AA01300
Jurisdiction: Tigard
Site address: 10885 SW ERROL ST
Project: SANCHEZ Subdivision: ECHO HEIGHTS Lot: 4
Project Description: Sewer connection for existing house. Septic tank to be pumped and filled. 140 ft.of sanitary sewer and 100 ft.of
water service.
Contractor: PDX PLUMBING SPECIALIST&GENERAL CONTRAC Owner: SANCHEZ, CESAR
2695 SW 216TH AVE 10885 SW ERROL ST
ALOHA, OR 97003 TIGARD, OR 97223
PHONE: 503-443-8243 PHONE:
FAX:
FEES
Quantity Description Date Amount
140 If Sanitary Sewer 04/08/2019 $100.06
Specifics: 100 If Water Service 04/08/2019 $62.54
1 12%State Surcharge- 04/08/2019 $19.51
Type of Use: SF Plumbing
Class of Work: ALT
Type of Const:
Occupancy Grp:
Stories:
Total $182.11
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of o'. 4pecialty Codes . all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if ork i not started ithin 1:0 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to ollow e rules ad..ted by e Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-00.0. Y.0 may obtain a copy .f the rules
or direct questions to OUNC by calling 503.232.1987 or 1.80!. - .
Issued By: 'errr+ittee.Signaturna `' raw
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 FOR OE ICE 1. SE ()NEN
Received
City of Tigard O t Permit No.:
11 13125 SW Hall Blvd.,Tigard,OR 97 `^ Date/By: ��p b ] / ,f� O1 ���1 it
1111 0 Phone: 503.718.2439 Fax: 503. ��.,J Plan Review
2 {Q Date/By: Other Permit No.:
T It l� Inspection Line: 503.639.4175 \\\1���, O% 7,Q`+ Date Ready/By: lir s: ® See Page 2 for
Internet: www.tigard-or.gov PSR D Notified/Method: ••-"jP., Supplemental Information
TYPE OF WORK G`�ofl�` \( FEE* SCHEDULE •
it
0 N construction ❑gepgoG For special information use checklist.
/ U` Description Qty. Ea. Total
[Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CQNSTRUC'IYON " SFR(1)bath 312.70
-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
1
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
x.s
JOB"S1TE INFORMATION"AND`LOCATION Site utilities:
Job site address: ( 0 S%S w cryo i 5.+., Catch basin or area drain 18.76
Drywell,leach line,or trench drain 18.76
City/State/ZIP: T i, . r a. 0 i2 t'_�)a /L) • I 1`-2-3 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
.Z Sanitary sewer(no.linear ft i 40, .2 Page 2 / .t W
Storm sewer(no.linear ft.: ) Page 2
Water service(no.linear ft.:NO) ( Page 2 ('2 S-t(
Subdivision: Lot no.: Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
UES+CRIP'I'ION0WORK
Backwater valve 12.51
..,, . . .� •�,,"" •,
Clothes washer 25.02
5e d.N"Ci)%L&_ rcm ('I 'N let)-e . •i WC .ti b 1°YA%(9 . Dishwasher 25.02
ry .L:1--11-'\.S 4 tAzz... g A lS -1 n 5 1 e,uo-' t,t . Azov), Drinking fountain 25.02
3 P cvlif e S X X.(5 t t vk r� ? Lip, 6 C c. l 014 <` Ay Ejectors/sump 25.02
4ERTY OWNER .._ :1 ❑ TENANT Expansion tank 12.51
Name: l.•-e S tn� �CNAIC.W2-Z •
Fixture/sewer cap 25.02
Address: Floor drain/floor sink/hub 25.02
S Y' - Garbage disposal 25.02
City/State/ZIP: I i G C/i Ye_ (8"12i ( Of) • Hose bib 25.02
Phone:(e- (}�) t: 5 Fax:( ) Ice maker 12.51
APPLICANT ,. s;.,ci CONTACT PERSON f hjyr Interceptor/grease trap 25.02
age 2
Business name:
Pc� p u .I,t VIO S No ct.lt0 ° Medical gas(value:$ ) Per 12.51
Contact name: LA)(.S' 0 ,evlr ' .•-'
Roof drain(commercial) 12.51
Address: ;..69-s s ) ? ,14:A fl, Sink/basin/lavatory 25.02
City/State/ZIP: Vo Ft> t l l t'L TIC()3S Solar units(potable water) 62.54
Phone:(5)3 3 -s Z.14 3 Fax::( ) Tub/shower/shower pan 12.51
Urinal 25.02
E-mail:
dK1lumhtr1Sf iall s'r 00 mat(,,C m
CONTRACTOR Water closet 25.02
v Po Water heater 37.52
Business name: Llll. p 6O ' 4 iJ Water piping/DWV 56.29
Address:. 6 S S w 2,1,6' Other: 25.02
City/State/ZIP:•A koi-ti3 Of. q , - Subtotal !6). fj
Phone:( )1-12-1 3•''b_Z_�3 Fax:( ) Minimum permit fee: $72.50
CCB Lic.: AI S 6 2'2_ ‘ sit, Tic.no.: -P b'tag 7/ Plan review (25%of permit fee)
'lumbin_
/�Z, State surcharge(12%of permit fee) /Lr;
Authorized signature: /- TOTAL PERMIT FEE (7).i 1
Print name: �'lJ tS C 0 1 Z Date: 0 7'7o f / 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.
1:\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(ea) Total Square Footage: Permit Fee:
Footing drain-151 100' 50.03 0 to 2,000 $121.90
Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69
Sewer-1st 100' 62.54 3,601 to 7,200 $233.20
,�,5 i 7,201 and greater $327.54
Sewer-each additional 100' / 37.52 )75-1
Water Service-1st 100' 62.54
l G,4.5'1 Medical Gas Systems:
Water Service-each additional 100' 37.52
Valuation'. Periitit Feet
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
Qty, Fee{ea) Total each additional$100.00 or fraction thereof,to
(bier Inspections orl ees 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: //) L7e
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 for Plumbing Installations
r4
rt�
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
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
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"
isn mettic or`Rlser maga
4
0 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
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
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10885 SW ERROL ST, TIGARD, OR, 97223 May 14, 2019 at 9:21 :09 AM
Record Type: Record ID:
Residential - Plumbing PLM2019-00141
Inspection Type: Inspector:
399 Plumbing final Aaron Cillo-Gobel
Result:
PASS - NoCofO
Comments:
Pump receipt received. Septic filled.
Violation Summary:
Inspector Contractor