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Permit 1111 CITY OF TIGARD PLUMBING PERMIT ' COMMUNITY DEVELOPMENT Permit#: PLM2019-00264 T I i_;1 R(3 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/27/2019 Parcel: 2S 111 DB03900 Jurisdiction: Tigard Site address: 9195 SW SUMMERFIELD CT Project: POOLE Subdivision: SUMMERFIELD NO.8 Lot: 426 Project Description: Adding(1)lavatory and(1)water closet. Contractor: YORE PLACE PLUMBING Owner: POOLE, REBECCA A 608 E 2ND ST 9195 SW SUMMERFIELD CT NEWBERG, OR 97132 TIGARD, OR 97224 PHONE: 503-554-8113 PHONE: 503-468-9654 FAX: FEES Quantity Description Date Amount 1 ea Lavatories 06/26/2019 $25.02 Specifics: 1 ea Water Closet 06/26/2019 $25.02 1 12%State Surcharge- 06/26/2019 $8.70 Type of Use: SF Plumbing Class of Work: ALT 22 ea Minimum Fee Adjustment- 06/26/2019 $22.46 Type of Const: Plumbing 90 Investigation Fee 06/26/2019 $90.00 Occupancy Grp: Stories: 11 Investigation Plumbing 12% 06/26/2019 $10.80 State Surcharge Total $182.00 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 2.1987 or 1.800.332.2344. Issued By: , Permittee Signature: cr.__ _ '—)r//11.1-a.2121 Call 503.639.4175 by7:00 a.m.for the next available ble 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 of i ui I. 1 SF oy1.1 City of Tigard Received 13125 SW Hall Blvd.,Tigard,OR 97223 } ,1 t 3 ;,, Date/By: i ' h 1 . �N.4'l?•a/ZaG- °71 = Phone: 503.718.2439 Fax: 503.598.1960 v , :`) Plan Review q �C�G" j('�. i Date/By: al ; i''a0 : /9,04135'/,0 /(JJ T 1 G A R D Inspection Line: 503.639.4175 Date Ready/By: Juris: BI See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information -1110,: ' - - -'-_. ,.-,.. _.. .. - -...-ate ❑New construction 0 Demolition For special information use checklist Description I 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 t SFR(1)bath 312.70 and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 0 Accesso buildin SFR(3)bath 500.32 rY g ❑Multi-family ❑Master builderEach additional bath/kitchen 25.02 0 Other: Fire sprinkler( sq.ft.) Page 2 h JOB SIT .INFORMATION AND LOCATION -,, Site utilities: Job site address: lg�- SvCatch basin or area drain' !'t .e_,, t, City/State/ZIP: Drywell,leach line,or trench drain 18.76 18.76 ri l� Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: I Project name: at, 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 5 505 5, i sa i'� i® F 5 �' 5' .' 'fir Backwater valve 12.51 l :/i / QClothes washer 25.02 f v�1 A 1) .Lr Dishwasher 25.02 Q C 4 ) V" C�//- ‘r/ Drinking fountain 25.02 V) Ejectors/sump 25.02 !y & : O _ .. ,ems a . Expansion tank 12.51 Name: (0ZCGr� �,v(.12.... Fixture/sewer cap 25.02 Address: q ribs ` .t ��,�t m C� Floor drain/floor sink/hub 25.02 - Garbage disposal 25.02 City/State/ZIP: c,- ..,-- (3. '77 2-2-f Hose bib 25.02 Phone:O 3) 65. (2t5 Lt Fax:( ) Ice maker 12.51 ; , ,, 1P11CA ' k °°C7�. : ti t N; ; ,, Interceptor/grease trap 25.02 Business name: 5 Q y �/� Medical gas(value:$ ) Primer Page 2 A Contact name: 12.51 Roof drain(commercial) 12.51 Address: Sink/basin/lavatory t 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone: ) (Fax::( ) Tub/shower/shower pan 12.51 E-mail: Akl)ft` o g pmSi)^o L'-S.` 000.0A5e C Vt Urinal al 25 02 CO ater closet l 25.02 Water heater 37.52 Business name: Kii (eELCl-til t �� f 1-•1-6--* WaterPiping/DWV 56.29 Address: &��, 2_`'"'_c r- J Other: 25.02 City/State/ZIP: t'v �� 7/ 7 `� Subtotal Phone:(. bS 7©t qc� / Fax:( )!1 J 2/(l 0/ Minimum permit fee: $72.50 CCB Lic.: 1 C(qj t;(�f (� I/ <<!'i Plumbing Lic.no.:3 6~l `� Plan review (25%of permit fee) e ` LL [ State surcharge(12%of permit fee) Authorized signature: etif �� TOTAL PERMIT FEE Print name: ! __ ,V,t-l5 �.SL.�.3 .I 4 I Date: 6 (z /t , I 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 spry. r�(ea) Total Square Footage: Permit Fee: Footing drain-1St 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' 37.52 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 r each additional$100.00 or fraction thereof,to Fees) Total 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 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 accurately report fixtures could result in increased sewer fees*. ' � vIe f PlumbI31 llt;l tlo s : ' ' (Inanity by Fixture TyPe Plan review is required for any of the following. Fixture Type for Please check all that apply. Work Performed: Cup 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 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" Isometricrisel l� x.� „ 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 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/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 plumbing permit can be issued. Water Closet-Toilet Urinal Other Fixtures: I:\Building\Permits\PLMF PermitApp.doc 08/04/2011 2 City of Tigard Tel: 503.718.2439 Location: Inspection Date: 9195 SW SUMMERFIELD CT, TIGARD, OR, 97224 Record Type: Record ID: Residential - Plumbing PLM2019-00264 Inspection Type: Inspector: 399 Plumbing final David Young Result: FA I L Comments: No plumbing rough in inspection done. OPSC 712 No access for inspection, no one home. 9:30 am. No message left with inspection request. Violation Summary: Inspector Contractor City of Tigard Tel: 503.718.2439 Location: Inspection Date: 9195 SW SUMMERFIELD CT, TIGARD, July 31 , 2019 at 12:48:54 PM OR, 97224 Record Type: Record ID: Residential - Plumbing PLM2019-00264 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS - NoCofO Comments: Previous corrections completed. Violation Summary: Inspector Contractor