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Permit (56) CITY OF TIGARD PLUMBING PERMIT Jig 2, COMMUNITY DEVELOPMENT Permit#: PLM2019-00276 TIGARD13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/10/2019 Parcel: 2S103DA05900 Jurisdiction: Tigard Site address: 10590 SW COOK LN Project: FOSTER Subdivision: FANTASY HILL Lot: 13 Project Description: 75 ft.of water service. Contractor: OWNER Owner: FOSTER, SCOTT A& LORRI K 10590 SW COOK LN TIGARD, OR 97223 PHONE: PHONE: FAX: FEES Quantity Description Date Amount 75 If Water Service 07/10/2019 $62.54 Specifics: 1 12%State Surcharge- 07/10/2019 $8.70 Plumbing 10 ea Minimum Fee Adjustment- 07/10/2019 $9.96 Type of Use: SF Plumbing Class of Work: ALT 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 503.232.1987 or .;48. . • . �' Issued By: - 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 Site Utilities FOR OFFICE USE ONLY Cityof Tigard Received g Date/By: /Ie/ I / PermitNo.:ft./41,1,2()l (III ,I 13125 SW Hall Blvd.,Tigard,OR �j V�'�® Plan Review C,(> i� Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit No.: T I GARD Inspection Line: 503.639.4175 J U IL 1 0 2019 Date Ready/By: Juris: 0 See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE Ortf W Y " „ , ''' yE*',�H,EDULE � �y�fit'ill • S��N For special information use checklist 0 New construction I3emolition Description Qty. Ea. Total Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) A. GORY OF CONSTRUCTION ;; SFR(1)bath 312.70 + KI-and 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 1013 SITE INFORMATION AND tOCATION ,, Site utilities: Job site address: %()51® s c a o� 04-fq� Catch basin or area drain 18.76 City/State/ZII': ' f_/ � c)-7 2_7_,T Drywell,leach line,or trench drain 18.76 �Tl lFooting drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: , Project name: Co ATEA /v/A-i/t� Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Iw OAT K I NS Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.:-7fi Page 2 6 l_ 59 Subdivision: K S I I-1 ((_i_. 1 Lot no.: /3 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 /. Backwater valve 12.51 DESCRIPTION OF=MORK 2� e�'L l�� Clothes washer 25.02 e)-1-6 L J Z- i r A1 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 `PROPERTY OWNERt „ 1 0 TENANT • Expansion tank 12.51 Name: SC.7,r- r(�S-re fZ Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: g„4,M, Garbage disposal 25.02 City/State/ZIP: -7- Ot -7' . Hose bib 25.02 // ! / Phone:( ) Fax:( ) Ice maker 12.51 0 APPLICANT '::'/?'-':',1-'2, 0 CONTACT PERSON Interceptor/grease trap 25.02 Medical gas(value:$ ) Page 2 Business name: ��u ,/, "6171,.'L Primer 12.51 Contact name: Roof drain(commercial) 12.51 Address: Sink/basin/lavatory 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax::( ) Tub/shower/shower pan 12.51 E-mail: Urinal 25.02 - Water closet 25.02 CONTRACTOR ,; Water heater 37.52 Business name: ch...ti i(-- Waterpiping/DWV 56.29 Address: Other: 25.02 City/State/ZIP: Subtotal 60,„Z. Phone:( ) Fax:( ) Minimum permit fee: $72.50 `71 5t) CCB Lic.: Plumbing Lic.no.: Plan review (25%of permit fee) State surcharge(12%of permit fee) r.,--„, Authorized signator . TOTAL PERMIT FEE /g'!, Print name: S'Lam" a._ Date: 7/1 Ql r 9 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:\Budding\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• • Q •., Fee Total Square`F`©otage: 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 60,i.5-9.. 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 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*. Quantity by Fixture Type ,.,laa Rev ew " IJAn, taUa>tions Fixture Type for "" Repiacel Work Performed: Capped Added 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. -3" 4" Isometric or Riser Diagram Car Wash Drain 0 Isometric or riser required diagram is ired for new buildings Garbage -Domestic-non-food g q g Disposal -Domestic-food related that meet the qualifications above. -Commersial-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\scott.foster\Downloads\PLMU_PermitApp.doc 2 City of Tigard Tel: 503.718.2439 Location: Inspection Date: 10590 SW COOK LN, TIGARD, OR, 97223 July 25, 2019 at 10:12:13 AM Record Type: Record ID: Residential - Plumbing PLM2019-00276 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor