Permit CITY OF TIGARD PLUMBING PERMIT
~11 COMMUNITY DEVELOPMENT Permit#: PLM2020-00059
Date Issued: 02(10/2020
T t G AR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 s„ % RR' N la parcel: 2S111 CD04300
iirI, �,� ; Jurisdiction: Tigard
Site address: 9520 SW BRENTWOOD PL V
Project: SMARTER REDESIGN LLC Subdivision: SUMMERFIELD NO.9 Lot: 502
Project Description: (1)sink and(1)water closet for bathroom remodel. 3/10/20: REPRINTED permit to include(4)sinks, (2)showers,
(1)water closet,and(1)water piping/DWV for entire house.
Contractor: OWNER Owner: SMARTER REDESIGN LLC
15916 NW CLAREMONT DR
PORTLAND, OR 97229
PHONE: PHONE:
FAX:
FEES
Quantity Description Date Amount
5 ea Sink 03/10/2020 $125.10
Specifics: 2 ea Tub/Shower/Shower Pan 03/10/2020 $25.02
1 ea Water Piping/DWV 03/10/2020 $56.29
Type of Use: SF 1 ea Water Closet 02/10/2020 $25.02
Class of Work: ALT 1 12%State Surcharge- 03/10/2020 $27.77
Type of Const: Plumbing
Occupancy Grp:
Stories:
Total $259 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 1.800.332.2344.
Issued By: Permittee Signature:
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.
PluumNn2 Permit Application
Building Fixtures
City of Tigard DECEIVE � Hed /`/'A permitNo.: �/'7oZ0od- ,U,
;� 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review / vCf ZW✓r
Phone: 503.718.2439 Fax: 503.598.1960 FEB 4 2020 Da Other Other Permit No. ate_ �l.s'I.r T yh/!/
I I t -1•n Inspection Line: 503 639.4175 Date Ready/By: luns El See Pa(gee22 for
fJOtJ ifJ
Internet: www.tigard-or.gov ff 1} OF TIGARD Notified/Method: f� Suppkmeatal Information
rz xsrrxpixaY �+ .x °- ct A EY`-r '' -'..f.irr PnE+ : r..'�t r ..x .
y� .. , B'r. rt • .' t tit d / -rr Y x:",1 Ire x 4, r I rie:F -.. ..« .`mot
ssi..7f° -}e5.r >..n.W, vN. • �. S:.cvuP..'s1s��0� �.�`_ ...� � 1.r. a .. � '#a. . . _.,">
❑New construction 0 Demolition For special information use checklist.
Description I Qty. I Ea. I Total
❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
} sgt, to iI_ '- • e : 91 °: SFR(1)bath 312.70 I
rz" - SFR(2)bath 437.78
� "'�ar3
❑1-and 2-family dwelling ElCommerc .` �
SFR(3)bath 500.32
❑Accessory building D Multi-f.
Each additional bath/kitchen 25.02
❑Master builder D Other: Fire sprinkler(_sq.ft.) Page 2
JOB SITE,.INFORMATION AND LOCATION Site utilities:
Job site address: o Catch basin or area drain 18.76
y �j�p� f//Jj/s� / L Drywell,leach line,or trench drain 18.76
City/State/ZIP: ,-j yc Q , v R. ���/ Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: I Project name: ,'fy1/7;4 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
Backwater valve 12.51
DESCRIPTION OF WORK
Clothes washer 25.02
G-�[t 5 ishwasher 25.02
cn.c.,(4� Drinking fountain 25.02
3 ' it ,, A swi,c, I H Ar .,-�yE jectors/sump 25.02
Expansion tank 12.51
Fixture/sewer cap 25.02
Name: ,?W A I i-i/ O. C411.1rif SM,4<rE7e REA -sl0n1 .i.e_
Floor drain/floor sink/hub 25.02
Address: q,- b SW ,( Eh/7Z )Oo,a Pt. Garbage disposal 25.02
City/State/ZIP: T/4 ) .0 A q 7.3� Hose bib 25.02
Phone:(5=7 86,6 -c7e Fax:( ) Ice make 12.51
i •aos�.....r "^r°v.�, Interceptor/grease 25.02
+` =��')I'LtCANT Ll CONTACT PERSONtrap
Business name: Medical gas(value:$_) Page 2
�.w•v l S n��n K Primer 12.51
Contact name:
Roof brain(commercial) 12.51
Address: Sink/basin/lavatory i) ' 25.02 V}
City/State/ZIP: Solar units(potable water) 62.54
Phone:( ) Fax::( ) Tub/shower/shower pan a 12.51
Urinal 25.02
E-mail:
ry,- Water closet / 25.02 2.5-67-
CONTRACTOR
Water heater 37.52
Business name: .-/-- Water piping/DWV 9 56.29
Address: Other: 25.02
City/State/ZIP:
Subtotal SZ).Oil
Phone:( ) Fax:( ) Minimum permit fee: $72.50 7,Z SO
Plan review (25%of permit fee)
CCB Lic.: Plumbing Lic.no.: a
^�` '//ff /��� �^^ State surcharge(12/c of permit fee) `ir-76
Authorized signaturi ,//.ff�l � ��'LG p "� "��� ���t! TOTAL PERMIT FEE �'' )y
Print name:k ')i• /`"��L!!� Date: 7 J'- , This permit application expires If a permit b not obtained within ISO days
O(/�� after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
I:\Building\Permits1PLMU-PermitApp.doc 10/01/09 440-7616T(10/02/COM/WEB)
INCITY OF TIGARD PLUMBING PERMIT
a . COMMUNITY DEVELOPMENT Permit#: PLM2020-00059
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/10/2020
Parcel: 2S111 CD04300
Jurisdiction: Tigard
Site address: 9520 SW BRENTWOOD PL
Project: SMARTER REDESIGN LLC Subdivision: SUMMERFIELD NO.9 Lot: 502
Project Description: (1)sink and(1)water closet for bathroom remodel.
Contractor: OWNER Owner: SMARTER REDESIGN LLC
15916 NW CLAREMONT DR
PORTLAND, OR 97229
PHONE: PHONE:
FAX:
FEES
Quantity Description Date Amount
1 ea Sink 02/10/2020 $25.02
Specifics: 1 ea Water Closet 02/10/2020 $25.02
1 12%State Surcharge- 02/10/2020 $8.70
Type of Use: SF Plumbing
Class of Work: ALT 22 ea Minimum Fee Adjustment- 02/10/2020 $22.46
Plumbing
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 calling 503. 32.1987 or 1. 00.332.23 4.
Issued By: Permittee Signature:
rt./7/1'
CV/ /f,P4--(1 —
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
RECEIVE
City of Tigard Date/Bed a jyf�9 4 7- �L/90/41�'- s4l
Permit No.:
1,11
U 13125 SW Hall Blvd.,Ti ard,OR 97223 y
e g FEB2020 Plan Review G
Phone: 503.718.2439 Fax: 503.598.1960G 4 Date/B Other Permit No.:
Inspection Line: 503.639.4175 y Jam: ��� t
T I G A R D p Date Ready/By: ® See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: Supplemental Information
TYPE OF WORK BUILDING DIVISION FEE* SCHEDULE
❑New construction ['DemolitionFor special information use checklist
Description Q y. I Ea. Total
❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
❑ 1-and 2-family dwelling ❑Commercial/industrial
SFR(2)bath 437.78
SFR(3)bath 500.32
❑Accessory building ❑Multi-family
Each additional bath/kitchen 25.02
❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
,f t tt ze��DdA �L.. Catch basin or area drain 18.76
Job site address: q
Drywell,leach line,or trench drain 18.76
City/State/ZIP: 7ep146 / U R. Cj 7,9e21
Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: l Project name: <-�l,,T7f 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: f Lot no.: Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
Backwater valve 12.51
DESCRIPTION OF WORK
,/ . Clothes washer 25.02
//
(._0� /t/Y.,.,) S kit Gnid cl) L.).•- -- G/ --sy- ;l4 Zt?W1)ishwasher 25.02
v f f; e Drinking fountain 25.02
Ejectors/sump 25.02
0 PROPERTY OWNER I ❑ TENANT Expansion tank 12.51
Fixture/sewer cap 25.02
Name: ,,!_Ubi 714 D. C i¢fc t' /f' SArifcT /C KdT/ 7N i
- - Floor drain/floor sink/hub 25.02
Address: et b Secl ,t�41� Ud,f) /�L,
--_ Garbage disposal 25.02
City/State/ZIP: 7767 Q j p/( q 7-.2?/ Hose bib 25.02
,•-
Phone:(tip - _`,'r, t' ,_' Fax:( ) Ice maker 12.51
0 APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02
��s ��� Medical gas(value:$ ) Page 2
Business name:
Crtlr`P l.S tot/1Pt Primer 12.51
Contact name:
Roof drain(commercial) 12.51
Address: Sink/basin/lavatory / 25.02 25",0),
City/State/ZIP: Solar units(potable water) 62.54
Phone:( ) Fax: :( ) Tub/shower/shower pan 12.51
Urinal 25.02
E-mail:
Water closet ( 25.02 2-5',07.
CONTRACTOR
Water heater 37.52
Business name: d- Water piping/DWV 56.29
Address: Other: 25.02
City/State/ZIP: Subtotal 57)•v11
Phone:( ) Fax:( ) Minimum permit fee: $72.50 -Za
57)
Plan review (25%of permit fee)
CCB Lic.: Plumbing Lic.no.:
State surcharge(12%of permit fee) ?-20
Authorized signatur TOTAL PERMIT FEE a'(
Print name: a/r% This permit application expires if a permit is not obtained within 180 days
J��/ Date: 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)
P1��m6ing Permit Application
• Building Fixtures
FOIZ OhFI(.I: CSF O\Ll
CC I eceived •
City of TigardRECEIVE Date/By: a y/)4 'Oi> Permit No.: AL/')420?)--.a.XJt!I
413125 SW Hall Blvd.,Tigard,OR 97223 f1 n Plan Review K
III s Phone: 503.718.2439 Fax: 503.598.1960 FEB 4 2020 Date/By: Other Permit No.:Mrr _ 4)4_r.tl,7(1
T I GARD Inspection Line: 503.639.4175 Date Ready/By: JIris ® See Page/ 2 for
Internet: www.ti and-or. ov -t P
g g Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
❑New construction ❑Demolition For special information use checklist.
Description Qty. Ea. Total
❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
❑ 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 500.32
❑Accessory building 0 Multi-family
Each additional bath/kitchen 25.02
0 Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: e0j S-ut,,1 ,/ 7/94J) /L Catch basin or area drain 18.76
City/State/Z1P: U R. g 7�.2,� Drywell,leach line,or trench drain 18.76
Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: I Project name: Sin/r 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
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 25.02
i_/) f C-,..) �,LvV /AA/A Li) t 4I:r G-/;..�4GP`f Mk, be rrxclA Dishwasher 25.02
ire-ivote...? Drinking fountain 25.02
Ejectors/sump 25.02
PROPERTY OWNER I 0 TENANT Expansion tank 12.51
Name: Fixture/sewer cap 25.02
_ Floor drain/floor sink/hub 25.02
Address:
Garbage disposal 25.02
City/State/ZIP: Hose bib 25.02
Phone:1 I Fax:( ) Ice maker 12.51
0 APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02
Business name: Medical gas(value:$ ) Page 2
�:5 el�Jt iiti Primer 12.51
Contact name:
Roof drain(commercial) 12.51
Address: Sink/basin/lavatory ' 25.02 ?,LI}.
City/State/ZIP: Solar units(potable water) 62.54
Phone:( ) Fax::( ) Tub/shower/shower pan 12.51
E-mail: Urinal 25.02
CONTRACTOR Water closet I 25.02 ,r G'2_
Water heater 37.52
Business name: rJ .r, Water piping/DWV 56.29
Address: Other: 25.02
v
City/State/ZIP: Subtotal - ,I
Phone:( ) Fax:( ) Minimum permit fee: $72.50 '70Z 50
CCB Lic.: Plumbing Lic.no.: Plan review (25%of permit fee)
State surcharge(12%of permit fee) `.--7
Authorized signature: W TOTAL PERMIT FEE
Print name: ------• l Date: 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-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 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 Qty. 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 for Plumbing 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
Baptistry/Font ElAny 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 ❑ New exterior plumbing site utilities for any complex structure
StallThr as defined in OAR918-780-0040.
-DrivCuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities.
Dishwasher: Commercial ❑ 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" Isometric or Riser Diagram
4 ❑ 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
0
Water Meter Fixture Unit Worksheet for Additions/Remodelsin I1 D
Please complete the following information: FEB 4 2020
Customer Name: 1-6t p y h 44 d L /fni/� _ITV OF TIGARD
Service Address: Street/Suite#: 3UILDING DIVISION
City: 77 State: ak Zip: 9 7,i.2y
Phone Number: , 3- S)`/6, -24-YI Email:
Please fill in the number of each fixture you currently have. Please fill in the number of fixtures you propose to add.
Multiply the quantity by the point value to arrive at the current Multiply the quantity by the point value to arrive at
total. the proposed total.
Fixture Unit Current Point Current Proposed Point Proposed
Quantity Value Total Addition Value Total
Bar sink x 1 = x 1 =
Bidet x 1 = x 1 =
Clothes washer I x 4 = /f x 4 =
Dishwasher / x 1.5 = /,.5— x 1.5 =
Hose bib / x 2.5 = 1,5 x 2.5 =
Hose bib, each ! x 1 = j x 1 =
Kitchen sink ) x 1.5 = /i S x 1.5 =
Laundry sink x 1.5 = x 1.5 =
Lavatory = ! x 1 = �,/ I ,,,
(s'P��-� 3 x I � � a'F
Water closet, 1.6 GPF ,;Z x 2.5 = 5 / x 2.5 = .2 ,s
Bathtub/whirlpool / x 4 = y x 4 =
Shower stall .;2 x 2 = y x 2 =
Bath/shower combo x 4 = x 4 =
Current Points: 1,Li ' Proposed Increase: -4. 3-
Current Points+Proposed Increase= - =New Total Points =Required Meter Size -'/.f'
Meter Sizes: 1 to 30 points=5/8" 30.5 to 37 points=3/4" 37.5 and over points= 1"
New Meter Size Needed for New Total Points: Cost: $ (see page 1)
Current Meter Size per Utility Billing:
/ ?%' Cost: $ Gj LIZ?& -"u` (see page 1)
New Meter Size Cost minus Current Meter Size Cost= $
(This is Your Cost to Increase Meter Size Due to Additional Fixture Units)
*************************************************************************************
FOR OFFICE USE ONLY
Current Meter Size Confirmed with UB c .I 3/l
Signature of UB resentative Date
I:/Building/Forms/WaterMeters_070119_Add.dOCx Page 2
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT ' •
1111
• Water Meter Fixture Unit Worksheet
TIGARD For Additions /Remodels /ADUs
13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
LOCATION: City of Tigard—City Hall WATER METER SALES:
Utility Billing By Appointment Only: 503-718-2460
13125 SW Hall Blvd. Monday —Thursday, 9 a.m. to Noon
Tigard, OR 97223
METER: SIZE: FEE: Pricing effective 7/1/2019
5/8" $9,406.00 Fee includes:
3/4" $13,425.00 water system development charge,
1" $24,645.00 water meter, and
1-1/2" $72,969.00 meter installation fee.
2" $118,163.00
DETERMINING METER SIZE FOR RESIDENTIAL CUSTOMERS
City of Tigard Water Service Area uses the American Water Works Association Manual and the Oregon
Plumbing Specialty Code to determine the size of meter needed to adequately serve buildings. Due to the
variety of home sizes built in the Tigard area, we count the fixture units of all homes to determine the
appropriate meter size.
Use the worksheet on Page 2 to calculate the current number of fixture units compared to the proposed
increased number of fixture units, which will determine whether an increased meter size will be required.
Submit this signed worksheet with your building or plumbing permit application submittal.
DOCUMENTATION
Once you are ready to purchase the new meter,please provide the following items to the Utility Billing
counter:
• Completed water meter fixture unit worksheet for additions, remodels, ADUs, etc. (on back page).
• Copy of building or plumbing permit application date-stamped by building division.
• Copy of issued building or plumbing permit.
Your fixture count will be verified and your request will be processed upon receipt of these documents.
No exceptions.
INSTALLATION TIME
Once the upgraded meter size has been purchased, please contact Public Works for installation. Their
number is 503-718-2591. Most meters are installed within 10-14 business days.
I:/Building/Forms/WaterMeters_070119_Add.dOCX Page 1