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Permit CITY OF TIGARD PLUMBING PERMIT III ■ ' COMMUNITY DEVELOPMENT Permit#: PLM2020-00086 and OR 97223 503.718.2439 13125 SW Hall Blvd.,Ti Date Issued: 02/26/2020 TIG+1Rf7 g Parcel: 2S103CA00206 Jurisdiction: Tigard Site address: 13085 SW HOWARD DR Project: Foster Subdivision: WOODCREST NO.2 Lot: 20 Project Description: Replacing 65ft of water service. Contractor: GARDEN HOME PLUMBING&DRAIN LLC Owner: FOSTER, EUGENE P&VANESSA K 6725 SW FLORENCE LN 13085 SW HOWARD DR PORTLAND, OR 97223 TIGARD, OR 97223 PHONE: 503-890-1032 PHONE: 503-547-3336 FAX: FEES Quantity Description Date Amount 65 If Water Service 02/26/2020 $62.54 Specifics: 1 12%State Surcharge- 02/26/2020 $1.00 Plumbing (manual) Type of Use: SF g ea Minimum Fee Adjustment- 02/26/2020 $8.96 Class of Work: ALT Plumbing Type of Const: Occupancy Grp: Stories: Total $72.50 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 1.8 0.332 44. / Issued By: Permittee Signature: 1 . I 1 ( i�. e000, 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 OFFICE USF (ivI.1 /,yy�� III ' City of Tigard FEB2 3' Z{J may: Oe Ce i ,, ��i 0 0: L 13125 SW Hall Blvd.,Tigard,OR 97223 plan Review Phone: 503.718.2439 Fax 503.598.1960 t �; (, Dal y. Other Permit No.: 1.1[_Art) inspection Line: $03.639.4175 . (. t+ Date Ready/By: fog: H See Pa e 2 for Internet: www.tigard-or.gov g Notified/Method: Supplemental Information TYPE OF WORK FEE' SCHEDULE D New construction 0 Demolition For special information use checklist Description I Qty. l Ea. I Total 0,Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(I)bath 312.70 1.16 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR )bath 50032 ❑Master builderEach additional bath/kitchen 25.02 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: '3 0 gCa' Sk.,..s `-\dWct r d ©R Catch basin or area drain 18.76 b 1 5 a,-,„ , ®R c\� �,g-3 Drywell,leach line,or trench drain 18.76 Ci /StatelZlP: ( Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: I Project name: Vos.�ele, d Manufactured borne utilities 50.03 Cross street/directions to joh site: S u...) `a` s4- ,p �I Manholes 18.76 � Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ff.: ) Page 2 Water service(no.linear ft. Page 2 Subdivision: I Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 o` DESCRIPTION OF-WORK Backwater valve 12.51 �-e 1 ,0_02. Q Sr-CLrLC.Q. \.A.& >M Clothes washer25.02 Dishwasher 25.02 1(h.R Af O t\ LCtC`Q-- Drinking fountain 25.02 Ejectors/sump 25.02 0 PROPERTY OWNER I 0 TENANT Expansion tank 12.51 Name: Fixture/sewer cap 25.02 at\e 5S ct I E(.t_ l� t()S-ie.2 Address: (3 Q g- Sw w��a �(- drain/floor isoor sink/hub 25.02 11 Garbage disposal 25.02 City/State/ZIP: T<c� el O ' `7-,,D-3 Hose bib 25.02 Phone:(.�t 3) (.{7 - 3'T to Fax:( ) Ice maker 12.51 0 APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name: Medical gas(value:$ _) Page 2 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 CONTRACTOR Water closet 25.02 �^ Water heater 37.52 Business name: 1�1Q c e ��/O�� R k 11 j' t Qra i rL -G Water pipiof�� 56.29 Address: 6-1 p,S S(( W F l o f e l2('O - L-,v Other.VS-ct,4er �.e ry i-e.12.- 25.02 City/State/ZIP: C 6 ed-1 art of t OR 9 7 a' 3 Subtotal Phone:(52 5--1.- U aa-5 Fax:( ) Minimum permit fee: $72.50 4.1.62- CCB Lie.: 11 9-Q t 0 Plumbing Lie,no.: P td fa h 0Plan review (25%of permit fee) Authorized signature: State surcharge(12%ofpermitfee) (,t 7O a- TOTAL PERMIT FEE (a��22. Print name: L�e't �� G Date: s72626) 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. 1:1auildingU'ermits1PLMU-PermitApp.doc 10/01/09 440.4616T(10/02/COM/WF.n) 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 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*. 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 ❑ 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 ❑ Medical gas and vacuum systems for health care facilities. Cuspidor/Water Aspirator Dishwasher. -Commercial 0 Any multipurpose fire sprinkler system. -Domestic0 Any complex structure as defined in OAR918-780-0040. Drinking Fountain Submit 2 sets of plans with any of the above. Eye Wash Floor Drain/sink: -2" -3" Isometric or Riser Diagram 4" ❑ 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: -LavBar non-food related -Bradley -Com/ServfUtil 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