Permit CITY OF TIGARD PLUMBING PERMIT
INa COMMUNITY DEVELOPMENT Permit#: PLM2020-00110
Date Issued: 03/12/2020
T f GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S104AA04500
Jurisdiction: Tigard
Site address: 12400 SW 127TH AVE
Project: TRINITY SERVANTS LLC Subdivision: BELLWOOD Lot: 21
Project Description: (3)sinks,(2)tub/showers,and(2)water closets for interior remodel.
Contractor: INFINITY PLUMBING LLC Owner: TRINITY SERVANTS LLC
315 NE 41ST AVE 8645 SW MULEDEER DR
PORTLAND, OR 97212 BEAVERTON, OR 97007
PHONE: 503-744-1176 PHONE:
FAX:
FEES
Quantity Description Date Amount
3 ea Sink 03/12/2020 $75.06
Specifics: 2 ea Tub/Shower/Shower Pan 03/12/2020 $25.02
2 ea Water Closet 03/12/2020 $50.04
Type of Use: SF 1 12%State Surcharge- 03/12/2020 $18.01
Class of Work: ALT Plumbing
Type of Const: 90 Investigation Fee 03/12/2020 $90.00
Occupancy Grp: 11 Investigation Plumbing 12% 03/12/2020 $10.80
Stories: State Surcharge
Total $268.93
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.
reIssued By: ermittee Signature: 0
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.
CITY OF TIGARD PLUMBING PERMIT
`P7 2 ' - COMMUNITY DEVELOPMENT Permit#: PLM2020-00110
T1GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/12/2020
Parcel: 2S 104AA04500
Jurisdiction: Tigard
Site address: 12400 SW 127TH AVE
Project: Bathroom Subdivision: BELLWOOD Lot: 21
Project Description: (3)sinks,(2)tub/showers, and (2)water closets for interior remodel.
Contractor: INFINITY PLUMBING LLC Owner: TRINITY SERVANTS LLC
315 NE 41 ST AVE 8645 SW MULEDEER DR
PORTLAND, OR 97212 BEAVERTON, OR 97007
PHONE: 503-744-1176 PHONE:
FAX:
FEES
Quantity Description Date Amount
3 ea Sink 03/12/2020 $75.06
Specifics: 2 ea Tub/Shower/Shower Pan 03/12/2020 $25.02
2 ea Water Closet 03/12/2020 $50.04
Type of Use: SF 1 12%State Surcharge- 03/12/2020 $18.01
Class of Work: ALT Plumbing
Type of Const: 90 Investigation Fee 03/12/2020 $90.00
Occupancy Grp: 11 Investigation Plumbing 12% 03/12/2020 $10.80
Stories: State Surcharge
Total $268.93
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 ma ain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: .---. ermittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available in pection 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 �G1` �E
Building Fixtures RG G V
i.1.1.1111:11.111M111.1
City of Tigard • MAR 12 21IL Rauiva „
• 13t25SWHB1161vd.,Tigaed,OR97223 Date/By: ' tNts. 9 1q0_ t(d
Plan Review f v�
lilli C inspection Line: 5403.639.4e1 503.59S.75 1 GrTY Or""ci S10PateBy1 o16erPemtNn. � _etlJ'GG
TTG:IFD ,N Date Ready/By. suit: M See Page 2for
hum& www.ligad-or.gov BUILD NotiEcd/NleWod: ` ,i Su•planeapl leforamdoa
a
et,.:...''ti.0 . . .._y. g ,.ems.ens .. _
❑New construction []Demolition Fur special iaferomlioe use checklist
Atlditiodeltaati laceraent Other. _Desorption I Qty. I Ea. I Total
on rep ❑ New 1-2-family dwellings(includes 100 ft.for each utility comecudn)
r fi,;.':.Ln : EGFB 0 u a3 n o71 .'344 ri :.' !, SFR(1)bath 312.70 .
„Ia1-and 2-family dwelling 0 Conwerciallindustrial SFR(2)bath 437.78
d
Aooemay building 0 Multi-family SFR(3) SD0.32
Each ad
additional bothhitrhen 25.02
[I Master builder ❑Other: Fire sprinkler( aq.R.) Page 2
A +- - ..... ) 0.4 1a4" t.ir -p o'5j/t`'lr-i;4:62 a 0 i :r Site utilities:
lob site address: 12. 1 o b 5 w 12 7 P A✓e . Catch basin or area drain 18.76
City Statel2.IP: R9,7Drywell,leach line,or Wendt drain 18.76
1:�al�r t f ' ' ' Footing drain(no.linear ft.:�) Page 2
Suite/bldg./apt.no.: J Project name: Manufactured home utilities 50.03
Cross street/directions to job site: S 1J 6e ` c+ 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.linearR.:_J Page 2
Subdivision: J Lot no: Fixture or item
Tax map/parcel no.: Baekftow preventer 3127
i�p 5 x h s. Backwater valve 12.51
tl �e x. rrA'-,�,f1 'i 44 the A d, a�.o.e- e u :�'t+$F -•,:e :
I + Cltahes washy 25.02
I n 11 • 6.t ham-, f i 4.4y.i 1 S�b'P(r �I Wc.-,,�1 /®Kit! Dishwasher 25.02
Cent�P k J b J`r d✓� ( f^t1 r)I 81€ Drinking fountain 25.02
11Gr r.tile r, p coax. Re' rC nhJfC _ Eje�sfarp 25.02
.)2 1:4 st. tri r,'f �C - : i1�+ ,iH
: " -'.: , Expansion tank 12.51
Name. 1 fiti,,\t '� sf, Se(Uti•'1-I5 ' Fixtadsewercep 25.02
�I. Fluor drain/floor surk/hub 25.02
Address: T61.1 5 i.� Moir.deer Dr. Garbage disposal 25.02
City/SteteiZP: g everitor. f oR 17667 Bose bib 25.02
Phone:( ) Fax:( ) Ice maker 12.51
'84�� _ t 'p (" :.:.;-.1,:. u "`')lir} e,' 1° >1`, s i ,., lnterceptodgrease trap 25.02
Medical gas(value:$_) Page 2
Business name:
Primer 12.51
Contact name:
Roof drain(commercial) 12.51
Address: Sink/basidlavatory 3 25.02 3
City/State/ZIP: Solar units(potable water) 62.54
Phone:( ) Fax::( ) Tub/shower/shower pan 12.51 2
-E-mail: Urinal 25.02
water closet ' 25.02 .
I .t ,y. r ZA 11J.; ew a ° t{ .: • 1 : r� Ol
l4, 1-.f 0kiwi 1� L1_�
Water heater 37.52
Business Hama I In fi
hi
Water piping/DWV 56.29
Address: 2.3 1 N 1 C ti 1 _4j Other: 25.02
City/Statefz[P: To(i-14,..1ai Q R 7 2(a Subtotal
Phone:(50) 744-11 7 6 Fax( ) Minimum permit fee: $72.50
CCB Lic.: 2.-2 t{ E$ 1�/y( umbing Lic.no.: pp z 1 6 Plan review (25%of permit fee) -
�, State surcharge 02%of permit tee)
Authorized sii1a[,re: TOTAL PERMIT FEE
Print name: !_ ,; ink yr1 r 11L 49 Date.3/2 2 0, 1 This penult application espireeifa permit is nor obtained within N NO dart
after it hat been acrspted es complete.
'Fee methodology set by Ter-County Bnibt ng Industry Service Beast.
Littuadingl'eniolptd/lLpanutApp.duc 10/01/09 440-461670 a/avcosMVEB)
Water Meter Fixture Unit Worksheet for Additions/Remodels/AD Us
Please complete the followin nfo ation: �7�
Customer Name: act ( C G /'-f A L,c;•t f�vv( /� i
Service Address: Street/Suite #: /Z c/ 4 O ,rw /Z 7 It ii„-c
City: / fsi,,.c/ State: Q ( / / Zip: / 7z S
Phone Number: So-3-7 ( rcF6bZ Email: 4,4 @ L.rK/0/90cf-I<f•/1st 7'
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 / x 4 = ii x 4 =
Dishwasher / x 1.5 = /.s x 1.5 =
Hose bib _ + x 2.5 = • .5` x 2.5 =
Hose bib,each x 1 = x 1 =
Kitchen sink / x 1.5 = i-5— x 1.5 =
Laundry sink 0 x 1.5 = () x 1.5 =
Lavatory ~z, x 1 = 2 / x 1 = l
Water closet, 1.6 GPF Z x 2.5 = 7-' ( x 2.5 = ),s
Bathtub/whirlpool x 4 = x 4 =
Shower stall x 2 = x 2
Bath/shower combo i x 4 = q ! x 4 = 4
Current Points: a0,S Proposed Increase: /
Current Points+Proposed Increase= .2F =New Total Points =Required Meter Size 5715 il
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: /'i?) Cost: $ \LID co (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 3 ` g--DaD
Signature of UB 1t resentative Date
1:/Budding/Forms/WaterMeters_0701 19_Add.doCx Page 2
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
:711 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.
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