Permit Support Document CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT
771 ' Permit#: MST2020-00052
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 / �y Date Issued: 02/19/2020
�! / �'Gf� Parcel: 2S104AA09000
Jurisdiction: Tigard
Site address: 12200 SW 127TH AVE
Subdivision: BELLWOOD NO.2 Lot: 95
Project: BRADFORD
Project Description: Bearing wall removal and beam installation for kitchen remodel. 3/12/20: REPRINT to add (1)
sink and (9)branch circuits.4/7/20: REPRINT to add(1)range hood.
BUILDING
Floor Areas Required Setbacks Required
Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 0 Parking Spaces: 0
Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 0 Smoke
Dwelling Units: 0 Third: 0 sf Right: 0 Detectors:
Total: 0 sf Value: $35,000.00 Rear: 0
PLUMBING
Sinks: 1 Water Closets: 0 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0
Lavatories: 0 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Storm Sewer: 0
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: 0 Catch Basins: 0
Bcklw Prevntr: 0
Footing Drain: 0 Ice Maker. 0 Hose Bib: 0 Backwater Value: 0
Drywell-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Tvpes Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0
Heat Pump: N Hoods: 1 Other Units: 0
Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Tema Srvc/Feeders Branch Circuits
1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add'I 500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 9
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0
601-1000 amp: 0 601+amp-1000v: 0
1000+amp/volt: 0
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All
Other N Other Description: Ecompasing: N
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ALT SF VB R-3 0
Owner: Contractor:
BRADFORD,DONETA L FAMILY TRUST STATELY STRUCTURE Required Items and Reports(Conditions)
12200 SW 127TH AVE 12155 SW 127TH AVE
TIGARD,OR 97223 TIGARD,OR 97223
PHONE: PHONE: 503-407-6372
FAX:
Total Fees: $1,405.45
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
952-001-001
AR
s to OUNC
r
Issued By: t`ug 0' \952-001-0090. may obtaincopy of the rules or diPermi teeSig Signature:
calling Ai �8�/�2�7-7UN
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 jab site at the time of each Inspection.
Buiidin2 Permit Application
Residential 1 ON Ill 1 It I I ,I Uvi 1
Received n
C1 of Tigard Permit No.: c.
t5 g Dates, S / ,'n T u i u r _
II
13125 SW Hall Hlvd,Tigard,OR 97223 i K Plan Review
e Plxmc: 503.716.2439 Fax: 03.598.1 Dau y: 'LOyp Other Penult.
- a sV k'-
T 1 t;n t:Il Inspection Line. 503.639A 175 +,. Date Ready/By hut: ® See Page 2 for
Internet: www.tigard-or.gov 3 20Z� +. Supplemental information
FEs
TYPE OF WQ Y of 7lt , PD REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction Q aiiit4 `j' ;' Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
1, gAddition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation; $ '�� G O
Ell-and 2-family dwelling ❑Commercial/industrial
IDAccessory building El Multi-familyNumber of bedrooms:
El Master builder El Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: i Z ' x-� fZ7ef Au, New dwelling area: square feet
City/State/ZIP: 7, tr c Z-j er7'Z, Garage/carport area: square feet
Suite/bldg./apt.no.: rj' Ite: 3(- c )t-1 Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
eilikairliWialliiiiill work indicated on this application.
Valuation: $
Nam' C/—n/v [ a A—c.., -t„f' `'``� Existing building area: square feet
/2r._4-e C.a.! ,.t
New building area: square feet
0 PROPERTY OWNER 1 ❑ TENANT Number of stories:
Name: J cx i' t grcJ p r.c Type of construction:
Address: t " -ice d j 27" * Occupancy groups:
City/ ite/ZIP: 77� r� ( e-- 9-72Z-3 Existing:
Phone:(tic ' ?t.- -4_91.k Fax:( ) New:
❑ APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name: (Please refer eo fee schedule)
s3 � .1. Structural plan review fee(or deposit):
Contact name:
FLS plan review fee(if applicable):
Address: f
City/State/ZIP: Total fees due upon application: { L Z)
Low
Phone:( ) Fax: :( )
Amount received:fff
�,fysn• LjT�• a ,APHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail:
.s :(.-_:-...-C 4 211r1,)rt.P_..e=tc i Ylf , Lt,•-�
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Jit pees name: j- f�y vC t-/r L t C_ Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
14 t s: >ti) /0-7.1 r '_ Solar Installation Specialty Code checklist.
ciiiKstistst/ Permit Fee includes Ian review
ZIP: j,�r�( ��� P7Z'Z3 and administrative fees): $180.00
i'(tgnF:lei�* c 7 (e.'37� Fax: ) State surcharge(1214 of permit fee): S21.60
t`, fit tic.: ) 9 9- Di /)'L Total fee due upon application: $201.60
Auized signature: r /'" This permit application expires if a permit is not obtained
p within 180 days after it has been accepted as complete.
Pttllt stone: J *Fee methodology set by Tri-County Building Industry
_ ���A /'� :."c.�.(' -:,.--.� 6;`. „_/ �fi Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/20I I 440-4613T(11/02/COM/WEB)
RECEIVED
' Mj citariical Permit Application FOR OFFICE: l''sE ONLY
14 . MAR 3 0 2020 Received /l/Jj O,o
City of Tigard Dale/By: Permit No.' } V U(:) _
- 13125 SW Hall Blvd.,Tigard,OR 97223 CITY GF 1 IGARD Plan Review Other Permit:Phone: 503.718.2439 Fax: 503.598.19 JILDING DIVISION DateBy.
T I G A R U Inspection Line: 503.639.4175 Date Ready/By: Jere: El See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
n
TYPE OF WORK COMMERCIAL FEE* SCHEDULE- USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction [t Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑ Other: mechanical materials,equipment,labor,overhead,and profit.
Value:S
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
al-and 2-family dwelling ❑Commercial/industrial 0 Accessory building For special information use checklist
❑Multi-family ❑Master builder 0 Other: Description Qty. Ea. Total
a, �
JOB S . INFORMATION AND LOCATION , Heating/cooling:
Air conditioning
Job site address; 12200 SW 127th Ave (requires site plan showing placement) 46.75
Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: Tigard,OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: Project name: Bradford Residence Heat pump
(requires site plan showing placement) 61.06
Cross street/directions to job site: Duct work 23.32
Walnut to 128th to 127th Hydronic hot water system 23.32
Residential boiler(radiator or
hydronic) 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Subdivision: Bellwood II Lot no.: 95 Flue/vent for any of above 23.32
Other: 23.32
Tax map/parcel no.: Other fuel appliances:
'. DESCRIPTION OF WORK Water heater 23.32
000�2 Gas fireplace 33.39
I would like to add the range hood to permit number MST2020- Flue vent for water heater or gas
fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
,7.
❑ Chimney/liner/flue/vent 23.32
4:I WNER ❑ TENANT Other: 23.32
Name: John and Doneta Bradford Environmental exhaust and ventilation:
Address: 12200 SW 127th Ave Range hood/otherkitchen 33.39
equipment 1 33.39
City/State/ZIP: Tigard,OR 97223 Clothes dryer exhaust 33.39
Single-duct exhaust(bathrooms,
Phone:( 503 ii 13-1911 Fax:( ) toilet compartments,utility rooms) 23.32
0 APPLICANT ..tea 0 CONTACT PERSON Attic/crawlspace fans 23.32
Business name: Other: 23.32
Owner Fuel piping:
- Contact name: John Bradford $14.15 for first four;$4.03 for each additional
Address: 12200 SW 127th Ave Furnace,etc.
Gas heat pump
- City/State/ZIP: Tigard,OR 97223 Wall/suspended/unit heater
Phone:( 503)313-1911 Fat::( ) Water heater
Fireplace
E-mail:
Range
CTOR Barbecue
Business name: Clothes dryer(gas)
OWNER
Other:
Address: MECHANICAL PERMIT FEES*
City/State/ZIP: Subtotal
Phone:( ) Fax:( ) Minimum permit fee($90.00)
Plan review(25%of permit fee)
CCB lit.: State surcharge(12%of permit fee)
TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
Authorized signature: John F. Bradford days after it has been accepted as complete.
Print name: John F.Bradford Date: 3/30/2020 * Fee methodology set by Tri-County Building Industry Service Board
1:\Building\PertnitsOMEC-PermiWpp.doc 09/09/10 440-46171(11/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi-Family Fee Schedule:
Total Valuation: Permit Fee:
$0.00 to$500.00 Minimum fee$69.06
$500.01 to$5,000.00 $69.06 for the first$500.00 and
$3.07 for each additional$100.00 or
fraction thereof,to and including
$5,000.00.
$5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and
$2.81 for each additional$100.00 or
fraction thereof,to and including
$10,000.00.
$10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and
$2.54 for each additional$100.00 or
fraction thereof,to and including
$50,000.00.
$50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and
$2.49 for each additional$100.00 or
fraction thereof,to and including
$100,000.00.
$100,000.01 and up $2,608.71 for the first$100,000.00 and
$2.92 for each additional$100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
1:\Building\Permits\MEC-PermitApp.doc 09/09/10 2
Electrical Permit Application x 11- p i n It nil I( i• I s I.O\LN
�.'+ .1, f 3"' to e yr� Received
City of Tigard �k/: , Permit#:�.s O6,O
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
UPIR Phone: 503.718.2439 � .R 3 t0�� DateiB . Related Permit 6:
Email: TigardBuild ngPermits a?Tigard-or.gov Ready Datel3y: kris: ® See Page 2 for
I I e{:11t Il Inspection Line: 503.639.4175 Internet:,wi .tiBBtd-ongov Notified'Method: Supplemental Information
TYPE OF W6 1L-1.31 " cat' PLAN REVIEW
❑New construction ❑Addition/alteration/replacement Please check at!Mai apply(submit j sets of plans wi items checked):
❑Service or feeder 400 amps or more ❑Building over three stories.
❑Demolition 0 Other: where the available fault cmmeal 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
❑ 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building leas to ground,or exceeds 14,000 ❑Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family ❑Master builder ❑Other: 0 Fire pump. 0!mutilation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
Job site address: /22 �/ 147
❑Addition of new motor load of system.
t7(j J`-'J !Z 7 IOOHP or more. ❑`A" "E' "I-2" "I-3"
IIIIIII/elZIP: ��i� 0 Six or more residential units. occupancy.
f1 ?1-:`LF C'Q 72? '3 ❑Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt#: QZ- ❑Hazardous locations. ❑Supply voltage for more than
['Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: FEE SCHEDULE
peacri,dou I Qtv. I Each I Total I •
New residential single-or multi-family dwelling unit.
Subdivision: I Lot#: Includes attached garage.
Tex map/parcel#: 1,000 sq.ft.or less 168.54 4
Ea.add'1500 sq ft or portion 33.92 I
PT[ON OF WORK ,
Limited energy,residential
(with above sq.ft.) 75.00
Kr J�1 �{tIces Limited energy,muhi-family ,,
residential(with above sq.11.) 75.00
Renewable Energy El See Page 2
�] PROPERTY OWNER I ❑ TENANT Services or feeders installation alteration,and/or relocation
Name: e yt- ,S- : 200 amps or less 100.70
allireSs: t 22-CC� i Z ty-"' 201 amps to 400 amps 133.56 2
- 401 amps l0 600 amps 200.34 2
+�7
City/State/ZIP: / c a,r �2- 7 Z'Z, 601 amps to 1,000 amps 301.04 2
Phone: 'j(j3 — 1,9, l I Over 1,000 amps or volts 552.26 2
l +( Temporary services or feeders installation,alteration,and/or
1
Email: ' p 1o. ..-Lj �*. �_C C ...a G'_1'L !r f.Jtj_Cc"— relocation
Owner Installation- 's installation i bein ade on property than own which is not 200 amps or less 59.36 1
intended for sale , or g ring to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2
Owner signatur ' i .•✓\ _ : ' 401 amps to 599 amps 168.54 2
APPLICANT I 0 CONTACT PERSON Branch circuits—new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name: above service or feeder fee, 7.42 2
each branch circuit
Contact name: B.Fee for branch circuits without -Q
Address: service or feeder fee,first J'Cjp 56.1 S 2
branch circuit
City/State/ZIP: Each add'I branch circuit 7.42 2
Miscellaneous(service or feeder not Included)
• Phone:( ) Each manufactured or modular
dwelling,service and/or feeder 67'84 2
Email: Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name: Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy ❑ See Page 2 2
Address: panel,alteration,or extension.
City/State/ZIP: Each additional inspection over allowable In any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:( ) Investigation(I hr min) 90.00/hr
Email: Industrial plant(I hr min) 78.18/hr
Inspections for which no fee is 90,00i hr
CCB Lie.: I Electrical Lie.: I Suprv.Lie.: specifically listed(1/2 hr min)
ELECTRICAL PERMIT'FEES
Suprv.Electrician signature,required: Subtotal:
Print name: Date: 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: TOTAL PERMIT FEE:
This permit application expires if a permit Is not obtained within 1g0
Print name: Date: days after it has been accepted as complete.
• Number of inspections allowed per permit.
I:1Building'Pennits`EW PemrsApp_EIR-ERE.doe Rev 10.262017 440-4615T(IIA51L'OMsWEB
Electrical Permit Application—City of Tigard
• Page 2—Supplemental Information •
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
Fee for all residential systems combined: $75.00 RenewableTotal electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
5.01 to 15 kva 133.56
❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2
Wind generation systems in excess of 25 kva:
❑ Burglar Alarm 25.01 to 50 kva 301.04 2
50.01 to 100 kva 552.26 2
❑ Garage Door Opener* n100 kva(fee in accordance 552.26 2
with OAR 918-309-0040)
❑ Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System*
Each additional kva over 25 7.42 3
❑ Vacuum Systems* >100 kva-no additional charge 0.0 I 3
Each additional inspection over allowable in anyof the above:
❑ Other: Each additional inspection is 66.25/hr
charged at an hourly(1 hr min) •
Inspections for which no fee is 90.00/hr
specifically listed(l,hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Fee for each commercial system: $75.09 Subtotal(Enter on Page 1): _
(SEE OAR 918-309-0000) • Number of inspections allowed pry permit
Check Type of Work Involved:
n Audio and Stereo Systems
n Boiler Controls
IT Clock Systems
n Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
n Landscape Irrigation Control*
n Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
IdBuilding`Pennirs,El.C_Pennir.4pp FI.R ERE doe Re 10'26.2017
'Plumbing Permit Application
Building Fixtures FOR oFFI(F 1:SE ONLY
111 City of Tigard i I; Date/By:� Permit No.:/l jS % j-770(y
• 13125 SW Hall Blvd.,Tigard,OR 972$3t.tom, '. - f .., plan Review
B Phone: 503.718.2439 Fax: 503.598.1960 Dam/By: Duffer Permit No.:
) _
I it d R I1 Inspection Line: 503.639.4175 {-r(-3 <� t 13/it Date Ready By- I�«: 65 See Page 2 for
Internet: www.tigard-or.goc Notii-iedMethod: Supplenenial Information
t'y 1 H. ilk=:41-7 3
TYPE OF WORK ' t FEE*" SCHEDULE
❑New construction El Demolition For special information use ckec/lis.
D
Addition/alteration/replacement El Other: NeweoI-2-fription Qty.. I Ea. Total
1-2-family dwellings(includes 100 R.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
ElI-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
0 Accessory building 0 Multi-family SFR(3)bath 500.32
Each additional bath/kitchen 25.02
❑Master builder El Other: Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: L,,.c_.°1,__ -� i'� ! L 1 Catch basin or area drain 18.76
Drywell,leach line,or trench drain 18.76
City/Stale/ZIP: *Tie,l, a 44 7 Z 3
` Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: Piquet dine: -j�?.,I-cy 7� ,r�4 Manufactured home utilities 50.03
Cross street/directions to job site: (�,1 f eL-7r- -, /Z(�j .-�i, (Z L -_ Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.:_) Page 2
Storm sewer(no.linear ft.:_) Page 2 _
Water service(no.linear ft.:_) Page 2
Subdivision: I Lot no.: Fixture or item:
Tax map/parcel no.: Backflow preventer 3127
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 25.02
Dishwasher 25.02
tJ _ Drinking fountain 25.02
Ejectors/sump 25.02
.PROPERTY OWNER El TENANT Expansion tank 12.51
e_ -I: vnr 1. ( !t,.1- ,� Fixture/sewer cap 25.02
s: ZZt r> -eh. Floordrain/floorsink/hub 25.02
Mr s� ►2_7 :
Garbage disposal 25.02
C'te/ZIP: J(��e A. Oiz- 27 Hose bib 25.02
94(.i-:'-) Al.5 -47 t.( Fax:( ) Ice maker 12.51
❑ APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02
Business name: Medical gas(value:$_) Page 2
S � S el5'"� Primer 12.51
Contact name:
Roof drain(commercial) 12.51
Address: Sink/basin/lavatory i 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: Atv- Water piping/DWV 56.29
Address: Other: 25.02
City/State/ZIP: Subtotal
Phone:( ) Fax:( )
Minimum permit fee: $72.50
Plan review (25%of permit fee)
CCB Lic.: Plumbing Lic.no.:
j- State surcharge(12%of permit fee)
Authorizedsigo$ue: i„ TOTAL PERMIT FEE
!Tint -
time: ' J p ig,-„,,, re-MID 2/j/.2 This permit application expires if a permit la not obtained within 180 days
( c, after It has been accepted as complete.
`Fee methodology set by Tri-County Building Industry Service Board.
L'Building,Pmnbs',PLMU•PermitApp.doc 10/01e09 440-4616T(10,02/COMAVEB)
.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 $169.64
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 S10,000.00.
Inspection of existing plumbing or for $10,001.00 to$25,000.00 S 148.50 for the first S 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 hotus) each additional$100.00 or fraction thereof,to
Reinspection Fees 90.004u and including S50,000.00.
Additional plan review for revisions 90.00/hr $50,001.00 and up S742.00 for the first$50,000.00 and$1.20 for
(minimum charge-1l2 hour) each additional$I00.00 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
❑ Any new commercial building with water service 2"and
Baptistry/Font greater,except systems designed and stamped by licensed
Bath: -Tub/Shower
-Jacuzzi/Whirlpool New engineer.
Car Wash: -Each Stall 0 New exterior plumbing site utilities for any complex structure
-Drive tallThr as defined in OAR918-780-0040.
Cuspidor/Water Aspirator 0 Medical gas and vacuum systems for health care facilities.
Dishwasher: Commercial ❑ Any multipurpose fire sprinkler system.
Domestic 0 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 that meet the qualifications above.
Garbage -Domestic non-food
Disposal: -Domestic food related
-Commercial food related
-Industrial food related
Ice MachJRefrig.Drains Comments regarding fixture work:
Oil Separator(Gas Station)
Rec.Vehicle Dump Station
Shower: -Gang
-Stall
Sink: -tav/Bar non-food related
-Bradley
-Com/Serv/Util food related
-Service *Note: lithe fixture work under this permit results in an
Swimming Pool Filter increase of sewer EDUs,a sewer permit will be issued and
Washer-
Water ExCtractors fees assessed for the sewer increase must be paid before the
Water Closet-Toilet plumbing permit can be issued.
Urinal
Other Fixtures:
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