Permit CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2020-00222
T f GAR O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.24 Date Issued: 6/1/2020
TIL.93438A Parcel: 2S103CA00207
Jurisdiction: Tigard
Site address: 11590 SW FONNER ST
Project: Alexeev Subdivision: WOODCREST NO.2 Lot: 29
Project Description: Relocate existing bathroom for a 577 sf 2nd-story addition:(1)tub/shower,(1)water heater,&(1)DWV. 12/8/20:
REPRINT to add(1)water closet,(1)lav, &(1)kitchen sink. NO FINAL INSP UNTIL WATER METER UPSIZED.
NOT APPROVED FOR USE AS ADU.
Contractor: OWNER Owner: ALEXEEV,ALEXANDER&OLGA LIVING
ALEXANDER&OLGA ALEXEEV 22578 CANYON RIDGE PL
11590 SW FONNER ST CASTRO VALLEY, CA 94552
TIGARD,OR 97223
PHONE: 510-828-0467 PHONE:
FAX:
FEES
Quantity Description Date Amount
1 ea Tub/Shower/Shower Pan 06/01/2020 $12.51
Specifics: 1 ea Water Piping/DWV 06/01/2020 $56.29
1 ea Water Heater 06/01/2020 $37.52
Type of Use: SF 1 ea Sink 06/01/2020 $25.02
Class of Work: ALT 1 12%State Surcharge- 06/01/2020 $15.76
Type of Const: Plumbing
Occupancy Grp: 1 ea Lavatories 12/07/2020 $25.02
Stories: 1 ea Water Closet 12/07/2020 $25.02
0 12%State Surcharge- 12/07/2020 $6.01
Plumbing
Total $203.15
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: }q.J p"n n. �(�_ (� Permittee Signature:
\1\1(��CC1/�� U(l�(U JU � ���(p
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
111 2 ' . COMMUNITY DEVELOPMENT11.
Permit#: PLM202000222
T t G AR L1 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/01/2020
Parcel: 2S103CA00207
Jurisdiction: Tigard
Site address: 11590 SW FONNER ST
Project: Alexeev Subdivision: WOODCREST NO.2 Lot: 29
Project Description: Relocating existing bathroom for a 577 sf second story addition:(1)tub/shower,(1)water heater,and(1)DWV.
Contractor: OWNER Owner: ALEXEEV,ALEXANDER&OLGA LIVING
ALEXANDER&OLGA ALEXEEV 22578 CANYON RIDGE PL
11590 SW FONNER ST CASTRO VALLEY, CA 94552
TIGARD, OR 97223
PHONE: 510-828-0467 PHONE:
FAX:
FEES
Quantity Description Date Amount
1 ea Tub/Shower/Shower Pan 06/01/2020 $12.51
Specifics: 1 ea Water Piping/DWV 06/01/2020 $56.29
1 ea Water Heater 06/01/2020 $37.52
Type of Use: SF 1 ea Sink 06/01/2020 $25.02
Class of Work: ALT 1 12%State Surcharge- 06/01/2020 $15.76
Type of Const: Plumbing
Occupancy Grp:
Stories:
Total $147.10
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.
l
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.
Plumbing Permit Application
Building Fixtures RECEIVEDMlrglli=NIIIIIIIIII
City of Tigard Received
Data/By: Permit No.: '`
• 13125 SW Hall Blvd.,Tigard,OR 97223 MAY 0 2020 Plan Review 1 � _
Phone: 503.718.2439 Fax: 503.598.196 2 Other Permit No.: -!-. �7�t }5
Date/By: �e 2 for Urf �`�✓
I!GAR()
Inspection Line: 503.639.4175 Y OF i i l�AR Data Ready By: kris: ® Sce Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
❑New construction 0 Demolition For special information use checklist
Description I Qty. I Ea. I Total
Addition/alteration/replacement 0 Other: New I-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
gI-and 2-family dwelling ElCommercial/industrial SFR(2)bath 437.75
SFR(3)bath 500.32
❑Accessory building ❑Multi-family
Each additional bath/kitchen 25.02
❑Master builder 0 Other: Fire sprinkler( ,sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Catch basin or area drain
Job site address: �/Sg0s y(/ F t?H/+ei, / 18.76
`� ' Drywell,leach line,or trench drain 18.76
7 City/State/ZIP: /C4 E 0 . 42E f'722
r Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: I Project name: 4//(f4 (/ NJV/,I04" Manufactured home utilities 50.03
Cross street/directions to job site: 7 j,C/J17 zOyS' Wes Manholes 18.76
ii
/AI6�=/2�'C Cf/O/i/ ('i/`, ,c' EX/ //S y, Ave 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: (//00i2C',�6-Ri ¢'2 I Lot no.: 29 Fixture or item:
Tax map/parcel no.: .23/ c Ai et",20 7 Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 25.02
Q F L0C.417 J,-/Er E X/S% /3/1 i/(k'OOM Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
PROPERTY OWNER I 0 TENANT Expansion tank 12.51
A Fixture/sewer cap 25.02
Name: a`+✓If' k' � OC.64 44c,Y�Eif Floor drain/floor sink/hub 25.02
Address: //S D S LU Y�Oh'rl/� C�r S'�
Garbage disposal 25.02
City/State/ZIP: r/C 4 r t2, I 7712,3 Hose bib 25.02
Phone:(�/O) „Fla/ _ 0�6*.y Fax: ( ) ice maker 12,51
APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02
/�
, Medical gas(value:$_) Page 2
Business name:
p!/a/ e/?ry' ea/N iZ Primer 12.51
Contact name: ALE', - 4/ e'X',.t C/
.`, Roof drain(commercial) 12.51
//S90 C'Vt/ /4-v4/NC/E/2 S'/- Sink/basin/lavatory / 25.02 S GI
r� ',
City/State/ZIP: /‘;,w_b/ c e r972 2 3 Solar units(potable water) 62.54
Phone:(5/O) 121 o '- ax: :( ) Tub/shower/shower pan / 12.51 /2, c
E-mail: Urinal 25.02
I>.s94. //G.C,r-E V 7 t��r742 i C'. Cor.,
CONTRACTOR Water closet 25.02
Water heater / 37.52 3 '7. :52.
Business name: pQO�k2e toa„,,/ 5/2 Water i m WV 56.29 E
PP 29
Address: //5,947 +CtA/ T 0 t 'i st Other: 25.02
City/State/ZIP: 7/['/jam C+,e y'722 3 Subtotal lj/, 3J .
Phone:(,j 0) .F2, _o -e 7 Fax:( ) Minimum permit fee: $72.50 •
CCB Lie.: Plumbing Lie.no.: Plan review (25%of permit fee)
State surcharge(12%of permit fee) J,y/t I
Authorized signature: At se 4 Lz XE�� TOTAL PERMIT FEE y 7. l'
�.J. 2O This permit application expires if a permit is not obtained wi in ISO anus
Print Warn ' �yex'Yi Dote: after it has been accepted as complete.
G *Fee methodology set by Tri-County Building Industry Service Board.
I:\Buildvg\Permits\PLMU-PrnnitApp.doc 10/01/09 440-4616(1ao]JCOM/WF.B)