Permit MASTER PERMIT
`q CITY OF TIGARD
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COMMUNITY DEVELOPMENT Permit #: MST2010 00022
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[ GR)) 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Date Issued: 03/04/2010
Parcel: 1S125DB04100
Jurisdiction: Tigard
Site address: 9505 SW 74TH AVE
Subdivision: BOULEVARD HEIGHTS Lot: 24
Project: Scott
Project Description: Convert existing garage into salon. Electrical work done under separate permit, ELC2009- 00589.
BUILDING
Floor Areas Required Setbacks Required
Stories: 1 Bedrooms: First: sf Basement: sf Left Parking Spaces:
Height: Bathrooms: 1 Second: sf Garage: sf Front: Smoke
Dwelling Units: Third: sf Right: Detectors:
Total: sf Value: $2,500.00 Rear:
PLUMBING
Sinks: 1 Water Closets: 1 Washing Mach: Laundry Trays: Rain Drain: Catch Basins:
Lavatories: 1 Dishwashers: Floor Drains: Sewer Lines: SF Rain Other Fixtures:
Tubs /Showers: Garbage Disp: Water Heaters: 1 Water Lines: Drains:
Bckflw Prevntr:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 1 • Clothes Dryers:
Heat Pump: N Hoods: Other Units:
Fum <100K: Vents: Woodstoves: Gas Outlets:
Fum > =100K:
ELECTRICAL
Residential Unit Service Feeder Temp SrvclFeeders Branch Circuits
1000 sf or less: 0 -200 amp: 0 -200 amp: W/ Svc or Fdr:
Ea add' 500 sf: 20 1 -400 amp: 201 -400 amp: 1st W/O Svc/Fdr:
Limited Energy: 401 -600 amp: 401 -600 amp: Ea add' Br Cir:
601 -1000 amp: 601 +amp- 1000v:
1000 +amp /volt:
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:
Owner: Contractor: Required Items and Reports (Conditions)
SCOTT, MICHELLE OWNER
9505 SW 74TH AVE
TIGARD, OR 97223
PHONE: 503 - 244 -4145 PHONE:
FAX:
Total Fees: $438.10
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 thr ugh AR 952 -001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.24 or 1.800.332.2344.
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Issued By: n\cl � Permittee Signature: / i i ... G -
Property Owner Statement '32 Oro .66622
Regarding Construction Responsibilities
Oregon Law requires residential construction permit applicants who are not licensed with the
Construction Contractors Board to sign the following statement before a building permit can be
issued. (ORS 701.055 (4))
This statement is required for residential building, electrical, mechanical, and plumbing permits.
Licensed architect and engineer applicants, exempt from licensing under ORS 701.010 (7), need not
submit this statement. This statement will be filed with the permit.
Please check the appropriate box:
I own, reside in, or will reside in the completed structure and my general contractor is:
Name CCB# Expiration Date
I will inform my general contractor that all subcontractors who work on the structure must be
licensed with the Construction Contractors Board.
or
t. I will be performing work on property I own, a residence that I reside in, or a residence that I will
reside in. If I hire subcontractors, I will hire only subcontractors licensed with the Construction
Contractors Board. If I change my mind and hire a general contractor, I will select a contractor
who is licensed with the CCB and will immediately give the name of the contractor to the office
issuing this Building Permit.
I have read and understand the Information Notice to Homeowners About Construction Responsibilities,
and I hereby certify that the information on this homeowner statement is true and accurate.
M IC, Sc4-
Print Name of Permit Applicant
41 "/ " ?�� r4
Sign: re of Permit Appl Date
Permit #: M \? X10 `GG2'�ZZ
Address: l s
Issued by: Date: 3/3 f ( 0
This Copy for Permit Offices
I g Permit A pplication ° `P�? �� - � 4 � r (0 g/
• Residential � a y ' us 0 0 "k.�.,, }
City of Tigard DateB Q Permit No.: Ngr 07�
q 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review �i�, 1
- ' 111 Phone: 503.639.4171 Fax:' 503.598.1960 DateB : fain NOM Other Permit: ��(e 090ODs
. . 1 21 G R D Inspection Line: 503.639.4175 Date Ready /B runs. H See Page 2 for
s' Internet: www.tigard- or.gov Notified/Method: 7F Supplemental Information
TYPE OF WORK, REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
❑ 1- and 2- family dwelling ❑ Commercial /industrial
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE-INFORMATION AND LOCATION Total number of floors:
Job site address: `1 — 5 o .-- „ as __ New dwelling area: square feet
City /State /ZIP: ` e I ai-v „ X , Q 0 63 "`l a: J Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: a\ 0 — ii-1 5a lOn 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
DESCRIPTION OF WORK work indicated on this application.
COI - ex-k-- - f to \J T_Ani-e---
V - Valuation: $
Q (_1A Con o Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER , ❑ TENANT Number of stories:
Name: oiV Type of construction:
Address: £; .. 0 L- , L 'U-� Occupancy groups:
City /State /ZIP: ? -3 L 4--( J Q g -). -a-- Existing:
T
•
Phone: (L CA .. LA S Fax: ( ) New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
City /State /ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone:( ) Fax::( )
E -mail:
CONTRACTOR
Business name: ,f1 0 ,, �` ^ (l ^ .. . BUILDING PERMIT FEES* .
l� x � V ix/ `� (Please refer to fee schedule .
Address:
Structural plan review fee (or deposit):
City /State /"ZIP:
FLS plan review fee (if applicable):
Phone: ( ) Fax:( )
Total fees due upon application:
CCB lic.:
Amount received: 3 77.5
Authorized signature: n �l � �� L n !LX i n l• This permit application expires if a permit is not obtained
_ V (�J within 180 days after it has been accepted as complete.
Print name: fv .. \ i , /" �n `t� 1/ ��+ ` Date: n ' - - j D * Fee methodology set by Tri- County Building Industry
�„" Service Board.
I: \Building\Permits\BUP -RES PermitApp.doc 11/6/07 440- 4613T(11 /02 /COM/WEB) ,A
. -. •
Building Permit Application Checklist
One- and Two-Family Dwelling 1 ' ° ' ��, , 7 � �' ''� '
Y f ,, _i'A - ' s Z , USC ( A go 4t ,,
; .;, City of Tigard Received Permit No.:
IN V 13125 SW Hall Blvd., Tigard, OR 97223 Associated Associated permits:
® Phone: 503.639.4171 Fax: 503.598.1960
- ' ` 24- Hour Inspection Line: 503.639.4175
❑ Electrical 0 Plumbing 0 Mechanical
FIGARI7
.' Internet: www.tigard - or.gov ❑ Other:
6I
�041El dliTO W I NG I T C IVI S'A R C ifRi R � D r6ii isfi S atV 1yL \1...A?.:..,-;.'1 ' eS F 16 # N/A ' �
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑
2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ❑ ❑ ❑
3 Verification of approved plat/lot. ❑ ❑ ❑
4 Fire district approval required. Name of district: ❑ ❑ ❑
5 Septic system permit or authorization for remodel. Existing system capacity ❑ ❑ ❑
6 Sewer permit. ❑ ❑ ❑
7 Water district approval. ❑ ❑ ❑
8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑
9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch- ❑ ❑ ❑
basin protection, etc. .
10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state ❑ ❑ ❑
building codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size
sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if
j c; • ri • , vis atio s exist.
711Fa r : n .'iwi r s . e e plan must show lot and building setback dimensions; property corner elevations (if ❑ ❑ ❑
t• - e is more than a 4 -ft. elevation differential, plan must show contour lines at 2 -ft. intervals); location of easements
and driveway; footprint of structure (including decks); location of wells /septic systems; utility locations; direction
indicator; lot area; building coverage area; percentage of coverage; impervious area; existing structures on site; and
surface drainage.
12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent size ❑ ❑ ❑
and location.
13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, ❑ ❑ ❑
furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc.
14 Cross section(s) and details. Show all framing- member sizes and spacing such as floor beams, headers, joists, sub- ❑ ❑ ❑
floor, wall construction, roof construction. More than one cross section may be required to clearly portray
construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings
and foundation, stairs, fireplace construction, thermal insulation, etc.
15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. ❑ ❑ ❑
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope.
Full -size sheet addendums showing foundation elevations with cross references are acceptable.
16 Wall bracing (prescriptive path) and /or lateral analysis plans. Must indicate details and locations; for non- ❑ ❑ ❑
prescriptive path analysis provide specifications and calculations to engineering standards.
17 Floor /roof framing. Provide plans for all floors /roof assemblies, indicating member sizing, spacing, and bearing ❑ ❑ ❑
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑
systems, see item 22, "Engineer's calculations."
19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ ❑
over 10 feet long and/or any beam/joist carrying a non - uniform load.
20 Manufactured floor /roof truss design details. ❑ ❑ ❑
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas- piping schematic is required ❑ ❑ ❑
for four or more appliances.
22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or ❑ ❑ ❑
architect licensed in Ore:on and shall be shown to be applicable to the .ro'ect under review.
t' 1URISI IC 1'1 ()NA L SPECII ICS ' - 4
23 Three (3) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17 ". ❑ ❑ ❑
24 Two (2) sets each are required for Items 16, 19, 20 and 22 above. ❑ ❑ ❑
25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will not be accepted. ❑ ❑ ❑
26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. ❑ ❑ ❑
27 "Drawn to scale" indicates standard architect or engineer scale. ❑ ❑ ❑
28 Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard ❑ ❑ ❑
Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations, driplines, ❑ ❑ ❑
and protection measures must be drawn to scale and must include the project arborist's signature of approval.
30 A Clean Water Services' Sensitive Area Pre Screening Site Assessment form is required for all building additions, ❑ ❑ ❑
including decks, patio covers (over non - impervious surface) and accessory structures to existing residential dwellings
on a lot of record approved prior to September 9, 1995.
1:\ Building \Permits\BUP- RES- PermitApp.doc 03/21/06 440- 4613T(1I /02/COM/WEB)
lik,
Mitch teal Permit Application - . ' a OI F tJS + i ' , X, :'
• r+ Received
lig City of Tigard Date/By: Permit No- Q ` SAW
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
C ". Phone: 503.639.4171 Fax: 503.598.1960 DateBy: Other Permit:
1 G A ° •R I _ inspection Line: 503.639 Date Ready/By: Juris ® See Page 2 for
•, -, Internet: www.tigard - or.gov Notified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
❑ A ddition/alteration / replacement Mechanical permit fees* are based on the value of the work
❑ New construction performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $
• RESIDENTIAL. EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description Qty. t Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: (D d irk, Q 0
Air conditioning
- f J /' (requires site plan showing placement) 46.75
City /State /ZIP: ? c),{ t OR C/ -1a�- Furnace 100,000 BTU (ducts /vents) 46.75
Furnace 100,000+ BTU (ducts /vents) 54.91
Suite/bldg. /apt. no.: Project name: ..1. C,0 -1 L LO 1/l Heat pump 61.06
Cross street/directions to job site: Duct work 23.32
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
Flue /vent for any of above 23.32
Subdivision: Lot no.:
Other: 23.32
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 23.32
Gas fireplace 33.39
.40 ,0e)ti -12._ b e ; 44 G� *4 j v Flue vent for water heater or gas
v , fireplace 23.32
� 2 11) Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace /insert 23.32
Chimney/liner/flue/vent 23.32
. 0 'OWNER ❑ TENANT •
Other: 23.32
Name: t
- 0 ,
Name: S Environmental exhaust and ventilation
Address: .q _ ` � Range hood/other kitchen
equipment 33.39
City /State /ZIP:0\rl� f3 { yi , 1 w 9 '� 9.a.3 Clothes dryer exhaust 33.39
t `y" � Single -duct exhaust (bathrooms,
Phone: 922) -(A 1 q s Fax: ( ) toilet compartments, utility rooms) j 23.32 2 r i
❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32
Other: 23.32
Business name:
Fuel piping
Contact name: S14.15 for first four; 54.03 for each additional
Furnace, etc.
Address:
Gas heat pump
City /State /ZIP: Wall /suspended/unit heater
Phone: ( ) Fax:: ( ) Water heater
Fireplace
E -mail: Range
CONTRACTOR Barbecue
•
Business name: I% f \� .n 0 Hie (e _ 4 ` e r- i e Other: dryer (gas)
Address: \-.). a AV gq - ((�� On MECHANICAL PERMIT FEES*
City /State /ZIP: ( fir `� ` 1,�, lQ . -7 9 /c)-)D Subtotal �' j.30
Minimum permit fee ($90.00) (d,,(3
Phone: jl) Co �zQ� Fax ( ) Plan review (25% of permit fee)
CCB lic.: � a State surcharge (12% of permit fee) U , 60
TOTAL PERMIT FEE I W
AtkopiL - This permit application expires if a permit is not obtained within 180
Authorized signature: days after it has been accepted as complete.
Print name: l ' t d 1 I p &' — Daterl - -- / O * Fee methodology set by Tri- County Building Industry Service Board
\ \
I : \ BuildingPermits MEC-- PP errm 10 /01/09 440- 4617T (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 10/01/09 2
Plurbing Permit Application
Building Fixtures tl' =� yr, . : O 1 I c�a ���1 4.V'y
City of Tigard Received Permit No.:
7
q 1 3125 SW Hall Blvd., Tigard, OR 97223 Date/By: r • . • 4622 C Phone: 503.639.4171 Fax: 503.598.1960 Plan Review Other Permit No.:
Date/By:
1' I "CARD Inspection Line: 503.639.4175 Date Ready /By: Juris ® See Page 2 for
... &.t._ Internet: www.tigard- or.gov Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
❑ New construction ❑ Demolition For special information use checklist
Description 1 Qty. 1 Ea. 1 Total
❑ Addition/alteration/replacement ❑ Other: New I- 2- family dwellings (includes 100 ft. for each utility connection)
CATEGORY OF CONSTRUCTION SFR (I) bath 312.70
ID 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:
Job site address: ci� LA -46.-. j P , Catch basin or area drain 18.76
City /State /ZIP: �� (,, o R ct i a- Drywell, leach line, or trench drain 18.76
t I I Footing drain (no. linear ft.: ) Page 2
Suite/bldg. /apt. no.: Project name: i -7 �'I O n 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
M (,, i' Clothes washer 25.02
C �iCA / -AZY.l Th 0 1 �, 1� Dishwasher 25.02
r A - c - 1 Drinking fountain 25.02
Ejectors /sump 25.02
• ' ❑ PROPERTY OWNER ' I ❑ TENANT Expansion tank 12.51
Name: `nn , Fixture /sewer cap 25.02
r r U I'C' '(. Floor drain/floor sink/hub 25.02
Address: qh - ---)�-- ��,
Garbage disposal 25.02
p, /
City /State /ZIP: M V e g - 1 - R l -a-- Hose bib 25.02
Phone: (� i ce(, ` --(1 I Fax: ( ) Ice maker 12.51
❑ APPLICANT ❑ 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 a- 25.02 IDs,
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 ' C 2
l 37.52 t
Business name: , Q 9 � Water piping/DWV 56.29 J
Address: � `� Other: 25.02
City /State /ZIP: Subtotal 1 l2
Phone: ( ) Fax: ( ) Minimum permit fee: $72.50
CCB Lic.: Plumbing Lic. no.: Plan review (25% of permit fee)
`, 'q� State surcharge (12% of permit fee) 15,
!l
Authorized signature:/144 ` p q, 2i2EL TOTAL PERMIT FEE J2 ,6,10 1
Print name: i/1/1 l , IIe_ �• �� ,� Date: 01 -o -'/ D This permit application expires if a permit is not obtained within 180 days
Y r t 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(I0/02 /COM/WEB)
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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
Storm & Rain Drain - 1st 100' 62.54 Valuation: Permit Fee:
$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 Fees Qty. Fee (e Tota
ons or ees ) each additional $100.00 or fraction thereof, to
p 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 $I.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 ", Plan Review for Plumbing Installations
please indicate work performed by fixture. Failure to Plan review is required for any of the following.
accurately report fixtures could result in increased sewer fees Please check all that apply.
Quantity_ by (Fixture) Work Performed ❑ Any new commercial building with water service 2" and
Fixture Type: Replace greater, except systems designed and stamped by licensed
Previous Capped Added Existing engineer.
Baptistry/Font
Bath - Tub /Shower ❑ New exterior plumbing site utilities for any complex structure
- Tub/Shower as defined in OAR918- 780 -0040.
Car Wash E/ Stall ❑ Medical gas and vacuum systems for health care facilities.
Drive Thru ❑ Any multipurpose fire sprinkler system.
Cuspidor /Water Aspirator ❑ Any complex structure as defined in OAR918- 780 -0040.
Dishwasher - Commercial
Domestic Submit 2 sets of plans with any of the above.
Drinking Fountain
Eye Wash Isometric or -Riser Diagram
Floor Drain/sink - 2" ❑ Isometric or riser diagram is required for new buildings
that meet the qualifications above.
- 4"
Car Wash Drain
Garbage - Domestic
Disposal - Commercial
- Industrial Comments regarding fixture work:
Ice Mach. /Refrig. Drains
Oil Separator (Gas Station)
Rec. Vehicle Dump Station
Shower -Gang
-Stall
Sink - Bar/Lavatory
- Bradley
- Commercial *Note: If the fixture work under this permit results in an
- Service increase of sewer EDUs, a sewer permit will be issued and
Swimming Pool Filter fees assessed for the sewer increase must be paid before the
Washer - Clothes
Water Extractor plumbing permit can be issued.
Water Closet - Toilet
Urinal
Other Fixtures:
1: \Building \Permits \PLMF - PermitApp.doc 2