Permit CITY OF TIGARD PLUMBING PERMIT
g COMMUNITY DEVELOPMENT Permit #: PLM2011 00047
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/10/2011
Parcel: 1 S135CA90125
Jurisdiction: Tigard
Site address: 11046 SW GREENBURG RD 125
Project: Ash Creek Condominiums Subdivision: ASH CREEK CONDOMINIUMS Lot: 0
Project Description: Replace all plumbing fixtues in units damaged by fire. Unit #'s: 125, 126, 127, 128, 138, 140, 229, 230, 231, 232,
242, 244, 333, 334, 335, 336, 346 & 348.
Contractor: CASCADE PLUMBING CO Owner: PHIL- ALEXANDER, LORRAINE
2630 N HAYDEN ISLAND DR #3 11046 SW GREENBURG RD #125
PORTLAND, OR 97217 TIGARD, OR 97223
PHONE: 503 - 289 -7095 PHONE:
FAX: 503 - 283 -9514
FEES
Quantity Description Date Amount
18 ea Sink 02/10/2011 $450.36
Specifics: 18 ea Lavatories 02/10/2011 $450.36
18 ea Tub /Shower /Shower Pan 02/10/2011 $225.18
Type of Use: COM 18 ea Water Closet 02/10/2011 $450.36
Class of Work: ALT 18 ea Water Heater 02/10/2011 $675.36
Type of Const: 1 12% State Surcharge - 02/10/2011 $270.19
Occupancy Grp: Plumbing
Stories:
Total $2,521.81
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable la • . I w. will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, .r if work is sus. -nded for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility .tification Center. Tho e rules are set forth in OAR 952 -001 -0010 through OAR 952 - .X90. You may obtain a copy of the rules
or dire. questions to OUNC b . Ong 503.232.1987 or 1.800.332.2344.
Issu= . By:
14 14A Permittee Signature: _ i/
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Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
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Plumbing Permit Application
pplicati`+
Building Fixtures FEB 9 'Zr' FOR OFFICE 11SE ON1.1
IN : y City of Tigard rxil i Rece +ved , e�mp
13125 SW )-fall Blvd., Tigard, OR 97223 dF Date/ay, Permit No : L � �/ 1/
�) Pian Review
Dote/8y: f
Phone: 503,639.4171 Fax: 503,598.19,00 "' NBy r
Other P ermit No.: F
Inspection Line: 503.639.4175 C■
T 1 G ARE) Date Ready /By: luris• El See Page 2 for ^
Internet: www.tigard- or.gov Notified /Method: Supplemental information }1,j
TYPE OF WORK FEE* SCHEDULE O
❑ New construction ❑ Demolition For s ∎eclat l ()rotation use checklist. --.. O
Description p Qty. Ca. Total C$
® Addition /alteration/replacement ❑ Other; New 1- 2- family dwellings (includes 100 ft. for each utility connection) C
CATEGORY OF CONSTRUCTION SFR (1) bath 312.70
0 1- and 2 - family dwelling SPR (2) bath 437.78 �
❑Com mercial /industrial ,
❑ Accessory building ® Multi - family SFR (3) bath 500.32
-^^ -- 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: 11046 SW GREENRURG RD Catch basin or area drain 18,76
City /Stale /L1P: TIGARD, OR
- ' - Drywell, leach line, or trench drain 1836
no„ Footing drain (no. linear ft.: _) Page 2
Suite/bldg./apt.
r Project name: ASH CREEK CONDOS Manufactured home utilities 50.03
Cross Street/directions to job site: apt i /o Z 5 (a /2 $ Manholes 18.76
r � al • 2 g 3o .R3 " ep 3 . _ . a eil Rain drain connector 18.76
.33 3 3 33 33 3 ito $ 3 7 Sanitary sewer (no, linear ft,: _) Page 2
/ • , i 1 Storm sewer (no. linear ft.: ) • Page 2
Water service (no. linear ft.: _) Page 2
Subdivision: Lot no.: Fixture or item:
Tax map /parcel no.: Backflow preventer 31,27
DESCRIPTION OF WORK Backwater verve 12.51
Clothes washer 25,02
MODIFY ROUGH IN FOR TUB /SHOWER UNITS ,.
Dishwasher 25.02
REPLACE ALL OTHER FIXTURES ON EXISTING ROUGH IN Drinking fountain 25,02
Ejectors /sump 25,02
❑ PROPERTY OWNER ❑ TENANT Expansion tank 12.51
Name: , ..__ fixture/sewer cap 25,02
Address:
""" Floor drain/floor sink /hub 25.02
Garbage disposal 25.02
City /State /ZIP:
Hose bib 25.02
Phone: ( ) Fax: ( ) lee maker 12.51
❑ APPLICANT Li CONTACT PERSON interceptor /grease trap 25,02
Business name: CASCADE PLUMBING COMPANY Medical gas (value: $ _) Page 2
Primer 12.51
Contact name: CRYSTAL JONES
Roof drain (commercial) 12.51
Address: 2630 N. HAYDEN ISLAND DRIVE #3 Sink/basin / lavatory 36 25.02 900.72
City/State/ZIP: PORTLAND, OR 97217 Solar units (potable water) 62.54
Phone: (503) 289.7095 Fax: : (503) 283 -9514 Tub /shower /shower pan I S 12.51 225,18
E -mail: CASCADEPLUM@YAI.J00.COM _Urinal 25.02
Water closet I8 25,02 450.36
. CONTRACTOR _
Water heater 18 37.52 675,36
Business name: CASCADE PLUMBING COMPANY Water piping/DWV 5629
Address: 2630 N. HAYDEN ISLAND DRIVE #3 Other! 25.02
City /State/ZIP: PORTLAND, OR 97217 _ Subtotal 2251,62
Phone: (503) 289 -7095 1 Fax: (503) 283 -9514 Minimum permit fee: $72.50
CCB Lie.: 120893 1, 11 )V Plumbing Lie. n0.: 34-412113 Plan review (25 °10 of permit fee)
State surcharge (121/0 of permit fee) 270.19
Authorized signature; . ° Al bk t • TOTAL PERMIT PEE 2521.81
Print name: CRYSTAL JONES Date: 2/9 /2010 This Permit application aspires it a permit �s not obtained within ISO days Ay
1 " after It has been accepted as complete.
4 - P1 r "Fee methodoloa set by Tri- County Building Industry service Board.
C18uildingtr mits;IPLMU -Perms App.QO lato !ot 1 ; 446- 616T(10 /02 /COMIWEB)
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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' 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 . .
-
Valuat Permit Fee:
Storm & Rain Drain - 151100' 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 Ibe 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
(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 Perrormed El Any new commercial building with water service 2" and
Fixture Type: Replace greater, except systems dtsigntd and stamped by licensed
Previous Capped Added Existing _ engineer.
Baptistry/Font
Bath Tuh /Sho,ver 18 ❑ New exterior plumbing site utilities for any complex structure
1acu�zi /Whirlpool as defined in 0AR918- 780 -0040.
Car Wash z / irlp - ID Medical gas and vacuum systems for health care facilities.
-Drive Thru 1=I Any multipurpose fire sprinkler system.
Cuspidor/Watcr Aspirator ❑ Any complex structure as defined in 0AR918- 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" _ ill Isometric or riser diagram is required for new buildings
- 3" that meet the qualifications above.
4"
Car Wash Drain
Garbage - Domestic
-
Disposal - Commercial
-Industrial Comments regarding fixture work:
Ice Mach, /Refri„ Drains
Oil Separator (Gas Station) _
Rec. Vehicle Dump Station
Shower Gang
-Stall .
Sink - Bar /Lavatory _ 36
- 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 18
Urinal •
Other Fixtures: W 18
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