The URL can be used to link to this page

Permit CITY OF TIGARD PLUMBING PERMIT I= ' COMMUNITY DEVELOPMENT Permit #: PLM2012 -00137 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/24/2012 Parcel: 2S102CA00205 Jurisdiction: Tigard Site address: 13285 SW ASH DR Project: Miner Subdivision: VIEWCREST TERRACE Lot: 3 Project Description: Replace DWV & water piping. Contractor: OASIS PLUMBING INC Owner: MINER, EDGAR W & LUCINDA L 11177 S ALLEN CT PO BOX 264 OREGON CITY, OR 97045 LINCOLN CITY, OR 97367 • PHONE: 503 - 351 -0743 PHONE: FAX: 503 - 212 -0165 FEES Quantity Description Date Amount 2 ea Water Piping /DWV 05/24/2012 $112.58 Specifics: 1 12% State Surcharge - 05/24/2012 $13.51 Plumbing Type of Use: SF Class of Work: ALT • Type of Const: Occupancy Grp: Stories: • Total $126.09 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 dire questions to NC b (ling 503.232.1987 or 1.800.332.2344. . Issue y: Permittee Signature: L — Call 503.639.4175 by 7:00 a.m. for the next available insp • • • date. This permit card shall be kept in a conspicuous place on the job site unti . pletion of the project. Approved plans are required on the job site at the time of e • • inspection. Plumbing Permit APPlicati CEIVED Building Fixtures ,,z 0,,,c.: us,: ()NIX ()NIX City of Tigard M �iY 2 4 2012 Date/By: �Q�7 '! /// y II / / Permit No.: r(_mp .- tan i37 a 13125 SW Hall Blvd., Tigard,OR 972 Fax: 503. Plan Review � Phone: 503.718.2439 ax: D a t e B y: Other Permit No.: Inspection Line: 503.639.4175 uF TIGARD Date Rea /B Ionia: RI See Page 2 for I I L. A It ° Internet: www.tigard or.gov BUILDING DIVISION Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ❑ New construction ❑ Demolition For special information use checklist Description I Qty. I Ea. I Total paAddition /alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath 312.70 'l- 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: I 2 5 3 L„) A.4, 1,...„ My _ Catch basin or area drain 18.76 City/State /ZIP: �� Drywell, leach line, or trench drain 18.76 T , yc•.- � 't 7 Z 7_ Footing drain (no. linear ft.: � Page 2 Suite/bldg. /apt. no.: Project name: WI , tA-2✓ 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 Clothes washer •..�/ 25.02 V Dishwasher y 25.02 �// ,'� �,Q Drinking fountain 25.02 Ejectors /sump 25.02 ❑ PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 c.,/ pv l trl.t�el/ Fixture /sewer cap 25.02 Name: - Floor drain/floor sink/hub 25.02 Address: SCAR Garbage disposal _ fi 25.02 City /State /ZIP: Hose bib 25.02 Phone: ( ) Fax: ( ) Ice maker 12.51 ❑ APPLICANT ❑ CONTACT PERSON Interceptor /grease trap 25.02 Business name: 0 ,S i S �1l.Jt/AVJ1 (L-c� Medical gas (value: $ ) Page 2 Contact name: I Primer 12.51 -J 4,-5�1,....t._ Roof drain (commercial) 12.51 Address: . (i / -7 .7 5 4112_L C t - Sink/basin/lavatory 25.02 City/State /ZIP: a. . 6 i - 9 - 0 � --- Solar units (potable water) 62.54 Phone:. 3`-.T- c7 y3 Fax: : (sd2) 7 t O t Tub /shower /shower pan Z 12.51 E -mail c.._ w !� O GAS i' _ (�� t �� . Urinal 25.02 � � � - Water closet .,2 25.02 CONTRACTOR Water heater J,/ 37.52 Business name: O S i I .� A v l vt-c. Water piping/DW V .2 56.29 ja , rj O L • ' dress: / / `/ _ Other: 25.02 City /State /ZIP: iir) M1 6 : i ex__ 97p sz Subtotal it/ 2-. Phone: ( - 2.... , ..-1 (:).--7 k! Fax: (�Z� Z ).. c ( G5-- Minimum permit fee: $'72.50 CCB Lic.: /6 22, T Plumbing Lic. no.: Plan review (25 % of permit fee) / { State surcharge (12 %ofpermit fee) / 5, 5 / Authorized signature: . 1 l l TOTAL PERMIT FEE / ,26,.o Print name: ti. Date: 2t,/ / This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri -County Building Industry Service Board. IMuilding ' • its\PLMU- PermitApp.dac 10/01/09 440- 4616T(10 /02/COM/WEB) 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 or Fees Qty. Fee (ea) Total 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 $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 ", 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 Baptistry/Font ❑ Any new commercial building with water service 2" and greater, except systems designed and stamped by licensed Bath: -Tub/Shower engineer. - Jacuzzi/Whirlpool Car Wash: -Each Stall ❑ New exterior plumbing site utilities for any complex structure Drive Stall as defined in OAR918- 780 -0040. ' Cuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities. Dishwasher. - Commercial ❑ Any multipurpose fire sprinkler system. Domestic ❑ 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 Garbage Domestic non -food that meet the qualifications above. Disposal: - Domestic food related - Commercial food related - Industrial food related Ice Mach./Refrig. Drains Comments regarding fixture work: Oil Separator (Gas Station) Rec. Vehicle Dump Station Shower: -Gang , -Stall Sink: - Lav/Bar non -food related - Bradley -Com/Serv/Util food related - Service *Note: If the fixture work under this permit results in an Swimming Pool Filter increase of sewer EDUs, a sewer permit will be issued and Washer - Clothes Water Extractor fees assessed for the sewer increase must be paid before the - Water Closet Toilet plumbing permit can be issued. Urinal Other Fixtures: I:\Building\Permits\PLMF- PermitApp.doc 08/04/2011 2