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Permit CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT Permit#: PLM2015-00426 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 / Date Issued: 12/21/2015 Parcel: 2S111 BC04600 Jurisdiction: Tigard Site address: 10125 SW MURDOCK ST Project: Breen Subdivision: 1998-167 PARTITION PLAT Lot: 2 Project Description: Adding(1)shower,(1)lav&(1)toilet for additional bathroom. 1/26/16:Reprinted permit to show change of contractor from owner to Troy Elliott Plumbing Inc. Contractor: TROY ELLIOTT PLUMBING Owner: BREEN, HENNY&MURRAY E PO BOX 1958 10125 SW MURDOCK ST NORTH PLAINS, OR 97133 TIGARD, OR 97224 PHONE: 503-309-5750 PHONE: 971-344-5070 FAX: FEES Quantity Description Date Amount 1 ea Lavatories 12/21/2015 $25.02 Specifics: 1 ea Tub/Shower/Shower Pan 12/21/2015 $12.51 1 ea Water Closet 12/21/2015 $25.02 Type of Use: SF 1 12%State Surcharge- 12/21/2015 $8.70 Class of Work: ALT Plumbing Type of Const: 10 ea Minimum Fee Adjustment- 12/21/2015 $9.95 Occupancy Grp: Plumbing Stories: 45 Misc Other Fee 01/26/2016 $45.00 Total $126.20 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: 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 _+ Cl of Tigard Received City g Permit No.: b'�o? l S- 13125 SW Hall Blvd.,Tigard,OR 97223 c Grp Plan Ry: � V � Plan Review Phone: 503.718.2439 Fax: 503.598,.�J�j Date/By: Other Permit No.: Inspection Line: 503.639.4175 J � Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov { Notified/Method: Supplemental information �y a ;. : OW- $"vn OF F, EDtJ(C ❑New construction o ition For special information use checklist. Description Qt Ea. Total Addition/alteration/replacement El Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) c r Ty l rO1ItY;DF SFR(1)bath 312.70 ❑ I-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 ElAccessory 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: 10 1 S W ►M 0 R D O G I< S 'r Catch basin or area drain 18.76 City/State/ZIP: Q Drywell,leach line,or trench drain 18.76 T R ©R �07 a y Footing drain(no.linear lt.:_) Page 2 Suite/bldg./apt.no.: Project name: 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: Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 A )1(DN h-L OA-rill Dishwasher 25.02 {- Ir Drinking fountain 25.02 Ejectors/sump 25.02 PROPERtV,0V NER ❑ .TENANT Expansion tank 12.51 Narne: M L)tRA*Y 8R 40 Fixture/sewer cap 25.02 _ Floor drain/floor sink/hub 25.02 Address: b S AV M J B 0 C K S / --// Garbage disposal 25.02 City/State/ZIP: ( C:prR 0 9 a 1 `T Hose bib 25.02 Phone:QU3) Fax:( ) Ice maker 12.51 APPLICANT [I CONTACT PERSON Interceptor/grease trap 25.02 Business name: Medical gas(value:S ) Page 2 Contact name: Primer 12.51 Roof drain(commercial) 12.51 Address: Sink/basin/lavatory 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax: :( ) Tub/shower/shower pan 12.51 E-mail: Urinal 25.02 CONTRACTOR: Water closet 25.02 Water heater 37.52 Business name���Nll t�-a - cr Waterpiping/DWV 56.29 Address: Other: 25.02 City/State/ZIP: 3 t CZR 5-7 120 Subtotal Phone: 3) _ �O7/- S-?S-D Fax:( ) Minimum permit fee: 572.50 CCB Lic.: A I& Plumbing Lic.no.: - Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signatur IF TOTAL PERMIT FEE Print name: Date: 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. 1:Building.Permits PLMU-PennitApp.doc 100109 440-46161'(1002 COMA WEB) i Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities city Fee(ea) Total $: Mare Foota a Permit Fee: Footing drain-l"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- I st 100' 62.54 Medical Gas S stems: Water Service-each additional 100' 37.52 VAO YO Stonn&Rain Drain-1 st 100' 62.54y t ' lorii $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 . =" Fie` each additional$100.00 or fraction thereof,to Other Ins ectl©ns or Fees • K:i" ra>i 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 traction thereof,to Reinspection Fees 90.00/111' 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 uantity by Fixture Tvoe 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 -Jacuzzi/Whirlpool engineer. Eltall New exterior plumbing site utilities for any complex structure Car Wash: -Each S Drive tall as defined in OAR918-780-0040. Cuspidor/Water Aspirator T El Medical gas and vacuum systems for health care facilities. Dishwasher: -Commercial El Any multipurpose fire sprinkler system. Domestic El 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./Refri .Drains Comments regarding fixture work: Oil Separator(Gas Station) Rec.Vehicle Dump Station Shower: -Gang -Stall Sink: -lav/Bar non-food related -Bradley -Com/Sery/UtiI 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: 1:ABuilding\Pennits\PLMF_PennitApp.doc 08/04/2011 2 n CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENTPermit#: PLM2015-00426 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 .f Date Issued: 12/21/2015 Parcel: 2S 111 BC04600 Jurisdiction: Tigard Site address: 10125 SW MURDOCK ST Project: Breen Subdivision: 1998-167 PARTITION PLAT Lot: 2 Project Description: Adding(1)shower,(1)lav&(1)toilet for additional bathroom. 1/26/16:Reprinted permit to show change of contractor from owner to Troy Elliott Plumbing Inc. Contractor: TROY ELLIOTT PLUMBING Owner: BREEN, HENNY&MURRAY E PO BOX 1958 10125 SW MURDOCK ST NORTH PLAINS, OR 97133 TIGARD,OR 97224 PHONE: 503-309-5750 PHONE: 971-344-5070 FAX: FEES Quantity Description Date Amount 1 ea Lavatories 12/21/2015 $25.02 Specifics: 1 ea Tub/Shower/Shower Pan 12/21/2015 $12.51 1 ea Water Closet 12/21/2015 $25.02 Type of Use: SF 1 12%State Surcharge- 12/21/2015 $8.70 Class of Work: ALT Plumbing Type of Const: 10 ea Minimum Fee Adjustment- 12/21/2015 $9.95 Occupancy Grp: Plumbing 45 Misc Other Fee 01/26/2016 $45.00 Stories: Total $126.20 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: 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. CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT Permit#: PLM2015-00426 e 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/21/2015 Parcel: 2S111 BC04600 Jurisdiction: Tigard Site address: 10125 SW MURDOCK ST Project: Breen Subdivision: 1998-167 PARTITION PLAT Lot: 2 Project Description: Adding(1)shower,(1)lav&(1)toilet for additional bathroom Contractor: OWNER Owner: BREEN, HENNY&MURRAY E HENNY& MURRAY BREEN 10125 SW MURDOCK ST 10125 SW MURDOCK ST TIGARD, OR 97224 TIGARD, OR 97224 PHONE: 971-344-5070 PHONE: 971-344-5070 FAX: FEES Quantity Description Date Amount 1 ea Lavatories 12/21/2015 $25.02 Specifics: 1 ea Tub/Shower/Shower Pan 12/21/2015 $12.51 1 ea Water Closet 12/21/2015 $25.02 Type of Use: SF 1 12%State Surcharge- 12/21/2015 $8.70 Class of Work: ALT Plumbing Type of Const: 10 ea Minimum Fee Adjustment- 12/21/2015 $9.95 Occupancy Grp: Plumbing Stories: Total $81.20 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 B C. 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 ARECEI 1 Received FOR OFFICE ONLY City of Tigard Date/By: 1.9-1A Permit No.: Lt7/�l v 13125 SW Hall Blvd.,Tigard,OR 9722 Plan q Plan Review v� Phone: 503.718.2439 Fax: 503.598.1961f 1, !d 12015 Date/By: Other Permit No.: Inspection Line: 503.639.4175 Date Ready/By: loris: Rl See Page 2 for Internet: www.tigard-or.gov �� Hip Notified/Method: Supplemental Information TYPE OF NfG Q FEE* SCHEDULE -ST 0,71UJN ❑ New construction ❑ Demolition For special information use checklist. Description I Qty. I Ea. Total ®Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 I-and 2-family dwelling ❑Connnercial/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.Il.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Catch basin or area drain 18.76 Job site address: ���Zj S�.J h1 � �� .5�, Drywell,leach line,or trench drain 18.76 City/State/ZIP: -Ti vt/L CV)ZZ`( Footing drain(no.linear ft.:_) Page Suite/bldg./apt.no.: Project name: P�e� Manulactured 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 ti.:_) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision: Lot no.: Fixture or iter: Tax map/parcel no.: Backtlow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 ck,J"_ '� l Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sun3p 25.02 19 PROPERTY OWNER ❑ TENANT Expansion tank 12.51 Name: } Fixture/sewer cap 25.02 Hence rnu tar Floor drain/floor sink/hub 25.02 Address: 10 ZS vD Garbage disposal 25.02 City/State/ZIP: _ �'� 22_`( Hose bib 25.02 Phone:(c)')1) �� _15-U-7 o Fax:( ) Ice maker 12.51 APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name: 0)Y9 Medical gas(value:S ) Page 2 Primer 12.51 Contact name: o v 2 Roof drain(commercial) 12.51 Address: Sink/basin/lavatory 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax::( ) Tub/shower/shower pan 12.51 E-mail: Urinal 25.02 CONTRACTOR Water closet 25.02 Water heater 37.52 Business name: Q w N Water piping/DWV 56.29 Address: Other: 25.02 City/State/ZIP: Subtotal Phone:( ) Fax:( ) Minimum permit fee: $72.50 CCB Lic.: Plumbing Lic.no.: Plan review (25%ofpennit fee) State surcharge(12%of permit fee) Authorized signature: x TOTAL PERMIT FEE o� Print name: �i Date: This permit application expires if a permit is not obtained within 180 days Tt Irl✓1 e-c ( L after it has been accepted as complete. '"Fee methodology set by Tri-County Building Industry Service Board. 1:\13oilding\Permits\1'1-\1U-PernitApp.doc 10101M 440-4616r(10102/CONVw613) i 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- I st 100` 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service- I st 100' 62.54 Medical Gas S stems: Water Service-each additional 100' 37.52 Valuation: Permit Fee: Storm&Rain Drain- Ist 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 5100.00 or fraction thereof,to and including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 S 148.50 for the first$10.000.00 and$1.54 for which no fee is specifically indicated 90.00/1ir each additional 5100.00 or fraction thereof',to (minimum charge-1/2 hour) and including$25.000.00. Inspections outside ol•nornal business 90.001hr 525.001.00 to$50,000.00 S379.501'or the first$25,000.00 and$1.45 for howl(mininwm charge-2 horns) 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 5742.00 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 Tye 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 El Any new commercial building with water service 2"and greater,except systems designed and stamped by licensed Bath: -Tub/Shower -Jacuzzi/Whirlpool engineer. Stall ❑ New exterior plumbing site utilities for any complex structure Car Wash: -Each S Drive T tall as defined in OAR918-780-0040. Cus idor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities. Dishwasher: Commercial El 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 DuniStation Shower: -Gang -Stall Sink: -Lav/Bar non-food related -Bradley -Com/Sere/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 fees assessed for the sewer increase must be paid before the Water Extractor Water Closet-Toilet plumbing permit can be issued. Urinal Other Fixtures: 1:\Building\Permits\PLMF_PennitApp.doc 08/04/2011 2 Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 10125 SW MURDOCK ST, TIGARD, OR, 97224 Residential - Plumbing 399 Plumbing final FAIL PLM2015-00426 David Young Provide AAV at lav, and shower drain in area of WC. 910 Freeze protect supply lines in unconditioned space. 313 This bathroom to be last separate connection to sanitary sewer before leaving foundation with long sweep fitting or 4th WC to be hooked to existing 3" sanitary sewer outside the building with separate clean out. 102.1.1 Work to be done by licensed contractor as house is for sale. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 10125 SW MURDOCK ST, TIGARD, OR, 97224 Residential - Plumbing 399 Plumbing final FAIL PLM2015-00426 David Young Licensed contractor to be added to the permit at City of Tigard. Plumber to verify new bathroom is last connection on sanitary sewer line before exiting the building and correct connections used. New supply lines for bathroom in crawl to be insulated in unconditioned space. All else ok. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 10125 SW MURDOCK ST, TIGARD, OR, 97224 Residential - Plumbing 399 Plumbing final PASS - No C of O PLM2015-00426 David Young Corrections complete. Letter and picture from plumbing contractor received verifying safe installation. Violation Summary: Inspector Contractor