Permit (38) lilCITY OF TIGARD PLUMBING PERMIT
2- COMMUNITY DEVELOPMENT Permit#: PLM2016-00517
T f G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/12/2016
Parcel: 2S112CB00600
Jurisdiction: Tigard
Site address: 8160 SW ROSS ST
Project: Hoggans Park, Lot 3 Subdivision: HOGGAN'S PARK Lot: 2
Project Description: Backflow preventer for irrigation
Contractor: ALL METRO LANDSCAPE Owner: WESTWOOD HOMES LLC
PO BOX 1812 12700 NW CORNELL RD
BEAVERTON, OR 97075 PORTLAND, OR 97229
PHONE: 503-481-4732 PHONE: 971-687-5018
FAX: 503-372-9162
FEES
Quantity Description Date Amount
1 ea Backflow Preventer 10/12/2016 $31.27
Specifics: 1 12%State Surcharge- 10/12/2016 $8.70
Plumbing
Type of Use: SF 41 ea Minimum Fee Adjustment- 10/12/2016 $41.23
Class of Work: OTR Plumbing
Type of Const:
Occupancy Grp:
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 .0 to follow the rules adopted by the Oregon
Utility Notifl ' n.Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-011-0090. You may obtain a copy of the rules
or direr uestions to 0 NC by c.11ing 503.232.1987 or 1.800.332.2344.
KC
Issue 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 Applicatim
, ,.. 4 , .. ZI ,1
Building Fixtures 1 z :',,,', , l', .(.)' ,r, 1 .f, FOR OFFICE l SL ONE )
City of Tigard Received /O
Date/By: / - , ,/ Permit No.:p2.1-fa.„ ... 5-j,
III . 13125 SW Hall Blvd.,Tigard,OR 9-i0T. 1 2 2 fill) Plan Review
I Phone: 503.718.2439 Fax 503.598.1960 '' ' Other Permit No.:)--/ r,--:,:pev 5.---tec9C9-,9
Date/By:
Inspection Line: 503.639.4175 , . .. ,
TI( ARD Date Ready/By: Juris. gi See Page 2 for
Internet: www.tigard-or.gov - - Notified/Method: Supplemental Information
1_ .. ..
TYPE-ol", ' : NG DIVISKA ' ' FEE* SCHEDULE
0 New construction 0 Demolition For special information use checklist
Description I Qty. Ea. Total
0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSIBIUCTION ' ,- SFR(1)bath 312.70
0 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 500.32
0 Accessory building 0 Multi-family
Each additional bath/kitchen 25.02
0 Master builder 0 Other:
Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION ' , Site utilities:
Catch basin or area drain 18.76
Job site address: S-((2 o 5 ,-..1 , 1 - - '-'
City/State/ZIP: PNC) 6-r"-- Drywell,leach line,or trench drain 18.76
Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: I Project name: 'P 1, 'L__
) 5 c•-tk'5 c- Manufactured home utilities 50.03
Cross street/directions to job site:
Manholes 18.76
7 k k."--- 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: l.....4 I=r "" L.::-L I Lot no.: 5 Fixture or item:
1
Backflow preventer 31.27
Tax map/parcel no.: _., , ,.„, , , :,,,,. ,,
Backwater valve 12.51
pEScltIM01440F't*ORIC ,.. . • ti, ..,-
Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
ti PROP, !:9E:i ,i-, - :,,, --„ 'IalrENAttrr,,, ,,,..m., : Expansion tank 12.51
Fixture/sewer cap 25.02
Name:
Floor drain/floor sink/hub 25.02
Address:
Garbage babgiedisposal 25.02
City/State/ZIP: Hose 25.02
Phone:( ) Fax:( ) Ice maker 12.51
ArpucArvir i (3 CONTACT FERSON Interceptor/grease trap 25.02
Business name:
Medical gas(value:$ ) Page 2
kJ( (4%-k_L.,NI t--74
Primer 12.51
Contact name: "e<t-V k"VI N s,-,k(1.s Roof drain(commercial) 12.51
Address:
?.e!" L% l• (tih Z.--- Sink/basin/lavatory 25.02
City/State/ZIP: v 9 7t ?r Solar units(potable water) 62.54
Phone:( ) ..5^D c , i 14?3k Fax::( ) Tub/shower/shower pan 12.51
E-mail: <N.((("4"•._4-4,4› ?t..•..‹.- (41' Urinal 25.02
Ce-IfIri'Lc=>f-
• ,, -- , Water closet 25.02
CONTRACTOR
Water heater 37.52
Business name: fk-LL,V\k•c..1-1/Z,...c, Water piping/D56.29
Address: P ',. 3,-, t'.1', i?-• Other: 25.02
City/State/ZIP: l Subtotal
Minimum permit fee: $72.50 .7 -CC)
Phone:( ) Fax:( )
Plan review (25%of permit fee) ------
CCB Lic.: Plumbing Lic.no.: ---
State surcharge(12%of permit fee) ''.7o-
Authorized sign ture:L /1
TOTAL PERMIT FEE 0e7,go
This permit application expires if a permit is not obtained within 180 days
Print name: i\a/4--;71.-S Date:CD(12:1 t 4.,
after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
I:\Budding\Permits\PLMU-PermitApp.doc 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
2,001 to 3,600 $169.69
Footing drain-each additional 100' 37.52 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
Valuation Permit Fee:
Storm&Rain Drain-1st 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
each additional$100.00 or fraction thereof,to
Total and including Inspections,or Fees .F - t _ $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.
$50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for
Additional plan review for revisions 90.00/hr
each additional$100.00 or fraction thereof.
(minimum charge-1/2 hour)
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 ❑ Any new commercial building with water service 2"and
Baptistry/Font greater,except systems designed and stamped by licensed
Bath: -Tub/Shower engineer.
-Jacuzzi/Whirlpool 0 New exterior plumbing site utilities for any complex structure
Car Wash: -Each Stall as defined in OAR918-780-0040.
-Drive Thru 0 Medical gas and vacuum systems for health care facilities.
Cuspidor/Water Aspirator 0 Any multipurpose fire sprinkler system.
Dishwasher: -Commercial 0 Any complex structure as defined in OAR918-780-0040.
-Domestic
Drinking Fountain Submit 2 sets of plans with any of the above.
Eye Wash
Floor Drain/sink: -2"
-3" 5 'r Isometric or Riser Diagram
4" ❑ Isometric or riser diagram is required for new buildings
-Car Wash Drain that meet the qualifications above.
Garbage -Domestic non-food
Disposal: -Domestic food related
-Commercial food related
-Industrial food related Comments regarding fixture work:
Ice Mach./Refrig.Drains
Oil Separator(Gas Station)
Rec.Vehicle Dump Station
Shower: -Gang
-Stall
Sink: -lav/Bar non-food related
-Bradley
-Com/Sery/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 plumbing permit can be issued.
Water Closet-Toilet
Urinal
Other Fixtures:
I:\Building\Permits\PLMF PermitApp.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
8160 SW ROSS ST, TIGARD, OR, 97224
Residential - Plumbing
399 Plumbing final
PASS - No C of O
October 27, 2016 at 9:27:37
AM
PLM2016-00517
Don Sylvester
1" double check Wilkins model 850 ser#A551993 ok with test report
Violation Summary:
Inspector Contractor