Loading...
Permit (93) CITY OF TIGARD PLUMBING PERMIT °F : " COMMUNITY DEVELOPMENT Permit#: PLM2017-00351 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/30/2017 TIGARD g Parcel: 2S111AA01400 Jurisdiction: Tigard Site address: 8770 SW MOUNTAIN VIEW LN Project: Irma Dell Butterfield Park Subdivision: GREENSWARD PARK NO.2 Lot: D Project Description: (1)backflow preventer for temporary irrigation. Contractor: AUSTIN BROWN LANDSCAPE Owner: BUTTERFIELD, MARK J PO BOX 14441 8770 SW MOUNTAIN VIEW LN PORTLAND, OR 97293 TIGARD, OR 97224 PHONE: 503-887-7795 PHONE: FAX: FEES Quantity Description Date Amount 1 ea Backflow Preventer 08/30/2017 $31.27 Specifics: 1 12%State Surcharge- 08/30/2017 $8.70 Plumbing Type of Use: SF 41 ea Minimum Fee Adjustment- 08/30/2017 $41.23 Plumbing Class of Work: OTR 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 you to follow the - adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You17 obtain a copy of the rules or direct questions to OUNC by calling 503.232.19: :'0.332.2344. ,� Issued By: , � Permittee Signature: err 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 completio of th project. Approved plans are required on the job site at the time of each inspec on. Plumbing Permit Application . , iii w 0f Building Fixtures FOR OFFICE GSE ()NE) Cityof Tigard Erii ve. /j6 (`7 ,/I/11026i 7.. et 35/ NI ll Permit No.: 11111 13125 SW Hall Blvd.,Tigard,OR 97223 _ Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Other Permit No./IA/9,20i Inspection Line: 503.639.4175 AUG(( y Date/By: 7-( �l i T I G A R D ��l! 30 f Date Ready/By: Jur s: ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: aid, SuPPl emental Information TYPE OF WORK CITY OF 1IGAR ) FEE* SCHEDULE ❑New construction 0 D^4JI1LJPI C DIVISION For special information use checklist Description Qty. Ea. 1 Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF.CONSTRUCTION : ' ; SFR(I)bath 312.70 ❑ 1-and 2-famil y dwellin SFR(2)bath 437.78 g ❑Commercial/industrial 0 Accessory building 0 Multi-family SFR(3)bath 500.32 Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 1 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: E`�� �� t� � � Catch basin or area drain 18.76 City/State/ZIP: '�(� Drywell,leach line,or trench drain 18.76 1 1 Li #-) 1 � Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: I Project name: Manufactured home utilities 50.03 Cross street/directions to job site: aAir Z /515_--4,,_ Manholes 18.76 LA) --1 ccl ll ALi le r'"i,,L' (- -- Rain drain connector 18.76 � 7 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: I VL--r--7-E"4�=I y) (r7 - I Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 12.51 / DEIPTION OF. WORK 'i' . Backwater valve Diswasher 25.02 `13l'k E ` �e4F Dishwasher 25.02 / LL/`,/' fl Drinking fountain 25.02 Ejectors/sump 25.02 Q„PROPERTY OWNER 1 TENANT , Expansion tank 12.51 �t Name: Ft\A rL_--0 ( c, s-'r Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: . Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 0 APPLICANT n ❑ 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 25.02 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 37.52 Business name: 1 �t( i( d1% A,,� (, "� i�1�t�j � � Water piping/DWV 56.29 Address: PLS �P C5)(. I((lig( Other: 25.02 City/State/ZIP: Q _•`Z( v - `,' -24's Subtotal 7/„?-7 Phone:((C))) ---S--.)--91-9( Fax:( ) Minimum permit fee: $72.50 7,4.5st) CCB Lic.: �I , /4 . , bi.g Lic.no.: Plan review (25%of permit fee) 1 State surcharge(12%of permit fee) y_"Z{0 Authorized signature: TOTAL PERMIT FEE Print name: hA"�cf i~ ' + 4 Date: T.8/47; This permit application expires if a permit is not obtained with A10days � � � after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry rd:` - I:\Building\Permits\PLMU-PermitApp.doc f}0/01/09 440-4616T(10/02/COM/WEB) )1 43 ) 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 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-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 Other Inspections or Fees Fee(ea) Total each additional$100.00 or fraction thereof,to pand 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 0 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 Car Wash: -Each Stall 0 New exterior plumbing site utilities for any complex structure as defined in OAR918-780-0040. -Drive Thra Cuspidor/Water Aspirator 0 Medical gas and vacuum systems for health care facilities. Dishwasher: Commercial 0 Any multipurpose fire sprinkler system. Domestic 0 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" 0 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 fees assessed for the sewer increase must be paid before the Water Extractor Water Closet-Toilet plumbing permit can be issued. Urinal Other Fixtures: I:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8770 SW MOUNTAIN VIEW LN, TIGARD, OR, 97224 Record Type: Record ID: Residential - Plumbing PLM2017-00351 Inspection Type: Inspector: 399 Plumbing final Don Sylvester Result: PASS - NoCofO Comments: 1 . 1 " Wilkins DC, model 350, serial# A666535, for temp. Irrigation for swale in Butter Field Park , cross st. 88th &Inez - ok with test Violation Summary: Inspector Contractor