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Permit (67) CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT Permit#: PLM2017-00386 T I GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/25/2017 Parcel: 2S112CC14100 Jurisdiction: Tigard Site address: 8077 SW CAROL ANN CT Project: WICKER Subdivision: DURHAM SCHOOL PARK Lot: 3 Project Description: Relocate(1)dishwasher and(1)sink for kitchen remodel. Contractor: OWNER Owner: WICKER, CAITLIN CAITLIN WICKER 8077 SW CAROL ANN CT 8077 SW CAROL ANN CT TIGARD, OR 97224 TIGARD, OR 97224 PHONE: PHONE: FAX: FEES Quantity Description Date Amount 1 ea Dishwasher 09/25/2017 $25.02 Specifics: 1 ea Sink 09/25/2017 $25.02 1 12%State Surcharge- 09/25/2017 $8.70 Type of Use: SF Plumbing Class of Work: ALT 22 ea Minimum Fee Adjustment- 09/25/2017 $22.46 Type of Const: Plumbing 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 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: 0" Adi 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 Apph�t Building Fixtures City of Tigard Received , ��j Date/By: Permit No.: / III13125 SW Hall Blvd.,Tigard OR(9y224" i r't + � � d/ Q(J3�j Phone: 503.718.2439 Fa ;,1503.598 1960 Date/By: Plan y. Other Permit No.: �L r.,�a -��o� Inspection Line: 503.639. > z o�j TIL A R n Internet: www.tigard-o y hl ''z '11.3�t' Date Ready/By: Juris: ® See Page 2 for I .1 Notified/Method: Supplemental Information '.. I EeEellij �DIVISION FEE* SCHEDULE ❑ ew construction Demolition For special information use checklistDescription Qty. � Ea. Total Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CQNSTRU 'ION. ' ' i SFR(1)bath 312.70 Al-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 0 Accessory building 0 Multi-family SFR(3)bath 500.32 0 Master builder - Each additional bath/kitchen 25.02 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE,INFORMATION AND LOCATION Site utilities: Job site address: b 0--)"2 514) ra pt.:,l /�y G Catch basin or area drain 18.76 ARi V Drywell,leach line,or trench drain 18.76 City/State/ZIP: 1-1 JC rot.of (0 q 7� -.D- / `� � Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: 1 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: 1 Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 '1' $I)ESCRIPT:ON of'WORK r .'" `-y. Backwater valve 12.51 `b' Clothes washer 25.02 J / A I a 1 Ai,i 'IA III -i A -_ 1 Dishwasher 25.02 MOeil Drinking fountain 25.02 �f lJ�YJ Ejectors/sump 25.02 a PROPERTY'OW ER ❑ IVA, ' Expansion tank 12.51 Name: Cal A; Utd)i C�p/n . Fixture/sewer cap 25.02 C l 5 uu- }' yt\ y1 �� GFlrb drain/floor sosink/hub 25.02 Address: c ��•"7"1 v CO, Garbage disposal 25.02 City/State/ZIP: •1/7•C4 0 a 1-2a3 7 d3 Li Hose bib 25.02 Phone:( ) J Fax:( ) Ice maker 12.51 0 APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name: c Medical gas(value:$ ) Page 2 :J1Y1,-.42 S G0 - Primer 12.51 Contact name: Roof drain(commercial) 12.51 Address: Sink/basin/lavatory f 25.02 ~. Q. 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: G1t.,QJ1 '- WaterDWV I m P�P� g/ 56.29 Address: Other: 25.02 City/State/ZIP: Subtotal 5V-eLI Phone:( ) Fax:( ) Minimum permit fee: $72.50 7)` 1 CCB Lic.: Plumbing Lic.no.: Plan review (25%of permit fee) �`� State surcharge(12%of permit fee) y-,7O Authorized signature: a� 11 '(� �` TOTAL PERMIT FEE s' )0 Print name• � jfi Cr•e Date:Cf-- 17 This permit application expires if a permit is not obtained within 180 days ' • l after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\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 Unpins Qty Feet ) Total Square Footage: Permit Fee: Footing drain-151100' 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. F+li ; r. 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 l:� each additional$100.00 or fraction thereof,to Other Inspections or:Fees ' Y• � Totaand 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 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 InMI4StallJitions 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 0 New exterior plumbing site utilities for any complex structure Car Wash: -Each Stall as defined in OAR918-780-0040. -Drive Thru Cuspidor/Water Aspirator 0 Medical gas and vacuum systems for health care facilities. Cuspidor/Water irator 0 Any multipurpose fire sprinkler system. -CommercialDomec ❑ Any complex structure as defined in OAR918-780-0040. -D Drinking Fountain Submit 2 sets of plans with any of the above. Eye Wash Floor Drain/sink: -2" 3" sol#1 tric orser11.,agram 4" 0 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 Ice Mach./Refit.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: 8077 SW CAROL ANN CT, TIGARD, OR, 97224 October 11 , 2017 at 1 :48:13 PM Record Type: Record ID: Residential - Plumbing PLM2017-00386 Inspection Type: Inspector: 399 Plumbing final David Young Result: FA I L Comments: Provide sink piping with smooth interior finish, Corrugated piping not approved in Oregon per OPSC. Provide AAV for sink vent under cabinet. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8077 SW CAROL ANN CT, TIGARD, OR, 97224 October 19, 2017 at 11 :56:32 AM Record Type: Record ID: Residential - Plumbing PLM2017-00386 Inspection Type: Inspector: 399 Plumbing final David Young Result: PASS - NoCofO Comments: Corrections complete. Violation Summary: Inspector Contractor