Permit (114) CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2017-00487
�fGARD 13125 SW Hat Blvd.,Tigard OR 97223 503.718.2439 t; tQCI4
Date Issued: 11/21/2017
W® Parcel:tonTigard2510301000
Jurisdiction: Tigard
Site address: 10965 SW ERROL ST
Project: Porter Lane LLC Subdivision: ECHO HEIGHTS
Lot: 5
Project Description: Replacing galvanized piping throughout home. 11/27/17:REPRINTED permit to include(1)backflow preventer, (1)
clothes washer,(1)dishwasher,(1)garbage disposal,(2)hose bibs,(1)ice maker,(4)sinks,(2)tub/showers,(3)
water closets,and(1)water heater.
Contractor: M B PLUMBING Owner: PORTER LANE LLC
7112 NE 65TH PLACE 14115 SW MISTLETOE DR
VANCOUVER, WA 98661 TIGARD, OR 97223
PHONE: 360-608-9521 PHONE:
FAX:
FEES
Quantity Description Date Amount
ea Backflow Preventer 11/27/2017 $31.27
Specifics: 1 ea Clothes Washer 11/27/2017 $25.02
1 ea Dishwasher 11/27/2017 $25.02
Type of Use: SF
1 ea Garbage Disposal 11/27/2017 $25.02
Class of Work: ALT
2 ea Hose Bib 11/27/2017
Type of Const: $50.04
1 ea Ice Maker 11/27/2017 $12.51
Occupancy Grp:
4 ea Sink 11/27/2017
Stories: $100.08
2 ea Tub/Shower/Shower Pan 11/27/2017 $25.02
1 ea Water Piping/DWV 11/21/2017 $56.29
3 ea Water Closet 11/27/2017 $75.06
1 ea Water Heater 11/27/2017 $37.52
1 12%State Surcharge- 11/27/2017 $55.54
Plumbing
Total $518.39
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 obt--'n a copy of the rules
or direct questions to OUNC by calling 503.232.19: :!a 32.2344.
Issued By: „.".7.1.0.6._. Permittee Signatu :
Call 503.639.4175 by 7:00 a.m.for the next availab • ins •ction 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 i of orrice I si. o\1.1
City of Tigard `� • Received tip.,
i ., '
13125 SW Hall Blvd.,Tigard,OR 97 Date/BY: 7 Permit No.: 11�- �/�pr.�
11,1 I Phone: 503.718.2439 Fax: 503. O Plan Review iN�s 4 ,
Inspection Line: 503.639.4175 O`i i�l ��+y Date/Rea Other Permit No.: 5T20/�7,- .f
I i s 1 K D V V to Read/B V Vt f '
Internet: www.tigard-or.gov Y Y + _Supplemental See Page 2 for
-,. w s • 'oufied/Method Itis Information
mss`"-�+`.`> ,.. W� d17% 2.'c $ 7.V Z.vi. . 'g Vi , 'r e,-i-t i)P)€t w a. t..•
4,..-
New construction 0 D- , . 4.i';*:!..,.
For ,'Bial in ormation use checklist
Addition/alteration/replacement 0 �es�ri�tion • Ea. Total
w er X New 1-2-family dwellings(includes 100 ft.for each utility connection)
; ' '>..;:i.:-.,';':c �(.,) t'. a` c'R I t - - t ,, ,:, SFR(1)bath 312.70
%. 1-and 2-family dwelling 0 Commercialh>i11/ 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
❑Other
;;•7' .. . � . Fire sprinlder
( sq.ft.) Pagee 21` )'* 'e`s`1 € ^'/ t * vt c t �� � Site utilities
� z . r h �, °s ' � ;�? , � ��
Job site address: I Qq /5 S'tlV
I Si. Catch basin or area drain 18.76
City/State/ZIP: 1 ;c,kr- gip- ci it9�� Drywell,leach line,or trench drain 18.76
t '`I/J�{U (J : 1'� 3 i& Footing drain linear ft.: ) Page 2
Suite/bldg./apt.no.: I Project name: .��i
bait 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
i Water service(no.linear ft.: ) Page 2
Subdivision: t 4 '..�/� I Lot no.: Fixture or item:
Tax map/parcel no.:
�pJ! �''( Backflow preventer I 31.27 ' )...-.7
ss vg,.):�e -1 y' ,v,f- ,s - s Backwater valve
1,� k �.,: -‘ >-,, =:. .�J.( � . � , ' � � -<a, _ 12.51
��S=��� ��a�w� Clothes washer / t ] 25.025
�l�FA1IP/%■P!.ul yes.do.. tr 1A, dA A%,�►n I� Dishwasher
Rep/ 1�6J tl q I UjANt;?xd p,o,1 i , • . Drinking fountain tT i 25.02 Ct
II 7,a }- / VV i/ . '14,/, £_ v Ejectors/sump 25.02
.at..., 4': '�"'""'""S '�'!v)/!*�' � S a nk ,,V11'4.1 `4 ESS E,, ,.;-.:i.:4 4' . L Expansion tank
� � � ,� t 12.51
Name: - I ^0 /vin I Fixture/sewer cap 25.02
Address: `3 ' / ', Floor drain/floor sink/hub 25.02
'' (j V
City/State/ZIP: IINM �7 i yr Garbage disposal � ( 25.02 +
•!�1 1?3 Hose bib `
Phone:( M■�_ � Fax:( ) 25.022 �) O'1
Ice maker J�`�'
-�' +. a� 7���- -� �,. - w / 12.51
- . ,# t ¢%� Interceptor/grease trap 25.02
Business name: i �I `yraMedical gas(value:$ ) Page 2
Contact name: 11T/C.,/{' / `-(�/ � 12.51
Address: A• / (/� • �'� Roof drain(commercial) 12.51
1 I' - SiTh Sink/basin/lavatory /J/J 25.02
EMEir, t e-a- Solar units(potable water) i 62.54
Phone:93 ) 0". �jS.r~ Tub/shower/shower pan
rn�.�ri[ / 7 1_, 12.51 '0,
E-mail: rin
NI I 2 Ll / / / U al 25.02
' ' i'=‘, ;411,1 ''" tom' 1 °- s s ' Water closet 25.02 r'
, It . . �= eV _ ,ie, "4.4,,44--,1, . '
Business name: g# V M ``� Water heater 37.52 ��
Address: •t_` Water piping/DW V j I/�,,h 7 4i: / 56.29
Other: 25.02
City/State/ZIP: °/ _q�ll Subtotal iit,),(iPhone:Gtoo) 1Q8.1AeA1Xteir)
Q, 5') Fax:( ) Minimum permit fee: $72.50
CCB Lic.:V/V I t Plumbing Lic.no.: Plan review (25%of permit fee)
Authorized signature , State surcharge(12%of permit fee) S '�
i TOTAL PERMIT FEE S"?, J/ -
Print name: ti ( 1._. I Date: `I 20 111 I This permit application expires if a permit is not obtained within 180 days
1 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(l0/02/COM/WEB) ..- to •
"//P/, . il 37 I�1V
CITY OF TIGARD PLUMBING PERMIT
E , ." COMMUNITY DEVELOPMENT Permit#: PLM2017 00487
TEGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/21/2017
Parcel: 2S 103AA01000
Jurisdiction: Tigard
Site address: 10965 SW ERROL ST
Project: Porter Lane LLC Subdivision: ECHO HEIGHTS Lot: 5
Project Description: Replacing galvanized piping throughout home.
Contractor: M B PLUMBING Owner: PORTER LANE LLC
7112 NE 65TH PLACE 14115 SW MISTLETOE DR
VANCOUVER,WA 98661 TIGARD, OR 97223
PHONE: 360-608-9521 PHONE:
FAX:
FEES
Quantity Description Date Amount
1 ea Water Piping/DWV 11/21/2017 $56.29
Specifics: 1 12%State Surcharge- 11/21/2017 $8.70
Plumbing
Type of Use: SF 16 ea Minimum Fee Adjustment- 11/21/2017 $16.21
Class of Work: ALT 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 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:C/fAit(-"{e7-7
Call 503.639.4175 by 7:00 a.m.for the next available indate.
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 FOR OFFICE USE ONE'
City of Tigard \404 .00Received
Ix
13125 SW Hall Blvd.,Tigard,OR 97? �+�
Date/By: � Ii Permit No.: ptrik i7,04617
I Phone: 503.718.2439 Fax: 503. r�(�'�1 Plan Review
�� �� �+ Date/By: Other Permit No.: /h5' 7�
T I G A R D Inspection Line: 503.639.4175 ate Read/sI
Internet: www.tigard-or.gov w\ ^WO See Page 2Inr
\v �' �eP !.l `�C► Supplemental Information
Y�
ottfied/Method�
, k . TYPE OF WORK 'Q stik. s; FEE*'SCHEDULE'
0 New construction
0 D��l�t�� For special information use checklisx
V Description Qty. I Ea. Total
jt Addition/alteration/replacement 0(er: New 1-2-family dwellings(includes 100 ft.for each utility connection)
tx. CATEGORY.OF CONSTRUCTION SFR(1)bath 312.70
9,? 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
ElAccessory building ElMulti-family SFR(3)bath 500.32
0 Master builder Each additional bath/kitchen 25.02
❑Other: Fire sprinkler( sq.ft.) Page 2
JOB'SITE INFORMATION AND LOCATION Site utilities:
Job site address: l O , 5 5 j�y�1 st• Catch basin or area drain 18.76
City/State/ZIP: j ��r� r�G,' ,V(� Drywell,leach line,or trench drain 18.76
`'1 ) v" { -7(9�3 - Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: �J I Project name: jar 4 #4' L h►n J 1 1-14.1 Manufactured home utilities
( 1 "l- 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
+Lti
Water service(no.linear ft.: ) Page 2
Subdivision: �4 ft I Lot no.: Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
DES RIP'TION OF' O Backwater valve 12.51
-
;, ' Clothes washer 25.02
r .-1•v is 111 Cr H"14/ 1 r� v
Dishwasher 25.02
4-04'1/44-ANI/ °{et I LI�w;G?2A p,pi ,vC! '�1' olv ie `1i�i Drinking fountain 25.02 " -
JJ (4J J Ejectors/sump 25.02
` ' & PROPERTY OW$ER,., ' I 0 TENANT ,z Expansion tank 12.51
Name: ,_.--1-40\00e , Fixture/sewer cap 25.02
Address: i O1 � �C�7.,L,It , s� Floor drain/floor sink/hub 25.02
1 �/ Garbage disposal 25.02
City/State/ZIP: ‘---c-::;53.a. .,1 / Hose bib -
'�] q 25.02
Phone:(S5) /4 l 0/n Fax:( ) Ice maker
�(° 12.51
JJ ADPL t C` ' CONTACT'PERSON Interceptor/grease trap 25.02
Business name: LAtc / .C Medical gas(value:$ ) Page 2
Contact name: ......911y.„43p
A Primer 12.51
Roof drain(commercial) 12.51
(
Address: tic �
( �g 4 I J� Sink/basin/lavatory 25.02
City/State/Z
lG/ / 1 f` ,&.,:)-3 J. Fax:`:( ) Tub/shower/shower pan _ 12.51
E-mail: 3 ` 1 p /�Q Urinal 25.02
1. JM(a$ �K✓ Water closet 25.02
CONTRACTOR ;.
Water heater 37.52
Business name: _ _
p, lortA.-ki-ln� Waterpiping/DWV j 56.29 1 .2.4
Address: 1 I cj ,J Other: ��
W �r e I
2otal
City/State/ZIP: � � � l.0
��� tiAbitiVey, q o Subtotal
Phone: ) �A (7 5 I Fax:( ) /� Minimum permit fee: $72.50 2 51)
CCB Lic.: f
t 1 CJS Q Plumbing Lic.no.: 3 riS y`}( Plan review (25%of permit fee) /�
`� (J State surcharge(12%of permit fee) r7,
Authorized signature: TOTAL PERMIT FEE .
Print name: t/ 1, L Date: C, i This permit application expires if a permit is not obtained within 180 days
C 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:
Qty. Fee tea) Total ysk
Square' oota e: Permit 'ee:
Site Utilities
q
Footing drain-Pt 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' 37.52aluaiOn' 'ermit 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
F � ) each additional$100.00 or fraction thereof,to
{Other Insptal
ections or Fess Qt � 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.
$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 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 ❑ 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 ❑ Any multipurpose fire sprinkler system.
Dishwasher: -Commercial ❑ 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„ V. Isometric or Riser Diagm
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 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/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 plumbing permit can be issued.
Water Closet-Toilet
Urinal
Other Fixtures:
I:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
10965 SW ERROL ST, TIGARD, OR, 97223
Record Type: Record ID:
Residential - Plumbing PLM2017-00487
Inspection Type: Inspector:
399 Plumbing final David Young
Result:
FA I L
Comments:
Secure laundry cabinet and backsplash to wall lower level. OPSC 407.3
Seal all bath cabinets at wall, master ok. OPSC 407.3
Provide approved Backflow test report for lawn irrigation, locate Backflow devise for
inspection.
Violation Summary:
Inspector Contractor
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
10965 SW ERROL ST, TIGARD, OR, 97223
Record Type: Record ID:
Residential - Plumbing PLM2017-00487
Inspection Type: Inspector:
399 Plumbing final David Young
Result:
PASS - NoCofO
Comments:
Contractor on site to finish caulking lower level bath cabinets to wall as noted on
previous inspection.
Violation Summary:
Inspector Contractor