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Permit CITY OF TIGARD PLUMBING PERMIT f COMMUNITY DEVELOPMENT Permit#: PLM2018-00016 T GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/10/2018 Parcel: 2S 104AA05400 Site address: 12225 SW 127TH AVE Jurisdiction: Tigard Project: ROBINSON Project Description: Replacing 50 ft.of water service and galvanized piping throughout'sion:house. BELLWOOD N0.2 Lot: 75 Contractor: STANDARD PLUMBING&HEATING 8318 SW SPRUCE Owner: ROBINSON, CRAIG W/DENISE E PORTLAND, OR 97223 12225 SW 127TH AVE TIGARD, OR 97223 PHONE: 503-246-3338 PHONE: FAX: FEES Quantity Description Date Amount 50 If Water Service 01/10/2018 Specifics: $62.54 1 ea Water Piping/DWV 01/10/2018 $56.29 Type of Use: SF 1 12%State Surcharge- 01/10/2018 $14.26 Class of Work: ALT Plumbing Type of Const: Occupancy Grp: Stories: Total $133.09 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 . e e •- .-- 44. Issued By: ,/ , -e• i nature: _ - / 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 A©olication Building Fixtures City of Tigard k i )1,', r is 1 i( _ t ••1 ()\I v is 13125 SW Hall Blvd,Tigard, w` a . "- OR 9722, ' DatdB . 1 Phone: 503.718.2439 Fax: 503.598.1 5(j R Permit No.: an T!c � Inspection Line: 503.639.4175 '" DateJB Internet: wvrw.trg03 e394175 ,� �U Date Ready/By: Other Permit No.: Q N _ Notified See Page 2 for ■ ewce * <` 121 Addition/alteration/replacement 0 � , ,, ,,�, - .��F € a � $ltera i 7.. Y"A °x y New 1-2-famTy dw TotalC�1tH1C3:00111"4 R fttr each IItt�t ®,-and 2 family dwelling tverfoot', SFR(I)bath ty connection} (]Commercial/industrial SFR(2)bath Mill 3I2.70 ❑Accessory building ®� ❑Master builder ❑Multi-family SFR(3)bath 11111500.32 Each additional ba 11111111111❑Other: bath/kitchen MB 25.02 MEI 3'(I11 Mil Job site LOCA CI!(l Fire sprinkler(__sq.ft.} _ Page 2 address: sw 127TH utilities' Catch basin or area drain _ 18.76 City/State/ZIP:Turd,OR 97223 Drywell,leach line,or Inn trench drain 18.76 11111111 Suite/bldg./twit.no,: Project name: Footing drain(no.linear ft:____) pa Cross street/directions to job site:Off Wa�ut Manufactured home utilities 11.15�2€3.03Mil 1111111111 Iiihuthales Rain drain 18:76 111111111 18.76 Mil Sanitary sewer(no.linear ft_:-_.) Storm sewer(no.linIrraffirgi ear ft.:�) MIN Page 2 Tax Lot no.: Water1111111111 service(no,linear ft.: ) 50 Parcel no.: Hats Item: Backflowpreventer � � REscltll"1`ItI AF wool( icEli ria Replace W/S bored W/1"Pei 1 Clothes washer Replace a8 Existing Gale Piping w/W Dishwasher 25.02 lto Pea Sized to code hwasher 25.02 Drinking fountain alln us Ejectors/sump25.02 IMO Name:Craig Rolr Mil 0 Expansion tank IIIII 25.02 Address:12225 SW 127th Fixture/sewer cap 11111� Floor 25.02aillIll City/State/ZIP:Tigard,OR 97223ft oor stub 25.02 MIN Garbage disposal 11111.1 Phoma ( ) 25.02 IIIIIIII Hose bib � 25 02 Business ( " "PE Interceptor/gam — :Standard Plumbing&Heating Co.Inc. trap 25.02 _ Contact name:Donald Alton Medical gas(value:S ) Primer ��_ Address:8318 SW Spruce Roof drain City/State/ZIP: (commercial) _ Portland,OR 97223 RoofSink/ rain a vatory 2"2 11.11111 units(potable water) 11111 62 Mill Phone:(503) _ Fax (503)2 -1279 SOS' E-mail: Tub/shower/shower .54 Pan Urinal 11111111 k "l'i Water Closet 25 02 11111111111 alln. Plumbing&Heating Co.Inc, Water heater 25.02 MIN Address:8318 SW Spruce WaterPiPing�WV ��� Business name:StandardOther: 56.29 1,1111 Portland,OR11111 25.02 City/State/ZIP:Po 97223 Phone:( )246-3338 Fax:(503)244-1279 Subtotal l��t,, 11111111111 CCB Lic.: 07309 Plumbing Lic.no.:26-72PB D1m t fee: $t 2.50 IMO Atrti ,+/ - r-^+ Plan review (25%of ?'- Permit fee) - =r State surcharge(12%of permit fee) Print name: i I, . , E Alban EOM Date:1/10/2018 ThisTflTALPERAIITFEE Mall l a after&estion expires x)es if a Permit be not obeMped ISO Slays accepted set by Tr-County Service Board_t gernru'p� ,aoe tmot av 440a616r(101c ) Plumbm E Permit Aaulkatron - City of Tigard Page 2-Supplemental Information a 'Fee Schedule: t' Residential Fire Su, 'ression S stems: site4 t Total Footing drain-I'�1(X1' �' t Permit Fee: 0 to 2,000 Footing drain-each additional 100' 37.52 2,001 to 3,600 $121.90 Sewer-1st 100' 3,601 to 7,200 $169 .20 62.54 $23333.20 Sewer-each additional 100' _I� 7,201 and I. :ter Water Service-1st 100' © _ 62.54 Water Service-each additional 100' Medical Gas S stems: sto &Rain Drain-1st 100° V; cation: , Stonerm rm&Rain 62.54 Permit $72 Drain-each additiexrat 20(1 �� $1.00 to$5,000.00 Minimum fee$72.50 $5,001.00 to SI0,000.00 $7250 for the first$5,000.00 ami$1.52 for other ,'r sir#aas pees4;:ot3. .,T Inspection of each additional$100.00 fraction thereof,to extstir� um or for and;,. .,;... SI0,000.00. which no fee is specifically indicted 90 00thIII $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for (minimum ,: •.; -Ill hour) each additional Stoo.00 or fraction they Inspections outside of normal business and incl „3,_$25,000.00. eoC to hours minimum oh: -2 hours) �� all $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for each additional$100.00 or fraction thereof,to Reinspection Fees Additional plan review for revisions - 90.00/hr - $50,001.00 and u and.00foin_a first 500. (minimum cha : -1/2 hour) P $742.00 for the first$5o,000.00 and$1.20 for Subtotal: 11111111 additional$100.00 or fraction thereof. Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurst . ,rt fixtures could result in increased sewer fees*. Review for .. Ba.. . e/Fontisilatiolas work petteres,th. cm" Adatd Plan review is required for . 1.Y• -� Please check all that apply.any of the fallowing. Bath -Tub/Shower �-- -Jacuzzi/Whirl.,.1 0 Any new commercial building with water service 2"and Car Wash -Each Stall =� greater,except systems designed and stamped by licensed Ihive Thru �gtneer. C .idor/Water , .irator --� 0 New exterior plumbing site utilities for any complex structure Dishwasher Cwturretcial �__ as defined in OAR918-78(x-004(1. -Domestic 0 Medical gas and vacuum systems for health care facilities. f'our�ain 0 Any multipurpose fire sprinkler system. EeWash r Drairttsinlc 2" ��r 0 complex strnctese defined in©AR918-780-0€W0. -4 � Submit 2 sets of plans with any of the above. Garbage Domestic-acxtf ood ilmoiiDram i Disposal -Domestic-food related -�- Isometric the riser diagram is required for new buildings -Commercial-food related -== that meet R ualifications above. -Industrial-food related -�— Ice Mach./Refii t.Drams -�- Oil -.. ,tor(Gas Station) Rec.Vehicle b :..�.Station -�= Comments regarding fixture work: Shower -Gangt MINN -Stall Sink/lav Nor-food related �� IMIIIIIIN -13tadley 11111111111 -Commercial-food related aillIllN, Service IIIIIIIIII S ',,.,..;.:•Pool Filter Washer-Clothes *Note: lithe fixture work under this Water Extractor =� increase of sewer EDU a sewer permit will results in an Water Closet-Toilet � will be issued and M fees assessed for the sewer increase must be paid before the illmaingliminiumOther Fixtures: -== plumbing permit can be issued. C:1UserslDon1DownloadslPLMF PermitApp(7).doc 2