Loading...
Permit (120) CITY OF TIGARD PLUMBING PERMIT 31_. COMMUNITY DEVELOPMENT 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Permit#: 1/04/2 8-00010 A Zd � Date Issued: 01/04/2018 T 6a Parcel: 2S 110AD04900 Site address: 14810 SW 106TH AVE Jurisdiction: Tigard Project: KOLLAR Project Description: KOLL ReplacingSubdivision: LANG HILL NO.2 galvanized piping throughout,and replacing all plumbing fixtures:(1)clothes washer,(1)dishwasher,(1)Lot: 43 garbage disposal, (2)hose bibs,(1)ice maker,(3)sinks,(2)tub/showers, (2)water closets,and(1)water heater. Contractor: STACY KOLLAR&JOHN EVANS 14810 SW 106TH ST Owner: KOLLAR, STACY TIGARD, OR 97223 EVANS, JOHN IV 14810 SW 106TH AVE TIGARD, OR 97224 PHONE: 503-989-6324 PHONE: FAX: FEES Quantity Description Date Amount 1 ea Clothes Washer 01/04/2018 Spe=ificg. 1 ea Dishwasher $25.02 01/04/2018 $25.02 Type of Use: MF 2 ea Hose Bib 1 ea Garbage Disposal 01/04/2018 $25.02 Class of Work: ALT 01/04/2018 $50.04 Type of Const: 1 ea Ice Maker 01/04/2018 $12.51 Occupancy Grp: 3 ea Sink 01/04/2018 $75.06 Stories: 2 ea Tub/Shower/Shower Pan 01/04/2018 $25.02 1 ea Water Piping/DWV 01/04/2018 $56.29 2 ea Water Closet 01/04/2018 $50.04 1 ea Water Heater 01/04/2018 $37.52 1 12%State Surcharge- 01/04/2018 Plumbing $45.78 Total $427.32 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State applicable law. All work will be done in accordance with approvedif OR. Specialty Codes :n1d all other issuance, or if work is suspended for more the 180 days. ATTENTION:aOre on'slav�ermit will expire f work :' not s - Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throug. OAR 952-001-,0; � i of the0 days of fo -. the ru-s -.:• ed b the Oregon or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. 41114 I You •ay obtain a c., y rules Issued By: `-------- mittee Si natur ,r- �� 9 �� atl Call 503.639.4175 by 7:00 a.m.for the next available inspection date. e—Th This permit card shall be kept in a conspicuous place on the job site until completion • the • sject. Approved plans are required on the job site at the time of each inspection. Plumbing Permit Auulic_atinn Building Fixtures City of Tigard FOR OFFICE use oN►_1 la .,t i,. , Received 13125 SW Hall Blvd.,Tigard,OR 9 z � r Date/By: sir C Phone: 503.718.2439 Fax: 503.59 .1 Fr 'J/ Permit No.: .s _ . Plan Review 'o.I ? v l T 1 G A R p Inspection Line: 503.639.4175 1�,i Date/By: Internet: www.tigard-or.gov ,i'a other Permit No.: Date Read/B : r_ Notified/Method: See Page2l for TYPE OF-WOR K I I` ION' ;: FA Supplemental Information ❑New construction FEE* SCHEI)UI F s. e• PQ6h For special information use checklist ❑Addition/alteration/replacement Descu�tion ❑Other: Q • Ea. Total New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF C©NST12VC'I'ION �� 500.32 SFR(1)bath 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 11111111 312.70 nil437.78 ❑Accessory building - ❑Multi-family SFR(3)bath 111111 - 111111.1 ❑Master builder Each additional bath/kitchen _ 0 Other: Fire sprinkler( sq.ft.) Page 2 25.02 JOB SITE INFORMATION AND LOCATION MN Job site address: '9 I Q/fl v / V • / 0,dill Catch basin or area drain City/State/ZIP: '1 18.76 - f /.�� 0/p P /• Drywell,leach line,or trench drain _ Suite/bldg./apt.no.: i 18.76 - Project name: © i,� Footing drain(no.linear ft.:_) _ Page 2 - Manufactured home utilities Cross street/directions to job site: 1E150.03 - Manholes _ 18.76 Sa in drain connector 18.76ge - Sanitary sewer(no.linear ft.:_) _ Pa 2 - Storm sewer(no.linear ft.: 1.111 Subdivision: ) Page 2 - Water service(no.linear ft.:_) Page 2 Lot no.: Fixture or item: g Tax map/parcel no.: T Backflow preventer 11111111. , , :., , fl.sCRF'TIQIV,O+ ,r . x 31.27 EIBMSMINIMENIIIIII 12.51 Ill ra II%��� Clothes washer WM ° 1 /'i a ' �U / Dishwasher 25.02 MEI / 1111111 �'� if, ,_/, Mit/�l/ MN 25.02 Elgi v ro� / � � A/Q( • �;�p Drinking fountain 25.02 C c ' n P'OP TY:;O � / �� Ejectors sump 02 - *Name: ..C R ':v F Ll TENINT , ' '' ' Expansion tank 111111 22.51 111.1111 h �'(.vvL S• 12. 2 Fixture/sewer cap _ Address: 10 S� 25.02 - �► 06 `4� Floor ge floor sink/hub IM City/State/ZIP: v 25.02 , / i Garbage disposal Van Phone:(5D Q t, 3 Hose bib 25.02 ` Illimmuno IPal25.02 �'+ in 13.A►I'pt ICAI <" `VoN'I'r1CT:p calminiiiiimm 12.51 11,11131 x 1 "0 1 r Interceptor/grease trap 25.02 ' Medical gas(value:$ ) _ Contact name: Page 2 - Address: 12.51 - Roof drain(commercial) City/State/ZIP: 12.51111.111 Sink/basin/lavatory 25.02 Phone:( ) Solar units(potable water) 62.54 111.1.1 Tub/shower/shower pan 12.51 25.02 Ca1VI'RAGrci Water closet 1.11 25.02 . 4 Water heater VAN Address: ffir 57. 9 IBM tWCMMMIMIIIMMer ater piping/DWV mu 56.29 IffalMi Other: City/State/ZIP: 111111125.02 Phone:( ) _-� Subtotal '�,r�,,�•z Minimum �� •' - 1permit fee: $72.50 - �� �� Plumbing Lic.no.: Plan review (25%of permit fee) - Authorized signs ,w `; State surcharge(12%of permit fee) MEM Print name: S j , / TOTAL PERMIT FEE `. • i! v d , Date: Mil This permit application expires if a permit is not obtained within 180 days * after it has been accepted as complete. I_\Buildin\Permits\PLMU_ Fee methodology set by Tri-County Building Industry Service Board. B PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Residential Fire Su i •ression S stems: :Permit Yee: h Fee Schedule: Qty; Fee=(ea) ;'fotaty r a `Eootale:„.:,,,,',* ,,' ,.,>k Slfe hies A w ` oto 2,000 $121.90 _ 50.03 2,001 to 3,600 $169.69 Footing drain each51 100' _®_ $233.20 Foot Sewer-drain- additional 100' _ 3,601 to 7,200 62.54 7,201 and u eater Sewer-eachst 100' _®_ Water- additional100'100' 62.54 _ Water Service-1st Medical Gas S stems: ago Valuation:Valuation: Permit Fee: WaterServiceDrain- ach1st additional0' 100' 62.54 $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain 1st 100' 111111111M1111111 $g 001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for Storm&Rain Drain-each additional 100' 111111111M1111111each additional$100.00 or fraction thereof,to .. Qty. , F,�(ea) Total�- and $10,000.00. Other Ins,ectionS Or lees F '" $10,001.00 to$25,000.00 and including for the first$10,000.00 and$1.54 for In whichno fee is existingpes plumbing a for each additional$100.00 or fraction thereof,to of90.00/hr ■ and includin_$25,000.00. (minimumiis se-1//2 lly indicated ■ chute e oft hour) 90.00/hr - $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for hours Inspections outside e-2 business each additional$100.00 or fraction thereof,to _ and includin_$50,000.00. hours minimum char le 2 hours 90.00/hr _ Reinspection Fees $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for Additional plan review for revisions 1111 90.00/hr - each additional$100.00 or fraction thereof. (minimum char e 1/2 hour) Subtotal: ___ Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to `x Mari�e�e. falr,Plam�ti►_� us�tar �l�R tt�ons" accurately report fixtures could result in increased sewer fees*. Plan review is required for any of the following. Quaid b Fixture F Replace/ Please check all that apply. Worke Tyor forAny Performed: Capped added Relocate' 0 new commercial building with water service 2"and --- greater,except systems designed and stamped by licensed Battis /Font --- engineer. Bath: -Tub/Shower -= 0 New exterior plumbing site utilities for any complex structure Jacuzzi/WhirLool11.1.11111.111111.11.11 as defined in OAR918-780-0040. Car Wash: -Each Stall -- Drive Thru --- 0 Medical gas and vacuum systems for health care facilities. --- 0 Any multipurpose fire sprinkler system. Cu s•Dishwasher As.mine -= 0 Any complex structure as defined in OAR918-780 0040. -Commercial =- Domestic - Drinking Fountain == Submit 2 sets of plans with any of theabove. =-- Or Riser Dia rain Floor Drain sink: -2" 80 -3" -=- ❑ Isometric or riser diagram is required for new buildings -4„ -Car Wash Drain - that meet the qualifications above. Garbage -Domestic non-food 1.111111111111.11.1.11 Disposal: -Domestic food related 1.111.11111.1111111111.1 -Commercial food related --- -Industrial food related 11.11111111111111111111111111 == Comments regarding fixture work: Ice MachiRefri_.Drains --- Oil S-.arator(Gas Station) --- Rec.Vehicle Duni.Station --- Shower: -Gang --- -Stall Sink: -Lav/Bar non-food related ==- 1111.111 -Bradley -Cervico v/Util food related === *Note: If the fixture work under this permit results in an -Service --- increase of sewer EDUs,a sewer permit will be issued and Swimming Pool Filter -== fees assessed for the sewer increase must be paid before the Washer Clothes plumbing permit can be issued. Water Extractor --- Water Closet-Toilet --_ 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: 14810 SW 106TH AVE, TIGARD, OR, 97224 Record Type: Record ID: Residential - Plumbing PLM2018-00010 Inspection Type: Inspector: 399 Plumbing final Don Sylvester Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor