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Permit (41) CITY OF TIGARD PLUMBING PERMIT a: �.� ' COMMUNITY DEVELOPMENT Permit#: PLM2018-00049 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/05/2018 T I p Parcel: 2S111BA00807 Jurisdiction: Tigard Site address: 14270 SW 100TH AVE Project: Treichler Subdivision: None Lot: None Project Description: Re-plumb existing kitchen,including sink,dishwasher and ice maker for kitchen and dining room remodel. Contractor: PEACE OF MIND LLC Owner: TREICHLER, LAURA K PO BOX 1674 WILSON, JOHN C OREGON CITY, OR 97045 WOOD, SALLY L ET AL 14270 SW 100TH AVE PORTLAND, OR 97224 PHONE: 503-789-5807 503-344-4705 FAX: FEES Quantity Description Date Amount 1 ea Dishwasher 02/05/2018 $25.02 Specifics: 1 ea Ice Maker 02/05/2018 $12.51 1 ea Sink 02/05/2018 $25.02 Type of Use: SF 1 12%State Surcharge- 02/05/2018 $8.70 Class of Work: ALT Plumbing Type of Const: 10 ea Minimum Fee Adjustment- 02/05/2018 $9.95 Plumbing Occupancy Grp: Stories: Total $81.20 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules , or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. l / ,, / Issued B • / _27 >� Permittee Signature: d / r. a j/ L .0 -7, —, 7' Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Plumbing Permit Applicati1-4I . P , •,�.„ ' Building Fixtures ie, Received Permit No.' City of Tigard F� lt.t Date/By:x l�' <�� LR9oC�/�©6''C)�/g iii . 13125 SW Hall Blvd.,Tigard,OR 972 / t• 0,-,; i, Plan Revie C Phone: 503.718.2439 Fax: 503.5 6G, M 1 A x 2«2-1 Date/By: Other Permit No.: Inspection Line: 503.639.4175 x T; to r,'i T I G A R[fig g j i g r 13/1 c. i Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov 11 p,, 3 s.III ' f hl Notified/Method: Supplemental Information E, O * ❑New construction dad Demolition For special information use checklist. Description • Ea. Ttl ilECAddition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100$.for each utility connection) , 312.70 O x OF��CTO SFR(1)bath .. ❑ 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 1 SFR(3)bath 500.32 ❑AccessorY building ❑Multi-famil Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 `! )N l ~ � A'llie Site utilities: „_ Job site address:14270 SW 100th Ave Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: 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: Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 12.51 PT 7 _ Backwatervalve ,.... ,,• tm.. ., ,m ,--,:. ,- Clothes washer 25.02 Re-plumbing existing Kitchen,including sink,dishwasher,and ice maker Dishwasher 125.02 S,cal_ Drinking fountain 25.02 Ejectors/sump 25.02 b O'P Y OWNE Q Expansion tank 12.51 Name:Kate Treichler&John Wilson Fixture/sewer ca 25.02 Floor drain/floor sink/hub 25.02 Address:14270 SW 100th Ave Garbage disposal 25.02 City/State/ZIP:Tigard,OR 97224 Hose bib 25.02 Phone:(503)789-5707 I Fax:( ) Ice maker I 12.51 /;..S/ ,a te ❑ CONTACT Pn Interceptor/grease trap I t 25.02 Business name:J-Chavez Design Build Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Jacob Chavez Roof drain(commercial) 12.51 Address:1327 SE Tacoma St#180 Sink/basin/lavatory 1 25.02 5'.67,1., City/State/ZIP:Portland,OR 97202 Solar units(potable water) 62.54 Phone:(503)833-2433 Fax::( ) Tub/shower/shower pan 12.51 E-mail:jchavezdesign@gmail.com Urinal 25.02 Water closet 25.02 RACTf R ,,,,,,,.. ,_.„; ., ,..,.,,''''''''''''''''''1,'d''""''''''''''''''''''''E''''''''''''''''''''''' ''°''"4''''''''''''''''''' Water heater 37.52 Business name:Peace of Mind LLC Water piping/DWV 56.29 Address:PO Box 1674 Other: 25.02 City/State/ZIP:Oregon City,OR 97045 Subtotal Phone:(503)936-6968 Fax:( ) Minimum permit fee: $72.50 ',,2,.. a CCB Lie.:215878 Plumbing Lic.no.:PB1905 Plan review (25%of permit fee) State surcharge(12%of permit fee) 1: 7, Authorized signature: ,,`tall,}?1,tl!l1sgGt2 TOTAL PERMIT FEE ef,/, Print name:Delton Dominique Date:02/05/2018 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits1PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule:S He Vti>iti� Residential Fire Suppression Systems: Q Fee tea) quare Foo Pee l Fee.' i Footing drain 1"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 situation-.. l iit Fed& ./ 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 c4' oty. (eat 4©tgi each additional$100.00 or fraction thereof,to 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. 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*. Quantity byPhnure Typeiew, `.lutnith 0100- Fixture Typo for Replace/ Work ca�,petl a Relocate Plan review is required for any of the following. Baptistry/Font Please check all that apply. Bath Tub/Shower 0 Any new commercial building with water service 2"and Jacuzzi whirlpool greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer. -Drive Thru 0 New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780-0040. Dishwasher -Commercial ❑ Medical gas and vacuum systems for health care facilities. -Domestic 0 Any multipurpose fire sprinkler system. Drinking Fountain 0 Any complex structure as defined in OAR918-780-0040. Eye Wash Floor Drain/sink -2" Submit 2 sets of plans with any of the above. -3" 4„ Car Wash Drain \..1:1;i1/11:i •C��5er I)i=�+ ;1,2411- Garbage Domestic-non-food 0 Isometric or riser diagram is required for new buildings Disposal -Domestic-food related that meet the qualifications above. -Commercial-food related -Industrial-food related Ice Mach./Refrig.Drains Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Gang -Stall Sink/Lav -Non-food related -Bradley -Commercial-food related -Service Swimming Pool Filter *Note: If the fixture work under thisermit results in an Washer-Clothes p Water Extractor increase of sewer EDUs,a sewer permit will be issued and Water Closet-Toilet fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fixtures: C:\Users\USERTO-1\AppData\Local\Temp\BCL Technologies\easyPDF \@BCL@900F 1 D54\@BCL@900F 1 D54.doc City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 14270 SW 100TH AVE, TIGARD, OR, 97224 November 30, 2018 at 11 :21 :41 AM Record Type: Record ID: Residential - Plumbing PLM2018-00049 Inspection Type: Inspector: 399 Plumbing final David Young Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor