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Permit (50) CITY OF TIGARD PLUMBING PERMIT ' 1 COMMUNITY DEVELOPMENT Permit#: PLM2 - 018 00047 TIC;A R.h 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/01/2018 Parcel: 2S104DCO2600 Jurisdiction: Tigard Site address: 13347 SW CLEARVIEW WAY Project: BERGER Subdivision: BENCHVIEW ESTATES Lot: 26 Project Description: (1)backflow preventer for landscape irrigation. Contractor: DENNIS'SEVEN DEES LANDSCAPING INC Owner: BERGER, EDMUND H/PATRICIA M 7355 SE JOHNSON CK BLVD 13347 SW CLEARVIEW WAY PORTLAND, OR 97206-9329 TIGARD, OR 97223 PHONE: 503-777-7777 PHONE: FAX: 503-777-2399 FEES Quantity Description Date Amount 1 ea Backflow Preventer 02/01/2018 $31.27 • Specifics: 1 12%State Surcharge- 02/01/2018 $8.70 Plumbing Type of Use: SF 41 ea Minimum Fee Adjustment- 02/01/2018 $41.23 Class of Work: OTR 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. Tose 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 • calling 03.23/1987 or 1.800.332.2344. Issued By: j( ,4 �. - ; _ _ Permittee Signature: 5---r Call 503.639.4175 by7:00 a.m.for the �v�% 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 Application Al , ,127Wy �" / / Site Utilities ''°`� °\L.„""'- FOR OFFICE USE ONLY II - City of Tigard A Received I �� 13125 SW Hall Blvd.,Tigard,OR 97223 �AN 3 201S Date/By: /1 �. Permit No.:� ���_n,Y1L/7 Phone: 503.718.2439 Fax: 503.598.1960Plan Review v�� f ([�iffii�«� !! TIGARD Inspection Line: 503 639 4175 e +,-..;,./',11.-!:,..'..:1. Date/By: Other Permit No.: Internet www tigard-or gov , 1 e. , "! to Read/B i ,1'.,�: Ready/By: Tuns I H See Page 2 for ��'�� �4 �� � � � �'���:��€ ., c� � � � L,.�-t� onfied/Method Supplemental Information ❑New construction �� „ 4 w * ** **. 4*.', 0 Demolition For special information use checklist ❑Addition/alteration/replacementLandscapeDescription Qty. Ea. Total ®Other New 1-2-family dwellings(includes 100 ft.for each utility connection) E 'cl l- - �� �0 � '°�'��lSi",RIT+CTIfJi4 A A Z� � � v'A* 312.70 1 ® 1 and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR(3)bath 500.32 h k ❑Master builder Each additional bath/kitchen 25.02 0 Other: '�' ' �. 7C1BIT£? iNF£)ix p �, O TIt6N 4 ,l Fire sprinkler( sq.ft.) Page 2 �- ,.4 4 ;4 Site •utilities: Job site address:13347 SW Clearview Way Catch basin or area drain 18.76 City/State/ZIP:97223 Drywell,leach line,or trench drain 18.76 Suite/bldg./apt.no.: I Project name:Berger Footing drain(no.linear ft.: ) Page 2 Cross street/directions to job site: Manufactured home utilities 50.03 Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.: ) Page 2 Subdivision: Water service(no.linear ft.: ) Page 2 Lot no.: Fixture or item: Tax map/parcel no Backflow preventer 1 31.27 .-A - ''', ) : A.,-'' 4 4 DESCRIPTION OF WORK*1 **k*:k *.* Backwater valve 12.51 Replace Backflow Preventer Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 1 I'Rf)Pi;RTS' O4ER �: Ejectors/sump 25.02 T. :': ~ T N�. . �, Expansion tank Name: 12.51 Fixture/sewer cap 25.02 Address: Floor drain/floor sink/hub 25.02 City/State/ZIP: Garbage disposal 25.02 Phone:( ) Hose bib 25.02 Fax ( ) Ice maker 12.51 APpiI ` T * l " iI#S l a ° Interceptor/grease trap 25.02 '' " . y 4*4 n , . f . A ' edMical gas(value:$ ) Page 2Business name: Contact name: Primer 12.51 Address: Roof drain(commercial) 12.51 City/State/ZIP: Sink basin lavatory 25.02 Phone:( ) Solar units(potable water) 62.54 Fax::( ) Tub/shower/shower pan 12.51 E-mail: ;' Urinal 25.02 .. ,, 4 4 4 C•©NTRA TUI .,,: " , , Water closet ne , 25.02 Business name: Dennis'Seven Dees Landscaping, Inc. Water heater 37.52 Address: 7355 SE Johnson Creek Boulevard Water piping/DWV 56.29 Portland, OR 97206 Other: City/State/ZIP: 503.777.7777/503.777.2399 25.02 Phone:( ) tiffanyb@dennis7dees.com Subtotal Icb:5009 plumb lic:05LIBDI Metro: 1478 Minimum permit fee: $72.50 72.50 CCB Lic.: Plan review (25%of permit fee) Authorized signature: / / State surcharge(12%of permit fee) 8,70 /d�.II Print name:Tiffany Bright TOTAL PERMIT FEE 81.20 Date:1/17/18 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. L\Building\Permits,PLMU-PennitApp.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: Fee Schedule: 430 - " '' . ., 4 re $121.90 '1 e�.,,,,,,i,....-' rI 7Ut 0 100' - 50.03 0 to 2,000 Footing drain 1s` 2,001 to 3,600 $169.69 Footing drain each additional 100' 37.52 3,601 to 7,200 $233.20$327.54 Sewer-1st 100' 62.54 7,201 and greater Sewer-each additional 100' 37.52 _ 62.54 Medical Gas S stems Water Service-1st 100' , � ��h����'� �..1_37.52 11 tt$I11, * ape oat e#:.,4 N , Water Service-each additional 100' Minimum fee$72.50 Storm&Rain Drain-eachst 100' _ 62.54 $1.00 to$5,000.00 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for Storm&Rain Drain additional 100' 37.52 each additional$100.00 or fraction thereof,to �y Qt, ', �e-ea} et and includin_$10,000.00. (��l�e rn of existing i QC�plum ng rfe� $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for Inspectionhich fee specifically plumbing indicated for 90.00/hr ■ each additional$100.00 or fraction thereof,to (minimumw inischarge hour) ■ and including$25,000.00. n outside ofoma90.00/hr - $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for hours(minimumns of normal business each additional$100.00 or fraction thereof,to Nouns charge 2 hours) 90.00/hr _ and includin_$50,000.00. Reinspection Fees $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 �Ike vnewcir IliSal�atl4nSk Quante b Fixture T t e Replace!. Plan review is required for any of the following. Fixture Type for : Relocate. W©rkf'erfor e�1 - CaPPe4 Added Please check all that apply. Ba.tistry/Font - 0 Any new commercial building with water service 2"and Bath -Tub/Shower hgreater,except systems designed and stamped by licensed -Jacuz1pool --- engineer. Car Wash -Each Stall --= ❑ New exterior plumbing site utilities for any complex structure -Drive or ==- as defined in OAR918-780-0040. DishwasherCu s Aspirator ❑ Medical gas and vacuum systems for health care facilities. -Commercial ==- 0 Any multipurpose fire sprinkler system. -Domestic --- 0 Any complex structure as defined in OAR918-780-0040. Drinking Fountain --- F e Wash Submit 2 sets of plans with any of the above FloorrDDrain/sink -2>, --- ,� � x �. 3„ -- ' Isanetrllc rR�s�erDlta+ram u k , Car Wash Drain -- 0 Isometric or riser diagram is required for new buildings Garbage -Domestic-non-food --- that meet the qualifications above. Disposal -Domestic-food related --- -Coimnercial-food related --- -Industrial-food related --- Ice Mach./Refrig.Drains --- Comments regarding fixture work: Oil Separator(Gas Station) 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 this permit results in an Washer-Clothes increase of sewer EDUs,a sewer permit will be issued and Water Extractor --= fees assessed for the sewer increase must be paid before the Water Closet Toilet === Urinalplumbing permit can be issued. -- OtherherFixtures: http://www.tigard-or.gov/document_center/Building/PLMU_PermitApp.d2c City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13347 SW CLEARVIEW WAY, TIGARD, OR, 97223 Record Type: Record ID: Residential - Plumbing PLM2018-00047 Inspection Type: Inspector: 399 Plumbing final Don Sylvester Result: PASS - NoCofO Comments: 1 . 1 " Febco DC model 850, serial # HE49577, for irrigation,located by water meter- ok with test Violation Summary: Inspector Contractor