Permit (129) � a
CITY OF TIGARD PLUMBING PERMIT
91 2' COMMUNITY DEVELOPMENT t" ,t Q' Permit#: PLM2018-00045
TRARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/31/2018
3
x =c. Parcel: 2S103AD00507
`U"' Jurisdiction: Tigard
Site address: 11180 SW ERROL ST r
Project: MEEKER 'Sut>thyision: ECHO HEIGHTS Lot: 10
Project Description: Adding 114 FT rain drains.
Contractor: OWNER Owner: MEEKER,ANDREW R&KATHLEEN A
11180 SW ERROL ST 345 W 145TH ST#8C3
TIGARD, OR 97223 NEW YORK, NY 10031
PHONE: 503-806-9563 PHONE:
FAX:
FEES
Quantity Description Date Amount
114 If Storm Sewer 01/31/2018 $100.06
Specifics: 1 12%State Surcharge- 01/31/2018 $12.01
Plumbing
Type of Use: SF
Class of Work: ALT
Type of Const:
Occupancy Grp:
Stories:
Total $112.07
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 3.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature:
///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 Application
SiteUtilities
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City of Tigard a',%-' g"�,1 Received Permit No.: C
III
gl 13125 SW Hall Blvd.,Tigard,OR V7215- -1Z\
Date/By: J /�`�� /�� /�yYs`
Phone: 503.718.2439 Fax: 503.598.1960 l Z 1 Plan Review Y �"'CC CC//��
Inspection Line: 503.639.4175 .1 Date/BY: Other Permit N/v�S�/�6�_ 2j/
TI c,A It 1) „,c1::',M Date Ready/By: inns. H See Page 2 for �tiC.0
Internet: www.tigard-or.gov ff,` tF ,'�, Notified/Method:
TYPE OF WOR�A l l �""' ���§e��Y+ Supplemental Information
�l . � FEE* SCHEDULE
®New construction L Demolition For special information use checklist
Description Qty. I Ea. I Total
❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
® 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
❑Accessory building 0 Multi-family SFR(3)bath 500.32
❑Master builderEach additional bath/kitchen 25.02
0 Other: Fire sprinkler( sq.ft.) Page 2
Site utilities:
JOB SITE INFORMATION AND LOCATION
Job site address:11180 SW Errol St Catch basin or area drain 18.76
City/State/ZIP:Tigard,OR 97223 Drywell,leach line,or trench drain 18.76
Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: 1 Project name:ARID
Manufactured home utilities 50.03
Cross street/directions to job site:SW 112th Manholes 18.76
walnut,south on 112th,left on Errol,le house on the right Rain drain connector 18.76
Sanitary sewer(no.linear ft.: ) Page 2
Storm sewer(no.linear ft.:%)t/) / Page 2
Water service(no.linear ft.: ) Page 2
Subdivision: I Lot no.: Fixture or item:
Tax map/parcel no.:2S103AD00507 Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Rain drain piping Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
0 PROPERTY OWNER I 0 TENANT Expansion tank 12.51
Name:Andrew Meeker Fixture/sewer cap 25.02
Address:11180 SW Errol St Floor drain/floor sink/hub 25.02
Garbage disposal 25.02
City/State/ZIP:Tigard,OR 97223
Hose bib 25.02
Phone:(503)806-9563 I Fax:( ) Ice maker 12.51
0 APPLICANT' 0 CONTACT PERSON Interceptor/grease trap 25.02
Business name:Tim Meeker Design Medical gas(value:$ ) Page 2
Contact name:Tim Meeker Primer 12.51
Address:11180 SW Errol St Roof drain(commercial) 12.51
Sink/basin/lavatory 25.02
City/State/ZIP:Tigard,OR 97223 Solar units(potable water) 62.54
Phone:(971)226-7827 Fax::( ) Tub/shower/shower pan 12.51
E-mail:timmeeker@live.com [Irina) 25.02
CONTRACTOR Water closet 25.02
Business name: �� _
Water heater 37.52
Water piping/DWV 56.29
Address:
Other: 25.02
City/State/ZIP: Subtotal
Phone:( ) I Fax:( ) Minimum permit fee: $72.50
Plan review (25%of permit fee)
CCB Lic.: Plumbing Lic.no.:
Authorized signature: /`2�__�,_
State surcharge(12%of permit fee)
:��fit TOTAL PERMIT FEE j/g,d
I Print name:Tim Meeker Date:1/25/2018 I 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:1Building\Pemvts\PLMU-permitApp.d°c 10/01/09 440-46I6T(10/02/COM/WEB)
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Su.,pression S stems
rfgp4 `::," �,... -efs �tN`-
:,. '® „,t! rig, e. r rr '' .-• .., rt*
Footing drain-1"100' 50.03 0 to 2,000 $121.90
Footingdrain-each additional 100' 2,001 to 3,600
37.52 $169.69
Sewer-1st 100' 62.54 3,601 to 7,200 $233.20
7,201 and greater $327.54
Sewer-each additional 100' 37.52
Water Service-1st 100' 62.54 Medical Gas S stems:
Water Service-each additional 100' 37.52
Storm&Rain Drain-1st 100' ‘7':-1:!E t r tFINI .d. f7IC.T '" fi r
62.54 $1.00 to$5,000.00 Minimum fee$72.50
Storm&Rain Drain-each additional 100' 37.52 BM
$5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for
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 ch. •e 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 char:e-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 char l e-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*
� � � � r �' ,€
1- Plan review is required for any of the following
` Please check all that apply.
Ba tis /Font " 'W El Any new commercial building with water service 2"and
P t4
Bath: Tub/Shower greater,except systems designed and stamped by licensed
-Jacuzzi/Whirlpool engineer.
Car Wash: Each Stall ❑ New exterior plumbing site utilities for any complex structure
Drive Thru as defined in OAR918-780-0040.
Cuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities.
Dishwasher: Commercial ID Any multipurpose fire sprinkler system.
Domestic ❑ Any complex structure as defined in OAR918-780-0040.
Drinking Fountain
Eye Wash Submit 2 sets of plans with any of the above.
Floor Drain/sink: -2"
-
Car Wash Drain 0 Isometric or riser diagram is required for new buildings
Garbage Domestic non-food that meet the .ualifications above.
Disposal: -Domestic food related
-Commercial 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/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
Water Extractor fees assessed for the sewer increase must be paid before the
Water Closet-Toilet plumbing permit can be issued.
Urinal
Other Fixtures:
I:\Building\Permits\PLMF PermitApp.doc 08/04/2011 2
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
11180 SW ERROL ST, TIGARD, OR, 97223
Record Type: Record ID:
Residential - Plumbing PLM2018-00045
Inspection Type: Inspector:
399 Plumbing final David Young
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor