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Permit CITY OF TIGARD PLUMBING PERMIT 111,_ 1 COMMUNITY DEVELOPMENT Permit#: PLM2018 00058 T[ A.R.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/14/2018 Parcel: 2S 110DA04200 Jurisdiction: Tigard Site address: 10832 SW KABLE ST Project: Alcantara Subdivision: ERICKSON HEIGHTS Lot: 3 Project Description: Replacing existing shower pan for a new tile shower. Contractor: OWNER Owner: PDX REAL ESTATE PARTNER LLC PDX REAL ESTATE PARTNER LLC 10220 SW GREENBURG RD#100 ELISHA ALCANTARA PORTLAND, OR 97223 10220 SW GREENBURG RD#100 PORTLAND, OR 97223 PHONE: 503-593-8114 PHONE: 503 477-2114 FAX: FEES Quantity Description Date Amount 1 ea Tub/Shower/Shower Pan 02/14/2018 $12.51 Specifics: 1 12%State Surcharge- 02/14/2018 $8.70 Plumbing Type of Use: SF 60 ea Minimum Fee Adjustment- 02/14/2018 $59.99 Plumbing Class of Work: ALT 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. 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 503.2 '. •: • . . 2.2344. f 114 Issued By: • •••• ignature: ({" . 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 Building Fixtures I*45) City of Tigard Received 1/ (/ ry�� Date/By: ! L1 b � Permit No.:/96,112.0 a . 43 c 'T In 13125 SW Hall Blvd.,Tigard,OR 97, tr ®P Review = Phone: 503.718.2439 Fax: 503.5'';`.! /By. Other Permit No.: 7 I G A R D Inspection Line: 503.639.4175 QO '` �®Date Read/B Internet: www.tigard-or.gov �� �� Ready/By: ��: Ea See Page 2 for ( ®r Notified/Method: Supplemental Information TYFE OF":WORK 0 *, . "'"; ' PEE*SCHEDULE ❑New construction 0 Demo,' For special information use checklist Description I Qty. I Ea. Total Addition/alteration/replacement ❑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 ❑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 . JOH SITE INFORMATION AND LOCATION 4 , Site utilities: Job site address: /08 3 2 SW �('��l e "('1.r Catch basin or area drain 18.76 Ipar 41 ah / 0( !meq -/ 2211 Drywell,leach line,or trench drain 18.76 City/State/ZIP: 1 pi I / Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: 1 Project name:..46-kirManufactured 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: I Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 C PTION o .> = -", Backwater valve 12.51 P/� -� � " Clothes washer 25.02 ee rtteA i7 CJf+J'fi KI1 , rPK� -A.� 4c W Dishwasher 25.02 fi� l�' J Drinking fountain 25.02 Ejectors/sump 25.02 e. '. 'IgfmiopiRrylnwg0 ,. .i_ 0 TENANT Expansion tank 12.51 P Name: P D Real E-5+4 e, 1-G/"f o. j�C- Fixture/sewer cap 25.02 /+ /^ Floor drain/floor sink/hub 25.02 SW -` (j Address: 1022.0 J w rem l br U. f )00 R. Garbage disposal 25.02 City/State/ZIP: Port„d i 0 123 Hose bib 25.02 Phone:( o3)117 -2 L1 I' Fax:( ) Ice maker 12.51 nom. , ' � `OON i Ae .Elk`pN °" Interceptor/grease trap 25.02 Business name: /1,s S{'i A A I CG v1 t eurG‘ �,[J i Re j El f.a f c eW{-N L/( Medical gas(value:$ ) Page 2 Primer 12.51 Contact name: rj, i-h,, ,4( cy, ..-1 e',..; ) Roof drain(commercial) 12.51 Address: /C 2 L o fit/ (yr rc. h yr JZ 4. S�-e- 1 L7 C) Sink/basin/lavatory 25.02 j City/State/ZIP: vrk)a,h j i 0/ C1"2 Z 3 Solar units(potable water) 62.54 Phone:(S-0.3 ) 5'13- g i i q Fax::( ) Tub/shower/shower pan / 12.51 qt, Si E-mail: e ItS'ly,ck. CO (-:,.h can/pass ^re +� C 0/11Urinal 25.02 VI)NTRACTOR , ,, Water closet 25.02 x �;w Z. , ' " Water heater 37.52 Business name: 014 f i.v,- Water piping/DWV 56.29 Address: Other: 25.02 City/State/ZIP: Subtotal /a.S ' Phone:( ) Fax:( ) Minimum permit fee: $72.50 7, S) Plan review (25%of permit fee) CCB Lic.: Plumbing Lic.no.: State surcharge(12%of permit fee) 70 Authorized signature: f ' � TOTAL PERMIT FE f '1 did 1d 1 C C rtiCAYi., Print name: SDate: 2- 4 201 This permit application expires if a permit is not obtained within 80 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Fee(ea) Total,„- S uare-F©ota a:.t; ; PPrmit Fee: "- Footing drain-151 100' 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 l'1 P "? i-,yatat on: , Permit Fee. 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 y Qty.. ". Fee(ea) TQC each additional$100.00 or fraction thereof,to +ether Inspecti©ns Or Fees , 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 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*. 'lan Review for P'umbing Installations Quantity by Fixture Type Plan review is required for any of the following. Fixture Type for Replace/ Please check all that apply. Work Performed: Capped Added Relocate ❑ Any new commercial building with water service 2"and Baptistry/Font greater,except systems designed and stamped by licensed Bath: -Tub/Shower engineer. -Jacuzzi/Whirlpool 0 New exterior plumbing site utilities for any complex structure Car Wash: -Each Stall as defined in OAR918-780-0040. -Drive Thru 0 Medical gas and vacuum systems for health care facilities. Cuspidor/Water Aspirator 0 Any multipurpose fire sprinkler system. Dishwasher: -Commercial -Domestic ❑ Any complex structure as defined in OAR918-780-0040. Drinking Fountain Submit 2 sets of plans with any of the above. Eye Wash Floor Drain/sink: -2" -,z 4 1trit1 erDiagram 4" 0 Isometric or riser diagram is required for new buildings -Car Wash Drain that meet the qualifications above. Garbage -Domestic non-food 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 fees assessed for the sewer increase must be paid before the Water Extractor plumbing permit can be issued. Water Closet-Toilet Urinal Other Fixtures: I:\Building\Permits\PLMF PermitApp.doc 08/04/2011 2