Permit (64) CITY OF TIGARD PLUMBING PERMIT
Permit#: PLM2018-00163
COMMUNITY DEVELOPMENT Date Issued: 04/12/2018
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 4/12/2 D08600
Jurisdiction:
Site address: 7556 SW RED CEDAR WAY
Project: Tudor Subdivision: JACKSON WOODS Lot: 1
Project Description: Replacing(1)water heater.
Contractor: OWNER Owner: TUDOR, OLGA&SILVIU
SILVIU TUDOR 17210 NW GABLES CREEK LN
1556 SW RED CEADAR WAY BEAVERTON, OR 97006
TIGARD, OR 97223
PHONE: 541-840-7962
PHONE:
FAX:
FEES
Quantity Description Date Amount
1 ea Water Heater 04/12/2018 $37.52
Specifics: 1 12%State Surcharge- 04/12/2018 $8.70
Plumbing
35 ea Minimum Fee Adjustment- 04/12/2018 $34.98
Type of Use: SF 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 503.232.1987 or 1.800.332.2344.
Issued By: - ' . Permittee Signature:
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 FOR OFFICE USE ONLY
City of Tigard Received `i l��,C//9. PermitNo.: �Gg-cal6�
1 .i. /i �1 y Date/By: o
11111
13125 SW Hall Blvd.,Tigard,OR 97223 � 'R . € ' ' Plan Review
C Phone: 503.718.2439 Fax: 503.598.1960Other Permit No.:
Date./By:
Inspection Line: 503.639.4175 \bate Ready/By: Juris: ® See Page 2 for
T 1 C,A R D Internet: www.tigard-or.gov Supplemental Information
1j q1-11
�I�txl/Method: PP
;;TYPE OF WORK 31,10 �1'V 1: FEE*SCHEDULE w. M
❑New construction 0 Demolition For special information use checklist
Description I Qty. I Ea. I Total
Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
,C EGQR3r OF CONSTRUCTION x - SFR(1)bath 312.70
SFR(2)bath 437.78
® 1-and 2-family dwelling 0 Commercial/industrial 500.32
SFR(3)bath
❑Accessory building 0 Multi-family Each additional bath/kitchen 25.02
❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2
` JOB SITE INFORMATION MD LOCATION Site utilities:
Catch basin or area drain 18.76
Job site address: 7 6 _ S,Kt ;-tr 6 ce.' h IZ \./.i
Drywell,leach line,or trench drain 18.76
City/State/ZIP: *T1 ci 12--...1 c k`- '{` 2 2-3 Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: I 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: I Lot no.: Fixture or item:
Backflow preventer 31.27
Tax map/parcel no.:
Te, t� i Backwater valve 12.51
Tts . IO]�OF VvORKr .. `:
, ._. �ss �� Clothes washer 25.02
(.'i-t'AP`l G)('r/ 6 (e'J A < 1�EAT Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
� Expansion tank 12.51
w . a, Rv , ,..; h. 9` N x 25.02
Fixture/sewer cap
Name: 6,-j., y l i tl I y `, Floor drain/floor sink/hub 25.02
Address: :-/Z.5`;" (., 5.r; -C.: l C i A fL. -,`'+-''r f 25.02
/ Garbage disposal
City/State/ZIP: t( c;.A,(--,,,i) :.12_ ci T_,Z 2... , Hose bib 25.02
Phone:(4)-1// ) e4 (`i <- Fax:( ) Ice maker 12.51
''`' p C ". `D c NTA T t EI O1F Interceptor/grease trap 25.02
Medical gas(value:$ ) Page
Business name: arm_ e 5 �,4, t r1 12.51
Primer
Contact name: Roof drain(commercial) 12.51
Address: Sink/basin/lavatory 25.02
City/State/ZIP: Solar units(potable water) 62.54
Phone:( ) Fax::( )
Tub/shower/shower pan 12.51 Urinal 25.02
E-mail: 25.02
Water closet
COT> It 11 / 37.52
g� � .. x :, .. �� 'z.,E � Water heater
Business name: eryti/f re f'-- Water piping/DWV 56.29
Address: Other: 25.02
City/State/ZIP: Subtotal 77.5-z)
Minimum permit fee: $72.50
Phone:( ) Fax:( )
Plan review (25%of permit fee)
CCB Lic.: Plumbing Lie.no.:
State surcharge(12%of permit fee) 7
Authorized signature: s J TOTAL PERMIT FEE 8f.
Date: -I Z-Z 6i l g This permit application expires if a permit is not obtained within 180 days
Print name: ; r L+ c C_') after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
I:\Bui1ding\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:
SiteaUtUities ,_T. ' 1 `Qty
. ' Fie tilt)
. Total u ,,re Foot e:
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
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 Systems:
Water Service-each additional 100'
37.52 ` alpatioil e'er . F ,
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
'-Tote' each additional$100.00 or fraction thereof,to
Other Inspections'o Fees "(f6. ' 'teiy
Inspection of existing plumbing or for and including$10,000.00.
which no fee is specifically indicated 90.00/hr $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for
(minimum charge 1/2 hour) each additional$100.00 or fraction thereof,to
Inspections outside of normal business and including$25,000.00.
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*. ' F °-
.'lan Review for Plum iing I, st natio
Quanbtyby Fixture T e :" Plan review is required for any of the following.
Fixture Type for . Re lace!
Please check all that apply.
Work Performed: Capped:. Added Rd�locate
Baptistry/Font 0 Any new commercial building with water service 2"and
Bath: -Tub/Shower greater,except systems designed and stamped by licensed
-Jacuzzi/Whirlpool engineer.
Car Wash: Each Stall
0 New exterior plumbing site utilities for any complex structure
Drive tall as defined in OAR918-780-0040.
Cuspidor/Water Aspirator ElMedical gas and vacuum systems for health care facilities.
Dishwasher: Commercial
0 Any multipurpose fire sprinkler system.
Domestic 0 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"
w.
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
-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
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 plumbing permit can be issued.
Urinal
Other Fixtures:
I:\Building\Pennits\PLMF PermitApp.doc 08/04/2011 2
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
7556 SW RED CEDAR WAY, TIGARD, OR, 97223
Record Type: Record ID:
Residential - Plumbing PLM2018-00163
Inspection Type: Inspector:
399 Plumbing final David Young
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor