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Permit (88) CITY OF TIGARD PLUMBING PERMIT 11101 .' COMMUNITY DEVELOPMENT Permit#: PLM2018-00239 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/16/2018 Parcel: 1 S 135AB03303 Jurisdiction: Tigard Site address: 9225 SW OAK ST Project: RADANOVIC Subdivision: ASHBROOK FARM Lot: 9 Project Description: Adding(1)shower,(1)water closet,and(1)sink for new bathroom located where existing laundry room was; Adding(1)laundry tray in garage;Replacing galvanized piping throughout house. Contractor: OWNER Owner: RADANOVIC, SRDAN SRDAN RADANOVIC 9225 SW OAK ST 9225 SW OAK ST TIGARD, OR 97223 TIGARD, OR 97223 PHONE: 503-913-1303 PHONE: FAX: FEES Quantity Description Date Amount 2 ea Sink 05/16/2018 $50.04 Specifics: 1 ea Tub/Shower/Shower Pan 05/16/2018 $12.51 1 ea Water Piping/DWV 05/16/2018 $56.29 Type of Use: SF 1 ea Water Closet 05/16/2018 $25.02 Class of Work: ALT 1 12%State Surcharge- 05/16/2018 $17.26 Type of Const: Plumbing Occupancy Grp: Stories: Total $161.12 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 .r 1.80'. '. 344. Issued By: iv.. .,ittee Signature: t 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 g Permit No.: "' 11 13125 SW Hall Blvd.,Tigard,OR 97231 Date/By: ciao fir ✓* - �L�VLI�� 13 _ �0 Plan Review Phone: 503.718.2439 Fax: 503.598. 9 En Date/By: Other Permit No.: Inspection Line: 503.639.4175 T t G A R D MAY 1 j} 8 Date Ready/By: Juris: 0 See Page 2 for Internet: www.tigard-or.gov �+r V Notified/Method: rite Supplemental Information I FEE* SCHEDULE TYPE OF" VbRKr, W,.... ❑New construction `tbit1..DiNG DIVISION For special information use checklist i Description Qty. 1 Ea. Total Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) �� CATEGORY O CONSTRUCTION k'„-, ' R: SFR(1)bath 312.70 1-and 2-familydwelling SFR(2)bath 437.78 g 0 Commercial/industrial ❑Accessory building ❑Multi-family SFR(3)bath 500.32 Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE I FORMATION ND LOCATIONN '...1„i.,,. Site utilities: Job site address: 9O _S Ai / 04 � 0 Catch basin or area drain 18.76 R Ok, "1 Drywell,leach line,or trench drain 18.76 7/ City/State/ZIP: (� /-�(D / \ Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: 1 Project name: Manufactured home utilities 50.03 Cross street/directions to job site: (74-/l /l Fl LL . `-JO, 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: J Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION F 4 Backwater valve 12.51 );t , t - Clothes washer 25.02 ' k Cf Li ail' CCit i i,l.,t ' p1?1 l'I 4,-/„. v^f; Dishwasher 25.02 c'7�je ((JJ C�FYI 1 t k �" G 6c/J6/' $ Drinking fountain 25.02 CcJ 4 rbk,4/t `T l t-e-J, Citi Ct o i e lam&n(Y ,3I k. Ejectors/sump 25.02 moi,; 1 OPERTY O +.s 0 •' " Expansion tank 12.51 Name: ,5/ J A-A) /. AD ANO V j G Fixture/sewer cap 25.02 Address: Wc2.5 SSU © iS Floor gedroor sink/hub 25.02 Garbage disposal 25.02 City/State/ZIP: T/G 1-Rz, OP t 7702c23 Hose bib 25.02 Phone:6E230 7/3 /,30Fax:( ) Ice maker 12.51 7 , std ._ - PLT�ANT .0 t s , Interceptor/grease trap 25.02 Business name: Medical gas(value:$ ) Page 2 � 40-Nt a� L/6zete _ Primer 12.51 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 I 12.51 /),,i;--1 E-mail: Urinal 25.02 , - Water closet % 25.02 I��" " , COTRAC R n r` v rt , '"~ t Water heater 37.52 Business name: /► Water piping/DWV 56.29 Address: Other: 25.02 City/State/ZIP: Subtotal #13 Phone:( ) Fax:( ) Minimum permit fee: $72.50 /` CCB Lic.: Plumbing Lic.no.: Plan review (25%of permit fee) State surcharge(12%of permit fee) 17.die Authorized signature: 6g-' TOTAL PERMIT FEE 1 W. /2 Print name:5•R74Ai ,/3D,./'.O vi c..---• Date: Ct;''/* 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\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: g �ee,Ies) Total=' Site i t it es t S mare Footage ` 'er*t Fee. 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 w., Valuation' rermitver Vis: 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 each additional$100.00 or fraction thereof,to OtheC nspectiolls or Yees ) otal 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*. ,„O- n Review for umlbjng Inst latio s Quantity by Fixture Plan review is required for any of the following. Fixture Type for Replace/ Please check all that apply. Work Performed: comped *dded 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 Car Wash: -Each Stall 0 New exterior plumbing site utilities for any complex structure as defined in OAR918-780-0040. -Drive Thni Cuspidor/Water Aspirator 0 Medical gas and vacuum systems for health care facilities. CW C Dishwasher: -Commercialirator 0 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" 3" 4 Iso Ol' ise ' w'am 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 Water Closet-Toilet plumbing permit can be issued. Urinal Other Fixtures: I:\Building\Permits\PLMF PermitApp.doc 08/04/2011 2