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Permit (175) CITY OF TIGARD PLUMBING PERMIT ■ COMMUNITY DEVELOPMENT Permit#: PLM2018-00382 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/09/2018 T i i;A I-t} 9 Parcel: 1S136CA01200 Jurisdiction: Tigard Site address: 11280 SW 78TH AVE Project: FOLEY Subdivision: None Lot: None Project Description: Adding 60 ft sanitary sewer,40 ft of water service,(1)clothes washer,(1)dishwasher,(1)garbage disposal,(2) hose bibs,(1)ice maker, 1 sink,(3)lavatories,(2)tub show pans,(2)water closets,(1)water heater. Contractor: PIPE IT PLUMBING LLC Owner: FOLEY, GREG P PO BOX 1389 11280 SW 78TH AVE BORING, OR 97009 TIGARD, OR 97223 PHONE: 503-544-0477 PHONE: FAX: 503-912-0045 FEES Quantity Description Date Amount 60 If Sanitary Sewer 08/09/2018 $62.54 Specifics: 40 If Water Service 08/09/2018 $62.54 1 ea Clothes Washer 08/09/2018 $25.02 Type of Use: SF 1 ea Dishwasher 08/09/2018 $25.02 Class of Work: ALT 1 ea Garbage Disposal 08/09/2018 $25.02 Type of Const: 2 ea Hose Bib 08/09/2018 $50.04 Occupancy Grp: 1 ea Ice Maker 08/09/2018 $12.51 Stories: 1 ea Sink 08/09/2018 $25.02 3 ea Lavatories 08/09/2018 $75.06 2 ea Tub/Shower/Shower Pan 08/09/2018 $25.02 2 ea Water Closet 08/09/2018 $50.04 1 ea Water Heater 08/09/2018 $37.52 1 12%State Surcharge- 08/09/2018 $57.04 Plumbing Total $532.39 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 952-001-1090. Y.. obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. /Aril Issued By: ry // // 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 R F7 c r. ,1 Building Fixtures AUGIliij qq Q �/ UG 9 2 01 8 Received /_ � nG l C125 of Hall ��� Permit No.: tom/ �%i//) DateBy. �' 13125 SW Hall Blvd.,Tigard,OR 97223 PlanRevtew Phone: 503.718.2439 Fax: 503.598.1960 t • 1 Date I3y: Other Pe ' off` !,� =cae., Inspection Linc: 503.639.4175 BUIL['1 e P � ( l T 1 G A R D p t' `4 t -"•+ bate Ready/By: tuns ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information rr1 L z ' t g 1. p• ; ... .u'u. .. ..�r �eew�� ......4sa-ta-"-�.� fie Iw.w ..., �, f!:,:.;;',- - For special information use checklist. ❑New construction ❑Demolition Description I Qty. I Ea. I Total ddition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) �at -. 0r: SFR(1)bath 312.70 nd 2-family dwelling �� �� � � � � � _SFR(2)bath 437.78 ttt//// ❑Commercial/industrial SFR(3)bath 500.32 ❑Accessory building ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 iltllN 4( ',41it�AtetiAI _._ Site utilities: Job site address: OZ © S 4,, 7 r 4 .�.<� Catch basin or area drain 18.76 r Drywcll,leach line,or trench drain 18.76 Ci /State/ZIP: ') t �' ` t U LL�'(� 1_�l�, -C 7 6)--.).- 3 Footing drain(no.linear ft.: ) Page 2 H Suite/bldg./apt.no.: J 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.: ) 4 6 Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.:4) Li 0 Page 2 Subdivision: Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 >.,r,., 1i rile ac atetvate B kw t' 12.51 - Clothes washer I 25.02 . 0 (.t-" 0. rl�, t 0 • I� r.t •' h- '&©� '0�Dishwasher 1 25.02 avlC K l y C 'eDrinking fountain 25.02 Ejectors/sump 25.02 „amu '41 a a 4111111 s a Expansion tank 12.51 rA ]� Fixture/sewer cap 25.02 Name: r ype3 /" 1 1,c 54 1 .6 1'CY Floor drain/floor sink/hub 25.02 Address: J I Garbage disposal , 25.02 City/State/ZIP: Hose bib 3 25.02 Phone:( ) Fax:( ) Ice maker / 12.51 iii4 s Interceptor/grease trap 25.02 Medical gas(value:$ ) Page 2 Business name: Primer 12.51 Contact name: Roof drain(commercial) 12.51 Address: Sink/basin/lavatory S L 1 5 4f 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax::( ) Tub/shower/shower pan 2 12.51 Urinal 25.02 E-mail: Water closet 25.02 c� .. : . . .0Water heater i 37.52 Business name: "irp P / it 4- it Z.Z< Water piping/DWV 56.29 Q l_ Address: /` g / ei J Other: 25.02 City/State/Z1P: iia X , 9 7e,d o Subtotal / Minimum permit fee: $72.50 Phone:(7®3) Lf L1-0 7. Fax:( 3) Wa -coot( _ Plan review (25%of permit fee) CCB Lie.: 1 7 LI 5,c-// Plumbing Lic.no.: 01_1-7 State surcharge(12%of permit fee) Authorized signatur;-_i, `.,, TOTAL PERMIT FEE c3,2.1vp This permit application expires if a permit is not obtained within 180 days Y Print name/ ,c, n 7-34Date: after it has been accepted as complete. �`��� *Fee methodology set by Tri-County Building Industry Service Board. I:\Building`Perm its\PLMU-PerrniiApp.doc. 10/O I/09 440-4616T(I0/02/COM/W EB) Plumbing Permit Application - City of Tigard Page 2- Supplemental Information Fee Schedule: Footing drain-1"100' ,.....�. 505 .00 3 Footing drain-each additional 100' 37.52 Sewer-1st 100' 62.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Water Service-each additional 100' 37.52 Storm&Rain Drain-1st 100' 62.54 Storm&Rain Drain-each additional 100' 37.52 414.144 640imsemplielOV- Inspection of existing plumbing or for which no fee is specifically indicated 90.00/hr (minimum charge-1/2 hour) Inspections outside of normal business 90.00/hr hours(minimum charge-2 hours) Reinspection Fees 90.00/hr Additional plan review for revisions 90.00/hr (minimum charge-1/2 hour) Subtotal: Residential Fire Su t •ression Systems: oto 2,000 $121.90 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 7,201 and greater $327.54 Medical Gas Systems: SPRitiligagatRi $1.00 to$5,000.00 Minimum fee$72.50 $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. $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for each additional$100.00 or fraction thereof,to and including$25,000.00. $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for each additional$100.00 or fraction thereof,to and including$50,000.00. $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for each additional$100.00 or fraction thereof. Floor Drain/sink -2" -4" Commercial Fixture Work: Car Wash Drain Are you capping,adding or replacing fixtures? If"yes", Garbage -Domestic-non-food please indicate work performed by fixture. Failure to Disposal Domestic-food related -Commercial-food related accurately report fixtures could result in increased sewer fees*. -Industrial-food related INllfta Ice Mach./Refrig.Drains Fi*tare leis *#.1041 - Oil Separator(Gas Station) .ork rfnrnt d, • `.i. -��� ,.. �__ Rec.Vehicle Dump Station Baptistry/Font Shower -Gang Bath -Tub/Shower -Stall -Jacuzzi/Whirlpool Sink/Lav -Non-food related Car Wash -Each Stall -Bradley -Drive Thru -Commercial-food related Cuspidor/Water Aspirator -Service Dishwasher -Commercial Swimming Pool Filter -Domestic Washer-Clothes Drinking Fountain Water Extractor Eye Wash Water Closet-Toilet I:\Building\Permits\PLMF-PermitApp.doc 2 • Urinal Other Fixtures: 17040: AIS-MWMPTAMUng e � � Plan review is required for any of the following. Please check all that apply. ❑ Any new commercial building with water sen ice 2"and greater,except systems designed and stamped by licensed engineer. ❑ New exterior plumbing site utilities for any complex structure as defined in OAR918-780-0040. ❑ Medical gas and vacuum systems for health care facilities. ❑ Any multipurpose fire sprinkler system. ❑ Any complex structure as defined in OAR918-780-0040. Submit 2 sets of plans with any of the above. ❑ Isometric or riser diagram is required for new buildings that meet the qualifications above. Comments regarding fixture work: *Note: If the fixture work under this permit results in an increase of sewer EDUs,a sewer permit will be issued and fees assessed for the sewer increase must be paid before the plumbing permit can be issued. I:\Building\Permits\PLMF-PemiitApp.doc 12/30/05