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Permit (124) CITY OF TIGARD PLUMBING PERMIT 11 , COMMUNITY DEVELOPMENT /2 9 /1• 1" Permit#: PLM2018-00463 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/08/2018 T[ta� T° ' 9 Parcel: 2S102DB02300 Jurisdiction: Tigard Site address: 13230 SW BURNHAM CT Project: STEELE Subdivision: FREWING ORCHARD TRACTS Lot: 5 Project Description: Replacing(1)kitchen sink and(1)bathtub,and installing(1)ice maker for remodel. 12/3/2018: REPRINT to correct description of work and add(1)garbage disposal. Contractor: OWNER Owner: STEELE, MARK&MARIA MARK&MARIA STEELE 13230 SW BURNHAM CT 13230 SW BURNHAM CT TIGARD, OR 97223 TIGARD, OR 97223 PHONE: 402-304-6493 PHONE: 403 304-6493 FAX: FEES Quantity Description Date Amount 1 ea Ice Maker 10/05/2018 $12.51 Specifics: 1 ea Sink 10/05/2018 $25.02 1 ea Tub/Shower/Shower Pan 10/05/2018 $12.51 Type of Use: SF 1 12%State Surcharge- 10/05/2018 $8.70 Class of Work: ALT Plumbing Type of Const: 22 ea Minimum Fee Adjustment- 10/05/2018 $22.46 Occupancy Grp: Plumbing 1 ea Garbage Disposal 12/03/2018 $25.02 Stories: 0 12%State Surcharge- 12/03/2018 $3.00 Plumbing Total $109.22 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•-y obtain a copy of the rules or direct questions to Ot tic-'by calling 503.232.1987 or 1.800.332.2344. Issued By: ,,e5;Wil f_t_____, - --, 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�: , w ,, M Building Fixtures City of TigardL *S 0 Received Permit 41 13125 SW Hall Blvd.,Tigard,OR 97223Date/By: %�/j�/� L-/`77� �(7©�� ' = Phone: 503.718.2439 Fax: 503.598.1 bbl Y i ' ' -' Plan Review Other Permit No.: Date/By: Inspection Line: 503.639.4175 '3 1 '11 • `a,x T I G/�R D Internet: www.ti and-or. ov ;" ' 'Date Ready/By: Juris: 0 See Page 2 for g g Notified/Method: Supplemental Information E OF WORK FEE* SCHEDULE 0 New construction 0 Demolition For special information use checklist. Description Qty. Ea. Total Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CAT* QRY OF CONSTRUCTION 'SFR(1)bath 312.70 peP-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR(3)bath 500.32 Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 . ,QB SITE 1CNI TITAN At L,O�CAIIOI+t`r s.: Site utilities: Catch basin or area drain 18.76 Job site address: 13 2 3 U S w !'rte.n 4 6 , l'-7` Drywell,leach line,or trench drain 18.76 Ci /State/ZIP: L/ 6 Page 5 c`—� t 7 z Z Footing drain(no.linear ft.: ) Pa e 2 Suite/bldg./apt.no.: 1 Project name: •41-- _, (. ,..,c( ,L( 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: 1 Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 • ,. Backwater valve 12.51 U =. W ON OF.WORK ,v ` „ " Clothes washer 25.02 4 Li CI -t//c) Pte'S , O - , Pt-11 Za a.OU j Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 1tOEx Expansion tank 12.51 OWNER¢ : F1 ❑ TENANT P Name: r1" �.e (Z Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: 1'323 a ei — r3 v r a 1,�..., c {— Garbage disposal i 25.02 2 C.C? City/State/ZIP: -f-,- cl-e`f �+j t_ 4*2 Z•-3 Hose bib 25.02 Phone:(4 at) 3 ^r; tt`l 3 Fax:( ) Ice maker .---,--4-12.11_44,-.,--4—..„ Li APPLICA '' ONT PERSON Interceptor/grease trap 25.02 Business name: Medical gas(value:$ ) Page 2 Primer 12.51 Contact name: Roof drain(commercial) 12.51 Address: Sink/basin/lavatory ....4 - 254)2 'lE'erz City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax::( ) Tub/shower/shower pan _ i 12 51 Q ,p) E-mail: Urinal 25.02 Water closet 25.02 CONTRACTOR "' , Water heater 37.52 Business name: O ---"z-Cr-- Water piping/DWV 56.29 Address: Other: 25.02 City/State/ZIP: Subtotal Phone:( ) Fax:( ) Minimum permit fee: $72.50 ©?S.0..a.... Plan review (25%of permit fee) CCB Lic.: Plumbing Lic.no.: State surcharge(12%of permit fee) 3' .67-5 Authorized signature' TOTAL PERMIT FEE f, C7c This permit application expires if a permit is not obtained within 180 days Print name: �► A 4 e..--c Date: j �' r b 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: Site Utilities QtY. Fee(ea) Total s Square Footage: Permit Fee: Footing drain-I"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 Valuation' 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 Ot*r i Fee Total each additional$100.00 or fraction thereof,to , nspec ns r 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 (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*. Flan' �< °,,ew for I t mbil g t ati. quantity by,Fixlre Type Plan review is required for any of the following. Fixture Type for Please check all that apply. Work Performed: caPPed Added Relocate 0 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 Thru Cuspidor/Water Aspirator 0 Medical 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" 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 CITY OF TIGARD PLUMBING PERMIT N ` COMMUNITY DEVELOPMENT Permit#: PLM2018-00463 T[Glt.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/08/2018 A Parcel: 28102DB02300 Jurisdiction: Tigard Site address: 13230 SW BURNHAM CT Project: STEELE Subdivision: FREWING ORCHARD TRACTS Lot: 5 Project Description: Replacing(1)bathroom sink and(1)bathtub,and installing(1)ice maker for remodel. Contractor: OWNER Owner: STEELE, MARK&MARIA MARK&MARIA STEELE 13230 SW BURNHAM CT 13230 SW BURNHAM CT TIGARD, OR 97223 TIGARD, OR 97223 PHONE: 402-304-6493 PHONE: 403-304-6493 FAX: FEES Quantity Description Date Amount 1 ea Ice Maker 10/05/2018 $12.51 Specifics: 1 ea Sink 10/05/2018 $25.02 1 ea Tub/Shower/Shower Pan 10/05/2018 $12.51 Type of Use: SF 1 12%State Surcharge- 10/05/2018 $8.70 Class of Work: ALT Plumbing Type of Const: 22 ea Minimum Fee Adjustment- 10/05/2018 $22.46 Occupancy Grp: Plumbing 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 b n� PrmI Building Fixtures " ° / ; Ceived FOR OFFICE USE ONLY CI Of Tigard :a. l%� d .ate/By �d f tih►t 6,7-- Plan - Penult No.: fi 2020/Perfil 03 " 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revrew ! J v" Phone: 503.718.2439 Fax: 503,598.1960 Date/By: Other Pennit No.: I ..- 1 IGARD Inspection Line: 503.639.4175 r f. - Date Ready/By: Juris: 63 See Page 2 for - Internet: www.tigard-or.gov Notified/Method: Th) Supplemental Information TIDE OF WORK<I-PV Of IIGARD FEE* SCHEDULE 0 New construction i' lltilaNG DIVISION For specie!information use checklist. Description I Qty. I Ea. j Total ®Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY O,F CONSTRUCTION SFR(1)bath 312.70 ® 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building D Multi-family SFR(3)bath 500:32 1 Each additional Bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address:13230 SW BURNHAM CT Catch basin or area drain 18.76 City/State/ZIP:TIGARD,OR 97223 Dr}well,leach line,or trench drain 18.76 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name:STEELE REMODEL Manufactured home utilities 50.03 Cross street/directions to job site:CORNER OF HILL ST AND SW BURNHAM CT 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.:2S102DB02300 Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valva 12.51 Clothes washer 25.02 REPLACE BATHROOM VANITY/SINK Dishwasher 25.02 REPLACE BATHTUB,SUPPLY LINES,AND VALVE Drinking fountain 25.02 INSTALL ICEMAKER CONNECTION IN KITCHEN Ejectors/sump 25.02 0 PROPERTY OWNER I ",j ❑ TENANT Expansion tank 12.51 Name:MARK STEELE Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:13230 SW BURNHAM CT fi Garbage disposal 25.02 City/State/ZIP:TIGARD,OR 97223 Hose bib 25.02 Phone:(402)304-6493 Fax:( ) Ice maker 1 12.51 12.51 ❑"APPLICANT ❑ CONTACT PERSON 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 1 25.02 25.02 City/State/ZIP: Solar units(potable water) 62.54 :' Phone:( ) Fax::( ) Tub/shower/shower pan 1 12.51 12.51 E-mail: Urinal 25.02 25.02 ,' CONTRACTr _OR . /0Water closet d�"t ,4 Water heater ,37.52 Business name: etkilitire Water piping/DWV 56.29 Address: Other: 25.02 City/State/ZIP: Subtotal 50.04 Phone:( ) Fax:( ) Minimum permit fee: $72.50 7):, CCB Lic.: Plumbing Lie.no.: Plan review (25%of permit fee) State surcharge(12%of permit fee) y,-70 Authorized signatur TOTAL PERMIT FEE f 1, 1 Print name:MARK STEELE. Date:10/2/2018 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 4404616T(10/02/COMRVEB) Branden Taggart From: Mark R. Steele <mrkstel@gmail.com> Sent: Monday, October 08, 2018 9:22 AM To: Branden Taggart Subject: Re: Mechanical and Plumbing Permits - 13230 SW Burnham Ct Attachments: image001 jpg I'll be doing the work as the owner. Mark Steele On Wed, Oct 3, 2018 at 2:38 PM Branden Taggart<brandent@tigard-or.gov> wrote: Mark, Do you have a contractor, or, will you be completing the work as the owner? Thanks, From: Branden Taggart Sent: Wednesday, October 03, 2018 2:32 PM To: 'mrkstel@gmail.com' <mrkstel@gmail.com> Cc:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov> Subject: Mechanical and Plumbing Permits- 13230 SW Burnham Ct Hello Mark, 1 Please allow 2-3 business days to process. We will contact you when the permit fees are ready to be paid online. Thank you, [�u -------- From: Mark R. Steele [mailto:mrkstel@gmail.com] Sent:Tuesday, October 02, 2018 11:47 AM To: #Building Permit Technicians<TigardBuildingPermits@tigard-or.goy> Subject: Mechanical and Plumbing Permits 13230 SW Burnham Ct Please see the attached permit applications. Feel free to contact me if you have any questions. Thanks, Mark Steele 402-304-6493 DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e- mail may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law, E-mails are retained by the City of Tigard in compliance with the Oregon Administrative Rules "City General Records Retention Schedule." City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13230 SW BURNHAM CT, TIGARD, OR, 97223 February 8, 2019 at 9:41 :02 AM Record Type: Record ID: Residential - Plumbing PLM2018-00463 Inspection Type: Inspector: 399 Plumbing final David Young Result: PASS - NoCofO Comments: Owner to attach dishwasher hose as close to under side of cabinet as possible. Violation Summary: Inspector Contractor