Permit (87) CITY OF TIGARD PLUMBING PERMIT
N ---
■ COMMUNITY DEVELOPMENT
Permit#: PLM2018-00539
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/20/2018
T F c.A It.[� g Parcel: 2S113B000300
Jurisdiction: Tigard
Site address: 8040 SW DURHAM RD
Project: Durham Education Center Subdivision: None Lot: None
Project Description: Backflow preventer for irrigation.
Contractor: ANDRES LANDSCAPE Owner: TIGARD-TUALATIN SCHOOL DISTRICT
PO BOX 1131 6960 SW SANDBURG ST
OREGON CITY, OR 97045 TIGARD, OR 97223
PHONE: 503-632-3366 PHONE:
FAX:
FEES
Quantity Description Date Amount
1 ea Backflow Preventer 11/20/2018 $31.27
Specifics: 1 12%State Surcharge- 11/20/2018 $8.70
Plumbing
Type of Use: COM 41 ea Minimum Fee Adjustment- 11/20/2018 $41.23
Plumbing
Class of Work: OTR
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: ' ermittee Signature: ."--i)Uei /46.64z.,____
,, ,..g
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 E FOR oFFlce lase Oy1.1
City of Tigard �! 1 Received Permit No.: f
13125 SW Hall Blvd.,Tigard,OR 97223 tl 0 V 2 0 2018 Date/By: ,//h1�1" i9"4/7- /24/17 4"--G6j`'37
Plan Review
' I Phone: 503.718.2439 Fax: 503.598. Qs, Date/By: Other Permit No.: t l .4 /7`,A73
Inspection Line: 503.639.4175 i Date Read/B )oris: ® See a e/2 for
TIC A R D g g B UiL1.Ja;'� i +. N NDotified/Method: Supplemental Information
Internet: www.ti and-or. ov i(qhs,
TYPE OF WORK '" FEE* SCHEDULE
❑New construction ❑Demolition For special information use checklist.
Description Qty. Ea. I Total
❑Addition/alteration/replacement If Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OFC max,ST1W ,CTION, ;y SFR(1)bath 312.70
E,1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
buildingSFR(3)bath 500.32
❑Accessory 0 Multi-family
Each additional bath/kitchen 25.02
❑Master builder Vi Other: S,..,ii.0Fire sprinkler(_sq.ft.) Page 2
. .. , , B SITE INFORMATION AND •
. A Site utilities:
Job site address: got-10 E co Our h 'Pot Catch basin or area drain 18.76
Ci /State/ZIP: �� ��' """"' Drywell,leach line,or trench drain 18.76
tY /�ee Q / d 2 q 7�2-Y Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: I Project name: 1;114 abitot ti(„ OK/ e(,-7k IVg Manufactured home utilities 50.03
Cross street/directions to job site: �'"� Manholes 18.76
5 k 7 9 kie--' 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 1 31.27 3/.)-)
, tr 1�
Backwater valve 12.51
2ScRIPTIO± xtl :,,,,,,7„,,A, ` ' X 41,-; Clothes washer 25.02
Ili.)Ji-a'/ f /10 7-0�J -( -Ls,, $'
(/Sigi/i Dishwasher 25.02
_ w 1+IN. n i3V9e.1Lfoj c/ * rimeDrinking fountain 25.02
Ejectors/sump 25.02
1i oLil „ 1 ANT * (v Expansion tank 12.51
Name: /4�Z/' S/ „i ,D,f�./471 Fixture/sewer cap 25.02
,- /
Floor drain/floor sink/hub 25.02
Address: 91,0 w Garbage disposal 25.02
City/State/ZIP: , .012- Hose bib 25.02
Phone:(93) V3/ Liao O Fax:( ) Ice maker 12.51
t":('';';'.. 196APPLICANT A 0 CONTACT,-PERSON. Interceptor/grease trap 25.02
Business name: p/coy1 ep t!GG/ D►'�s . ft(JO� Medical gas(value:$ ) Page 2 -
Contact name: /�� Primer 12.51
1TN Ore 5 �l Ca L. ' Roof drain(commercial) 12.51
Address: �-5 i7O c , Q 51.,--0,43.01,72_ 1.4 v.Q,� Sink/basin/lavatory 25.02
City/State/ZIP: CA-pay , 0 2 470 I 3 Solar units(potable water) 62.54
Phone:Qj3 )63 Z 3 3/4 Fax::(,.. )G 3z;3( ) Tub/shower/shower pan 12.51
E-mail: AT/res vTO 14lork .e Dyyl Urinal 25.02
Water closet 25.02
CON'C RACrOR
,1 ! I// �, ,t. Water heater 37.52
Business name: �l CO�U c(i/QIOI� 1�1,!.S LhiA9 e4,a` Water piping/DWV 56.29
Address: S/70 .', 1 /Dt. 2-4/4-- Other: 25.02
City/State/ZIP: C/90/6V1 OA, 9^v/ 3 Subtotal 31. a 7
cv
Phone:(6,03)lo3z 3 3(o Fax:(�j ) 403 2 336? Minimum permit fee: $72.50 V-
CCB Lic.: 2)3 103 1 / Plumbing Lic.no.: /,Ce, l�1/7 q Plan review (25%of permit fee)
3 1 } it ii Lc
State surcharge(12%of permit fee) S(=7/)
Authorized signature: '---7,///1„,„/_,^ ,, ./441.4.e.-0.--&-• ! TOTAL PERMIT FEE t7 t7,,171
Print name: )IM9�R.y 1.(k uSt1- Date: ///114104/10 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.
l:\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 qry. Fee(eal) Footage t Permit 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
V tia Y
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
Qty. )"ee(ea) Total each additional$100.00 or fraction thereof,to
1G
Inspections�C r Teesand including$10,000.00.
Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the fust$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 fust$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*. ''lan Reyiew:;4 r!Instal ati is s,
Quannti!y by 'FiXbaOT Plan review is required for any of the following.
Fixture Type for I! Please check all that apply.
Work Performeth Capped Added lehOe
Baptistry/Font ❑ Any new commercial building with water service 2"and
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
Drive tall as defined in OAR918-780-0040.
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" _ . x. .;
4„
0 Isometric or riser diagram is required for new buildings
-Car Wash Drain
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 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
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
8040 SW DURHAM RD, TIGARD, OR, 97224
Record Type: Record ID:
Residential - Plumbing PLM2018-00539
Inspection Type: Inspector:
399 Plumbing final Don Sylvester
Result:
PASS - NoCofO
Comments:
1 . 2" Febco DC model 850, serial #H44525 , for irrigation located approximately 20ft.
North of fire plug N. Center lawn area. - Approved with test.
Violation Summary:
Inspector Contractor