Permit (37) CITY OF TIGARD PLUMBING PERMIT
2 COMMUNITY DEVELOPMENT Permit#: PLM2019-00047
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/05/2019
Parcel: 2S 114BA05200
Jurisdiction: Tigard
Site address: 9870 SW KENT CT
Project: LOBBATO Subdivision: PICK'S LANDING NO.2 Lot: 88
Project Description: Backflow preventer for irrigation.
Contractor: TERRA-SOL LANDSCAPING Owner: LOBBATO, JOHN V/BRENDA K
21685 SW HEDGES DR 9870 SW KENT CT
TUALATIN, OR 97062 TIGARD, OR 97223
PHONE: 503-691-6105 PHONE:
FAX:
FEES
Quantity Description Date Amount
1 ea Backflow Preventer 02/05/2019 $31.27
Specifics: 1 12%State Surcharge- 02/05/2019 $8.70
Plumbing
Type of Use: SF 41 ea Minimum Fee Adjustment- 02/05/2019 $41.23
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-tf—w`or is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law require o follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 2-001-009 . •u may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.8.' -- . - -
Issued By: -- •• Signature 1 A n ,1
Call 503.639.4175 by 7:00 a.m.for the next available inspection •ate.
This permit card shall be kept in a conspicuous place on the job site until comple the project.
Approved plans are required on the job site at the time of each inspection.
Plumbing Permit ApplicationpoFvvmi i
Building Fixtures loR ()F-FicE I SE ()1 LI
City of Tigard 4 ,„„„ ,p „,,,,, , ,,,,, ' , I Received 7
Lft-1, i-- 0cri •
,- Date/By: Permit No.: iot/via70147.....ctoti 7
U 13125 SW Hall Blvd.,Tigard,OR 97223
111Plan Review
: ll Phone: 503.718.2439 Fax: 503.598.1960FF5 ..), 2019 Date/By: Other Permit No.:
Inspection Line: 503.639.4175 Date Ready/By: kris: WI See Page 2 for
TIGARD
Internet: www.tigard-or.gov CITY (A..- ;16A1.11) Notified/Method: ---- --6 Supplemental Information
ILDING DIVISION FEE* SCHEDULE
0 New construction 0 Demolition For special information use checklist
Descri,tion S .. Ea. Total
, Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY QF CONSTRUCTION SFR(1)bath 312.70
Lik`l:and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 500.32
0 Accessory building 0 Multi-family
Each additional bath/kitchen 25.02
0 Master builder 0 Other: Fire sprinlder( sq.ft.) Page 2
.
-JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address:5?7 c) 5L.A...\.. Catch basin or area drain 18.76
Drywell,leach line,or trench drain 18.76
City/State/ZIP: '---Tt LA lk('A AINA..1(
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: 1 Lot no.:
_Fixruirortite
4 Backflow prevent / 31.27 3;,),--7
Tax map/parcel no.:
1101+,1 OF WORK ' ..::'.,...,iff 4',...,! : IV
:,:e., Backwater valve 12.51
h•-`, •1144....14e '..ta.',;s'''..- - . Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
7 ,,,„.- .,,,..14x,..:,,,,,,,,,-,:.:_,-, , EEixecpanthrssioisnuintanPk 25.02
12.51
0 PROPERTY OWNER . 1 : '',..1,4'' r ,, x. ,
, ... _ - - .,,, '..
Fixture/sewer cap 25.02
Name: ,100,44 Lc)ib Q A 7 c)
Floor drain/floor sink/hub 25.02
Address: q cc-70 st.A... W e,kikl-- C{-
Garbage disposal 25.02
City/State/ZIP: ---t-kj t,,,(„, A.,A.1 Hose bib 25.02
Phone:(5,)6) CQ0 c)... ,-
r‘ S'1., Fax:( ) Ice maker 12.51
0 CONTA PERSON Interceptor/grease trap 25.02
Medical gas(value:$ ) Page 2
Business name: -- ,„10 /, , M,- AN‘i\N"(-)t:- .0,24()% IL v
Primer 12.51
Contact name: t-.) I\0 OD Z1 INvoi\za--4\AKI,...
N Roof drain(commercial) 12.51
Address: uct.7,,,,6 v ‘,,,,,.1 ,ovx.c.,,, Sink/basin/lavatory 25.02
--
-- ) '
City/State/ZIP.. A al/&IV--\ CA 10(1 l'' Solar units(potable water) 62.54
, fz_
Phone:(.50 ) -Lii _ tik ---.) Fax::( ) Tub/shower/shower pan 12.51
Urinal 25.02
E-mail:
Water 25.02
CONTRACTOR
Water heater
37.52
_
Business name: 1z W / .. IX-.' Water pikt‘0<it.A?0,0 i v\t'1
Water piping/DWV 56.29
i _C? r
Address: ..)
. A A ji 0 ,l (...A... k.---ovvz4 \ACL,' Other: 25.02
.
City/State/ZIP: '1,ut 11,ii t i I tr\_I 0,1-7 G(-,*1-- Subtotal Di.A7
Phone:( ) ) Ipq(..1'. I )CD Fax:( ) Minimum permit fee: $72.50
Plan review (25%of permit fee)
CCB Lic.: (501Ci Plumbing Lic.no.:
State surcharge(12%of permit fee) MEI
I
Authorize. ignattire: :AAki '\- . -c't ci TOTAL PERMIT FEE ,rial=
This permit application expires if a permit is not obtained wit.in 180 days
Date:d6sii&itti
Print name: , \AO _t M, .Z.'0- yvkoN, after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
I:\Building\Pennits\PLMU-PennitApp.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., r Square Fee �. Total °
Footage: Permit Fee:
Footing drain-151 100' 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 : , ,
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
Ft4) "`' each additional$100.00 or fraction thereof,to
Other Inspections or Fees QtY`
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*. Plan Review for Plumbing to w. lions
Quantity by Fixture Type Plan review is required for any of the following.
Fixture Type for ! Please check all that apply.
Work Performed: Capped Added Relocate.
Baptistry/Font
0 Any new commercial building with water service 2"and
greater,except systems designed and stamped by licensed
Bath: -Tub/Shower
-Jacuzzi/Whirlpool engineer.
Car Wash: Each Stall
0 New exterior plumbing site utilities for any complex structure
Drtall as defined in OAR918-780-0040.
- ivCuspidor/Water Aspirator 0 Medical gas and vacuum systems for health care facilities.
Dishwasher: Commercial 0 Any multipurpose fire sprinkler system.
ommer . - 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"
3" Isometric.or Riser Diagram
LJ 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:
9870 SW KENT CT, TIGARD, OR, 97224
Record Type: Record ID:
Residential - Plumbing PLM2019-00047
Inspection Type: Inspector:
399 Plumbing final Don Sylvester
Result:
PASS - NoCofO
Comments:
1 . 1 " Febco DC, model 850, serial #HE83211 , for irrigation, located at left front corner of
house- approved with test
Violation Summary:
Inspector Contractor