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Permit (93)
UPI CITY OF TIGARD PLUMBING PERMIT 1 COMMUNITY DEVELOPMENT Permit#: PLM2019-00262 T i G;1 i f7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/25/2019 Parcel: 25111 BD00601 Jurisdiction: Tigard Site address: 9695 SW DARMEL CT Project: Johnson Subdivision: DARMEL NO.2 Lot: 34 Project Description: 70 If of sanitary sewer. Reimbursement district number 27 expired on 6/22/19. Septic tank to be pumped&filled, or removed and pump/fill receipt required at final inspection. Contractor: OWNER Owner: JOHNSON, KENNETH AND KENNETH&DEBORAH JOHNSON DEBORAH 9695 SW DARMEL 9695 DARMEL COURT TIGARD, OR 9724 TIGARD, OR 97223 PHONE: PHONE: FAX: FEES Quantity Description Date Amount 70 If Sanitary Sewer 06/25/2019 $62.54 Specifics: 1 12%State Surcharge- 06/25/2019 $8.70 Plumbing 10 ea Minimum Fee Adjustment- 06/25/2019 $9.96 Type of Use: SF Plumbing Class of Work: ALT Type of Const: Occupancy Grp: Stories: Total $81.20 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by call' g 503.23 .1987 or 1.800.332.2344. Issued By: / 7 / /e Permittee Signature: ✓fL/ . L Lw1i iris A _ �� 77 / Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Plumbing Permit Application SIte.Iliilities RECEIVED FOR OFFICE USE ONLY Cityof Tigard Received Date/By: (,� / /9 ' 7� AZO// J 4 III - 'ii 131SW Hall Blvd .,Tigard,OR 972 N 2 5 Z y Pe o. Plan Review re3 Phone: 503.718.2439 Fax: 503. i$ �¢0 it.:-.14,tprl Date/By: � Inspection Line: 503.639.4175 ka l 1 T i.)T' I 1�.. rit- Date Read B Juris ® See Page 2 for T I GARD Internet: www.ti ard-or. ov I A ^ V f S+ y y�1 y y g g g u �� 9 V` DIVISION 1 Notified/Method: Supplemental Information . TYPE OF WORK. FEE* SCHEDULE . 9 New construction 9 Demolition For special information use checklist Description I Qty. Ea. Total 9 Addition/alteration/replacement 9 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 9 1-and 2-family dwelling 9 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 0 Accessory building 0 Multi-family Each additional bath/kitchen 25.02 I'I ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address:9695 SW Darmel CT Catch basin or area drain 18.76 City/State/ZIP:97224 Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: Project name:Sewer Connect Manufactured home utilities 50.03 Cross street/directions to job site:96th&Satler Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:7p) Page 2 b.2.5 Ll Storm sewer(no.linear ft.: ) Page 2 7 Water service(no.linear ft.: ) Page 2 Subdivision:2/27 Lot no.:34 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION ©F WORK Backwater valve 12.51 Clothes washer 25.02 connect to city sewer Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER 1 ❑ TENANT Expansion tank 12.51 Name:Kenneth&Deborah Johnson Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:9695 SW Darmel Ct Garbage disposal 25.02 City/State/ZIP:97224 Hose bib 25.02 Phone:(503)997-2022 Fax:( ) Ice maker 12.51 E APPLICANT 0 CONTACT 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 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax: ( ) Tub/shower/shower pan 12.51 E-mail: Urinal 25.02 CONTRACTOR Water closet 25.02 Water heater 37.52 Business name:,`\-�nS -0 Water piping/DWV 56.29 Address: Other: 25.02 City/State/ZIP: Subtotal Phone:( ) Fax:( ) Minimum permit fee: $72.50 CCB Lic.: Plumbing Lic.no.: Plan review (25%of permit fee) 1* -----..,_-r- State surcharge(12%of permit fee) Authorized signature: .. . _ TOTAL PERMIT FEE Print name:Deborah Johnson Date:6/25/2019 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building lndusttY Serviet$oarc} 1\Building\Permits\PLMU-PermitApp.dor 10/01/09 440-4616T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page *Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee(ea) Total Square Footage: Permit Fee: Footing drain-1S1 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 Other Inspections or Fees Qty Fee(ea) Total each additional$100.00 or fraction thereof,to 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*. Quantity by Fixture Type Plan Review for, Plumbing Installations Fixture Type for Replace/ ' Plan review is required for anyof the following. Performed: Capped Added Relocate 9 Baptistry/Font Please check all that apply. Bath Tub/Shower CI Any new commercial building with water service 2"and Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer. -Drive Thru ❑ New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780 0040. Dishwasher -Commercial ❑ Medical gas and vacuum systems for health care facilities. -Domestic ❑ Any multipurpose fire sprinkler system. Drinking Fountain ❑ Any complex structure as defined in OAR918-780-0040. Eye Wash Floor Drain/sink -2" Submit 2 sets of plans with any of the above. Isometric or Riser Diagram Car Wash Drain Garbage Domestic-non-food CI Isometric or riser diagram is required for new buildings Disposal -Domestic-food related that meet the qualifications above. -Commercial-food related -Industrial-food related Ice Mach./Refrig.Drains Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Gang -Stall Sink/Lav -Non-food related -Bradley -Conimercial-food related -Service Swimming Pool Filter *Note: If the fixture work under this permit results in an Washer-Clothes Water Extractor increase of sewer EDUs,a sewer permit will be issued and Water Closet-Toilet fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fixtures: C:\Debbie\Downloads\PLMU_PermitApp.doc 2 RECEIVFP City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT JUN 2 b 2O1 r = Reimbursement District Payment Work _1i- (IGARp (ItD'N 1 1‘,,'\R I) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov This worksheet must be completed by the Finance Department and provided to the applicant to submit together with a completed plumbing permit application and payment for sewer connection and reimbursement district fee, if applicable, by expiration date shown below to the Building Division. FINANCE DEPARTMENT TO COMPLETE: Site Address: 9695 SW Darmel Court, Tigard, OR Reimbursement District #: 27 Parcel #: Amount Due: $no fair share Amount Due Expires On: SRD 27 expired or cp(2 21( 9 Applicant: Daytime Phone: Email Address: 0 Sewer Loan Processed (journal entry to follow for payment of deferred sewer connection fee and reimbursement district fee, if applicable)* By: Date: 6/25/2019 Name Printed: Mai Quach BUILDING DIVISION TO COMPLETE: *If a sewer loan is processed, wait for journal entry before creating plumbing and sewer permits. Reimbursement Amount Paid: $ /4/,4- Receipt #: 4-61, &,Z SWR #: S4vl,-2.0la0,3 PLM #: 1�Ltir�Cjt5-- OOAc Enter parcel conditions in Accela (check all that apply): ❑ Enter "paid" tion. nter "deferral" condition, if applicable. By: ' (1,2'2i Date: �‘.2. /, Name Printed: cJ�,c(i _ - 47th/0.'447 Attach this worksheet to issued sewer permit for records scanning. I:\Building\Riembursement Districts\ReimDistPaymentWorksheet_NoDeferredAccounts_041918.docx II IN iitGETIGARD I * ` City of Tigard JUN 2 6 Z019 June 25,2019 CITY OF I Ii A#=I@ i =3UILD NG Di i zI N RE: 9695 SW Darmel Court Tigard,Oregon Subject: Sewer Reimbursement District No. 27 Please accept this as confirmation that the recorded instrument for the Reimbursement District is merely a notice of the fees required to connect to the sewer and is not a lien. Reimbursement Districts are created in accordance with Chapter 13.09 of the Tigard Municipal Code. Section 13.09.090 provides that The City Recorder shall cause notice of the formation and nature of the reimbursement district to be filed in the office of the County Recorder so as to provide notice to potential purchasers of proper0 within the district. Said recording shall not create a lien. There is no requirement to connect to a sewer constructed through a reimbursement district or pay any fee until connection is made. The only time connection to the public sewer system would be required is if one of two would happen (1) the septic system were to fail, (2) if the property were to develop. This Reimbursement District expired on 6/22/2019.Therefore,no fair share costs are associated with this district any longer. Homeowners that connect to the public sanitary system are required to pay a connection fee and an inspection fee. Fees are subject to change and typically increase July 1 of each year. Property owners are responsible for disconnecting their existing septic system according to Washington County rules and would be required to get a Plumbing permit from the building department. 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.639.4171 TTY Relay: 503.684.2772 • www.tigard-or.gov City of Tigard Tel: 503.718.2439 Location: Inspection Date: 9695 SW DARMEL CT, TIGARD, OR, 97224 July 18, 2019 at 10:23:32 AM Record Type: Record ID: Residential - Plumbing PLM2019-00262 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS - NoCofO Comments: Pump receipt received. Septic tank filled with approved materials. Violation Summary: Inspector Contractor