Permit CITY OF TIGARD PLUMBING PERMIT
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COMMUNITY DEVELOPMENT Permit#: PLM2019-00299
HARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/25/2019
Parcel: 2S102CD02607
Jurisdiction: Tigard
Site address: 9760 SW OMARA ST
Project: NIRANJAN Subdivision: TWALITY HILL Lot: 7
Project Description: Shower pan for tile conversion in hall bathroom.
Contractor: DELTA PLUMBING INC Owner: NIRANJAN, RAMAKRISHNAN &
12205 SE 108TH AVE RAM, SHAILAJA
HAPPY VALLEY, OR 97086 9760 SW OMARA ST
TIGARD, OR 97223
PHONE: 503-998-0683 PHONE:
FAX:
FEES
Quantity Description Date Amount
1 ea Tub/Shower/Shower Pan 07/25/2019 $12.51
Specifics: 1 12%State Surcharge- 07/25/2019 $8.70
Plumbing
Type of Use: SF 60 ea Minimum Fee Adjustment- 07/25/2019 $59.99
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 ma b -in a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: rt � Permittee Signature: /
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 c• pletion of the project.
Approved plans are required on the job site at the time of each inspection.
Plumbing Permit Application
Building Fixtures FOR OFFICE, I SI. 0 N I 1
City of Tigard Received
Date/By: ,7A,----p? /977_ Permit No.: /4„,,, ,,,,,, ....a1;2*-
14 . 13125 SW Hall Blvd.,Tigard,OR 97229 ECEIVED Plan Review
' I Phone: 503.718.2439 Fax: 503.598.1 6 Date/By: Other Permit No.:
Inspection Line: 503.639.4175
T I G A R D JUL 2 5 2019 Date Ready/By: See Page 2
--6 SupplementalItrformation
Internet: www.tigard-or.gov Notified/Method:
INOSIE43F-TIOWa,-• : ' -- ,, ----- `-- •,•
0 New construction 0Milig.*1`" filvi4" For special information use checklist.
Description Qty. I Ea. I Total
geTadition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
: "CATEGORY Ott ONS1RUCTION , SFR(1)bath 312.70
[Elerand 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 500.32
aAccessory building 0 Multi-family
r-
Each additional bath/kitchen 25.02
El Mster builder 0 Other:
Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATIO , ,,, ,. Site utilities:
Job site address: 9 7 6 so ski ofrifi xi/ Catch basin or area drain 18.76
_ Catch basin
leach line,or trench drain 18.76
City/State/ZIP: ""/"'-*/4-gxe boa_c,_4-0„./
Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: 1 Project name:
Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
.$ 'k) 0rAl4ROCI . CI-- 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: Lot no.: Fixture or item:
Backflow preventer 31.27
Tax map/parcel no.:
'1 ;:!;%':i.r. Backwater valve 12.51
,,,,..p-...• 4;,, - ack, .-- .4,;:s.- ,.t. 1,,, ,, ' ';')..„ „ , ' Clothes washer
25.02
/-I 4 t c 8091--1/1 0200 it4 Dishwasher 25.02
Atowd.--rz. p4A) ,--z_ - iii-&-- Drinking fountain 25.02
G9 i%)V&R- S70N Ejectors/sump 25.02
'',,. .twrtt(nif#V, 1-,i, ',3.-,:- 1 . ,-,.. 41 ,„ , n -'-',5 .1. Expansion tank
--JeR7- ' ' '• -- '' ,ri,:i.,.. ,, *° ,,,,.. ' '
12.51
Name: N IQ 0 NSA-1. -) RA-w-tiotKRAici-Ar Fixture/sewer cap 25.02
Floor drain/floor sinldhub 25.02
Address: 9 ti 60 ,c'k) o 'ik--(A Q Garbage disposal 25.02
City/State/ZIP: 774/9 g_b 0 eaL--, 4 0 A.../ Hose bib 25.02
Phone:(S.C23) 20(- (SU il 3 Fax:( ) Ice maker 12.51
girApiWANTIW , .•:1-.4 V :t4 Cepa 2- , 14. *14 '1 Interceptor/grease trap 25.02
Business name: Medical gas(value:$ ) Page 2
Primer 12.51
Contact name: ••• •7-671/C...,-- ,71-- c9S s
Roof drain(commercial) 12.51
Address: P i.,0._aox 9/4/6 Sink/basin/lavatory 25.02
City/State/ZIP: f-10 e-R.7"444.J' 12?/ Solar units(potable water) 62.54 .
r I-Phone:(53) ,.4(- 8-crt-s---- - Fax::( ) - Tub/shower/shower pan 7 ' 12.51 /2'.77
E-mail: ,, 12 V.*Cet)'VS 5-6.0 (: y,:km PO. CV 14 Urinal 25.02
Water closet 25.02
, , - ' ' •?';;A<' ':-` * Water heater 37.52
Business name: C-.--7.7;19- 4.-14 Hes(Al 4' Water piping/DWV 56.29
Address: 1220 5 ..S. L-7- , 10 g:34.4, ickp__-
,.... Other: 25.02
City/State/ZIP: H 0 f()/0MCC(-7/ o 2 cfr7 Dg6 Subtotal
Phone:(503 a2t(- V11 3 F :( ) Minimum permit fee: $72.50
CCB Lic.: rig.2 8 ,.5
"e/-6 Plumbing Lic.no.: -6 .2. Plan review (25%of permit fee)
State surcharge(12%of permit fee)
Authorized signature: ....--, TOTAL PERMIT FEE
Print name:6106.az 1 C-12._ '..2 0 c_6 ahe Date: lik sy(9 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 10/01/09 440-4616T(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
Sgiaretotage Permit lee:
�„ ,.
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 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
� � Tobil each additional$100.00 or fraction thereof,to
Otter Inspections or,Fees . F 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*. R'...1.,eiv for 11lumbltt 1 ".4 o i /
Quaatlt�by"fixture Type"" Plan review is required for any of the following.
Fixture Type for Race/ Please check all that apply.
Work Performed, ..- Capped Add 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 0 New exterior plumbing site utilities for any complex structure
Car Wash: -Each Stall as defined in OAR918-780-0040.
-Drive Thru
Cuspidor/Water Aspirator 0 Medical gas and vacuum systems for health care facilities.
C
C ❑ Any multipurpose fire sprinkler system.
Dishwasher: -Commercialirator
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" "
s
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
Tel: 503.718.2439
Location: Inspection Date:
9760 SW OMARA ST, TIGARD, OR, 97223 August 27, 2019 at
10:04:35 AM
Record Type: Record ID:
Residential - Plumbing PLM2019-00299
Inspection Type: Inspector:
399 Plumbing final Aaron Cillo-Gobel
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor