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Permit 7PLUMCITY OF TIGARD BING PERMIT #: PLM2022-00092 Permi COMMUNITY DEVELOPMENT Date Issued: 3/11/2022 T-tGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S113AB01201 Jurisdiction: Tigard Site address: 16535 SW 72ND AVE Project: Allstructure Engineering Subdivision: None Lot: None Project Description: Interior plumbing:Capping(1)urinal;Adding(1)water closet. Contractor: ALWAYS FAITHFUL PLUMBING LLC Owner: PACIFIC REALTY ASSOCIATES LP PO BOX 757 ATTN: N PIVEN WILSONVILLE, OR 97070 15350 SE SEQUOIA PKWY#300 PORTLAND, OR 97224 PHONE: 503-780-9486 PHONE: FAX: FEES Quantity Description Date Amount 1 ea Fixture/Sewer Cap 03/11/2022 $25.02 Specifics: 1 ea Water Closet 03/11/2022 $25.02 1 12%State Surcharge- 03/11/2022 $8.70 Type of Use: COM Plumbing Class of Work: ALT 22 ea Minimum Fee Adjustment- 03/11/2022 $22.46 Type of Const: Plumbing 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 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 Annlicati} �-!!J✓EIVED Building Fixtures FOR OFFICE USE ONLY City of Tigard FEB 2 2 2022 Received Pemtit No. '^ Date/By: 3 P,/ -�(y • 13125 SW Hall Blvd.,Tigard,OR 972j}� 't �t p Plan Review 1/��' r H ' ( y'. Phone: 503.718.2439 Fax: 503.59ij.196l OF 1lL7t1IlLi Other Permit No.: DaleBy: i IG.�I:i) Inspection Line: 503.639.4175 t!_JIL.DING DIVISION' Date Ready/By: Pre,,-.' uris: ® See Paget for Internet: www.tigard-or.gov Notified/Method: 3/�I LI- , ') G pp �� r- Su lemenlal Information TYPE OF WORK i Lam'/ .,..,12,1/_ FEE* SCHEDULE ❑New construction ID Demolition or special information use checklist Description I Qty. I Ea. I Total IN Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ElI-and 2-family dwelling ©Commercial/industrial SFR(2)bath 437.78 buildingSFR(3)bath 500.32 0 Accessory ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder CI Other: ' Fire sprinkler( sq.ft.) Page 2 ' r OB SITE INFORMATION AND LOCATION Site utilities: Job site address: 16535 SW 72nd Ave Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP: Tigard OR 97224 Footing drain(no.linear ft.: ) Paget Suite/bldg./apt.no.: I Project name:All Stucture Engineering 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: I Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 Demo and cap 1 urinal Dishwasher 25.02 Add 1 Water Closet Drinking fountain 25.02 Ejectors/sump 25.02 • ® PROPERTY OWNER I 0 TENANT Expansion tank 12.51 Name: Pacific Realty Fixture/sewer cap 25.02 xe1 Floor drain/floor sink/hub 25.02 Address: 6650 SW Redwood Ln Ste 290 Garbage disposal 25.02 City/State/ZIP: Portland/ OR/ 97224 Hose bib 25.02 Phone:(503)624-6300 Fax:( ) Ice maker 12.51 ® APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name:Always Faithful Plumbing Medical gas(value:$_) Page 2 - Primer 12.51 Contact name: Corey Chamberlain Roof drain(commercial) 12.51 Address: PO Box 757 Sink/basin/lavatory 25.02 City/State/ZIP:Wilsonville OR 97070 Solar units(potable water) 62.54 Phone:(503)780-9486 Fax::( ) Tub/shower/shower pan 12.51 E-mail: alwaysfaithfulp lumbing@ yahoo.coin Urinal 25.02 Water closet i 25.02 �� CONTRACTOR Water heater 37.52 Business name: Always Faithful Plumbing Water PmP�1P WV 56.29 Address: PO Box 757 Other: 25.02 City/State/ZIP: Wilsonville, OR 97070 Subtotal 52j-0`1 Phone:(503)780-9486 Fax:( ) Minimum permit fee: $72.50 `)a 5ij-7j CCB Lic.: 217284 Plumbing Lic.no.:PB1940 Plan review (25%of permit fee) State surcharge(12%of permit fee) 8;70 Authorized signature: }� TOTAL PERMIT FEE S'l.dv Print name: Corey C amber ain Date: 2/22/22 This permit application ezpires if s permit is not obtained within ISO days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I\Budding\Permils1PLMU-PermilApp.doe 10/01/09 440-4616T00/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 -Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee(es) Total 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 Other Inspections or Fees Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to P 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 Installations Quantity by Fixture Type Plan review is required for any of the following. Fixture Type for Replace/ 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 ❑ New exterior plumbing site utilities for any complex structure as defined in OAR918-780-0040. -Drive 11tru Cuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities. Dishwasher: Commercial El Any multipurpose fire sprinkler system. Domestic ❑ Any complex structure as defined in 0AR918-780-0040. Drinking Fountain Eye Wash Submit 2 sets of plans with any of the above. Floor Drain/sink: -2" 3" Isometric or Riser Diagram 4" ❑ 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) Cap 1 urinal Rec.Vehicle Dump Station Add 1 Water Closet Shower: -Gang -Stall Sink: -Lay/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 1 plumbing permit can be issued. Urinal 1 Other Fixtures: 1:1Building\Permits\PLMF_PermitApp.doc 08/04/2011 2