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Permit CITY OF TIGARD PLUMBING PERMIT n COMMUNITY DEVELOPMENT Permit#: PLM2022-00279 Date Issued: 10/4/2022 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S113AB00600 Jurisdiction: Tigard Site address: 16150 SW UPPER BOONES FERRY RD Project: Fairway America Subdivision:COUNCIL VIEW ACRES(LOTS 21-44) Lot: 30 Project Description: Interior plumbing for TI: Capping(1)2"Floor drain/sink,(2)shower stalls,and (1)sink;Adding(1)sink and(1) water closet; Replacing (1)sink. NO CREDITS OR SEWER PERMIT AS NO CHANGE IN EDU'S. 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 08/17/2022 $25.02 Specifics: 2 ea Sink 08/17/2022 $50.04 1 ea Water Closet 08/17/2022 $25.02 Type of Use: COM 1 12%State Surcharge- 08/17/2022 $12.01 Class of Work: ALT Plumbing Type of Const: Occupancy Grp: Stories: Total $112.09 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: 7 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,;; i Building Fixtures RECE'� FOR OFFICE USE ONLY /.' JUN 1 3 2022 /� City of Tigard Received Permit No.: ✓ �j las . it 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: V� / ' /Ll•l )1a.►(��`�7 !1 ■ Phone: 503.718.2439 Fax: 503.598.1960 LIl Y OF TIuAk. Plan Review �A); Gi Date/By: Other Permit No. 41 Inspection Line: 503.639.4175 g ram. € 1 _ r Date ReadyB ,rµ y: us See Page 2 for P '�\ -1 gliARD 3UILDIR Internet: www.tigard-or.gov Notified/Method: • Supplemental information TYPE OF WORK FEE* SCHEDULE 14.`,`❑New construction 0 Demolition For special information use checklist Description I Qty. I Ea. I Total ®Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) ..I CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 -44 0 1-and 2-family dwelling ©Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder El Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Catch basin or area drain 18.76 Job site address: 16150 SW UPPER BOONS SFERRY RD City/State/ZIP: T IGARD OR 97224 Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: I Project name: FAIRWAYS�� Manufactured home utilities 50.03 �j Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 ,� Sanitary sewer(no.linear ft.:_) Page 2 Q� Storm sewer(no.linear ft.: ) Page 2 1k41. Water service(no.linear ft.: ) Page 2 x Subdivision: I Lot no.: Fixture or item: Tax map/parcel no.: 2 II3 „ f Backftlow preventer 31.27 �n�)�,(�r;,�) DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 DEMO AND CAP 2 SHOWERS,1 FD,1 BREAKS INK Dishwasher 25.02 RELOCATE 1 BREAKS INK Drinking fountain 25.02 a1 INSTALL 1 WATERCLOSET, 1 LAV Ejectors/sump 25.02 ® PROPERTY OWNER I 0 TENANT Expansion tank 12.51 ,a Name: Pacific Realty Fixture/sewer cap AI 25.02 , `, Floor drain/floor sink/hub 25.02 Address: 6650 SW Redwood Ln Ste 290 .� Garbage disposal 25.02 e ' City/State/ZIP: Portland/ OR/ 97224 Hose bib 25.02 le-' Phone:(503)624-6300 Fax:( ) Ice maker 12.51 ® APPLICANT 0 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 2 25.02 ,011 City/State/ZIP:Wilsonville OR 97070 Solar units(potable water) 62.54 Phone:(503)7 80-9486 Fax::( ) Tub/shower/shower pan 12.51 E-mail: alwaysfaithfulplumbing@ yahoo.corn Urinal 25.02 Water closet 1 25.02 l5'•,c??. CONTRACTOR Water heater 37.52 Business name: Always Faithful Plumbing Water piping/DWV 56.29 Address: PO Box 757 Other: 25.02 City/State/ZIP: Wilsonville, OR 97070 Subtotal Phone:(503)780-9486 Fax:( ) Minimum permit fee: $72.50 ith),oy CCB Lic.: 217284 Plumbing Lic.no.:PB194 0 Plan review (25%of permit fee) State surcharge(12%of permit fee) fO'. )/ Authorized signature: ( --,- • TOTAL PERMIT FEE /f 2 01 Print name:Corey Chamberlain Date: 6/13/22 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. C\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 Square Footage: 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 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*. 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 Baptistry/Font ❑ 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 ❑ New exterior plumbing site utilities for any complex structure Drive tall as defined in OAR918-780-0040. Cuspidor/Water Aspirator ElMedical gas and vacuum systems for health care facilities. Dishwasher: Commercial ❑ Any multipurpose fire sprinkler system. Domestic ❑ 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" 1 3" Isometric or Riser Diagram 4 ❑ 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) CAPPING 2 SHOWERS 1 FLOORDRAIN AND 1 SINK Rec.Vehicle Dump Station RELOCATING I SINK Shower: -Gang ADDING 1 LAV AND 1 WATERCLOSET -Stall 2 Sink: -Lay/Bar non-food related 1 1 1 -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 Water Extractor fees assessed for the sewer increase must be paid before the Water Closet-Toilet 1 plumbing permit can be issued. Urinal Other Fixtures: I:ABuilding\Permits\PLMF_PermitApp.doc 08/04/2011 2 Y VQ C V l� i-t'as. A cSGG/��' �tj IVG)f cc 1 off! ?/ /ii. 8-1