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Permit si CITY OF TIGARD �$ E. g PLUMBING PERMIT COMMUNITY DEVELOPMENT Pfif // 1 Permit #: PLM2010 -00061 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/04/2010 Parcel: 2S 101 DC04000 Jurisdiction: Tigard Site address: 7550 SW TECH CENTER DR 220 Project: Cochran Subdivision: Lot: 0 Project Description: Install (1) expansion tank, (3) 2" floor drains, (2) primers, (6) lays, (1) breakroom sink, (3) urinals, (5) w /c, and (1) w /h. 2/3/11, reprinted to correct suite number from 250 to 220. Contractor: ASSOCIATED PLUMBING CO Owner: WALTON CWOR SOUTHRIDGE 12 LLC P 0 BOX 301362 BY TTA/EPROPERTYTAX DEPT 325 PORTLAND, OR 97230 PO BOX 4900 SCOTTSDALE, AZ 85261 PHONE: 503 - 331 -0582 PHONE: FAX: 503 - 331 -0581 FEES Quantity Description Date Amount 1 ea Expansion Tank 03/04/2010 $12.51 Specifics: 3 ea Floor Drain /Floor Sink/Hub 03/04/2010 $75.06 2 ea Primer 03/04/2010 $25.02 Type of Use: COM 1 ea Sink 03/04/2010 $25.02 Class of Work: ALT 7 ea Lavatories 03/04/2010 $175.14 Type of Const: 3 ea Urinal 03/04/2010 $75.06 Occupancy Grp: 5 ea Water Closet 03/04/2010 $125.10 Stories: 1 ea Water Heater 03/04/2010 $37.52 1 12% State Surcharge - 03/04/2010 $66.05 Plumbing Total $616.48 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 C 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 ques s to OU b n. 503.232.1987 or 1.800.332.2344. Issued By: t / G ' Permittee Signa / J u r.-l tLfii 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. CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT Permit #: PLM2010 -00061 TIGARQ 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 03/04/2010 Parcel: 2S 101 DC04000 Jurisdiction: Tigard Site address: 7550 SW TECH CENTER DR 250 Subdivision: Lot: 0 Project: Cochran Project Description: Install (1) expansion tank, (3) 2" floor drains, (2) primers, (6) lays, (1) breakroom sink, (3) urinals, (5) w /c, and (1) w /h. Owner: FEES WALTON CWOR SOUTHRIDGE 12 LLC Quantity Description Date Amount BY TTA/EPROPERTYTAX DEPT 325, PO BOX 4900 1 ea Expansion Tank 03/04/2010 $12.51 3 ea Floor Drain /Floor Sink/Hub 03/04/2010 $75.06 PHONE: 2 ea Primer 03/04/2010 $25.02 1 ea Sink 03/04/2010 $25.02 Contractor: 7 ea Lavatories 03/04/2010 $175.14 ASSOCIATED PLUMBING CO 3 ea Urinal 03/04/2010 $75.06 P 0 BOX 301362 5 ea Water Closet 03/04/2010 $125.10 PORTLAND, OR 97230 1 ea Water Heater 03/04/2010 $37.52 PHONE: 503-331-0582 1 12% State Surcharge - 03/04/2010 $66.05 FAX: 503 - 331 -0581 Plumbing Type of Use: COM Class of Work: ALT Type of Const: Occupancy Grp: Stories: Total $616.48 Required Items and Reports (Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. c 6.--Qi_ Liisqpp Issued By: s .. V \ c. J5 jy 3 (k Permittee Signature: Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. 03/02/2010 12:02 503331058,7, ISIAIQ ONIG1111G ASSOC PLUMB CO PAGE 02/03 �� V911 10 k110 Plumbing Permit Application t. ' . x •$x.tMar' F oin i n g 0U Z 0 " . s `rOa oa # FFIC F isr,nNl ` "J; t. Building Fixtures . i i i , " 4• r � :h t . a �. _ �'' _. �:��s�4t:x 4* ..�,�2:�k� .,e, ���.,1- �ttW,ZL.. x, ,..� > ; t City of Tigard ved ' .0 Permit No NI m � j LQ . j'KX s , Date /e t Ry: icw -VtV , n 13125 SW Hall Blvd., Tigard, OR �7 23 Rccci 1 � ,.'n F' Phone: 503.639.4171 Fax: .598 Other Pennil N p V 503 Datc /riy: lJ�l1� �� � " -.,-- Inspection Line 503.639.4175 - T r ) s V , ^ ., p p Date Ready/By. lur', P.7 Scc 1 2 for 1. Internet; www.tigard- or.gov Notiticd /Method: 1' L5 Supplemental Information TYPE OF WORK' rr:.F* SCHEDULE ❑ New construction ❑ I.)cmolition For special it;forrnnrion use, checklist.. Description 1 Qty 1 Ea, 1 Total Addition /attention /replacement ❑ Other: 1 New 1- 2- family dwellings (includes 1011 R. for each utility connection) CATEGORY Oi CO)!(ISTRUCTION I SFR (I) bath 3I2.70 © 1- and 2- family dwelling L'ommerciai /industrial - SPR (7,) bath SFR (3) bath 500,32 ❑ Accessory building ❑ Multi - family - Each additional bath /kitchen 25,02 ❑ Master builder ❑ Other; fire sprinkler (� sq. 0) Pagc 2 j rfOT3 SITE INFORMATTON• ANT) LOCATION _sac ntititics: ....._..-_...,..,.-.__ _ .--,._ S 75 G,/ -- /e 1- �1 'w, T-'•�� Dry catch v l). to leach line drain r r 1$ 7 Job Site address: 7 6 (�.( �ATt -�- fy prywell, leach line„ or trench drain 18.76 City /State/ZIP: -- 7 - , ,. pie_ 9.67 Z-Z-1 Footing drain (no. linear R.: ) Page 2 Suite /bldg. /apt. no.: 7.... Project name: , -�.. , - Manufactured home utilities 50.03 Cross street/directions to - job site: Manholes 18.76 l Rain drain connector . � - .., - - 18.76 - _ " "" "- Sanitary sewer (no. linear 0,: ) Page 2 -. ,_. ... ..., ----- --- Storm sewer (no. linear fl.: ) Pagc 2 - .__ Water service (no. linear R.: ) Pagc 2 Subdivision; I Lot no„ Fixture or _ item: , - -_ ____ ,T - -. preventcr T 31,27 Tax map /parcel no.; n J �\01 f)C c '- 000 B _ at:kllow �! DESCRIPTION OP WORK M.._ 13ackw;ricr valve -- -- - - -- 12.51 C'lothes washer 25,02 ' c .- -- . - - ... d r0'/7 "'W.- + ' Bac_._..._..._- Dishwasher 25,02 _ Drinking fountain 25.02 Ejectors /sump 25.02 _____ PROPERTY `0**S' Expansion tank 12.51 S' El J �R 0 TENANT ' - " - j i=ixturc /sewer cap 25.02 Name: ----. �... . floor drain/floor sink /hub 3 25.02 7 Address: - - - _ -- Garbage disposal 25.02 City /State /ZIP: _ - I Hose bib 25.02 - W - Phone: ( ) - Fax: ( ) lee maker 12.5) ❑ AP ..PT�TcANT 0 CGOt(TACT 11 L R S ON . Interceptor /grcasc trap 25.02 Business name: Medical gas (value: $ ) Pagc 2 - - -- Primer Z- 12.51 7.<°1 _. - _- Cunl name__ - ____._- Roof dram (commercial) 12.51 Address: IV -- - -- /basin /lavatory 25.02 / "5 City /State /ZiP: Solar units (potable water) 62,54 Phone: ( ) Fax: : ( ) Tab /shower /shower pan 12.51 r E - mail: Urinal 3 25.02 ,7 ‘.. --' Water closet 25.02 /r- - ....;CONTRACTOR v:,._.._. Water heater / 37.52 37 'r' I.. Business ream 7 �� ; . 'e.:1,..41.,...,/,;0545- � , - Water piping/DWV 56.29 -- Adres Other: d 25.02 City/State/ZIP: ,.ac ,e,t. ,9, D,� 977,7/ Subtotnl� 550` l o _ Fax: Minimum permit lee: $72.50 Phone: V -3 ) �T~b (5 ) 3',-e5$1 Plan review (2.51'oofpermit fee) -l.4 -- - - CCB Lic.: p� 73-pp Plumbing Lic. no.: Z6 -y /x i - State surcharge (I2 %ofpermit rcc) rr - (,ot .ef Authorized signature: - TOTAL PERMIT FEE Thiv permit npplicntinn expires if n permit is not obtained within 180 days Print name: ��,q 4 ,� Date: Z .� C� �� sifter it has been accepted AA cnmpictc. 'Fee methodology set by Tri- County Building Industry Service Board. t\ auild inplPcrmitrAPLMt1- Pcnnh Air dnc IUr)I/Un 40L46161Mro21COMrw'IiB) / - 48 'll/n ,--,a-it----c__,Q... 03/02/2010 12:02 5033310581 ASSOC PLUMB CO PAGE 03/03 Rrn.2otp ' 00e , Piumbin2 Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression stems: Si #e Utilities qty Fee (cn) lritM _ uar'e Footage: Permit Fee: • Footing dram - 1" 100' 50.03 0 to 2.000 5121.90 Footing drain - each additional 100' 37,52 21001 to ,2 3.600 33 20 3,601 io 7,200 $233.20 Sewer - 1st 100' 62.54 7,202 and greater 5327.54 Sewer - each additional 100' 37.52 Water Service - 1s1 100' 62,54 Medical G ystems: Water Service • each additional 100' 37.52 . 'V lliFAti'iiii: Permit Fee: Storm & Rain Drain - 1st 100' 62,5'1 51,00 to 55.000.00 Minimum fee $72.50 Storm & Rain Drain - each additional 100 37.52 55,00 1.00 to 510.000.00 572.50 for the first 55.000.00 and 51.52 for Qty. fee (est) Total each additional 5100.00 or fraction thereof, to ...Other X1CIts eetiofl"9 or Fees _ _ and ineludinit $10,000.9 I nspectionof ting plumbing orfor 510,1)111.00to$25,000.00 S148. 50 lot the first 51(1,0(10,00and$1.54for which no fee is specifically indicated 90.011 /hr each additional 5100.00 or fraction thereof. to (minimum charge - 1/2 hour) and including 525.000.00. Inspections outside of normal business 90,00 /hr 525,001,00 to 550,000,00 $379.50 for the first 52 5,000.00 and 51.45 for hours (minimum charge - 2 hours) „,_,_ _ each additional 5100.00 or fraction thereof. to Rcinspcction Fees 90,00 /hr and including 550.000.00. Additional plan review for revisions 90,0 0/hr - 550.00I.00 and up 5742.00 for the first 550,000,00 and 51,20 for each additional 5100.00 or fraction thereof. p (minimum charc - 1/2 hour) _ - on reo , :Subtotal: Commercial Fixture Work: Are you capping, adding or replacing fixtures? if "yes ", Pliti Revitw for J Iu:mthin;g •'Ingtallations • • please indicate work performed by fixture. Failure to Plan review is required for any of the following. accurately report fixtures could result in increased sewer Fees Please check all that apply. Quantity by.(F'ixtnrc) Work Performed ❑ Any new commercial building with water service 2" and Fixture Type: ,(]e Reptacc greater. except systems desitgncd and stamped by licensed Previm■ Capped rded Ex'atln,_. cn2inccr, Baptistry /Pont [] New exterior plumbing site utilities for any complex structure Rath - Tub /Shower as defined in OAR918 780 - 0010, -Jacuzzi/Whirlpool ❑ Medical vs and vacuum systems for health Care Facilities. Car Wn,alt - Each Stall ❑ Any multipurpose lire sprinkler system. -Drive Thru I ❑ Any complex structure as defined in OAR91 %- 780.0040. Cuspidor/Water Aspirator ( SY Dishwasher -Commercial „Domestic �O Q Submit 2 sets of plans with any of the above. � — Drinkin Eye Wash • SOmetrie or Riser Diagram. • • Floor Drain /sink - 2” __Jr ® It ❑ Isometric or riser diagram is required for new buildings 3 ' - - - • that meet the qualifications above. 4 .. Car Wash Drain Garbage - Domestic Disposal - Commercial -Industrial Comments regarding fixture work: (cc Mach, /Rcfrig, grains - Oil Separator (Gas Station) - - _ - _ - Rcc, Vehicle Dump Station Shower -Gang - • -Stall Sink - Bar /Lava,ory - '3 1 03 - Bradley - Commercial 'Note: II'the fixture work under this permit results in an - Service i 1 increase of sewer EDUs, a sewer permit will be issued and Swimming Pool Filter fees assessed for the sewer increase must be paid before the Woshcr - Clothes - plumbing permit can be issued. Water Extractor Water Closet • Toilet 3 . 3 )5 Urinal 7— 3 Otl,or Fixtures; C: \Users \Owner \Desktop\ Documents \Doct.im nts \Permits \Tigard Plmb.do0