Permit N UJ c � r + "n CITY OF TIGARD PLUMBING PERMIT
I's g COMMUNITY DEVELOPMENT Permit #: PLM2010 -00088
.,
;',,f Date Issued: 03/30/2010
[T.
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S112AA00500
Jurisdiction: Tigard
Site address: 14344 SW 72ND AVE
Subdivision: NELSON BUSINESS CENTER Lot: 0
Project: Leifs Auto Repair
Project Description: Install oil /water seperator.
Owner: FEES
WALTON CWOR NELSON 13 LLC Quantity Description Date Amount
BY TTA/EPROPERTYTAX DEPT 735, PO BOX
4900 1 ea Interceptor /Grease Trap 03/30/2010 $25.02
1 12% State Surcharge - 03/30/2010 $8.70
PHONE: Plumbing
47 ea Minimum Fee Adjustment - 03/30/2010 $47.48
Contractor: Plumbing
ALL PRO PLUMBING SERVICES LLC
2210 SE CELEBRATION CT
HILLSBORO, OR 97123
PHONE: 503 - 579 -5555
FAX: 503 - 259 -2555
Type of Use: COM
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 -0100. You may obtain a copy of the rules
or direct q tions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By. Permittee Signature
di
mirm,_ . ! II lf_. 4.irs A 1
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.
Mar23 10 10:20a All Pro Plumbing Seivics 5032592555 p.3
Plumbing Permit Application ��
MAR 2 3ittf
City of Tigard ,. ..r,i.. ... : ow , Received ll ///n�,�, ,
1,
y. DI _ ; 3 La PeewitNo.: , /70�16 ti'�t�c
• 13125 SW Hall Blvd.. Tigard. OR 972.23 , , ', ., , ., . , r•,-. phn Rwiow w � �t
Phone: 503.639.4171 Fax: 503.598.1950' oilier Permit Ne tD °006C2/--
inspection Line: 503.639.4175
T l r; n R p fntarlet: wtvw.tigRfd -Or.gov Date Readyl8y: rtm+: 11 See Page 1 far
Norit
�(' �y '1 'iedlMerhod: 5 . plemertpl Information
Fif.' 'ti'g�i �1;:�;�:S �t,�_nl •. .z l J ; . �;n� .•I vC _ �,. ..., •.
ti h- ... llrla: /4 : ,>7` S YRE4'•"'. 4;,.. � '. (,, y , 1 .. {p r
�.+7e• -' ml ri l z? W Y fvR�;- w�= n:- {�' +� °` � ,
t New cOnSMIetion 0 Demolition Few 0 ofi ormodonruechecklisr.
< ;
Description sty, Ea Total
c®Other: New 1 -1 -fa ml
� . c�, ly dw-enlogs (includes 100 ft. far tech utility connection) 7 t ii '�: ` i. ; < �qQ y � `1( T . ;:4f ?. ; . ;k':,:`; SFR' (1 b ath
.ti^ .e' ` : a '21 de < '' . • .Q7 .77. .7 "!'i8 t 1 1.,.. '. ' .. l :?. - r..r. ) 312.70
❑ 1- and 2- family dwelling SFR (2) bath 437.78
Accessory building D SFR (3) barn 500.32 •
Each p r both/kitchen
❑ Master builder L)
� ., � a Fire sprinkkr{ sq R.)
MN Page 2
as c - t
,•. . 4t- . .
i, . w ::y r -j •Vii; Site utilities: l
Job site address: '���
11176 dallr.
1 �zyY 5_( 7 �v
Drywall,
City/State/ZIP: J, - ti-( Or
!. Fooling drain (no. linear fC: _� P 2 ti
SvitetIrIgJapt. no. r Project name: t a i '` r t
Cross street/directions to job site: Manholes
- 7 _ A.,. eg--• Rain drain connector 18.76
Sanitary sewer (no. linear ft.; _) Page 2
Storm sewer (no. linear ft.: _) Page 2
Water service (no. linear ft.: ) I Page;
Subdivision: Lntno.: native or item:
Tax map/parcel no.: g 119,64 DD Sim Backilow preventer 31.27
�"r��; .. y^ SYw s .. / - 2.31
a ` '' 25 -02
27 7`4 t d r ( - ) 7,-(7z....,,, ?'ter Dishwasher _ 15.01
5ep•.QAC' fO Ejectors/sump 25.02
p' ' o+91 ,'r.`• •W' . %i.;. xw ,�,�y� f: c- Expansion tank 12.51
Name: Fiaturrlsewercap 25.02
Address: Float drtrinifloor sink/hub
City/State/ZIP: Garbage disposal 25.02
Hose bib 25.02
Phone: ( ) Fax: ( ) ,�y,�'`' ice maker 1251
° -- :F (�'rn07 =i 0 ..fr: ' Interceptor /grease trop -- 25.02 FiarPa
Business name: f1 PRO Per u M (3 7J L- Salt Vr( Nl 1 l � , Medical gas (value: $ ) ®
Contaclname: KAL -0 Primer
Address: p Roof drain (commercial) 12,51
' G 5 ` QC l e J /7 y� t a . ,, 4, I Sink/basiNfavetory 25.02
City/State/ZIP: j (S br L 0 C I7 / - , Solar units (potable wafer)
Phone: (5 `i� C I— 5'55'5 Fox :: ( ) �
E -mail: 1tle0 AcL PR i'cuk ► ' ''ei . <OM Urinal
,`'' '," ' ' :M,`3-7'.. _ R . _....; :":;....;-"...5:,..-. .1 21.02
Business neme a« Rev OIL U . • < VIC 4 ii
addreac: f+ Water a 5629 NM
2� d Q. • Q (r . ' L1 Other. 25,02
, ^ It a 9) ( . ., b
Phone: (1 pl) 5 7 — 55-5- FBA: (9 )3) a:5 . )-5 7 5 - M
r
CCB Lie,: 18, p p / Him Plumbing Lie. no.: 77 Plan retiew (25% of permit foe)
State Authorized signature: /.i / 7 / i/ surcharg • ` I`
TOTAL PERMIT F( E + h
Print name (.G r - `, Date: - 2, ft) This permit application erpirmifa permit is not obtained within 1g0 da "
alter it t as been.esepred a complete.
'fee mdbodeleity set by Tri -Coumy Building Industry Service anard.
-
1 :Amildiret9er amPLMlNentmAppdec 1N0U1139 uu...el Ttt9+e:1COM(wt a)
A' v
L - - a 0 o- ( C L
Mar23 10 10:20a All Pro Plumbing Services 5032592555 p.2
)Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule
Residential Fire pees Systems:
( •, t i'
er �. `
. ! t 1 5,.. t2 4 ,2 i a t' 41,4 e . ` r A ' '. ' " X yw fi t ' r• .. 22).L1,.11 'i rig! � ti l t
a pression tl:IfiB'
Footing drain - 1" too' SQ.4 O to 2.000 Si 21.90
Footing drain - cash additional 200' 37.52 2,001 to 3600 5169.69
Sewer- 1st l00' 3,601 to 7.200 _
7,201 $23320
62.54 7, an -
Sewer - latch additional 100' - der 3327.54
37.52
Water Service- 1st 100' 62.54 Medical Gas Systems:
Water Service - each additional 100' 37.52
Storm „• te r • - ,
;;'stil �*: ,' 1'rt',�t
Rein Drain - 1st 100' 62.54 r
5 1 _00to35,000.00 Minimum fee $72.50
Storm & ltain Drain - each additional 100' 37.52 55.001.00 to 510.000.00 372.50 for the first 35,000.00 and 31.52 for
. .. ' r y r. each additional S t00.00 or fraction thereof. to
::>>''....4":4'.7'..i!1.... e `! r ' t i+ "'". c a'a ' :;° and including $I0.000.00.
inspection of existing plumbing or for 510.001,00 to 325,00000 3148.50 for the first 310,000.00 and 31.54 for
which no fee is specifically indicated 90.00/hr 010 , each additional 3100.00 or fraction thereof, to
(minimum charge- I/2 hour) and including S25.000.00,
inspections outside of normal business 90.000,r 325.001.00 to 550.000.00 3379.50 ibr the first 325,000.00 and 51.45 for
hours (minimum charge -2 hours) each additional 3100.00 or fraction thereof to
Rcinspertion Fees 90.00/hr
seed includinq 550,000.00.
Additional plan review for revisions 90.00/hr 350,001.00 and up 5742.00 lbr the first 550.000.00 and S1.20 for
(minimum charge- 1/2 hour) each additional 5100.00 or fraction thereof.
Subtotal:
Commercial Fixture Work:
Are you capping, adding or replacing fixtures? if "yes'', rr'"•" r__ iti
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.
.,, ' . :.. :. ri•' 2 77- Quint ietryfflitttire)Vidr10Maiina _ 1 Q Any new commercial building with water service 2" and
f'uttu y " '" a s, -y'' - ":,. • " i.. .; r '••,Rep1s'c greater,. except systems designed and stamped by licensed
,,ys';"'''. ;... Z :',&:'
.. - '.Eie*lei9 + I Mil '.^. `, /d 0ed • . .E1b g
engineer,
Aapttstry/font ❑ Nom exterior plumbing site utilities for any complex structure
Bath - Tub/Shower as defined in OAR918 78D -004D.
• .1acum1Witirlpool ❑ Medical as and vacuum s
-Each Sall 8 ystems for health care facilities. Wash - t
-Each Stall - - ❑ My multipurpose fire sprinkler system.
CuspidorfWasrAspirapr ❑ Any complex structuto es defined in OAR9 'I 8-780-0040,
'
Dishwasher -Commercial
- Domestic 5u bend sets of plans with any of the above.
Drinking Fountain _
Y ash y, • -' •n- r .' w
FloorDreinlsink 2'• � '` ;in ti °a ... ',af ,c... ... -.,.i t o a'i, >... ; ;
• 3"
D Isometric or riser diagram is required for new bui''dings
_ 4 •. that meet the qualifications above.
Cer Wash Drain
Garbage -Domestic
Disposal -Commercial
- Industrial Comments regarding fixture work:
.rce Machincfnp. Drains
Oil SeparxtorjGac Station) J��
Rec. Vehicle Dunn Station
Shower -Gang
-Stall
Sink - Barfl.avatory
- Bradley
Commercial - *(Vote: ifthe fixture work under this permit results in an
- Service - increase of Sewer EDUs, a sewer permit will be issued and
washer - Clothes ass essed
Swimming Filter
wash fees assed for the sewer increase must be paid before the
wash,
Water Extractor _ plumbing permit can he issued.
Watcl One - Toilet '
Urinal `
_Other: xtures:
1: lBuildingtParnita \PLMF- PernthApp,doc 2
Accumulative Sewer Tally Parcel # 2S112AA00500
Tenant Name: Leifs Auto Repair This SWR# 2010 - 00042 -
Site Address: 14344 SW 72nd Ave • This PLM# 2010 -00088
Fixture Value Previous Previous Credits Capped Fixture Fixture New New
# value capped off value added added total total
count off #s count # value #s values
Baptistry/Font 4 0 0 0 0 0
Bath - Tub /Shower 4 0 , 0 0 0 0
- Jacuzzi /Whirlpool 4 0 0 0 0 0
Car Wash - Each Stall 6 0 0 0 0 0
- Drive through 16 0 0 0 0 0
Cuspidor /Water Aspirator 1 0 0 0 0 0
Dishwasher - Commercial 4 0 0 0 0 0
- Domestic 2 0 0 0 0 0
Drinking Fountain 1 0 0 0 0 0
II yc Wash 1 0 0 0 0 0
Floor Drain /Sink - 2 inch 2 0 0 0 0 0
- 3inch 5 0 0 0 0 0
- 4 inch 6 • 0 0 0 0 0
- Car Wash Drn 6 0 0 0 0 0
Garbage Disposal
- Domestic (to 3/4 I -IP) 16 0 0 0 0 0
- Commercial (to 5 HP) 32 0 0 0 0 0
- Industrial (over 5 HP) 42 0 0 0 0 0
Ice Machine /Refrigerator Drain 1 0 0 0 0 0
Oil Sep (Gas Station) 6 0 0 1 6 1 6
Rec. Vehicle Dump station 16 0 0 0 0 0
Shower - Gang (per head) 1 0 0 0 0 0
- Stall 2 0 0 0 0 0
Sink - Bar /Lavatory 2 0 0 0 0 0
- Bradley 5 0 0 0 0 0
- Commercial 3 0 0 0 0 0
- Service 3 0 0 0 0 0
Swimming Pool Filter 1 0 0 0 0 0
Washer - Clothes 6 0 0 0 0 0
Water Extractor 6 0 0 0 0 0
Water Closet - Toilet 6 0 0 0 0 0
Urinal 6 ". 0 0 0 0 0
Previous EDU Count 0 0
Capped EDU Credit 0
'1'O'l AL,S 0 0 0 0 1 6 _ 1 _ 6
Current Fixture Value 6 divided by 16 = 0.4 Current EDU 1 EDU = S 3,600
Previous Fixture Value 0 divided by 16 = 0.0 Previous EDU
Change 6 divided by 16 = 0.4 over (under) S 1,440.00
Enter EDU Change Here 0.4
Notes:
Authorized Name /Signature: Debbie Adamski Date: 3/24/2010
Building Division
Note: The property owner shall retain the ORIGINAL, sewer tally record. If credits exist, this document will serve as a voucher which must be
submitted to the City of Tigard Building Division to redeem credits towards future system development charges.
I:\ Building \Sewer Tally \Scwer'1'allyShect- 3600.x1s 06 /25/08
Mar23 10 10 :21a All Pro Plumbing Services 5032592555 p.4
03/23/2010 09:25 5039682920 CSCU WA EKWUKK I."IVL
1 FA
MAR: 2 3 2013 FOSSIL FILTER ' , r��
29 " FILTER INSERT �"'
MODEL F'GS24- DS) \'► 1� �.
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i ' �• c :' *' + *' , DUTY TRAFFIC GRATE
► �!p: • ► S UPPORTS AASHTO
cv >.� � - r��.•4 H25 LOADS GRATING
' .t : :::=!'1 1 MESH
V....4V' - ,8.- WOVEN
_ •
FILTER BODY
SQUARE
NEOPRENE GASKET
24• SQU (TWO SIDES)
NOTES:
PLAN VIEW
HIGH. FLOW BOX FABRICATED FROM
BYPASS 10 GA. MATERIAL
29" SQUARE L2x2•x
= ' SILT & ]DEBRIS FRAME CONTAINMENT AREA 7 0:34 igtit* r t` OUTLET S '44$4 4 00•44 4 ;+" '�r r �` ! t � •
co lo 1
pow.-,
t
1.___ .____
1 GREASE TRAP
W/ HINGED LID
24. SQUARE REPLACEABLE ;
—, N. ABSORBENT
SIDE VIEW POUCHES ISOMETRIC SECTION
1
oh_ & GREASE FILTRATION SYSTEM i
STATE APPROVED — ASPHALT DIPPED
0 II 24" SQUARE — 4 "0 OR 6 "0 OUTLET
STORM SEWER CATCH BASIN DWG #
P ROJ. MAN. DOUG P. DIM. PAUL G. SCALE NONE - ' I, F ''
Maya 9tee1 Swains DATE: JAN. 23, 06 MODEL: GCBi10- 3 6H8 - 4ac 6
VI t97E
247 Washington St. Eu gene. Cr. 97410 p h: (541) 687 — 8672 fax:687 - 0033