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Permit t CITY OF TIGARD PLUMBING PERMIT % ' I t -' COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00011 T . DATE ISSUED: 1/17/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2 S 113AA - 00100 SITE ADDRESS: 16350 SW 72ND AVE B4 ZONING: I -L SUBDIVISION: OREGON BUSINESS PARK I LOT: OOA JURISDICTION: TIG Project Description: Replace (1) Iav & (1) service sink. CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: B FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 1 URINALS: GREASE TRAPS: LAVATORIES: 1 OTHER FIXTURES: TUB /SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES PACIFIC REALTY ASSOCIATES 15350 SW SEQUOIA PKWY #300 -WMI Description Date Amount PORTLAND, OR 97224 [PLUMB] Permit Fee 1/17/2007 $72.50 [TAX] 8% State Surcha 1/17/2007 $5.80 Phone : Total $78.30 Contractor: ADDISON PLUMBING 1407 HOMESTEAD PLACE MOLALLA, OR 97038 REQUIRED ITEMS AND REPORTS Contact # : PRI 503- 785 -1840 FAX 503 -829 -9701 Reg #: LIC 151754 PLM 3 -449PB This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. 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 than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By:-..„ � 7 / Permittee Signature: AO/ v _ _ AL /..' / Cali 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. • Plumbing Permit A t a• wi ��D FOR OF1 1( E: l tiL: O \L.l City of Tigard Received 13125 SW Hall Blvd., Tigard, OR 97223 I 1 9001 1 ��Y / j 7 // 7 - 2 t l P e rm it N l r ill , du 4 NN P Plan Revi hone: 503.639.4171 Fax: 503.598.1969 : ;.; ew C��Y �`1 ? Other Permit No.: 24 - Hour Inspection Line: 503.639.4175 Or I3ARD 1 � i Y Date Ready/By. luris Internet: www.tigard- or.gov �� . .. . . Brfi 01 Na Notified/Method: : HI See Page 2 for Supplemental Information TYPE OF WORK FEE* SCHEDULE ❑ New construction ❑ Demolition For special information use checklist. Description 1 Qty. I Ea. I Total j Addition /alteration/replacement ❑ Other: New I- 2- family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath 249.20 ❑ 1- and 2- famiydwelling 0Commercial /industrial SFR(2)bath 350.00 ❑ Accessory building ❑ Multi- family SFR (3) bath 399.00 ❑ Master builder Each additional bath/kitchen 45.00 ❑ O ther. Fire sprinkler ( , sq. ft.) Page 2 JOB SITE JNFORMATION LOCATION Site utilities Job site address: /t') 6 �� Ad y) . Catch basin or area drain 16.60 - City /State/ZIP: ,(/ , Drywell, leach line, or trench drain 16.60 • Suite/bldg. /apt. no.:' I Pr name: -To w -ek Footing drain (no. linear R: ) Manufactured home utilities Page 2 110.00 Cross street/directions t j site: Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: ) Page 2 Subdivision: 62/162-4;1544.6 �t��. .. F I Lot no.: Water service (no. linear ft: ) I Page 2 I/ Future or item Tax map /parcel no.: Absorption valve 16.60 J DESCRIPTION OF WORK Back flow preventer Page 2 ,4,l rQCC kH� 5 ! /( / _ 6 • B valve 16.60 - �,yL L Clothes washer 16.60 Dishwasher 16.60 A PROPERTY fountain 16.60 RTY OWNER l 0 TENANT G Z - )7 (7 err' L/ S, l Ex tan 16.60 Name: -Pa e tl [t / J Expansion tank 16.60 Address: 3 cal f) J� q l j u [ F 1`4 ? a� 3o F ixture/sewer cap 16.60 City/State/ZIP: � Floor drain/floor sink/hub 16.60 Phone: 7 _ � `/ ' / Garbage disposal 16.60 3 ) 1j , / 9 ,? [IIc Fax: 3 )6 4 - � 7 5- 5 Hose bib 16.60 pt. APPLICANT ❑ CONTACT PERSON A r Ice maker 16.60 Business name: / .' ' `r iA.^ c / dam Interceptor /grease trap 16.60 Contact name: 1 , Q e Medical gas (value: $ ) Page 2 Address: " ' 'V p � D Lj L/ ` Primer 16.60 City /State/ZIP: r / ic fr 0 X.. el 7 P O 0 Roof drain (commercial) 16.60 Phone: ( , -'.5 ) 3�o, ! 4, I Fax:: 3 )6 L / , .� Sink /basin lavatory _/� _ 16.60 J ! ! © Tub /shower /shower pan � 16.60 E -mail: ! C� I et fat, 1. 6 e , "rn Urinal 16.60 CONTRACTOR Water closet 16.60 Business name: ,� //) f/ � „ 4"" `- Water heater 16.60 Address: , / /` Y Other: Subtotal City /State/ZIP: y V() / " 1 / 4. D q :7o. Minimum permit fee: $72.50 Phone: (Sc:; ) ')g, _ 1 c. y c Fax: (S'C' ) 4' j - 7(1(,', Residential backflow minimum permit fee: $36.25 CCB Lic.: j S` r 7c,'-f Plumbing Lic. no.:i - t(y 7 ('t^, Plan review (25% of permit fee) Authorized signature: � _ , - c,., ,e� State surcharge (8% of permit fee) `rte TOTAL PERMIT FEE Print name: J „., via.) c - e Date: /// 7 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. 1:\ Building\ Pam its \PLM- PermiWpp.doc I2/30/OS 440-4616T(10/OZCOM/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' 55.00 0 to 2,000 $ 1 15.00 Footing drain - each additional 100' 46.40 2,001 to 3,600 $160.00 3,601 to 7,200 $220.00 Sewer - 1st 100' 55.00 7,201 and greater $309.00 Sewer - each additional 100' 46.40 Water Service - 1st 100' 55.00 Medical Gas Systems: Water Service - each additional 100' 46.40 Valuation: Permit Fee: Storm &Rain Drain - 1st 100' 55.00 $1.00 to $5,000.00 Minimum fee $72.50 Storm & Rain Drain - each additional 100' 46.40 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each Fixture or Item Qty. Fee (ea) Total additional $100.00 or fraction thereof to and including $10,000.00. Commercial Back Flow Prevention Device 46.40 $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for Residential Backflow Prevention Device each additional $100.00 or fraction thereot to (minimum permit fee $36.25) 27.55 and including 525,000.00. Rain Drain, single family dwelling 65.25 525,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for Inspection of existing plumbing or each additional $100.00 or fraction thereot to specially requested inspections - per hour 72.50 and including 550,000.00. Subtotal: S50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for each additional $100.00 or fraction thereof Fixture Work: Plan Review for Complex Structures Are you capping, adding or replacing fixtures? If "yes", A "complex structure" is defined as an installation of a plumbing please indicate work performed by fixture. Failure to system that meets any of the following criteria. accurately report fixtures could result in increased sewer fees *. Please check all that apply. Quantity by (Fixture) Work Performed ❑ Any new commercial building. Future Type: Replace ❑ Any new exterior plumbing site utilities. Previous Capped Added Existing ❑ A commercial building with installation, alteration or addition Baptistry/Font of nine (9) or more new or relocated plumbing fixtures. Bath - Tub /Shower ❑ Medical gas and vacuum systems for health care facilities - Jacuzzi/Whirlpool providing services to human beings. Car Wash - Each Stall ❑ Plumbing installations, alterations or additions to food service - Drive Thru facilities where new plumbing fixtures, including interceptors, Cuspidor/Water Aspirator are being installed for the food service area Dishwasher Commercial ❑ Any new residential building containing three (3) or more - Domestic dwelling units. Drinking Fountain Eye Wash ❑ Any NFPA 13 -D multipurpose fire sprinkler system. Floor Drain /sink 2" Submit 2 sets of plans with any of the above. -3" -4" Car Wash Drain Isometric or Riser Diagram Garbage - Domestic ❑ Isometric or riser diagram is required for new buildings Disposal -Commercial three (3) or more stories in height. - Industrial Ice Mach./Refrig. Drains Oil Separator (Gas Station) Comments regarding fixture work: Rec. Vehicle Dump Station Shower -Gang -Stall Sink - Bar/Lavatory 1 - Bradley -Commercial - Service t Swimming Pool Filter Washer - Clothes *Note: If the fixture work under this permit results in an Water Extractor P Water Closet - Toilet increase of sewer EDUs, a sewer permit will be issued and Urinal fees assessed for the sewer increase must be paid before the Other Fixtures: plumbing permit can be issued. i :\ Building \Permits\PLM- PermitApp.doc 07/06/05 CITY ��^�N��U�Q� ��uo n OF ow�� BUILDING DIVISION > PERMIT #: PLK8 . OOD11 13125SVV Hall Blvd, Tigard, ORQ7223 DATE ISSUED: 1/1 //2007 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 2/3/2007 TIME: 7:O4AIVI PAGE: �2 ' SITE ADDRESS 163bOSVY72NDAVE 134 CLASS OF WORK: • SUBDIVISION: OREGON BUSINESS PARKI LOT #: OOA TYPE OF USE: PROJECT NAME: POWER TELEPHONE DESCRIPTION: Replace (1) lav & (1) ervic ink. OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: CONTRACTOR: ADDISON PLUMBING PHONE #: 503-7851840 Inspection Request Scheduled For: Date: 21912007 Pour Time: Code.# Inspection Description Confirm # Contact # Message 399 Plumbing final 043179-01 6O3-320-66D1 Y - -- Corrections/ Comments /|nstrucdona� V �� AC >»x8k ^ � � /Y^�n�` � PASS fl PARTIAL APPROVAL CANCEL 7 NO ACCESS | | FAIL | 1 CALL FOR INSPECTION Li Inspector: 6-4 1 ^ Oete: 2^ �� ' �� Phone #: (503) 718- 2.446 '�` CITY OF TIGARD BUILDING DIVISION 1 PERMIT #: PLMI7007 -00011 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: - 0712007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639-4175 .F' 1 INSPECTION WORKSHEET FOR DATE: 1!1817007 TIME: 7:O6AM PAGE: . 75 SITE ADDRESS: 16350 SW 72ND AVE 134 CLASS OF WORK: SUBDIVISION: OREGON BUSINESS PARK I LOT #: 0OA TYPE OF USE: PROJECT NAME: POWER TELEPHONE DESCRIPTION: Replace (1) lay & (1) {service sink:. OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: CONTRACTOR: ADDISON PLUMBING PHONE #: 503 Inspection Request Scheduled For: Date: 1118/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 305 Plumbing under:;Iab 0422340/ 503.32043001 N Corrections /Comments /Instructions: \PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS r 1 FAIL CALL FOR INSPECTION 1 1 ADDITIONAL FEES ASSESSED Inspector: 06 ' Date: I' i U 1 07 Phone #: (503) 718 - Mq b" CITY OF ��uo w w�'u� wu��m�� BUILDING DIVISION : PERMIT #: PLM2�7-OOO11 13125 SW Hall B|vd,Tlgard. OR O72�3 ' DATE ISSUED: 1/17/2007 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 1/1812007 TIME: 7:06AkA PAGE: ":13 SITE ADDRESS: 1535OSyV724D AVE B4 CLASS OF WORK: SUBDIVISION: OREGON BUSINESS PARK ( LOT #: OOA TYPE OF USE: PROJECT NAME: POWER TELEPHONE DESCRIPTION: Replace (1)|ax&(1) service sink, OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: CONTRACTOR: ADDIS0N PLUK4B|NG PHONE #: 68;:1, Inspection Request Scheduled For: Date: 111Fy2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 P}unnbingn/uoh'in 042234-02 503'320-8801 Y Corrections/Comments/Instructions: UJcaat &a -- __ CANCEL | 1 NO ACCESS $YASS _- FAIL 17 CALL FOR INSPECTION U ADDITIONAL FEES ASSESSED ^/ � "^� K/M �� M� ) / � �U/� Inspector: / ^� ~~`~ Date: "/ ^ W } Phone #: (503) 718 u��»' � -� , '