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Permit t ,, CITY OF TIGARD PLUMBING PERMIT !'i ". COMMUNITY DEVELOPMENT Permit #: PLM2011 -00263 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/16/2011 Parcel: 2S 101 AB00100 Jurisdiction: Tigard Site address: 12023 SW 70TH AVE Project: Red Rock Center, Phase II Subdivision: Lot: 0 Project Description: Site utilities for interior of under slab for shell building. x 4/1712012: REPRINT PERMIT to add (1) backflow preventer and (1) pressure reducer valve. DLH Contractor: WESTERN PLUMBING Owner: FRY, DOUGLAS 9460 SW TIGARD, AVE STE 101 23077 SW NEWLAND RD TIGARD, OR 97223 WILSONVILLE, OR 97070 PHONE: 503 - 639 -5296 PHONE: FAX: 503 - 684 -9015 FEES Quantity Description Date Amount 200 If Sewer Service 08/16/2011 $100.06 Specifics: 200 If Water Service 08/16/2011 $100.06 5 ea Hose Bib 08/16/2011 $125.10 Type of Use: COM 6 ea Roof Drain (Commercial) 08/16/2011 $75.06 Class of Work: ALT 1 12% State Surcharge - 08/16/2011 $48.03 Type of Const: Plumbing Occupancy Grp: 1 ea Backflow Preventer 04/17/2012 $31.27 Stories: 25 Misc Other Fee 04/17/2012 $25.02 0 12% State Surcharge - 04/17/2012 $6.76 Plumbing Total $511.36 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 or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: 7 2)„4_ 7e} - . - j c.____ Permittee Signature: eN 4/ , L. /e9-77 / 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 111 , COMMUNITY DEVELOPMENT Permit #: PLM2011 -00263 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/16/2011 Parcel: 2S101AB00100 Jurisdiction: Tigard Site address: 12023 SW 70TH AVE Project: Red Rock Center, Phase II Subdivision: Lot: 0 Project Description: Site utilities for interior of under slab for shell building. Contractor: WESTERN PLUMBING Owner: FRY, DOUGLAS 9460 SW TIGARD, AVE STE 101 23077 SW NEWLAND RD TIGARD, OR 97223 WILSONVILLE, OR 97070 PHONE: 503 - 639 -5296 PHONE: FAX: 503 - 684 -9015 FEES Quantity Description Date Amount 200 If Sewer Service 08/16/2011 $100.06 Specifics: 200 If Water Service 08/16/2011 $100.06 5 ea Hose Bib 08/16/2011 $125.10 Type of Use: COM 6 ea Roof Drain (Commercial) 08/16/2011 $75.06 Class of Work: ALT 1 12% State Surcharge - 08/16/2011 $48.03 Type of Const: Plumbing Occupancy Grp: Stories: Total $448.31 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 or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: 1121111111111111k Permittee Signature: Call 503.: • -.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. 08/1b/2011 08:44 5036849015 WESTERN PLUMBING INC PAGE 01/03 .�� P�umbin Permit A - ` A . Building Fixtures ��� City of Tigard AUG 16 2411 > , FOR OF r1s • r. USE e� r t,� ■ SW fall Blv, Tai O "aid, R 97223 � pi1i Da By: 1 i i1/ Permit g°'' Phone : 503.639.417 P � > 1 t ►nL Plan Review ' _ Tr inspection 6�� �,DINGDNISION Dainrsx otherlenmiwo-: l., Daze oASOd�+Qe th od See Page 2 for Ready 1 ° c, + f , , , s '` Y Iwo S Inlb►matton , ■ New toe hactio, 1?axuoiition 1 • 1 Addition/alteration/ ' ❑ Other: Deac ri, Far in n»rtarrina ecltedFFiat Addition/alteration/replacement . Total S1 New 1 2 - family dw a i, ■ include C Ef (includes 1001t, for each utility connection 1 and 2-family dwelling 8IR MI 312.70 �Camalar+cial/mdtryt $FIL (2) bath MI 437 - 7$ MEM Acccasory building ] Multi-family SEER. (3) bath 5°0.32 Each / Q (Nam additional bath itches 25.02 MN Site ndt „ 0 ' : Old 3X�.dCN91ottlAti a �� .. 1 hire sprinkler ( . ft.) Job site address: . ;La basin or area drain 3 City/State/ZIP: . _ . Dwell, leach li or trench &lin M,. ,},;�� . � Si;ite/bIQgJaPt no.:. Project name: Footing drain (no, linear 11.: ) MIIIMIIIIIIIII ka l Manufactured limo utaitcea '� Cross a treet/directioma to job site: 50.03 MEI Rain drain connector 1111111 EMEN Sanitary sewer (no. linear ft -..gli Subdivision: Water xery ice (no. linear ft .:1' 4 Fl t n-e ax• ltrm: �. liffillEEnrigbajli Tax map/parcel no no Sad flora preventer 31.27 4 • , Y Clothes washer V e i ll t.. �, L 25.02 MIMI � i ; � 1?�ialttwasber � ,25.02 t' m 25.02 ,- Fu 25_°z T \ A N I F Nata Fixture/sewer e /sewer cap um Address: zs.oa 12 -51 Floor Chili ikatS Sink/hub 251°2 MINE icy /State/Z1P: S e disposal 2 MIMI Phone: ( ) , ( ) 25_oz ■ - 0 L1«: 0 * I , 1 ptr/ e r � 25.°2 Business name! Medical gas (value: S ) �EM Contact e: Primer ME Address: Roof drain (commercial) at � e] RMie Sink/basin/lavatory III 25.02 City/SmteJZtt': Solar units (potable water) 62.54 Phone: ( ) Fax_ : ( ) Tub/shower /slower pan 12.51 E-mail: urinal Null 25.02 a NEM r ', a „, +fan . . _ �� 25 i�! 1 Business make: Wearers Plumbing, .Ina ' Water hurler 37. I!'' ,Address' 9460 SW p 56.29 Tigard Avieutue Suite 101 Other: ME 25.02 City /State/Z1P: Tigard, OR 97223 Phone; (503) 6 95296 soul., Davao F (5U ) 6 9015 Miniyounx permit fee: $72.50 M - " CCR Lie.: 2439 Plumbing 1 ic. no.: 34 2q1 State h Plan review (25%ofperrnit fee) Authorized signatsignature: r r surcharge (12%ofpermitfee) � will / 'Ct` �It (1 i' TOTAL PERMIT PEE b Print name: Dana Jcns¢rf ate. , 1 This permit application rxplrca 1ta permfk is not obtained within 180 days att it Era been opted ass complete. •w rt+tivvinin.w of by Tri.4'rn,nn. R„i1A:..., T..a..an.v R■•••■••■ An,..., • 08/16/2011 08:44 5036849015 WESTERN PLUMBING INC PAGE 02/03 Plumb Perm A ppli c ation - City of Tigard rage 2 - Supplemental Information e. Fee Schedule: , . , X Residential Fire Su a 4 ression S stems: �a to ' >' T ' " `�!e1{u� ,'a vd e . bI, i ' Y:$/4 ,r ' fiiiit0,1 0 e. * > Footing drain -1' 100' 111.1 50.03 NM O to 2,000 $12190 $169.69 Footing drain - each additional 100' 3 Ol t*o 3 2 $233,20 Sewer -1st 100' � � 7 201 0 7 2 0.,' er Sewer - each ndditio 100' 0 ■I61 Water Service -1st 100' � R♦ Medical � Me water Service - each additional 100, Me G Systems: storm .Re Rain Dram - let 100 62.59 ' ' : a " `, f' , 1. "': Storm & Main Dram - each additiotna110D' NM $100 0 to $0 000 Minimum 7 . 0 for f i r st p � $3,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 For '. 1.1 'Tog " ` each additional $100,00 or fraction thereof, to Trion ofeuiating plumbing or fa": and including $10,000:00_ which no fee is apeoiifiaally indicated 90 -00/br $10,001.40 to $25,000.40 $14$.50 for the first $10,000,00 and thereof, for minimum char_ - 1/2 hour each additional $100.00 or fraction thereof, to lospe *ion_a outside of norm business 90.0D/hr IIIII and g $25,000.00, howa minimum c I ; e s- 2 main, $25,001.00 to $50,000.00 $ 374.50 for the first $25,000.00 and $1.45 for Reinepection Fcca 9°'43°831. each, additional $100.00 or fraction thereof to NM artd including $50,000.00. Additional plan review fat revisions. 90.00/(a $50,001.00 and u p $742.00 for the fret $50,000.00 and $1.20 for minimum c . • _ _ 1/2 each additional $100.00 or ftnation thereof. Subtotal: M Commercial Fixture Wow: . Are you capping, replacing to "yea'', ; la g res. II :.:,:� :..... ., please indicate performed by re, Failure #o � ;.� ;; ;�+..;����.;: - :..: �-- •• ,,,. , , pl i� work b fixtu Plan review is lam- t . ° '. ; ,:,, ; , requited for any of the following. accuratel report fixliwes could result in increased sewer fees*. Please deck all that apply. l .+y �,r1a x s, ❑ Any new commercial building with water service 2" and greater, except systems designed and stamped licensed /Fon - by Rath - Tub/Shower © Neer a tzar plumbing site utilities for any complex structure -Tacuzzi/whirksol as defined in 0AR918 -7$0 -0040. Car Wash -Each stall • ❑ Medical gas and vacuum systems for health care facilities. Drive Tbrn MINN ❑ Any multtputpose fire smiler system. - Ctrs�idor/wat� ;,.; cc ❑ Any complex structure as defined in OAR918 -7 80-0040. Dishwasher -Commercial -Domestic Submit g of plans vii t Drinking Fountain p h any of the above. Eye Wash Floor Drain/sink 2'> + :, Or•Oifi' *Egt.' $ " ?' - te :-'• 3 „ Isometriic oz riser d diagram is required for new buildings - 4" III that meet the qualifications above. Car Wash Drain . Catbage - Domeatic Disposal - Commercial -hidu9mal Comments regarding fixture work: Ice Mach,/Re&ig, Drains MIMI - D savara oag �tali Rec. vehiclle e Dum• Station Shower -Gang -• -Stall - — Sink -Bar/Lavatory -Bradley ---- - -Commercial ,vice *Naha: If the fixture work under this permit results in an -service $witttrnin& loot Fitts increase of sewer EMUS, a sewer permit will be issued and washer - Glothea fees assessed for the sewer increase must be paid before the Water Ea r star "— plumbing permit can be issued, Water Cloact - Toils Urinal Other Fixtures: N • 04/12/2012 14:33 5036849015 WESTERN PLUMBING INC PAGE 01/02 Plumbing Permit Application Building Fixtures 41 0Eir i rclr 01 USE u;vl:1:....::`, ; :;.. :,.:, ; ..> . V 13125 of Blvd, OR 97293 A PR j � n � / / '7 � i2 : %_ • tNa.:P[/y�0 / / -OO dB 0 :. Phone: 503.639.4171 F� 503.5 2 20 Rameer T I G A tt n inspection line. 503.639.4175 8 ( Q r Op �12 ..:. Permit No.; s0/ TI , ..- �'-- i� www.tigard-or.gov L C ■ Vote See pegs a for w .t�Yi; ,rrNrl +': ..' f::` �, ": .:r sr S , analbnformatton ..Z F..., ..iaY� °. �.v., .: y �r..� ,n t. r }�. ,t.. %:�•- ay.,, :'1..�' , +.•�i�:: . New ��' );; �.,.: :�_ -:�,r, :.. ,�:,.... :� :.� :• "' ........ D ... on 0 Demolition . ^ • • . , tawcher -M For . E I AdditKeiulalfea�odreplaceraent ~ '' ,npy R for Tote ; 4 = ` ti<; w • O Rher a• New 1- 2 dwellings (includes 100 r each utility connection) '~" � , ^ " '" "`-'`' s. +,��.. ,.:�'' :.'.. ;' '::, ,:: . "'. 3Flt(1)bath 312.70 ❑ 1- and 2- family dwelling jCommerciaUmodustrial SFR (2) bath 437.78 • Accessory building 0 Multi- family SFR ( 500.32 0 Master binder 0 Other Each bath/kitchen 25.02 Fire sprinkler ( sq. ft.) Page 2 :. a xi. .. :�<� Site u Job site address 1.L� . ` �Q YV1� Catch Inaba or area drain 18.76 City /State/ZIP: • 4.4 1 ' r1C t . er 7' ` Drywall, )cacti lint, ortrrach drain drain Suite /bldg./apt. no.: Project till* Footing (�- unearR:_J Paget Manufaa4ued home utilities IIII 50.03 Cross street/directions to job site - - Manholes 18.76 Raba drain connector Ma Sanitary sewer (no. linear R: __) Mill Page 2 Storm sewer (no. linear fl.:_) Page 2 Subdivision: Water service (no. linear ft: _ ) Page 2 Lot no.: Firture orftem: Tax map /prase) no.: 13addlow preveutes 1 �;;��. •�,,:«<:,, -.. :.:.:�. .�.•.: ,,,,J, 31.27 �. :" Bedcwater valve .. ;+,. _.: '. Zi .,E' + :!'_W r , /,. � ; ;,'• 12.5 h..& . le 4.. . f1. _ . l L ti .411 - 00'4163 Clothes wash 25.02 Dishwasher /�rr2/N /', t-/,7 25.02 �� 25.02 { ` "fiR +dP'. >.f3TY sr•A.. �i.. I.. � c: Eject�/eump 25.02 . ,.... . . . .... ;�,- .� -' . ... Exparratontank 12.51 Name; Fudure/sewer cap 25.02 - Address: Floor draiiyflooraiok/lmb 25.02 - City /State/ZIP: d 25.02 Hose bib 25.02 Phone; ( ) Fax ( ) Ice ,.V, maker maker .... ..'. ..e+ s;< �;�:;�: :��- Irderceptor/greasetrap 25.02 B us i ness Warne Medical gas (value: $ ) Page 2 Contact name: iffier 12.51 Address: "" Roof drain (commercial) 12.51 Sink/basin/lavatory 25.02 City/State/71P: Solar units (potable water) Phone: ( ) Far : ( ) TcWsbowed:ihower pan 12.51 £ rawil: Urinal }`1 c... 'y ,,,f k.a ' ,. &. ' :•Y� r5;. 1'.' . ' ' ii ; K•• : :'iG•�: • ^x :> : WBDrl cxlO88t , ,,•. . f �_ "' `` e�� y y �� ' .. , ,2! .,. M, { . .c 25.02 Business name: Westani Plumbing, Lau;. 37.52 Water pipineDW V 56.29 Address: 9460 SW Tigard Avenue Suite 101 Other: rb 25.02 UP . City/State/ZIP: Tigard, OR 97223 Subtotal ,ta h P one: (503) 639..5296 Fax (503) 6&{.9015 Minimum permit fee: $72.50 CCB Lie.; 2439 ' _ Plumbing Iwo_ no.:34:29P13 ew (25%ofpermitfee) Authorized signature: �� // State surcharge (12% of permit fee) n s /'�! ' . r� . _: /1 / es enures Its *Mtn PERMIT FEE . 4 , 6 r _ Print name: Dana .reillat,r � �' Date: -42-42 This permit appli permit is not obtained 180 days ( after it hall been accepted as complete. se.. •wr,.,,dnln.., ..s hr, 7ti;1`nn0., n.a,tinn r «.t „a,., e.,v:.. n,...d