Permit •
11 CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00210
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/21/2007
PARCEL: 2 S 112 B C -013 00
SITE ADDRESS: 08200 SW BONITA RD ZONING: R -4.5
SUBDIVISION: PAC RIM PARTITION LOT: 070 JURISDICTION: TIG
PROJECT: PAC RIM PARTITION
Project Description: 200 ft. water line on property. •
CLASS OF WORK: NEW GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: R3 FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: 200 ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
PAC RIM HOMES LLC
5700 NW EL REY DRIVE Description Date Amount
CAMAS, WA 98607 [PLUMB] Permit Fee 5/21/2007 $101.40
[TAX] 8% State Surcha 5/21/2007 $8.11
Phone : Total $109.51
Contractor:
SARKINEN PLUMBING
34911 NE 127TH AVE.
LA CENTER, WA 98675 REQUIRED ITEMS AND REPORTS
Contact # : PRI 360 - 882 -2034
FAX 360 - 263 -7644
Reg #: LIC 170052
PLM PB 115
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: vin - Permittee Signature: / / � �� /4,
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.
r ' Plumbing; Permit Application 2-
`''` it-1 L P --6°
FOR OFFICE USE 'ONLY
City of Tigard Received
Permit N-
e
Date /By: �( /0 riD :/ IM 00 2 epe2A] 0
III
q 13125 SW Hall Blvd., Tigard, OR 97223
Plan Rev
' 'w � // f
. Phone: 503.639.4171 Fax: 503.598.1960 Date /By: Other Permit No.:
Inspection Line: 503.639,4175
TIGARD Y Date R ead B Y 7 ®See Pa ge 2 for
Internet: www.tigard- or.gov A/6, -CO/ CO Notified/Method: / Supplemental Information
TYPE OF WORK FEE* SCHEDULE •
•
' IiNew construction ❑ Demolition • For special information use checklist
Description Qty. I Ea. I Total
❑ Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection)
'CATEGORY OF CONSTRUCTION - SFR (1) bath 249.20
❑ 1.- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00
❑ Accessory building ❑ Multi- family SFR (3) bath 399.00
Each additional bath/kitchen 45.00
❑ Master builder Other: Si l .n ' g I - lI I v,/ Fire sprinkler ( sq. ft.) Page 2
JOB SITE_ INFORMATION AND LOCATION / _ Site utilities
• Job site address: J1-P -W -in 1791 )--(2^A 1)l `11'4t C\ Catch basin or area drain 16.60
City /State /ZIP: 1 \ 9 t Drywell, leach line, or trench drain 16.60
Suite/bldg. /apt. no.: Project n e: 9 e t,,n {f - � ck ) Footing drain (no. linear ft.: ) Page 2
t / Manufactured home utilities 110.00
Cross streebdirections to job site: la/ Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear ft.: ) Page 2
Storm sewer (no. linear ft:: ) Page 2
Subdivision: Lot no.:
ate' service (no. linear ft. ZOO Page 2
Fixture or item
Tax map /parcel no.: Absorption valve 16.60
. DESCRIPTION OF WORK Backflow preventer Page 2
'^ j (Ai �4 (- J Q ��-,n Backwater valve 16.60
^ , - - A - Clothes washer 16.60
`-�� ',el�/� Dishwasher 16.60
El
OWNER I 0 TENANT Drinking fountain 16.60
Ejectors /sump 16.60
Name: Expansion tank 16.60
Address: Fixture /sewer cap 16.60
City /State /ZIP: Floor drain/floor sink/hub 16.60
Phone: ( ) Fax: ( ) Garbage disposal 16.60
❑ APPLICANT Hose bib 16.60.
❑ CONTACT, PERSON'
Ice maker 16.60
Business name: Interceptor /grease trap 16.60
Contact name: Medical gas (value: $ ) Page 2
Address: Primer 16.60
City /State /ZIP: Roof drain (commercial) 16.60
Sink/basin/lavatory 16.60
Phone:
( ) I Fax:: ( )
Tub /shower /shower pan 16.60
E -mail:
Urinal 16.60
•
. CONTRACTOR. . Water closet 16.60
Business name: ,�1,(I f ? f(\ b) p Water heater 16.60
Address: rig'( q /& I / a Other: Subtotal /0 / /(j
City /State /ZIP: f\ CO / {� L
« ` / 6 / ) I
Minimum permit fee: $72.50
6 Phone: (3(�) G V - ii Fax: ( ) 7 Residential backflow minimum permit fee: $36.25
/ r jf CCB Lic.: u1 �, /-7 0.
i/ -
Plumbing Lic. no.: • 'S j 15 Plan review (25% of permit fee)
State surcharge (8% of permit fee) �, I
�Authorized•signature: 5/
/j /� i /,�/ TOTAL PERMIT FEE
Print name: Date: s/, 1/0 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.
I \Building\Permits\PLM- PermitApp.doc 12/27/06 440- 4616T(IO /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 , w Square,'Eootage :.. Permit Fee:
Footing drain - 1" 100' 55.00 0 to 2,000 $115.00
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 5
Medical Gas Systems:
Water Service - each additional 100' 46.40 ��//
Storm & Rain Drain - 1st 100' / 55.00 7� Valuation: Permit Fee.:
$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 thereof, to
(minimum permit fee $36.25) 27.55 and including $25,000.00.
Rain Drain, single family dwelling 65.25 $25,001.00 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 thereof, to
and including $50,000.00.
specially requested inspections - per hour 72.50
Subtotal: $50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for
/0 /, t. each additional $100.00 or fraction thereof.
Fixture Work:
Are you capping, adding or replacing fixtures? If "yes ", Plan. Review'for Plumbing,Installations
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 (Fixture) Work Performed' ❑ Any new commercial building with water service 2" and
Fixiure.Type: Replace greater, except systems designed and stamped by licensed
Previous Capped Added Existing, engineer.
Baptistry/Font
Bath - Tub /Shower i New exterior plumbing site utilities for any complex structure
Jacuzzi/Whirlpool as defined in OAR918- 780 -0040.
Car Wash Each Stall ❑ Medical gas and vacuum systems for health care facilities.
Drive Thru ❑ Any multipurpose fire sprinkler system.
Cuspidor /Water Aspirator ❑ Any complex structure as defined in OAR918- 780 -0040.
Dishwasher - Commercial
Domestic Submit 2 sets of plans with any of the above.
Drinking Fountain
Eye Wash - .. Iso><netric or Riser:Diagram,
Floor Drain /sink - 2" ❑ Isometric or riser diagram is required for new buildings
3 that meet the qualifications above.
- 4"
Car Wash Drain
Garbage - Domestic Comments regarding fixture work:
Disposal - Commercial
- Industrial
Ice Mach. /Refrig. Drains
Oil Separator (Gas Station)
Rec. Vehicle Dump Station
Shower -Gang
-Stall •
Sink -Bar/Lavatory *Note: I
- Bradley If the fixture work under this permit results in an
- Commercial increase of sewer EDUs, a sewer permit will be issued and
- Service fees assessed for the sewer increase must be paid before the
Swimming Pool Filter . ' plumbing permit can be issued.
•
Washer - Clothes
.. Water Extractor
_Water Closet - Toilet
Urinal
Other Fixtures:
1:\Building\Permits\PLM- PermitApp.doc 12/27/06
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2007 -00210
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: F12112007
Phone: (503) 639 -4171 k nw pu ��
Inspection Requests (24 Hrs.): (503) 639 -4175 «i
INSPECTION WORKSHEET FOR DATE: 5/24 /2007 TIME: 7:00AM PAGE: 17
SITE ADDRESS: 08200 SW BONI T A RD CLASS OF WORK:
SUBDIVISION: PAC RIM PARTITION LOT #: 070 TYPE OF USE:
PROJECT NAME: PAC RIM PARTITION
DESCRIPTION: 200 ft. water line on property.
OWNER: PAC RIM HOMES LLC, PHONE #:
CONTRACTOR: SARKINEN PLUMBING PHONE #: 360-882-2034
Inspection Request Scheduled For: Date: 5/24/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
3 3 0 Water service 049008 -01 360-907-8623 N
Corrections /Comments /Instructions:
----- I
I PARTIAL APPROVAL n CANCEL n NO ACCESS
n FAIL I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Date: I Phone #: (503) 718-
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2007-00210
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/21/2007
Phone: (503) 639-4171 44747410 A\
Inspection Requests (24 Hrs.): (503) 639-4175 A.1!.
INSPECTION WORKSHEET FOR DATE: 6122/2007 TIME: 7:01AM PAGE: 14
SITE ADDRESS: 08200 SW BONITA RD CLASS OF WORK:
SUBDIVISION: PAC RIM PARTITION LOT #: 070 TYPE OF USE:
' PROJECT NAME: PAC RIM PARTITION
DESCRIPTION: 200 ft. water line on property.
OWNER: PAC RIM HOMES LLC, PHONE #:
CONTRACTOR: SARKINEN PLUMBING PHONE #: 36)882-2034
Inspection Request Scheduled For: Date: 6/22/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
330 Water seivice 048823-01 360-907-8623
Corrections/Comments/Instructions:
Agar
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„aryl
. /".
-
_4
„ere .40
/0 0 ■•••■—
PASS J2k--
ARTIAL APPROVAL I I CANCEL fl NO ACCESS
fl FAIL [ I CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
7 1()
Inspector: ) 6 #: (503) 718-