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Permit ' CITY OF TIGARD PLUMBING PERMIT 111111 COMMUNITY DEVELOPMENT Permit #: PLM2011 -00272 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/23/2011 Parcel: 25101 DC04602 Jurisdiction: Tigard Site address: 7291 SW TECH CENTER DR Project: Pacific Recreational Products Subdivision: Lot: Project Description: Interior plumbing: Adding (1) sink. 11/10/2011: REPRINT permit to add (1) laundry tray. DLH Contractor: WESTERN PLUMBING Owner: MCCORMACK PROPERTIES LP 9460 SW TIGARD, AVE STE 101 7190 SW SANDBURG ST TIGARD, OR 97223 TIGARD, OR 97223 PHONE: 503 - 639 -5296 PHONE: FAX: 503 - 684 -9015 FEES Quantity Description Date Amount 1 ea Sink 08/23/2011 $25.02 Specifics: 1 ea Laundry Tray 08/23/2011 $25.02 22 Plumbing Permit 08/23/2011 $22.46 Type of Use: COM g 12% State Surcharge - 08/23/2011 $8.70 Class of Work: ALT Plumbing 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 -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: 4- Permittee Signature: 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 #: PLM2011 -00272 TIGARD 13125 SW Hall Blvd , Tigard OR 97223 503.718 2439 Date Issued: 08/23/2011 Parcel: 25101 DC04602 Jurisdiction: Tigard Site address: 7291 SW TECH CENTER DR Project: Pacific Recreational Products Subdivision: Lot: Project Description: Interior plumbing Adding (1) sink Contractor: WESTERN PLUMBING Owner: MCCORMACK PROPERTIES LP 9460 SW TIGARD, AVE STE 101 7190 SW SANDBURG ST TIGARD, OR 97223 TIGARD, OR 97223 PHONE: 503 - 639 -5296 PHONE. FAX 503 - 684 -9015 FEES Quantity Description Date Amount 1 ea Sink 08/23/2011 $25.02 Specifics: 1 12% State Surcharge - 08/23/2011 $8 70 Plumbing Type of Use: COM 47 ea Minimum Fee Adjustment - 08/23/2011 $47 48 Class of Work: ALT Plumbing 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 -0090 You may obtain a copy of the rules or direct questions to OUNC by calling 503 232 1987 or 1.800.332 Issued ByC±�= � „ Permlttee•Signature: 777/Z 9 A Call 503.6 9.4175 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. 08/23/2011 09:15 5036849015 WESTERN PLUMBING INC PAGE 01/03 Plumbing Permit ,A nnlication 46.. M ,1 i H , Building Futures . E FON OFFICE USE ON1,X IIIII City of Tigard Received Pz�a, C 13125 SW Mall Blvd., Tigard, OR 97223 AUG 2 3 2011 DateBy. 1 ,.r J L t '►1 0 i / -C x� 12 Phone: 503 -639 „4171 Fax 503 - 598.1960 Plan Review Mar Pornyit �� ! F l t: h k'(:h eeh on Leila: 503.639.4173 Dat R " ham; �� -��) ��� Internet: w'ww.tigrrd-0r.g CITY r 9a see rage 2for t ii iht _ 9 190 ' nm Nolitzedimah 11�� , suppkunittai Information { ;,ht,�� ".S x ��,,; Y ;•,i,''',S,A;k'" � r,�rp{�,, , {,, {, km•;�.,�;r�'.v 't,.J S. "- •, N? { _,, ; d ern - ^- - �� • - 't , pl�d adi� 'Jt: rl .o F�.,i.. - p:!i'> ,. rii.yy..„ {4 e "'r,( ,. -, y, „{.;. ,, .. ,, ,, .. � -r, .d "' , ,{__ 1 -" ... .. ,' "e `•�; i','b� -, .� ,,, ;i "n',;) ,'''i •,., ,�,,,�1�:. ;ri, , 0 New conatractitm 0 DOMOlition For 'Picini i rforrawroet Ws eheeklist [] Other Descripti on 1 Qty. 1 Ea. I Total XAddition/alterafionireplacement ,Dlrw 1- 2- ,arid dWellinza (includes 100 8. for each utility connection) '' :,,. ,;r ,. 'F, '; A V :O#,'1S1 _ o "': „ r SFR.(1)bath 312.70 D 1 - and 2 dwelling ` Cconis�erceaJliz�dua1Tial SFR (2) bath 437.78 Q Aeecsscxy building © Multi- family SFR ( 500.32 - --_ Each additional bath/lcstcben 25.02 D Master builder D other - Fire sprinkler f . *1- ft_) Page 2 '4 ;3lV1CeCvt '1`I M':'i(�,',iriTY iN; ; , , Sltentlllties: - ' Jab site address: 0 d , catch basin or area chain I 18.76 City/Statc/Z1F'f -" Tkywoll, leach line, or trench drain 18.76 + • - . Suite/bld /a no_: f Footing drain (no. linear ft ; l Page 2 g Project name:• .. .l ! l _ • Ma home utilities 50 -03 Ctpss street/directions m job site; ' _. _ "_ Manholes 18.76 Rain drain ocemector 18.76 Sanitary sewer (no. linear ft.: ) Page 2 Storm aeaoer (aw. linear it! ) Page 2 Water service (no- tenetd.• -..,) Page 2 Subdivision: Lot no -: .. Wain,* aril Tax map /parcel no -: law:V(0w preventer 31.27 / .,'' , � ° J Ti` N,, \, ; `' Backtvatervalvc 12.31 , lif Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25 E 25.02 ` ,',; { : " r P4 ;' '' r ,,Ii ;' r, Expansion tank 1151 ` Nam Fixtau a /aewc - cap 25.02 Add �__ . .. - Floor drainftlocr sitlBVhtrb 25.02 - Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone: ( ) Fax: ( ) Ice maker 12.51 { 0 IfAiiiii4614f. . . , ' ( : Y ri'&MAO'^' $lterceptor /gr caw trap 25.02 Business name: Medical gas (value: $ ) Page 2 Contact name: 12.51 - Roof drain (commercial) 12.51 Address: ,_ _ _. Sulk/ba s3- udlavatoay ( 25.02 P- 0' city /Siate/ZT: W Solar units (potable water) 62.54 Pho : ( ) FAR:: ( ) Tublehower/5owet pea 12.51 E-mail: - 25.02 ''{ ,{ ,'', ',,t -y ;) „ ;•' „ ;,, ,r' Water dote% 25.02 Business name: Western 1'tambileg, Inc. Weser heater 37.52 Water pipinwowv 56.29 ! Address: 9460 SW Tigard Avenue Site 101 - -= 2s -oa City /Slate/ZIP : Tigard, OR 97223 Subtotal DQ Phone: (503) 6395296 Fax; (503) 6g4 -9015 Minimum permit fee; $72.50 ``. ,,53 CCkl Lie.: 2439 Plumbing Lic. no.: 34-29I Plan review (23% e1 pecprtit fee) Authorized a' ! f State surcharge (12% of permit fee) �: • jAl ! �1 L. . , t � - OT PEltl l FEE r Payut name: Dana Amen - ate ^b/ 3,- i 1 This permit application wires Ka permit la not obtatrred within 180 dap - slier it has been accepted as complete. aVea «.ar cen h., Tri-OrowN.r'R1111r{.wo 7.1,9%101 S.nnrr Areal 08/23/2011 09:15 5036849015 WESTERN PLUMBING INC PAGE 02/03 Plumbinelermit Application, - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Su .. . ression S stems: MIIIMENEM .:::,',.qt*/E=3.!%Fi4,'e, ": , 1 'i 'i ‘140tY0 0:,.., ,‘i,-.., •::'; '',. :.., ‘,. - , ..., Footing drain - 1 100' MI 50.03 MI 0102.000 $121.90 • Footing drain - cacti additional 100 37_52 En 2 001 in 3 NO $1 3,601 to 7 00 $233.20 Sewer - 1st 100' 111. 62_54 NM 7 291 and : 4 - : :, EMIMMIIMMIIIMIll Sewer - each additional 100' IIMEMELE.111 Water Service - 1st 100' MI 6234 Medical Gas Systems: — — water Service - each additional 100' 37.52 -, Storm & Ibiti Drain - 1st 100' 62.54 $1.00 to $5 Minimum fee 572.50 Storm & Rain Drain - each additional 100' 37_52 $5,001.00 to $10,000.00 372.50 for tlae first $5,000-00 and $1.52 for OtiiiilafirtiOitjii .olik-ri6V 1‘:' :' .: each additional $100.00 or fraction thereof; to sod iildt Inspection of existing plumbing or fcc III $10,001.00 to $25,000.00 £1413-50 forthifir00.00s which no fee ye &pacifically indioatnd 90.00dar 1111 each additional $100.00 or fraction thereof to o r d n i inum -,, : - - 1/2 hour and includiqs, $25,000.00. tokrcetions outside of normal business El 90.00/ar 11111 $25,001,00 to $50,000.00 $379.50 for the first $25,000.00 and 51.45 for hours minimum , . z - hours each additional $100.00 or fraction thereg to Re-inspection Fees 90-°43111r ,a including Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the fast $50,000.00 and $1.20 for minion= . , le —1/2 hour _ each additional $1.00.00 OT fraction Thereof Siabtotalb Commercial Fixtu Work: Are you capping, adding or replacing futures? If 6 'yes", .::I please indicate work performed by fixture. Vallure to Hsu review is required for any of the fail:min' g. accurately report fixtures could result in increased sewer fees*. Please check all that apply. 0r4rittorh pie .,., :, ' 0 Any new commercial building with water service 2" and greeter, except systems designed and stamped by licensed S - .„-:,1, '.' ' v. .''' ':ii4.;,, "i•iivivo '', caiginecx. Pspristrylroot 0 New exterior plumbing site utilities for any complex structure Binh 4 -Tub/Shower_ oi as defined in OAR91S-780-0040. , CI Medical gas mid vacuum systems for healtlx care facilities. Car Wash -Each Stall 0 Any muhipmpose fire spriolder system, -Drive Thin cuspidocrWaier spirator 0 Any complex structure as defined in OAR 918-78C1-0040. A Dishwasher -Commercial -Domestic submit a sets of plans with any of the above. Drinking Fountain r Wash ‘ .• ,V., 4$0#0 1 .0k.0 .- , 1 **t. '61 0gfiliti[ ELM' Drain/sink - 2" . LI Isometric or riser diagram is required for new buildings - 3 - 4" that m --____.— Car Wash Drain Garbage -Domestic Disposal -Commercial Comment:re fixture work: Ice -Industrial . _. Ice Mach./Refrig. Drains , Oil Separator (Gas Station) Rec. Vehicle Dump Station Shower -Gang -Stall 1 ----------,....____ ---------__ < Sink -Bar/Lavatory -Bradley -Commercial Note a w ric feesassesse If t d he fo r sew a i p t ai re d sw bef ts o i re n an the -Service increase of sewer EDUs, a sewer permit Will be issued and Swimming Pool Filter Washer-Clothes r Water Extractor plumbing permit can be issued. Water Closet - Toilet 'Urinal other Fixtures: Accumulative Sewer Tally Tenant Name PACI,I�TQR_ECREATIONA�L PRO , , ' , . ,a __ SWR # SWR2019- 00126-.' `_- , „ ,�. :„M l Site Address 7291 SW „'itei Ititi TER DRWE , ,) ' 4'; ; , PLM # Parcel #• 2S101,DC04602f ';„ ti r ', Fixture Value Previous Previous Credits Capped Fixture Fixture New New # value count capped #s value count added # added value total #s total values Baptisery /Font 4 _, i ;, 0 u 0 0 0 0 Bath - Tub /Shower 4 .. 0 • ' ' 0 0 0 0 - ,Jacuzzi /Whirlpool 4 - 0 `ja; - 0 0 0 0 Car Wash. - Each Stall 6 7,', ,- -L -�' 0 '= 0 e,' - 0 0 0 - Drive through 16 ,_. ,r:r� .7 0 `t n - ' -, 0 f'a , ' 0 0 0 v : di Cuspidor /Water Aspirator 1 - . 0 ” _. _ _ , 0 0 0 0 Dishwasher - Commercial 4 0 - _- __ - 0 H'j.1 r• `' 0 0 0 - Domestic 2 0 _ ,..■• —,, 0 <•- 0 0 0 Drinking Fountain 1 0 0 0 0 0 Eye Wash 1 0 0 0 0 0 Floor Drain/Sink - 2 inch 2 0 0 0 0 0 - 3 Inch 5 0 0 0 0 0 - 4 inch 6 0 0 0 0 0 - Car Wash 6 0 , 0 0 0 0 Garbage Disposal - Domestic (to 3/4 HP) 16 0 0 a_ _ — 0 0 0 - Commercial (to 5 I -IP) 32 0 - 0 0 0 0 , - Industrial (over 5 HP) 42 -, ' 0 r 0 0 0 0 Ice Machine /Refrigerator Drain 1 ,-J 0 0 0 0 0 Oil Sep (Gas Station) 6 0 0 0 0 0 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• - Lav /Bar - Non -Food Related 2 _ - 0 0 1 2 1 2 - Bradley 5 0 _ 0 0 0 0 - Com /Serv/Util - Food Related 3 ', a 0 , „ 0 1 ; - � y ' " 0 0 0 Swimming Pool Filter 1 " ' 9 . ' #y 0 0- - , 0 0 0 Washer - Clothes 6 - 0 0 ' E'° 0 0 0 Water Extractor 6 0 = 0 r , 0 0 0 Water Closet - Toilet 6 0 .- c, ,:r.:1 0 0 0 0 Urinal 6 0 0 0 0 0 Previous EDU Count 0 0 Capped EDU Credit 0 TOTALS 0 0 0 0 1 2 1 2 Current Fixture Value 2 divided by 16 = 0.1 Current EDU 1 EDU = $4,500.00 Previous Fixture Value 0 divided by 16 = 0.0 Previous EDU Change 2 divided by 16 = 0 1 over (under) $ 450.00 Enter EDU Change Here 0.1 Notes Authorized Name /Signature: BRANDEN TAGGART - - Date: 8/23/2011 _ ,, , , Building Division Note. The property owner shall- retain the ORIGINAL sewer tally record. If credits exist, this 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 \Sewer'I'allyShect -4500 xis 07/01/11