Permit CITY OF T
11 a C I T Y O I 1 I RD PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00221
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/25/2007
PARCEL: 2S 101 AB -01300
SITE ADDRESS: 07315 SW HERMOSO WAY ZONING: MUE
SUBDIVISION: SHINMEN OFFICE LOT: 003 JURISDICTION: TIG
PROJECT: MM SHINMEN LLC
Project Description: Line work to connect sewer to lateral. Septic to be pumped and filled or removed.
CLASS OF WORK: ALT 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: 70 ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
MM SHINMEN LLC JOHN W. SHONKWILER Description Date Amount
7315 SW HERMOSO WAY
TIGARD, OR 97223 [PLUMB] Permit Fee 5/25/2007 $72.50
[TAX] 8% State Surcha 5/25/2007 $5.80
Phone : 503- 624 -0917 Total $78.30
503- 624 -0917
Contractor:
OWNER
REQUIRED ITEMS AND REPORTS
Contact # :
Reg #:
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. tlE(1)14"C"--
#
Issued By: 40 , / i / Permittee Signat f. , 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.
,s ' Plumbing Permit Ap i _ a
FOR OFFICE USE ONLY 7007 Rece P No�/ �j�/� -,9,0,„,/,21 City of Tigard F j �a t, y: l 0 ifi / V
Il u 13,125'SW Hall Blvd., Tigard; CPR' 9 I-
- Plan Rev /
Phone: 503.639.4171 Fax "-S owl Other Permit NcS n 0(� / oZi
Inspection Line: 503 "639. r l ���R� Date/By:
TIGARD g r,IILDIN D IVISION DateReadyBy: Iuris � See Page 2 for
Internet: www.ti ard - Notified/Method: '/ I Supplemental Information
TYPE OF 'WORK FEE* SCHEDULE.
•
❑ New construction ❑ Demolition For special information use checklist.
Description Qty. Ea: I Total
A , Addition/alteration /replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection)
CATEGORY OF CONSTRUCTION - • . * ' SFR (1) bath 249.20
�11- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00
111 Accessory building El Multi-family SFR (3) bath. 399.00
• Each additional bath/kitchen 45.00
❑ Master, builder ❑ Other:
Fire sprinkler ( sq. ft.) Page 2
JOB SITE INFORMATION AND 'LOCATION. . ,. " " „ . Site utilities
Job site address: `7 3 (Y s(q) (2 NML)S 0 (4g Catch basin or area drain 16.60
City /State /ZIP: — CI 6ka ( 0 2 q '7 .2Z3 Drywell; leach line, or trench drain 16.60
Suite/bldg. /apt. no.: Project name: AA s AA 4 G r,� 1 N �M Footing drain (no. linear ft.. ) Page 2
��T Manufactured home utilities 110.00
Cross street/directions to job site: ` 2,4 c't A' e , *- well, R mpsp Manholes 16.60
la) k C 3' k c v s E F 12 o m CO 2 N"£ X Rain drain connector 16.60
Ok) ■'b 12--e H gyp j b F' g - E s-O Sanitary sewer (no. linear ft.: /a) Page 2 , CC
Storm sewer (no. linear ft.: ) Page 2
Subdivision: ,E� sty t) 0 P - K Lot no.: Water service (no. linear ft.: ) Pag 2
�) R Fixture or item'
Tax map /parcel no.: 13 0 CJ
Absorption valve 16.60
• DESCRIPTION, OF WORK " . ' Backflow preventer Page 2
(Ink) n) >� C Ti 0 1J `Tb 5- t t f Rj 4e S a J Backwater, valve 16.60
(rc) e.--)C r S r I I'.■Cc Si kJ G, t- a. Psi-Jo ii-'f 5r oc % v, ) Clothes washer 16.60
Dishwasher 16.60,
❑ PROPERTY OWNER ' TENANT Drinking fountain 16.60'
ii
v. Ejectors /sump 16.60
Name: M_. /V\ . s i+ f k /Ni 1_Lt Expansion tank 1'6.60
Address: 73 lS 5 L(.1 1,4.0_441e50 W l4 c t Fixture /sewer cap 16.60
City/State /ZIP: 7' j 6, fig, D / 04 / 7 3 Floor drain/floor sink/hub 16.60
Phone: (505 ) t _01317 Fax: (5 p3) 6 P _ Ttl,/ Garbage disposal 16.60 • ,❑- APPLICANT Hose bib 16.60
-
❑ CONTACT PERSON.
Ice maker 16.60
Business name:
/(/( 4.60) Interceptor /grease trap 16.60
Contact name: 0+1 (0 GO t SAO t `� Lot L Medical gas (value: $ ) Page 2
•
Address: 1 51f a s' 5i`72/% ) 4 v I � a ,, Primer 16.60
City /State /ZIP: "—tie,. �}P�i) O g OI `�� 3 Roof drain (commercial) 16.60
Phone: (,-13 ) & . e ' e 9 (7/ Fax: : (563 ) (gilf -5317/ Sink/basin/lavatory 16.60
Tub /shower /shower pan 16.60
E -mail: Urinal 16.60
CONTRACTOR " Water closet 16.60
Business name: ()POP I Water heater 16.60
Address: Other: S�4) E2 Cot s4 c1inJ Fri: 2
City /State /ZIP: I Subtotal
Minimum permit fee: $72 "5d
Phone: ( ) Fax: ( ) Residential backflow minimum permit fee: $36.25 7gr 30
CCB Lie.: Plumbing Lic. no.: Plan review (25% of permit fee)
Authorized signature: I ev ... State surcharge (8% of permit fee)
(/l TOTAL PERMIT FEE Z t g 3, 3
Print name: AN i � AN. ) l Date: 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.
L\Building \Permits \PLM- PermitApp doc 12/27/06 440- 4616T(10/02/COM/WEB)
Plumbing Permit Application - City of Tigard .ti
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Site Utilities Qt Y. -`Fee (ea) Total S : Footage: ` •
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 Medical Gas Systems:
Water Service - each additional 100' 46.40
•
Storm & Rain Drain - 1st 100' 55.00 ValihatiOn: Permlt,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 ol',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 $101100 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 and up $742.00 for the first $50,000.00 and $1.20 for
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
Fixture Type: ,. • - ' Replace greater, except systems designed and stamped by licensed
' Previous Capped Added Existing' engineer.
Baptistry/Font
Bath - Tub /Shower ❑ New exterior plumbing site utilities for any complex structure
as defined in OAR918- 780 -0040.
- Jacuzzi/Whirlpool
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 Isometric Or-Riser Diagram.
Floor Drain/sink - 2" ❑ Isometric or riser diagram is required for new buildings
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
Bradley *Note: 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 -00221
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 5/25/2007
Phone: (503) 639 -4171 Ai
Inspection Requests (24 Hrs.): (503) 639 -4175 I..
INSPECTION WORKSHEET FOR DATE: 7/6/2007 TIME: 7:06AM PAGE: 9
SITE ADDRESS: 07315 SW HERMOSO WAY CLASS OF WORK:
SUBDIVISION: SHINMEN OFFICE LOT #: 003 TYPE OF USE:
PROJECT NAME: MM SHINMEN LLC
DESCRIPTION: Line work to connect sewer to lateral. Septic to be pumped and filled or removed.
06-27-2007 Add reverse plumbing. (other fix.)
OWNER: MM SHINMEN LLC JOHN W. SHONKWILER, PHONE #: 503 -624 -0917
CONTRACTOR: ?' , I.l MIELURIBINCI Mir LER, PHONE #: 503 - 224.0913
Inspection Request Scheduled For: Date: 7/6/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 051559 -01 . 503- 235- 8784 Y
Corrections /Comments /Instructions:
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_ r aez CI 16 of JI A ' )
►,_l PASS PARTIAL APPROVAL n CANCEL 1 I NO ACCESS
n FAIL ( I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: ii4._ \ `'`..- . Date: '7/ 6 107 Phone #: (503) 718
4
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CITY OF TIGARD , . ' .
BUILDING DIVISION / _ PERMIT #: PLM2007 -00221
13125 SW Hall Blvd., Tigard, OR 97223 ` DATE ISSUED: 5/25/2007
Phone: (503) 639 -4171 / mi�IM�y�itilII
Inspection Requests (24 Hrs.): (503) 639 -4175 11.
INSPECTION WORKSHEET FOR DATE: 6/29/2007 TIME: 7:00AM PAGE: 12
SITE ADDRESS: 07315 SW HERMOSO WAY CLASS OF WORK:
SUBDIVISION: SHINMEN OFFICE LOT #: 003 TYPE OF USE:
PROJECT NAME: MM SHINMEN LLC
DESCRIPTION: Line work to connect sewer to lateral. Septic to be pumped and filled or removed.
06-27 -2007 Add reverse plumbing. (other fix.)
OWNER: MM SHINMEN LLC JOHN W. SHONKWILER, PHONE #: 503624.0817
CONTRACTOR: ;_' ' I; IIVIRLU NIBINOltll'Eb 9r IrittMOVI LER, PHONE #: 603-034-N
Inspection Request Scheduled For: Date: 6/29/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 051208 -01 503- 235.87841 Y
Corrections /Comments /Instructions:
r
1
1/ rile -/ .,' e - _/ ___ --_&.&
f }
9
PASS PARTIAL APPROVAL CANCEL n NO ACCESS
FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
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Inspector: ill V Date: _yr Phone #: (503) 718 X773/