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Permit CITY OF TIGARD PLUMBING PERMIT : COMMUNITY DEVELOPMENT Permit #: PLM2009-00054 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 03/12/2009 Parcel: 25101 DB00100 Jurisdiction: Tigard Site address: 7320 SW HUNZIKER RD 100 Subdivision: Lot: 0 Project: AgriBusiness Council Project Description: Install (1) sink. Owner: FEES HILLTOP BUSINESS CENTER LLC & Quantity Description Date Amount HUNZIKER LLC, 9430 NW KAISER RD PORTLAND, OR 97231 1 ea Sink 03/12/2009 $16.60 PHONE: 1 12% State Surcharge - 03/12/2009 $8.70 Plumbing 56 ea Minimum Fee Adjustment - 03/12/2009 $55.90 Plumbing Contractor: WESTERN PLUMBING 9460 SW TIGARD, AVE STE 101 TIGARD, OR 97223 PHONE: 503 - 639 -5296 FAX: 503- 684 -9015 Type of Use: COM Class of Work: ALT 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 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By: "WA n , / ,� ^ U Permittee Signature: „ n on V W J �. pspo?ra,_kk 111 �f I 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. . 13311/2009 10:13 5035849015 WESTERN PLUMBING INC PAGE 01/03 RECEIVED . . Phimlbin _ Permit Application MAR 1 1 2009 FOR OFFICE usl�IV>.v: , IN ... - City of Tigard Received 13125 SW Hall Blvd,, Tigard, OR 97 I r OF'TIGARD Date/By: . Q 9 _ ', Penult No. gm, 0 9 . 000, Phone: 503.639 -4171 Fax: 503. • : t flan Review TIGARD Inspection Line: 5 03.639.4175 i DING DIVISION Datel3y: other Permit N•.. 700 CI' 0� Internet: www,tig -or v atc Ready/l3 and ,g0 Y See page 2 far zY= :,:.:,r::'::: . t;._; Ne +.,..<: r —.... Notified/method; x, .,� } > } c„ fn ,: ;7 S �;�.,,,,>"..;.;,f� ^ �P r �c Sup t :f '{ ) r _ t 4 r ;; r .* 1 1 0, • t J �: / . `rut! 7:4' `�'T: My /1'.C•' : "1 "":x P'At on BYAf ZFIF Information i.a.0 �..*- . .,Al 5a r .. .. ,. s ^C t : :,14, - ,k , I:4 „ d t ! 9 i ai : �' >x ;', f , 4 jr , J l "ti er=r ,v . i �,rrF ,.'.t;�f ?,'.: �+ , ? , r � � t •� ; � f ki �ez a � t .t it � � <«t 1 � �� �� ,s.�'; .�w tc. �, � a I �:.. " h r �„ Mq.., ra.�„. S�,cG�: �' . ' 1 � � „.y�'�' { wl >” ., �8 ?t` r . )`:�,�. DI New construction c .•. •.. w +:u .,, ,:., s; , Demolition For s f eclat i orrltafinn use checklist Addition/alteration/replacement 0 Aescr , lion er' a otaI �f y ;. ��u;;;:,.. ,�,:.;. , sr.,✓; ,�..._R.,:g.,Y..;:%, . � �,'�; �;:+; 2;'�1'.,F;:. ^..�:_� ; w' .. er, .•,., -: zw.. ... .:::.......... New 1 - 2 dwellings (includes 100 :•".: ;;', Y �.7 � ,, !,?', r 4 l�"iZ''.+ry ''1a �(w. k iJ�'%Alt `fin i2 . 1 ",41;- .,,,Y"C"(i,c0:.i7,U"�.nni L +,R g (_ e3I ft. for each utility connection) oa` nM •:!:; t 0∎I'A` , .., 7'^1, ^ " f ld y 4 . 0. / n.) e P < j t J K ; ^ ,�,�". �9�m'1Yr� ✓�(;ra� i?���',^��ry;�4�s,.r,AP01�� S �� (1) bath 49.20 ❑ R (2) bath 1- and 2- family dwelling /:, Commercial /industrial SF 350.00 ❑ Accessory building ❑ Multi- farnily SFR (3) bath 399.00 Each additional bath/kitchen 45.00 El Master builder ©Other: � ::..... ... rr r., } ? , o P:rr , �.. „ t1,:.zi..,, , : ; ; ...... . r , R, ,...,p,� ..zzr,,: Fire s _ .....,• ,,.,,,(�� .:,::.c � , �t , ,.::.;• . d ' •'`�'� , t „r . t . ,�.:.,.;.. <.•f� ?''� "t °' " F: ,.:�rx; '': , ,rr::r:�,.:� „ »�fa; Arinkler s , ft.) , a . „,: .: 't.�.. s .,,. ..1 . ',{.1, h )' ,V �i a 1 P f ' `' :.. :i i; .:::1.,, _ ( 9 ) t .: t:,..,:,.:.tr,. ,s..P a�' ::r��:x tk.,m,?..r :'a a�.npa:; r.'R a,i�`,. . ;.} .�, ;ri::cSk ' ' , ; ; n w.t Fe , 2 . �',” �t. �r...._. �.,., r.: r,:` t; utn ..,..r.:....,,a p �. `�2r c...�,r .: n s� ;, ° , - Mt . " .....:.... :.. : }; ? -;,.:, Slleutilities — job site address; u I ' ' 1 (� - h bi in 16.60 ` Catcasn o r area drain City /State /ZIp:�' :, ‘..c\ a- !1 r� _ + �Diywell, leach line, or trench drain 16.60 Suite /bldg. /apt no.: Project name: i _ 1 s• • , Footing drain (no. linear ft.: ,, Page 2 Cross sttceddirections to job ste • Manufactured home utilities 110.00 �� Manholes 16.60 Rain drain Connector . 16.60 sanitary sewer (no_ linear ft.; ) Page 2 Storm sewer (no, linear it.: ) Page 2 Subdivision: Lot no -: Water service (no. linear ft.: ) Paso 2 Tax map/parcel no.: Fixture or item 'T "" ,a "r "r1, r wxw rr n+ 'tw9 f ,. zo,:.,' c t�:_,j %; w ;,f, :;' 9 � � i 4�, 'n «, h` { ,"n atF ra; Absotption valve .16.60 • I •- •, , •u„ , -( t, al - ..; ;;Z `,,,.,,>t', i1 , 4 ) :;:•i , + 'i; Rack() ow preventer Page 2 Backwater valve 16. II VTI y M 1 'l = Clothes washer T 16.60 Ill st :., . -; , .h. d :w r , _. ,, ... , ... ,, ,•n:, U .. . _ 16.60 ' 1)i f washer 11 r` «K�r�r, 3f :",h , rl ' r u r $I , ,v1 ., (.,: r as er a , „ r^ . , ! S „_,4; ” at P� at �` SS Sr > �S i " F y � t f brin�ittg ft>utltain ..,_ .i �l ." ",., .' w .,< y,.:r ,.S,,,:! n.{ n i I Sa, )�I i "' 4 ti , ,�, d I t r „,,,, .. r „c�. y, l jcctors /Sump ,M .- : AZT.. ti . �� 16 16 Address: Expansion tank 16.60 60 Fixture /sewer cap 16.60 City /State/ZZP Floor drain/floor sink/hub -- Phone: ( ) �° - 16 ,:: ,owe; :,w : >':�;,. „x _ Fox: ( ) Garbage disposal � 16,60 . ?(r::t G G M1 lIT: f ,, S S4' ( f k97. N`' Y R/”' , a N y 1,6 «-: ',4iref):;t 01 ;.xr :.. ,a :. dl.s, „i l e ? . "� Gaa�rt 1� tr r , Y A£ n¢ i datR t aaci '' Bose ,e 16.60 ,f•.. t �, ,,... t, ,...„.u.rp... ,4 ..�..'S. x14.:1,,).1 .!)1.:..�,,: 15r 4l t - - r AYk L " " Ice maker name: 16.60 Business name: Contact name: _itaterceptor /grease trap 16 60 — Address: Medical gas (value: $ ) Page 2 Primer 16.60 City /State /ZIP: _ M Roof drain (commercial) 166 ,60 0 Phone: ( ) Fax: ; ( ) Sink/basin/lavatory / 16.60 f !, •ub /shower /shower pan 16 -60 ........,. . ., :...r 'O ri; "::._,:f.�� � f\b.. ., „Y. � LY�rr,:m -• .................. ,,1 ...,: ? :. ..., y , : :'' :.. f .. a...,,,. r. e:::.,.,,(':',,. ,-, f„ L : 4 t ...::: k _ ::. :: T.P . :. :;t . ".. ; : ""' . ,• ,.,. Urin4� :•-ii. t ....,. ;f f; r : 3 > ti �e.; e v., 4 t . 1 " � I + t > x t f 16.60 .... ..;;rr .,.. ., 4 ,..,, .e? ,A, 1C... i �.;G.i,. [ ! `' t i r ` Water closet 1660 Business name: Western Plumbing, Inc. Water heater 16,60 Address: 9460 SW Tigard Avenue, Suite 101 Other: City/State/ZIP; Tigard, Oregon 97223 Subtotal Phone: (503) 639 -5296 Fax: (503)684-9015 R Minimum permit fee: $72.50 I I esidential b tckflaw minimum Permit fee 536.25 CCB Lic.: 2439 to • I (, _ - 10 Plumbing Lie, no.: 3429PB 7.1.. t I Plan review (25% of permit fee) of permit fee) Authorized signature f) State surcharge (12% ��� - L .: ".'A ,_ a f! . I - TOTAL PERMIT FEE Print name: Dana Jensen Date; f } .. � "� - �I I '(J This permit application expires if a permit is not obtained within 1.80 !lays after it has been accepted as complete. *Fee methodology set by Tti- County Building industry Service Board. iAtriutieinaV '.rmitiopLM- p.rmlt 0026,00 440 -4e 10TO 0/02 Ctlnrt/WEg1 0341/2009 10:13 5036849015 WESTERN PLUMBING INC PAGE 02/03 . N.; • Plumbin Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule; Residential y F `°'`: ;:S).E;7.'.,�',.i1'i) :'".Y.' it ,.`vy'F.`�""" :'�:5.�.- Reisident1 y a k S 'cqr( t , F� i� i r t I � i "" , .;,�<, , >r ;wrw Fire U eSS10�1. S Stem $ xr S r �,...;.rr 1 ..,;�7av�eX�i R : tl u :: ur 'l�f ,c ' 1 y! 6 e ptr' ri (* 4 x ^ a (, t r stems: Footing dram - l too. .. 1,.,. „ �1...,:::; ; .; ;,{ C 3 z r ) a i '4 .- a :'•7 I' 1 t 2 i - �ry ( ' re d p �3( ^� T_� < 'f l� 1\ f�' r F'''r ,�' ^uti "�:,. r 1 w ,� S d�$ �a 55.00 0 t02 0Q0 „ .i �..„ n ...,u ... `�."`,. ".�:c';tr! :� X rr� , Footing drain -each additional IOW 2.001 to 3 �� . $160.00 �' 46.40 Sewer - 1st 100' -- 55.00 3 601 to 7 200 $220,00 Sewer - each additional 100 45.40 NM . 7 , 2 01 and greater $309.00 Water Service - 1st 100' '—`",_ 55 00 •Water Service -each additional 100' 111111 46 40 � Medical Gas S stems: Storm & Rain Drain 1st 100' S5 i ;;`q!, w , i 1 *"'' K ��� ' " �xA %Y � , : `u. "wr 00 NM .: ,, st . ,tc fi�zC r t w x. Storm & Rat n, s ,r 72. i e Rain Drain • each additional $1 00 to 5 0 M rA , .k1(ir� rc ; ,,...,l rona110U 00.00 ._a ` `d a r t , , $5,001.00 to $10,000.00 $7250 for the first ,000,00 and $1.52 for each r ' 'I,!..... t , i. "' �� sa 7i ..!1 1 ' ' ria t i; (. inr fn additional $100.00 or fraction thereof to and Commercial Back Flow Prevention Device J 1' 8 505$10,000.00, 46.40 MN — $10,001.00 to $ $!48,50 for the first $10,000.00 and $1.34 for Residential B$cktlnw Prevention Device minimum Permit fee $36.2 each additional $100.00 or fraction thereof., to Rain Drain, single family dwe � 111=111•1 and including $25,000.00, $25,00 L00 to $50,000.00 $379.50 fbr the first $25,000.00 and $1.45 for Inspection of existing plumbing or each additional $100.00 or traction thereof, to s.eciah ro, nested inspections - ,er hour 72.50 and includin: $50,000.00. Subtotal: �� $50,001.00 and up $742.00 for the first $50,000,00 and $,20 for -- each additional $100.00 or fraction thereof Fixture Work: Are you capping, :r: '.,.:a:s,.�..: i�. :u A;1 .k •" 98;1 Qti:v ., .kF J �i N >s . { .r;:- ,.��c' ::. {"., .. :...am«� ppin adding or v.,i wr..a v, . n i M a.Sd4; . : n.a t[.9:, :, C. x %11 F : ^i,; 'n H S '`'. +SS"Yw ` r w"';b; •!: :'Yx g g replacing fixtures? If "yes ", �1 required for any of . he c:� o l l ow i .�_ r. r,: xn; k , r';� . a x please indicate work performed by fixture. Failure to Pleas Please check is requirap for any of the following. that apply. accurate! re,ortf xtures could result in increased sewer fees *, ❑ Any new commercial building and yA� .v.tz 7RmL: � ,r.✓ stf( a1`'� w it t ' R13 1 ill, „�. is S � e,�` F systems designed t water b y c nse S . i greate except s stc an d stamped licensed .. :.t, i r > k r t a " 1 Y "ti � r art lpcd by lice i., ti;`. ,F, ? „A.n , 1)ti, t ,,,.::.urtaj k'J,r.s,12:`1vf'rJ� (1 9r > .. F t ,cz', V a r' I.A!4.�i engineer. 13; tit //Font S...a.,.m. „1„a r" CI Any new exterior plumbing site utilities, Bath - Tub /Shower ❑ Medical gas and vacuum systems for health care facilities, - JacuzziJWhirlpool ❑ Any multipurpose fire sprinkler system. Car Wash - Each Stan [] Any complex structure as defined in OA1Z918- 780 0040. - Drive Thru Cuspidor /Water As ,irator Submit 2 sets of plans with any of the above. Dishwasher -Commercial MMIIIIIIMIIIMMIIIIIIIIIIII Domestic..,.,. .. ; Drinking Fountain � � � �a'. „{ S;: W;: Px`ii"•.�'.':?`.: ,:`.?�°" $ � F}a,S: h r t9p�1�"ykt't�'P�$ " t a "``' ' °'�.= " °�G'"� "�"�„"''"f5'M ra:�r,..a��,`t 'S 2cf a;7. P1.a�:n.:,�n :n°VY (,t ha�r..� CYE rc.;.y ; T (i r' .. {c r ,!� E i Wash WM � p Isometric or riser diagram is required for new buildings J Floor Drain /sink 2» that meet the ualif cations above. q>> MEM Comments regarding fixture work: Car wash Drain Garbage - Domestic — • Disposal - Commercial 1.7 - . -- 1ce Ivl /lZcfr . Drains _ Oil Separator (Gas S tatio n Rec. Vehicle Dunn. Stati IMINUMENIE Shower Gazyg� Sink $tall *Note; If the fixture work under this permit results in an ar/Lavatory increase of sewer EDUs, a sewer permit will be issued and - Cradles fees assessed for the sewer increase must be paid before the Commercial - Service plumbing permit can be issued. Swimming Pool Filter E........... Waterer - Clctoes 11.11 . Water Extractor Water Closet - Toilet liniil Other fixtures; isl84Indineperankp\ .um- PecmitApp.dee p9/22/06