Loading...
Permit (i CITY OF TIGARD PLUMBING PERMIT 111 11 COMMUNITY DEVELOPMENT Permit #: PLM2009-00069 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 04/01/2009 Parcel: 25101 DB00100 Jurisdiction: Tigard Site address: 7340 SW HUNZIKER RD 103 Subdivision: Lot: 0 Project: Marriage Relationship Center Project Description: TI, adding (1) lay and (1) water closet. Owner: FEES HILLTOP BUSINESS CENTER LLC & Quantity Description Date Amount HUNZIKER LLC, 9430 NW KAISER RD 1 ea Lavatories 04/01/2009 $16.60 • PORTLAND, OR 97231 1 ea Water Closet 04/01/2009 $16.60 PHONE: 1 12% State Surcharge - 04/01/2009 $8.70 Plumbing Contractor: 39 ea Minimum Fee Adjustment 04/01/2009 $39.30 WESTERN PLUMBING - 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 Notifi . . - - . Those rules are set forth in OAR 952- 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules Issued By: , /! e , Permittee Signature: / �I I c� C k �/ U%tR /Y�,W 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. t • 1104/01/2009 09:48 5036849015 WESTERN PLUMBING INC PAGE 01/03 illir Plumbing Permit AppIicatio ' . FOR OFFICE USE ONLY • City of Tigard APR - 1 2009 Fil Rill II ie 11/, ti PamitNo.: 'lop ? -.a. 0 n 13125 SW Hall Blvd., Tigard, OR 97223 Plant Review Phone: 503.6,39.4171 Fax: 503 -598. I)ak/9 other Permit No:: # )ii TIGARD Inspection Line; 503.639 Y OF TIGARD Date y /gy 7 See Page for Internet: www.tigard-or.gov BUILDING DIVISION ' , n, �'�: �,t M � kl x t � "�. : , ' a,. s I t let S r -r ,rs i �, ti r,.w„,..�^^{.,�. yl „w„ � Su. ■ ,� lorucntal Cnµ..; to��nwa4on ,....,. , r a ?L " x ! i u , c,�r 5i•...ry t;' 1 T,v 1�r i k 1 , 3 � 1 j ti ' 1 a , 1 h t . , a , 4 , g d i 1 a^ : 1 9 'i l � k }a r.., „..., ✓rt . ... .. .......� d. . ,., r.�,, L .,, .:.. " _ ". .� � .'�..�'a.. ,,: . ,S .�.mu � N '{u ._.. � �,I rr��`"^�t §'" �� _ ,.t, {� 111 ❑ New construction 0 Demolition For s'eclat in ormation use checklist, r.. v, De err tiOri T RI Addition /alteration/replacement 11 Other: l oral . p . ........ .:.....,,,....._,....... 2-family dwellings (includes connection ) ECM Ea., New 12 Tamil d ing s "n 100 ft. for each utility rp> { , s^ ,i � r . � , s , ,r �^7'n h +t ( � ,y Ef i n " M,'{F� r ,a ct „y CJ S ' 3 ' " 3ttJt 1 , i I ' r ev �� ra h " r .d : i . ,h ' ra$ 9 ) 1~" .: 4 „S.r.+�5..,,. ;In S4ia.. , 5 , ` , A , ' ::.w :Zz;e:._, � tM 4,44. 'W.;:v 4. z . ,41.. :..M,.:,:'i, : %;.: SFIZ(1)bath 249:20 D 1- and 2- family dwelling ri Cotnmercial/industda1 SFR (2) bath . NM 350.00 ❑ Accessory building 0 Multi -Emily SFR (3) bath _ NMI 399,00 171 Master builder ❑Other: - Each additionai bath/kitchen 45 - 00 i 1T t ! ' a r x s { m2 iG p sq. ft) Page 2 ,,,{ " �,` rtes nn er I a, +, ;,, ,h""s 1Ail: griah AMI,,� � 11 G. ` kA i § :ti, sew`. r t,,�l�� ,� "ti * 9RSltll ialq .. ...... , r ... ,a, ..- , .t,..R�.,ttr,.,.� Site utilities Job site address: ` _ !t • i 1 e l Catch basin or area drain 16.60 iir City /State/ZIP: , /1:, Drywell, Ieach line, or trench drain 16.60 Suite/bldg. /apt. no.: k i _ - t , Footing drain (no, linear ft.: Page 2 ■��+��(rl�l1� �tr� n Manufactured home utilities 110.00 Cross street/directions to job site: • , g t hiP , 1 -7, 0 , f t I' Manholes 16.60 7 /L Rain drain connector 16.60 Sanitary sewer (no. linear ft.: _) tiffa Storm sewer (no. linear 13.: ) Page 2 Lot no.: Water service (no. linear ft.: Subdivision: ���! ^� ( ) Page 2 v ,` fixture or item Tax map /parcel no.: -10 ..::,:.,:..,.: ^:y r;c w ..,..:. . x< m,... -�;.. l,'.,.,..wr"w - 77r.... ....'c,.w:: .. Absorption valve :..:; .:..,. � ..... ... { ':... �+. c.,........ ....,..,..,�,, >.:w �, ,,, . ..� :.:::::r.,,:..,:.�r� .� 1 6.60 ,.:( ,: "n _ , �., ::..,t.:..;.. .t:,`. , . ✓,e - . -u,. ,.;a �}; � .: s �.::: 4�:,........._:..32s_:,`�,�r.M •„ +�„�:` � „ t , v st}t >' .: ir } F 1 4 n 1 �L� a It� w t „ 1 , T ...,.• ,. K ,%1. .1.:....<4, 1 1 ,....:ial2L Backflow preventer Page II Backwater valve 16,60 EM=vile a : Aii /AA/ 0, Clothe& washer 16.60 Dishwasher ' 3 > �t r Lh�llrl r � t,sJ.h 11 �Y, �:`.'r i �tf i�".c <��`l� � � r , •r DA hiking ]6. 60 +,{;., 1_,,..i,.�,.;, -,w., Z .r....:.. r�S,A .,: w,..a ;` ;m a „ rti, `C t, s f h. , a cx ' r Ylil {" s,.. , ... -,. i r _, :, Ejectors/sump - - ■ 16.60 Name: _„ Expansion tank 16,60 Address: Fixture/sewer cap 16.60 City /State/ZIP: FIoor drain/floor sink/hub MN 16.60 Phone: ( ) Fax: ( ) Garbage disposal 16.60 1 r N" ,F.I r� ,c,r i. r 1v2,,, rte` , i a t � •+ " W Hose .l 7nvJ a a , % idea a�7� ^ x i t 1$ � - t f r " : , C = I a i t� "'^' ' 16.60 ,r f,::L �.: ,,,1. }�. s,r,,i'rrw.. .:f. �:: »RY; . �1�'CS,..r:rJ., 4 „A< www, �,.< /. .. .? k .. ".nv "'. - ,; ?,Sa w,.� Ft z�> + r...,. Ice maker 6.60 Business name: ---- Interceptor /grease trap 16.60 Contact name; ry Medical gas (value: $ ) Page 2 Address; Primer NE 16.60 City /State /ZIP: . Roof drain (commercial) 111 16.60 Phone: Sink/basin/lavatory 16.60 M#91 ( ) FaX : ( ) 'Ihb /shower /shower pan 16.60 E- mail: . ,,:.,:: rr:,. , ,,;u`:a:::;: a;:r,,:,.,c,,..... Urinal it 1'. (Ytir +fa v`Zi+ .,,'i`"\t i. Si, it "" :'_a - � 1 �?t t ; g a, r #,St , sr g ... � +.,.•:� .., � ,. t,. ,., }'� I e c.�,,, t .,... ,a. , ..A' .. }. � . ^`,.., . _ .., ..: w,lt, :�...,. _ .r.....�x�?w�w'' �� Water closet .:_ . 11E1 16, 60 n, ifa Business name: Western Plumbing, Inc. Water heater IM 16.60 Address; 9460 SW Tigard Avenue, Suite 101 Other: « City /State /ZIP: Tigard, Oregon 97223 - .. Subtotal sigma Minimum permit fee: 536.25 MI Phone: (.503) 639 -5296 Fax: (503) 684 -9015 Residential backflow minimum rernzit fee; $36.25 CCI: Lie.; 2439 Plumbing Lie. no.: 3429P11 Plan review (25% of permit fee) EMI State surcharge (12% ofpennit fee) Authorized signature 1 J 41 ; �t . TOTAL PERMIT FEE *4d Print name: Dana Jensen Date: 1. ` I -0' This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. ' Fee methodology set by ski -County Building Industry Service Board. l\ a,. i,,i „yV'wmi.u.t..Ntr- ,i, 06✓26ro6 4e0 -46t6T(19/O2./COM(wp„g) f a. 04/01/2009 09:48 5036849015 WESTERN PLUMBING INC PAGE 02/03 Plumbing Permit Application - City of Tigard . Page 2 - Supplemental Information . Fee Schedule _ esidential Fire Su i� . ,;- ;r r ,�,, , ,, , ress era S stems. ( l a ( 1 .,; r � i ., s1 � : k,. 1^ . a i ` t } h 4 I 'r 4 l o ;a r v° J,$ a 4 h r a FI 1... i ;dL .∎ ; t o ....rakr .La' `! r<zaf$w .xf i '. '(..,,a g t t nY ml U(Ji.. i g ;,' 0 :::; �xbr � a c W r �F, a� � s } „ w. ) ..t3 ...,.,. 1(t- ,,,.u:e .,.,..., ac h I �:ld;(L. I �:;c:: � M�, rti.:,4 „ tie }� i c,,, ti..... � �'.;t.__.,itur Vi i ' �d�ax ti�i'..S�c}ir�ius.,f .� ,5 ��t�: Footing drain - P 100' IIMI 55.00 0 to 2,000 $11 5.00 Footing drain - each additional 1.00' I= 46.40 2 DUI to 3 600 $160.00 Sewer - 1st 100' 53.00 3 201 to 7 200 re $309.00 7,201 and 'neater $309.00 Sewer - each additional 100' 46.40 Water Service - 100' - 55.00 Medical Water Service - each additional 100' x l Gas S stems: 46.40 .x,,... - -: »w` , -,,,. EZ.S ,:_' ., •:; - m'i e�� ��� ,'�"'t�Pka"'s�.. ;. �ay' {`�;a0,!,rc�`„� ;� i�H ,�yy�� "�"�;:::.\ti;,'w�" "��}�:::.�_ �: : i�` .,�;iiA #: � � SWIM) e{ Rain Drain - 1st 100' 55,00 w. iViii w „ c .,.t.i &- ve;A4 o& 1 r,,,A•$ . „ ' � w .t 4 i m _ $1.00 to $5,000.00 Minimum fee $72.50 t i n- - eac $5,001.00 to $10,000.00 $72.50 for the first $5,000,00 and $1.52 for each Storm & Rain Drain - each additional 100' 46.40 ..aa:mr. ,..,.,,..�......... .y1w•.. °:.1'r.. y ,,..,.:. ":::.... .....�.:t..•`::.�.] - .,.P'_.- .:.:riiii�'ri� ..v ..,...,..awn"" ..1 •r� :n D 3 e . .......(ur,,,.,,:,,.........., ..- :zx::�:, ?kt� �' .,:.� .�r�"�;"",.,; �:P:r� additional . ,� • �,c „.,u$.:_.. u .re s aR « �:,...; .;.. {.(......,- :. . , ,%�`,» ' .. '�y.�.,.. r onal $100.00 or fraction thereof, to and n. nt,., ., „w�h.:.-4.....(.:..,,.t,. a;. e... p. e.,,. xa;-, t,. La k�.. �:::GY m 9Yx .,�:;:......,, ;� mm ? includznt� $10,000.00. Commercial Back Flow Prevention Device MI 46.40 $10.001.00 to $2 $148.50 for the first $ 10,000.00 and $1.54 for Residential Backflow Pre Device EMI. each additional $100.00 or fraction thereof, to minimum .mart fee $36.25 and including $25,000.00, Rain Dram, single family dwelling 65.25 111.111 $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 s•eciall te.uestcdins ections - .erhour 72.50 and including $50,000,00. Subtotal: 111=1111._ $50,001,00 and up $742.00 for the first $50,000.00 fraction and $1,20 each additional $100.00 or fraction thereoereo f. • l L li � ) , Fixture Work: ltt;: F A (ti :!,4V�. ^ ra ! P nle} } }trw:e..x!»�� l" r 4<W ... ,> _.M.,,.�M,...... P- .e:.._7 I , ii 3 jlc....,.,,u�a..l_�_ Are you capping, adding or replacing fixtures? If "yes ", Plan review is required for any of the following_ please indicate work performed by fixture. Failure to Please check all that apply. accuratel re a ort fixtures could result in increased sewer fees * . ❑ Any now commercial building with water service 2" and rK.,:.. , rr : ?:? ' .:: ^^. r _ ,�,.. :: ...a. , ,�,S2u...,,.„, ,• ..... i";i'�x`,�c.` :: , : "..,..,.,,',�:w.r,.°:: greater, t3 systems (i'(4 i�R ) z „�,..; .t�z {'i {dJ a p ( .Wtr �04, r; y ( greate' p y s designed and stamped by licensed W"Ygkk Y h � Y ^CSYk• .. � � ,, T A � � F AL , ..i� f� {`1 rtirc w ct)i 14 .Wf Kr r• e � '" ' { iz ' t a ::13 " ' "t engineer. ;$ l t F y 11 au e . Kw ) T • ' r. ,..:: i::;.:.;• �.. r : �,iui: NCircxuw «, ... , �, ..,a7nx�„dl..rS r } �n„„,,,i�:�'x..e0a;tw.:.A! I .,,,arka,d.,t� ..:: © Any new exterior plumbing site utilities. B: ,fist /Font • � �� . ❑ Medical gas and vacuum systems for health care facilities, Bath - Tub /Shower �simm •❑ Any multipurpose fire sprinkler system. - Jacuzzi/Whirlpool Car Wash - Each Stall (] Any complex structure as defined in OAIt918- 780 - 0040. -Drive Thar Cos idor /Water As airator Submit 2 sets of plans with any of the above. Dishwasher - Commercial t .�,"°' " Gi�ct.'e �'1'"""; > .r rv ,�^,,, v �. 4 nu^^mµ�^;yrw - ,E -Domestic /�•,` r� ` {. y a a�, u OMi a',t �� a 7 r a to E �i w r tr xa ; i- t �f ^F'' ' ' Drinkinc Fountain Wash Flo Isometric or riser diagram is ed. for new buildings Drain /sink - 2" that me the a uaiifications above. 3" - 4 IIIII = Comments regarding fixture work: Car Wash Drain Garbage . -------- Disposal - Commercial _ - Industrial '.Dr i n Ice Maclt./ltcfri:. Drains ' Oil Separator (Gas Station) E Rec. Vehicle Dump Braden Shower - Gang Sta11 *Note: If the fixture work under this permit results in an Sink - Bar/Lavatory increase of sewer EDUs, a sewer permit will be issued and - Bradley fees assessed for the sewer increase must be paid before the - Commercial plumbing permit can be issued. - Service Swimming Pool Filter Washer - Clothes Water Extractor Water Closet - Toilet i Urinal Other Fixtures: P■Buildinylvn .mkatPLNI- Ret,..i<App.dec 09/2,7/06