Permit CITY OF TIGARD PLUMBING PERMIT
t COMMUNITY DEVELOPMENT Permit #: PLM2012 -00045
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/02/2012
Parcel: 2S112AB01000
Jurisdiction: Tigard
Site address: 7225 SW BONITA RD
Project: Horizon Restoration Subdivision: NELSON BUSINESS CENTER Lot: 1
Project Description: Interior plumbing.
Contractor: H & H MECHANICAL Owner: HORIZON RESTORATION
5757 SE WILLOW LN 7235 SW BONITA RD
MILWAUKIE, OR 97267 TIGARD, OR 97224
PHONE: 503 - 624 -2215
HONE: 503 - 975 -9787
FAX: 503 - 659 -2979
FEES
Quantity Description Date Amount
1 ea Dishwasher 03/02/2012 $25.02
Specifics: 1 ea Floor Drain/Floor Sink/Hub 03/02/2012 $25.02
3 ea Sink 03/02/2012 $75.06
Type of Use: COM 2 ea Water Closet 03/02/2012 $50.04
Class of Work: ALT 1 ea Water Heater 03/02/2012 $37.52
Type of Const: 1 12% State Surcharge - 03/02/2012 $25.52
Occupancy Grp: Plumbing
Stories:
Total $238.18
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: 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.
Plumbing Permit Applica i!,i C EtVED
Building Fixtures FEB 2 9 2.°12. rtlu OFFI R. L 1_' S O \ I,V
City of Tigard R eceived Penult No.: ?it + 13125 Sw Hall Blvd., Tigard, OR 9
OF TIGAe tiD Plan Review ; 1� _Ai ,t• („1 -1, .
' • Phone: 503.718.2439 Fax; 503,598 Other Permit No.: D(, � /)- hl / y .
Inspection Lin: 503.639.4175 BU ING DIV ISIG� Date/Rq: 6V
1 1 t ; ,\ R r, Gate Ready/By: rmis ®3ee Page i for
Internet www.tigard-or.gov Notified/Method: 110 Supplemental Information
ii`I �;' �ra `r' "riill ?�.'. •"iir��!1' :n SRC,. �'.r:3f•�C 7 tmrn 3 f"I;��'�' G.. r of ap it- ,ir -Y•r f � r,,'cl" �i^N:'�'h,. "•111' :e:f ^u.'.
hi _g E1.r :r.. :l, n ?. 0 1 i �i a1 ;rig . . k ,. 1.6 1 1 "'1�' IwR ? td g p � - J• - , IJ If
'4c. �
.11:11Hk'.FFKm'..i�. l' i i i. I �; J.Y =i�. II' ,� � li : ;�: F:o�' _ ^nu".
.:: 97tA�iiliNi�Feu,.' �f��: auittii- � E • �u-_ ir i.°. �Inkl9�! F�' ��: ;" ���� ° i ir1 rW�'�•'�'•1�''� tNia'cJ�t.:,:l :��... ltvd�u
❑ New construction ❑ Demolition For special Wormation use checklist
Description I Qty. I Ea. J Total
® Addition/alteration /replacement El Other: New 1- 2- farolly dwellings (includes 100 ft. for each utility connection)
m i f - nu Tr,:.. r,;.T.'?all. r r +. r ; r,n
m� P.. � ry 1 l � � ai• me R:, +k' r . d �a- ' J1 1,,.� -i•� !''13 rc n SFR(1}bath 312.70
e:, L .lili7.II1 �It1.1; G"'.,(J' LEI:. v;' �-�- i !: !,;; U t,!dt 'nvezn:., “ t 1p ' irr, ■
r,:. �.�..:ttnLr I r n >rNws : ��, ill r. �� I J�
El 1- and 2- family dwelling ® Commercial /industrial SFR (2) bath 437.78
SFR (3) bath 500.32
❑ Accessory building ❑ Multi - family
Each additional bath/adtchcn 25.02
❑ Master builder ❑ Other:
_ Fire sprinkler sq fl Page 2
� ' i^'": %, -cc-�' rrtc-r- ' ui ;rt - .' „Y...�±t .. _ . �nnrr• -
{ I, 1 " „It'. i .,,, ; .r y •y? i 0`�.. I : i I ii " i �l4 c iii { rl'-„ ''�1f� A ll Yl j `:Ilt.i+11? Ih' lil}A� J ( 1 I Site utilities:
N+ l �
. w:,� �7� ry +_ � ���, 1 ,�,��1�3uoPa:r�,3A�r^rL �fltl�uuit:el:rf � J�., _... , ..,...._
Job site address: 7225 SW BONITA RD. Catch basin or area drain 1 8.76
City /State/ZIP: TIGARD, OR 97224 Drywall, leach line, or trench drain 18.76
Footing drain (no. linear ft.; _) Page 2
Suite/bldg./apt no.: I Project name: 4 Zopl le_e re;
Manufactured home utilities 50.03
Cross street/directions to job site: 72" AND BONITA Manholes 18.76
Rain drain connector 18.76
Sanitary sewer (no. linear ft.: _) Page 2
Storm sewer (no. linear R: Page 2
Subdivision: Lot no.:
Water service (no. linear ft.: ) Page 2
Fixture or item:
Tax map /parcel no.: l;aektlow preventer 31.27
Irli . , . p, ; • r a .. :;:.,,.,._...._ -.. _. _ . . .... ... , -
. _, -
B � r !;, ., : i' w '.i���i ti G ;0'r.�� . a , n;ih, I II� 1�1 I� 1� r.r, .�. a ater valve i
s+t� % n.,. y ;. 20; ,`d 4 ,:nc+:<:.1.:; } a, 4 ,j . : a.. :.a - ,: s li it •;,. , - c . .; .. ,�. l:,�, W , ' . : .? ti '�
Clothes washer 25.02
RELOCATING PLUMBING FOR TWO WATER CLOSETS, TWO LAVS AND
Dishwasher 1 25.02 25.02
KITCHEN SINK Drinking fountain 25.02
Ejectors/sump 25.02
.
. • .` _7 fir ji r.' �' { I ii, N. r; Expansion tank 12,51
TrP i g ii � N '1! ` nr, d ci 1 1 e _.o_ . al ti iiiit !� ?� , x' A .. i ' . L
Name: HORIZON RESTORATION Fixture/ ewer cap 25.02
Address: 7225 SW BONITA RD Floor drain/floor sink/hub 1 25.02 25.02
Garbage disposal 25.02
City /State/ZIP: TIGAIiD, OR 97224
Hose bib 25.02
Phone: (503)620 -2215 Fax: ( ) Ice maker 12.51
�'"r;: r .• • . . r ,,mi .;eG -- _:• .--', .. ,-,e. I I ,
•,• _ � ���]],{ at,v,i , «� ?r rr. i ? Phi [ r, r, , an ;i. 4,'..'0‘1 , ` ` -� Interco tor/ aseUa 25.02
erilil $rll'ril:':1jt�i�,liiil:ll':L�I �L'�M1:L�u �Sr..r.��..�,r: t;�iCfl:;t `,,_ J , i • I �'e11.:L I ,iJ L� r 7"L.r�1i111:�,a... -' �71 .. 9 :,a. , '. 1 Q � trap
Business name: H &H MECHANICAL, LLC Medical gas (value: $ ) Page 2
Contact name: DUSTIN HAGUE
Primer 12.51
Roof drain (commercial) 12.51
Address: 5757 SE WILLOW LN: Sink/basin/lavatory 3 25.02 75.06
City/State/ZIP: MILWAUKIE, OR 97267 Solar units (potable water) 62.54
Phone: (503) 975 -9787 l Fax: : (503) 659 -2979 Tub /shower /shower pan 12.51
E- mail: HANDECKECRANICAL @HOTMAIL.COM Urinal 25.02
utnrr , � '''" o. i r n. :1; •^" ",a,ecwvq. ...:: .__.�. E closet 2 25.02 50.04
st
re��� � � •,Y"'ti�'; , � tom: � :, ;
t _ Water
tZIifi. , . ,,,.4,,:,.I.',ti1 1ill ? itIld�.11u.1,ir4fi,4 ol42 t
' L. e airi i rj' '.. . .
f i r , n;ali iitt
Warms heater 1 37.52 37.52
Business name: H &Iii MECHANICAL, LLC
Water piping/DWV 56.29
Address: 5757 SE WILLOW LN. Other: 25.02
City/State/ZIP: MI LWAUKIE, OR 97267 - Subtotal 212.66
Phone: (503) 975 -9787 Fax: (503) 659 -2979 Minimum permit fcc: $72.50
CCB Lic.: 178122 Z I ( Plumbing Lic. no_: )PB414 V ea Plan review (25% of permit fee)
h State surcharge (12% of permit fee) 25.52
Authorized signature: TOTAL PERMIT FEE 238.18
Print name: DUSTIN HAGUE I Date; 3 -1 -12 This permit application expires If a permit Is not obtained within 180 days
after tt bas been accepted as cocoptete.
'lee methodology set by Tri-County rruilding Industry service Hoard.
I:1Building1Fi mits1PLMU- ParmitApp.doc 10/01/09 040.4616T(10/02/COM/WEB)
Plumbing Permit Application. - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Su ' ' ression stems:
GAEI'_, .:.l,tn,: , ,;fit lllfi .� LieL x:, If o- r n �rrtn. ' V? T a i • - �i.ve • , e •, , p n , a
7 v G C 1 ' , a l t11� t 5 C (r I { j, { 1 .11 ,i
2:1 .,, , 11;„. ∎ .1 yb ,T ! �t r. 4 :y 7P..1 i!t {''iJ:Klilhl �,l f: Wilt, , j
1,�., lW,,,: "7,.,.. i U: ' .i ,LL.,id,fME141 i u�i• ' .,N k ,b li I rn� :: ,r og F� dall,' u6t,E,a .;;;;;LT,,, � . 1; -
. JAI U7 U ��i,Giiu• J1u' T. m b Lv „ � i 9 � 1. 1 1
Footing drain - 100' 50.03 0 to 2,000 $121.90
Footing drain - each additional 100' 37.52 2,001 to 3,600 $169.69
Sewer - 1st 100' 62.54 3,601 to 7,200 $233 20
7,201 and greater $327.54
Sewer - each additional 100' 37.52
Water Service - 1st 100' 62.54 Medical Gas Systems:
- each additional 100' 37.52
water Service - , r ;' 1 . ri I la... Ip kC:sai1?i
ce „� '. , , s , ..::_,:- .. =; . 1 _ 1 + ...
: � +I� rrol ! wl i� SYIl i ' w Fill 1; I.' f
Storm & Rain Drain - 1st 100' 62.54 $1.00 to $5,000.00 Minimum fee $72.50
Storm & Rain Drain - each additional 100' 37.52 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for
!1 r6' .u_ .r, y,,,� ; . { , : ,, v r, ,i .' _• 1 is G�� l ; each additional $100.00 or fraction thereof, to
e .� i , i ;
'q { - -._ __.. '•�=, � r- -4
S. = i +. 1 4 9 -�,'- i °'. "i i 1 fF n 'rrid::i r.,•�= cal.i.iv� and including $10,000.00.
Inspection of existing plumbing or for $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 fbr
which no fee is specifically indicated 90.00/hr
(minimum charge -112 hour) each additional $100.00 or fraction thereof, to
and including $25,000.00.
Inspections outside of normal business 90.00/hr $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for
hours (minimum charge -2 hours) each additional $100.00 or fraction thereof, to
Reinspection Fees 90.00/hr and including $50,000.00.
Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for
(minimum charge -1/2 hour) _ each additional $100.00 or fraction thereof.
Subtotal:
Commercial Fixture Work:
Are you capping, adding or replacing fixtures? If "yes ",
please indicate work performed by future. Failure to
accurately report fixtures could result in increased sewer fees *. _ _
,"""� 1 ;�i..e rrl r.:1:xi lx: wi U ' tIIF� 11f r t
' ' ' - u -- _ -- - � i „ - ' _ C � _ I,i:itiw , ,1:11 �m � 1 1 .�,,1� i, l c�l'n�,.1- �1A!!: li 1 ��n�,' �
]., �
�.,�. bnm„?IminM',..,r1n {;I;Iliim�- a�t'.�um L. mTn
y ; iii
,w;;1t li i l liti' F -' , �
IGirI!- ! g ry � :, s, iit“04'S?�r'r Plan review i required t c w'
,! _, -, t5i51.0 • : ,::_:• -• _ ..._ �ffd - � - jai ; igtml review s that for any of h following.
�'d„3131Yt1CgI1bIN•'HIi11D1: 6• . ¢ -iii I .Il � n ma�r,'x:enniJ
Please check all tapply.
Baptistry/Font
Bath -Tub /Shower ❑ Any new commercial building with water service 2" and
-Jacuzzi/Whirlpool greater, except systems designed and stamped by licensed
Car Wash -Each Stall engineer.
- Drive Ttw ❑ New exterior plumbing site utilities for any complex structure
Cuspidor/Water Aspirator as defined in OAR918- 780 -0040.
Dishwasher - Commercial ❑ Medical gas and vacuum systems for health care facilities.
- Domestic 1 Q Any multipurpose fire sprinkler system.
Drinking Fountain ❑ Any complex structure as defined in OAR918- 780 -0040.
Eye Wash
Floor Drain/sink - 2" - I Submit 2 sets of plans with any of the above.
- 3°
- 4" _ r... tiT 7t � . i n nr�••,c, + nl , � �. .. ..
Car Wash Drain 31 ., ' T
I '. ! :i; .. moo a � ilk1 1 V l cinii∎.:1. ;� j �u n 11 : •i ; l . .. ;,
Garbage - Domestio non - food ❑ Isometric or riser diagram is required for new buildings
Disposal - Domestic-food related that meet the qualifications above.
- Commercial -food related
• -Industrial-food related
Ice MachiRefrig. Drains
Oil Separator (Gas Station) Comments regarding fixture work:
Rec. Vehicle Dump Station OTHER FIXTURE =WATER HEATER
Shower -Gang KITCHEN SINK AND DISHWASHER ARE IN BREAK
-Stall
5ink/1,av - Non -food related 2 ROOM IN OFFICE, SO I REFERRED TO THE
- Bradley KITCHEN SINK AS A SERVICE SINK.
- Commercial -food related _
- Service 1
Swimming Fool Filter
washer - cloths *Note: If the fixture work under this permit results in an
Water Extractor - increase of sewer EDUs, a sewer permit will be issued and
Water Closet - Toilet - 2 fees assessed for the sewer increase must be paid before the
Urinal plumbing permit can be issued.
Other Fixtures: 1
Documents 2 •