Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Permit
• CITY OF TIGARD PLUMBING PERMIT • 11 11 COMMUNITY DEVELOPMENT Permit #: PLM2012 -00101 T I G A 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/02/2012 Parcel: 1 S134AA01800 Jurisdiction: Tigard Site address:. 10260 SW NIMBUS AVE M5 Project: Spec Space Subdivision: IKOLL BUSINESS CENTER, TIGARD Lot: 2 Project Description: Add break room sink Contractor: BEAVERTON PLUMBING INC Owner: HANSON, RONALD D 13980 SW TV HWY ROBINSON, CONSTANCE A BEAVERTON, OR 97005 ROBINSON, CHESTER TRUST ET AL 203604 EAST FINLEY RD KENNEWICK, WA 99331 PHONE: 503 - 643 -7619 PHONE: FAX: 503 - 643 -7620 FEES Quantity Description Date Amount 1 ea Sink 05/02/2012 $25.02 Specifics: 1 12% State Surcharge - 05/02/2012 $8.70 Plumbing Type of Use: COM 47 ea Minimum Fee Adjustment - 05/02/2012 $47.48 Plumbing Class of Work: ALT Type of Const: • Occupancy Grp: Stories: • Total $81.20 Required Items and Reports (Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules or direct q - = . • • OUNC by calling 503.232.1987 or 1.800.332.2344. Issued :1y: ■ J Permittee Signature: Call 503.639.4175 by 7:00 a.m. for the next available inspection date. This permit card shall be kept in a conspicuous place.on,the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Plumbing Permit Application RECEIVED Building Fixtures MAY -1 2012 I ()I, OI i'I' I. I SI: 1)\I N....._ City of Tigard Da ,© Permit No.: ) 4 • 0. -: /6/ 13125 SW Hall Blvd., Tigard, OR 97223 CITY OF TIGAR i Pian Review Phone: 503. 718.2439 Fax 503,598.1 Other Permit No.: .zy$ 79 Line: 503.639.4175 WO, DIVISIC 1` eRY r, r.; :\ 1:.;? Inspection Ih 121 See � a for Internet: www.tigard.or.gw Notified/Method: 1 • Supplementallnformation ❑ New construction 0 Demolition Fors ectd Itlfornrmion use eheckarL Description I Qty. 1 Ea I Total ® Addition/alteration/replacement 0 Other: New 1- 2- family dwellings (includes 100 ft- for each utility connection) : bath > fir.. ar c ( 2 ) bath ❑ 1- and 2- family dwelling ® Cum i mdustrial SFR () a37.78 - SFR (3) bath 500.32 ❑ Accessory building El Multi-family - Mach additional bath/kitchen 25.02 ❑ Master builder ❑ Other. Fire sprinkler (_ s q. IL) Page 2 . : '' ':;. .'i�. . 4D L ATIO °: ..:∎ S ite amities: Job site address: 10260 SW NIMBUS Catch basin ur area drain 18.76 • City/Statc/ZIP: TIGARD, OREGON 97223 DN trench drain 18.76 wzu leach lint, or .- Footing drain (no. linear ft.: _ ) _ Page 2 Suite/bldg. /apt. no.: M-S Project name: M-5 _ Manufactured home utilities 50.03 Cross street /directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer (no. linear tt.: _ ) Page 2 Storm sewer (no. linear LL: ) Page 2 Y Water service (no. linear 11.: ___) Page 2 Subdivision: ,(' I Lot nu.: Fixture or hem: _ -_ Tax map /parcel no.: [' rose / . 6 l eo° Backflow preventer 31.27 .. . r c s _ � ..,..• ' >!• 1..•: -: .. ' ::'. i� e'"r. % T. i ; E - r - QL, � K . : . :1?...:: .. ..; . .yam y . ?" : `� Clothes washer 25.02 ADD A BREAK ROOM SINK Dishwasher 25,02 Drinking fiumtain 25.02 Ejectors/sump 25.02 z is ";' .::.. N lmlk Nam HANSON, RONALD, AND OTnERS Fixture/sewer cap 25.02 Name Floor drain/floor sink/hub 25,02 Address: 203604 EAST FINLEY RD Garbage disposal l 25.02 . City /State/ZTP: KENNEWICK, WASHINGTON 99331 Hose bib 25.02 Phone: ( ) Fax: ( ) Icemaker 12.51 . .,X) ''; ::/' ✓ :: s' iiik interceptor /Freu.e trap 25.02 Business name: BEAVERTON PLUMBING. INC Medical gas (value: S ) _ Page 2 ta Pruner 12.51 Contact name: CASEY STEPHENS Roof drain (commercial) 12.51 Address: 13980 SW TUALATIN VALLEY HWY Sink/basin/lavatory 1 25.02 25.02 - City /State/ZIP: IWAVERTON, OREGON 97005 Solar units (potable water) , 62.54 Phone: (503) 643.7619 I Fax:: (503) 643.7620 Tub/shower/shower pan -` 12.51 E -mail: Sue(aibeavertunplumhing.com urinal 25.02 Water closet 25.02 ,::::;. �., Y - v ...,, „� r4. ..:;%`,: �.q} ;... �;:: : Water heater 37.52 Business name: BEAVERTON PL.LIMBING, INC - ' ' Water piping/DWV -^ 56.29 Address: 13980 SW TUALATIN VALLEY HWY Other: 25.02 City/State/MP: BEAVERTON, OREGON 97005 Subtotal 25.02 Phone: (503) 643.7619 / Fax: (503) 643.7620 Minimum permit fee: 872.50 7150 `' CCR 1,ic.: 12889 v Plumbing Lie. no.: 34-4PB if- - Plan review (25% of permit fee) State surcharge (12% of pemtit fee) 8.70 Authorized signature: Cagz ZSLCLICI TOTAL PERMIT FEE 81.20 I I Print name' SUSAN DEAN I Date: 5/1/12 1 This permit application expires if a permit .5 not obtained within tall days 11 I after It has been accepted as immplete. "Fee methodology act by Tri- County Ilmlding industry Service Hoard 1 :Wadi *Permits 1PtMU- PmmitAw.doe 1W11AJO 440 d616T(1W02/(,'UM/WHee) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: v� Residential Fire Suppression Systems: :..�. y .•t•e1':. ., ..: •':. :,.... ..: Q) rr;1. P eer'.•' ••i�;; =:r Footing drain - 1' 100' 50.03 0 to 2,000 $121.90 Footing drain - each additional 100' 37.52 2.001 to 3,600 $169,69 3,601 to 7,200 $233.20 Sewer - 1st 100' 62.54 7,201 and greater $327.54 Sewer - each additional 100' 37.52 Water Service -1st 100' 62 Medical Gas Systems: Water Service - each additional 100' 37.52 i l WA ; ' .Permi Fl;le� t . j .:: _ . Storm & Rain brain - lst 100' 62.54 $1.00 to $5,000.00 ... Minimum fee $72.50 : T Sturm & 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 � ftbl. each additional $100.00 or fraction thereof, to 4x11' • ''r '' ....: (. , and including, $10,000.00. Inspection of existing plumbing or for $10,001.(U to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for which no fee is specifically indicated 90.00/hr each additional $100.00 or fraction thereof, to (minimum charge -1/2 hour) and including $25,000,00, Inspections outside of normal business 90.00/hr $25,001.00 to $50,000.00 $379.50 fiw the first $25,000.00 and $1.45 for hours (minimum charge - 2 ho urn) each additional $100.00 or fraction thereat to Rcinspection Fees 90.00/hr and md__ tiding $50,000.00. Additional plan review fur revisions 90.00A $50,001,00 and up $742.00 for the first 550.000.00 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 fixture. Failure to accurately report fixtures could result in increased sewer fees * . _:.. '^ .' :Qaaud byuttartType:F ,,. :': Plil 1 : ;W'F M11 1;Wa t1OnS. I�lxtareType' for : -.. • •...,.:..; :. - t;od • :„Work•Performed:.: • '- .•..,;_ ... ;> Capped. Added .;.;. Rite Plan review is required for any of the following. Baptistry/Font Please check all that apply. h - Tub /Shower ❑ Any new commercial building with water service 2" and - Jacuri/Whirlpool greater, except systems designed and stkunped by licensed Cur Wash - Each Stall engineer. - Drive 't'hru ❑ New exterior plumbing site utilities for any complex structure Cuipidur/Waccr Aspirator as defined in OA1t918.7K0 - 0040. Dishwasher -Commercial ❑ Medical gas and vacuum systems for health care facilities_ -Domestic _ Any multipurpose fire sprinkler system. Drinking Fountain ❑ Any complex structure as defined in OAR918- 780-0040. Eye Wash Floor Drain/sink - 2" Submit 2 sets of plans with any of the above. - 3" -4" • Car Wash Drain ;.: . 's et rl.N.r'' se'..'Dl iln a ' Garbage - Domestic ram - food ❑ Isometric or riser diagram is required for new buildings Disposal - Domestic related that meet the qualifications above. - Commercial-fond related _ - Industrial -food related Ire MachJRcfrig. Drains Oil Separator (Ga Station) Comments regarding fixture work: Rec. Vehicle Dump Station Shower -Gang -Stall Sink/Lav - Nun -fond related - Bradley - Cormmercia -food related 1 S ervice Washer Glo hes - *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 fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fixtures: hap: / /wow.tigard -or.gov/ city hatVdepartments/cd/docs/PLMI PerinilApelOt;