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Permit ./ / d , tf ..!-tiyirbi-fice-776./-, . CITY OF TIGARD PLUMBING PERMIT IN ° COMMUNITY DEVELOPMENT PLUMBING PLM2008 -00130 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/27/2008 PARCEL: 2S 112 DD -01100 SITE ADDRESS: 15700 SW UPPER BOONES FERRY RD ZONING: C -G SUBDIVISION: LOT: JURISDICTION: TIG PROJECT: HOLIDAY INN EXPRESS Project Description: Installing (1) RP device, (1) shower stall and (2) clothes dryers in laundry room. Relocating (1) lavatory and (1) water closet. Installing (1) backflow preventer. 4/2/08, installing (2) clothes CLASS OF WORK: ALT GARBAGE DISPOSALS: _MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: 2 BACKFLOW PREVNTRS: 7 OCCUPANCY GRP: B FLOOR DRAINS; 4 TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 3 URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: 2 TUB /SHOWERS: 1 SEWER LINE: ft WATER CLOSETS: 1 WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES BHGAH TIGARD, LLC PO BOX 1670 Description Date Amount WILSONVILLE, OR 97070 [PLUMB] Permit Fee 3/27/2008 $175.80 [TAX] 12% State Surch 3/27/2008 $21.10 Phone : 503 - 783 -5222 [PLUMB] Addl Permit 4/2/2008 $66.40 [TAX] 12% State Surch 4/2/2008 $7.97 [PLUMB] Addl Permit 5/2/2008 $20.00 Contractor: [TAX] 12% State Surch 5/2/2008 $2.40 ASSOCIATED PLUMBING CO (additional fees not shown here) P O BOX 301362 PORTLAND, OR R 97230 REQUIRED €VMS AND R%' Contact # : PRI 503- 331 -0582 FAX 503- 331 -0581 Reg #: LIC 57890 PLM 26 -412PB 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. Issued B �`L�`y i� =�� Permittee Si nature: 0 . i llp NNW 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 06/04/2008 23:22 5033310581 ASSOC PLUMB CO PAGE 02/03 ■ . .; Plumbin;a Permit Application ® � Building Fixtures � FOR OFFICE USE ONLY City of Tigard ® ; r 1 '' � %7 Permit No ��� � .. �� n 13125 SW Hall Blvd.. Tigard. OR 97223 J ��V . cv;cw _ ' . . , Phone. Line: 503,639A 175 one, 503.639 4171 Fax: 503.598 1960 ON N% Datc/By. Other Fermi! No 3�7,9C• �k d 1. 0 7' I G /1 R fJ Inspection � � w �� � Dive Randy /Dy. . j� ® I nternet: www,tignrd -or gov ej \`� Nnnf cd /Method. /� IfC� SupplemccMl Sec Pnae 2 t for nfcrmntion TYPE OF WORK ig.)) G- r) -r„ FEE* SCAEDltt,.E ❑ New construction ❑ Dcmolitimn For special information use checklist. Description I Qty. ] Ea I Total • ddition /alteration /replacement ❑ Other: New i- 2 - family dwellings (includes 100 ft. for each utility connection) CATCGO>(2V. CONSThUrt N SFR (I) bath 249.20 ❑ I- and 2- family dwelling ,Commercial /industrial SFR (2) bath 350 00 ❑ Accessory building ❑ Multi- fancily SFR (3) both 399.00 Each additional bath/kitchen 45.00 ❑ Master builder ❑ Other: Fire sprinkler ( se, R) Page 2 .. :,t btt:SiTE 1R`IF411101AcTIoN A111) LOCATJ'dr ' • . •• Site utilities Job site address: /Sw Ll ++✓cbJ /wry , Catch basin or area dram _ 16.60 City/State/ZIP: - — �'� -,"� .el !C Drywall. leach line, or ttcnch drain 16.60 Suite/17IdgJapt. no.; 1 Project name: �/j _ C S� Footing drain (no. linear R • } Page 2 - — Manufactured home utilities 110.00 Cross street/directions to job site: -� Manholes 16,60 Rain drain connector 16.60 — Sanitary sewer (no. linear R,: ^ ) Page 2 Storm sewer (no. linear ft.: — Page 2 Subdivision: F1,7 no„ Water service (no. linear R • ) Page 2 Fixture or item Tax map /parcel no.: Absorption valve 16.60 /' 1�ESCCRI1'1't N 'OF ©I C Brick flow preventer a Page 2 778 , y0 . ,,, "S'TGtr7 6 Zn __ ,_ S ¢D C C .rc ./ee ]..e Backwater valve 16 60 Clothes washer 16,60 Dishwasher 16.60 ' 0 PROPERTY` OWNER .: n TENANT Drinking fountain 16,60 Ejectors /sump 16.60 Name: Expansion tank r -- 16 60 Address: Fixture/sewer cap 16.60 City /State /ZIP: Floor drain /floor sink/hub 16.60 Phone: ( ) Fax: ( ) Garbage disposal 16.60 • • Hose bib 16.60 ❑. APPLrw;ANT ❑ CONTACT PARSON Ice maker 16.60 Business name: Interceptor /grease trap 16 60 Contact name: Mcdicnl gas (value, $ ) Page 2 Address: Primer 16.60 City/State/ZIP: Roof (commercial) 16,60 Phone: ( ) Faye:: ( ) �' Sink/basin/lavatory 16,60 --- Tub /shower /shower pan 1 6 .60 E -mail: Urinal 16.60 _ CO3N' `II Water closet 1660 Business name 3- „, , z, 7!-ri e rorz- c Water heater 16 60 Address: /'gyp. ) > 7,,y7.--z__ __..� Other - City /State/ZIP: ��. p,� y,2- Subtotal z, 75- • `! ----- Minimum permit fee: $72 50 Phone: (5 7) 71/... pct_ Fax: (C:05 ) 37/ -OM Residential hacktlow minimum permit fcc: $36 25 CCB Lie.: fie+ 65 Trap Plumbing Lie no.: 7..6 - y/Z /IP Plan review (25%ofpermit fcc) State surcliorge (12% of permit fcc) 9/ Authorized signature: ' /� �� TOTAL PERMIT FEE L i. V/ Print name: � , • /�i4 e,,,_ Date: 6'--5 This permit implication expires If a permit Is not obtained within 180 days after It has been accepted as complete. *Fee methodology set by Tri - minty Huilding Industry Service Board I;IAnlIttlne\Permnc\PL.Mr.NVmh App dnc 12/27/00 440•1010T( I(VW/COM/WV) 06/04/2008 23:22 5033310581 ASSOC PLUMB CO PAGE 03/03 'l • Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Su r . ression S stems: :Sine TJtil� qty, Fee:(0) • TrYtnF ,tare, ,t Dotage: Permit Fee: Footing drain - i° 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. 7.201 and • rcatcr $309.00 Sewer - each additional 100' 46.40 Water Service - I st 100' 55.00 Medical Gas S r�st Water Service - each additional 100' 46 40 Valuation: Permit Fee: Storm & Rain Drain • Ist 100' 55.00 $1.00 to $5,000.00 Minimum m 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 51 52 for each 1 Qty. Total Q F .(ca) T01 additional $100 00 0l fraction ihcreof, to and Fixture or ten? including $10,000.00, Commercial Back Flow Prevention Device 6 46.40 271- $10,001 00 to 525,000 00 $148 50 for the first $10,000 00 and $1 54 for Residential Baekilew Prevention Device each additional $100 00 or fraction thereof. to (minimum permit fee $36 25) 27.55 and including 525,000 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 each additional $100 00 or fraction thereof, to Inspection of existing plumbing or and including $50,000,00, speciallIfequcsted inspections - per hour 72.50 $50,001.00 and up $742 00 for the first 550.000 00 and 51 20 for Subtotal: each additional $100.00 or fraction thereof Commercial Fixture Work: Plan Review for Plumbing Installations. 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. accurately report fixtures could result in increased sewer fees * . ❑ Any new commercial building with water service 2 "' and ()flunky, by (Fixture) Work Performed greater. except systems designed and stamped by licensed Fixture Type: nentacc engineer. Prtviona , Capped AAded ridging ❑ New exterior plumbing site utilities for any complex structure Baptistry/Font as defined in (MR9I S- 780 -0040. Bath -Tub /Shower Li Medical gas and vacuum systems for health care facilities, - lacuni/Whirlpool © Any multipurpose fire sprinkler system. Car Wash -Each Stall El Any complex structure as defined in OAR918- 780 -0040. -Drive Thru Cuspidor /Water Aspirator Submit 2 sets of plans with any of the above. Dishwasher - Commercial -Domestic I or RiSeli-'Dia tram Drinking Fountain g Eye Wash ❑ Isometric or riser diagram is required for new buildings Floor Drain /sink - 2" that meet the qualifications above. 3 „ Car Wash Drain Garbage - Domestic Comments regarding fixture work: Disposal - Commercial - Industrial Ice Mnch, /Rcfrig, Drains _ 00 Separator Las Station) Rcc. 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 plumhing permit can be issued. Washer - Clothes Water Extractor - Water Closet - Toilet Urinal Other Fixtures: 1nuilding \Pcrtni PornmApp doc I2/27/a6 06/04/2008 23:22 5033310581 ASSOC PLUMB CO PAGE 01/03 A doeza t e d PLUMBING CO. P.O. Box 301362 Phone: 503- 331 -0582 Portland, OR 97294 -9362 Fax: 503 -331 -0581 CCB #057890 FAX TRANSMITTAL DATE: June 5, 2008 TO: City of Tigard PROJECT: Holiday Tnn Egress ATTN: Trade Permits PAGE # INC. COVER: 3 SENT BY: Brad Marshall MESSAGE: Please add to existing permit# PLM2008 -00130 please call when ready Commercial * Residential * Industrial * Remodel * Repair * Service 4 I -rl 4 "M(24Lfri,t_o_c_M" ' 1 'l le---- 7 4)4L1 .._ - C ITY OF TIGARD PLUMBING PERMIT ° COMMUNITY DEVELOPMENT PERMIT #: PLM2008 -00130 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/27/2008 PARCEL: 2S112DD -01100 SITE ADDRESS: 15700 SW UPPER BOONES FERRY RD ZONING: C -G SUBDIVISION: LOT: JURISDICTION: TIG PROJECT: HOLIDAY INN EXPRESS Project Description: Installing (1) RP device, (1) shower stall and (2) clothes dryers in laundry room. Relocating (1) lavatory and (1) water closet. Installing (1) backflow preventer. 4/2/08, installing (2) clothes CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: 2 BACKFLOW PREVNTRS: 2 OCCUPANCY GRP: B FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 3 URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: 2 TUB /SHOWERS: 1 SEWER LINE: ft WATER CLOSETS: 1 WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Owner: - FEES BHGAH TIGARD, LLC PO BOX 1670 Description Date Amount WILSONVILLE, OR 97070 [PLUMB] Permit Fee 3/27/2008 $175.80 [TAX] 12% State Surch 3/27/2008 $21.10 Phone : 503 - 783 -5222 [PLUMB] Addl Permit 4/2/2008 $66.40 [TAX] 12% State Surch 4/2/2008 $7.97 Contractor: Total $271.27 ASSOCIATED PLUMBING CO . P O BOX 301362 PORTLAND, OR R 97230 REQUIRED ITEMS AND REPORTS Contact # : PM 503- 331 -0582 FAX 503 -331 -0581 Reg #: LIC 57890 PLM 26 -412PB 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. Issue By: Permittee Sign. ure: Vii 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. 1 �, Accumulative Sewer Tally Parcel # 2S112DD -01100 Tenant Nartie: Holly Inn Express* *TOTAL FIXTURE WALK- THRU ** This SWR# N/A Site Address: 15700 SW Upper Boones Ferry Rd This PLM# PLM2008 - 00130 Fixture Value Previous Previous Credits Capped Fixture Fixture New New # value capped off value added added total total count off #s count # value #s values Baptisery/Font 4 0 0 0 0 0 Bath - Tub /Shower 4 95 380 0 0 95 380 - Jacuzzi /Whirlpool 4 0 0 0 0 0 Car Wash - Each Stall 6 0 0 0 0 0 - Drive through 16 0 0 0 0 0 Cuspidor /Water Aspirator 1 0 0 0 0 0 Dishwasher - Commercial 4 0 0 2 8 2 8 - Domestic 2 0 0 0 0 0 Drinking Fountain 1 2 2 0 0 2 2 Eye Wash 1 0 0 0 0 0 Floor Drain /Sink - 2 inch 2 6 12 0 1 2 7 14 - 3 inch 5 1 5 0 0 1 5 - 4 inch 6 0 0 0 0 0 - Car Wash Drn 6 0 0 0 0 0 Garbage Disposal - Domestic (to 3/4 I -IP) 16 0 0 0 0 0 - Commercial (to 5 HP) 32 0 0 0 0 0 - Industrial (over 5 HP) 42 0 0 0 0 0 Ice Machine /Refrigerator Drain 1 4 4 0 0 4 4 Oil Sep (Gas Station) 6 0 0 0 0 0 Rec. Vehicle Dump station 16 0 0 0 0 0 Shower - Gang (per head) 1 0 0 0 0 0 - Stall 2 6 12 7 14 1 2 0 0 Sink - Bar /Lavatory 2 107 214 6 12 0 101 202 - Bradley 5 0 0 0 0 0 - Commercial 3 1 3 0 1 3 2 6 - Service 3 0 0 0 0 0 Swimming Pool Filter 1 0 0 0 0 0 Washer - Clothes 6 3 18 0 0 3 18 Water Extractor 6 0 0 0 0 0 Water Closet - Toilet 6 102 612 6 36 0 96 576 Urinal 6 1 6 0 0 1 6 Previous EDU Count 0 0 Capped EDU Credit 0 TOTALS 328 1268 19 62 5 15 314 1221 Current Fixture Value 1221 divided by 16 = 76.3 Current EDU 1 EDU = S 2,800 Previous Fixture Value 1268 divided by 16 = 79 3 Previous EDU Change -47 divided by 16 = -2 9 over (under) $ (8,120.00) Enter EDU Change Here -2.9 Notes: Accumulative Sewer Tally determined by fixture walk -thru performed by John Williams on 4/7/08. Authorized Name /Signature: Debbie Adamski Date: 4/7/2008 Building Division Note: The property owner shall retain the ORIGINAL sewer tally record. If credits exist, this document will serve as a voucher which must be submitted to the City of Tigard Building Division to redeem credits towards future system development charges. I: \Building \Sewer Tally \ SewerTallySheet-2008.xls 06/30/07 Plumbing Permit Application 1,iuild;n Fixtures FOR OFFICE USE ONLY • City of Tigard Received r4, Date /By " ( Peiuut No � ji' A „ ry� /% .7. n 13125 SW Hall Blvd , Tigard, OR 97223 Plan Review ` ce..ee - 4f Phone 503 639 4171 Fax 503 598 1960 Date /By Other Permit No T I GARD Inspection Line 503 639 4175 Date Ready /By 1 ^ See Page 2 for Internet www.tigard -or gov Notified /Method I �,p Supplementallnformation TYPE OF WORK FEE* SCHEDULE ❑ New construction ❑ Demolition For special inforntation use checklist. Description I Qty I Ea I Total Addition /alteration /replacement ❑ Other: New I- 2- family dwellings (includes 100 fl for each utility connection) CATEGORY OF CONSTRUCTION SFR (I) bath 249 20 ❑ I- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350 00 ❑ Accessory building ❑ Multi- family SFR (3) bath 399 00 ❑ Master builder ❑ Other Each additional bath /kitchen 45 00 Fire sprinkler ( sq ft ) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities Job site address: ./57,� SG/ 7� �� 7 -Fri Z, Catch basin or area drain 16 60 Y Cit /State /ZIP. — // 1 � � Drywell. leach line, or trench drain 16 60 Suite /bldg /apt. no.. Project name: � ., /� Footing drain (no linear fl ) Page 2 �/l�/efS Manufactuied home utilities 110 00 Cross street/directions to job site: d Manholes IG 60 cU t. Rain drain connector 16 60 Sanitary sewer (no linear II ) Page 2 Storm sewer (no linear R. _ ) Page 2 Subdivision Lot n Water service (no linear II _ ) Page 2 Q ----Fixture or item A Tax map /parcel no. ��-� t K (� (5// j� G ` / A bsorption valve 16 60 DESCRIPTION OF ` WORK / // Back flow preventer Page 2 ��eG��G� e... C . .... <. �k e �,�/ .01,04, Backwater valve 16 60 I e —} C -7 s /� 7 6 KO �� 5 Clothes washer Z 16 60 33 (- OGGor �«h� �� .. ,-ce 70 A,41/-----s o ` -e.. ir/ �� ie9K Dishwasher 16 60 ❑ PROPERTY OWNS / R Drinking fountain 16 60 ❑ TENANT Ejectors /sump 16 60 Name: Expansion tank 16 60 Address: Fixture /sewer cap 16 60 City /State /ZIP: Floor dram /floor sink/hub 16 60 Phone: ( ) Fax: ( ) Garbage disposal 16 60 ❑ APPLICANT ❑ CONTACT PERSON Hose bib 16 60 Ice maker 16 60 Business name: Interceptor /grease trap 16 60 Contact name. Medical gas (value $ ) Page 2 Address Primer 16 60 City /State /ZIP: Roof drain (commercial) 16 60 Sink/basin /lavatory Z 16 60 3 -O Phone: ( ) Fax. • ( ) Tub /shower /shower pan 16 60 E-mail. Urinal 16 60 CONTRACTOR Water closet 16 60 Business name ;,�T�n ��i�.+dovl ,.. Water heater 16 60 Address Other City/State/ZIP: t� Subtotal 66 City/State/ZIP: 7 _ (O U 77Z9 Minimum permit fee $72 50 Phone • (Sii3 vii... o �-�� Fax: (.g — J3 ) 3�j._ p5 Residential backtlow minlnwm permit fee $36 25 — t.I CCI3 Lie.: U1-7 Plumbing I_ic no.• jam— y/Z PQ Plan review (25 %ofpermit fee) 1±) State surcharge (12% of permit tie) - 7.9 Authorized signature: 7 V . 37 TOTAL PERMIT FEE Print name: ���� ,? /// ,1,erldA Date: ' Z — eJ i This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tn- County Building Indust - - - i \Bwtdmg \ Permits \PLMF- PermiiApp doe 12/27/06 440- 4616Ti 10 /02 /COxi /VEB) t ;.- I 15 / Plumbing ermit Application s 1��0���1UO , 0K— WO 'Building Fixtures E� FOR OFFICE USE ONLY City of Tigard ��� �� Received / .---, If Permit No �/ I a 13125 SW Hall Blvd , Tigard. OR '97223 q 2 / Plan Revie Phone 503 639 4171 Fax. 503 598 lYtRk` o Date /By Other Permit No / CtC Q jO�_ J"16.3.7 h TI C A RD Inspection Line 503 639 4175 1 - I PAD Date Ready /By Jens El See rage c au. Internet www.ugard -or gov r/ Of i • - 1 ®0 Notified /Method Supplemental Information TYPE OF W ` t . 160 EVISL FEE* SCHEDULE 4�Ld ❑ New construction Demolition For special information use checklist. Description I Qty I Ea I Total ,Addition /alteration /replacement ❑ Other: New I- 2- family dwellings (includes 100 ft for each utility connection) CATEGORY OF CONSTRUCTION SFR (I) bath 249 20 ❑ I- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350 00 Li Accessory building I=1 Multi-family SFR (3) bath 39900 Each additional bath /kitchen 45 00 El Master builder ❑ Other —' Fire spr.nkler ( sq ft ) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities Job site address: 7 5 e, Catch basin or area drain 16 60 Drywell, leach line, or trench drain 16 60 City /State /ZIP• "7 - ;: - .4........ / 6 ,,, e 1 Project name: /Z)\..07 _ Footing drain (no linear ft. _) Page 2 Suite/bldg /apt no/ ....._7;", Cross street/directions to job site: `' Sf Manufactured home utilities 110 00 Manholes 16 60 a Rain drain connector 16 60 01,) L nuary sewer (no linear It • _) Page 2 go a e( 3 )-7 ` � S ^a- Fi r _) sewer (no linear ft ) Page 2 Subdivision L ot no li ter service (no linear ti ) _ Page 2 Fixture or item - Tax map /parcel no.: Absoipnen valve 16 60 ■ DESCRIPTION OF WORK p g _ Backlluw preventer Page 2 K G -r , ,..--- ..re-- - ,- . /_uoi7- .1...41-'4"-/ Backwater valve 16 60 �� � vv/ G e los- warlwr C/,, ., �• Z,_/ 16 60 . r — /&4/ /G /i4 V.ar _ M iwasher 16 60 PROPERTY OWNER I 1'J Drinking fountain 1660' ❑ TENANT I , - Electors /sump 16 60 �/ L Name ��' , f � (1') ,�;.{ ,(; (J ( p4rPansion tank 16 60 Address: 'o (3 ox `( 6 Ow AAt Fixture /soser cap 16 60 r V V� City /State /ZIP i, �s ile i �2 q -7 7 J 8,7,-,y (t�� Floor dram /floor sink/hub 16 60 Phone: ( ) � Fax • ( ) i l Y 3rY / Garbage disposal 16 60 l Hose bib 16 60 APPLICANT ❑ CONTACT PERSON g r i ' � � Ice maker 16 60 Business name �,,0.T4c� /%us-- 4,'4 -a, O G - a Interceptor / trap 16 60 Contact name: 47 ",6(,,/�fy4 Medical gas (value• $ ) Page 2 Address: /" p, )e ___b /.3 ,62 Primer 16 60 City /State /ZIP 9QTL , G 1 J 729y Roof drain (commercial) / 1660 Sink /basin/lavatory / / 16 60 ,,/� y' Phone: ( 73/ — .A.--).... Fax.. (Y T) 37/ — ,. / E-mail a 7 I - 'POI - ? o - p - fib /shower / shower pan / 16 60 /ig Urinal 16 60 /� CONTRACTOR Water closet / / 16 60 /4 41 , � - Business name: � �.�� , Other Water heater 16 60 Address: .,,- .%�o�f 7 y‘'7, �� ✓.ems �1�•Yu �Gf�. l t b Sutoa City /State /ZIP ���z K _,/ �C 77z_94/ -`% Minimum permit fee $72 50 Phone: ( ) Fax ( ) Residential hacktlow minimum permit lee $36 25 CCB Lie.: USA a9U Plumbing Lic no y/ Z <7 Plan review (25 ° iu 0f.neLnni 11'e) / / State surcharge (12% of permit fee) Z/� Authorized signature: �� TOTAL PERMIT FEE ,' Print name: j �� r pp �'��[f�/41GL Date: z 7 !J�/ This permit application expires if a permit is not obtained n ( / 180 days after it has been accepted as complete. W. "Fee methodology set by Trt- County Building Industry Service oard i \Budding \Perm its \PLbs7F- PermiApp doe 12)27/06 440 -4616 r(10/02/CO11/WFB) Plumbing Permit Application - City of Tigard Page 2. - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee (ea) Total Square Footage: Permit Fee: 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 Valuation: Permit Fee: Storm & Rain Drain - 1st 100' 55.00 $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 Q ty. Fee (ea) Total additional $100 00 or fraction thereof, to and Fixture or Item including $10,000 00 Commercial Back Flow Prevention Device Z 46.40 9Z- $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 $100 00 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: Plan Review for Plumbing Installations 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. accurately report fixtures could result in increased sewer fees *. ❑ Any new commercial building with water service 2" and Quantity by (Fixture) Work Performed greater, except systems designed and stamped by licensed Fixture Type: Replace engineer. Previous Capped Added Existing ❑ New exterior plumbing site utilities for any complex structure Baptistry/Font as defined in OAR918- 780 -0040. Bath - Tub /Shower ( ❑ Medical gas and vacuum systems for health care facilities. -Jacuzzi/Whirlpool ❑ Any multipurpose fire sprinkler system. Car Wash -Each Stall ❑ Any complex structure as defined in OAR918- 780 -0040. -Drive Thru Cuspidor/Water Aspirator Submit 2 sets of plans with any of the above. Dishwasher - Commercial - Domestic Drinking Fountain Isometric or Riser Diagram Eye Wash • ❑ Isometric or riser diagram is required for new buildings • Floor Drain/sink - 2" that meet the qualifications above. -3" 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 7 l - 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 /'-y4 Water Extractor / Water Closet - Toilet • Urinal Other Fixtures: wk i \Building\Permits\PLM- PermiiApp doc 1227/06 Plumbing Permit Application r Building Fixtures FOR OFFICE USE ONLY .X „� City of Tigard Received Permit No l ig • 13125 SW Hall Blvd , Tigard, OR 97223 DaeRe C Phone 503 639 4171 Fax 503 598 1960 Plan Review Other Permit No DateBy TI G A R D Inspection Line 503.639.4175 Date Ready /By Rios ® See Page 2 for Internet www.ttgard -or gov Notified/Method Supplemental Information TYPE OF WORK FEE* SCHEDULE ❑ New construction ❑ Demolition For special information use check list Description I Qty I Ea I Total ❑ Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft for each utility connection) CATEGORY OF CONSTRUCTION SFR,(1) bath 249.20 ❑ I- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350 00 ❑ Accessory building ❑ Multi- family SFR (3) bath 399 00 Each additional bath/kitchen 45 00 ❑ Master builder ❑ Other: Fire sprinkler ( sq ft) I Page 2 JOB SITE INFORMA I N AND LOCATION Site utilities Job site address: Catch basin or area drain 16 60 City /State /ZIP: Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: I Project name: Footing drain (no. linear ft ) Page 2 Manufactured home utilities 110 00 Cross street/directions to job site: Manholes 16.60 Rain drain connector 16 60 Sanitary sewer (no linear ft.. ) Page 2 Storm sewer (no linear ft ) Page 2 Subdivision: of no.: Water service (no. linear ft. ) Page 2 Fixture or item Tax map /parcel no.: Absorption valve 16 60 I DESCRIPTION OF WO' ' Backflow preventer Page 2 \ Backwater valve 16 60 Clothes washer 16 60 \\ Dishwasher 16.60 ❑ PROPERTY OWNER ❑ TENANT Drinking fountain 16 60 Ejectors /sump 16 60 Name: panston tank 16 60 Address: Fixt to /sewer cap 16 60 City /State /ZIP: Floor diain/floorsink/hub 16 60 Phone: ( ) Fax: ( ) Garbage disposal I 16 60 I ❑ APPLICANT ❑ CONTACT PERSON Hose bib 16 60 Ice maker \ 16 60 Business name: Interceptor /grease trap '\ 16 60 Contact name: Medical gas (value: $ \), Page 2 Address: Primer 16.60 City /State /ZIP: Roof drain (commercial) 16.60 Phone: ( ) Fax:: ( ) Sink/basin/lavatory 16.60 Tub /shower /shower pan 16 60 E -mail: Urinal 16 60 CONTRACTOR Water closet 16 60 Business name: Water heater 16 60 Address: Other City /State/ZIP: Subtotal Minimum permit fee $72 50 Phone: ( ) Fax: ( ) Residential backflow minimum permit fee $36 25 CCB Lic.: Plumbing Lic. no.: Plan review (25% of permit fee) State surcharge (12% of permit fee) Authorized signature: TOTAL PERMIT FEE Print name: 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 Trt -County Building Industry Service Board 1 \Budding\Permits\PLMF- PermiApp doe 12/27/06 440- 4616T(10 /02/COM/WEB) CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2008.00130 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/27/2(4)U Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 4/4/2008 TIME: 7:02AM PAGE: 13 SITE ADDRESS: 15700 SW UPPER BOONES FERRY RD CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: HOLIDAY INN EXPRESS DESCRIPTION: Installing (1) RP device, (1) shower stall and (2) clothes dryers in laundry loom. Relocating (1) lavatory and (1) water closet. Installing (1) bac:Idlow preventer. 4/2108, installing (2) clothes washers OWNER: UHGAH TIGARD, LLC, PHONE #: 503-783-5222 CONTRACTOR: ASSOCIATED PLUMBING CO PHONE #: 503331 - 0502 Inspection Request Scheduled For: Date: 4/4/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 395 Mi;•:c. inspection (367919-01 503.799.8301 N Corrections/Comments/Instructions: p GV -I• Ft (. O ,n 1. �wr. G. K .� i - r - ; �1 X tin �.�u L✓� - � vt Q ‘An, El PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: � v►•n - \> Date: L I I L t 0 Z Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2008 -00 130 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/77/2000 Phone: (503) 639 -4171 (+� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 4/9/2008 TIME: 7 :00AM PAGE: 21 SITE ADDRESS: 1570(1 SW UPPER BOONES FERRY RD CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME. HOLIDAY INN EXPRESS DESCRIPTION: Installing (1) RP device, (1) shower stall and (2) clothes dryers in laundry room. Relocating (1) lavatory and (1) water closet.. Installing (1) bac :l4low preventer. 4/7/08, installing (2) clothes washers OWNER: 1:3HGAH TIGARD, LLC, PHONE #: 503783 - 5222 CONTRACTOR: ASSOCIATED PLUMBING CO PHONE #: 503.331 -05112 Inspection Request Scheduled For: Date: 4/9/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 305 Plumbing undeislab 06009E-01 503-331-0502 N Corrections /Comments /Instructions: ixt PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector :alN AA Date: ( -.‘1 0 AS-% Phone #: (503) 718- CITY OF TIGARD ter► . BUILDING DIVISION PERMIT #: Pt.M2008- 00130 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3127/2008 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 s_' I �.. INSPECTION WORKSHEET FOR DATE: 4/1512008 TIME: 7:02AM PAGE: 32 SITE ADDRESS: 15700 SW UPPER BOONES FERRY RC) CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: FIOLIDAY INN EXPRESS DESCRIPTION: Installing (1) RP device, (1) shower stall and (2) clothes diyers in laundry room. Relocating (1) lavatory and (1) water close'. Installing (1) backflow preventer. 412/08, installing (2) clothes washers OWNER: E3HGAH TIGARD, LLC, PHONE #: 503- 783-5222 CONTRACTOR: ASSOCIATED PLUMBING CO PHONE #: 503331.0582 Inspection Request Scheduled For: Date: 4/15/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough.in 068379 -01 503.331 -0582 N Corrections /Comments /Instructions: S cAtk R001.-N a ❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: a -vb;\ .._, Date: Li 1 ICU \?' Phone #: (503) 718- CITY OF TIGARD • BUILDING DIVISION PERMIT #: PLM20 x -00I30 13125'SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/2712708 Phone: (503) 639 -4171 �+nu Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: dl/30r P008 TIME: 7 :06AM PAGE: 16 SITE ADDRESS: 15/00 p7 UPPEI: 80ONES FERRY RD CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE:, PROJECT NAME: HOLIDAY INN EXPRESS - DESCRIPTION: Ir lolling (1) RP device, (1) •shi:xsder e•tall :id (2) clothes dryers in foundry rr�orm. Relocating (I) laiat»nr :end (1) wziter closet. Installing (I) uactli w prov(-rtteT. 412108, •rnetz4ling (2) t:lothos we epr: s OWNER: Ell TIGARD, Iml_r, PHONE #: 03-183-5222 CONTRACTOR: ASSOCIATED PLUMBING CO PHONE #: W3-3314)582 Inspection Request Scheduled Fo'r: Date: d130/2003 Pour Time: Code # Inspection Description Confirm #. Contact # Message 3113 Dlamllr ie itri;31 0I390130 501 Y Corrections/Comments/Instructions: t \ 3 4 L C , J t / V'1 J v''(" VJ at U t) LG✓1 & ()AAA- AA oaf., Co d y`4 ✓ -ter 9t A,=T Grob �1 fie. • • R o A,, OL-4j • • • • • • ❑ PASS NI PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: � \r a. Date: e-J /301'0 Phone #: (503) 718 CITY OF TIGARD ' - k ■ BUILDING DIVISION PERMIT #: PLM2Ot)8- 00130 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/27/20013 Phone: (503) 639 -4171 1 AINk In Requests (24 Hrs.): (503) 639 -4175 . 47:1111- 1 .. INSPECTION WORKSHEET FOR DATE: 5/15/2008 TIME: 7:00AM PAGE: 52 : SITE ADDRESS: 15700 SW UPPER BOONES FERRY RD CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: HOLIDAY INN EXPRESS DESCRIPTION: Installing (1) RP device, (1) shower stall and (2) clothes dryers in laundry room. Relocating (1) lavatory and (1) water closet. Installing (1) bacladlow preventer. 4/2/08, installing (2) clothes washers OWNER: BHGAH TIGARD, LLC, PHONE #: 503 - 783.5222 CONTRACTOR: ASSOCIATED PLUMBING CO PHONE #: 503 - 331 -0582 Inspection Request Scheduled For: Date: 5/15/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 069935 -01 503-331-0582 N Corrections /Comments /Instructions: P, f M k.r w ■ I I Q_c a",_, Li A-T pt ,.„,,1. X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: CP \ M%A^-r\ -\ V\"'' Date: i / 1c i M1 Phone #: (503) 718- CITY OF TIGARD , BUILDING DIVISION PERMIT #: PI.M2008 -00130 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/ 271200U Phone: (503) 639 -4171 A Inspection Requests (24 Hrs.): (503) 639 -4175 .. "L INSPECTION WORKSHEET FOR DATE: 6/11/2008 TIME: 7:00AM PAGE: 36 SITE ADDRESS: 1570() SW UPPER BOONES FERRY RD CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: HOLIDAY INN EXPRESS DESCRIPTION: Installing (1) RP device, (1) shower stall and (2) clothes dryers in laundry room. Relocating (1) lavatory and (1) water closet. Installing (1) baclflow preventer. 4/2/08, installing (2) clothes washers OWNER: BHGAH 'TIGARD, LI_C, PHONE #: 503-783-5222 CONTRACTOR: ASSOCIATED PLUMBING CO PHONE #: 503 331 0582 Inspection Request Scheduled For: Date: 6/11 /2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 309 Plumbing final 0712.08 -01 503- 331 -0582 N Corrections /Comments/ Instructions: c .e, j�A -o1sti� 3 c �,-ks , R P � , �� 1 e , C Aft- c b 1-'4 X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 01 Date: 6 I k r ``Os Phone #: (503) 718