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Permit < CITY TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00326 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/24/2007 PARCEL: 2S 101 DA -01900 SITE ADDRESS: 06996 SW VARNS ST ZONING: C - SUBDIVISION: NELSON VIAL OFFICE LOT: 003 JURISDICTION: TIG PROJECT: NELSON VIAL OFFICE ADDITION Project Description: New plumbing for (2) bathrooms. CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: B FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 2 URINALS: 1 GREASE TRAPS: LAVATORIES: 2 OTHER FIXTURES: 1 TUB /SHOWERS: 2 SEWER LINE: ft WATER CLOSETS: 2 WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES NELSON VIAL, LLC 7000 SW VARNS ST Description Date Amount TIGARD, OR 97223 [PLUMB] Permit Fee 7/24/2007 $182.60 [TAX] 8% State Surcha 7/24/2007 $14.61 Phone : Total $197.21 Contractor: PRO DRAIN & ROOTER SERVICE, INC 3300 NW 185TH AVE #213 PORTLAND, OR 97229 REQUIRED ITEMS AND REPORTS Contact # : PRI 503 -533 -0430 FAX 503- 715 -4989 Reg #: LIC 108504 PLM 26 -776PB 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 By 1 A/// , . i //1 Permittee Signature: S fipp ft (, /n .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. ,Plumbing Permit Application Building Fixtures FOR OFFICE USE ONLY . City of Tigard Received Permit No II q 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review C Phone 503 639 4171 Fax 503 598 1960 Date/By Other Permit No Inspection Line 503 639 4175 Date Ready/By m ss ®See Page 2 for l I . A R 1J Internet www ti and -or gov y o S g g Notified/Method 77 Supplemental IuformaHon TYPE OF WORK -. FEE* SCHEDULE - , ' 1 New construction ❑ Demolition For special information use checklist 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 (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 Each additional bath/kitchen 45 00 ❑ Master builder ❑ Other: Fire sprinkler ( sq ft ) Page 2 JOB SITE INFORMATION AND. LOCATION " Site utilities Job site address: („qq b s v 112wK s k _ Catch basin or area drain 16 60 City /State /ZIP: T ,0,.. OGZ Drywell, leach line, or trench drain 16 60 Suite/bldg. /apt. no.: I Project name: 1, \ J cG ` Footing drain (no linear ft ) Page 2 Cross street/directions to job site: ti Manufactured home utilities 110 00 C C J -7 7 A v t_ \1At r.S S F Manholes 16 60 Rain drain connector 16 60 Sanitary sewer (no linear ft ) Page 2 Storm sewer (no linear ft . ) Page 2 Subdivision: I Lot no.: Water service (no linear ft • ((\ ) Page 2 Fixture or item Tax map /parcel no.: Absorption valve 16 60 DESCRIPTION OF WORK Backflow preventer Page 2 Pk„, .1.; _e,(- 2- \.o,- K.coD (" ucA.e.1- I i ft t Backwater valve 1660 Clothes washer 16 60 Dishwasher 16 60 Drinking fountain I 16 60 Ile ., tib • . • PROPERTY OWNER I, a TENANT Ejectors /sump 16 60 Name: Expansion tank 16 60 Address: Fixture /sewer cap 16 60 City /State /ZIP: Floor drain/floor sink/hub 16 60 ( ) Phone: ( ) Fax: Garbage disposal 16 60 ' :110 APPLICANT . 0- CONTACT PERSON Hose bib 16 60 ' Ice maker 16 60 Business name: co l�- - ro.'t.n y Z....-{ - e (• St ../, c,e Interceptor /grease trap 16.60 Contact name: ,3 c Medical gas (value $ ) Page 2 Address: :'a OO ` tt l.5 \ 6 S -I'l A ✓'e -4- 21 Primer 16 60 City /State /ZIP: N t � 0..,(1 1 0 p_ 1 - - 7 2 2`l Roof drain (commercial) 16 60 Phone: (� ) c vs - °mss d I Fax: : ( �3) 7 f c 1...-6 g - , � Sink/basin/lavatory 1660 � , 1 1 Tub /shower /shower pan i. 16 60 E -mail: cd�� A e S v . Co t� — J Urinal ` 16 60 CONTRACTOR Water closet "2.- 16 60 Business name: ,e__. t_ kw -/f Water heater ' 16 60 Address: Other City /State /ZIP: Subtotal Minimum permit fee $72 50 Phone: ( ) Fax: ( ) Residential backflow minimum permit fee $36 25 I 0 2 • 60 CCB Lic.: -tif 16 $ Soy Plumbing Lic. no.: z- 77E, 1 a Plan review (25% of permit fee) Authorized signature: ( .. State surcharge (8% of permit fee) 11 . f p l TOTAL PERMIT FEE 7.' Z t C . C. Print name: y l f Date: '7— 2y —67 This permit application expires if a permit is not obtained J 180 days after it has been accepted as complete. *Fee methodology set by Tri -County Building Industry Service Board 1 \Building\Permits\PLMF- PermcApp doc 12/27/06 440- 4616T(10/02 /COM/WEB) 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 Fixture or Item Qty. Fee (ea) Total additional $100.00 or fraction thereof, to and including $10,000 00. Commercial Back Flow Prevention Device 46.40 $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 each additional $100.00 or fraction thereof, to Inspection of existing plumbing or 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 Piease check all that apply. accurately report fixtures could result in increased sewer fees * . I 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 carc facilitics. - 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 1 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 2 Sink - Bar/Lavatory 2 - 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 2. fees assessed for the sewer increase must be paid before the Swimming Pool Filter plumbing permit can be issued. Washer - Clothes Water Extractor Water Closet - Toilet 2- Urinal Other Fixtures Inktko'heickr � . E 0 v , u z% " r I \Bwldmg�Permits\PLM- PermitApp doc 12/27/06 ( , c o. oo CITY OF TIGARD --- • BUILDING DIVISION PERMIT #: PLM2007 -00326 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/24/2007 Phone: (503) 639 -4171 it re +� , 1 �i����� Inspection Requests (24 Hrs.): (503) 639 -4175 J INSPECTION WORKSHEET FOR DATE: 10/5/2007 TIME: 7:01AM PAGE: 11 SITE ADDRESS: 06996 SW VARNS ST CLASS OF WORK: SUBDIVISION: NELSON VIAL OFFICE LOT #: UO3 TYPE OF USE: PROJECT NAME: NELSON VIAL OFFICE ADDITION DESCRIPTION: New plumbing for (2) bathrooms. OWNER: NELSON VIAL, LLC, PHONE #: CONTRACTOR: PRO DRAIN & ROOTER SERVICE, INC . PHONE #: 503- 533Q430 Inspection Request Scheduled. For: Date: 10/5/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 057059 -01 503-209-7779 Y Corrections /Comments /Instructions: Cet. AA/ • • l f PASS ❑ PARTIAL APPROVAL ❑ CANCEL • ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ' ❑ ADDITIONAL FEES ASSESSED Inspector: (1 rtiA1 Date: /0)06 Phone #: (503) 718- 1, l CITY OF TIGARD BUILDING DIVISION PERMIT #: PI. M2007 -00326 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/24/2007 Phone: (503) 639- 4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 10/4/2007 TIME: 7:02AM PAGE: 27 SITE ADDRESS: 06996 SW VARNS ST CLASS OF WORK: SUBDIVISION: NELSON VIAL OFFICE LOT #: 003 TYPE OF USE: PROJECT NAME: NELSON VIAL OFF1CF ADDITION DESCRIPTION: New plumbing for (2) bathrooms. OWNER: NELSON VIAL, LLC, PHONE #: CONTRACTOR: PRO DRAIN & ROOTER SERVICE, INC PHONE #: 503 - 533 - 0430 Inspection Request Scheduled For: Date: 10/4/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 056971 -01 503-209 -7779 Y Corrections /Comments /Instructions: Si + P LC- -� , 942.1 r P L og,- o 3L We -1• R. I V a Vic, a„-a,,.I S Ltc. /tom-✓ �y�1/� W G4 +i ✓• co, S 1 `v o b ✓‘ a Ps G LD WA-7 S o. -.► o � (K 1. e. c, "c 1` l ('t v'; TO 3 v--1. . \ DrA %o V • ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS • FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: c \- ii- i l \ Date: i u' 9 loo Phone #: (503) 718- \ CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2007 -00326 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/2412007 Phone: (503) 639 -4171 VIII Inspection Requests (24 Hrs.): (503) 639 -4175 ...':� R_ INSPECTION WORKSHEET FOR DATE: 8/2/2007 TIME: 7:00AM PAGE: 43 ' SITE ADDRESS: 06996 SW VARNS ST CLASS OF WORK: SUBDIVISION: NELSON VIAL OFFICE LOT #: 003 TYPE OF USE: PROJECT NAME: NELSON VIAL :OFFICE ADDITION DESCRIPTION: New plumbing for (2) bathrooms. OWNER: NELSON VIAL, LLC, PHONE #: CONTRACTOR: PRO DRAIN & ROOTER SERVICE, INC PHONE #: 503- 5310430 Inspection Request Scheduled For: Date: 8/2/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 053243.01 503-209-7779 Y • Corrections /Comments /Instructions: -Aewir r! 1 t�-„l a.J (pj/�,v (� ✓ �� :,v�vu tftc f.o•/ C � vv cxl PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED .Inspector: Y � ^""' Date: 312. 1b'1 Phone #: (503) 718 - . CITY OF TIGARD „ .;.= BUILDING DIVISION PERMIT #: PLM2007 - 00326 ak 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/24/2007 Phone: (503) 639 -4171 , 1 Inspection Requests (24 Hrs.): (503) 639 -4175 "'I �.. INSPECTION WORKSHEET FOR DATE: 7/27/2007 TIME: 7:03AM PAGE: 5 SITE ADDRESS: 06996 SW VARNS ST CLASS OF WORK: SUBDIVISION: NELSON VIAL OFFICE LOT #: 003 TYPE OF USE: ' PROJECT NAME: NELSON VIAL OFFICE ADDITION DESCRIPTION: New plumbing for (2) bathrooms. OWNER: NELSON VIAL, LLC, PHONE #: CONTRACTOR: PRO DRAIN & ROOTER SERVICE, INC PHONE #: 503 - 533 - 0430 Inspection Request Scheduled For: Date: 7/27/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 052917 -01 503.209-7779 N Corrections /Co ents /Instructions: 4,e_ (Al/ C p(c,,t_..c-sy (f - -/- /ii. , l-cg-5 %-- OV 6 6 AJ 0a- (SS I(Q,_5 , , , . PAOn O • ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS F ... /k ._ IL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: a■ Date: 7/77 6 7 Phone #: (503) 718- Z-S, ' CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2007 -00326 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/24/2007 Phone: (503) 639 - 4171, s l�l� / n / Inspection Requests (24 Hrs.): (503) 639 -4175 __�' L/ INSPECTION WORKSHEET FOR DATE: 7/25/2007 TIME: 7:02AM PAGE: 6 SITE ADDRESS: 06996 SW VARNS ST CLASS OF WORK: SUBDIVISION: NELSON VIAL OFFICE LOT #: 003 TYPE OF USE: PROJECT NAME: NELSON VIAL OFFICE ADDITION DESCRIPTION: Now plumbing for (2) bathrooms. OWNER: NELSON VIAL, LLB - PHONE #: CONTRACTOR: PRO DRAIN & ROOTER SERVICE, INC PHONE #: 503 -533 -0430 6 pir Inspection Request Scheduled For: Date: 7/25/2007 Pour Time: 6 .,5 , .. , Code # Inspection Description Confirm # Contact # Me age "�, Iv' C` 320 Plumbing rough -in 052727 -01 503-209-7779 Y �0,(� Correction /Co ments /Instructions: �(, C L 3" ( A - b,r) � -�' � V, S . )R Us -42,0 < 0,/, ../ C4-1 '5,- it-oe-s 7 t-r" a ,4,,,c7 ,,--m___ s- ti✓v 3. . 5-� x-13 s L)Q L��u� e a . ,_ . , I- 1 ,otvil4 a„,,Ak,,„ R.,r s_, /Rv-44-4- -gce- a--a C ,c s W/ P1 • - C ( 7 S • D I/ t 1 V '--- 15(1- L r i�t: ° �i4� i �/ 4`,► / i MI PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ', FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector VAA--_ Date: — 212-C1 3 7 Phone #: (503) 718- 2-- %_ (; . , • Fire Marshal's Division Offices Tualatin Valley North -14480 SW Jenkins Rd., Beaverton, OR 97005, (503) 356 -4700 Fire & Rescue South - 7401 SW Wash Ct., Tualatin, OR 97062, (503) 612 -7010 Fire Flow and Hydrant Worksheet This worksheet is required to be submitted to and approved by the Authority Having Jurisdiction (AHJ) before any permits for new building construction, building expansion or fire hydrants will be issued by any building department within the TVF&R District. See the instructions for assistance completing this form or call one of the above numbers. Preparer Information I Preparer Name: 'Mark NewMyer I Phone: '503 I Fax:I503- 597 -2428 I Architect / Engineer of Record: 'Stewart Gordon Strauss I Phone: 503 - 672 - 7517 I Fax: 1503 -672 -7808 I General Building Information Project Name: 'Nelson Vial Building Project Address: 17000 SW Vams St. I City:1Portland I County:IWashington I Zip:197223 1 Construction Type(s): 'Type V -B I Total Bldg Area: 1 3,342 ) sgft Total Fire Area: 1 3,3421sgft Bldg Fire Flow: 1 1561 (Gallons Per Minute (Light Hazard) Describe Fire Area: (if more than one fire area, include an 81/2 x 11 or 11 x 17 drawing indicating the various fire areas) First (1206 sqft) and second (930 sqft) floors of building to be used as office space. Basement (1206 sqft) to be used utility/janitorial storage, location of mechanical, HVAC rooms. Type of Occupancy or Use of Building: 'Office f N A. Occupancy Hazard 1 Al Determine percent of each occupancy hazard in the fire area. Occupancy Hazard Class Fire Area I Total Fire Area Percent of Fire Area Light Hazard 3342 SF / 3,342 SF x 100 = 100 % Ordinary Hazard Grp 1 0 SF / 1 SF x 100 = 0 % Ordinary Hazard Grp 2 0 SF / 1 SF x 100 = 0 % Extra Hazard Grp 1 0 SF / 1 SF x 100 = 0 % Extra Hazard Grp 2 0 SF / 1 SF x 100 = 0 % Total Must equal 100% I 100 % I A2 Calculate Fire Flow Occupancy Hazard Class Factor Fire Area Fire Flow Bldg Fire Flow Light Hazard 1.0 x 100 % x 1561 GPM = 1561 GPM Ordinary Hazard Grp 1 1.2 x 0 % x 1561 GPM = 0 GPM Ordinary Hazard Grp 2 1.3 x 0 % x 1561 GPM = 0 GPM Extra Hazard Grp 1 1.4 x 0 % x 1561 GPM = 0 GPM Extra Hazard Grp 2 1.5 x 0 % x 1561 GPM = 0 GPM A3 Required Fire Flow I 1561 GPM I I B. Minimum Number of Fire Hydrants Required I Required Fire Flow 1561 = I 1 INo. of Hydrants Required I C. Reduction of Fire Flow - Reductions are based on the following: I Cl - Reduced by 25% for all Group R Occupancies without fire sprinklers (multiply by .75) C2 - Reduced by 25% for a NFPA 72 Fire Alarm System (multiply by .75) C3 - Reduced by 75% for NFPA 13 Automatic Sprinklers (multiply by .25) I D. Required Fire Flow I D1 - Group R occupancy I No Ix I 1 I = I 1561 GPM (Max. 3000 - Min. 1500 gpm) I D2 - Fire Flow 1561 GPM X I 0.75 I = 1 1170.75 GPM (Max. 3000 - Min. 1500 gpm) I I E. Available Fire Flow to the Building I Test Results: I 1,164 I GPM Manually enter available fire flow here. Please attach documentation of the flow test that was made. It shall include date, time, location of static/residual and flow hydrants, and the tester's name, phone number and address.