Loading...
Permit III a CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT PE COMMUNITY PLM2007 -00105 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/14/2007 PARCEL: 2S 101 DA -00800 SITE ADDRESS: 07105 SW VARNS ST 100 ZONING: C -P SUBDIVISION: VARNS ACRES LOT: 011 JURISDICTION: TIG PROJECT: VARNS STREET BUILDING Project Description: TI - add (1) shower stall and relocate rest of fixtures. 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: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 0 URINALS: GREASE TRAPS: LAVATORIES: 3 OTHER FIXTURES: TUB /SHOWERS: 1 SEWER LINE: ft WATER CLOSETS: 2 WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES SYMONDS EVANS & COMPANY PC 7105 SW VARNS RD SUITE 200 Description Date Amount TIGARD, OR 97223 [PLUMB] Permit Fee 3/14/2007 $99.60 [TAX] 8% State Surcha 3/14/2007 $7.97 Phone : 503 -597 -7350 Total $107.57 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 o t questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Iss d By: aA I / L :,I . _ gam Permittee Signature: 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. i 1-eP 7 -cCIO Plumbine Permit Application City of Tigard R ve 5 pi D 7 4,..._.>.O Permit No: Pr.HeU7 -40/Q5 • 13125 SW Hall Blvd., Tigard, OR 97223 Phone: 503.639.4171 Fax: 503.598 1960 Plan l Date/By Review Other Permit No.. �7-� Inspection Line: 503.639.4175 T 1 G A It l') Internet: www.ti d-or. ov Date Ready/By r Supplemental See Page 2 for 8� B Notified/Mdhod / ' I G _ Supplemental Information TYPE OF WORK FEE* SCHEDULE ❑ New construction ❑ Demolition For special information use checklist Description I Qty. I Ea. I Total . Addition/alteration/replacement ❑ Other: New 1 dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath 249.20 ❑ 1- and 2- family dwelling "12156otnmercial /industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi - family SFR (3) bath 399.00 ❑ Master builder Each additional bath/kitchen 45.00 ❑� Fire sprinkler ( sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities Job site address: Q "7 I (' \t Q f , ' 1- R4 vk. Catch basin or area drain 16.60 City /State/ZIP: T'. %, r d ( 0 Q Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt no.: 1�o I Project name: �� e K Footing drain (no. linear ft : ) Page 2 ` Manufactured home utilities 110.00 Cross street/directions to job site: j� -7 2 v ` 4- V4r..,c & 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 Tax map/parcel no.: SlQ[ (7 /9 -DGSGO Fixture or Item Absorption valve 16.60 DESCRIPTION OF WORK Back flow preventer Page 2 tie ra-�; c, w k`. e x: s4 r c c Cs rc o •■. Cc) c\ Backwater valve 16.60 Q�S+ (cc, r . i s - - X v C.) -f.... 5 ,..s et- Clothes washer 16 - ` t }CQ v..- t Dishwasher 16.60 4- ( ❑ PROPERTY OWNER I ❑ TENANT Drinking fountain 16.60 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 APPLICANT ❑ CONTACT PERSON Hose bib 16.60 Ice maker 16.60 Business name: � , ro b.t.` :„ (?_,,,-k---e ■ Q_ r r ,' `.e Interceptor /grease trap 1660 Contact name: 9.f-. e P. r- --I- Medical gas (value: S ) Page 2 Address: '33� 1\% t-,---) `$ cam` Av-e it Z t.. l Primer 16.60 City/State/ZIP: % r k � / R. ) -) 7 ? cl Roof drain - 16.60 Phone: ( 5 S 3 3 - D c.130 ( Fax: : ( 9 - -? 1 S" Lick �Sci Sink /basi avato 16.60 Tub/shower/shower pan 1 16.60 E-mail: %(eGkcp C± (2 " t "6 it . ` C.in k.r- Urinal 16.60 CONTRACTOR Water closet 7 16.60 Business name: Water heater 16.60 Address: Other: Subtotal City/State/ZIP: Minimum permit fee: $72.50 07 60 Phone: ( ) Fax ( ) Residential badkflow minimum permit fee: $36.25 CCB Lic.: t C-O , A cMog Plumbing Lic. no.: -1 '7G PJ Plan review (25% of permit fee) Authorized signature: 7 /66 State surcharge (8% of permit fee) '7.Q [[[ TOTAL PERMIT FEE /4 7, 57 I Print name: V1 c 1 ( c --" I Date eas This permit application expires Ira permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I NBuildmg1PermitAPLM- PamitAppdoc 06/26/06 440-4616T(IG'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: = 's° ' ` ~i- 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 - I st 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 Valuati " " - ... Permit Fee: " - " - Storm &Rain Drain - 1st 100' 55.00 $1.00 to $5,000.00 Minimum foe $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 Qty., • Fee (ea) Total ` additional $100.00 or fraction thereof: to and Fixture or Item 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 Inspection of existing plumbing or each additional $100.00 or fraction thereof to specially requested inspections - per hour 72.50 and including $50,000.00. Subtotal: $50,001.00 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 *. ❑ My new commercial building with water service 2" and ' Quantity by (Fixture) Work Performed greater, except systems designed and stamped by licensed Future Type: _ engineer. • Previous Capped - Added - Esbdng .. ❑ 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. - lacum/Whirlpool ❑ My multipurpose fire sprinkler system. Car Wash - Each Stall ❑ My 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 DiagraII. . -- " ,"- Eye Wash ❑ Isometric or riser diagram is required for new buildings Floor Drain/sink -2" that meet the qualifications above. -3" -4" Car Wash Drain Comments regarding fixture work: Garbage - Domestic 1 Disposal -Commercial - Industrial Ice Mach./Refrig. Drains Oil Separator (Gas Station) Rec. Vehicle Dump Station Shower -Gang -Stall i / *Note: If the fixture work under this permit results in an Sink - Bar/Lavatory # 3, 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 P g Pe rmit can be issued. Swimming Pool Filter Washer - Clothes Water Extractor Water Closet - Toilet Urinal • Other Fixtures: I tILwms \PQRl'n\LM- r«miu►pp der 09r22,0e CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2007- 00105 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/14/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 - 4175 • INSPECTION WORKSHEET FOR DATE: 8/22/2007 TIME: 7:01AM PAGE: 45 SITE ADDRESS: 07105 SW VARNS ST 100 CLASS OF WORK: SUBDIVISION: VARNS ACRES LOT #: 011 TYPE OF USE: PROJECT NAME: VARNS STREET BUILDING DESCRIPTION: TI - add (1) shower stall and relocatp rest of fixtures. • Doi 4 S -i19 / aX an /523 OWNER: SYMONDS EVANS & COMPANY PC, PHONE #: 503- 597 -7350 CONTRACTOR: PRO DRAIN & ROOTER SERVICE, INC PHONE #: 503 - 5330430 Inspection Request Scheduled For: Date: 8/2212007 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 054439 -01 503-718-2426 Y Corrections /Comments /Instructions: X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: ��'%// U Phone #: (503) 718- 2i4,24 CITY OF TIGARD • BUILDING DIVISION PERMIT #: PLM2007 -00105 13125 SW Hall Blvd., Tigard, OR 97223 ,DATE ISSUED: 3/14/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 s_' L . INSPECTION WORKSHEET FOR DATE: 8/15/2007 TIME: 7:00AM PAGE: 7 SITE ADDRESS: 07105 SW VARNS ST 100 CLASS OF WORK: SUBDIVISION: VARNS ACRES LOT #: 011 TYPE OF USE: PROJECT NAME: VARNS STREET BUILDING DESCRIPTION: TI - add (1) shower stall and relocate rest of fixtures. OWNER: SYMONDS EVANS & COMPANY PC, PHONE #: 503 -597 -7350 CONTRACTOR: PRO DRAIN & ROOTER SERVICE, INC PHONE #: 503-533-0430 ,...C? r Inspection Request Scheduled For: Date: W15/2007 Pour Ti Code # Inspection Description Confirm # Contact # Message 2 399 Plumbing final 054053-01 503-740-7340 Y Corrections /Comments /Instructions: 69(--,72_,„,, _ ..71-L, 4„,,,A—ro ( 0 0 4 1 s� vzcs i- 0 s -,- Lk A -\-7L.,„}-(___ . / ❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL � � CALL FOR INSPECTION ❑ADDITIONAL FEES ASSESSED c f ]� Inspector: Date: /�� Phone #: (503) 718- .2-*- CITY OF TIGARD • BUILDING DIVISION PERMIT #: PLM2007 -00105 13125 SW Hall Blvd., Tigard, OR 97223 `' DATE ISSUED: 3/14/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 ��I�� INSPECTION WORKSHEET FOR DATE: B/2/2007 TIME: 7:00AM PAGE: 53 SITE ADDRESS: 07105 SW VARNS ST 100 CLASS OF WORK: SUBDIVISION: VARNS ACRES LOT #: 011 TYPE OF USE: PROJECT NAME: VARNS STREET BUILDING DESCRIPTION: TI - add (1) shower stall and relocate rest of fixtures. OWNER: SYMONDS EVANS & COMPANY PC, PHONE #: 503.597 -7350 CONTRACTOR: PRO DRAIN & ROOTER SERVICE, INC PHONE #: 503-533 -0430 Inspection Request Scheduled For: Date: 8/2/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 053235 -01 503.740 -7340 Y Corrections /Comments/ Instructions: .4--A," A " " 4 CL0 l..r(/ l/�' (+rc I �c,� �• --�.. /yc ✓+c iec , 4 1.2)0 ° AEI "4-.". oPS LI !. (arfi A T Cam, ,fi w 4 T'. t ad ✓ O ()Sc. LL ca, 2 A ) w os.-14 ✓ � ; t Q.4.aii d-�- ) at o f- -rke c e ev J1 '—to P e O Inc 409 .2. ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS F. FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: �► � t V� ---� -- Date: I CO Phone #: (503) 718- %:, CITY OF TIGARD -- . BUILDING DIVISION t • �, PERMIT #: PLM2007 -00105 13125 SW Hall Blvd., Tigard, OR 97223 f ° D gv's D ATE ISSUED: 3/14/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 i l l INSPECTION WORKSHEET FOR DATE: 7/24/2007 TIME: 7:00AM PAGE: 13 SITE ADDRESS: 07105 SW VARNS ST 100 CLASS OF WORK: SUBDIVISION: VARNS ACRES LOT #: 011 TYPE OF USE: PROJECT NAME: VARNS STREET BUILDING DESCRIPTION: TI - add (1) shower stall and relocate rest of fixtures. OWNER: SYMONDS EVANS & COMPANY PC, PHONE #: 503 - 597 -7360 CONTRACTOR: PRO DRAIN & ROOTER SERVICE, INC PHONE #: 503 - 533-0430 Inspection Request Scheduled For: Date: 712412Q07 Pour Ti • Code # Inspection Description Confirm # Contact # -s-age . 399 Plumbing final 052610-02 503 - 740 -7340 N Corrections /Comments /Ins ructions. 1 di e ■ ' D PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 1 � V� Dat 7 Phone #: (503) 718 - 7 CITY OF TIGARD ; BUILDING DIVISION I PERMIT #: PLM2007 -00105 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/14 /2007 Phone: (503) 639 -4171 bas i-yrf i Inspection Requests (24 Hrs.): (503) 639 -4175 Il INSPECTION WORKSHEET FOR DATE: 3/16/2007 TIME: 7:01AM PAGE: 76 SITE ADDRESS: 07105 SW VARNS ST 100 CLASS OF WORK: SUBDIVISION: VARNS ACRES LOT #: 011 TYPE OF USE: PROJECT NAME: VARNS STREET BUILDING DESCRIPTION: TI - add (1) shower stall and relocate rest of fixtures. OWNER: SYMONDS EVANS & COMPANY PC, PHONE #: 503- 597 -7350 CONTRACTOR: PRO DRAIN & ROOTER SERVICE, INC PHONE #: 503-533-0430 Inspection Request Scheduled For: Date: 3/16/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 044912 -01 503-209-7779 Y Corrections /Comments /Instructions: �� � d� 1 1 Af/ *--------> - --- _ ,_ ,_ _ . _ ,.... 411 /ism:1_ .. 0 _..... _./itil —.0 ■ — _, AMP; / _ t� �� /_i1ii� CAI, e i �I � L� /i. � ! '` �� ice ' i/_ , rS,S ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED /k. Inspector: M / Date:.) 0 ) Phone #: (503) 718- 1