Permit CITY OF TIGARD PLUMBING PERMIT
• - ° COMMUNITY DEVELOPMENT Permit#: PLM2012 -00294
T [ G A R D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/19/2012
Parcel: 1 S127DD01200
Jurisdiction: TIGARD
Site address: 10031 SW CASCADE AVE
Project: Orchard Supply Hardware Subdivision: CORAL COMMONS CONDO Lot: 14
Project Description: Interior plumbing, adding (8) 4" floor drains in new open air nursery and capping (1) breakroom sink.
Contractor: CASCADE PLUMBING CO Owner: KRAUSZ PUENTE LLC
2416 N HAYDEN ISLAND DR BY THE KRUASZ COMPANIES INC
PORTLAND, OR 97217 44 MONTGOMERY ST STE 3300
•
SAN FRANCISCO, CA 94104
PHONE: 503 - 289 -7095 PHONE:
FAX: 503 - 283 -9514
FEES
Quantity Description Date Amount
8 ea Floor Drain/Floor Sink/Hub 10/30/2012 $200.16
Specifics: 1 ea Sink 10/30/2012 $25.02
1 12% State Surcharge - 10/30/2012 $27.02
Type of Use: COM Plumbing
Class of Work: ALT
Type of Const:
Occupancy Grp:
Stories:
•
•
Total $252.20 .
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 questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: oYU 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.
i
Plumbing Permit Application
Building Fixtures FOR OFFICE USE ONLY • '
City of Tigard is �/�
Date:By:
PP
v 13125 SW Hall Blvd., Tigard, 503 r 3 f Plan Review I •
Phone: 503.713 2439 Fax: 503.593.1960 Received DaIe'Bv: Permit No.: d Other Permit No.: S (a -�
TIGARD Inspection Line: 503.639.4175 ) , I, Date Ready /By: / / 2 Juris: ® 2 See Page for
Internet: www.ti ard n nn / (,
�° - or.gov i- 2 0 ?IQ Notified: \lethod:� /G /� ^_ 1) Supplemental Information
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❑ New construction BU1l, tDIVISTON For special information use checklist.
Description I Qty. I Ea. I Total
® Addition/alteration/replacement ® Other: Tenant Impry New I - 2 - family dwellings (includes 100 H. for each utility connection)
iy; , ;_.� CATEGO_RX'OF „CONSTRU '•c _ :` Y SFR (I) bath 31?.70
❑ I- and 2- family dwelling ® Commercial /industrial SFR (2) bath 437.78
SFR (3) bath 500.32 }1
❑ Accessory building ❑ Multi- family r
Each additional bathikitchen 25.02
❑ Master builder ❑ Other: Q
Fire sprinkler ( sq.
_y H.) Page 2 Q
, t y > : .- - a =. 'JOB S INFORM (A7IO_N_ :;, .. .
AND.`.LOCATIO .I, I .. ,I ! , : t n
i�• �; a�� .. e.����. J?4 .,. �.-- .:r.-: .,- .e.�., .. �- --�� -• • -, - r -., ,: ._ ..._ 4 _.r_ � ,i'r:��i^.. Si te utilities:
Job site address: 10031 SW Cascade Avenue Catch basin or area drain I 18.76 1
City /State /ZIP: Tigard OR 97223 Drywell• leach line, or trench drain 18.76
Footing drain (no. linear ft.: _ ) Page 2
Suite /bldg. /apt. no.: I Project name: Orchard Supply Hardware Manufactured home utilities 50.03
Cross street/directions to job site: Cnr SW Scholls Ferry Road and SW Cascade Manholes 18.76
South side of street Rain drain connector 18.76
Sanitary sewer (no. linear ft.: _) Page 2
Stone sewer (no. linear ft.� Page 2
Water service (no. linear ft.: _ ) Page 2
Subdivision: TI 5, RI W, Willamette Meridian I Lot no.: Fixture or item:
Tax map /parcel no.: 1S127DD0I200 Backflow preventer 31.27 ,
;:;ti: ;,;: ' . r:: :r • - .a., .;F7 : . n; �_ - n;na Backwater valve 12.51
_, - ; v _ �:,il'" ':DESCRIPTION'OF ; WORK'
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Clothes washer 25.02
Tenant Improvement to existing 40,000SF single story building. New 5,000SF open
Dishwasher 25.02
air nursery addition. --' • - - ::' •
' - ' • A Drinking fountain 25.02
Ejectors/sump 25.02
.'r• „r - Y - ri-1 ti;,
~�- RI'ROP.ERTY O.WNER "' `� � y-`'� .�' ,s _r. Expansion tank 12.51
Name: Orchard Supply Hardware Fixture. sewer cap 25.02
Floor drain/floor sinkhub 4 25.02
Address: 6450 Via Del Oro
Garbage disposal 25.02
City /State /ZIP: San Jose CA 95119 Hose bib 25.02
Phone: (408)281 -3500 Fax: (408)365 -2425 Ice maker 12.51
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- ❑ = ACPPL;ICAINiFi `° : =.%. ,- ® ' , Zifi a i:rPERSON' i a Interceptor /grease trap 25.02
Business name: Ware Malcomb Medical gas (value: 5 ) Page 2
Primer 12.51
Contact name: Neville Willsmore
Roof drain (commercial) 12.51
Address: 6363 Greenwich Drive, Suite 175
Sink/basin/lavatory 1 25.02 25.02
City /State /ZIP: San Diego CA 92122 Solar units (potable water) 62.54
Phone: (858) 638 -7277 Fax: : (949) 788 -4143 Tub/shower/shower pan 12.51
E -mail: nwillsmore@waremalcomb.com Urinal 25.02
? :, •:k;'::t,_ -= - w -::; •:7: - - - :-.:. _; � s_� -s -_.k ,;;. `. ._� ; Water closet 25.02
;;'- r : t.: '5- . si:- CONTRACtOR -: = _ t •;. "'EA': st:; g.; " - _- -.r .
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. -;.. -. ' ' .,. ... - r =: Water heater 37.52
Business name. 4 s f' es / p4...,-. .,, Water piping /DWV 56.29 56.29
Address: of /61 /V 4a y de., 174.1 A, - Other: 25.02
City/State /ZIP: I Ppr+lgn 1 () 4' . 72 / 7 Subtotal 112.58
Phone: (503) a46q Fax: (503' ?. 8, qs-/ Minimum permit fee: 572.50
CCB Lic.: - • 00 7 9 Plumbing Lic. no.: y - 4 i pU Plan review (ZS% of permit Fee)
\ ` 1 State surcharge (12% of permit fee)
Authorized signature: 1� TOTAL PERMIT FEE
Print name: N yi 6 W rb1�+ Date: a l `� 1 `� This permit application expires if a permit is not obtained within 180 days
` { after it has been accepted as complete.
*Fee methodology set by Tri- County Building Industry Service Board.
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Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
�` ; „Feela). • s e 'Total , r � -.• * ;r',i ' `i • ;
Site + Utilities Q S" "ware {Fo e:: `
Footing drain - I" 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' 62.54 Medical Gas Systems:
Water Service - each additional 100' 37.52
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
each additional $100.00 or fraction thereof, to
O.tlier.Inspections;orFees 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 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 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 fixture. Failure to
accurately report fixtures could result in increased sewer fees *.
Quantity by Fixture Type Plan '�R eview:for Plumbing Installations` ': ^' ='`
: Fixture Type for Replace/
',.Capped Plan review is required for any of the following.
Work Performedc Added • Re «ace,. Please check all that apply.
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 Thru ❑ 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 ❑ 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,. 8 -.Isometric.or,Riser=Diagram,
Car Wash Drain ❑ diagram riser sometric or die is required for new buildings
Garbage - Domestic- non -food g q g
Disposal - Domestic -food related that meet the qualifications above.
- Commercial -food related
- Industrial -food related
Ice Mach. /Retrig. Drains
Oil Separator (Gas Station) Comments regarding fixture work:
Rec. Vehicle Dump Station
Shower -Gang
-Stall
Sink/tav - Non -food related 1
- Bradley
- Commercial -food related
- Service
Swimming Pool Filter *Note: If the fixture work under this permit results in an
Washer - Clothes
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:
H:UobsI2 \Oppidan \SDGI2 - 0002- 00_Orchard_- _Tigard \Orchard - Tigard\luilding Dept Submittal Files \PLMF - PermitApp.doc
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
10031 SW CASCADE AVE, TIGARD, OR, 97223
Commercial - Plumbing
399 Plumbing final
03/12/2013 00:00
PLM2012-00294
FAIL
1' provide roof flashing on 4" VTRS In greenhouse
2. Provide water hammer arrestor on hose water line branch near furthest reel.
NOTE contractor provided back flow test results
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
10031 SW CASCADE AVE, TIGARD, OR, 97223
Commercial - Plumbing
399 Plumbing final
03/08/2013 00:00
PLM2012-00294
PART
NOTE: men's/women's bathrooms/break room and mechanical room pass. Also lower
terminal clean out and back water valve pass
Rest to come!
Violation Summary:
Inspector Contractor