Permit CITY OF TIGARD REVISED PLUMBING PERMIT
13 Permit#: PLM2012-00375
COMMUNITY DEVELOPMENT
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/27/2012
Parcel: 25101 DB00100
Jurisdiction: Tigard
Site address: 7340 SW HUNZIKER RD,STE#201
Project: Steele&Nannini Subdivision: VARNS ACRES Lot: 4
Project Description: Move existing(1)lavatory and(1)dishwasher 1/24/13 REPRINTED Correct suite address
Contractor: WESTERN PLUMBING Owner: HILLTOP BUSINESS CENTER LLC
9460 SW TIGARD AVE SUITE 101 HUNZIKER LLC
TIGARD,OR 97223 9430 NW KAISER RD
PORTLAND,OR 97231
PHONE: 503-639-5296 PHONE:
FAX: 503-684-9015
FEES
Quantity Description Date Amount
1 ea Dishwasher 12/27/2012 $25.02
Specifics: 1 ea Lavatories 12/27/2012 $25.02
22 Minimum Fee Adjustment- 12/27/2012 $22.46
Type of Use: COM Plumbing
Class of Work: ALT 9 12%State Surcharge- 12/27/2012 $8.70
Plumbing
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 questions to OUNC by calling 503.232.1987 or 1.800.332.2344. ^ �1 f '
Issued By: dtt. Permittee Signature: Dld APPL/e 44nv�l
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.
n CITY OF TIGARD PLUMBING PERMIT
2, COMMUNITY DEVELOPMENT Permit #: PLM2012 -00375
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/27/2012
Parcel: 25101 DB00100
Jurisdiction: Tigard
Site address: 7340 SW HUNZIKER RD 200
Project: Hilltop Subdivision: VARNS ACRES Lot: 4
Project Description: Move existing (1) lavatory and (1) dishwasher
Contractor: WESTERN PLUMBING Owner: HILLTOP BUSINESS CENTER LLC
9460 SW TIGARD AVE SUITE 101 HUNZIKER LLC
TIGARD, OR 97223 9430 NW KAISER RD
PORTLAND, OR 97231
PHONE: 503 - 639 -5296 PHONE:
FAX: 503 - 684 -9015
FEES
Quantity Description Date Amount
1 ea Dishwasher 12/27/2012 $25.02
Specifics: 1 ea Lavatories 12/27/2012 $25.02
22 Minimum Fee Adjustment - 12/27/2012 $22.46
Type of Use: COM Plumbing
Class of Work: ALT g 12% State Surcharge - 12/27/2012 $8.70
Type of Const: Plumbing
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 questions to OUNC by calling 503.232.1987 or 1.800.332.2344. A /� ,
Issued By: � �rl- C u/1 Permittee Signature: APPLI 1. A17 0 ^`
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.
12/27/2012 10:34 5036849015 WESTERN PLUMBING INC PAGE 02/04
Plumbing Permit Application RECEIVE •
Building Fixtures RECEIVE FOR OFFICE USE O'
City of Tigard DEC 2 7 2012 Raseived
i r 131$5 SW l Blvd. Tigard, OR 27223
DariBY: / • c3 / /o)- sr permit t4 0 - CO 3 - 7 - ‹
t none: 503.639.4171 Fax: 503.598.196x` Of TIG ' I other pamfit No,:
I I c; A K D Inspection Lane: 503.639.4175 -
Internet: www.tigard-or.gov BU DNISI I N�t 'mi.: a s.e t t l Information fee
, r • • i. .+kG ' a :4:':....:::0' ,-, ..n.•,. `rx: .• ;_ r. t 2� .i:n a rn 44 Y: . 55i 'a .
�. I ' . + . � i' �' , • 'r +%■� � : >�?i :.y • i 4 ' �$. : ' :� ,. w .. Y . r' , c ..: ' 2 • 7r ' > ';' 1
❑ NOW cOustrudion ❑ Demolition For spacial inforauslian we dkeataa.
Description I Qty. I Ea. I Total
34Addition /aketatiodreplaccros ni ❑ Odra:
•
New 1 - 2- fancily dwellings ('includes 100 tl. for each utility connection)
' -v-,r se 0. r F $Flt (1) bath 312.70
I- and 2- family dwelling .,EtCommerciaVinclustrial SFR(2)bat 437.78
[I Accessory building Q Multi- family
SFR (3) bath 500.32
Each additional bath/kitchen 25.02
❑ Master builder ❑ Oth � Fee sprinkler (�___ sq. ft.) Page 2
r t'
.0 r y y r �xn' .'" 1`» 11: ^,, 0.1*�� s'!r`-yi� ., Site ntattlee:
Job site address: 733/4, JL✓ 1/lr,✓7-/X, - Catch balm or area drain 18.76
City/StatcIZFP: 4y 7 d/L Drywell, leach ling or tench dram 18.76
Footing drain (no. linear R.: ) Page 2
Suite/bldgJapt no.. ,2 1 Project name; #4.4-'7 3 / 7 Manufactured home utilities 50.03
Cross street/diinctions to job site; Manholes 18.76
Rain drain connector 18.76
Sanitary newer (no. linear ti: ___) Page 2
Storm sewer (no linear ft.: _,•) Page 2
- Water service (no. linear $: ) Page 2
Subdivision: I Lot no.: Future or Item: _
Tax map/parcel no.:.. Radctlow prevent= 31.27
:.wr ° :V
fi % : °•\••.•••i; ' Backwater valve 12.51
:i� ?�•" l'k:. '`i :�n A. XY �.. ,i . , r - 1
O 57�'v f�cI P. aClothe'washer 25.02
�y p Q f Dishwasher 25.02 ,75: 6�
/c'f f7 1/E ' A/ C �i / iN CT Drinking fountain 25.02
r Ar E jactara/sump 25.02
4
i� a ..,i,,17,:./1'. •,. i�• : ; Stsiontaok 12.51
:i x � ' ° ?li „ '.- :4 xj� ,. f i?��fi .. ve �r. ... •, �. n +• '
Nemec Fixture/sewer cap 25.02
Floor drain(loor sink/hub 25.02
Address:
- Garbage disposal 25.02
City /State/ZIP!
Hose bib 15.02
Phone; ( ) Fas: ( ) . Ice maker 12.51
.:a4 ;; ).Alit" W. -' F4`e, ?J ';':5 4 ,4 1 ;7:1 Ge, ;. , 7 5 t . • °: f Irderoeptor/greaaetrap I , 25.02
_ - ;r,.cc :•.,i �.., . :r 4,. .:+.. _ .... e,., Yom• v,:,Y".,.:x5e.: r .s req ...� fps sse..er!iiS' :_ 1
Business name:
Medical pa (value: S ) Page 2
Contact name: 12.51
Roof drain (commercial) 12.51
Address: Sink/b„ v a / / / 25.02 r 2 '
City /Siate/ZIP: Solar units (Potable water) 6254
Phony ( ) [ Fan; : ( ) Tab/shower /shower pie 12-51
Fm: Urinal 25.02
> :. W ;d .. a -. ;,_.:. r f., : 4.
^, ,. .. - ,. t. : ;.:>, Water closet 25.02
Wate1 heater 37.32
Business name Western Plumbing, Inc_ Water piping/DW V 56.29
Address: 9460 SW Tigard Averse Suite 101 of es7 _ 25.02
City /StatefZIP; Tigard, OR 97223 Subtotal
Phone: (503) 639.5296 i Fax (503) 684-9015 Minimum permit the: 572.50 72 fs
CCB Lic.: 2439 Plumbing Li ., .9pB - ¢
Plan review (25% of permit fee)
y State surcharge (12% of permit foe) tJ 7•y
Authorized signature: L,' • • - TOTAL PERMIT FEE y f
Print name: Dana Jensen Date: / 7/7) .L, This permit application pas u aspires
been permit s not ebtaloed within 1 Il days
J .. .c........i.,,.i,.i..... „ I.., n;r.. . a ,a,.
T k .. , c..,ri... p,...A
12/27/2012 10:34 5036849015 WESTERN PLUMBING INC PAGE 04/04
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: S
- jy, �Res>tdentsal >E+ire Suppression Systems:
S 1tili > ^ - .' �i it � tae i
Footing � 50.03 ' Oto2� ��..., �... �,�• �t ; a,� •,.,
F drain - 1 ' 100'
90
Fooling drain - each additional 100' 37.52 2.001 to 3,600 5169.69
3,601 to 7,200 $233.20
Sewer - tat 100' 62.54 7,201 and greater _ $327.54
Sower - oath additional 100' 37.52
Water Service - 1st 100' 62.54 Medical
Water Service - each additional 100' Gas Systems:
37.SZ k , { , rH � y1 "Y fj?
gtwut $ Rain Drain -1st 100' 62.54 a st y , f g?' ,,,,..;•„ a: w •:,;•�.
$1.00 to 55,000.00 Minimum fee $72.50
Storm & Rain Drain- each additional 100' 37.52 S$,001.00 to 510,000430 $72.50 for the first 55,000.00 and $1.52 lbr
,,�-�ut��yy,, ti jt �j" v t_ `y 'r df� ' , each additional $100.00 or fraction thereof, to
V1M"p .,1 , 7 ; .._.. ..• and including $10,000.00.
Inspection of existing plumbing er for 510.901.00 to $25,000.00 $ 145.50 for the first $10,000.00 and $1.34 fbr
which no fee is specifically indicated 90.00/hr
(minimum nrnr e -1r2 hoer) each additional 5100.00 or fraction thereof, to
and inctadinR $ZS,OOO.OIL
Inspections outside of normal business 90.00/br $25,001.00 to $50, 000.00 $379.50 for the first $25,000.00 and $1.45 for
mr
hours (mininn charge - 2 honra) each additional $100.00 or fraction thereof, to
Reinspection Fees 90.00/tr and including $50,000.00.
Additional plan review for revisions ' 90.001br $50.001.00 and up $742.00 for the first $50,000.00 and $1.20 for
(minimum charge -- hour) each additional $100.00 or traction thereof
Subtotal:
•
Commerci41 Fixture Work:
Are you capping, adding or replacing fixtures? If "yes ", . W N: •• . , 3 ,.. offut A, i ' ' ti 4 °:Y . 6 ' `1 . t • please indicate work performed by fixture. Failure to
accurately ep
report fixtures could result in increased sewer fees". Please check for of the following.
irtr' 4-.41,21;:,4‘...: ,p t :_6: f: *orli s;' ❑ Any new commercial building with water service 2" and
i.h _ , c ar ,11.4 ,. greater, except designed and stamped by licensed
OAL ❑ New exterior plumbing site utilities for any complex structure
Bath -Tab/Shown- as deflt]ed in OAR918- 780.0040.
-Jacuzzi/Whirlpool 0 Medical gas and vacuwn systems for health care facilities.
Car Wash -Each Stall
❑ Any multipurpose fire sprinkler system.
-Drive Tiro III
Cuspidor/Water Aspirator ` El Any complex structure as defined in OAR918 750
Dishwasher - Comma a -Commercial
- Domestic /' 1 / Submit a sets of plans with any of the above.
Drinking Four*ain l My :,f�Q. ". ^i:', j . i' •• - rty _ ti _,c,: - :..$9,v.:; :%'=•:i=z'rrfS •rFC• •- •
Moor Drain /sink 2" r:;....y... t,, 1, ' 'j s ,g„ : j: � i _ av a :�' :r ?
1 IIDnietnic or riser diagram is required for new buildings
- 4" that meet the qualifications above
Car Wash Drain
Garbage - Domestic
Disposal - Commercial
-real Comments regarding fixture work:
Ice Mach./Refii : Drains
Oil SeparaterSOas Station)
r Rec. Vehicle Dump Station
Shower -Gang t
-Stall %� %1 %'
Sink - Bar/Lavatcry r /.- 4
-Bradley
- Comm .:mild - *Note: lithe fixture work under this permit results in an
-Service increase of sewer EDUs, a sewer permit will be issued and
swinzmin Pool Filter
W _ Clothes fees assessed for the sewer increase must be paid before the
asher
Water Ex - plumbing permit can be Issued.
Water Closet - Toilet
Urinal
Other Fixtures:
12/27/2012 10:34 5036849015 WESTERN PLUMBING INC PAGE 01/04
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'== - -- " >' (503) 639 -5296 INC.
9460 S.W. TIGARD AVE., SUITE 101
TIGARD, OREGON 97223
FAX Transmission
Pages including This one V Date: 12
To: CifY ai" 74i 1460
,goc,4. '447
•
Attn:
From: Western Plumbing, Inc.
9460 S.W. Tigard Ave.
Tigard, Oregon 97223
Person Sending: ��
Note: If you do not receive all pages, please contact the above at:
Phone: 639 -5296
Fax No. 684 -9015
Job Reference:
Subject:
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