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Permit
CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT Permit #: PLM2013 -00174 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/18/2013 Parcel: 2S111BCO2603 Jurisdiction: Tigard Site address: 10310 CANTERBURY LN Project: East Butte Heritage Park Subdivision: TIGARDVILLE HEIGHTS Lot: 7 Project Description: (1) backwater valve, (2) drinking fountains, (3) 2" floor drains, (2) hose bibs, (2) lays & (2) toilets for new restroom structure. Contractor: IRONMAN PLUMBING CONTRACTORS Owner: CITY OF TIGARD 2229 NE BURNSIDE ST #281 13125 SW HALL BLVD GRESHAM, OR 97030 TIGARD, OR 97223 PHONE: 503 - 674 -7581 PHONE: FAX: FEES Quantity Description Date Amount 1 ea Backwater Valve 06/18/2013 $12.51 Specifics: 2 ea Drinking Fountain 06/18/2013 $50.04 3 ea Floor Drain/Floor Sink/Hub 06/18/2013 $75.06 Type of Use: COM 2 ea Hose Bib 06/18/2013 $50.04 Class of Work: NEW 2 ea Lavatories 06/18/2013 $50.04 Type of Const: 2 ea Water Closet 06/18/2013 $50.04 Occupancy Grp: 1 12% State Surcharge - 06/18/2013 $34.53 Stories: Plumbing Total $322.26 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 t. • low the rules adopted by the Oregon Utility • • 0: • . - ter. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0 Y may obtain a co of the rules or d• -ct questions to OU ' by calling 503.232.1987 or 1.800.332.2344. Is ued By: \ f� t / / � Permittee Signature: k 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. Plumbing Permit Applica . , n. • Buildin g Fixtures - ---- r:0lroFrlcl: usi: c)N ___ City of Tigard 5, 62 p. 1 5 ( / Permit No.: tit/Re / 7f a 13125 SW Hall Blvd., Tigard, OR 9 �p � Y 2 2 2013 / d eV Plan Review • C Other Permit No.: t EA3 Phone: 503.718.243 Fax: 503 9 5600. ao/3 OO �F TIGARD -D �1 Inspection Line: 503639.4175 . Date Read B Ju ris. VI Pa e 2 for TIGARD r � tt � Y Y t S Internet: www.tigar or.gov 3E111 i llN�G DIVISION Notified/ �/� Supplemental Information TYPE OF WORK 1a DIVISION e .p .- c)/ m , FEE* SCHEDULE -0 ❑ New construction ❑ Demolition For special information use checklist. . hecklist O � Description I Qty. I Ea. I Total .---- ❑ Addition/alteration/replacement ❑ Other: New 1 - 2- family dwellings (includes 100 ft. for each utility connection) QJ CATEGORY OF CONSTRUCTION . SFR (1) bath 312.70 O ❑ 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 437.78 O building SFR (3) bath 500.32 ❑ Accessory g ❑ Multi- family Each additional bath/kitchen 25.02 U ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 / . ' JOB SITE INFORMATION AND LOCATION ' Site utilities: / 03/0 dial, �n /_all Catch basin or area drain 18.76 Job site address: F9 ; t2 Drywell, leach line, or trench drain 18.76 City /State /ZIP: r' f g Z Z Footing drain (no. linear ft.: ) Page 2 Suite/bldg. /apt. no.: 1 Project name: irilfor AI& 4:14 Manufactured home utilities 50.03 Cross street/directions to job site: (( Manholes 18.76 `5° r 6 Dh ✓4 1 e. to 5 Y.0 - A-v.4- Rain drain connector I 18.76 Sanitary sewer (no. linear ft.: ) Page 2 , Storm sewer (no. linear ft.: Page 2 t Water service (no. linear ft.: Page 2 Subdivision: 1, c, 1 Lot no.: Fixture or item: Tax map /parcel no.: p , r ` c� 0 . I f6t, O ,21 3 Backflow preventer '>2, 31.27 . • • DE SCRIPTION OF .WORK Backwater valve / 12.51 /a. S/ A/444) /l S I m 13LP - ' Clothes Dis h w washer 25.02 ! � Dishwasher 25.02 Drinking fountain 4' 25.02 5 - 0t1 ,�,� Ejectors /sump 25.02 • ' ice •PROPERTY OWNER , I ❑ TENANT Expansion tank 12.51 Name: y D Fixture /sewer cap 25.02 C s ` T/f 0 Floor drain/floor sink/hub l o` , " , 3 25.02 76". O/p Address: 18/8/ 2 S�, iiftll- gttl� � Garbage disposal 25.02 City /State /ZIP: //1 �,n at. 17 72 3 Hose bib . d ` 25.02 5p , 6 I/ Phone: (5073 ) 66 3 tr - (/17 / Fax: ( S 6 ty - 27 e 7 Ice maker 12.51 It APPLICANT ❑ CONTACT PERSON Interceptor /grease trap 25.02 Business name: 0/4- r\) /i/} , � LC�sT s J4, L_ Medical gas (value: $ ) Page 2 Contact name: 0r,,)/ 0 A) • !'�- 1z,/C /($t/Y -) Primer , 12.51 ,, v ] Roof drain (commercial) 12.51 Address: 3 6 ) 2 / , it ‘ / ✓: ts i/t / 1p I2 Sink/basin/lavatory L, 25.02 56-09 /1,(p City /State /ZIP: 4)44. �(..- q 7/ 3 2-- Solar units (potable water) 62.54 Phone: (✓ 03) 6 2 S` 6tb Fax: : (sue 3 e 25 zo 3 6 Tub /shower /shower pan 12.51 E -mail: 'E' r/CI(.S pol f4 wl t .e p � Yr1c. ;/ CG t'►� Urinal 25.02 • v Water closet 0 1- 25.02 5v - • • CONTRACTOR . I Water heater 37.52 Business name: i'AO4 h M vT(L � t - ti., Co,,irC2 7 -pS Water piping/DWV 56.29 Address: A9, al.' tv (b U,? +JJ / ?J 4 -.___._1 --- 2 8/ Other: . 25.02 City/State /ZIP: ( , g // 1 " g ', ��t�l . 5 7 0 36 Subtotal 2 c 7. ?3 Phone: (5c3) tel 1 - 5 -cci Fax: ( ) Minimum permit fee: $72.50 � . -- - Plan review (25% of permit fee) CCB Lic.: 1 e LID 3/ 5 Plumbing c. no.: pg 3 / / ` �{ o State surcharge (12/0 of permit fee) 34, 73 Authorized signature: t TOTAL PERMIT FEE S a . a.C / ` 1 L/�`, ' �� D a t e: 3122-h ; This permit application expires if a permit is not obtained within I80 days Print name: �C� tll J /j after it has been accepted as complete. *Fee methodology set by Tri -County Building Industry Service Board. 1: \Building\Permits\PLMU- PermitApp.doc 10 /01/09 440- 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' 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 Valuation: Permit Fee: 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 Other Inspections or Fees Qty. Fee (ea) Total each additional $100.00 or fraction thereof, to P 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 * . Plan Review for Plumbing Installations Quantity by Fixture Type Plan review is required for any of the following. Fixture Type for Replace/ Please check all that apply. Work Performed: Capped Added Relocate Baptistry/Font ❑ Any new commercial building with water service 2" and greater, except systems designed and stamped by licensed Bath: - Tub /Shower - Jacuzzi/Whirlpool engineer. Car Wash: Each Stall ❑ New exterior plumbing site utilities for any complex structure Drive tall as defined in OAR918- 780 -0040. Cuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities. Dishwasher: Commercial ❑ Any.multipurpose fire sprinkler system. Domestic ❑ Any complex structure as defined in OAR918 -780 -0040. Drinking Fountain Eye Wash Submit 2 sets of plans with any of the above. Floor Drain/sink: - 2" 3 3" Isometric or Riser Diagram ❑ Isometric or riser diagram is required for new buildings -Car Wash Drain Garbage Domestic non -food that meet the qualifications above. Disposal: - Domestic food related - Commercial food related - Industrial food related Ice Mach./Refrig. Drains Comments regarding fixture work: Oil Separator (Gas Station) Rec. Vehicle Dump Station Shower: -Gang -Stall Sink: -LavBar non -food related 2 - Bradley - Com/Serv/Util food related - Service *Note: If the fixture work under this permit results in an Swimming Pool Filter increase of sewer EDUs, a sewer permit will be issued and Washer - Clothes Water Extractor fees assessed for the sewer increase must be paid before the Water Closet Toilet plumbing permit can be issued. Urinal Other Fixtures: I:\Building\Permits\PLMF- PermitApp.doc 08/04/2011 2 Gmail - Plumbing info 1 i Pamela Erickson < ericksonpamie ©gmail.com> �i G lc Plumbing info 1 message versatileplumbing < Tue, Jun 11, 2013 at 8:38 versatileplumbing @comcast.net> AM Reply -To: versatileplumbing < versatileplumbing@comcast.net> To: ericksonpamie @gmail.com . � Ironman Plumbing Contractors l � �� 2229 NE Burnside st. 4 aic 5 ( I z,,P— s w Gresham, OR 97030 P` �c • CCB Lic# 171840 P83c Vve,/c& 04 �`/ ' SIB' � (4 �� " � G .G! 5-63— Ce74-�75 / ( 4 I Sent from my Verizon Wireless 4G LTE smartphone �'S all 11f'+110•//■snll nnnrtlo nnm /sv,ni1 /7..:,1P.:1.. -41,17, 1(1 4n.P ,io‘tr= v. +.proon 4 /1 1 /1A11 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 10310 CANTERBURY LN, TIGARD, OR Commercial - Plumbing 399 Plumbing final 2013-11-14 00:00:00 PLM2013-00174 FAIL 1. Provide either splitter or distributor for Sioux Chief 695 primer as per manuf. Installation instructions. 310.4 NOTE ROUGH-IN inspection pass All else ok Violation Summary: Inspector Contractor