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Permit • CITY OF TIGARD PLUMBING PERMIT 14- se-: COMMUNITY DEVELOPMENT O Permit#: PLM2013 00270 T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/28/2013 Parcel: 2S102BD00100 Jurisdiction: Tigard Site address: 12520 SW GRANT AVE Project: St Anthony Subdivision:RTH TIGARDVILLE ADDITION,AMENC Lot: 52 Project Description: Interior plumbing for new community center assembly building. 10/29/13:Added(1)fountain and(1)backflow preventer.BT. Contractor: D P PLUMBING Owner: ST ANTHONY CATHOLIC CHURCH TIGAR 15825 NE SPRINGBROOK RD 9905 SW MCKENZIE ST NEWBERG, OR 97132 TIGARD,OR 97223 PHONE: 503-537-9492 PHONE: FAX: 503-538-4306 FEES Quantity Description Date Amount 2 ea Backflow Preventer 08/28/2013 $62.54 Specifics: 1 ea Dishwasher 08/28/2013 $25.02 1 ea Drinking Fountain 08/28/2013 $25.02 Type of Use: COM 1 ea Expansion Tank 08/28/2013 $12.51 Class of Work: NEW 14 ea Floor Drain/Floor Sink/Hub 08/28/2013 $350.28 Type of Const: 4 ea Hose Bib 08/28/2013 $100.08 Occupancy Grp: 1 ea Ice Maker 08/28/2013 $12.51 Stories: 1 ea Interceptor/Grease Trap 08/28/2013 $25.02 4 ea Primer 08/28/2013 $50.04 20 ea Roof Drain(Commercial) 08/28/2013 $250.20 3 ea Sink 08/28/2013 $75.06 15 ea Lavatories 08/28/2013 $375.30 3 ea Urinal 08/28/2013 $75.06 17 ea Water Closet 08/28/2013 $425.34 2 ea Water Heater 08/28/2013 $75.04 1 Plan Review 08/28/2013 $576.43 Total $3,302.97 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 Notific- -nter. 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 estions to Ob'C by • in. 503.232.1987 or 1.800.332.2344. Issued =y: ///j Permittee Signature: /47 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. CITY OF TIGARD PLUMBING PERMIT 11/11 _ COMMUNITY DEVELOPMENT Permit#: PLM2013 00270 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/28/2013 Parcel: 2S102BD00100 Jurisdiction: Tigard Site address: 12520 SW GRANT AVE Project: St Anthony Subdivision:RTH TIGARDVILLE ADDITION,AMENC Lot: 52 Project Description: Interior plumbing for new community center assembly building. Contractor: ' D P PLUMBING Owner: ST ANTHONY CATHOLIC CHURCH TIGAR 15825 NE SPRINGBROOK RD 9905 SW MCKENZIE ST NEWBERG, OR 97132 TIGARD,OR 97223 PHONE: 503-537-9492 PHONE: FAX: 503-538-4306 FEES Quantity Description Date Amount 2 ea Backflow Preventer 08/28/2013 $62.54 Specifics: 1 ea Dishwasher 08/28/2013 $25.02 1 ea Drinking Fountain 08/28/2013 $25.02 Type of Use: COM 1 ea Expansion Tank 08/28/2013 $12.51 Class of Work: NEW 14 ea Floor Drain/Floor Sink/Hub 08/28/2013 $350.28 Type of Const: 4 ea Hose Bib 08/28/2013 $100.08 Occupancy Grp: 1 ea Ice Maker 08/28/2013 $12.51 Stories: 1 ea Interceptor/Grease Trap 08/28/2013 $25.02 4 ea Primer 08/28/2013 $50.04 20 ea Roof Drain(Commercial) 08/28/2013 $250.20 3 ea Sink 08/28/2013 $75.06 15 ea Lavatories 08/28/2013 $375.30 3 ea Urinal 08/28/2013 $75.06 17 ea Water Closet 08/28/2013 $425.34 2 ea Water Heater 08/28/2013 $75.04 1 Plan Review 08/28/2013 $576.431 Total $3,239.93 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 Noti - enter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or dire questions to O. C b calling 503.232.1987 or 1.800.332.2344. Issu d By: AA/ / Permittee Signature: V'wvl, 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. .;s Plum,bind,Permit Application • Building Fixtures RECEIVED :FOR 0111(1:, iitil:. QNI 1' III City of Tigard 1 v Plan Rea / 7 /) Permit No.: 6 j7_d/�?-D�a 76 a 13125AW Hall Blvd.,Tigard,OR 9722'x;)i; 7 2013 Plan Review p �� _ ...0 __ Phone: 503.718.2439 Fax: 503.598.1960 DateBy: �.a( -/3 ii Other Permit No.: ')X140/3�b/7' d ' Inspection Line: 503.639.4175 CITY OF TIGARD Date Read B Juris: S See Page 2 for i I Ready/By: r/ / g _ ., Internet: www.tigard-or.gov Notified/Method:T �•(� / Supplemental Information - TYPE OF-WO DING DNISION Vrbv FEE• SCHEDULE' 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)-(p CATEGORY OF CON_ STRUCTION - SFR(1)bath 312.70 to ❑ 1-and 2-family dwelling E(Commercial/industrial SFR(2)bath 437.78 l>u ■ SFR(3)bath 500.32 l ❑Accessory building ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION - Site utilities: 6 , �y (Jrj1- Catch basin or area drain 18.76 "1 i Job site address: I (. L ' Drywell,leach line,or trench drain 18.76 ' City/State/ZIP: Ty d QI` 1W J f Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: Project name: St( A„ J Manufactured home utilities 50.03 Cross street/directions to job site: //11��""�� Manholes 18.76 ill n J,I r p1 ft / ,,;[ Rain drain connector 18 18.76 j�j'1(Pg V�ii" !• wl Sanitary sewer(no.linear ft.: J ) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.: ) Page 2 I.• Subdivision: Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer .2 31.27 (4.0 DESCRIPTION OF WORK Backwater valve 12.51 ) G43 l /Li A)/-7--y . �E/11( T 2 Clothes washer 25.02 Dishwasher 1 25.02 2S..°2- - Drinking fountain I 25.02 ;5.6.2 Ejectors/sump 25.02 ❑ PROPERTY'OWNER: ❑ TENANT Expansion tank I 12.51 1251 Name: Fixture/sewer cap 25.02 Address: Floor drain/floor sitlk/hub , I Li 25.02 &5-0,.2'g Garbage disposal 25.02 2, :02- City/State/ZIP: &'e"Hose bib 4 25.02 /00.0ce Phone:( ) . Fax:( ) Ice maker ' 12.51 /a'C i . ❑-:APPLICANT : : .. 0: CONTACT PERSON Interceptor/grease trap I 25.02 AS.°a'• Business name: • • Medical gas(value:$ ) Page 2 oce Contact name: �� (�(�� Primer • L1 12.51j, Roof drain(commercial) ] 2,0 12.51 X50 Address: Sink/basin/lavatory i 61 25.02 lib-0•Sin, City/State/ZIP: Solar units(potable water) 62.54 Phone:(g)3) Gj(5 --J Li t-g ( Fax: :( ) Tub/shower/shower pan 12.51 E-mail: Urinal 3 25.02 750, CO_NTRACTOR Water closet 25.02 ya 5�'1✓ Water heater 'a 37.52 -)S.Oct Business name: L• Water piping/DWV I , 56.29 Address: I cg1 - HE r`bl3kJ• Other:Cl , _,,r rrl,./ 25.02 /00.85 City/State/ZIP: t� ( _ So 1 Ds,r~pprrail'i�l- / Subtotal 4%-ite?q Phone:(.'D3) sm. I/Li((Z Fax:( ) cif - ' Minimum permit fee: $72.50 �`-• CCB Lic.: 110 61 Plumbing Lic.no.: 36'70,1 TEvnp V4tut • / Plan review (25%of permit fee) Q n State surcharge(12%of permit fee) - A85 Authorized signature: TOTAL PERMIT FEE Print name: p( MJVN I"u IA Date: 3 1 This permit application expires if a permit is not obtained within 180 days / �r after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board O O a2614 1✓rG G64. jj_L:_____..--• 1:'Building'Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) - " 1 31 •L9 Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information / 17ö /102073 Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee(ea) Total Square Footage: -. Teriiiit Fee: Footing drain-l" 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 84.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 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 pp y' Baptistry/Font ❑ Any new commercial building with water service 2"and Bath: Tub/Shower greater,except systems designed and stamped by licensed engineer. Jacuzzi/Whirlpool ❑ New exterior plumbing site utilities for any complex structure Car Wash: -Each Stall as defined in OAR918-780-0040. -Drive Thru ❑ 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" ite . . -Isometric:or Riser Diagram 4 ❑ 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 C -Commercial food related AL' -Industrial food related Ice Mach./Refrig.Drains Comments regarding fixture work: Oil Separator(Gas Station) - Rec.Vehicle Dump Station Shower: -Gang -Stall IS sitto‘Sink: -Lav/Bar non-food related -Bradley -Com/Serv/Util food related 3 -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 -fr&i? plumbing permit can be issued. Urinal 3 g�„)ti ,.40,,,,,, Other Fixtures: �/ ,i" -fir . I:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2 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 12520 SW GRANT AVE, TIGARD, OR, 97223 Commercial - Plumbing 399 Plumbing ﬁnal 2014-03-07 00:00:00 PLM2013-00270 FAIL 1. Fountain not installed, either install or hard cap drain and water piping for future hookup. (New plumbing permit required if hooked up after plumbing ﬁnal has been passed) 101.4.1.1.3 2. Provide back ﬂow device for water to fountain. 603.3.3 3. Attach water heater T&P vertical drain every 3'. Installation standards 4. Provide letter from engineer of record regarding revised method for earth quake strapping. 103.3.2 5.provide boiler room double check back ﬂow test results. 603.3.3 6. Provide caulk for mop sink near kitchen door. 310.4/407.2 7. Kitchen: the following ﬁxtures are not going to be installed: soiled dish table w/table, total 3-ea sinks and the ice maker. A new plumbing permit will be required if installed in the future. 101.4.1.1.3 8. Re-inspection required. 103.5.6.1 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 12520 SW GRANT AVE, TIGARD, OR, 97223 Commercial - Plumbing 399 Plumbing ﬁnal 2014-03-11 00:00:00 PLM2013-00270 PASS - No C of O NOTE: see corrections #1 and #7, on previous inspection regarding fountain and kitchen. 3/4" Watts model LF009M3C serial no. 206U1 3/4" Watts model LF009M3C serial no. 010338 Violation Summary: Inspector Contractor