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Permit
CITY OF TIGARD PLUMBING PERMIT II q 8 . COMMUNITY DEVELOPMENT Permit#: PLM2013-00151 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/12/2013 Parcel: 2S110AB00200 Jurisdiction: Tigard Site address: 14385 SW PACIFIC HWY Project: Harbor Freight Tools Subdivision: CANTERBURY PLACE,AMENDED Lot: PTS 1-4 Project Description: Tenant improvement Contractor: RECON INC DBA MANZCO PLUMBING Owner: KOLVE,G C PO BOX 822964 14389 SW PACIFIC HWY VANCOUVER,WA 98682 TIGARD,OR 97224 PHONE: 360-772-8149 PHONE: FAX: FEES Quantity Description Date Amount 1 ea Drinking Fountain 06/11/2013 $25.02 Specifics: 1 ea Expansion Tank 06/11/2013 $12.51 8 ea Fixture/Sewer Cap 06/11/2013 $200.16 Type of Use: COM 2 ea Floor Drain/Floor Sink/Hub 06/11/2013 $50.04 Class of Work: ALT 1 ea Sink 06/11/2013 $25.02 Type of Const: 3 ea Lavatories 06/11/2013 $75.06 Occupancy Grp: 2 ea Water Closet 06/11/2013 $50.04 Stories: 1 12%State Surcharge- 06/11/2013 $71.30 Plumbing Total $509.15 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 q ions to•• C by calling 503.232.1987 or 1.800.332.2344. ill° Issued B / / Permittee Signature: Op 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 Application Site Utilities AECEVFD roR orNice usr, oivi yRcceiced City of Tigard Date/By: ��° �� Permit No pvHao/3 .790/3/ r+ 13125 SW Hall Blvd.,Tigard,OR ■ Phone: 503.718.2439 Fax: 503.10601 4 Plan Review 2 13 Date/By: Other Permit 420/e 0/3daol I T I G A R U Inspection Line: 503.639.4175 Date Ready/By: 5/360 s .1,A •rig' ® See Page 2 for Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: N, Supplemental Information �\ TYPE O�lb lG DA/MI-Oki �/l' `�� FE " SC DULE USN t/9 14J For special la formation use checklist. ❑New construction ❑Demolition Description I Qty. I Ea. I Total ®Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) \ SFR(1)bath 312.70 CATEGORY OF CONSTRUCTION 1.0 El I-and 2-family dwelling ®Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 O ❑Accessory building ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 / L JOB SITE INFORMATION AND LOCATION Site utilities: 0.. s: SW Pacific Highway Catch basin area drain 18.76 Job site addres Drywell,leas line,or trench drain 18.76 City/State/Z1P:Tigard,OR 97223 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name:Harbor Freight Tools Manufactured home utilities 50.03 Cross street/directions to job site:SW Bull Mountain Road Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:I t- ) Page 2 6,44-5411 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.:p ) Page 2 f Subdivision: I Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer " 31.27 Backwater valve 12.51 DESCRIPTION OF WORK Clothes washer 25.02 Tenant Improvement to existing space for new Harbor Freight Tools Dishwasher 25.02 Drinking fountain d 25.02 `g o©`6 Ejectors/sump 25.02 ❑ PROPERTY OWNER ® TENANT Expansion tank l 12.51 IX.$. l Name:Harbor Freight Tools Fixture/sewer cap 25.02 �1©,�(p Floor drain/floor sink/hub 25.02 J ),a ', Address:26541 Aguora Road Garbage disposal 25.02 City/State/ZIP:Calabasas,CA 91302 Hose bib 25.02 Phone:(818)836-5500 Fax:( ) Ice maker 12.51 ❑ APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name: Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Jourdanne Cadavona Roof drain(commercial) 12.51 Address:8913 West Olympic Blvd,Suite 102 Sink/basin/lavatory 4. ✓ 25.02 1000 City/State/ZIP:Beverly Hills,CA 90211 Solar units(potable water) 62.54 Phone:(310)275-7774 Fax::(310)881-1135 Tub/shower/shower pan 12.51 Urinal 25.0 E-mail:jourdanne@permltadvisors.com 25.02 Water closet `1, ‘Z 25.02 , t CONTRACTOR Water heater 37.52 Business name: E I N hater piping/D\W 56.29 Address: Np(A g 9-)- S.Loq Other: 25.02 City/State/ZIP: V 1}IJc,„U,J tfL lj- 9$(a8.9- Subtotal Phone:(3to0) 777- -q 1 4 9 Fax:(34D) j'7-4s( 7 S?'�, �� Minimum permit fee: $72.50�t�h°I ,`Yf r 3i G Plan review (25%ofpemlit fee) ,y CCB Lic.: l o Plumbing Lic.no.: p6 5�?j v � i State surcharge(12%of pemlit fee) , Authorized signature: - ae-�rd � /''r °/�� TOTAL PERMIT FE ..`-„,,,;;Ai, • This permit application aspires if a permit is not obtained within 180 days Print name: l j�j �l�' Date: j��! after It has been accepted as complete. r / 0 J n� t' 'Fee methodolo .-County Building Industry Se ce Board. I:'Building\P its'PLMUU-PermitAppdoe 10:01/09 J`J 440.4616T(10/OLCOMIWEB) 4 f o• 5 ., Plumbing Permit Application - City of Tigard Page 2 -Supplemental Information -� Fee Schedule: Residential Fire Suppression Systems: Site U*ihtieg Q Fed(ea):,., .-._Tocal =Square Footage: Pernut'Fee: Footing d ain-1'100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 Sewer . 3,601 to 7,200 $233.20 ewer-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 = a - _ - n. - : ,_-rte,- ---__, Storm&Rain Drain-1st 100' 62.54 Valuation. Permit;�ee. $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 _ - < `^ - - ' 410.04)--=, °:Total: each additional$100.00 or fraction thereof to Other'Inspec> on olr Fees ; :,._ 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. !� I Subtotal: I Other Fixtures: I I I 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*. Quaintly*Fixture Type .Fixture Tree ror . eepiaed .Plan Review for,Plumbing Installations-".:.:', Work Performed Capped Added 'relocate Baptistry/Font Plan review is required for any of the following. Bath. -Tub/Shower Please check all that apply. -Jacuzzi/Whirlpool ❑ Any new commercial building with water service 2"and Car Wash -Each Stall greater,except systems designed and stamped by licensed -Drive Thru engineer. Cuspidor/Water Aspirator ❑ New exterior plumbing site utilities for any complex structure Dishwasher -Commercial as defined in OAR918-780-0040. -Domestic ❑ Medical gas and vacuum systems for health care facilities. Drinking Fountain ❑ Any multipurpose fire sprinkler system. Eye Wash ❑ Any complex structure as defined in OAR918-780.0040. Floor Drain/sink -2" Z ✓' Submit 2 sets of plans with any of the above. -4" Car Wash Drain ... Garbage -Domestic-non-food , sometriC:.Oi..U erLii grain-,. .1,,.,;,,,:,::,.,,._ Disposal -Domestic-food related ❑ Isometric or riser diagram is required for new buildings -Commercial-food related that meet the qualifications above. -Industrial-food related Ice MachiRefrig.Drains Oil Separator(Gas Station) Rec.Vehicle Dump Station Comments regarding fixture work: Shower -Gang -Stall Sink/L.av -Non-food related .3 ✓ 3 ‘71,10 -Bradley , -Commercial-food related l - -Service 2- '' i ✓51 Swimming Pool Filter Washer•Clothes Water Extractor *Note: If the fixture work under this permit results in an Water Closet-Toilet ✓ '1- ✓ increase of sewer EDUs,a sewer permit will be issued and Urinal fees assessed for the sewer Increase must be paid before the J C:\Users\dstecklos Appfata�cal\Microsoft\Windows\Temporary Interrkt Files\Content.Outlook\FX7C42ZU\HFT- Tigard_Appl ication_Plumbing.doc Accumulative Sewer Tally UPI a C , Tenant Name: I larbor Freight'I'oolss*CREDI'T'S"' SWR# N/A Site Address: 14385 SW Pacific Hwy PL\I# 2013-00151 TIGARD Parcel#:.2S110AB00200 Fixture Value Previous Previous Credits Capped Fixture Fixture New New # value count capped#s value count added# added value total#s total values Baptisery/Font 4 0 0 0 0 0 Bath: -Tub/Shower 4 0 0 0 0 0 - Jacuzzi/Whirlpool 4 0 0 0 0 0 Car Wash: -Each Stall 6 0 0 0 0 0 -Drive through 16 0 0 0 0 0 Cuspidor/Water Aspirator 1 0 0 0 0 0 Dishwasher: -Commercial 4 0 0 0 0 0 • -Domestic 2 0 0 0 0 0 Drinking Fountain 1 0 0 0 0 0 Eve Wash 1 0 0 0 0 0 Floor Drain/Sink: -2 inch 2 0 0 0 0 0 -3 inch 5 0 0 2 10 2 10 -4 inch _ 6 0 0 0 0 0 -Car Wash 6 0 0 0 0 0 Garbage Disposal: -Domestic(to 3/4 I-IP) 16 0 0 0 0 0 -Commercial(to 5 HP) 32 0 0 _ 0 0 0 -Industrial (over 5 1-IP) 42 0 0 0 0 0 Ice Machine/Refrigerator Drain 1 0 0 0 0 0 Oil Sep(Gas Station) 6 0 0 0 0 0 Rec. Vehicle Dump station 16 0 0 0 0 0 Shower: -Gang(per head) 1 0 0 0 0 0 -Stall 2 0 0 0 0 0 Sink: -Lav/Bar-Non-Food Related 2 0 3 6 3 6 0 0 -Bradley 5 0 0 0 0 0 -Com/Serv/Util-Food Related 3 0 2 6 1 3 -1 -3 Swimming Pool Filter 1 0 0 0 0 0 Washer-Clothes 6 0 0 0 0 0 Water Extractor 6 0 0 0 0 0 Water Closet-Toilet 6 0 3 18 2 12 -1 -6 Urinal 6 0 0 0 0 0 Previous EDU Count 0 0 Capped EDU Credit 2.06 32.96 TOTALS 0 0 8 30 8 31 0 -31.96 Current Fixture Value -31.96 divided by 16= -1.998 Current EDU 1 EDU= $4,665.00 Previous Fixture Value 0 divided by 16= 0.000 Previous[DU Change -31.96 divided by 16= -1.998 over (under) S (9,330.00) Enter EDU Change Here -2.000 Notes: ***CREDITS*"*6/12/13,applied sewer credits from Pl.M2013-00024. Authorized Name/Signature:,Debbie Adamski Date:, 6/12/2013 Building Division Note: The property owner shall retain the ORIGINAL,sewer tally record. if credits exist,this document will serve as a voucher which must be submitted to the City of Tigard Building Division to redeem credits towards future system development charges. l:A Building\Sewer Tally ASewer I'allvShect-4665.xls 07/01/12 , A ,-_, r-) 1 I „.,--_.J , ,: , ,,, 1,-,,,,, 0 APCFNED ....-3 ial.. .7t r.,--P: '.n7k ,i'; ;9 L'. .-. Permit4jsr MAY 14 2013 TRANSMITTAL CITY OF TIGARD BUILDING DIV'ISI'G'9 May 13, 2013 FROM: TO: Jourdanne Cadavona Debbie Adamski Permit Advisors City of Tigard Building Department 269 S. Beverly Drive # 284 13125 SW Hall Blvd Beverly Hills, CA 90212 Tigard, OR 97223 (310) 275-7774 (503) 718-2439 RE: HARBOR FREIGHT TOOLS Project Address: 14365 SW Pacific Highway, Tigard, OR Please find the following in the attached package: • (3) set of Mech/Elec/Plumbing plans O (1) Mechanical Application • (1) Electrical Application • (1) Plumbing Application Should you have any questions or concerns, please feel free to contact me at (310) 275-7774 or directly on my cell at (951) 965-0594. Regards, Jourdanne Cadavona ] ,,--, r 1,t t! (., v 6 v.,--14-g§:4 r ti"{3Y...rkL *,,,t- '"'.wta.., - ;� "' �, <° , �r-�-�'ii� �-I�oC`ey, .,.1��,�;� a a, ,dviso 'ae t `'