The URL can be used to link to this page

Permit CITY OF TIGARD PLUMBING PERMIT s COMMUNITY DEVELOPMENT Permit #: PLM2013 00424 T t G A RD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/12/2013 Parcel: 1 S135DD01800 Jurisdiction: TIGARD Site address: 11565 SW HALL BLVD 180 Project: Bella Institute Subdivision: METZGER ACRE TRACTS Lot: 32 Project Description: Interior plumbing for new beauty school. Contractor: VENNE PLUMBING LLC Owner: BKB PROPERTIES LLC 15145 SW DIVISION ST 11255 SW DAVIES RD, APT 1014 SHERWOOD, OR 97140 BEAVERTON, OR 97007 PHONE: 503 - 624 -9309 PHONE. FAX: 503 - 684 -0940 FEES Quantity Description Date Amount 4 ea Clothes Washer 12/12/2013 $100.08 Specifics: 1 ea Expansion Tank 12/12/2013 $12.51 23 ea Fixture /Sewer Cap 12/12/2013 $575.46 Type of Use: COM 2 ea Floor Drain /Floor Sink/Hub 12/12/2013 $50.04 Class of Work: ALT 2 ea Primer 12/12/2013 $25.02 Type of Const: 11 ea Sink 12/12/2013 $275.22 Occupancy Grp: 3 ea Lavatories 12/12/2013 $75.06 Stories: 1 ea Tub /Shower /Shower Pan 12/12/2013 $12.51 3 ea Water Closet 12/12/2013 $75.06 1 ea Water Heater 12/12/2013 $37.52 1 12% State Surcharge - 12/12/2013 $148.62 Plumbing Total $1,387.10 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 N. ' a io • -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 dir. t questions to O• C by ca ing 503.232.1987 or 1.800.332.2344. Iss ed By: , / Permittee Signature: Call 503.639.4175 by 7:00 a.m. for the next available inspection . ate. 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 I t) l< t )1 t l l r () City of Tigard RF (' , F I'J Er p at a /A 4/ / ,, Permit No. • L N j / 3- GY y 14 13125 SW Hall Blvd., Tigard, OR 97223 y ` ^ ` Plan Review II Phone: 503.718.2439 Fax: 503.598.1960 4 2013 Date/By: Other Permit No.:A7 C/3 -map 4 Inspection Line: 503.639.4175 ru ns ®se Page 2 for Internet: www.ti r t c K D d-or. ov Hate Ready/By- g !'� g Notified/Method: Supplemental Information TYPE OF WQ) 1Itar. p!'l; :r,z 1(. FEE* SCHEDULE ❑ New construction 0 Demolition For special information use checklist: Description I Qty. I Ea. I Total b Addition/alteration/replacement ❑ Other: New 1 - 2- family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath 312.70 SFR (2) bath 437.78 ❑ 1- and 2- family dwelling laCommerciaUindustrial Jd ❑ Accessory building SFR (3) bath 500.32 1 ry g ❑Multi - family Each additional bath/kitchen 25.02 ❑ Master builder ❑ Other: Fire sprinkler ( sq. I) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Cs- Job site address: (j s(/ 5 5 PA(' (ELI/ D Catch basin or area drain 18.76 City/State/ZIP: 9 Drywell, leach line, or trench drain 18.76 Ti � � `1 az Z Z Footing drain (no. linear ft.: ) Page 2 Suite/bldg. /apt. no.: i go I Project name: q c� . i^S tt lv k.. Manufactured home utilities 50.03 Cross street/directions to job site: L1411 d 545 , Manholes 18.76 Rain drain connector 18.76 Sanitary sewer (no. linear ft.: ____) Page 2 Storm sewer (no. linear ft.: ) Page 2 Water service (no. linear ft.: ) Page 2 Subdivision: - j*�/� I Lot no.: Fixture or item: Tax map/parcel no.: . , /6/3 [-CJ /t;7�^� Backflow preventer 31.27 . - - DESCRIPTION OF WORK Backwater valve 12.51 6,..,•,k - • Clothes washer L1 25.02 ' N..J . , g - .. I Dishwasher 25.02 • Drinking fountain 25.02 • - Ejectors/sump 25.02 ❑ PROPERTY OWNER I ❑ TENANT Expansion tank ( 12.51 Name: Fixture/sewer cap 2,3 25.02 Floor drain/floor sink/hub Z 25.02 Address: ' : Garbage disposal 25.02 City/State/ZIP: , • : Hose bib 25.02 - Phone; ( ) . Fax: ( ) Ice maker 12.51 • ❑ APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name: v Medical gas (value: $ ) Page 2 f Primer Z 12.51 Contact name: -- Roof drain (commercial) 12.51 Address: Sink/basin/lavatory ! • li k -. l 51 25.02 City/State/ZIP: Solar units (potable water) 62.54 Phone: ( ) Fax: : ( ) Tub /shower /shower pan l 12.51 E -mail: Urinal 25.02 CONTRACTOR Water closet 3 25.02 Water heater 1 37.52 Business name: V c - a_.,.,._ A, A 1( ( ( Water piping/DWV 56.29 Address: j s - 7 c / so Y1`,,,,..c.-, S • / • Other: 25.02 City/State/ZIP: s iii, 0 cg . q7( ,-/0 Subtotal Phone: (SZ-S ) Fax: ( ) 6 ag t( Minimum permit fee: $72.50 I N Q 3� f Plan review (25% of permit fee) CCB Lic.: /52 vF C� Plumbing Lic. no � gg� n State surcharge (12% of permit fee) Authorized signature: TOTAL PERMIT ined FEE hin 180 days wit / This permit application expires if a permit is not obta Print name: o �� I Date: 12J L/� after it has been accepted as complete. / *Fee methodology set by Tri -County Building Industry Service Board. I:\BuildingtPermits\PLMU -Pe nitApp.doc 10/01109 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 - V' 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 ec Ins tions or Fees Qty. Fee (ea) Total each additional $100.00 or fraction thereof, to Inspections 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 11 Any new commercial building with water service 2" and greater, except systems designed and stamped by licensed Bath: - Tub /Shower - Jacuzzi/Whirlpool engineer. El Car Wash: Each Stall New exterior plumbing site utilities for any complex structure Drive Stall as defined in OAR918- 780 -0040. Cuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities. Dishwasher. Commercial El Any multipurpose fire sprinkler system. Domestic El 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" 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 j iD 4 - Bradley - Com/Serv/Util food related - Service *Note: If the fixture work under this permit results in an Swimming Pool Filter Washer - Clothes increase of sewer EDUs, a sewer permit will be issued and Water Extractor fees assessed for the sewer increase must be paid before the Water Closet Toilet 11) 7L j a plumbing permit can be issued. Urinal Other Fixtures: I:\Building\Petmits\PLMF _PermitApp.doc 08/04/2011 2 Plumbing Permit Application • Building Fixtures FOR OFFICE USE ONLY City of Tigard Received Date/By: Permit No.: 1111 • a 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review 0 Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit No.: Inspection Line: 503.639.4175 Date Read /B kris: El Page 2 for f I G n IZ D Internet: www.ti ard -or. ov y • g g g Notified/Method: Suppletnentallnformation TYPE OF WORK FEE* SCHEDULE El 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 1 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath - 312.70 ❑ 1- and 2- family dwelling la Commercial /industrial SFR (2) bath 437.78 4 SFR (3)'bath • • 500.32 ❑ Accessory building , ❑ Multi - family Each additional bath/kitchen 25.02 ❑ Master builder . • . - 0 Other: Fire-sprinkler ( •sq. Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site " address: Catch basin or area drain 18:76 Drywell, leach line, or trench drain • 18.76 City /State /ZIP: • Footing drain (no. linear ft.: ) Page :2 Suite/bldg: /apt. no.: I Project name: Manufactured home utilities 50.03 1 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18:76 Sanitary sewer (no. linear ft.: ) Page.2 Storm sewer (no. linear ft.: ) Page 2 Water_ service (no. linear ft.: ) Page 2 Subdivision: I Lot no.: Fixture or item: Tax map /parcel no.: Backflow preventer 31.27 • DESCRIPTION OF WORK Backwater valve 12:51 Clothes washer 25.02, . Dishwasher 25.02 Drinking fountain _ 25.02 Ejectors /sump 25.02 • ❑ PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name: Fixture /sewer cap ^25.02 . - Floor drain/floor sink/hub 25.02 Address: Garbage disposal 25.02 City/State /ZIP: ' Hose bib 25.02. Phone: ( ) - Fax: ( ) Ice maker 12.51 ❑ APPLICANT ❑ CONTACT PERSON Interceptor /grease.trap 25.02 Business name: . Medical,gas (value: $ • ) , ' Pagel Primer . 12.51 Contact name: • Roof drain (commercial) . 12.51 Address: Sink/basin/lavatory 25.02 City/State /ZIP: Solar units (potable water) 62.54 Phone: ( ) I Fax: : ( ) Tub /shower /shower pan 12.51 i Urinal • 25.02, • E -mail: Water closet • 25.02 CONTRACTOR Water heater 37.52 Business name:' • Water i in Wy 56.29 • Address: Other: ,- 25.02 City/State /ZIP: Subtotal Phone: ( ) Fax: ( ) Minimum permit fee:- $72.50 Plan review (25% of permit fee) CCB Lic.: Plumbing Lic. no.: i • State surcharge.(12% of permit fee) Authorized signature: TOTAL PERMIT FEE 'I:, Print name: Date: 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.. I:\ Building \Permits\PLMU- PeriiiitApp.doc 10/01/09 4404616T(10 /02/COM/WEB) ■ Accumulative Sewer Tally III • i Tenant Name: Bella Institute SWR # 2013 -00209 Site Address: 11565 SW I tall Blvd PLM # 2013 -00424 Parcel #: 1S135DD01800 Fixture Value Previous Previous Credits Capped Fixture Fixture New New # value count capped #, value count added # added value total #s total values Baptistry/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 Eye Wash 1 0 0 0 0 0 Floor Drain /Sink: - 2 inch 2 0 2 4 2 4 0 0 - 3 inch 5 0 0 0 0 0 - 4 inch 6 0 0 0 0 0 - Car Wash 6 0 0 0 0 (1 Garbage Disposal: - Domestic (to 3/4 HP) 16 0 0 0 0 0 - Commercial (to 5 HP) 32 0 0 0 0 0 - Industrial (over 5 IIP) 42 0 0 0 0 0 Ice Machine /Refrigerator Drain 1 0 0 0 0 0 Living Unit 16 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 1 2 1 2 Sink: - Lav /Bar - Non -Food Related 2 0 19 38 10 20 -9 -1S - Bradley 5 0 0 0 0 0 - Com /Sery /Util - Food Related 3 0 0 0 0 0 Swimming Pool Filter 1 0 0 0 0 0 Washer - Clothes 6 0 0 4 24 4 24 Water Extractor 6 0 0 0 0 0 Water Closet - Toilet 6 0 0 1 6 1 6 Urinal 6 0 0 0 0 0 Previous EDU Count 0 0 Capped EDU Credit 0 TOTALS 0 0 21 42 18 _ 56 -3 14 Current Fixture Value 14 divided by 16 = 0.875 Current EDU 1 EDU = $4,800.00 Previous Fixture Value 0 divided by 16 = 0.000 Previous EDU Change 14 divided by 16 = 0.875 over (under) $ 4,224.00 Enter EDU Change Here 0.880 Notes: Authorized Name /Signature: Debbie Adamski Date: 12/4/2013 , 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. I: \ Building \Sewer Tally \Sewei TallyShcet_48(X)._070113.xlsx 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 11565 SW HALL BLVD 180, TIGARD, OR, 97223 Commercial - Plumbing 399 Plumbing ﬁnal 2014-02-25 00:00:00 PLM2013-00424 FAIL 1. Corrections #1 previous inspection not completed. Listing for shampoo bowls not completed. 2. Recall when completed. 103.5.6.2 All else ok 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 11565 SW HALL BLVD 180, TIGARD, OR, 97223 Commercial - Plumbing 399 Plumbing ﬁnal 2014-02-24 00:00:00 PLM2013-00424 FAIL 1. provide listing for shampoo bowls. 301.1 and Chapt.14 Referenced Stds 2. trap arm grade of ¼” Table 10-1 on shampoo bowl drains at #2, #4 and #5. Table 10-1 3. Provide listing for pedicure chairs. 301.1 and Chapt.14 Referenced Stds. 4. Pedicure trap and trap arms are required to be the same diameter. 1003.3 5. Did not inspect pedicure chairs. 6. Remove plastic test cap from ﬂoor drain in bathroom #1. 310.4 7. Provide grid strainer for shower. 310.4 8. Attach and caulk laundry tub. 407.2 9. freeze protection needed at: water heater #1, to protect all water pipes in unconditioned spaces 313.6 10. re-inspection required when correction(s) have been completed. 103.5.6.2 Kurt@emmettphair.com Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 11565 SW HALL BLVD 180, TIGARD, OR, 97223 Commercial - Plumbing 399 Plumbing ﬁnal PASS - No C of O PLM2013-00424 George Heimos NOTE: Approval as per Building Ofﬁcial Mark VanDomelen 2011 OPSC Sec. 406.3. (Listing not provided) Violation Summary: Inspector Contractor