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Permit
CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT Permit#: PLM2014-00027 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/30/2014 Parcel: 2S112AB01000 Jurisdiction: Tigard Site address: 7225 SW BONITA RD Project: Homemasters Subdivision: 1992-007 PARTITION PLAT Lot: 2 Project Description: Relocating(2)toilets,(2)lays,(1)breakroom sink,(1)mop sink&(1)water heater. Contractor: PIPELINE PLUMBING Owner: BIG TIME LLC 333 S STATE ST SUITE V-108 PO BOX 230207 LAKE OSWEGO, OR 97034 TIGARD, OR 97281 PHONE: 503-624-1906 PHONE: 503-849-6325 FAX: 503-624-1926 FEES Quantity Description Date Amount 4 ea Lavatories 01/30/2014 $100.08 Specifics: 2 ea Water Closet 01/30/2014 $50.04 1 ea Water Heater 01/30/2014 $37.52 Type of Use: COM 1 12%State Surcharge- 01/30/2014 $22.52 Class of Work: ALT Plumbing Type of Const: Occupancy Grp: Stories: Total $210.16 • 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 •cation '- ter. 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 • calli • 503.232.1987 or 1.800.332.2344. Issu By: .10 ; Permittee Sign ure: 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. Jan 28 14 01:58p p.2 Plumbin Permit A le • Building Fixtures EIVED FOR OFFICE USE ONLY City of Tigard Recaved i m Petit No.: fl i 6O 13125 SW Hail Blvd..Tigard,O�� 23� Dula By: a �! t(�p 1 = Phone: 503.718.2439 Fax 59S:59R.I9G0 2 4 flan Review hhetPamir Na. �/o G 1 coo y'''Date;B : T t G A R n Inspection Line: 503.639.4175 D Ready/By: mil:: ,1e! .b Fntarrlet: www.tigard or.gov j OFT (� �] y y' (a See Page 1 for V 1 E CI I OF l IGARD Nolified/Method: Supplementallnformatios TYr1PTINO DIVISION FEE' SCHEDULE ❑New construction ❑Demolition For specie!inforraadon use checklist .....).\) Description I Qty. [ Ea. I Total ®.4dditiun/alteratioru'replacement ❑Other: New 1-2-family dwellings(includes 100 0.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 © I-and 2-family dwelling ® mi Caercial/industrial SFR(2)bath 437.78 0 Accessory building ❑Multi-family SFR(3)bath 50032 .. %) ❑blaster builder Each additional bath/kitchen 25.02 ❑Other Fire sprinkler( sq.It) Page 2 JOS SITE INFORMATION AND LOCATION Site utilities: ; I Job site addres:7225 SW Bonita Catch basin or area drain 18.76 I Q CityiStatelZIP:Tigard OR 97224 Urywell,leach tine,or trench drain 18.76 Footing drain(no.linear R: ) Page 2 O,x Suite/bldg./apt.no.: Project name: Rj N E 11A!}' T " Manufactured home utilities 50.03 Col" Cross street/directions to job site: Manholes 18.76 Rain drain connector _ 18.76 Sanitary sewer(no linear fl.: ) Page 2 Storm sewer(no.linear Ii.:�) Page 2 Water service(no.linear ft: 1 _ Page 2 Subdivision: Lot no.: Fixture or item: Tax nap/parcel no.: Backtlow presenter 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 2 toilets,2 wall hung sinks,1 break room sink,1 utility sink,l water heater - `Q /0 Dishwasher 25.02 - . a- ; . , G-eg . 2, • Drinking fountain 25.02 Ejectors/sump 25.02 ❑ PROPERTY OWNER ❑ TENANT Expansion tank 12.51 Name: Fixture/scwcr cap 25.02 Address: Floor drain/floor sink/hub I 25.02 Garbage disposal 25.02 City/State/LIP: Hose bib 25.02 Phone:( ) Fax:( ) ice maker 12.51 12/ APPLICANT ® CONTACT PERSON Interceptor/grease trap 25.02 Business name:Pipeline Plumbing Medical gas(value:3 ) Page 2 Contact name:Terra Steele 12.51 Roof drain(commercial) 12.51 Address:333 3 State Street 11V-108 Sink/basin/lavatory L., i 25.02 ' ee.c'S City/State/ZIP:Lake Oswego OR 97034 Solar units(potable water) I 62.54 Phone:(503)624-1906 Fax::(503-)624-1926 Tub/shotierishower pan 12.5I E-mail:pipelinereceptionigfrontier.com Urinal 25.02 CONTRACTOR T-1 Water closet 2 25.02 570.09 Water heater I 37.52 g7,1-a; Business name:Pipeline Plumbing Water piping/DWV 56.29 Address:333 S State Street 4V-108 Other: 25.02 City/State/ZIP: Lake Oswego OR 97034 Subtotal.../101,-6 Phone:(503)624-1906 Fax:(503)624-1926 Minimum permit fee: $72.50 - CCB Lie.:1582611 Plumbing Lie.no.:3-510PB Plan review (25'a of permit fee) State surcharge(12%of permit Ice) ot2.45.rci Authorized signature TOTAL PERMIT FEF (A t l/C10- Ito Print name:Terra Steele Date:01-28-2014 l'his permit application expire:if a permit is not obtained within 180 days a rrcr it has been accepted as complete. •Fee methodology set by Tri-County Building industry Service Beard. 1"1 6riIdire\Permail_00U-PvmaApp.dac 10/01/09 440 1671 I(102/COM En) Jan 29 1408:39a p.1 Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities f Qty. I Fee tea) Total Square Footage: i Permit Fee: Pooling drain-1a 100' 50.03 0 to 2,000 $121.90 _ Footing drain each additional 100' 37.52 2,001 to 3,600 3169.69 Sewer-1st 100' 62.54 3,601 to 7,200 5233.20 7,201 and greater 5327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Water Service-each additional 100' 37.52 Medical Gas Systems: Storm&Rain Drain-1st 100' 62.54 Valuation: I Permit Fee: Storm&Rain Drain-each additional lOG' _ Sl.Off to$5.000.00 Minimum fee S72.50 37.52 $5,001.00 m310,000.00 $72.50 for the first S5.000.0O and S 1.52 for _Other Inspections or Fees Qty. Fee(ca) Total each additional SIOO.OU or fraction Cher of.to Inspexion of existing plumbing or for _ and including S10.000.00 which no fee is specifically indicated 90.00/hr $10,0(11.00 to 525,000.110 $14$.50 for the first 610,000.00 and 31.54 for {minimum charge-1Q hour) each additional 6100.00 or fraction thereof,to inspections outside of normal business 90 OO�r and including 625,000.00. hours(minimum charge-2 hours) 523,001 00 to SSO,DOU.UO 3.79.50 for the first 525,000.00 and 51.45 for hours(minimum Fees 90.00/hr each additional 6100.00 or fraction thereof,to and including 550,000.00. 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 S100.00 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*. Quantity by Fixture Type Fixture Type for Replace/ Plan Review for Plumbing Installations Work Performed: Capped Added I Relocate Plan review is required for any of the following. Baptistry/Font Please check all that apply. Bath -Tub/Shower - ❑ Any new commercial building with water service 2''and -Jacuzzi/Whirlpool greater.except systems designed and stamped by licensed Car Wash -Each Stall engineer. Drive Thru ❑ New exterior plumbing site utilities for any complex structure Cuspidor/WaterAspirator as defined in OAR918-780-0040. Dishwasher -Commercial ❑ Medical gas and vacuum systems for health care facilities. -Domestic ❑ Any multipurpose fire sprinkler system. I Drinking Fountain ❑ Any complex structure as defined in OAR9I8-780-0040. Eye Wash Flax Drain/sink •2" Submit 2 stets of plans with any of the above_ -4- Car Wash Drain Isometric or Riser Diagram Garbage Domestic-non-food i El Isometric or riser diagram is required for new buifdirtgs Disposal -Domestic-food related that meet the qualifications above. -Commercial-food related -Industrial-food related Ice MachiRefrig.Drains Oil Separator(Gas Station) Comments re'ard'ng fixture work: Rec.Vehicle Dump Station ` y� _ , Shower -Gang •t' I ` -Stall Sirtk/I.av -Non-food related -.t,r l,� 7 2 2,S r 4 ck-Bradley 7 -Commercial-food related -Service - Swimming Pool Filter washer-Clothes *Note: If the fixture work under this permit results in an Water Extractor increase of sewer EDUs,a sewer permit will be issued and Water Closet-Toilct y fees assessed for the sewer increase must be paid before the Urinal Other Fixtures:AMU' Q,f/ 1 plumbing permit can be issued. i httpJ/www.tigard-or.gov/city_hal li departments/ed/docs/PLMF-perm i topedoc