Permit , CITY OF TIGARD PLUMBING PERMIT
III 11 COMMUNITY DEVELOPMENT WARMS Permit#: PLM2014-00076
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503318.2439 Date Issued: 03/19/2014
Parcel: 2S 101 CA00200
Jurisdiction: TIGARD
Site address: 7904 SW HUNZIKER RD
Project: Agilyx Subdivision: 1994-025 PARTITION PLAT Lot: 2
Project Description: Installation of approximately 70'of water line for(2)new water heaters. Water heaters done by others,3/31/14,
adding(2)water heaters.
Contractor: JACK HOWK PLUMBING/RESCUE ROOTER Owner: AGILYX CORPORATION
PO BOX 2830 7904 SW HUNZIKER ST
CLACKAMAS,OR 97015 TIGARD,OR 97223
PHONE: 503-850-3100 PHONE: 503-217-3160
FAX: 503-491-2932
FEES
Quantity Description Date Amount
1 ea Water Piping/DWV 03/19/2014 $56.29
Specifics: 2 ea Water Heater 03/31/2014 $75.04
1 12%State Surcharge- 03/31/2014 $15.76
Type of Use: COM Plumbing
Class of Work: ALT
Type of Const:
Occupancy Grp:
Stories:
Total $147.09
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questi.ns to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issu=I By: Permittee Signatur : .01/
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Plumbing Permit Applicatio .
Building Fixtures ECVED FOR OFFICE USE ONLY
City of'Tigard p Received
2014 . , _emit
*I 13125 SW Hall Blvd.,Tigard,OR 97223MAR 31 Date/By:' _ Phone: 503.639.4171 Fax: 503.598.1960 Plan Review •_„ /.) ��r
Inspection Line: 503.639.4175 ��OF'1I TIGARD Date/By:Re �I
TIGARD vOFTIIii�x'pp77D DaIife Ready/By: =M/
Internet: www ugard-or gov •
x ''',;.%.:7'.11''''J . �7 p, n d/M ��''.�'".G�':�!ter'
Notified/Method:is ethod
s '
s
4.';'+,._. ��..:i.,., �.4,eJ .. Y'"�}$I,;�-7 �' udc0.:h a ,. :. ,"..-.' �, a�. �?- p @ c � -. a� ax ��i
❑New construction El Demolition For special information use checklist
Description I Qty. I Ea. I Total
A Addition/alteration/replacement` ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
:g y � 1- a �F4 a s `` i-t.4 3t°`f ��a ': SFR(I)bath 312.70
rr r , • •• y dwelling / ►` Commercial/in. .trial SFR(2)bath 437.78
❑Accessory building . ❑ Multi-family SFR(3)bath 500.32
El Master builder Each additional bath/kitchen 25.02
❑Other
Fire sprinkler( sq.ft.) ee 2
?r'. e. ; 1 . �4t� .(,��� a t ? :- " Site utilities:
Job site address: �I[Ln � tJ� Catch basin or area d•.�1 -y- / (It,).76
,�. ,r ' �� Drywell,leach lin- m 1'i ,
Suite/bldg./apt.no.: Project name:
a /, Footing drain(n.. ine. ft:
A Manufactured horn Page 2
• 50.03 .
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
( Backwater valve
4<. '� _.' ;a �,� ��- r �;a,<<< � 12.51
pk, "• : _, Clothes washer 25.02
ri i2e Dishwasher 25.02
1915;417/afcc 1;61e-- p��g � Drinking fountain 25.02
• Ejectors/sump • - 25.02
r . ' l A t 3'V -,,'1'.;;01",:, ' : i. Expansion tank -
12.51" -.>: _
�Ellinuml a• Fixture/sewer cap 25.02 • '
Address: r t f ry /P7-11. m -w . .„„,,,i, Floor: :lsi.nk/htth. 25.02
25.02
City/State/ZIP: . • - "zeal, 4.72"Z • • Hose bib -
Phone:( / s!, ax: 25.02
LI� ) Ice maker 12.51 ' •
(... ,,) 1t '!,,, `{ �? 'x Interceptor/grease trap 25.02
Business name:ARS dba JACK HOWK/RESCUE ROOTER Medical gas(value:$ ) Page 2
Contact name:JOYCE DENNIS Primer 12.51
Roof drain(commercial) 12.51
Address:P.O.BOX 2830
Sink/basin/lavatory 25.02
City/State/ZIP:CLACKAMAS,OR 97015 Solar units(potable water) 62.54
Phone:(503)850-3100 • . Fax::(503)491-2932 Tub/shower/shower pan • • 12.51
E-mail:JDENNIS@ARS,COM Urinal 25.02
Water closet
25.02
Water heater t
Business name:ARS dba JACK HOWK/RESCUE ROOTER 37.52 ,�
Water piping/DWV 56.29
Address:P.O.BOX 2830 Other. 25.02
City/State/ZIP:CLACKAMAS,OR 97015 Subtotal
Phone:(503)850-3100 Fax:(503)491-2932 Minimum permit fee: $72.50
CCB Lic.:127325 ) Plum.' :Lic.no.:34-168PB Plan review (25%of permit fee)
Authorized signature:
State surcharge(12%of permit fee) '
k A I d TOTAL PERMIT F ��
Print name:JOYCE DENNIS ej . ,47„r Datee ` This permit application expires if a permit is not obtaine. `4' t i ays
after it has been accepted as complete.
_P1� ����y }- l�Lj (/ "Fee methodology set by Tri-County Building Industry Service Board.
I:\Buil'ldddinggTe--rmiVVtstPPLL TTMU-PermiiApp•-.pdo[�-10 01 77/- 4406T(I0/ M/WEB)'°".79. G:•?
n
.Ill CITY OF TIGARD PLUMBING PERMIT
l i COMMUNITY DEVELOPMENT Permit#: PLM2014-00076
Date Issued: 03/19/2014
TIGARD 13125 SW Hall Blvd.Tigard OR 97223 503.718.2439 parcel: 2S101CA00200
Jurisdiction: TIGARD
Site address: 7904 SW HUNZIKER RD
Project: Agilyx Subdivision: 1994-025 PARTITION PLAT Lot: 2
Project Description: Installation of approximately 70'of water line for(2)new water heaters. Water heaters done by others.
Contractor: JACK HOWK PLUMBING/RESCUE ROOTER Owner: AGILYX CORPORATION
PO BOX 2830 7904 SW HUNZIKER ST
CLACKAMAS. OR 97015 TIGARD, OR 97223
PHONE 503-850-3100 PHONE: 503-217-3160
FAX. 503-491-2932
FEES
Quantity Description Date Amount
1 ea Water Pipmg/DWV 03/19/2014 $56 29
Specifics: 1 12%State Surcharge• 03/19/2014 $8 70
Plumbing
Type of Use COM 16 ea Minimum Fee Adjustment- 03/19/2014 $16 21
Plumbing
Class of Work: ALT
Type of Const:
Occupancy Grp:
Stories:
Total 581 7;;
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 o1
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 -len--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 dire questions to DUNG b calling 503.232.1987 or 1.800.332.2344
Issu d By: � Permittee Signature: / — —
fIV
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 ?ermit Application
Building-Fixtures
FOR OFFICE USE ONLY
1111 City of Tigard Received / !�
•
- • 13125 SW H all Qlvd.,Tigard,OR 97223 Dare/By: �!] Permit No. ,L�i/1 _0�7�
Phone: 503.639.4171 Fax: 503.598.1960 Plan Review O`er
DatdBy: Other Permit No..
TI GARD Inspection Line: 503.639.4175
-
Internet: www.tigard-or.gov Date Ready/By: Juris S See Page l for
Notified/Method: Supplemental Information -
' '`5
0 New construction
0 For specin!information use checklist
Description
grAddition/alteration/replacemenl ❑Othe Qn Ea. Total
i_ . New I-2-family dwellings(includes 100 ft.for each utility connection)
SFR(1)bath 312-70
❑ 1-and 2-family dwelling /, Commercial/industrial SFR(2)bath 437.78
El Accessory building Ill Multi-family SFR(3)bath 500.32.
Each additional bath/kitchen 25.02
❑Master builder 0 Other:
Fire sprinkler( sq.ft.) Page 2
Site utilities:
Job site address: / 9 {s IP AN.-- Catch basin or area drain 18.76
City/State/ZlP: y 01°4 �Z Drywel I,leach line,or trench drain 18.76
l /.X Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: J Project name: I i
Manufactured home utilities 50.03
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 it.: ) Page 2
Subdivision: ' Lot no.: Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
f Backwater valve 12.51
Clothes washer
25.02
ilr,'J P Lr 2 A 4: aeJ Li i Iii _ Dishwasher 25.02
• /g.� ` ' v��ts��j_2 --- s'_ Drinking fountain
1 V alit' U/v J� �/ • ) 25.02
D .art. ' �� Ejectors/sump 25.02
Expansion tank • 12.51
in Fixture/sewer cap 25.02
•
Address: '/•0 1 S W 1F `7 %�o- .Floor drain/floor sink/hub 25.02
�' Garbage disposal 25.02
City/State/ZIP: k'/ / 4
«� 1//�� Hose bib 25.02
Phone: feria = ��7'L,` ; . Ice maker 12.51
•
' . ' ' l i•: .,,' Interceptor/grease trap 25.02
Business name:ARS dba JACK ROWK/RESCUE ROOTER Medical gas(value:S ) Page 2
Contact name:JOYCE DENNIS Primer 12.51
Roof drain(commercial) 12.51
Address:P.O.BOX 2830 _
Sink/basin/lavatory 25.02
City/State/ZIP:CLACKAMAS,OR 97015 Solar units(potable water) 62.54
Phone:(503)850-3100 Fax::(503)491-2932 Tub/shower/shower pan 12.51
E-mail:JDENN1$®ARS,COM Urinal 25.02
Water closet 25.02
Business name:ARS dba JACK HOWKIRESCUE ROOTER Water heater 37.52
Water piping/DWV 56.29
Address:P.O.BOX 2830 Other.
?3-42
City/State/ZIP:CLACKAMAS,OR 97015 Subtotal
Phone:(503)850-3100 Fax:(503)491-2932 Minimum permit fec: 572.50 7 ,tit
CCB Lic.:127325 iumbing Lic.no.:34-168PB Plan review (25%of permit fee) ----
Authorized signature:
State surcharge(12%of permit fee) ' -7G
TOTAL PERMIT FEE T.1,
Print name:JOYCE DENNIS I Dis f!a g//9 This permit application expires if a permit is not obtained wi
�� after it has been accepted as complete.
'Fee methodology set by Tri-County Building Industry Service Board.
\aui1-dd ins lPerermii&IPLMU-PaminA�pp.dd ID 1 - 440-4616T(1 07.1t1VE81 �
pPItinibinw Permit Application - City of Tigard .. .
J_� : ,: p[31�mental Informatioln ".s, �..., ..•,�w..,..,..,,,:,.,. ,•.. ,.�...,.a:ny..er,.,,:..,...s•..,..,..c_� ;:•,,�...,�a,,.,,...w..ewc 1.
Fee Schedule: Residential Fire Su. 1 ression S stems:
at c.Foff.,it:.h „is ,4 '
i S l_iulPuYAlv...y.ES+nuxd S+,1�wTcrtc l_ S.t,tt_...wn:.., '�.4 � t .;.
-e. 37.52 $169.69
Footing drain- in 100' 50.03 0 to 2,000
Footing drain-each additional 100' "2,001 to 3,600
3,601 to 7,200
Sewer- 1st 100' 62.54
:reater 7,201 and realer $327.54 54
Sewer-each additional 100' 37.52
Water Service- 1st 100' = . 62.54
Water Service-each additional 100' Medical Gas Systems:
37.52 m . , ,•,; `" . -.• , try x -^,,:m-,-77., c u.Storm&Rain Drain- 1st 100' _ 62.54 1 � 00 a ni u� �:,i(" -V4i Fr o` !
Storm&Rain Drain-each additional 100' $1 00 to$5 000.00 Minimum fee$72 50
37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for
7_ t �',r��g'1�`: each additional$100.00 or fraction thereof,to
Inspection of existing plumbing or for and including$10,000.00.
which no fee is specifically indicated ■ 90.00/hr to
■ $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 f
(minimum char le-1/2 hour) each additional$100.00 or fraction thereof,to
Inspections outside of normal business and including$25,000.00.
90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for
hours(minimum charle r2 hours
Reinspection Fees _ 90.00/hr each additional$100.00 or fraction thereof,to
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 char:e-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
Plan review is required for any of the following.
accurate] re. 'rt fixtures could result in increased sewer fees*. Please check all that apply.
' ` ❑ Any new commercial building with water service 2"and
greater,except systems designed and stamped by licensed
Baptistry/Font engineer.
Bath . -Tub/Shower ❑ New exterior plumbing site utilities for any complex structure
Tub/S i/Whirlpool as defined in OAR918-780-0040.
Car Wash Each Stall ❑ Medical gas and vacuum systems for health care facilities.
Drive tall ❑ Any multipurpose fire sprinkler system.
Cuspidor/Water Aspirator ❑ Any complex structure as defined in OAR918-780-0040.
Dishwasher -Commercial
Domestic Submit 2 sets of plans with any of the above. •
Drinking Fountain .
Eye Wash
Floor Drain/sink -2"
-3"
• Isometric or riser diagram is required for new buildings
4 that meet the .ualifications above.
Car Wash Drain
Garbage -Domestic
Disposal -Commercial
-Industrial Comments regarding fixture work:
Ice MachiRefrig.Drains
•
-
Oil Separator(Gas Station)
Rec.Vehicle Dump Station
Shower -Gang -
-Stall -
Sink -Bar/Lavatory
-Bradley
-Commercial *Note: If the fixture work under this permit results in an
-Service
Swimming Pool Filter - increase of sewer EDUs,a sewer permit will be issued and
Washer•Clothes fees assessed for the sewer increase must be paid before the
Water Extractor plumbing permit can be issued.
Water Closet-Toilet
Urinal
Other Fixtures:
ittp://www.tigard-or.gov/city_hall/departments/cd/docs/PLMF-PermitAp doc
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
7904 SW HUNZIKER RD, TIGARD, OR, 97223
Commercial - Plumbing
399 Plumbing final
2014-03-24 00:00:00
PLM2014-00076
FAIL
Not ready for inspection, recall when ready.
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
7904 SW HUNZIKER RD, TIGARD, OR, 97223
Commercial - Plumbing
399 Plumbing final
2014-03-24 13:30:00
PLM2014-00076
FAIL
1. Provide permits for 2-ea water heater installations. Not including gas piping or
venting, to be done by others.
2. Mechanical contractor shall obtain permit for gas piping, intake and exhaust piping
and call for mechanical inspections.
Recall when completed for plumbing final
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
7904 SW HUNZIKER RD, TIGARD, OR, 97223
Commercial - Plumbing
399 Plumbing final
2014-04-23 00:00:00
PLM2014-00076
PASS - No C of O
NOTE provide caulk on intake/exhaust ducts
Violation Summary:
Inspector Contractor