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Permit y CITY OF TIGARD PLUMBING PERMIT 11- ' COMMUNITY DEVELOPMENT Permit#: PLM2014-00108 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/14/2014 Parcel: 2S 114AA00200 Jurisdiction: Tigard Site address: 16285 SW 85TH AVE 406 Project: Scratch&Grain Baking Company Subdivision: 1993-078 PARTITION PLAT Lot: 2 Project Description: Add(1)hand sink and(1)3-compartment sink,cap(1)mop sink and(1)floor sink. No change in EDU's Contractor: MARK EVERETT WILSON PLUMBING Owner: WH SHIPMAN LIMITED 16529 SE SALMON ST BY NORRIS&STEVENS INC PORTLAND, OR 97233 621 SW MORRISON STE 800 PORTLAND,OR 97205 PHONE: 503-251-2786 PHONE. FAX: FEES Quantity Description Date Amount 2 ea Fixture/Sewer Cap 04/14/2014 $50.04 Specifics: 2 ea Sink 04/14/2014 $50.04 1 12%State Surcharge- 04/14/2014 $12.01 Type of Use: COM Plumbing Class of Work: ALT Type of Const: Occupancy Grp: Stories: Total $112.09 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, k is suspended for more the 180 days. ATTENTION: Oregon law requires you o follow the rules adopted by the Oregon Uti otification Cen - Thos- ules are set forth in OAR 952-001-0010 through OAR 952-001-1W), You may obtain a copy of • rules r direct questions to OUNC • Ilin. 03.232.1987 or 1.800.332.2344. I � Issued By: / Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspec ion 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 ``0.V Building Fixtures C%' FOR OFFICE, USE ONLY g %I- %\t Received City of Tigard aj I. y y//yf/y Lj�jj Permit No i�/7/641//e/L-470/Og NI IN 13125 SW Hall Blvd.,Tigard,OR 97222` QQ0 I Phone: 503.718.2439 Fax: 503.598.1 1�GQ►r Plan Review ` Date/By: Other Permit No.: Inspection Line: 503.639.4175 NO 010 Date Ready/By: Juris El Page 2 for I IGARD 1 Y y: S Internet: www.tigard-or.gov C, S ,I Ttk Notified/Method: Supplemental Information TYPE OF WORK`���?'` 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) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ❑ 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 building SFR(3)bath 500.32 ❑Accesso ry g ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address:1 k j 2_O 3 V`1 g 1„Q �( n Catch basin or area drain 18.76 City/State/ZIP:7`p 0 ,c ok_, O� Cr--1722-LA 1���" Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: A t(, I Project name: S'iv---\_V., 5 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: 1 Lot no.: Fixture or item: Tax map/parcel no.: AS IN f}/QQ ao0 Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 S ' l Clothes washer 25.02 C � V g' �lX 1�� G--)c'& ,L� I �7C( '1 Dishw asher 25.02 / ' Q,�.\S� ��h,��� -4,-_-,!=-4' -: Drinking fountain 25.02 c1(Y C) j 1(\�{ .� _ _ ,_ °} riec2 5rti1(.(t Ejectors/sump 25.02 ` "�❑ PROPERTY OWNER J ENANT Expansion tank 12.51 Name 1 Y�4C' h C oaf\ \�` �G Fixture/sewer cap 25.02 !�DP 4( Floor drain/floor sidc/hub 25.02 Address:kW...45c S Q ■ � _ p Garbage disposal 25.02 City/State/ZIP: ^. /�a- C��I1q Hose bib 25.02 Phone: ).� _ Fax:( ) Ice maker 12.51 ❑ APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Medical gas(value:$ ) Page 2 Business name: .4,-."e As 4 belie_ Primer 12.51 Contact name: Roof drain(commercial) 12.51 Address: Sink/basin/lavatory i 25.02 $D .oy •City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax::( ) Tub/shower/shower pan 12.51 E-mail: Urinal 25.02 CONTRACTOR Water closet 25.02 Water heater 37.52 Business name: May-V__, 1,0 e k)Uv -'k) If ki)57') Water piping/DWV 56.29 Address: l 16 2.91 II �j Other: 25.02 City/State/ZIP: , i1 2 P'1 Z2 "a Subtotal j© Phone:( ) U Fax:( ) Minimum permit fee: $72.50 - CCB Lic.: ` -1-1 0) Plumbing Lic.no.: J5� Plan review (25%of permit fee) - -� 1- 111 Sri jlS/ State surcharge(12%of permit fee) /ti 0l Authorized si_fi 1 tore: TOTAL PERMIT FEE HA,09 Print n. .,e• a Date: This permit application expires if a permit is not obtained within 180 days am is--- after it has been accepted as complete. IF f *Fee methodology set by Tri-County Building Industry Service Board. l:\Building\Permits\PLMU-A itApp.doc 10/01/09 440.4616T(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-I"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 Storm&Rain Drain-1st 100' 62.54 Valuation: Permit Fee: $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 Baptistry/Font El Any new commercial building with water service 2"and greater,except systems designed and stamped by licensed Bath: -Tub/Shower -Jacuzzi/Whirlpool engineer. Car Wash: Each Stall ❑ New exterior plumbing site utilities for any complex structure Drive Thru as defined in OAR918-780-0040. CI Cuspidor/Water Aspirator Medical gas and vacuum systems for health care facilities. Dishwasher: Commercial - El 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" 3" Isometric or Riser Diagram El 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 -Bradley -Com/Serv/Util food related -Service *Note: If the fixture work under this permit results in an Swimming Pool Filer 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 Water Closet-Toilet plumbing permit can be issued. Urinal Other Fixtures: I:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2 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 16285 SW 85TH AVE 406, TIGARD, OR, 97224 Commercial - Plumbing 399 Plumbing final PASS - No C of O PLM2014-00108 George Heimos (For owner only) Scratch and Grain Baking Company owner informed me that their 50gal electric water heater had recently been replaced. Please provide me with water heater installer's information. marks.plumbing000@gmail.com. M.Taya@scratchandgrain.com Violation Summary: Inspector Contractor