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Permit CITY OF TIGARD PLUMBING PERMIT 311 Permit#: PLM2014-00157 • COMMUNITY DEVELOPMENT 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/13/2014 TIGARD Parcel: 1S126BC01506 Jurisdiction: Tigard Site address: 9020 SW WASHINGTON SQUARE RD 405 Project: Mutual of Omaha Subdivision: CONDO,THE SUPPLEMENTAL PLAT Lot: 25-4 Project Description: Replace existing fixtures: (1)breakroom sink,(1)3"hub drain and(1)water heater for TI. Contractor: CASCADE PLUMBING CO Owner: WISCO REAL ESTATE EQUITY FUND I 2416 N HAYDEN ISLAND DR 1501 SW TAYLOR ST STE 100 PORTLAND, OR 97217 PORTLAND, OR 97205 PHONE: 503-289-7095 PHONE. FAX: 503-283-9514 FEES Quantity Description Date Amount 1 ea Floor Drain/Floor Sink/Hub 05/13/2014 $25.02 Specifics: 1 ea Sink 05/13/2014 $25.02 1 ea Water Heater 05/13/2014 $37.52 Type of Use: COM 1 12%State Surcharge- 05/13/2014 $10.51 Class of Work: ALT Plumbing Type of Const: Occupancy Grp: Stories: Total $98.07 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 questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: O/k/ Uri 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 Building Fixtures RECEIVE I FOR OFFICE USE ONLY City of Tigard R.24:6.1 e-A7P; , .I 13125 SW Hall lilyd,,Tigard.OR 97223 1 I 96eAy 1 2 2014 - - : g Phone: 503.718.2439 Fax 503.598 I. . III 4LIV------- Permit NyPil-fe2d/9__Olol z5-2 other Permit No,: :PI:ain:Itileyvyi7ew Inspection Line: 503.639,4)75 'AGAR') , fi Date Raaay/Ily: Internet: viww,tigard-or goy CITY OF fIGAFL Notified/Method: Ilu71 A rup'.temPent:i ifoarrormation .s.',,,, ,.,,,T,r,!,'i i 41.1,;,-,r, .,,sa, ,,,,,::;•., I:6„,;:kimt mgiir,!:*komfgelitio:Ts.i;ap,,V....:,..P.A., 4;:i9i,`giri 1' 7:'•'111.ifi -RriAr 1016a#'■('I.'Al i• .k.'r, %.!'Co.)!Zi.A'`.,45.A.,',-1.'11,'1..-,!''J.t;'.1 S kOMIca,\k.rd 123. ZIL ,.., ' le■■••■,, A.t. , .%',V,, .,,. ..,..A . .1.,., 0 New construction 0 Demolition For2y relit,information use checklist. , . _____-_- DescriptitirL Qt . E71. j___Total - El Addition/alteration/I-enlist:einem 0 Other; New I-2-fatnilv dwellings(fh-elhae x I(8)It.for each mint connection) . ...-..... m.,.. ./.7, !leo"' \,). , 0 sm(I)b„th ;112.70 : ,1„,,,„,,,,c,„,,,:4..,A:,,..k :ti ., : ..,, .. ,,,,,:.,„ x„y.t,.1... i.,i..„,:,, ,„,.,,,,,,,,01:1. Ne+,:,&.'4A,',. H 11 OW Ott?v •," r....----- SIR(2)bath 417.78 0 I-and 2-family dwelling ID Commercial/industrial - - - SFR(3)bath 500.32 0 Accessory building 0 Multi-family •-•--- - - -- Each additional baih/kitchen 25.02 0 Ma.ster builder 0 Other: -.... 1.111_ - Fire sprinkler(_. sq.ft.) Page 2_ . . ''iiiirM! ilA..11' PrZevAwl ''o '' '''r ioakititAciAltr.Mcv, Site ulifities: ,,;;;;;.,;,,,,atilaau A,..,Q,,, ,,,,,„111,:m .l:!•,f.-.,,x,048! • . _ rca drain Catch a 18.76 Job site address:9020 sw washington sq.rd basin tn.- . - - - - Drywall,leach line.or trench drain 18.76 Dry well,tigard,or - - - .,-4 Footing drain(no.linear tt.; ) Page 2 -...„„„ . - - - Suite/bldg./apt.no.:405 Project name;Mutual of maim 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 tt.: ) Page 2 - .. Water service(no.linear ti.: ) _. 1 Page 2 -- „. Subdivision: Lot no.; Fixture or item: - -- - Tax map/parcel no.: Backtlow prevent= 31.27 r1,11.16-k4' ..i. ';''''A '''.1,1eT'Orta" . '4 1VaritROSPAP777,74,13•.$ „Hg, Bae"vater"Iva - -• 12 51 -.......___ '. ' :',,' .-.,,11,,,,i),-,;:..,...4: :.,(.?IliV,-, ■,:,,,.)..H'4.:-/'t Ai,,„,ai.,..sii - ,. (lobes washer 25.02 replace existing hreakruom sink,hub drain&water heater on existing rough in _ - - i Dshwasher 25.02 - -, Drinking tbuntain 25.02 --- - - - - Electors/sump 25.02 - ,- son tank )2 51 .P4U'llu, ,.s. .1,-, :(.1 s,s(Ss, '...,(:.... • ,•'',.45 , .,.k'4 ,!,',,,h!10,1 .. '.. ',..,„....i,:-■04„„,..?2;:, ,....,._...„ ..,.. 4_____ Pi mum/50m cap 25.02 Name: ,--- - floor drairililixir sink/hub 1 25.02 25.02 Address: - i"-' ...w ---"•••••••■ ,......., Garbage disposal 25 02 City/State/ZIP; . Hose bib 25.02 _ _______ _____ Phone:( ) Fax;( ) Ice maker 12.5 I r rap 2502 rt;cepter/grease t 1 . ;,,,. ,,jT t„,-•,,':, ,„„;‘,:-- ,,.,..„.110,142 :g&u..1.?''%''k.c .i.4:7).6 •'' .'1',L.. r,,,I.i,.•., ',X'....... ...t•-.64.oi.'A -._ Medical g,as(valiie $ j 1.- Business name: Page 2_ - _ Primer 12.51 Contact name: - - - -- - , rti(x)f drain rennuncretal) 12.51 Address: ,S ink/basin/lavatory_ ......._....._ _..... 1 _ _25,02 ..,„ 2502.., - City/State/ZIP: Solar units(potable water) 62.54 .- __-- ---. - .-...,.... _ Phone:( ) Fax::( ) Tub/shower/shower pun 12.51 ... -„„ -..,.. ....._---. . -..L..,_______-„ 25 0 Urinal 2 E.-Mait: --(--... l''it;.F',VV,,,,km:..;v.(.r ..gii.:•;r,.,‘.•..-:,.ff: ' i.,:■9,44,;,(;; :,( :' ,)%•AJ,;,‘;':,i;,,,:w:.0 y.;■.!,,,wd:00,,,:ip. Water 0050 25.02 .,AI: '' lej,i:G.' 90 .,..ti. 11 .4.A....0 : •'' . 15 ;!ti;;,j,,A,..,:.!1j,...y i,1S, ,1,,.,1 ,,f;1',.!.r 4.0.1,! sVgillyi , ,b,lt.,„,e..,..1.,,,, . td, ti, ,.'.(.•, ,•,;,\N 0„, ., ..0-,,,`..,.,kt,'3;V;i:.1,AM-1, ..i,L,(.,,liir.:‘,.1,■.NV2 A...110:10,rrN.,.y .,,, .., - , . . [water huger I 37 52 37.52 Business name:Cascade Plumbing Co I Water piping/DWV 56.29 Address:2416 N.Hayden Island Drive - Other: 25 02 .- City/State/ZIP:Portland,OR 97217 Subtotal 87 56 ----.- ----. .„..-,....-. Phone:(503)2894095 x 1 Fax-.(503)283-9514 Minimum permit fm $72.50 - ---_ CC:f3 Lie.:120893 Plumbing,Lie.no.:34412P11 Plan review (25%of permit fee) : '; -(.4 .--' . .• ..1 --. State surcharge(12%of permit fee) -- 10.51 Authorized signature: (' ,,,' ' ..:. /..) . , , TOTAL PERMIT FEE 98.07 1,,7 _...,_ [Tint name:Crystal Jones Y Date:5/9/2014 I This permit application expires if;permit is not obtained within tso cloys _ after it has been nceepted as complete. . --...i *Fee inetbotkilogy set by Tri,,Counry Building Industry Service Bawd. -.71/U14.4.. 4Lig. p2../i friix-e% i:,.v-,04-- • ,. ,,,,,,,,i, i ,AI •PermlIA : WO 440.1016 Al t 0/02/COM/Wi3S) Tod V T36£2ZCOS 03 buT qtanT d apsossj IY9C:LO tT/60/S0 Plumbing Permit Application - City of Tigard Page 2 -Supplemental Information Fee Schedule: Residential Fire Su ression S stems: 1 .0-yy : Z• �sr' "•11-:t 4;7 „ t t,',7 {a+ 4 f'0 ' t1tA( ,Yi ti-•- ,rir f r ' T•s r "h.gi rty,�, 1 !'t If t• ' ' • ,`rte 1 i, ... F11� �'01 ,�"�1,,iwa.,,.„6. ,rl',. a t , 'g '�' 7';1 lY;!..t.A :6bf'�i '� ix. 7.,aA�'1`,� Footing drain• l°100' 50.03 0 to 2,000 $121.90 ,__ ._......__._-_..._._.r..,....._ lAloting drain•each additional 100' .. — 37.52 ,—-- 2,0Ol to 3,600 $i(i9.6d —,»^^T » » »»».-- _ .. '...........m t ,1,91 to 7,200_ 523120_ Sewer• 1st I(K)' _-....�,.,-- 62.-4 2111 and greater .."..� Y Si27:54..� ....._..."......_..... ........ Sewer-each additional 100' 37 52 W VVY Water Service-Ist 100' 62:54 Medical Gas S stems: Water Service"each additional 100' 37.52 ....... .1,491....41N4'4-64 „T + . ' J ..M r. I 'y'.'rrr)a!%llt ,ii : ►;.: , et ,7 lin .+ Storm&Rain Drain-1st 100' 62.54 $1.00 to$5,ma000.00 Minimum tie$72.50 Storm&Rain Drain•each additional 100' 37.52 4 $5,011 00 to$!(1,0011.00 $72.$0 for the first$5,00000 and$1:52 for �' '. r each additional$10000 or fraction thereof;to p��1 'A;Zf?a '� .,: ! . . f{:G ;��5i�1�,,.•,r<"3 +�,�` r ;st4' and including$10,000.00. inspection of existing plumbing or for $10,((11.00 to$25,000.00 $148 50 for the first$10 000:00 and$1.54 for which no fee is specifically indicated 90 00/111 each additional$10000 or fraction thereof,to oninimun charge-1/2 hour) and including 525.000 00 Inspections outside of normal business 90 00/hr $25,001.00;7;$5o701)fi760' '•$379.50 for the first$25,000.00 and 51.45 for hours(minimum charge-.2 hours) each additional$100.00 or fraction thereof,to Reinspection Fees 41JAO/ltr and including$50,000 00. Additional plan review for revisions ' 9(1.(10rhr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for (minimum charge-f 12 hour) each additional$100 00 or fraction thereof. Subtotal: Commercial Fixture Work: Are you capping,adding or replacing Fixtures? if"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. q� �, ryf 1 Q ii' i r !�1^,r9 ! �I',' i '" "7T"".iil x. i Fp:J,5 �4 n 1r:.r'f.M° , :v.�n vJlt-ld�f¢�I'� '!Car r 4$ 1�i_4:ra 1 >:i�s�"S5�„�'d�'q�t`i...�P i�'tlf�'ii¢c�.i li,++, Milli : p.' C p .. ! t1., i l .t i_6• a t i f s[0 ' 1 g��a f y;{l y p' t + e � "':c ' , ' w.�•11., . .,.., ...._ - , �}. ” t .,t t`. v�: 1{r- 1�/ S t 0 1.0,fi'ii!'�QQ ,,,,,I,1 i 9 1 1 1,1 P t' S�� A ,oaf O Nan review is required f o r'ctoy of the following, !'VIA%''i':Pea `iih lIl, , at I , c lift. Ada0a is14c ii4; t Baptistry/Font Please check all that apply. Bath Pub/Shower ❑ Any new commercial building with water service 2"and L� lacuu'/Whirtp�,u1 .-. -� greater,except systems designed and stamped by licensed Car Wash -Each Sutn engineer. -Drive Thru © New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OA R918-780-0040. Dishwasher -Commercial '-. "» ❑ Medical gas and vacuum systems for health care facilities. 'Domestic ❑ Any multipurpose tire sprinkler system. Prinking Fountain — 0 Any complex structure as defined in OAR918-780-0040. Eye Wash Flour Drain/sink •2" _____ Submit 2 sets of plans with any of the above, -Yz„ I.. V;: y ..� •I 4F 1+• , Car Wash Drain ----...,.. ..._..,.._._.....__ --..— tlt7 �'l tfi�{Ilf�),g. _r, i., 1. a,t.i ,� $ 'atria i ,€11.,iir`ig S.l��>1t.��C elar(aagc •riomt sale-non-rood u Isometric or riser diagram is required for new buildings Disposal •Domestic•"ftxid related that meet the lull) above. -Commercial-food related -Industrial-land related Ice Mach./Refria..Drains W. _ c.Oil Se�'►rator(G:IS,Slation�_ _ ' ��_ Comments regarding fixture work: Rec.Vehicle Du p Station _w Shower -Gang "r -Stall ---" Sink/l.av •Non•feud related ' I - -Bradley , ",.�..,__.._____..-.:.— -Commercial-food related _ -Service ---- J_ """_" Swimming pool Filter -- _ '"Note: If the fixture work under this permit results in an Washer-Clothes Water Extractor --,----' "- increase of sewer EDUs,a sewer permit will be issued and Water Closet-Toilet fees assessed for the sewer increase must be paid before the Urinal — _ plumbing permit can he issued. Oihetr Fixtures: C,\Llsers\Owner')ownloads\Pl,.MF-PerntitApp(I).doe 1 ZO•d !TS6£8Z£0S 00 buTcpanTd apsoss3 lillf9c:LO trT/60/SO 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 9020 SW WASHINGTON SQUARE RD 405, TIGARD, OR, 97223 Commercial - Plumbing 399 Plumbing ﬁnal PASS - No C of O PLM2014-00157 George Heimos Violation Summary: Inspector Contractor