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Permit CITY OF TIGARD PLUMBING PERMIT s. COMMUNITY DEVELOPMENT Permit#: PLM2014-00159 T1(3 A R O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/15/2014 Parcel: 1 S 135BC00700 Jurisdiction: Tigard Site address: 10795 SW CASCADE AVE Project: DIRECTBUY Subdivision: HILLSBORO Lot: PTS 1-2 Project Description: Interior plumbing:Adding(1)dishwasher,(1)ice machine,(2)lavatories,(1)water closet,replacing(2)2"floor sinks,(5)lavatories,(1)water closet,(1)urinal,and capping(1)shower stall. Contractor: GO PLUMBING&HEATING LLC Owner: BRE IPC PARCEL PROPERTY OWNER LL 16424 OLD MEHAMA RD TWO NORTH RIVERSIDE PLAZA, STE 2350 STAYTON, OR 97383 CHICAGO, IL 60606 PHONE: 503-999-3547 PHONE: FAX: FEES Quantity Description Date Amount 1 ea Clothes Washer 05/15/2014 $25.02 Specifics: 1 ea Dishwasher 05/15/2014 $25.02 1 ea Fixture/Sewer Cap 05/15/2014 $25.02 Type of Use: COM 2 ea Floor Drain/Floor Sink/Hub 05/15/2014 $50.04 Class of Work: ALT 1 ea Ice Maker 05/15/2014 $12.51 Type of Const: 7 ea Sink 05/15/2014 $175.14 Occupancy Grp: 1 ea Urinal 05/15/2014 $25.02 Stories: 1 ea Water Closet 05/15/2014 $25.02 1 12%State Surcharge- 05/15/2014 $43.53 Plumbing Total $406.32 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: 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. CITY OF TIGARD SEWER CONNECTION PERMIT I. COMMUNITY DEVELOPMENT Permit#: SWR2014-00051 T IG A R O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/15/2014 Parcel: 1 S135BC00700 Jurisdiction: Tigard Site address: 10795 SW CASCADE AVE Project: DIRECTBUY Subdivision: HILLSBORO Lot: PTS 1-2 Project Description: .69 EDU increase. Contractor: Owner: BRE IPC PARCEL PROPERTY OWNER LL TWO NORTH RIVERSIDE PLAZA, STE 2350 CHICAGO, IL 60606 PHONE. PHONE: FAX: FEES Description Date Amount Specifics: Sewer Connection Fee 05/15/2014 $3,312.00 Type of Use: COM Class of Work: ALT Install Type: Building Sewer Fixture Units: Number of Dwelling Units: .69 Total $3,312.00 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 952-001-0011 • • •.R 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: v t, Permittee Signature: "+ - Call 503.''/ .: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 "O 5' "Q. -- -, ' ,s/15-4 .i. Building Fixtures a ,sk FOR OFFICE USE ONLI City of Tigard lire': �Dt Received / Permit No. 1 • 13125 SW Hall Blvd.,Tig. �r 23 �� Date/By: S /`t! I ti i i L/✓� 20//...601.51, 114 ,AA!�\� lan Review Phone: 503.718.2439 Fax: I . 98.1 ateBy: Other Permit No.:� a0 I ^0vc JrJ Inspection Line: 503.639.417 \ ` Date Ready/By: Juris: Ei See Page 2 for TIC;nitl) �� \�` Y Y g Internet: www.tigard-or.gov 1O �C/ Notified/Method: 7}) Supplemental Information TYPE OF WORK G\` C,`� FEE* SCHEDULE ��` \� For special information use checklist ❑New construction ❑pt(ittolition P f 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 PS Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler(_sq.ft.) Page 2 JOB SITE INFORMATION AND LOC TION Site utilities: _ /� 7960:63_ �4�� /J (`� Catch basin or area drain 18.76 Job site address: ��jjj(((JJJ�� 1 Drywell,leach line,or trench drain 18.76 City/State/ZIP: a- ( OP-- / ? / Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: l Project name: 01x�1 6ti-y Manufactured home utilities 50.03 Cross street/directions to job site: n / Manholes 18.76 Ggeri _ ,7 j,, ,e _I /C). Rain drain connector 18.76 /�""�"�' U' -�J 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 4-.406J Clothes washer i 25.02 va, I P 1` ` i1 I/ Dishwasher ` 25.02 015" r l a /8.,Ct R-OZ;?a 4- e r Drinking fountain 25.02 Ejectors/sump 25.02 ❑ PROPERTY OWNER ❑ TENANT Expansion tank 12.51 Name: Fixture/sewer cap ( 25.02 �5.. Floor drain/floor sink/hub al_ 25.02 5zi, 04/ Address: Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 1 12.51 Id-.57 - ❑ APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name: Medical gas(value:$ ) Page 2 Primer 12.51 Contact name: - - Roof drain(commercial) 12.51 Address: Sink/basin/lavatory _ 7 25.02 l 7S. It City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax: :( ) Tub/shower/shower pan 12.51 E-mail: Urinal j 25.02 ()IS.6.L CONTRACTOR Water closet ( 25.02 ?.5 D Q �/ // Water heater 37.52 Business name: �o / L N1 �/{�6 Q �!`rC� Water piping/DW V 56.29 Address:J 1 )4/ OZ i14 IV Other: 25.02 City/State/ZIP: 0 4,., 1 Subtotal %A '7 Phone:(.03)9,1,-353/7'` Fax:( ) Minimum permit fee: $72.50 --- CCB Lic.:Afir!93589 ;IN 6-Plumbing Lic.no.: F� 7/t/I Plan review (25%of permit fee) `'c1 wfw 7 State surcharge(12%of permit fee) 9, Authorized signature r �6' TOTAL PERMIT FEE :10 Print name:` (Ce/M Date: 9.11-/V 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-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) A 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-1a 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 1 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 Stall as defined in OAR918-780-0040. Cuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities. Dishwasher: -Commercial ❑ 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 ❑ 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 MachiRefrig.Drains / . ' Comments regarding fixture work: Oil Separator(Gas Station) Rec.Vehicle Dump Station Shower: -Gang _ _ -Stall �. - c j Sink: -Lav/Baz non-food related f/ -Bradley -Com/Serv/Util food related -Service *Note: If the fixture work under this permit results in an • Swimming Pool Filter increase of sewer EDUs,a sewer Washer-Extractor / � permit will be issued and wt Water fees assessed for the sewer increase must be paid before the WaterCloset-Toilet /� plumbing permit can be issued. Urinal T f Other Fixtures: 3 I:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2 ■ Accumulative Sewer Tally Tenant Name: DIRECT BUY SWR# 2014-00051 Site Address: 10795 SW CASCADE BLVD PLM# 2014-00159 Parcel#: 1S135BC00700 Fixture Value Previous Previous Credits Capped Fixture Fixture New New # value count capped#s value count added# added value total#s total values Baptisery/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 1 2 1 2 Drinking Fountain 1 0 0 0 0 0 Eye Wash 1 0 _ 0 0 0 0 Floor Drain/Sink: -2 inch 2 0 0 0 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 0 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 HP) 42 0 0 _ 0 0 0 Ice Machine/Refrigerator Drain 1 0 0 1 1 1 1 living Unit 16 0 0 0 0 11 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 1 2 0 -1 -2 Sink: -Lav/Bar-Non-Food Related 2 0 0 2 4 2 4 -Bradley 5 0 0 0 0 0 -Com/Serv/Util-Food Related 3 0 0 0 0 0 Swimming Pool Filter 1 0 0 0 0 0 Washer-Clothes 6 0 0 1 _ 6 1 6 Water Extractor 6 0 0 0 0 0 Water Closet-Toilet 6 0 0 0 0 0 Urinal 6 0 0 0 0 0 Previous EDU Count 0 0 Capped EDU Credit 0 'TOTALS 0 0 1 2 5 _ 13 4 _ 11 Current Fixture Value 11 divided by 16= 0.688 Current EDU 1 EDU = $4,800.00 Previous Fixture Value 0 divided by 16= 0.000 Previous EDU Change 11 divided by 16= 0.688 over (under) $ 3,312.00 Enter EDU Change Here 0.690 Notes: Authorized Name/Signature: BRANDEN TAGGART X2449 Date: 5/14/2014 Building Division rote: 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\SewerTallySheet_4800._070113.xlsx 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 10795 SW CASCADE AVE, TIGARD, OR, 97223 Commercial - Plumbing 399 Plumbing ﬁnal FAIL PLM2014-00159 George Heimos NOTE: Tenant space has one existing bathroom with working toilet, lav and hot water heater. The above noted bathroom is the only plumbing that is approved for use. All other ﬁxtures on project are not installed or completed and are not approved for use until a Final Plumbing re-inspection has been call and approved. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 10795 SW CASCADE AVE, TIGARD, OR, 97223 Commercial - Plumbing 399 Plumbing ﬁnal FAIL PLM2014-00159 George Heimos 1. Earthquake straps for water heater (Plbg Code Interp 08/12/05) install with 2-ea. straps 1 ½” penetration, #12 wood screws with washers each strap, top and bottom. 508.2. 2. water heater T&P tube to approved location, (check outside at foundation vent.) (16’ ) 608.5 3. Provide caulking at both sinks, men's bathroom. 310.4/407.2 4. Expose/uncover for inspection, P trap primers in both men's and women's bathrooms. 103.5.1.4/103.5.1.3/315.3 (check wall opposite toilets on both) 5. Locate location of sewer gas in men's bathroom on opposite wall of toilet and repair. 310.0 6. Complete ref. ice maker unit located on top of ref, not hooked up and provide approved discharge location for drain. 410.4 7. Recall inspection when corrections have been completed. Re-inspection required. 103.5.6.1 Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 10795 SW CASCADE AVE, TIGARD, OR, 97223 Commercial - Plumbing 399 Plumbing ﬁnal FAIL PLM2014-00159 George Heimos 1. Building locked, provide access for inspection, no inspection made. Recall when ready. 103.5.4 tntwildthing@aol.com Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 10795 SW CASCADE AVE, TIGARD, OR, 97223 Commercial - Plumbing 399 Plumbing ﬁnal PASS - No C of O PLM2014-00159 George Heimos Violation Summary: Inspector Contractor