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Permit CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT Permit#: PLM2014-00271 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/18/2014 Parcel: 1 S134AA01800 Jurisdiction: Tigard Site address: 10240 SW NIMBUS AVE L9B Project: Smith&Nephew Subdivision: IKOLL BUSINESS CENTER,TIGARD Lot: 2 Project Description: Add(1)new breakroom sink&replace(1)laundry sink. Contractor: BEAVERTON PLUMBING INC Owner: HANSON, RONALD D 13980 SW TV HWY ROBINSON, CONSTANCE A BEAVERTON, OR 97005 ROBINSON, CHESTER TRUST ET AL 203604 EAST FINLEY RD KENNEWICK,WA 99331 PHONE: 503-643-7619 PHONE: 503-598-9980 FAX: 503-643-7620 FEES Quantity Description Date Amount 1 ea Sink 08/14/2014 $25.02 Specifics:, 1 ea Laundry Tray 08/14/2014 $25.02 1 12%State Surcharge- 08/14/2014 $8.70 Type of Use: COM Plumbing Class of Work: ALT 22 ea Minimum Fee Adjustment- 08/14/2014 $22.46 Type of Const: Plumbing Occupancy Grp: Stories: Total $81.20 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: . / Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. From: 08/13/2014 11 :48 #439 P.002/003 Plumbing Permit ApplR It !i IVFD Building Fixtures AUG 1 3 2014 10k 01 1 1( 1 I 'i 0\1 1 City of Tigard � Ba i ff � Pernik NO" /'L r ° / t Z 7 Iii /• 13125 SW Hall Blvd.,Tigard Phone: 503.7182439 Fax:c 80r fv7m f {D Plan Review i I inspection Line: 503.639. lt�JIIQE IIRIOY Date/By: Other Permit No.:5/4:2,e / T7 Y ,,A"l Date Ready/By: 7//f( / kris:: ® See Page 2 for Internet: www.tigard-or.go Notified/Metbod: Y S pkmeetai leformatloe TYPE OF WORK d-, r - I z FEE'.8Cll<BIMJLE ❑New construction ❑Demolition For special information use checklist. Description 1 Qty. , Ea. 1 Total '$!).Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) a CATEGORY OF CONSTIIICiIION SFR(1)bath 312.70 1‘.3 ❑ 1-and 2-family dwelling 'x m Comercial/industrial SFR(2)bath 437.78 n ❑Accessory building ❑Multi-family Sit(3)bath 500 32 Each additional bath/kitchen 25.02 r ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 f� JOB SITE INFORMATION AND LOCATION Site utilities: '� Job site address: )© 4('s 51,2_, y wvAot °) AA e Catch basin or area drain 18.76 7� � Drywell,leach line,or trench drain 18.76 City/State/ZIP. ,C; c7 1 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt nt> �Alla Project name: :. Z,..�_aL..ffirmsti Manufactured home utilities 50.03 Cross street/directions to job site: ' Mrrti. IQ f PI-1-F,1 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: Lot no.: Fixture or item: Tax map/parcel no.: /6/54•09-A C,/7w Backflow preventer 31.27 dF - K Backwater valve 12.51•I N , ... :' Clothes washer 25.02 feVac-e-, \Ct n (5 -6 ' nC� Dishwasher 25.02 ( \6 i`Y W \L 1 Ce[i.,4,� Ain- 1s l��. n„).- Drinking fountain `l,., 1 25.02 - U a- '- ' ' EYke . Ejectors/sump 25.02 ]intOotitry..0 ' - GIANT ;= Expansion tank 12.5I Name: Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 t A.fl d(AN7„ C9NTAC`' SOJ3 Interceptor/grease trap 25.02 Business name: Medical gas(value:S_) Page 2 Contact name: Primer 12.51 Roof drain(commercial) 12.51 Address: Sink/basin/lavatory 25.02 6-0.c,(` City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax::( ) Tlrb/shower/shower pan _ 12.51 • E-mail: Urinal 25.02 CONTRACTOR Water closet 25.02 BEAVERTON PLUM ' BING 1NC. Water heater 37.52 Business name: Waterpiping/DWV 56.29 Aadr s: 13980 S.W.Tualatin Valley I In. Beaverton,Oregon 97005 Other: 25.02 City/State/ZIP: Subtotal Phone:( ) Fax:(J f-3 7(0a 0 Minimum permit fee: $72.50 77. Z) 1 C. Plan review (25%of permit fee) B Lic.: a Plumbing Lic.no.: <3y -l _ State surcharge(12%of permit fee) t 7D Authorized signature:c1 �� ' TOTAL PERMIT FEE II. This permit appiicadon expires if a permit is not obtained within 180 days Print name: �� = r Date: - -ILA after it has been accepted as complete. *Fee methodology set by Tri•County Building Industry Service Board. l:\Buildng\PcrmiittPLMU-PermitApp.dot 10/01/09 440-46161(10/07/COM/WEB) From: 08/13/2014 11 :49 #439 P.003/003 Plumbing Permit Application - City of Tigard Page 2 -Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Its Utilities Qty. _ Fee(a) Total Square Footage: Permit Fee: Footing drain-1"100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 - S169.69 3,601 to 7,200 5233.20 Sewer-1st 100' 62.54 7,201 and 54 greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas Systems: Water Service-tech additional 100' 37.52 'Valuation: Permit Fee: Storm&Rain Drain-1st 100' 62.54 $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 may . tea) 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 S 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 525,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for hours(minimum charge-2 hours) each additional S100.00 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 1/2/2 hour) each additional$100.00 or fraction thereof. Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to 'curately report fixtures could result in increased sewer fees*. Queen Fixture Type Plan Re 4ew or 1wiibntg nis l$`�]1ons • Fixture'IyType for Reitere, Work Performed: . - Cea led. Added 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 71uu ❑ New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780 0040. Dishwasher -Commercial ❑ Medical gas and vacuum systems for health care facilities. -Domestic ❑ Any multipurpose fire sprinkler system. Drinking Fountain ❑ Any complex structure as defined in OAR918-780-0040. Eye Wash Floor Drain/sink -2" Submit 2 sets of plans with any of the above. -3" 4" Isometric or Riser Diagram Car Wash Drain Garbage -Domestic-non-food ❑ Isometric or riser diagram is required for new buildings Disposal -Domestic-food related that meet the qualifications above. -Commercial-food related -Industrial-food related Ice Mach./Refrig.Drains Oil Separator(Gas Station) _ Comments regarding fixture work: Rec,Vehicle Dump Station Shower -Gang _ -Stall Sink/Lav -Non-food related 1 -Bradley -Commercial-food related -Service 1 vimming Pool Filter `Note: If the fixture work under this permit results in an ashen-Clothes Water 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 be issued. Other Fixtures: http://www.tigard-or.gov/city__hal l/departments/cd/docs/PLMF-PermitApr2doc From: 08/13/2014 11 :48 #439 P.001/003 IIEAVEOTOH PLUmuInG <1 13980 SW Tualatin Valley Hwy. Beaverton OR 97005 503.643.7619 Fax 503.643.7620 CCB# 012889 FAX COVER SHEET Date: - 13 1z1 To: CC) C kr i'Y)‘r Company: Fax #: 505. 5(1 5. tcl(c Phone #: Total # of pages: 3 Reference: IV VID Qpp\ Cam Sincerely, D'Ann VanRiper Beaverton Plumbing, Inc. 503.643.7619 phone / 503.643.7620 fax dann(Thbeavertonplumbing.com 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 10240 SW NIMBUS AVE L9B, TIGARD, OR, 97223 Commercial - Plumbing 399 Plumbing ﬁnal PASS - No C of O PLM2014-00271 George Heimos Violation Summary: Inspector Contractor