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Permit CITY OF TIGARD PLUMBING PERMIT III ; - COMMUNITY DEVELOPMENT Permit#: PLM2014-00396 Ti C;AR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/11/2014 Parcel: 1 S135BD00300 Jurisdiction: TIGARD Site address: 9735 SW SHADY LN 308 Project: Westside Endodonitics Subdivision: ASHBROOK FARM Lot: 5 Project Description: Interior plumbing:Relocating(1)2"floor drain,(3)sinks,and(1)water heater. Contractor: CASCADE PLUMBING CO Owner: MCFADDEN,ARTHUR L 2416 N HAYDEN ISLAND DR BY SKLARZ, ERIC PORTLAND, OR 97217 621 SW MORRISON ST, STE 800 PORTLAND, OR 97205 PHONE: 503-289-7095 PHONE: FAX: 503-283-9514 FEES Quantity Description Date Amount 1 ea Floor Drain/Floor Sink/Hub 12/11/2014 $25.02 Specifics: 3 ea Sink 12/11/2014 $75.06 1 ea Water Heater 12/11/2014 $37.52 Type of Use: COM 1 12%State Surcharge- 12/11/2014 $16.51 Class of Work: ALT Plumbing Type of Const: Occupancy Grp: Stories: Total $154.11 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. ` Issued By: is nature: 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. lutnbin2 Permit Application t Building Fixtures 1�� FOR OFFICE USE ONLY Received n City of Tigard OC. Date By: I f I�!H f TT- Permit No.: ?IM 2n0y 34• 13125 SW Hall Blvd.,Tigard,OR 97 O\Q Plan Review /� N a Phone: 503.718.2439 Fax: 503.598.1960 r 1, Date By: Other Permit No.: Inspection Line: 503.639.4175 ��+ A T I G A R D ��P Date Ready By: lints: li7 See Page 2 for Internet: www.tigard-or.gov � �OV t w ,, ,ifiedMethod. -1-3.,(A Supplemental Information TYPE OF WORK `. h`� 1 ` FEE* SCHEDULE �L 1 ❑New construction ❑ D�V Forspecial information use checklist Description Qty. Ea. 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 ❑ Accessory building SFR(3)bath 500.32 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:9735 SW Shady Lane Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: Project name:Westside SNZ'idpicLt/, Act 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 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 _______v , . Clothes washer 25.02 RAE te(-44')Wy `t) " •T,a'r Stela (3) 3 Nk_ t 4-4rA (a) Dishwasher --4---. 25.02 ----a-5AZ_ (.kJ C1 f- l_ -} - Drinking fountain 25.02 Ejectors/sump 25.02 ❑ PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name: Fixture/sewer cap 25.02 Floor drain/floor sink/hub I 25.02 '5^.0).., Address: Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 1 ® APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name:Cascade Plumbing Co Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Crystal Jones Roof drain(commercial) 12.51 Address:2416 N.Hayden Island Drive Sink/basin/lavatory 3 25.02 '75-.do City/State/ZIP:Portland,OR 97217 Solar units(potable water) 62.54 Phone:(503)289*-7095 Fax::(503)283-9514 Tub/shower/shower pan 12.51 E-mail:cascadeplum@yahoo.com Urinal 25.02 Water closet 25.02 CONTRACTOR Water heater ' 37.52 37_ Business name:Cascade Plumbing Co Water piping/DWV 56.29 Address:2416 N.Hayden Island Drive Other: 25.02 City/State/ZIP:Portland,OR 97217 Subtotal 137. C C Phone:(503)289-7095 Fax:(5503)283-9514 Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lie.:120893 Plumbing Lic.no.:34-412PB ��, J State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE I114.I/ Print name:Crystal Jones Date:12/09/2014 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 Penns PLMU-Pe nttApp.doc 10 01 09 440.46161(IQ/02ICOM/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-1"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 Valuation: Permit Fee: Storm&Rain Drain-1st 100' 62.54 S 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 Ins ections or Fees Fee(ea) Total each additional$100.00 or fraction thereof,to p and including$10,000.00. Inspection of existing plumbing or for S10,001.00 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*. Quantity by Fixture Type Plan Review for Plumbing Installations Fixture Type for Replace/ plan review is required for any of the following.Performed: Capped Added Relocate Please check all that apply. y g Baptistry'Font 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 Thru ❑ 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 FloorDrain/sink -2" l Submit 2 sets of plans with any of the above. -3" Isometric or Riser Diagram Car Wash Drain ❑ Isometric or riser diagram is required for new buildings-Domestic-non-food 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 -Bradley -Commercial-food related -Service 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 be issued. Other Fixtures: I C:\Users\Owner\Downloads\PLMF-PermitApp.doc 2 RECEIVED CASCADE PLUMBING CO. DEC 22 2014 rri COMMERCIAL*RESIDENTIAL*INDUSTRI 4 'YOFTIGARD WWW.CASCADEPLUMBINGCOMPANY.COM BUILDING DIVISION 2416 N. HAYDEN ISLAND DRIVE PORTLAND,OR 97217 503-289-7095 503-283-9514 FAX CC B: 120896 EMAIL:CASCADEPLUM c@YAHOO.COM At the address of 9735 S.W. Shady Lane Suite#308 Cascade plumbing did the remodel of of this space &the adjacent space during the months of Nov. & Dec. 2014. There was in addition to 2 new sinks with in the space we capped of(1) 1/2"air line that was pertruding from the wall where the new sink was to be installed. No work was done to the vac or air systems below the floor or on any branch piping on the riser was capped. Shane Farley Cascade Plumbing 503 289-7095 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 9735 SW SHADY LN 308, TIGARD, OR, 97223 Commercial - Plumbing 399 Plumbing ﬁnal FAIL PLM2014-00396 George Heimos 1. Correction dated 12/09/14, on Ste 307 inspection report, "hard cap 2" drain stub out on sterilization sink" not completed, 2. Recall inspection when corrections have been completed. Re-inspection required. 103.5.6.1 3. Re-inspections. A re-inspection fee shall be permitted to be assessed for each inspection or re-inspection when such portion of work for which inspection is called is not complete or when required corrections have not been made. 103.5.6 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 9735 SW SHADY LN 308, TIGARD, OR, 97223 Commercial - Plumbing 399 Plumbing ﬁnal PASS - No C of O PLM2014-00396 George Heimos Ata lasta 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 9735 SW SHADY LN 308, TIGARD, OR, 97223 Commercial - Plumbing 399 Plumbing ﬁnal FAIL PLM2014-00396 George Heimos 1. Locked out, recall inspection and provide access for inspection. 103.5.6.1 2. Add to existing permit: 1-ea dishwasher as per General Contractor. 103.4.1 Violation Summary: Inspector Contractor