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Permit CITY OF TIGARD PLUMBING PERMIT 3 COMMUNITY DEVELOPMENT Permit#: PLM2014-00405 Date Issued: 12/24/2014 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 1 S 24/201 1902 Jurisdiction: Tigard Site address: 9600 SW NORTH DAKOTA ST Project: Gelgelu Subdivision:.HERS ADDITION TO GREENBURG HE Lot: 1 Project Description: Install(1)sink,(3)lays,(3)toilets,(1)shower,(1)dishwasher&(1)garbage disposal. Contractor: MASTERWORKS PLUMBING CO Owner: GELGELU, DURETI G 1431 SE 143RD AVE ITICHA, WAGARI PORTLAND, OR 97233 9600 SW NORTH DAKOTA ST TIGARD, OR 97223 PHONE: 503-914-7189 HONE: 503-679-5999 FAX: FEES Quantity Description Date Amount 1 ea Dishwasher 12/24/2014 $25.02 Specifics: 1 ea Garbage Disposal 12/24/2014 $25.02 1 ea Sink 12/24/2014 $25.02 Type of Use: SF 3 ea Lavatories 12/24/2014 $75.06 Class of Work: ALT 1 ea Tub/Shower/Shower Pan 12/24/2014 $12.51 Type of Const: 3 ea Water Closet 12/24/2014 $75.06 Occupancy Grp: 1 12%State Surcharge- 12/24/2014 $28.52 Stories: Plumbing Total $266.21 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 -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: (r 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. Plumbing Permit Applicati 'j ''EIVE1) Building Fixtures I Ilk 11I I It 1 I ,l O\I 1 City of Tigard DEC 2 4 2014 Received /,� /9 / Permit No.: a l: e/ _�4/ 111 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: a Plan Review Phone: 503.718.2439 Fax: 503.$9tF TIGARD Date/By: Other Permit No.: I I t;;�1 t� Inspection Line: 503.639.4175 iii' 1 1 v Date Ready/By: funs. ® See Page 2 for Internet: www.tigard-or.gov RITILDING DIVISION Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ❑New construction ❑Demolition For special information use checklist DescriItion 6 . Ea. Total i:1•ddition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(I)bath 312.70 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 1600 S&J IVo r x®., S.� Catch basin or area drain 18.76 ��'`"'�- r` Drywell,leach line,or trench drain 18.76 City/State/"LIP: Tia�} ITta t b 0- Cl 7 ZZ3 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: J I Project name: 7-46.45// Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear 11.: ) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: I Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 J 1� r Clothes washer 25.02 �f,S-,a// ( ,J SiAKS, (3) ' 'i'C4S) (i) S�v✓ttr- (t) b Dishwasher ' 25.02 (1)01_(t.ciP dd ►- Drinking fountain 25.02 Ejectors/sump 25.02 ❑ PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name: (1 4-i e f L Fixture/sewer cap 25.02 Address: .5( do �ee,t6 9t, Floor drain floor sink/hub 25.02 00 Garbage disposal U' 25.02 City/State/ZIP:T,dA►d)Q1,07223 Hose bib 25.02 Phone:( 'i ) `1/"� -. , Fax:( ) Ice maker 12.51 [I APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 A tS G3 �a �� l Medical gas(value:$ ) Page 2 Business name: 'J IV I� w� Primer 12.51 Contact name: f /V f r? f 72?;. Roof drain(commercial) 12.51 Address: 20 k i'n f .1 Sink/basin/lavatory 25.02 City/State/ZIP: R • � �•, OR 9�'3 Solar units(potable water) 62.54 Phone: ) 98y-/3A' Fax::( ) Tub/shower/shower pan 12.51 E-mail: e ! •-t CO Urinal 25.02 /US eat. /dvc , ( w, CONTRACTOR Water closet 25.02 l�y} ` '' n Water heater 37.52 Business name: // 4 Ver.ktf riG c /✓h^,rrll J L Q Water piping/DWV 56.29 Address: i /4 rd '/�, Other: 25.02 City/State/ZIP: /ejr_,41A,,,Z n 2 9 723 3 Subtotal 3 7,Co Phone: qa 'Ai VI Minimum permit fee: $72.50 - ( 3) ale?- S99ry `r_ ) -I CCB Lic.: f"" 7 , 7 1 I Plumbing Lic.no.: Pyj Q g I Plan review (25%of permit fee) ^-- State surcharge(12%of permit fee) �C(.S- Authorized signature: 41,N.44. TOTAL PERMIT FEE 2. Print name: 4 Nj'nA/ (,yJ� $L51y Date:12 2q 20/if This permit application expires if a permit is not obtained within 180 days 4r..p after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-46I6T(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-1 S'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 $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 ❑ Any new commercial building with water service 2"and Baptistry/Font 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. 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 4 ❑ 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: -Lav/Bar non-food related -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 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: 1:\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 Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 9600 SW NORTH DAKOTA ST, TIGARD, OR, 97223 Residential - Plumbing 399 Plumbing ﬁnal FAIL PLM2014-00405 George Heimos 1. Previous correction dishwasher hose not completed, recall when ready. All else ok 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 9600 SW NORTH DAKOTA ST, TIGARD, OR, 97223 Residential - Plumbing 399 Plumbing ﬁnal PASS - No C of O PLM2014-00405 George Heimos 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 9600 SW NORTH DAKOTA ST, TIGARD, OR, 97223 Residential - Plumbing 399 Plumbing ﬁnal FAIL PLM2014-00405 George Heimos 1. Work not completed, no inspection made. Recall when ready. 103.5.4 503-984-1381 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 9600 SW NORTH DAKOTA ST, TIGARD, OR, 97223 Residential - Plumbing 399 Plumbing ﬁnal FAIL PLM2014-00405 George Heimos 1. Caulking required on ﬁxture(s) at: kitchen sink. 310.3/407.2 2. Dishwasher hose to be securely anchored to underside of cabinet top. 807.4 3. Recall inspection. 103.5.6.1 dnsc@outlook.com Violation Summary: Inspector Contractor