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Permit
a CITY OF TIGARD PLUMBING PERMIT 111 * COMMUNITY DEVELOPMENT Permit#: PLM2015 00004 T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/13/2015 Parcel: 2S 113AB00101 Jurisdiction: Tigard Site address: 16101 SW 72ND AVE 140 Project: Perlo Subdivision: ROSEWOOD ACRE TRACTS Lot: D Project Description: TI-Install(1)dishwasher,(1)hub drain,(1)primer,(1)sink&(1)water heater. Contractor: POWER PLUMBING CO Owner: PACIFIC REALTY ASSOCIATES LP PO BOX 19418 ATTN: N PIVEN PORTLAND, OR 97280 15350 SE SEQUOIA PKWY#300 PORTLAND,OR 97224 PHONE: 503-244-1900 PHONE: FAX: 503-244-8825 FEES Quantity Description Date Amount 1 ea Dishwasher 01/12/2015 $25.02 Specifics: 1 ea Floor Drain/Floor Sink/Hub 01/12/2015 $25.02 1 ea Primer 01/12/2015 $12.51 Type of Use: COM 1 ea Sink 01/12/2015 $25.02 Class of Work: ALT 1 ea Water Heater 01/12/2015 $37.52 Type of Const: 1 12%State Surcharge- 01/12/2015 $15.01 Occupancy Grp: Plumbing Stories: Total $140.10 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. JAN-09-2015 16:23 From: To:5035981960 Page:1/2 Plumbing Permit ApplicaRECEIVED Building Fixtures rot: OFI-1t=1. >r`t (,\1.1 City of Tigard JAN 12 2015 liffilariCiTA tioe c .ate. III 13125 Sw Hall Blvd.,Tigard,0 n Plan Review • Phone: 503.718.2439 Fax: �9�e F TIGARD other Permit No.:�te A:90/S- t'i n a:1 i inspection Line: 503.639.417 I N G DIVISION Date Ready/By: hum 21 See Page 2 rrr Internet:: www.igard-or.gov No fied/Mrdwd: Supplemental Information`M I S illil4 gTAIgir.W Tl mM„ Oi , " ' Ekg.ir'Ct1 n iiMI R ❑New construction ❑Demolition For special iri jonxatlon use chec*Ust. Description I Qiy. _I Ea. 1 Total Addition/altcration/rvplaccmcnt ❑Other: New l-2-family dwellings(includes 100 It.for each utility connection) 4.:' "'laggt4 gq ter'jiO .:(.1 T Lj.CT'I�.0 ti AtrIttin 9;E:, SFR(l)bath 312-70 ❑1-and 2-family dwelling laCommercial/industrial SFR(2)bath 43738 SFR(3)bath 500.32 ID Accessory building ❑Multi-family - Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 7:' ; 0.k.S :r5�i O 9 „ A$0 LOCAT : -fi? ut r • Site utilities: Job site address: 110101 S W .-7 Z„1 Ave_ Catch basin or area drain 1 R_76 City/State/ZIP: �(e ,f Drywcll,leach line,or trench drain 18.76 I 1 Q v `7 7 Z 2, Footing drain(no.linear ft.: ) Page 2 ObldgJapl..no.: 19 0 (.1 Project name: Pfi✓I d - 154' I o O Manufactured home utilities 50.03 Cross street/directions 4a job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear It: ) Page 2 Storm sewer(no.linear ft.: Page 2 Water service(no.linear ft: ) Page 2 Subdivision: Lot no.: Fixture or itkll_ - Tax map/parcel no.: a S I " 5Prr5C`-'/0 r Backl ow preventer 31.27 }}p `nry fir 4 1 DErk O F.,•r.,V@. MIe r M7 Backwaer valve 12.5 1 Clothes washer 25.02 --1-.12..-•14-0-t j 11 1 VVL4 W V-- Dishwasher 1 25.02 11 Drinking fountain 25.02 r � ,, Ejectors/sump 25.02 ©*,: p,WN'RyCyl`li < ,118t!'1Bti za 2 a..�..:5:,5: yuraa * Expansion tank 12.51 Name: Fixture/sewer cap 25.02 Floor drain/floor sin hub I 25.02 Address: Garbage disposal 25.02 - City/State/Z_IP: Hose hih 25.02 Phone:( ) Fax:( ) Ice maker 12.51 1liFAC e°APPL'iCAIVS,TAif:?+ ri M• . ,(A},4x1 L [L11Lti0>a+t t lntcrceptor/grease trap 25.02 Business name: 1'(W Q./lv p IM b 1 yE (Q Medical gas(value: ) Page 2 Primer I 12.51 Contact name: M i 162.,. 1/11 am/AA- - Roof drain(commercial) 12.51 Address: Po ( os I q H I $ Sink/basin/lavatory I 25.02 ' -- City/State/ZIP: Pj Al d y 9-I2� Solar traits(potable water) 62.54 } Phone:(93, .Z L 1.4,��I Ll Q� Fax::(513,) z(,�(i- g' � Tub/shower/shower pan 12.51 E-mail: Se kt v I,(jLIC/, Dow-t&. #I U-'W? b i [o, (a fit, Urinal _ 25.02 Water closet 25.1Y1 er:'4 y f Y 4i.. ..' ;CQ„�ITRA1 1 t e't":'/ t }1 r - `^ water hater 1 37.52 Business name: PO vu . P I wvA bt 1-O . Water i P�b� WV 56.29 Address: l P IP I 1 5 v\k) M u I'hi uldf"Lk_ V 1 v Oher: 25.02 City/StateZIP: 'FO 0- L""u„I , _ '7 223 Subtotal / Phone:( ) /4, , Fax'( 93 a e y- t2 Minimum pcnnit fee: $72.50 ------- CCB Lic.: 513"1 / a /1 Plumbing Lie.no.: '71-1.-1 SD 0j Plan review (25`%n of permit fee) r State surcharge(12%of permit fee) /3.C/ Authorized signature: , I C) TOTAL,PERMIT FEE pit,to Print name: . / GL-. 5 Date: I -01 _1 S This permit application expires if a permit Is not obtained wield 180 days after it has been accepted as complete. •tee methodology set by Tri-County Building Industry Service Board. I\Buikliot+VYermitrePt.MI1-PamitApp.dx in.oim9 u40-0 er(10/074:0 vwsa) JAN-09-2015 18:23 From: To:5035981960 Page:2/2 Plumbing Permit Application - City of Tigard Page 2 -Supplemental Information Fee Schedule: Residential Fire Suppression Systems it Sitesi7tililtie ��` t "i. ` " 4 i Lt eY Tta •-.*s+�•-[ y.. sw-�'�Vi,µ T Mw...'..� wpry�� f xH rr�,'}•'T+�;�x'.?.,. Footing drain-1"100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2.001 l0 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 too' 62.54 Medical Gas Systems: Water Service-cash additional 100' 37.52 r a�UAtldIl.�r l :perIILt tee 34!1" ,:fa r :, Storm dt 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.(X)and$1.52 for ;Odra "".&t ]y"•'"" ` "rent "'Qty�*4/1Nore�tea)'", otal"o each additional$100.00 or fraction thereof,to ae4Lllerg,�llspect1011$,or, ,Qe,4:ty M k3�•.,�ltic+wrllrxs3. +o�:4:. - and including$1 0,000.00. Inspection of existing plumbing or for $10.001.00 to$25,000.00 $14830 for the first$10,0(0-00 and$134 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 $379.5()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$50,000110 and$1.211 for (minimum charge-1/2 hour) _ each additional$100.00 or fraction thereof. Subtotal: Commercial Fixture Work: Arc 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*. '• • w- -.Quantity by lPxture Type. ,Plan Rev iew,foil:Flrixti�li rig 'stztllatio>q�s kliihn7 Type gm', > �, Plan review is required for any of the following. .Worlr l?eriormed:'.. (upped i Added $cracitc c9 Y g. 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'Ihnt ❑ New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator ac defined in OAR918-780-0040. Dishwasher -Commercial ❑ Medical gas and vacuum systems for health care facilities. t ❑ 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.. Car Wash Drain sometri�:ET5,1 73rd a.. A , 1 1 E. Garbage Domestic nun fooel ❑ Isometric or riser diagram is required for new buildings Disposal -Domestic-food related that meet the qualifications above. -Commercial-food related •lndustrial-food related [o a MachJRcfrig-Drains Oil Separator(Gas Station) _ Comments regarding fixture work: Rex.Vehicle bump Station Shower -Gang -Stall riff ; •v -Non-food related -Bradley - -Commercial-foal related -Service Swimming Pool Filter 'Note: If the fixture work under this permit results in an washer-Claha increase of sewer EDUs,a sewer permit will be issued and Wales Extractor s+ � 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-PcrmitApp2tioc 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 16101 SW 72ND AVE 140, TIGARD, OR, 97224 Commercial - Plumbing 399 Plumbing final PASS - No C of O PLM2015-00004 Chip Barnett Violation Summary: Inspector Contractor