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Permit CITY OF TIGARD PLUMBING PERMIT 3 ' COMMUNITY DEVELOPMENT Permit#: PLM2015 00019 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/22/2015 Parcel: 2S112DD00701 Jurisdiction: Tigard Site address: 15800 SW UPPER BOONES FERRY RD 300 Project: Jean Battig Veterinary Clinic Subdivision: 1994-006 PARTITION PLAT Lot: 2 Project Description: Adding(2)backflow preventers,(1)clothes washer,(1)expansion tank,(2)2"floor drains,(1)hose bib,(1)ice maker,(1)primer&(1)water heater. Relocating or replacing(1)sink,(2)lays&(2)toilets. Contractor: RUSSELL&SONS PLUMBING INC Owner: PACTRUST PO BOX 192 15350 SW SEQUOIA PKWY S 300 BATTLE GROUND,wa 98604 TIGARD,OR 97224 PHONE: 503-624-6300 HONE: 360-263-3377 FAX: 360-263-3378 FEES Quantity Description Date Amount 2 ea Backflow Preventer 01/22/2015 $62.54 Specifics:. 1 ea Clothes Washer 01/22/2015 $25.02 1 ea Expansion Tank 01/22/2015 $12.51 Type of Use: COM 2 ea Floor Drain/Floor Sink/Hub 01/22/2015 $50.04 Class of Work: ALT 1 ea Hose Bib 01/22/2015 $25.02 Type of Const: 1 ea Ice Maker 01/22/2015 $12.51 Occupancy Grp: 1 ea Primer 01/22/2015 $12.51 Stories: 1 ea Sink 01/22/2015 $25.02 2 ea Lavatories 01/22/2015 $50.04 2 ea Water Closet 01/22/2015 $50.04 1 ea Water Heater 01/22/2015 $37.52 25 Misc Other Fee 01/22/2015 $25.02 1 12%State Surcharge- 01/22/2015 $46.53 Plumbing Total $434.32 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: #1,....6) Permittee Signat re: Call 503.639.4175 by 7:00 a.m.for the next availabl 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-16-2015(FRI) 09: 44 RUSSELL & SONS PLUMBING (FRX)3602633378 P. 001/002 Plumbing Permit Application Building Fixtures RECEIVED FOR OFFICE t'SE ON1 1 City of Tigard A,ArtiillM PennitNo.: L ,1i s-aeot? • 13125 SW Hull Blvd.,Tigard,o z9 0 2015 111 F Phone: 5017181439 Fax: 5 5 g.l 60 1.1aa/Review Other Permit No.:5(y�,Q26/Scrav•- UatalBy; Inspection Line 503.639-4 T1 Aa TY OF TIGARD DateR..wisyt 4: See Page 2for Internet www.tigard-or.: w ► NotiliwUMtthud/ ZZ IS _.b ar .r�f� Su.. •talInformation �x- -4/i,n •.'L1'i•. •�, �•,,�t�'o-rt 'A '7l :S+T'`:;'�$3rr.:„aw�xt�� "� '•„'"°'�:.,. 'bit* �r�rSS"ir For �` ❑New construction ❑Demolition �'+�' f' '� • /•� Fur pedrd infarrtartbon use checklist Total ❑Addition/alteration/replacement ODthc T�^.�- 7,,,r .,fir t New 1-2-family dwellings(includes 100 Qty. l for each utility r. connection) , 41 .4 GQ ��1 111E ?3(IOP1 °4•e a c,i'"�q... ....-._... •"' '"9' "4t'+r � "�.- "�:;:'''' SFR 312.70 - ❑ 1-and 2-fumily dwelling :: -.mmercialfmdustrial SFR(2)bath 437.78 SFR(3)bath 50032 ❑AcceNaory building 0 Multi-family Each additional bath/kitchen 25.02 N ❑Master builder ❑Other: Fire sprinkler sq. g O Page 2 "=- gOm. i.,.,k°, . .�;.,�� :*"1p k + +,.•. W sire utilities: Job site address: is-goo 5L..3 C fn ,..u. Ro ones f-ci,-,_ C ' h basin or area drain 18.76 O City/Blatt 21P: ' Drywcll leach line,or trend'drain 111.'76 e , f 1 Q ix."-el • ) .. ?Z2-9 Footing drain(no.linear tt: Page 2 }1' Suite/bldg./apt.no.: 0 1 Project name: t Manufactured home utilities 50.03 Cross street/directions to job site: ---3--;,71 to-73r}77 lg ie2i/ki/}/1 y Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear R:_J Page 2 Storm sewer(no.linear R.:_) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: i Lot no.: Fixture nr item; _ Tax map/purcel no.: c.Z S ( i 9,-vr,e7 )?0 l3uckflow pm-venter .- 31.27 (2.$y r -,-0374414, --:«.t 1tiiiii, Of:Wo -4::,44.....,'. .-x 71- .. 1 -:-, Backwater valve 12-51 I 11 • Clothes washer / 1 25.02 2.5.oZ -Pi...lei,•j,��r V .Cr.e'Urv\/ 0.✓1C] U4 'd"t( €F (` Dishwasher Na Oe-� O 25.02 l� l Drinking fountain • 25.02 Ejectors/sump 25.02 Efs m V it i ttifI c/, L,,k ,,,,, • Expansion tank • j 12.51 Name. • Fixture/sewer cup_ 94 25.02 spew Address: Floor drain/floor sink/hub ^a' 25.02 •Sb,1eft Garbage disposal 25,02 City/State/ZIP: 1 Hose hib / 25.02 'Z 54t. Phone:( ) Fax:( ) ° Ice maker / 12.51 (7. ( h :'PS T".1 A -" r ¢.mtt,. a- a"^ i4�bi . IntercoP tor/ rcasc trap raP 25.02 ■ Medical gas(value:$ ( ., 'C 'age 2 Businss n , . 5l • 54,,5 -f1t t , ,Q r _ J x Primer ! 12.51 j a,S/Contact name: z-- ` Qom./b Roof drain(commercial) 12-51 Address: 0 . r Z Sink/baasin/lavatory/-s '1- , 25.02 75�b6 City/State/ZIP:1/A l „..01.4' ! C a b Solar units(potable water) 62.54 `' r Phone:gyp) I y q ..7b q] , Fax::(3(310)ot•s`gr, ? Tub/shower/t:hower pun 12.51 y , Urinal E-mail ,iy„ih7 w a ter closet 25.02 °j_0 . �, Y h....'Yt X1..4 ' Y)ON °r 'r 7 •1 waucr be au 37.52 S Zr Business name: • - Q,,. J , , . .Z C- . Water piping/DWV W 56.29 nitbdige Address: --?0 ly' ci, � Other Ae.�u M �?t�7r��/1/4 / 25.02 „.2-570-)-- City/State/ZIP: g A�- �Y!" t. 6c - Subtotal .1./.2.,_n. Phone:$( ) 14./q ��6 q Fax:c36.0) et-4-- -g c1-]6 Minimum permit fee: $7250 _ Plan review (25%of permit fee) -.-. CCB Lie.:/ : 4., q 9//4 s"-- Plumbing Lic.no,: 37-$11 pg State surcharge(1244i of permit fee) 414:..--3 ‘ Authorized signature: 1 ✓, e' ,TO TOTAL PERMIT FEE 113.112- Date This permit application expires if a permit Is not obtained within inn days Print Hume. y�) I„ y, a e/��J/� I after it has been accepted as complete. �`/ 4l 'Foe 11101110t14110gy set by 7n•Counly Building Industry Service Board. I111,010I ArennIIsWPLMIU-PermilApp.duc 10101/09 440.4616T(10/0:/COM/Wnt1) JAN-16-2015(FRI) 09: 44 RUSSELL & SONS PLUMBING (FRX)3602633378 P. 002/002 Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: ['rsi"t [7tilihesl� ', a I�. ,, re��a",�" ...i� t`�i!'' fm. Fooling drain 1 100' 5U.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 5233.20 Sewer-1st 100' 62.54 7,201 and greater 5327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52 �; atioll:r+ /l t + F "+ i u Storm&Rani Drain-1st 100' 62,54 $1.00 to 55,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' ' 37.52 $5,001.00 to$10,000.1)0 $72.50 for the first$5,000.00 and$1.52 for i ( 'l utul each additional 5100.00 or fraction thereof,to I11d1{ L � " fc +++a•+L and includin_S10.000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 fur the first$10,000.00 and$1.54 for which no fee is specifically indicated 90.00/hr each additional 5100.00 or fraction thercoL to (minimum charge-1/2 hour) and includin_525 000.00. 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 Rcinspection Fccs 90.00/hr and includin 1$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 ch -12 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*. C7.klAriiiiigi4;nt ..k%iiza z 74i � �� " dv a ;; Plan review is required for anyrofthe following. - �r�:°�� Baptistry/Font Please check all-that apply. Bath -Tub/Shower ❑ Any new commercial building with water service 2"and Jaaurzi/Whirlponl greater,except systems designed and stamped by licensed ' Car Wash -Each Stall engineer. -Drive Thru G New exterior plumbing site utilities for any complex structure Cu�idor/WaittAspirator as defined In OAR9IS-780-0040. Dishwasher -Commercial ❑ Medical gas and vacuum systems for health care facilities. -Domestic 0 Any multipurpose Lire sprinkler system. Drinking Fountain ❑ Any complex structure as defined in OAR9IS-780-0040. Eyc Wash Floor Drain/sink -2" . ''r-- Submit 2 sets of plans with any of the above. -3" _ �- or riser diagram is required for MJ~+t f • -4.. �, �[T1'�tyr,�+r�lr�eaw�+u!Y��r, �3�''7�� Car Wash Drain Garbage -Domestic-non-food E q w buildings Disposal -Domestic-food related that meet the qualifications above. -Commercial-food related -Industrial-food related I1 S 1'4 k/ a L a vv_.3 Ice Mach./Refrig.Drains ' Oil Separator(Gus Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Gang -Stall "'"Ii Sink/Lav -Non-food related ,.- -[8rudley -Commercial-food related _ -Service Swimming Pool Filter Washer-Clothes / *Note: If the fixture work under this permit results in an 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' httn;//www.tieard-or.eov/city hall/denrtrtmenWcd/does/PLMF-PermitAntl)doe III _ Tenant Name:Jean Bath};VeterAinaryccum CGunie lative Sewer Tally S\KR# 2015-00005 TIGARD Site Address: 15800 SW Upper Boones Ferry Rd PLM# 2015-00019 Parcel#: 2S112DD00701 I:ixturc 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 0 0 0 Drinking Fountain 1 0 0 0 0 0 I.vc Wash 1 0 0 0 0 0 Floor Drain/Sink: -2 inch 2 0 0 2 4 2 4 -3 inch 5 0 0 0 0 0 -4inch 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 I IP) 32 0 0 0 0 0 -Industrial(over 5 I IP) 42 0 0 0 0 0 Ice Machine/Refrigerator Drain 1 0 0 0 0 0 Living Unit 16 0 0 0 0 0 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 _ 0 0 0 0 Sink: -Lay/Bar-Non-Food Related 2 0 0 0 0 0 -Bradley 5 0 0 0 0 0 -Com/Scrv/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 0 0 3 _ 10 3 10 Current Fixture Value 10 divided by 16= 0.625 Current EDU 1 EDU= $4,900.00 Previous Fixture Value 0 divided by 16= 0.000 Previous EDU Change 10 divided by 16= 0.625 over (under) S 3,087.00 Enter EDU Change Here 0.630 Notes: Authorized Name/Signature: DebbieAdamski Date: 1/22/2015 Building Division Note: 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. 1:\Building\Sewer Tally\Sewer I'allySheet_491M1._)70I l4.xlsx 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 15800 SW UPPER BOONES FERRY RD 300, TIGARD, OR, 97224 Commercial - Plumbing 399 Plumbing ﬁnal FAIL PLM2015-00019 George Heimos 1. Vacuum relief valve installed on water heater is required when above ﬁxtures. 608.7 2. Hose bibb requires positive attachment and sealed to building at: 313.7/314.3 3. Pressure on water piping is over maximum of 80psi, provide pressure reducing valve (PRV). 608.2. (86psi) 4. Recall inspection when corrections have been completed. Re-inspection required. 103.5.6.1 NOTE: 1" RPBA Conbraco model A00110 serial number 644297 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 15800 SW UPPER BOONES FERRY RD 300, TIGARD, OR, 97224 Commercial - Plumbing 399 Plumbing ﬁnal PASS - No C of O PLM2015-00019 George Heimos NOTE Plumbing contractor to provide proof of PRV installation when completed. All else ok Violation Summary: Inspector Contractor