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Permit CITY OF TIGARD PLUMBING PERMIT 111111 COMMUNITY DEVELOPMENT Permit#: PLM2015-00031 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/17/2015 Parcel: 1 S136CD00100 Jurisdiction: Tigard Site address: 11705 SW PACIFIC HWY X Project: Donut Day Subdivision: 2006-016 PARTITION PLAT Lot: 3 Project Description: Add(2)2"floor drains,(1)ice maker,(1)lay and(1)water closet. Replace(3)food related sinks and(1)mop sink. Contractor: LOTUS PLUMBING COMPANY Owner: PACIFIC CROSSROADS PROPERTIES IN 8100 SW ELMWOOD ST BY WYSE INVESTMENT SERVICES CO PORTLAND, OR 97223 1501 SW TAYLOR ST STE 100 PORTLAND, OR 97205 PHONE: 503-522-2728 PHONE: FAX: 503-892-2639 FEES Quantity Description Date Amount 2 ea Floor Drain/Floor Sink/Hub 02/17/2015 $50.04 Specifics:, 1 ea Ice Maker 02/17/2015 $12.51 1 ea Primer 02/17/2015 $12.51 Type of Use: COM q ea Sink 02/17/2015 $100.08 Class of Work: ALT 1 ea Lavatories 02/17/2015 $25.02 Type of Const: 1 ea Water Closet 02/17/2015 $25.02 Occupancy Grp: 1 ea Water Heater 02/17/2015 $37.52 Stories: 1 12%State Surcharge- 02/17/2015 $31.52 Plumbing Total $294.22 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 cf questions • ' NC by calling 503.232.1987 or 1.800.332.2344. Is ed By: 4 / 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 Ann liesNEC EIVEI J) Building Fixtures FOR OFFICE USE ONLY City of Tigard JAN 2 8 2015 Received `7 g .YJ Permit No.. ■ 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: �� l > r`�� fS- 3r .1114 Plan Review Phone: 503.718.2439 Fax: rill`�hWin u Date/By: Other Permit No.: 9; �/5-•e ecce Inspection Line: 503.639.4175'11 ` "' I I�AIRI) �j T I G A R U 4(,ILDING DIVISIOr Date d : f mow' Juris Supplemental Pen 2 for Internet: www.tigazd or.go 1 Dallotified/Method:Read/By: I 65 age 2 lnformaHon _ TYPE OF WORK FEE* SCHEDULE c ❑New construction ❑Demolition For special information use checklist F Description I Qty. I Ea. 1 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 .., SFR(2)bath 437.78 ❑ 1-and 2-family dwelling ci(Commercial/industrial t ❑Accessory building SFR(3)bath 500.32 v ry g ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: S.rl Fire sprinkler(_sq.ft.) Page 2 h�11 JOB SITE INFORMATION AND LOCATION Site utilities: oC1 Job site address: J/ j� 5' .) ,� n Catch basin or area drain 18.76 City/State/ZIP: 6 I /" u" Q /ifTp� Drywell,leach line,or trench drain 18.76 °yr.... 0-� _` 72 R Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: GJ/V* Project name: >2044 Da 7 Manufactured home utilities 50.03 Cross street/dirediono job site: Manholes 18.76 5-CA.) 7O C Q1l�44-G 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.: (,5 l 34 6-7)00160 160 Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 stilt_ Clothes washer 25.02 j/TILI f�lei��/wi ( A,��s-.0 ' `j!./ 'l�f Dishwasher 25.02 IN fl 71��0,4■1 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 sirlk/hub 2- 25.02 �O1 Address: Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker / 12.51 I.Z. 'ji ❑ APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name: Medical gas(value:$ ) Page 2 Primer I 12.51 47_.$•-/ Contact name: Roof drain(commercial) 12.51 Address: Sink/basin/lavatory(-1. t}-5 5 25.02 t 90t yr / City/State/ZIP: Solar units(potable water) 62.54 d Phone:( ) I Fax::( ) Tub/shower/shower pan 12.51 E-mail: Urinal 25.02 CONTRACTOR Water closet / r 25.02 2 j,d Water heater l 37.52 i 2,s--2.. Business name:/a c I "L/�1 t/iclotfe,,4, - Water piping/DWV 56.29 Address: ?/� <14 1/ `� ,( 5- Other: 25.02 ,�D City/State/ZIP: 0,1,(‘1,,t ei l�'i_ Subtotal Phone:(7) 5,4",., 7 q��`lll 17 Fax:(�J) a! GJ Minimum permit fee: $72.50 ��A /� Ot i�v Plan review (25%of permit fee) �1 CCB Lic.: ty 9y/6, Plumbing Lic.no.: p/ P if State surcharge(12%of permit fee) /�> e Authorized signature: �j TOTAL PERMIT FEEgc/'7� Print name: J jt` A'G� r Cv'l Date:/•-��`� This permit application expires if a permit is not obtained within 180 days y after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board.t I:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440.4616T(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-1st 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 Dram-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 1 tity by Fixture • Plan review is required for any of the following. Fixture Type for 'eplace/ Please check all that apply. Work Performed: Capped Add., .ARel. to Baptistry/Font NNW' r ❑ Any new commercial building with water service 2"and greater,except systems designed and stamped by licensed Bath: -Tub/Shower engineer. -Jacuzzi/Whirlpool Car Each Stall ❑ New exterior plumbing site utilities for any complex structure Drive Thru I' 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" 'i, 3" Isometric or Riser Diagram ❑ 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 Fork: Oil Separator(Gas Station) / fOa �..- �:� 4 jig /�i1p�.�.-/ Pk.-4 Rec.Vehicle Dump Station C �o �frc w r �-!'4A-1j cvJ^;4--e^-r) Shower: -Gang -Stall Sink: -Lav/Bar non-food related / -DY -Bradley Com/Serv/Util food related 44 -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 j plumbing permit can be issued. Urinal Other Fixtures: I:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2 - CITY OF TIGARD }}�� BUILDING DIVISION PERMIT #PO4,27/ _- JC/3/ 13125 SW Hall Blvd.,Tigard, OR 97223 DATE ISSUED: Phone: (503) 639-4171 ��w�u ^'jl��i" Inspection Requests (24 Hrs.): (503) 639-4175 __.. ti INSPECTION WORKSHEET FOR DATE: ( K / TIME: PAGE:c:;9. SITE ADDRESS: / / 7o55 IV P/4-e /tf ( C 144' CLASS OF WORK: SUBDIVISION: LOT#: / TYPE OF USE: PROJECT NAME: i DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 1 6 .1 f p q �-� Pour Time: Code #13C,5-"Inspection Description Confirm # Contact # Message ti N De-as LA-9 Pi- it 01I1 i)./ C Corrections/Comments/Instructions: N/ /-A-'c p L-T Tia 0 1114 I)z---, 124----.----c AL L 4 A.' L.7 p12 6 v +`t- L= /4-e l L S / 63 .5". 7 ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS rf•AIL ❑ CALL FO INSPECTION ❑ ADDITIONAL FEES ASSESSED 1 k_ Inspector: Date:02 " 1 /5 Phone #: (503) 718- -FY // City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 11705 SW PACIFIC HWY X, TIGARD, OR, 97223 Record Type: Record ID: Commercial - Plumbing PLM2015-00031 Inspection Type: Inspector: 399 Plumbing final George Heimos Result: FA I L Comments: 1 . Corrections #1 ,3,6 and 7 previous inspection not completed. 2. Recall when completed. 3. Faucet required on left side of 3-compartment sink, install. Backflow test results provided. 1/2" watts model LF 007 QT serial number 66363 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 11705 SW PACIFIC HWY X, TIGARD, OR, 97223 Commercial - Plumbing 399 Plumbing ﬁnal PASS - No C of O PLM2015-00031 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 11705 SW PACIFIC HWY X, TIGARD, OR, 97223 Commercial - Plumbing 399 Plumbing ﬁnal Scheduled PLM2015-00031 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 11705 SW PACIFIC HWY X, TIGARD, OR, 97223 Commercial - Plumbing 399 Plumbing ﬁnal FAIL PLM2015-00031 George Heimos 1. Provide hot water. 415.0 2. Provide RP device for espresso machine. 602.2 3. Provide 1" min. air gap on espresso machine drain. 801.1 4. Caulk 3-comp. sink. 407.2 5. Caulk mop sink. 407.2 6. Earthquake straps for water heater install with 2-ea. straps 1 ½” penetration, with #12 wood screws and washers each strap, top and bottom. 507.1/(Plbg Code Interp 08/12/05) 7. Re-plumb water heater T &P to come on from back wall and install bracket on ﬂoor to secure pipe. 507.3 8. Recall inspection when corrections have been completed. Re-inspection required. 103.5.6.1 Violation Summary: Inspector Contractor