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Permit „ CITY OF TIGARD PLUMBING PERMIT — 1'1 r COMMUNITY DEVELOPMENT Permit#: PLM2015-00127 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/29/2015 Parcel: 1 S 126DC04800 Jurisdiction: Tigard Site address: 9495 SW LOCUST ST A Project: Baker Research Center Subdivision: LEHMANN ACRE TRACT Lot: 4 Project Description: Remove&reinstall(7)sinks,remove&relocate(10)sinks,cap(5)sinks,install(19)new water heaters&install(2) new sinks. Contractor: AMERICAN HEATING INC Owner: MATHESON, ROBERT T REVOCABLE TRU 5035 SE 24TH AVE BAKER, JAMES PORTLAND, OR 97202-4765 BAKER, DIANE R 1030 NW JOHNSON ST#610 PORTLAND, OR 97209 PHONE: 503-239-4600 PHONE: 503-379-0106 FAX 503-239-7038 FEES Quantity Description Date Amount 5 ea Fixture/Sewer Cap 04/29/2015 $125.10 Specifics: 19 ea Sink 04/29/2015 $475.38 19 ea Water Heater 04/29/2015 $712.88 Type of Use: COM 1 12%State Surcharge- 04/29/2015 $157.60 Class of Work: ALT Plumbing Type of Const: Occupancy Grp: Stories: Total $1,470.96 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 1.808 344. //� Issued By: Permittee Signature: .. /'/ G�� 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. P,Jumbing Permit Application .+- Building Fixtures �,`,G'D FOR OFFICE USE ONLY City of Tigard Cj v V Received u / / /�/� �y� �. g ^ + Date/By: -/ t//y 0-7 7 Permit No.: /N./90 iS^W/a , - • 13125 SW Hall Blvd.,Tigard,OR 9 9,1‘, G° a LD`S Plan Review Phone: 503.718.2439 Fax: 503.598.196 4i)4ij D DateBy: Other Permit No.:1314,0RD ie)67 1 Inspection Line: 503.639.4175 Imo` r� ate Ready/By: Avis: ® See Page 2 for S TIGARD �GP �y� Y Y 1: Internet: www.tigard-or.gov of I V\SVI`Notified/Method: �¢ Supplemental Information TYPE OF WORK ...s.091 NGQ� FEE* SCHEDULE ❑New construction ❑ ition For special information use checklist. Description ( Qty. 1 Ea. I 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 ❑ I-and 2-family dwelling ®Commercial/industrial SFR(2)bath 437.78 building SFR(3)bath 500.32 ❑Accesso ry 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:9495 SW Locust ST A Catch basin or area drain 18.76 City/State/ZIP:Tigard OR 97223 Drywe11,leach line,or trench drain 18.76 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name:Baker Research MBM TI 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: Lot no.: Fixture or item: Tax map/parcel no.: 16 1 a-Ube n 4 gtx' Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 remove and reinstall(7)sinks,remove and install(10)sinks,remove and cap(5))05v Dishwasher 25.02 install(19)new water heaters,Install(2)new sinks Drinking fountain 25.02 Ejectors/sump 25.02 ❑ PROPERTY OWNER ❑ TENANT Expansion tank 12.51 Name: Fixture/sewer cap 5 25.02 125.10 Floor drain/floor sink/hub 25.02 Address: Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 ® APPLICANT ® CONTACT PERSON Interceptor/grease trap 25.02 Business name:American Heating Inc. Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Brandon Hutchinson Roof drain(commercial) 12.51 Address:5035 SE 24th Ave. Sink/basin/lavatory 19 25.02 475.38 City/State/ZIP:Portland,OR.,97202 Solar units(potable water) 62.54 Phone:(503)239-4600 Fax::(503)239-7038 Tub/shower/shower pan 12.51 E-mail:b.hutchinson @americanheating.net Urinal 25.02 CONTRACTOR Water closet 25.02 Water heater 19 37.52 712.88 Business name:American Heating Inc. Water piping/DWV 56.29 Address:5035 SE 24th Ave. Other: 25.02 City/State/ZIP:Portland,OR,97202 Subtotal 1313.36 Phone:(503)239-4600 Fax:(503)239-7038 Minimum permit fee: $72.50 CCB Lic.:33135 Plumbing Lic.no.:PB982 Plan review (25%of permit fee) ` "lam State surcharge(12%of permit fee) 157.60 Authorized signature: #4.;,f,,,0`��f- TOTAL PERMIT FEE 24 Print name:Brandon Hutchinson Date: 1-)..,3/'/5 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 Se ce Board. r:\BuildingTermits\PLMU-PermitApp.doe 10/01/09 440-4616T(10/02/COM/WEB) 1 470, '(� 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 $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 (minimum charge-1/2 hour) each additional$100.00 or fraction thereof,to 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 engineer. -Jacuzzi/Whirlpool Car Wash: Each Stall El New exterior plumbing site utilities for any complex structure -Drive Thru as defined in OAR918-780-0040. Cuspidor/Water Aspirator El 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 ❑ Isometric or riser diagram is required for new buildings -Car Wash Drain that meet the qualifications above. Garbage -Domestic non-food q 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: -LavBar non-food related -Bradley -Com/Serv/Util food related -Sery ice *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 P WaterCloset-Toilet plumbing permit can be issued. Urinal Other Fixtures: I:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2 Accumulative Sewer Tally Tenant Name: Baker Research ***CREDITS*** SWR# N/A Site Address: 9495 Locust,Ste A Parcel#: 1 S 126DC04 PLM# 2015-00]27 800 Fixture Value Previous Previous Credits Capped Fixture Fixture New New y, # 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 Eye Wash 1 0 0 0 0 0 Floor Drain/Sink: -2 inch 2 0 0 0 0 0 -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 HP) 32 0 0 0 0 (1 -Industrial(over 5 HP) 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 Il Shower -Gang(per head) 1 0 0 0 0 0 -Stall 2 _ 0 0 _ 0 _ 0 0 Sink: -Lav/Bar-Non-Food Related 2 0 5 10 2 4 -3 -6 -Bradley 5 0 0 0 0 0 -Com/Serv/Util-Food Related 3 0 0 0 0 0 Swimming Pool Filter 1 0 0 0 0 0 Washer-Clothes 6 0 0 0 0 0 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 _ 5 10 2 4 -3 -6 Current Fixture Value -6 divided by 16= -0.375 Current EDU 1 EDU= $4,900.00 Previous Fixture Value 0 divided by 16= 0.000 Previous EDU Change -6 divided by 16= -0.375 over (under) $ (1,862.00) Enter EDU Change Here -0.380 Notes: ***CREDITS*** Authorized Name/Signature: Debbie Adamski Date: 4/28/2015 Building Division r ote: The property owner shall retain the ORIGINAL sewer tally record. If credits exist,this document will serve as a voucher which must be -ubmitted to the City of Tigard Building Division to redeem credits towards future system development charges. I:\Building\Sewer T ally\.SewerTallySheet_4900._070114.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 9495 SW LOCUST ST A, TIGARD, OR, 97223 Commercial - Plumbing 399 Plumbing ﬁnal FAIL PLM2015-00127 George Heimos 1. Work not completed, recall inspection when work is ready for inspection. OPSC 2014 103.5.4/103.5.4.1 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 9495 SW LOCUST ST A, TIGARD, OR, 97223 Commercial - Plumbing 399 Plumbing ﬁnal FAIL PLM2015-00127 George Heimos 1. Provide toilet in uni-sex bathroom with ﬂush handle on wide side. 407.6 2. Recall inspection when correction has been completed. Re-inspection required. 103.5.6.1 NOTE: 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 9495 SW LOCUST ST A, TIGARD, OR, 97223 Commercial - Plumbing 399 Plumbing ﬁnal PASS - No C of O PLM2015-00127 George Heimos Violation Summary: Inspector Contractor