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Permit CITY OF TIGARD PLUMBING PERMIT 1111 I COMMUNITY DEVELOPMENT Permit#: PLM2015-00123 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/27/2015 Parcel: 2S112DC00701 Jurisdiction: Tigard Site address: 15989 SW 72ND AVE Project: Domino's Subdivision: FANNO CREEK ACRE TRACTS Lot: 39 Project Description: Plumbing for TI:Relocating(3)2"floor drains,(3)sinks,(1)water closet;Adding(1)ice maker,(1)water closet,(1) urinal;Installing(1)backflow preventer,(1)grease trap,and(1)water heater.Capping(1)floor sink and(1)floor drain. Contractor: CASCADE PLUMBING CO Owner: PACIFIC REALTY ASSOCIATES 2416 N HAYDEN ISLAND DR ATTN: N PIVEN PORTLAND,OR 97217 15350 SE SEQUOIA PKWY#300 PORTLAND, OR 97224 PHONE: 503-289-7095 PHONE: FAX: 503-283-9514 FEES Quantity Description Date Amount 1 ea Backflow Preventer 04/27/2015 $31.27 Specifics: 2 ea Fixture/Sewer Cap 04/27/2015 $50.04 3 ea Floor Drain/Floor Sink/Hub 04/27/2015 $75.06 Type of Use: COM 1 ea Ice Maker 04/27/2015 $12.51 Class of Work: ALT 1 ea Interceptor/Grease Trap 04/27/2015 $25.02 Type of Const: 1 ea Sink 04/27/2015 $25.02 Occupancy Grp: 2 ea Lavatories 04/27/2015 $50.04 Stories: 1 ea Urinal 04/27/2015 $25.02 2 ea Water Closet 04/27/2015 $50.04 1 ea Water Heater 04/27/2015 $37.52 1 12%State Surcharge- 04/27/2015 $45.78 Plumbing Total $427.32 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 • . ion •er. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or. ect questions to OU by calling 503.232.1987 or 1.800,332.2344. Issued By: /,,, Permittee Sig Lure: l♦ _ �Q r f' / OQ7 Call 503.639.4175 by 7:00 a.m.for the next available insp•ction 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. 0. Plumbing Permit Application Building Fixtures C1AI ' FOR OFFICE USE ONLY Received . 1 City of Tigard Date/By. /� 'j � Permit No.: Bj M�,5'-001.R.3 • 13125 SW Hall Blvd.,Tigard,OR 97223 `/� I G Plan Review Phone: 503.718.2439 Fax: 503.598.19 2��J Date By: Other Permit No.: p2O1y_eon, Inspection Line: 503.639.4175 AP 3 Date Ready/By: B See Page 2 for �D TIGARD Internet: www.ti and-or. ov g 8 Notified/Method: Supplemental Information TYPE OF W c, i - FEE* SCHEDULE El 6 New construction g ,�Ivisto For special information use checklist Description • I Qty. I Ea. I Total E. ® Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ❑ 1-and 2-family dwelling ®Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 `, ❑Accessory building ❑Multi-family U' Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: 3 Job site address:15989 SW 72"d Ave Catch basin or area drain 18.76 City/State/ZIP:Tigard,OR Drywell,leach line,or trench drain 18.76 Nk, Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: l Project name:Domino's 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: I Lot no.: Fixture or item: Tax map/parcel no.: a S//? bC 7o/ Backflow preventer 1 31.27 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 Plumbing rough in and install fixtures Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ❑ PROPERTY OWNER C ❑ TENANT Expansion tank 12.51 Fixture/sewer cap Ot 25.02 Name: / Floor drain/floor sink/hub ,/ 3 25.02 75.06 Address: Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker f 1 12.51 12.51 ❑ APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 1 25.02 25.02 Business name: Medical gas(value:S ) Page 2 Primer 12.51 Contact name: Roof drain(commercial) 12.51 Address: Sink/basin/lavatory 3 25.02 75.06 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax::( ) Tub/shower/shower pan 12.51 E-mail: Urinal ✓ 1 25.02 25.02 CONTRACTOR Water closet , ✓ /12 25.02 75.06 Water heater 1 37.52 37.52 Business name:Cascade Plumbing Co Water Pto 1 P WV 56.29 Address:15765 SW 74th Ave#110-A Other: 25.02 City/State/ZIP:Tigard,OR 97224 Subtotal I°'5 , Phone:(503)289-7095 Fax:(503)283-9514 Minimum permit fee: $72.50 CCB Lie.:204392 Plumbing Lic.no.:PB1528 Plan review (25%of permit fee) 89'l State surcharge(12%of permit fee) 42:79 Authorized signature: / 1 q, /; Q 6)11/,--• TOTAL PERMIT FEE Print name:Crystal Jone�s:¢adeplut�m"@yaho om Date:4/21/15 This permit application expires if a permit is not obtained within 180 till's ,I after it has been accepted as complete. q 1 ,pee ethodolloggy set by Tri-County Building Industry Service and 67I s ( ` ty( / s, 1:\Building\Permits\PLMU_Pam5App.doc 10/01/09 440-4616TO 0/02/COM/WEB) _ ii- I ' 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 Stonn&Rain Drain-each additional 100' 37.5'_ $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(ca) 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 additional or fraction thereof,to (minimum charge-1/2 hour) and including$25 000.00 n 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*. '' ,tity by Fixture Type Plan Review for Plumbing Installations Fixture Type for Replace/ Capped ' added Relocate Plan review is required for any of the following. Work Performed: aPPe ' Baptistry'rone Please check all that apply. Bath Tub/Shower El 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 Thru El New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780-0040. Dishwasher -Commercial ❑ Medical gas and vacuum systems for health care facilities. -Domestic `P Any multipurpose fire sprinkler system. Drinking Fountain r7. • y compleructt;re as defined in OAR918-780-0040. Eye Wash i •,r� �i' Floor Drain/sink -2" s 3 . Submit 2 sets of plans with any of the above. -3" Isometric or Riser Diagram Car Wash Drain ❑ Isometric or riser diagram is required for new buildings Garbage -Domestic-non-food q g Disposal -Domestic-food related that meet the qualifications above. -Commercial-food related -Industrial-food related Ice Mach./Refrig.Drains 1 Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station water heater is relocated Shower -Gang grease intercepter is relocated -Stall Sink/Lav -Non-food related ,Z -Bradley 1'' • ".L...'....._.,. .y__' ■�J -Commercial-food related L,11 A� T,y Am.. I) -Service w' Swimming Pool Filter *Note: If the fixture work under this permit resins in an Washer-Clothes Water Extractor increase of sewer EDUs,a sewer permit will be issued and Water Closet-Toilet ('agt 1 fees assessed for the sewer increase must be paid before the Urinal I plumbing permit can be issued. Other Fixtures: 5l kS -F I)ltrt^1 'N►•� / e�) I_RJ`, C:\Users\Owner\Desktop\City of tigard oregon.doc 2 l 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 15989 SW 72ND AVE, TIGARD, OR, 97224 Commercial - Plumbing 305 Plumbing underslab FAIL PLM2015-00123 George Heimos Duplicate inspection, passed 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 15989 SW 72ND AVE, TIGARD, OR, 97224 Commercial - Plumbing 399 Plumbing ﬁnal FAIL PLM2015-00123 George Heimos 1. Provide 1/2" RP Test results at soda/coffee location. 310.3/407.2 2. Hard cap RP device, not being used as per General Contractor. If RP is used in future a new permit needs to be taken out for inspection. 101.4.1.2 3. Provide full access for ﬂoor sink that RP discharges into. 804.1 4. Complete RP discharge piping to ﬂoor sink. 603.3.4 5. Correction dated 05/11/15 not completed. (Attach closet ﬂanges both toilets) 6. Provide approved location for water heater pressure relief discharge tube. 507.3 7. Provide access for wall cleanout to right of RP device as per Sec. 707.9 8. Expose/uncover/P trap primer assembly for inspection. 103.5.1.3/103.5.1.4 9. Recall inspection when corrections have been completed. Re-inspection required. 103.5.6.1 gregaustin503@gmail.com 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 15989 SW 72ND AVE, TIGARD, OR, 97224 Commercial - Plumbing 399 Plumbing ﬁnal PASS - No C of O PLM2015-00123 George Heimos NOTE.Provide access for ﬂoor sink, correction #3 previous inspection Did not require test results for RP backﬂow device as it doesn't serve any ﬁxtures, will have to be done when ﬁxtures are installed, Violation Summary: Inspector Contractor