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Permit v CITY OF TIGARD PLUMBING PERMIT 11111 = COMMUNITY DEVELOPMENT Permit#: PLM2015-00193 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/16/2015 Parcel: 2S 114AA00100 Jurisdiction: Tigard Site address: 9000 SW DURHAM RD Project: Tigard High School Subdivision: 1993-078 PARTITION PLAT Lot: 2 Project Description: Drinking fountain for new Tigard baseball building. No sewer EDU's as not draining into sanitary sewer system. Contractor: MODERN PLUMBING Owner: TIGARD-TUALATIN SCHOOL DISTRICT 11120 SW INDUSTRIAL WAY 6960 SW SANDBURG ST TUALATIN, OR 97062 TIGARD,OR 97223 P PHONE: 971-275-4695 HONE: 503-691-6166 FAX: 503-691-6771 FEES Quantity Description Date Amount 1 ea Drinking Fountain 06/16/2015 $25.02 Specifics: 1 12%State Surcharge- 06/16/2015 $8.70 Plumbing Type of Use: COM 47 ea Minimum Fee Adjustment- 06/16/2015 $47.48 Plumbing Class of Work: ALT Type of Const: Occupancy Grp: Stories: Total $81.20 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 Notifi on Cent 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 estions to OUNC calling 503.232.1987 or 1.800.332.2344. Issue 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. Plumbing Permit AppR JE%VEP Building Fixtures FOR OFFICE USE ONLY City of Tigard J1..IN 15 2015 Received ` n 13125 SW Hall Blvd.,Tigard,OR 97223 DateB : �� • -(� /?, Plan' ( ARL) Date Review Phone: 503.718.2439 F�.e:sS�1;,SQ�+l9(r0a Other Permit No.: - CT) �4�51 1 "t DateB•: Inspection Line: 503.639. Date Ready/By: lur s H see Page 2 for TIGARD r.. :rl4 y y: g Internet: wnlw.tigard-or.Eov NotiftedthteONA: S oppfent enhtt Inio rot alien TYPE OF WORK FEE* SCHEDULE l r ❑ Newconstntelioll ❑Demolition For special laforimliou use checklist Description I Qty. I Ea. I Total (� ' Addition/alteration/replacement ❑Other; New 1-2-fondly dwellings(includes 10011.for each utility connection) rlyllJ CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ❑ 1-and 2-family dwelling ®Commereial/industrial SFR(2)bath 437.78 .` ❑Accessory building SFR(3)bath 500.32 JI ry g ❑Multi-family Each additional bath/kitchen 25.02 i ❑Master builder ❑Other: Fire sprinkler( sq.IL) Page 2 J011 SITE INFORMATION AND LOCATION Site utilities: Job site address:9000 SW Durham Rd Catch basin or area drain I8.76 Drywell,leach line,or trench drain 18.76 '... City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.: ) _ Page 2 Suite/bldg./apt.no.: I Projec name:Tigard Baseball Building 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 %Vater service(no.linear ft.:_) Page 2 Subdivision: Lot no.: Fixture or item Tax map/parcel no.: Bacldlow preventer 3127 DESCRIPTION OF WORK Backxvater valve 12.51 Clothes washer 25.02 Dishwasher 25.02 install drinking fountain Drinking fountain I 25.02 25.02 Ejectors/sump 25.02 ❑ PROPERTY OWNER I ❑ I F NANT Expansion tank 12.51 Name: Fixture/sewer cap 25.02 ' Floor drain/floor sink/hub 25.02 Address: Garbage disposal 25.02 City/Stale/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 ❑ APPLICANT ❑ CONTAC1 PERSON Interceptor/grease trap 25.02 Business name: Medical gas(value:$ ) Page 2 Printer 12.51 Contact name: ----- Roof drain(commercial) 12.51 Address: _ _-- ------ ---- ---- Sink/basin/lavatory 25.02 City/State/ZIP: _ Solar wiits(potable water) - - 62.54 Phone:( _ ) I Fax::( _ ) Tub/shower/shower pan 12.51 -- E-mail: Urinal - 25.02 - Water closet 25.02 CONTRACTOR - - Water heater 37.52 Business name:Modern Plumbing Co. Water piping/DWV 56.29 Address:11120 SW Industrial Way,Bldg 9-3 Other: 25.02 City/State/ZIP:Tualatin,OR 97062 Subtotal Phone:(503)691-6166 Fax:(503)691-6771 Minimum permit fee: 572.50 72.50 CCB Lie.:87906 Plumbing Lic.no.:34-250PB Plan review (25%of permit fee) Slate surcharge TOTAL PE PERMIT fee) 8.70 Authorized signature: TOTAL,PERMIT FEB 81.20 Print name:Deborah George Date: �/f�� This perish application expires if a permit is not obtained within 180 days after it has been accepted as complete. •Fee methodology set by Tel-County Building Industry Se Rice Board. LlauitdingiPermits,PLIs1U-PermitApp doc 10:01/09 4-1O-4616T(10102/COMJ WEB) • Pluntbint Permit Application - City of Tigard Page 2 -Supplemental Information Fee Schedule; Residential Fire Suppression Systems: Site Utilities Qt>: Fee(csr) 1Urnt Square Footage: Permit Fee: Footing drain-I"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: Per Stour&Rain Drain-1st 100' 62.54 Permit Fee: $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 Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to Other Inspections or Fees 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 chat-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: Arc you capping,adding or replacing fixtures? If"yes", please indicate work perforated by fixture. Failure to accurately report fixtures could result in increased sewer fees*, Quanta•by Fixture Type Plan Review for Plumbing Installations Fixture Type for Replace/ Plan review is required for any of the following. Work Performer!; Capped Added Relocate R y ow g• Baptistry/Font Please check all that apply. Bath Tnb/Slro�,er ❑ 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 ❑ 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 ❑ Any multipurpose fire sprinkler system. Drinking Fountain US?s'7%0 a in `}J 0.- [i ❑ Any complex structure as defined in OAR918-780-0040. Eye Wash a Floor Drain/sink -2" Submit 2 sets of plans with any of the above. Isometric or Riser Diagratu Car Wash Drain Garbage Domestic-non-food f.1 Isometric or riser diagram is required for new buildings Disposal -Domestic-food related that meet the qualifications above. -Commercial-food related -Industrial-food related Ice Mach./Refrig.Drains Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Gang -Stall Sink/l.mv -Non-food related -Bradley -Commercial-food related -Service Swimming Pool Fitter *Note: If the fixture work under this permit results in an Washer-Clothes 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: C:\Users\nary\Ducuntents\Downloads\PLMF_PerruitApp(1).doc 2 ci 1' MODEM PwmI3InGco. 7'4 11120 SW Industrial Way, Bldg. 9 - 3 Tualatin. OR 97062 CCB #87906 info©modernplumbing.us 503.691.6166 FAX COVER SHEET Attention: Permit Specialist City of Tigard From: Deborah There are _3 pages in this transaction, including this one. RE: 9000 SW Durham Rd Please let me know when this permit is ready to be issued and I will go on line and pay the fees. c.).„. ,..)- 2_,I,..4 L . rr, . Thank you Deborah A_ rt,wLt,„^ L LL 5 rs�. Deborah @modernplumbing.us ( c` w � Fax 503 691 6771 _q— (C�" Cti e --if a-,s-A. e t� g.307+41 4440 Debbie Adamski From: Becky Stewart-Borders <BordersB @C1eanWaterServices.org> Sent: Monday, June 15, 2015 3:44 PM To: Debbie Adamski Subject: Drinking fountains for park, paths, etc. This is really what happened. They got tired of listening to your darn phone ring for a week. mit Alrighty now I spoke to Clayton in Source Control and he didn't know if it was a problem with drinking fountain water going into storm. He told me to have you call the Health Department. Since I know yourself is very, very busy, I called Larry at the Health Department and he wasn't concerned with a little bit of spit back flow going into the storm. So there you have it. Hope you have a great evening! : ) 1