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Permit n CITY OF TIGARD PLUMBING PERMIT a COMMUNITY DEVELOPMENT Permit#: PLM2015-00215 T[6:ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/08/2015 Parcel: 1 S136DCO2504 Jurisdiction: Tigard Site address: 7297 SW DARTMOUTH ST Project: Party Fair Subdivision: FRUITLAND ACRES Lot: 16 Project Description: Interior plumbing:Capping(2)shower stalls,(2)sinks,and relocating(2)water closets. Contractor: MODERN PLUMBING Owner: AMERICAN INDUSTRIES INC 11120 SW INDUSTRIAL WAY 1750 NW FRONT AVE STE#106 TUALATIN, OR 97062 PORTLAND, OR 97209 PHONE: 503-691-6166 PHONE: FAX: 503-691-6771 FEES Quantity Description Date Amount 4 ea Fixture/Sewer Cap 07/08/2015 $100.08 Specifics: 2 ea Water Closet 07/08/2015 $50.04 1 12%State Surcharge- 07/08/2015 $18.01 Type of Use: COM Plumbing Class of Work: ALT Type of Const: Occupancy Grp: Stories: Total $168.13 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: Permittee Signature: O - 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. Jul. 7. 2015 10:54AM Modern Plumbing No. 8312 P. 2 Plumbinz Permit ApplicCEIVEJ) Building Fixtures 1. toil OrfICE USL ONLY City of Tigard Rocetved -T Penult SW Hall Blvd.,Tigard,OR 9Y2/213 2 15 Per 7 y A�� " B Phone: 503.718.2439 Fax: 503.598.1960 Date Remw Pl D[t/By: Other Permit No.:80 S Inspection Line: 503-639.4175 t l(.i r\tt Ll CITY rIGA i► Dal!Rlady/By: kris. See Page 2 ar Internet-, www.tigard-or.gov Naifxd�tahod: 7�{, Supplemental Information TYPE > NG DIVISION g. SCHEDULE. ❑New construction ❑Demolition For special lafo ntarlore use checklist Description I Qty. I Ea. I Total El Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 R.for each utility connection) • Q. `"'-" SFR(1)bath 312,70 CATEGORY OP CO >S: syi> ❑ I-and 2-family dwelling ®CommerciaUnduslrial SFR(2)bath 437,78 [J Accessory building ❑Multi-family SFR(3)bath 500.32 Each additional bat /kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler(r sq.ft-) Page 2 JOB SITE INFORMATION AND LOCATION Slte utilities: Job site address:7297 SW DARTMOUTH Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP:TIGARD,OR 97223 Fooling drain(no.linear R.:, ,) Page 2 Suite/bldg./apt.no.: ` Project name 8"-/-a(7L%, r' Manufactured home utilities 50,03 Cross street/directions to job Site: Manholes 18,76 Rain drain connector 18.76 Sanitary sewer(no.linear A.:_) Page 2 Storm sewer(n0.linear IL: ) Page 2 Water service(no.linear ft: ) Page 2 Subdivision: I Lot no.: Fixture or item: Tax map/parcel no-: Backflow preventer 31.27 . - .• , .k,. . Backwater valve 12.51 DESCRIPTION OF-WRK O . . . ;_-..„..-. Clothes washer 25.02 REROUGH AND RESET TWO EXISTING TOILETS,CAP OFF 2 SHOWERS Dishwasher 25.02 AND 2 WATER FAUCETS Drinking fountain 25.02 Ejectors/sump 25.02 ., Expansion tank 12.51 ❑ PROPERTY OWNER I ❑;TENANT- .Y pan - Fixture/sewer cap (t 25.02 J J.()" Name: Floor drain/floor sink/hub 25.02 Address: Garbage disposal 25.02 City/StatcIZlP: Hose bib 25.02 Phone:( ) I Fax:( ) Ice maker 12.51 ❑ APPLICANT ❑ CONrAcTPERSON• Interceptor/grease trap 25.02 Business name:MODERN PLUMBING CO Medical gas(value:$_) Page 2 Primer 12.51 Contact name:DEBORAH GEORGE Roof drain(commercial) 12.51 Address:11120 SW INDUSTRIAL WAY,BLDG.9-3 Sink/basidlavatory t 25-02 City/State/ZIP:TUALATIN,OR 97062 Solar units(potable water) 62.54 Phone:(503)691-6166 Fax::(503)691-6771 TLb/shower/shower pan 12.51 E-mail:deborah@modernplumbing.us Urinal 25.02 Water closet 2 25.02 50.04 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/Slate/ZIP:TUALALTIN,OR 97062 Subtotal Phone:(503)691-6166 Fax:(503)691-6771 _ Minimum permit fee: 572.50 - -7".: IN). j,! Plan review (25%of permit fee) CCB Lie.:87906 P nbing Lie.no.:34-250ph Slate surcharge(12%of permit fee) -87-70- 17,ui Authorized signature: TOTAL PERMIT FEE j1.20 /4.1:3 This permit application expires tin permit is not obtained within 180 days Print name:Deborah carge I Date: /r/ after It has been accepted as complete. 'Fee methodology set by T ri-County Building Industry Service Board. (1BuudingtPernri(c,PLAnJ-PermiiAppdoe 10.01/09 11046I6T(l(02/CONVIVEa) Jul. 7. 2015 10:55AM Modern Plumbing No. 8312 P. 3 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 Feet Footing drain-1"100' 50.03 0 to 2,000 $121.90 Footing drain-cach additional 100' 37.52 2,001 to 3,600 $169.69 3,601 10 7,200 $233.20 Sewer-41 100' 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•cach additional 100' 37.52 Valuation: Permit Fee: • Sto 8c Rain Drain 1st 100' 62.54 rm $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 55,001.0010$10,000.00 572.50 for the first$5,000.00 and$1.52 for Other Inspections.or Fees Qty. Fee(es) Total each additional$100.00 or fraction thereof,to p and including$10,000.00. Inspection of existing plumbing or for 510,001,00 to 525,000.00 5148.50 for the Pint$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*. Quaoliry by Fixture Type Plan Review for Plumbing Installations Fixture Type for Replacer Work Performed: Capped Added Rebuilt Plan review is required for any of the following. Baptistry/Font Please check all that apply. Barb -Tub/Shower ❑ 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 Conmmercial ❑ Medical gas and vacuum systems for health care facilities. -Domestic _ ❑ Any multipurpose fire sprinkler system. Drinking Fountain ❑ Any complex structure as defined in OAR915-780-0040. Eye Wash Floor Drain/sink -2" Submit 2 sets of plans with any of the above, •3" Isometric or Riser'Diagram • Con Wash Drain 171 Isometric or riser diagram is required for new buildings Garbage -Domestic-non-food g 9 g Disposal -Domestic-food related that meet the qualifications above. -Commercial-food related -Industrial-food related Ice Meeh.Refrig,Drains Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Gang -Stall 2 Sink/Lav -Non-food related 2 -Bradley - -Commercial-food related -Service - Swimming Pool Filler *Note; If the fixture work under this permit results in an Washer•Clothes increase of sewer EDUs,a sewer permit will be issued and Water Extractor p • Water Closet-Toilet 2 fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fixtures: C:IIlserslmarylDocuments\Downloads\PLMF_PcrmitApp(3).doc 2 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 7297 SW DARTMOUTH ST, TIGARD, OR, 97223 Commercial - Plumbing 399 Plumbing ﬁnal PASS - No C of O PLM2015-00215 George Heimos Violation Summary: Inspector Contractor