Permit q
CITY OF TIGARD PLUMBING PERMIT
' COMMUNITY DEVELOPMENT Permit#: PLM2015-00246
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/05/2015
Parcel: 2S110AD08700
Jurisdiction: Tigard
Site address: 10695 Murdock
Project: Pacific Crest Apartments Subdivision: LANG HILL NO.2 Lot: 77G
Project Description: Replacing 400'of water service near buildings PF,PE&PD.
Contractor: ANYTIME PLUMBING&DRAIN CLEANING Owner: PACIFIC CREST INVESTORS LLC
PO BOX 495 900 LARKSPUR LANDING CIRCLE#100
LAKE OSWEGO, OR 97034 LARKSPUR,CA 94939
PHONE: 503-894-8241 PHONE:
FAX: 971-255-1965
FEES
Quantity Description Date Amount
400 If Water Service 08/05/2015 $175.10
Specifics: 1 12%State Surcharge- 08/05/2015 $21.01
Plumbing
Type of Use: MF
Class of Work: ALT
Type of Const:
Occupancy Grp:
Stories:
Total $196.11
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 ques'•• to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued ;y: C ` 4 / Permittee Signature:<\`c !J`---A—
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.
Aug. 4. 2015 12: 07PM A, (', II�liiVDUN No 0693 P. 1
Piumoing rermit Application _ -�
Building Fixtures FOR OFFICE, USE ONLY
RECEIVED Received 5
City of Tigard DaielDy: S / Permit a0/5_ooa�f,
13125 SW Hell Blvd.,Tigard,OR 97223 Plan Review Other Permit No.:
Phone: 503.7182439 Fax: 503.59 MT 4 2015 Dale/By.
Inspection Line. 503.639.4175 uU lu] Datc Read B S 7Lds: S See page 2 for
TIGARO yr- Y S
Internet: www.tigard-or.gov r Nolitled/Merbod Su,•lementat Information
TYPE e,t • Or T?( ' m FEE* SCHEDULE
❑New construction 0 Demolition For special information use checklist.
_/ Description I Qty. I Ea. I Total
VA 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 ❑ rn
Comerciallindustriel SFR(2)bath 437.78
Accessory building SFR(3)bath 500.32
❑ ry g �Multl family Each additional bath/kitchen 25.02
LI Master builder ❑Other: Fire sprinkler( sq.ft.) • Page 2 _
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: I O U H S 91\1 r k(b0 GK S ', Catch basin or area drain t 8.76
City/State/ZIP: "r'I[,,�� O� /r11�1�J4 Drywall,leach line,or trench drain 18.76
L t, t 1 YL Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: Project name: T�(' 1�(I lil i Sf F Manufactured home utilities 50.03
Cross street/directions to job site: Manholes _ 18.76 w
Rain drain Connector 18.76
Sanitary sewer(no.linear il.;,_-) Page 2
Storm sewer(no.linear ft.. ) Page 2
•
Water service(no.linear ft.:4e.D) Page 2 11 S. I C
Subdivision: [Lot no.; Fixture or Item:
Tex map/parcel no.: Backflow prcvcntcr - 31.27
DESCRIPTION OF WORK I)aclnratcrvalvc 12.51
Q 1I� A r I1 4001 0 1 `/ (AT�,-r_ c '(`re Dishwasher hasher 25.02
(j� iY �V(U �h' Gt�/- h t� Di9hvvasher 25.02
0114 6 u 1 t I N W S I , ?? t P�✓ Drinking fountain 25.02
Ejectors/sump 25.02
❑ PROPERTY OWNER I ErTENANT Expansion tank 12.51
Name: ThfA �1 1 FA(C-S f A,e fiS. -i N1.e5�'o rs LL,C. Floor drain/floor cap 25.02
Address: mots (`p r { r Floor drain/floor sink/hub 25.02
t lL `3 1'l V IA�� L� St• Garbage disposal 25.02
City/State/ZIP: 1-1 h A-e_h r C 1121+ Hose bib 25.02
Phone:( ) h Fax;( ) Ice maker 12.51
I"APPLICANT VCONTACr PERSON Interceptor/grease trap 25.02
Business name:a�l,1 fl m ' e m et N a fi D aI N c liti"Ii i N ti Primer gas(value $ ) Page 2
�(t v l �1U,- 1 Primer ( ) 12.51
Contact name: 1 _Roof drain commercial 12.51
Address: [ Q Dux 4 I� Sink/basin/lavatory 25.02
City/State/ZIP: Lp V o s tic !D 6 k l i D 7j4- Solar units(parable water) 62.54
Phone:(5092) S el 4. %/.11 f f Fox:;(On`)/ 5.„ I OI u s Tub/shower/shower pan 12.51
E-mail: IN c0( ANtilTiYI%(LI rr, r as Urinal 25.02
Water closet 25.02
CONTRACTOR -
-
p Olin] Water heater 37.52
Business name:m y -n re. 1 mviNii .r •D (J c i,otdI Nil Waterpiping/DWV 56.29
Address: R „1 1 Other: 25.02
City/Slate/ZIP: 1,tit,- ' 0Syktelib, 01Z C1() 4- _ Subtotal 115 , I 0
e a '1 p 2 l ` Minimum permit fee; 572.50
Phone:('.?��) 14�Y' D 1.�1"I Fax.(�I I)Z 12�� I��0
pp, Plan review (25%of permit fee)
CCI3 Lie.: [�I!Lq(/l 7'9 I(r Plumbing Lie.no.: i 'J golf-
State surcharge(12%of permit fee) i .0 I
Authorized signattuAr�e: U -7/t/r 7 TOTAL PERMIT FEE I'1 to•I I
-Print name; U$5}'1,04 m`Li r Date: s 1 lI I S This permit Ppptltprton expires if a permit is sot obtained within 120 ilaye
Grier it has been accepted as complete.
'Fee methodology net by Tri-County Building Industry Service Board.
t:\Building\Pamits\PL? J-PermirApp.de 10/01/09 440.4616T(10/02/COMAn)
Aug. 4. 201'5 12: 07?M No. 0693 P. 2
Plumbing Permit Application - City of Tigard
Page 2 -Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Site Utilities Qty. Fee(en) Total Square Footage: Permit Fee:
Footing drain-l'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 (4'54 Medical Gas Systems:
Water Service-each additional 100' 37.52 i t 2.* 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 die first$5,000.00 and$1.52 for
Qty. Pee(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-112 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
Reinspcction Fccs 90.00/hr and including$50.000.00.
Additional plan review for revisions 90.00/hr $50,001.00 and tip $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: OS.10
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*.
Quantli by Fixture Type Plan Review for Plumbing Installations
Fixture Type for Replace/ Plan review is required for any of the following.
Work Performed; Capped Added Relocate
Baptistry/Font Please check all that apply.
Rath Tub/Shower ❑ Any new commercial building with water service 2"and
lacurci/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 0A11.918-780-0040.
Dishwasher -Commercial ❑ Medical gas and vacuum systems for health care facilities.
-Domestic ❑ Any multipurpose fire sprinkler system.
Drinking Fountain ❑ Any complex structure as defined in 0AR918-780-0040.
Eye Wash
Floor Drain/sink -2" Submit 2 sets of plans with nay of the above.
-3•'
-4" Isometric or Riser Diagram
Car wash Drain D Isometric or riser diagram is required for new buildings
Garbage -Domestio-non-food
Disposal -Domcstio-food related that meet the qualifications above.
-Commercial-food related
-Industrial-food related
Icc Mach./Refrig.Drains
Oil Separator(Gas Station) Comments regarding fixture work:
Rec.Vehicle Dump Station
Shower -Gang
-Stall •
Sink/Lav -Non-food related
-Bradley
-Commercial-food related
-Service
Swimming Pool Filter '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:1Documents and Settingslashley\My Documents\Downloads'PLMF PctinitApp.doc
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
10695 Murdock
Commercial - Plumbing
399 Plumbing final
FAIL
PLM2015-00246
George Heimos
1. Work not completed, no inspection made. Recall when ready. 103.5.4
2. Electrical grounding required when replacing metal water piping with plastic. (Minor
Label not allowed) 604.8
3. Recall inspection when corrections have been completed. Re-inspection required.
103.5.6.1
Violation Summary:
Inspector Contractor