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Permit q CITY OF TIGARD • PLUMBING PERMIT 3' COMMUNITY DEVELOPMENT Permit#: PLM2015-00261 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/06/2015 Parcel: 1 S 134AA01800 Jurisdiction: Tigard Site address: 10160 SW NIMBUS AVE F6 Project: Billings Dance Center Subdivision: IKOLL BUSINESS CENTER,TIGARD Lot: 2 Project Description: Interior plumbing:Relocating(1)sink and(1)water closet.8/10/15,revised to correct suite address from F4 to F6. Contractor: BEAVERTON PLUMBING INC Owner: HANSON, RONALD D 13980 SW TV HWY ROBINSON, CONSTANCE A BEAVERTON, OR 97005 ROBINSON, CHESTER TRUST ET AL 203604 EAST FINLEY RD KENNEWICK,WA 99331 PHONE: 503-643-7619 PHONE: FAX: 503-643-7620 FEES Quantity Description Date Amount 1 ea Sink 08/06/2015 $25.02 Specifics: 1 ea Water Closet 08/06/2015 $25.02 1 12%State Surcharge- 08/06/2015 $8.70 Type of Use: COM Plumbing Class of Work: ALT 22 ea Minimum Fee Adjustment- 08/06/2015 $22.46 Plumbing Type of Const: 45 Misc Administration Fee 08/12/2015 $45.00 Occupancy Grp: Stories: Total $126.20 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 NotificatiorLCenter. 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 ions to 06 C by . ' g 503.232.1987 or 1.800.332.2344. Issue By: Permittee Signature: A A. _ CV4 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. s a CITY OF TIGARD PLUMBING PERMIT 114 3 COMMUNITY DEVELOPMENT Permit#: PLM2015-00261 T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/06/2015 Parcel: 1 S 134AA01800 Jurisdiction: Tigard Site address: 10160 SW NIMBUS AVE F4 Project: Billings Dance Center Subdivision: IKOLL BUSINESS CENTER,TIGARD Lot: 2 Project Description: Interior plumbing:Relocating(1)sink and(1)water closet. Contractor: BEAVERTON PLUMBING INC Owner: HANSON, RONALD D 13980 SW TV HWY ROBINSON,CONSTANCE A BEAVERTON, OR 97005 ROBINSON, CHESTER TRUST ET AL 203604 EAST FINLEY RD KENNEWICK,WA 99331 PHONE: 503-643-7619 PHONE: FAX: 503-643-7620 FEES Quantity Description Date Amount 1 ea Sink 08/06/2015 $25.02 Specifics: 1 ea Water Closet 08/06/2015 $25.02 1 12%State Surcharge- 08/06/2015 $8.70 Type of Use: COM Plumbing Class of Work: ALT 22 ea Minimum Fee Adjustment- 08/06/2015 $22.46 Plumbing 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 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: _ -e 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. 4 Plumbin2 Permit Application Building Fixtures FOR OFFICE USE ONLY City of Tigard �.i1V Date/By: 1'& /s - Permit No.: , /72o 15',.....610016/ is 13125 SW Hall Blvd.,Tigard, g Plan Review �f Phone: 503.718.2439 Fax: Other Permit No./^( .2b/c- a3 i Date/By: ) G A R D Inspection Line: 503.639.417 1 Date Ready/By: 0 See Page 2 for Internet: www.tigard or.gov Q G J Notified/Method: Supplemental Information FEE* SCHED ❑New construction Q(� i For special information use checklist. 1!' r iS1� Description l Qty. l Ea. l Total [Addition/alteration/replacement "MOW'�" New 1-2-family dwellings(includes 100 ft.for each utility connection) i� SFR(1)bath 312.70 CATEGORY OF C � �RUCTIO _ CI 1-and 2-family dwelling Kommercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 t JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: (tO ( O V� r `n- u A.x ,v� Catch basin or area drain 18.76 ty �r�C`�� o� q 7�3 Drywell,leach line,or trench drain 18.76 City/State/ZIP: , Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: F 1 Project name: X(►CQr Skvd..0 Manufactured home utilities 50.03 Cross street/directions to job site: eCNRI2A BuiSt ttlet Ca k,' P( 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.: Backflow preventer 31.27 Backwater valve 12.51 DESCRIPTION OF WORK Clothes washer 25.02 w'e..1©Ca.-V.%1rl S e.y.t 3 v--y J Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ❑ PROPERTY OWNER ❑ TENANT Expansion tank 12.51 Lr:=- Fixture/sewer cap 25.02 Name: 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 '.:4417g Interceptor/grease trap 25.02 Business name: Medical gas(value:$ ) Page 2 Primer 12.51 Contact name: Roof drain(commercial) 12.51 Address: Sink/basin/lavatory 1 25.02 S• City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax::( ) Tub/shower/shower pan 12.51 E-mail: Urinal 25.02 Water closet 1J 25.02 425-,0).- CONTRACTOR ` Water heater 37.52 Business name: BEAVERTON PLUMBING, INC. Water piping/DWV 56.29 Address: 13980 S.W.Tualatin Valley Hwy. Other: 25.02 City/State/ZIP: Beaverton,Oregon 97005 Subtotal Se•Cel Phone:(dtil.4120.65%0k (503)643-7619ax:( r ,, .(d•i 3.1(0 ) Minimum permit fee: $72.50 72 .S ) Q -y l' Plan review (25%of permit fee) 1,L. B Lic.: I a 1 Plumbing Lic.no.: State surcharge(12%of permit fee) S.713 Authorized signature: TOTAL PERMIT FEE O 1 .aC Print name: A-- `( Date: Q v c I IS This permit application expires if a permit is not obtained within 180 days `� V Q�� e•"(e•"( after it has been accepted as complete. J ONVA,7e r ®bee. e..r-Votn Qy ntt.%f-N . C._(Win *Fee methodology set by Tri-County Building Industry Service Board. L'BuildingPermitsPLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) 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 Storm&Rain Drain-1st 100' 62.54 Valuation: Y 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 Other Inspections or Fees Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to I� 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 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 -Jacuzzi/Whirlpool engineer. Car Wash: Each Stall ❑ New exterior plumbing site utilities for any complex structure Drive Stall as defined in OAR918-780-0040. Cuspidor/Water Aspirator ❑ 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 4„ ❑ Isometric or riser diagram is required for new buildings -Car Wash Drain Garbage -Domestic non-food that meet the qualifications above. Disposal: -Domestic food related -Commercial food related -Industrial food related Ice MachJRefrig.Drains Comments regarding fixture work: Oil Separator(Gas Station) Rec.Vehicle Dump Station Shower: -Gang _ -Stall Sink: -Lav/Bar non-food related _ I -Bradley -Com/Serv/Util food related -Service *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 aid before the Water Extractor p Water Closet-Toilet plumbing permit can be issued. Urinal • Other Fixtures: 1:1Building\Permits\PLMF_PermitApp.doc 08/04/2011 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 10160 SW NIMBUS AVE F6, TIGARD, OR, 97223 Commercial - Plumbing 399 Plumbing ﬁnal PASS - No C of O October 14, 2015 at 9:31:58 AM PLM2015-00261 Don Sylvester Violation Summary: Inspector Contractor