Permit n CITY OF TIGARD PLUMBING PERMIT
'1 I COMMUNITY DEVELOPMENT Permit#: PLM2015-00272
T E C;A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/18/2015
Parcel: 2S102CC00500
Jurisdiction: Tigard
Site address: 13500 SW PACIFIC HWY 46
Project: InStyle Hair Subdivision: FREWING'S ORCHARD TRACTS Lot: 15
Project Description: Adding(4)sinks and replace/relocate(1)sink.
Contractor: MANZHURA PLUMBING Owner: ROIC OREGON LLC
PO BOX 820429 8905 TOWNE CENTRE DR, STE 108
VANCOUVER,WA 98682 SAN DIEGO, CA 92122
PHONE: 360-772-8145 PHONE:
FAX:
FEES
Quantity Description Date Amount
5 ea Sink 08/18/2015 $125.10
Specifics: 1 12%State Surcharge- 08/18/2015 $15.01
Plumbing
Type of Use: COM
Class of Work: ALT
Type of Const:
Occupancy Grp:
Stories:
Total $140.11
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 Notif - -nter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or dire •uestions to Ob C by c ling 503.232.1987 or 1.800.332.2344.
Iss d 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 corn• i6n of the project.
Approved plans are required on the job site at the time of each if,-pection.
Plumbing Permit Application
Building Fixtures RECEIVED I ,,I( ,,I I , I USE ONL1• City of Tigard Date s irgatio Permit No:t-c.A-'l: /5 60,9,7,„9
13125 SW Hall Blvd.,Tigard,OR 9722 1 8 U G 2015 Plan Review
• II Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit No.: alp/S�i(O�
T I G A R u Inspection Line: 503.639.4175 i O Ti GAR D Date Ready/13y: lures: Ill See Page 2 for■
Internet: www.tigard-or.gov i •{ Notified/Method: Su lemenal Information �,
a.El New construction 0 Demolition
For special information use checklist .�
Description I Qty. I Ea. I Total :VI
❑Addition/alteration/replaccment ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) tA
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 CA
❑Accessory building ❑Multi-family
Each additional bath/kitchen 25.02
❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2
r- JOB SITE INFORMATIO . LOCATION Site utilities:
Job site address: ( 22 f(�'Q S V.1 P i T i ` ��t/J Catch basin or area drain 18.76
City/State/ZIP: / Drywell,leach line,or trench drain 18.76
Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: I Project name: �A/%/ /I t e 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: /49 9.(rQQ 5ZO I Lot no.: Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 25.02
N t, -1 t071r- Dishwa sher
25.02
Drinking fountain 25.02
Ejectors/sump 25.02
Mit❑ PROPERTY OWNER - riti TENANT Expansion tank 12.51
Name: Fixture/sewer cap 25.02
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
MIK .0 APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02
Business name: \r I c(31%-(<61 /it/Gll 0 r I
Medical gas(value:$ ) Page 2
VI&7 Primer 12.51
Contact name:
y Roof drain(commercial) 12.51
Address: (11-.0-0 N `� I t�Q' Sink/basin/lavatory 5 25.02 /A 5"./.0
City/State/ZIP: RD l c1iC Nt' �k__ q -1 Z_.- 0 Solar units(potable water) 62.54
Phone:( ?°` &--)2 Z c Fax::( ) Tub/shower/shower pan 12.51
E-mail: VT-C? f.(S, ic,v ^ I�r.// ' 4u1y , (J3Y✓✓ Urinal 25.02
Water closet 25.02
CONTRACTOR Water heater 37.52
Business name: `}-¢fNX ur2 K/Ut./3i l,, Water piping/DWV 56.29
Address: fa may dab 4 9.9 Other: 25.02
City/State/ZIP: \A.NC) 1i g9 t't7- - - Subtotal /as./a
Phone: ) 77,9,-.g/ 9 Fax:( ) Minimum permit fee: $72.50 ,----
CCB Lic.: 11.2 1-7 6 / F/9,6//6 Plumbing Lic.n 6 Y Plan review (25%of permit fee) �"
State surcharge(12%of permit fee) l5:0/
Authorized signature: , /t i TOTAL PERMIT FEE /yO,//
Print name: U! -p Al=l ' � - Date: --?rl-r.../0--- This permit application expires if a permit is not obtained within 180 days
after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
I:\Building\Pemits\PLMU-PennitApp.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:_III
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 S stems:
Water Service-each additional 100' 37.52
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 the first$5,000.00 and$1.52 for
• 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 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*.
Quantity by Fixture Type Plan review is required for any of the following.
Fixture Type for Replace/ Please check all that apply.
wo, gcrformed: 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 engineer.
-Jacuzzi/Whirlpool
Car Wash: Each Stall ❑ New exterior plumbing site utilities for any complex structure
Drive tall 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 mer ❑ 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"
4" ❑ Isometric or riser diagram is required for new buildings
-Car Wash Drain
Garbage Domestic non-food that meet the I ualifications above.
Disposal: -Domestic food related
-Commercial food related
-Industrial food related
Ice Mach./Refrig.Drains Comments regarding fixture work:
Oil Separator(Gas Station)
Rec.Vehicle Dump Station
Shower: -Gang
-Stall
Sink: -LavBar non-food related 7 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 paid before the
Water Extractor
Water Closet-Toilet plumbing permit can be issued.
Urinal
Other Fixtures:
I:\Building\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
13500 SW PACIFIC HWY 46, TIGARD, OR,
97223
Commercial - Plumbing
399 Plumbing final
PASS - No C of O
October 14, 2015 at 10:08:20
AM
PLM2015-00272
Don Sylvester
1. Corrections are complete - plumb. Final ok
Violation Summary:
Inspector Contractor