Permit INCITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2015-00285
T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/31/2015
Parcel: 1 S134BC00100
Jurisdiction: Tigard
Site address: 12100 SW SCHOLLS FERRY RD
Project: 7-11 Subdivision: GREENWOOD TERRACE CONDO Lot: 17
Project Description: Interior plumbing:Relocating(1)sink.
Contractor: RELIANT PLUMBING&MECHANICAL Owner: ATLAS GREENWAY LLC
11575 SW PACIFIC HWY SUITE 219 333 NW NINTH AVE, STE 1009
TIGARD, OR 97223 PORTLAND, OR 97209
PHONE: 503-246-1201 PHONE:
FAX: 503-246-1205
FEES
Quantity Description Date Amount
1 ea Sink 08/27/2015 $25.02
Specifics: 1 12%State Surcharge- 08/27/2015 $8.70
Plumbing
47 ea Minimum Fee Adjustment- 08/27/2015 $47.48
Type of Use COM 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 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 que • OUNC by calling 503.232.1987 or 1.800.332.2344.
Issue By: )13012...0414.:4. 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.
Aug. 25. 2015 12: 29PM Reliant Plumbing and Mechanical No. 5310 P. 1
Plumbing Permit Application
\
G Building Fixtures 1 (Hz ,n i It I I ' 1. ()Ni_.‘
k .... Received y ). / /�� Permit g.AVo f
City of Tigard DatdBy: S S (i'�i� 2:5`
R 13125 SW Hall Blvd.,Tigard,OR cr qq Plan Review
o Phone: 503.718.2439 Fax: 503.9. •66 5 2 015
r Date/By Ocher Permit Na.:
-
Inspection Line: 503.639.417 ., Dale Ready/By:/D ruin: See Page 2 tar
rr<;nun x:'41 I ti`.�:. .l.."-�51- y:
i•'. . .. ' . . ..Internet: www.tigard-or.gov ` �� Nolified/Mchod: ,�L Supplemeatallnformatloa
TYPE'OF WORK - L FEE* SCHEDULE iw•
J1 ❑Now construction ❑Demolition For special iuformati r'use checklist:
Description 1 Qty. 1 Ea. I Total
Addition/alteration/replecement ❑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 Commercial/industrial SFR(2)bath 437.78
❑Accessory building
El Multi-family SFR(3)bath 500.32
Each additional bath/kitchen 25.02
❑Master builder ❑Other: Fire sprinkler( sq.0.) Page 2
4 JOB SITE INFORMATION AND.LOCATION Site utilities:
Job site address: 4'Z 10 Cl St--1 S C V).-q\S 1.=.ei✓y F d Catch basin or area drain 18.76
� �1 7�2� Drywall,leach line,or trench drain 18.76
T lGic1 -
City/State/ZIP: !J �2
Footing drain(n0,linear ft.:_) Page 2
Suite/bldg./apt.no.: Project name: 1- 11, Mtpwfactured home utilities 50.03
t 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 It:, ) Page 2
r Subdivision: I Lot no.: Fixture or Item:
Tax map/parcel no.: Backflow preventer 31.27
04 ' .v r«, *`N.. DESCRIPTION OF WORK Backwater valve 12.51
n 1 ( \ {� Clothes washer 25.02
Y C�I�I/`- 11n I r f�(� `1 1 C IC�VI c1 h Dishwasher 25.02
g J Drinking fountain 25.02
Ejectors/sump 25.02
..<-': R i S E " ..... . ..❑ TE.N ..., , Expansion tin*ff. . Y ti 1 . NT
. 12.51
L Name: Fixlurc/sewer cap 25.02
t_C 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
3 ❑ APPLICANT ❑ CONTACT PEi d ' Inlcrceptor/grease trap 25.02
Business name: _.ell 6r i+- ROM.lot tit--0-4.
V Medical gas(value:$ ) Page 2
Pruner 12.51
Contact name: _0nYt fcc II, t.'
\ �{ q Q Roof drain(commercial) 12.51
Address: I I nc� 6111 IL I 11 (. 111 . G 11 Sink/basin/lavatory I 25.02 25 J)2
City/State/ZIP: 1C 1 J 1 n �72Z- ✓ Solar units(potable water) 62.54
-
Phone:(47�')) 2 N 6.- lit"4 I Fax::(SI)3) 24-1 to-4 2tAST Tub/shower/shower pan 12.51
Urinal 25.02
E-mail: raa,,e.j.e al(ant 01.4 1.C6 rn Water closet 25.02
CONTRACTOR
Water heater 37.52
Business name: ...Q„\\60.. c'\ultY1 J �/t-(,(,�,• Water piping/DWV 56.29
Address: Other; 25.02
City/State/ZIP: Subtotal
Phone:( ) Fax:( ) Minimum permit fee: $72.50 12 ,SO
CCB Lie.: I(Dq f lam+ Plumbing Lie.no.:f`J I( Plan review (25%of permit fee) ''\\
State surcharge(12%of permit The) r]U
Authori2ed signature:�} c (• TOTAL PERMIT FEE
Print name; • y%((.L_- ( . mil i
tra p Date: g Jis- i c This permit application expires it permit i9 not obtained within 180 days
after it his been accepted AS complete
*Pee methodology Oct by Tri-County Building Industry Service Board.
1:1Building\Permils\PLMU•PermilApp.00c 10/01/09 440-4616T(10l027CO1,r/YEB)
Aug. 25. 2015 12: 29PM Reliant Plumbing and Mechanical No. 5310 P. 2
Plumping rermir Application - l 1ty 01 '1 i.gara
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Site Utilities . 9i'• Fee(ea) Total IS,4 are 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 3,604 $i69.69
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 8/Rain Drain Valuation:!st 100' 62 54 Valuation: 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) Tolal each additional$100,00 or fraction thereof,to
Other
Inspections or Fee3 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
Jininimunt 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 acr_d$1.45 for
hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to
Rcrospection 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 5100.00 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 increasedsewer fees*.
i of 1181111 �)11xtal TRyepple a ce/,' R i O l A ln n
il +-0 hY
Blx 15r (`y�,t ttlr -- Plan review is required for any of the following,
�_�1V6r'1t�Rj:Porm>tidt's� . ��=� ..,��lr�� .xe�51e4..-.-_�el6t�le,,, Q y g,
Baptistry/Font Please check all that apply.
Bath -Tub/Shower ❑ Any new commercial building with water service 2"and
Jacuzzi/Wlrirlpeol greater,except systems designed and stamped by licensed
Car Wash -Each Stall engineer.
-Drive Thru ❑ New exterior plumbing site utilities for ally 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 ❑ Any complex structure as defined in 0AR918.780.0040.
Eye Wash
Floor Drain/sink -2" Submit 2 sets of plans with any of the above.
-3"
4" '�yY`"' Y ometr1e or Riser Dia
Car Wash Drain
Garbage Domestic-non-food ❑ 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/Lav -Non-food related
-Bradley
-Commercial-food related
-Service
Swimming Pool Filler *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: 1
h ltp://www.tigard-or.gov/document_center/Building/PLMF_PetmitApp.dr
•
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
12100 SW SCHOLLS FERRY RD, TIGARD, OR,
97223
Commercial - Plumbing
399 Plumbing final
FAIL
PLM2015-00285
George Heimos
1. Caulking required on fixture(s) at: kitchen hand sink. 310.3/407.2
2. Recall inspection when corrections have been completed. Re-inspection required.
103.5.6.1
Violation Summary:
Inspector Contractor