The URL can be used to link to this page

Permit t CITY OF TIGARD PLUMBING PERMIT t , Permit#: PLM2015-00370 ph COMMUNITY DEVELOPMENT Date Issued: 10/28/2015 TTG/ RL) 13125 SW Hall Blvd,Tigard OR 97223 503 718 2439 Parcel: 2S112AA01000 Jurisdiction: Tigard Site address. 14100 SW 72ND AVE Project: Curtis Wright Subdivision: 1992-007 PARTITION PLAT Lot: 2 Project Description: Interior plumbing.Adding(1)water closet,(1)lavatory,and(1)break room sink. Contractor: BEAVERTON PLUMBING INC Owner: WILLIAMS CONTROLS INDUSTRIES INC 13980 SW TV HWY 14100 SW 72ND AVE BEAVERTON, OR 97005 TIGARD, OR 97224 PHONE 503-643-7619 PHONE FAX 503-643-7620 FEES Quantity Description Date Amount 1 ea Sink 10/28/2015 $25 02 Specifics: 1 ea Lavatories 10/28/2015 $25 02 1 ea Water Closet 10/28/2015 $25 02 Type of Use: COM 1 12%State Surcharge- 10/28/2015 $12 01 Class of Work: ALT Plumbing Type of Const: Occupancy Grp: Stories: Total $87 07 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: " 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. Plumbing Permit Application I .4kAL , i co o Buil1ing Fixtures Ne FOR OFFICE USE ONLY �~ City of Tigard ?go Received Permit No.. /1111,2015'- 370 • 13125 S W Hall Blvd.,Tigard,OR 97223 ,� VAS Date/By. /()/a7 6ti i ' C. Phone. 503.718.2439 Fax: 503.598.1960 OC 1 Plan Review 5242.A0 / Date/By: Other Permit No IF_ Q ,/,, I G A R D Inspection Line: 503.639.4175 -t,GP� • y U �°� Internet www.tigard-or.gov ,....‘5, ` �` `l to Ready/By: Juris ® See Page 2 for Cccx Gty1�, r otified/Method. ? Supplemental Information TYPE OF WORI��,�®,� iJ FEE* SCHEDULE ❑New construction ❑Demolition For special information use checklist. Description I Qty. I Ea. I Total E Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(I)bath 312.70 ❑ 1-and 2-family dwelling "Commercial/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 JOB SITE INFORMATION AND LOCATION Site utilities: 1 t{I©tC St3 �a� /r'ev vP Catch basin or area drain 18 76 Job site address: City/State/ZIP: 1 se rA ©� q 7a� Drywell,leach line,or trench drain 18.76 Footing drain(no linear ft.:_) Page 2 } Suite/bldg./apt.no.: Project name: /� , C.I�C�-iSS` �iyi Q}'�- Manufactured home utilities 50.03 Cross street/directions to job site: U 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: I Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer r/° 31.27 DESCRIPTION OF WORK Backwater valve -yylI'( 1� 12.51 ii Clothes washer �rlsr _, }�'1 25 02 I I 9\\ Y eko '+o,1 e_A. 1 I cva1/43\-,1 .4ir Dishwasher \ - l IP✓' - /CreC-V•rnere\ Si ON• Drinking fountain ' eel 25.02 Ejectors/sump f 25.02 ❑ PROPERTY OWNER ❑ 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 ❑ APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25 02 Business name: Medical gas(value:$ ) Page 2 Contact name Primer 12.51 Roof dram(commercial) 12.51 Address: Sink/basin/lavatory a 25 02 5C), City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax: :( ) Tub/shower/shower pan 12.51 E-mail: '\)O,�J\�Y ® �j�=?,ve_r.�eNr-,p\,�,M�° n.w�,Y) Urinal 25.02 CONTRACTOR v�l t Water closet I 25.02 �7Qr� BEAVERTON PLUMBING INc. Water heater 37.52 Business name: Water piping/DWV 56.29 Address: 13980 S.W.Tualatin Valley Hwy. Other: 25.02 City/State/ZIP: Beaverton,Oregon 97005 Subtotal (503)643-7619 Phone:071 y-103.65}q Fax:( )0-13.-7Loa© Minimum permit fee: $72.50 _ y Plan review (25%of permit fee) t B Lic.: 1�$$ci Plumbing Lic.no.: 34- pe, - State surcharge(12%of permit fee) a� Authorized signature: 0 �;Rl 1"\ TOTAL PERMIT F P-( 07 Print name:;^� "\�� Date: r ' i. This permit application expires if a permit is not obtained 'thin 180 days x/��1'� ��hR i �(� after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board I\Budduig\Permits\PLMU-PermitApp doc 10/01/09 440.461 6T(I 0/02/COM/WEB) Plumbing Permit Application - City of Tigard Page-N2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: ite Utilities Qty. Fee(ea) 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 Medical Gas Systems: Water Service-each additional 100' 37.52 Valuation: Permit Fee: Storm&Ram 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 Qty. Fee(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—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 each additional$100.00 or fraction thereof. (minimum charge—1/2 hour) Subtotal: • Commercial Fixture Work: Are you capping, adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to :curately report fixtures could result in increased sewer fees*. . Quantity 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 Please check all that apply. Baptistry/Font ❑ Any new commercial building with water service 2"and Bath -Tub/Shower Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer. -Drive Thru El New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780-0040. Dishwasher -Commercial G / ti ❑ Medical gas and vacuum systems for health care facilities. -Domestic / El Any multipurpose fire sprinkler system. Drinking Fountain '� ��60 Any complex structure as defined in OAR918-780-0040. Eye Wash p Floor Drain/sink A J. }�P3 Submit 2 sets of plans with any of the above. 2" �,-e/ -3" f� at, Isometric or Riser Diagram 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 ,�/l t -Industrial-food related . Gill Ice Mach./Refrig.Drains 1.1 Oil Separator(Gas Station) �` Comments regarding fixture work: Rec Vehicle Dump Station Shower -Gang -Stall Sink/tav -Non-food related `c1 -Bradley -Commercial-food related -Service vimming Pool Filter *Note: If the fixture work under this permit results in an ashen-Clothes increase of sewer EDUs,a sewer permit will be issued and Water Extractor Water Closet-Toilet 1 fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. ) Other Fixtures http://www.tigard-or.gov/city_hal I/departments/cd/dots/PLM F-PermitApp2doc 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 14100 SW 72ND AVE, TIGARD, OR, 97224 Commercial - Plumbing 399 Plumbing ﬁnal PASS - No C of O November 30, 2015 at 8:53:42 AM PLM2015-00370 Don Sylvester Violation Summary: Inspector Contractor