Permit (116) (js ii PLUMBING PERMIT
�1,; CITY OF TIGARD
'' COMMUNITY DEVELOPMENT Permit#: PLM2015 00411
T1II
G4�}RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/08/2015
i, T Parcel: 2S112DA01400
Jurisdiction: Tigard
Site address: 6650 SW REDWOOD LN 310
Project: Bunce Palmer Subdivision: 1996-048 PARTITION PLAT Lot: 2
Project Description: Interior plumbing:Adding(1)break room and(1)Ice maker; Installing(1)water heater and(1)water supply.
Contractor: POWER PLUMBING CO Owner: PACIFIC REALTY ASSOCIATES
PO BOX 19418 ATTN: N PIVEN
PORTLAND, OR 97280 15350 SW SEQUOIA PKWY#300
PORTLAND,OR 97224
PHONE: 503-244-1900 PHONE:
FAX: 503-244-8825
FEES
Quantity Description Date Amount
1 ea Ice Maker 12/08/2015 $12.51
Specifics: 1 ea Sink 12/08/2015 $25.02
1 ea Water Heater 12/08/2015 $37.52
Type of Use: COM 25 Misc Other Fee 12/08/2015 $25.02
Class of Work: ALT 1 12%State Surcharge- 12/08/2015 $12.01
Type of Const: Plumbing
Occupancy Grp:
Stories:
Total $112.08
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 qu ons o o NC by calling 503.232.1987 or 1.800.332.2344.
Issue By: , / / Permittee Signatu
01 Af 1 r s /i[9--t—___.
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.
DEC-02-2015 04:40 From: To:5035981960 Page: 1/2
Ar 0
Plumbing Permit A_Elicat' CEIVE , j j/o/ co / ,;,, - _I>t ttvq ' (I"'
Building Fixtures I DEC 2 2015 OR OFFICE USE ONLY
Ci of Ti and Received Permit No.:
t3 g Date/By: / 7 !i 077f f)1 S-cozil j
lig
• 1.3125 SW Hall Blvd.,Tigard,OR OF TIGARD Plan Review
Phone: 503,718.2439 Fax: 503, Otter Permit No.:
13 (� ING DIVISION Datc/BY: )S c�'3G
Inspection Line: 503,639.4175 Date Ready/By: kris: !ZI sec Page 2 far
I"1GARD
Internet: www.tigarci-ur.guv Notified/Method; Tom, BupDlrmentallnformation
❑New construction ❑Demolition For special information use checklist.
Description j Qty- I Ea. I Total
►:1 Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
- •.. ' CATEGORIC;OIF' CONS1.70 ION SFR(1)bath 312.70 '
. 7
1=1m
1-and 2-family dwelling 7 Comercial/industrial SFR(2)bath 437.78
SFR(3)bath 500.32
❑Accessory building ❑Multi-family Each additional bath/kitchen 25.02
❑Master builder 0 Other: Fire sprinkler( ,sq.ft.) Page 2
' y,, 19B•SliTE„•H FOBMATi 0.i: ND LOCTION.,,,,,',,:, •,. r, Site utilities:
Job site address: (.0(p 5D so) Ind t Good- Lt vee. Catch basin or area drain 18.7(i
PD
Drywell,leach line,or trench drain 18.76
City/State/ZTP: r D✓1-,i e / OK 9112q Footing drain(no.linear ft.: ) Page 2•
Suite/bldg./apt.no.: 310 Project name: ` 0 Le, pal m e r Manufactured home utilities 50.03
Cross street/directions to-job site: Manholes 18.76
N
Rain drain connector 18.76
A!'aSanitary sewer(no.linear ft.:_) /� Page 2
-k .r �+S urrm sewer(no.linear ft.:_) Page 2
�� r Water service(no.linear ft.: ) Pagc 2
Subdivision: lif
�� •✓ ', Loi no.: i'd {V Fixture ur item:
Tax trap/parcel no.: CD 'N, 1.,,• Backflow pieventer 31.27
n, r; Backwa>nr valve
,Yt R .F.D$bG)f�XI'1ON OF WORK
1
12.51
latiLi Clothes washer 25.02
A / g.• _ / A 7J t/!� 1... ' ► ` • �t 1 Dishwasher 25.02
Drinking fountain 25.02
(n .. YI e
,n,e/ FYI Ejectors/sump 25.02
❑ P•ROii,AiTY OWNERi, ,,,, iii:,., ,' .!'+.',:QTTENANT}> Expansion tank 12.51
Fixture/scwer cap 25.02
Name:
Flour drain/floor sink/hub 25.02
Address: Garbage disposal 25.02
City/State/ZIP: Hose bib 25.02
Phone:( ) Fax:( ) Ice maker ` 12.51 'LSI
1 ::'''.s la`.s','',i ,0;,APPL1CANT3.�a .:. �.i:,ii,..,. ; „`,a,.it".0�yCONTACT,/I')I1SON' lotctceptur/grease trap 25.02
Medical gas(value:$_) Page 2
` Business name: Po w�K P h j?• O -
Ali
Primer 12.51
Ir
) Contact name: l 1' 14)aA,t4l4-' Roof drain(commercial) 12.51
Address: . Po 80x 19 N,e- Si ,,,„.in/lavatrny -1 25.02 ZS,62.
City/State/ZiP: p0 i'/f 4.01, 0 ')72. Solar units(potable water) 62.54
tin Phone:($a3 ) a4 t fllLmo j y 8
Fax::(9)3) t? ,e_E-.a5- Tub/showcr/shower pan 12.51
urinal 25.02
E-mail:See vl Cp LOR r l iti 9b/��' I re.leivt_ 25.02
,.��. ,,,�_ . �! � _ Water closet
h',:+r.,,3..`,(r, ,(; c:c,, .:�:<„CONSI2A11C7fO r1S;ula i �:i;'i,, , i •
Wavenc�ater 37.52 37,51
Business Hum /
e: aL4J! 1 h/i�j (Q Wt
Water 56.29
Address: Lv(a ,14, NAI id:,u. `r 2L. Other: GOf.c(J tp,ipkr SviQki ) 25.02 25.02
city/state/DP; POrtland, ziK °1722.3 Subtotal IOt,Dy
Minimum permit fee: $72.50
Phone:(��) _ ,64) Fax=(57,3) a NU! g Plan review (25%of permit fee) �-
CCB Lie.: 52 37$ Plumbing Lie.no.: 3N-I SU es �)
State surcharge(12%of permit fee) (Z,0 0
Authorized signature: (---)7,-0,4-4-1-4- "5 TOTAL PERMIT FEE 1 I i.
n I Date: 1_ This permit application explres Ir a permit is not obtained within 180 dnye
Print name: L a.u ra__ U ep s I I.- i after It hsa been acceptedplete.
*Fee methodology set by Tri-County Ruilding l dustry Service Board.
LinuileingWnmitrw lite-PeamitApp.oec IONIAN 440.4616T(10/)2/COM/WEB)
DEC-02-2015 04:40 From: To:5035981960 Pa9e:2'2
Plumbing Permit Application - City of Tigard
Page 2-Supplemental Information
Fee Schedule: Residential Fire Su t ression S stems
4}''1kdC V� ,'r ;"rote. '.?".:-: ,;''''',1',',-,
".:N ';7� M 7 f % ; " 'w;0 .d. l4r-w:[,!:..d1'J •w.14. ty ii...,. h,, .•.j-j1`•tk.1:__ :,41.,,,
, nr._.1,i.1i,,,14
., _,,
Footing drain-1' 100' 50.03
0 to 2,000 $121.90
Footing drain-tach additional 100' 37.52 2,001 to 3,600 $169.89
3,601 to 7,200 $233.20
Sewer-lit 100' 62,54 7201 and greater $327.54
Sewcr-each additional 100' 37.52
Water Service-1st 100' 62.54 - Medical Gas S stems:
Water Service-each additional 100' 37.52
2 + /! i 4 , g J
�; "
' v4- 7t` b 1 tS4 ' I - . , , Tz 7
Storm&Rain Drain-1st 100' - „
51.00 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
�. i+:'-':. •a; 't a;�, + ¢fi tt each additional$100.00 ur fraction thereof.to
,7{1�:��1�':1 V;e�."0. 0 -'0I0..�1".'tl,iR �. � _•��.k d-'+?7* .ii; zvtWpt'P��°7
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 Fors 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*.
-.ti.J ^ii aft 7 �r�� q'" LAW� l i •Jx r.r.:, r7
.'-.i„ + Sy ray n l y ii4ir(.640:0 ttuncSFizi!F . .a? ���rr��'' 'r`�p�j7��( v •B c,a a. r{i i i!A qo-_,r
Y '41' % TS� ! �y y Il'rr tr S.n-K+A:� YP7,ruH1�{W'w„ 'r"`�,e.. i f wS -. - i �riTdtar
1;;,.0,11...,,0,,...,r G�� i 511 Fi' t4 'v 7: 14e.t'4.4•t'e,lacd
f5 ,4191, •a r. . ,A4 , -�`'' V Plan review is required for any of the following.
''•'-"_ 4:5, ". p-. 4,,,u0d m Please check all that apply.
Baptistry/Font
CI
Bath -Tub/Shower 2"Any new commercial building with water service and
.Jacutzi/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 OAR918-780-0040_
Dishwasher -Commercial 0 Medical gas and vacuum systems for health care facilities.
-Domestic 0 Any multipurpose fire sprinkler system.
Drinking Fountain 0 Any complex structure as defined in OAR9 I a-780-040.
Eye Wash
Floor Drain/sink -2" Submit 2 sets of plans with any of the above.
. ft
4., ;r vn F 9 �itl aifeArt _{ 'i c er C,.!.,i ,,"`_;;;'.'it... ,,,',r?rr.fa tc. ➢. h
Car Wash Drain
Garbage -Domcstio-non-food 0 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/Rettig.Drains
Oil Separator Seas Station) CommentsIt�� regarding fixture work:
RI4
Rec.Vehicle Dump Station v a.-Ihp_d.t
•
, _ /.S
Shower -Gang i fl/� �4 p I-1S NLS PMall G(
Sink/Lav Non-food related L , . -
-Bradley
Commercial-food related - _
-Service
Swimming Pool Filter *Note: If the fixture work under this permit results in an
Washer-Clothes increase of sewer EDUs,a sewer permit will be issued and
Water Extractor
Water Closet-Toilet fees assessed for the sewer increase must be paid before the
Urinal T' plumbing permit can be issued.
Other Fixtures: %&H 1 r l4''
.Sti \i e-5 .. . . . . . . . . .
http://www.tigard-or.gov/city_h LV/departments/cd/docs/PLMF-PcrmitApedoc
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
6650 SW REDWOOD LN 310, TIGARD, OR,
97224
Commercial - Plumbing
399 Plumbing final
PASS - No C of O
PLM2015-00411
Chip Barnett
Violation Summary:
Inspector Contractor