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Permit (82) „ CITY OF TIGARD PLUMBING PERMIT 1111 ' COMMUNITY DEVELOPMENT Permit#: PLM2016-00160 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/28/2016 Parcel: 2S 104BA00100 Jurisdiction: Tigard Site address: 12085 SW 135TH AVE 70 Project: Greenfield Apartments Subdivision: None Lot: None Project Description: Changing out(1)tub and valve. Contractor: OASIS PLUMBING INC Owner: GREENFIELD VILLAGE LLC 11177 S ALLEN CT BY NANCY L COWGILL OREGON CITY, OR 97045 STOEL RIVES LLP 900 SW 5TH AVE STE#2600 PORTLAND, OR 97204 PHONE: 503-351-0743 PHONE: FAX: 503-212-0165 FEES Quantity Description Date Amount 1 ea Tub/Shower/Shower Pan 03/28/2016 $12.51 Specifics: 1 12%State Surcharge- 03/28/2016 $8.70 Plumbing Type of Use: MF B0 ea Minimum Fee Adjustment- 03/28/2016 $59.99 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 i tot started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to fol c. the rul- adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090 Y.I may ob:in a copy of the rules or direct. . OUNC by calling 503.232.1987 or 1.800.332.2344. Issu'd By: ' r Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection d. e. This permit card shall be kept in a conspicuous place on the job site until com- eti•n of the project. Approved plans are required on the job site at the time of each i -pe' ion. Plumbing Permit Application Building Fixtures RECEIVED FOR OFFIc is I. SE 0\1,1 City of Tigard Received /, Permit No.: �/ �/) Date/By: ,,,n �67 ( /_j t //D-C) �60 lig ■ 13125 SW Hall Blvd.,Tigard,OR 9R 2 8 2016 Plan Review /j �� 6", �/ Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit No.: �p- err/ Inspection Line: 503.639.4175 CITY OF TIGARD Date Read /B Juris: El See Page 2 for I I(,Altl) Ready/By: Internet: www.tigard-or.gov gUII-DING:DIVISION Notified/Method: Supplemental Information TYPE OR WORK . .FEE* SCHEDULE;`... . ❑New construction 0 Demolition For special information use checklist. Description Qty. I Ea. I Total Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORyyOF CO1t tUCTION SFJ (1)bath 312.70 _ and 2-family !.. SFR(2)bath 437.78 dwelling ❑Commercial/industrial SFR(3)bath 500.32 ❑Accessory building In-family Each additional bath/kitchen 25.02 ❑ Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: r' �x't Catch basin or area drain 18.76 ...„..0_,DJob site address: g 5- /-...; /4`}� 1 Drywell,leach line,or trench drain 18.76 City/State/ZIP: / tr r„ V`CQ i 04_ ").70 y� Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: 1 Project name: 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: 1 Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 i_ (� Clothes washer 25.02 1�\ Cr D o `� �l'`�� Dishwasher 25.02 i Drinking fountain 25.02 Ejectors/sump 25.02 ❑ PROPERTY OWNER , 0 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 0 APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 0 C,�C CP L3. (�r 1 LA-4.._. gas(value:$ Page 2 Business name: , l I Contact name: `� Primer 12.51 L"-�©�-- RR000f drain(commercial) 12.51 Address: ' ( ( ---1 --7 S Attotti c4 - Sink/basin/lavatory 25.02 City/State/ZIP: a_. C. 4- c I/t-- 0 tf Solar units(potable water) 11 62.54 Phone: 2>U c 07,. Fax: :( ) Tub/shower/shower pan 12.51 7 ` �. Urinal 25.02 E-mail: Com-�!J 0. , C. �ti�o GASs ��x"1 Water closet 25.02 CitNCRACTWater heater 37.52 Business name: Water piping/DWV 56.29 Address: Other: 25.02 City/State/ZIP: Subtotal Phone:( ) Fax:( ) n Minimum permit tee: $72.50 CCB Lic.: L L 9 ,§1i4-71A ,§1i4-71ICC Plumbing Lic.no.: P6qrp Plan review (25%of permit fee) State surcharge(12%of permit fee) ,, l Authorized signature: TOTAL PERMIT FEE , .ND This permit application expires if a permit is not obtained within 180 days Print name: ` Date: after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:,Building Permits PI_MIJ-PernitApp.doc 10 0109 440-46161(10 02 COM WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilitiies Qty. Fee(ea) Tgt*I . 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 r k, 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 Othr>inspections or l ees F `(iza) litii " each additional$100.00 or fraction thereof,to r 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 Baptistry/Font ❑ Any new commercial building with water service 2 and 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 as defined in OAR918-780-0040. 111Cuspidor/Water Aspirator Medical gas and vacuum systems for health care facilities. Dishwasher: Commercial ❑ Any multipurpose fire sprinkler system. Domestic 0 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.. Ifllometric,or Riser Diagram 4., 0 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 Mach./Refrig.Drains Comments regarding fixture work: Oil Separator(Gas Station) Rec.Vehicle Dump Station Shower: -Gang -Stall Sink: -Lav/Bar non-food related -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_PernitApp.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 12085 SW 135TH AVE 70, TIGARD, OR, 97223 Commercial - Plumbing 399 Plumbing ﬁnal PASS - No C of O PLM2016-00160 Don Sylvester Violation Summary: Inspector Contractor