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Permit CITY OF TIGARD PLUMBING PERMIT ' ' COMMUNITY DEVELOPMENT Permit#: PLM2016 00197 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/12/2016 T I( A R f� g Parcel: 1 S 134AA01800 Jurisdiction: Tigard Site address: 10180 SW NIMBUS AVE J1 Project: Scholls Business Center Subdivision: IKOLL BUSINESS CENTER,TIGARD Lot: 2 Project Description: Replacing(2)backflow preventers. Contractor: MIKE PATTERSON PLUMBING Owner: HANSON, RONALD D 15028 S MITCHELL LN ROBINSON, CONSTANCE A OREGON CITY, OR 97045 ROBINSON, CHESTER TRUST ET AL 203604 EAST FINLEY RD KENNEWICK,WA 99331 PHONE: 503-632-7374 PHONE: FAX: 503-632-5647 FEES Quantity Description Date Amount 2 ea Backflow Preventer 04/12/2016 $62.54 Specifics: 1 12%State Surcharge- 04/12/2016 $8.70 Plumbing Type of Use: COM 10 ea Minimum Fee Adjustment- 04/12/2016 $9.96 Plumbing Class of Work: OTR 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 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. Apr. 08.2016 07 :14 AM Mike Patterson Plumbing 5036554349 PAGE. 3/ 4 Plumb;ia Permit AnnIicat1ECEIVED Building Fixtures APR 1 1 2016 'dr'( (11'I Id t. I `,l' ()NI ) City of Tigard Receiveitelid L Yji) (�i 47 13125 SW Hall Blvd,,Tigard,OR OW OF TIGARD Plan Review ' I ' Phone: 503.718.2439 Fax: 5® P!_1 CtN G DIVISION ��Y: Other Perms No.: 1 �( I<i Inspection Lino: 503.639,4175 DAIo Randy/By: hn1a: m See Page 2 for Internet: www.tigurd.or,gov Nolifed/Me hod: ,a Su)iementnl Information h- a 1(4 ' :4. '! ', '2' .t nP. r �c`. .( g�. tut r.;:rc�vm+-�Tr,��-'.ti•, ., l 0 a1, t,�.],� *5 4' a l:r!.r . +r - , ,]! dT-r r .'S. 'r 1 , !• .a K•t. toy , r "i r ,>1, .i.1 .. Q ' a' ,a, 1 ro ,• . b � -o, .� % f�'�,2t'J,' I5 ��(4�✓��1. 4 d G`,v �nal�4,r�vlb'r�m�c�;:�'Y���> fJttE• ,��„�ll�r�. fl New construction 0 Demolition For special information use checklist . Description I Qty. I Ea. I Total 12:1 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 It for each utility connection) ' rf r''.' "4 '' L�a v ; ale ,litr.{n ,''C 1•FK-TrorI.InI ie� 2'/ 4)i, (; ^� ,.( SFR(1)bath 312.70 i #•-. •a 11 as .an3es ,,gfr �,:RuHct�: ..c. .rrrr 'at;'t fa 'rr O I-and 2-family dwelling 4►t Commercial/i' stria) SFR(2)bath 437,78 SFR(3)bath 500,32 ID Accessory building ill t -family . Each additional bath/kitchen 25.02 ©Master builder 0 Other: hire sprinkler( sq',11J Page 2 ,� �} v���,,r. �v ,. .re., 4t - ,(, r. H � a 1��5 t*'F1 :d7 lr�,s�+l�'Svi��'iiaiA ,� ,. ,i1('4 '„. '1't (I!',,;wee a,.,d Val,V 4:,1444ke" q Slto utilities: Job site address:10180 SW NIMBUS AVE Catc13 basin or arca drain !8.76 City/Stats/ZIP:TIGARD,OR 97223 Drywall,leach line,or trench drain 18.76 Footing drain(no.linea}ft,:_) Page 2 Suite/bldg./apt.no.: I Project name:5t0il S V�3 S �'. , (-Manufactured home utilities 50.03 - Cross street/directions to job site: Manholes 18.76 Rain drain connector 18,76 Sanitary sewer(no,linear n.: ) Page 2 "" "" - - ' Storm sewer(no.linear ft.:_) Pago 2 Water service(no,linear it,: ) Page 2 Subdivision: Lot no.: Fixture or items T Tax map/parcel no.; Backflow preventer 2 31.27 62.54 !. 1 �� lT�•�v �n ,•' t rgxrl4y ' `y'i,.r ,t,",,.w'( f ca }4t' Backwater valve 12.51 T', a .t l/ h��,006, �a1�„t r .N j;;)11%1', •' a .I�yr r,1,1: o/ ` ' 4'.':,t7 .rF,, .44.o 7.1'.'. ,'L'.7 t.'4.4 M'4,40,101 tt •.L1,!t .�rac i:.i' ;., 1, ., r.i-.•,"•'''. ,T ' whr 25,02 REMOVE AND REPLACE TWO RP DEVICES '''''"7.7"-- Dishwasher 25.02 Drinking fountain 25.02 v Ejectors/sump 25.02 h: ..Tl(,: ,.4 t � v � ♦,e < r¢ �.i` ,O }�ati, ;l (f •J o4.V �li1I. Expansion tank 12,51 ma < i0�. ^' ,kNal%txt11.� . 6...74u�i„rtis ' a.n`, 1,i1:aU .. 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 tnakot' 12.51 Fl!4 if,r:, f ir1 d rY 1 x.'4.r 4. e. 4pc;..4,y e r l:7'N:t17gM ' 4 x [ y. 41,1 Interceptor/grease trap 25,02 -0.,4','u.1^r w.t',1•.. ;IY:emr'4e._ r aii6,,tr4KG ,.5.A.11i}r e�'Ai A; '.� Eir.414 Business name:MIKE PATTERSON PLUMBING INC Medical gas(value:$ - ) Page 2 Primer 12.51 Contact name:KATIE NELSON a pouf drain(commercial) 12,51 Address:PO BOX 850 Sink/basin/lavatory 25.02 City/State/ZIP:GLADSTONE,OR 97027 Solar units(potable water) 62.54 Phone;(503)655-4306 Fax::(503)655.4349 Tub/shower/shower pan 12,51 E-mail:kne)son®mikeprttersonplumbIng,com Urinal 25.02 '.el..7'1'': n.rrNe.tr I'ti•:f 7SGnK��''filer' Yi ulksM dV'LIQ�ti, �.d.aUl(r•:tt 1 ii 1 i�Ye,r etZ:Pry':kbt '��Yi'',:gi Water closet 25. 2 Water heater 37.52 Business name:MIKE PATTERSON PLUMBING INC Water piping/DWV 56.29 Address:PO BOX 850 _ Other: 25,02 W City/State/ZIP:GLADSTONE,OR 97027 Subtotal 62.54 Phone;(503)655-4306 Fax;(503)655-4349 Minimum permit fee: $72.50 9.96 CCB Lie,;81746 Plumbing Lie.no.:3.359P11 - Plan review (25%of permit fee) �/�� J�,/j]/� State surcharge(12%of permit fec) 8.70 Authorized signature: IZZY"3� R.1c4 - " TOTAL PERMIT FEE 81,20 Print name:KATIE NEISON Date:4.8.16 Phis permit application*spires If a permit kr not Obtained within ISO days after It hay beta accepted ae complete. "Pec methodology act by Tri-County Building Industry Service Board, 1;\nulldiny)Pampa\PI.M11•PonnitApp,dna 10/0I/09 440-4tSI6t'(10/07JCOM/Wl{I3) Apr.08.2016 07 :15 AM Mike Patterson Plumbing 5036554349 PAGE. 4/ 4 Plumbing Permit Application - City of Tigard Page 2 -Supplemental Information Fee Schedule: ResidentialFire Su; ression S stems: r �. iv Su „. Wo �Yo( rn ti ' • 1,. ,ad `;z ,a B: yu: ,y „,,,,,K.,.„,,,,,,,,,.,,,,,,,,,,.' . s"A4 .,,,,,..,,, .. ..„.,., ...,..,,...,,,a,,,,,,,,, Footing drain-Iu 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 Etrcatcr $327.54 Sower-each additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas Systems: Water Service•each additional 100' 37.52 jha „rat, °�!"£ ii '. 4,."w-:y�t ; • Storm&Rain Drain•1st 100' 62.54 J "`..—,A,„%1,0%,;;1', u'ix $1.00 to$5,000.00 Minimum too$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 fbr �4 4.t '•`,,c,l..•o Ir,,•r;„.47. 42(m (��pj�'I' +� •+�.�j rat ' TJ.,� ,;', each additional$100,00 or bastion 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 fbr which no fee is specifically indicated 90.00/hr (minimum charge-•1/2 hour) adl�ncluding 000orbaotionlhdruff,to 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 Pees 90,00/hr and:including$50000.00, 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 inincreased sewer fees*, � �� r 4 4[I�� ��T I7C � r9ri' , i thi ^� N +, v g tffaVSl,�,' .', I! .' >, *4 Plan review is required for any of tho following, Via ti44:0s It1'dt'tftxdt,.r Please check all that apply. Baptistry/pont Pp Y Bath -Tub1Sitower 1 ❑ Any new commercial building with water service 2"and -Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed Car Wash -Each Stall r engineer. -Drive Thrti 0 New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780-0040, Dishwasher -Commerelel m 0 Medical gas and vacuum systems for health care facilities. -Domestic 0 Any multipurpose lire sprinkler system. Drinking Fountain 0 Any complex structure as defined in OAR918-780-0040. bye Wash W Floor Drain/sink -2" Submit a sets of pians with any of the above. -3" .4„ - fr �„µay«;r Wd +r `„o'I '• s i '4. .;”• lu c.37.,;: .r,�:•c c;1i• lE litiis .,.,` Cur Wash Drain Isometric or riser diagram is required for new buildings Garbage -Domestic-non-food $ 9 6' Disposal -Domcsiio-lbod related • _ that meet the qualifications above. -Commercial—rood related -Industrial-food related Ice Mach./Reilig,Drains Oil Separator(Gas Station) _ _ Comments regarding fixture work: Roo.Vehicle Dump Station Shower -Gang -Stall ySink/Lay -Non-food related _ -Bradley -Commercial-find related -Service Swimming Poet Piller *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: C:1Use ralkatle\Downloads\PLMF„PnrmitApp(1).doc 2 Apr. 08.2016 07 :13 AM Mike Patterson Plumbing 5036554349 PAGE. 1/ 4 wit:Aac��n.,.J,.a.,,---- �._.e,.Y... _,_._...._...- �_..r•.a....�.zrx�,o.,eo.cima..rc.e..- -,a...n.r...._.. A"1 ...... _.r.. To: City of Tigard F Attn: Permit Processing x Fax number: 503-598-1960 From: Katie Nelson Mike Patterson Phone: 503-655-4306 Plumbing, Inc. CCB #81746Fa number: 503-655-4349 ovenneansalranwormr PO Box 850 Date: 4/8/2016 Gladstone, OR 97027 - Regarding: 10180 SW Nimbus Ave Total Number of Pages Including Cover: 4 Comments: 63) Please see attached permit application an 2a ion. 0/2' Let me know if you need anything else, thanks! Katie Nelson �. �..- ,.,..-. .. R...., .. �.r,,�....�, .w rw•*.row iwt�nr•,n",a a-«»w».�.,•«....•. ».,. w.......:,,��.4- 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 10180 SW NIMBUS AVE J1, TIGARD, OR, 97223 Commercial - Plumbing 399 Plumbing final PASS - No C of O PLM2016-00197 Don Sylvester Violation Summary: Inspector Contractor