Permit (69) CITY OF TIGARDIN PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2016-00315
T'G,ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/22/2016
Parcel: 2S102AB04700
Jurisdiction: Tigard
Site address: 12448 SW MAIN ST
Project: Spec Space Subdivision: None Lot: None
Project Description: Add 60'of water service,replace/relocate(1)clothes washer,(1)hose bibs,(4)sinks/lays,(1)water closet&(1)
water heater.
Contractor: SKOOKUM PLUMBING LLC Owner: CACH, CHRISTOPHER J
11576 SW PACIFIC HWY#176 14420 SW 114TH AVE
TIGARD, OR 97223 TIGARD, OR 97224
PHONE: 971-231-9071 PHONE:
FAX:
FEES
Quantity Description Date Amount
60 If Water Service 06/22/2016 $62.54
Specifics: 1 ea Clothes Washer 06/22/2016 $25.02
1 ea Hose Bib 06/22/2016 $25.02
Type of Use: COM 4 ea Sink 06/22/2016 $100.08
Class of Work: ALT 1 ea Water Closet 06/22/2016 $25.02
Type of Const: 1 ea Water Heater 06/22/2016 $37.52
Occupancy Grp: 1 12%State Surcharge- 06/22/2016 $33.02
Stories: Plumbing
Total $308.22
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 '.a to OUNC by calling 503.232.1987 or 1.800.332.2344. -
Issue. By: / Permittee Sig' ature:
Call 503.639.4175 by 7:00 a.m.for the next available' ection 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.
Jun.15.2016 12:43 PM Skookum Plumbing 5037476145 PAGE, 1/ 2
Plumbin Permit A ' '
I1�
Building Fixtures volt 01,1.1('1•: I SI: f).Nii,
City of Tigard Rcw;rtd
2016 rot, rn : & AO !l0 ,1 Panni Ne.: —
13125 SW flan Blvd.,Tigard, ? �1 h��f0�3�
' Phone: 503.718.2439 rte
5 Pram Review 01110E Pintail No,: V"
Inspection Line; 503.639!rt1�9 r �t 6���C�tL®
Dote/Fly:
I!! n t inspect www ttgard• �o t "` gg`-f G; Dowitundy/D1 ��j� hil: tit See Page Z for
l • 0 i t1 I 10 Notified/Method!Lr off(/l0 I,.^.i"�/
rtt:e ,. ''M, ' r+,�^'�� ` >i o , v }r,,� � _ 9u ttementat 7otormntlna
o�i�,_c]'� , fit. ..�i+, .. . ,sltr. �. h.,i ,4G.?1 n r� IA Gn :�. I '.'4.:': : � :^iE i ``vi
-�.�d..a:.u:.a..�e. :rr,�'.,.., :. bw � x ✓�sE..� �1knti,+c' k. .,d ,�.�
Ck
Q Now construction Q Demolition Fors ectal ttilarrxetlna use c/ir checklist.
Description
ddiiton/aiterutionlrcplacentont 0 Other .Y;orc ch utility
I Total
�,{�'�j y� �R'�` Ncwt-2-Falnil dwottin s Btpludcs100lt.foreaph-utilityconneotion ,�
1,.t A t_. t'!Sk sx "J,}V,1..'Is 4 6 W, i• aN eS k.�,?�,:'''i� A.;\�'1�'�. t Si —SI-7R(1)bath 1
. 1, v r.. .;1;„ 312.70
Q I-anti 2-family dwelling „ Commercial/industriai SFR(2)bath 417,78
0 Accessory building M R(3)both 500,32 C
Q Muttl-tinnily O
Q Master builderEach additional bath/kitchen 25:02
[]Otho
' ! v Fire sprinkler(�..q.it.) Page 2a• i idxi'�1k;* E , s ...MTI ! a n, Q Q_ $ , rt. '
', State utliltics
Job site address: ( �, y �� Catch basin or area drain 18.76
City/State/7tl*: /1 r 01:2 1�t 2 3 Drywall,leech line,or trench drain 18.76
Strlto/bldgJapt.no.: �1� Pru�cct name: tFooting drain(no.linear ft.:,
„� Li Wr L`r ManufnUlured home utilities 50,03 in
Cross street/directions to job situ: , e �� —
t � Manholes
18,7(i
# fit . cc / Ruin dram connector 18,76
10t i N / Sanitary sower(no.Ungar R,: Page 2
Storm sewer(no.timer R.: ) Page 2
Subdivision: --- Water service(no.linear ft.: ) Page 2 A al
J Lot no.: ,fixture or INN__
Racktlow preven
ter 31,2?ax nap/parcel no .11111 12.51 a ;')I, �w{.Y (' Mtl•$ ti } f.,,o. R .t. I ri¢o ze` ::,;
Jun.15.2016 12:44 PM Skookum Plumbing 5037476145 PAGE. 2/ 2
• ' Plumbing Permit Application - City of Tigard
Page 2-Supplemental Information
Fee Schedule: Residential Fire +
� t }J,y`s ; "N,.,� 4 i J p^�� „t , Su lesion St, stems:
root,n8drain.1�,i�, ,.., z 50.03. �(, ::M to2000 vb4$121.90 l ' ..0 ..si):,14�.,N.,..'`r:
0 to 2 000 $121.90
rooting drain-each additiontd 100' 37,52 2 001 to 600 $169.69
Seaver-1st I00'-- 62,54
3,401 to 7,200 $233.20
Sower•eaoit add atonal 100' 7 201 tuid_water $327.54
37.52
Water Service•1st 100' - 62.54
III Water Service-cult additional 100' 37.52 Medical Gas Systems:
Storni&Rain Drain•1st 10+' 62.54 UM A'y i:.1'40 r, : ,'^r'' ' r 1 " �j 1' F 4' V sy�a)t.i,,7
Storm&Bain Drain-each additional 100' 11111.1=211111.1
51.00 to$5,000,00 Minimum fee$72,50
Storm
Rain 1i�' s� $5,001,00 to$10,000,00 $72.50 for the first$5,000.00 and$1,52 for
1.5' .:: C , , +; r t +,z a�YCra 1: , t rf r each additional$100.00 or traction thereof,to
Inspection of existing plumbing or for .w and htoludin.$10000,00.
which no the is specifically indicated II 90 00Ru $10,001.00 to$25,000.00 cacti n 0 or the first$10,000,00 alio 1.54 Or
(minimum chnr;o—1/2 hour each additional$100,00 or fraction thereof,to
Inspections outside of normal business 90.00/hr and includin $25 000.00:
hours minimum char.c—2 hours $25,001.00 to$50,000,00 $379.50 for the first$25,000,+ tin,$1.45 for
each additional$100.00 or fractionthereof,to
Reinspection Pees 90.00/hr
plan review for revisions 90.o0/hr $50,001.00 and a and including$50,000.00.
Additional
minimum a.c v I/2 hourMilp $742.00 for the first$50,000.00 and$1.20 for
Strbtotnit each additional or Manion Meteor.
Commercial Fixture Work:
Arc you capping,adding or replacing fixtures? ff"yes",
please indicate work performed by fixture, Failure to
accuratel re art fixtures could result in increased sewer fees*.
' c �.. :-. s tar aaia '` Nr �k aeh t , Li;:i;, i T.S ,It.-
;1,144.F#401.0,
r i +
°k;Elarfdr, is. , aUikl ddfidf l'
� e;antro Plan review is required for any of the following
13a hist /Font
Please e
Bath TubiSJtowcr1111111 ❑ Any
chnewck coallmthat,nercialapply.building with water service 2"and
-Emit Stub pool greater,except systems designed and stamped by licensed
Car Wash -Gaol Stall ��� engineer.
-Dnvo 7itru 0 New exterior plumbing site utilities for any complex structure
Cuupfdor/WntorAspirator as defined in 0AR918.780..0040,
Dishwasher -Commercial
.Domesticlig ❑ Medical gas and vacuum systems for health care fttclitios,
DI My multipurpose fico sprinkler system.
G o Wash111111111111111111111.111111111111111
0 My complex structure as defined in OAA91 8•780 0040.
Floor Drain/sink -2"
-3" � Submit 2 sots of plans witheny of the above.
;`,ç'
+ f til gnL
a riti`. ;,CaWash Drain _ 0 isometric or rim'diagram is required for new buildings
•uonastl°-nen-food
Disposal •Dumcstic..fnod related
� that meet the qualifications above.-taamsnrclatcd �
-lndustziaJ-food related
Ice Mttvh.Rof'ig.Drains
Ort se amtor Gas Station � Comments regarding fixture work:Vehicle Duni Station
�
8ltoworgang
-StallIIMI
Sink/Lav -Nondood related
-Bradley
-Commercial-feed related
Swim
min_Pool filter Washer•Clothes
Swlni *Note: .If the fixture work under this permit results in an
Water 13xtractor increase of sewer E'Dai$ permit
WntorCloset-'loiter ,a sower will be issued and
Water
� 1♦ fees assessed for the sewer increase must be paid before the
Other Fixtures: plumbing permit can be issued,
C:\Users\firms\Downloads\PLMF PermliApp.doc
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
12448 SW MAIN ST, TIGARD, OR, 97223
Commercial - Plumbing
399 Plumbing final
PASS - No C of O
PLM2016-00315
Don Sylvester
1. Corrections are complete- plumbing final approved
Violation Summary:
Inspector Contractor