Permit ,� CITY OF TIGARD PLUMBING PERMIT
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1 COMMUNITY DEVELOPMENT Permit#: PLM2016-00363
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/20/2016
T[C�" 9 Parcel: 1 S 133AC 14500
Jurisdiction: Tigard
Site address: 13205 SW HAWKS BEARD ST
Project: Scholls Ferry Apartments Subdivision: Lot: 63
Project Description: Building 4-24 units. Interior plumbing.
Contractor: CH KRUSE PLUMBING Owner: GRABHORN, BURTON E ESTATE OF
1527 SE 104TH CT 14577 SE ANDERSON RD
VANCOUVER,WA 98664 CLACKAMAS, OR 97011
PHONE: 360-573-4337 PHONE:
FAX: 360-573-5303
FEES
Quantity Description Date Amount
25 ea Rain Drain Connector 09/20/2016 $469.00
Specifics: 24 ea Clothes Washer 09/20/2016 $600.48
24 ea Dishwasher 09/20/2016 $600.48
Type of Use: MF 24 ea Expansion Tank 09/20/2016 $300.24
Class of Work: NEW 24 ea Garbage Disposal 09/20/2016 $600.48
Type of Const: 2 ea Hose Bib 09/20/2016 $50.04
Occupancy Grp: 24 ea Ice Maker 09/20/2016 $300.24
Stories: 48 ea Sink 09/20/2016 $1,200.96
24 ea Tub/Shower/Shower Pan 09/20/2016 $300.24
24 ea Water Closet 09/20/2016 $600.48
24 ea Water Heater 09/20/2016 $900.48
1 12%State Surcharge- 09/20/2016 $710.77
Plumbing
Total $6,633.89
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: ___C ittee Signature: (. / ._,.......--....—
71,,.,
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 - ; A<<a/ -to; to
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Building Fixtures FOR OFFICE USE ONLY
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City of Tigard Received qAt,,s /G , / / �'y 'lr� yc[ ."cw ,_ °" DateB (fit Permit No.:11 a 13125 SW Hall Blvd.,Tigard,OR 9 .r..1 Plan Ree
I Phone: 503.718.2439 Fax: 50 rO\O Date/By: (y_ VD Other Permit No.: f' /y�
Inspection Line: 503.639.4175 + ( ' �� � ' W W
1 I t,n u I> p `� % Date Ready/By: f Auris ® See age 2 for
Internet: www.tigard-or.gov �V `ic'N� `" Notified/Method: I 5 ri(s ` 1=F6 Supplemental Information
_ TYPE OF WORK ,/ON I-AN% Re�'�i r ( FEE* SCHEDULE
®New construction ❑ o tl '1p�i�'' For special information use checklist
Description Qty. Ea. Total
❑Addition/alteration/replacement :Ater: New 1-2-family dwellings(includes 100 ft.for each utility connection)
"
°� M:- CATEGORY OF CONSTRUCTIONSFR(1)bath 312.70
❑ 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 500.32
❑Accessory building ®Multi-family
Each additional bath/kitchen 25.02
0 Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2
JOB SITE:INFORMAT1ON AND LOC, ,1 Site utilities:
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Job site address: \ e�- U c Catch basin or area drain 18.76
GJ T, ��
Drywell,leach line,or trench drain 18.76
City/State/ZIP:
..--- Oy. • , Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: 1 Project( �name: C. CI'J & '\S 4F-6- Pte/1"; Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
Rain drain connector a.S 18.76 ,i64.00
Sanitary sewer(no.linear ft.: ) Page 2
Storm sewer(no.linear ft.: ) Page 2
Water service(no.linear ft.: ) Page 2
Subdivision: Lot no.: Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
. Backwater valve 12.51
DESCRIPTION OFWORK �� 6�O site6 \� Clothes washer 25.02
Complete plumbing for bldg type A.
Dishwasher "...Li25.02 600.46
Drinking fountain 25.02
Ejectors/sump 25.02
D`I'ROPERTY OWNER' I 0 TENANT_ Expansion tank 2..1-1 12.51 300. Z 4
Name:Holland Developmet Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address:1111 Main St.
Garbage disposal 3.9 25.02 6 00. y
City/State/ZIP:Vancouver,WA 98660 Hose bib 'a 25.02 5-0. 0W
Phone:(360)6947888 Fax:(360)9050153 Ice maker 7A 12.51 300 , a Y
►a:-APPLICANT 0 CONY'AVF PERSON Interceptor/grease trap 25.02
Business name:CH Kruse Plumbing Medical gas(value:$ ) Page 2
Primer 12.51
Contact name:Ryan Kruse
Roof drain(commercial) 12.51
Address:5802 NE 88th St Sink/basin/lavatory lA5 25.02 j a 00. 45
City/State/ZIP:Vancouver,WA.98665 Solar units(potable water) 62.54
Phone:(360)5734337 Fax::(360)5735303 Tub/shower/shower pan 21-4k 12.51 300. a,LI
E-mail:ryan@chkrsue Urinal 25.02
CONTRACTOR Water closet 2't 25.02 600, ye
Water heater "Z..4 37.52 4 OV, y g
Business name:CH Kruse Plumbing Water piping/DWV 56.29
Address:5802 NE 88th St. Other: 25.02
City/State/ZIP:Vancouver,WA 98665 Subtotal 5t a3• I A
Phone:(360)5734337 Fax:(360)5735303 Minimum permit fee: $72.50
CCB Lic.:111654 Plumbing Lic.no.:37296PB Plan review (25%of permit fee)
/ State surcharge(12%of permit fee) )0,_
Authorized signature: / _ TOTAL PERMIT F 6633.e c
Print name:C Ryan Kruse ( Date:6/28/16 This permit application expires if a permit is not obtained ' 'n 180 days
after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
I:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB)
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Site Utilities Qty• Fee(ea) Total Square Footage: Permit Fee
Footing drain-151 100' 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' 37.52Valuation: i Permit Feer'
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
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
(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*.
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
Baptistry/Font Please check all that apply.
0 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 Than 0 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 OAR918-780-0040.
Eye Wash
Floor Drain/sink -2" Submit 2 sets of plans with any of the above.
-3"
Isometric or Riser Diagram
Car Wash Drain
0 Isometric or riser diagram is required for new buildings
Garbage -Domestic-non-food
Disposal -Domestic-food related that meet the qualifications above.
-Commercial-food related
-Industrial-food related
Ice Mach./Refrig.Drains
Oil Separator(Gas Station) Comments regarding fixture work:
Rec.Vehicle Dump Station
Shower -Gang
-Stall
Sink/Lav -Non-food related
-Bradley
-Commercial-food related
-Service
Swimming Pool Filter *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:\Users\ryanckruse\Downloads\PLMF PermitApp(1 1).doc 2
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13205 SW HAWKS BEARD ST, TIGARD,
OR, 97223
Record Type: Record ID:
Commercial - Plumbing PLM2016-00363
Inspection Type: Inspector:
399 Plumbing final Don Sylvester
Result:
PASS - NoCofO
Comments:
1 . Corrections for Bldg #4 are complete, interior plumbing - approved.
Violation Summary:
Inspector Contractor