Permit (33) CITY OF TIGARD PLUMBING PERMIT
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; . COMMUNITY DEVELOPMENT Permit#: PLM2016 00362
T[GA RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/20/2016
Parcel: 1 S 133AC 14500
Jurisdiction: Tigard
Site address: 13295 SW HAWKS BEARD ST
Project: Scholls Ferry Apartments Subdivision: Lot: 63
Project Description: Building 3-24 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: 1740 �� / .
Permi ee • ature: / /&.—..--
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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.
Plum' ig Permit Application s13 4-c /ti 5 . ,. , a _ . c
Buil g Fixtures FOR OFFICE USE ONLY
City of Tigard Received I
Plum ng Permit Application - City of Tigard
Page ilk Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Site Utilities Qty. Fee(ea) Total Square Footage: Permit Fee:
Footing drain-Is'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
Valuation: Permit Fee:
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
Other Inspections or Fees_ Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to
hand 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.
Bath Tub/Shower ❑ Any new commercial building with water service 2"and
-Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed
Car Wash -Each Stall engineer.
-Drive Thru 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 ❑ Any multipurpose fire sprinkler system.
Drinking Fountain ❑ 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.
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/Lay -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(11).doc 2
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13295 SW HAWKS BEARD ST, TIGARD, OR,
97223
Record Type: Record ID:
Commercial - Plumbing PLM2016-00362
Inspection Type: Inspector:
399 Plumbing final Don Sylvester
Result:
PASS - NoCofO
Comments:
1 . Corrections are complete, plumbing final - approved
Violation Summary:
Inspector Contractor