Permit (40) IN
CITY OF TIGARD PLUMBING PERMIT
2 '. COMMUNITY DEVELOPMENT Permit#: PLM2016 00365
TWAR.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/20/2016
Parcel: 1 S 133AC 14500
Jurisdiction: Tigard
Site address: 13465 SW HAWKS BEARD ST
Project: Scholls Ferry Apartments Subdivision: HAWKS BEARD TOWNHOMES Lot: 63
Project Description: Building 1 -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: 60 ea Sink 09/20/2016 $1,501.20
36 ea Tub/Shower/Shower Pan 09/20/2016 $450.36
36 ea Water Closet 09/20/2016 $900.72
24 ea Water Heater 09/20/2016 $900.48
1 12%State Surcharge- 09/20/2016 $800.85
Plumbing
Total $7,474.57
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: -•rmittee Signature: � /C
"?for.02-7.-^-,01‹.,....
Call 503.639.4175 by 7:00 a.m.for the next available inspection ate.
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.
Plu bin
' Permit lication
Build
ing Fixtures
IN �< • 13125 SW ty of Tigard
Hall
Phone 503 Blvd. Ti .�
11 c, u I Inspection 718.2439 Tigard,OR 97223 '
Internet: n Line: 503.6345503 'th i t ' Date/By: FOR OFFICE
wkw.tigard or.gov , ,I *^� Pite/By - . CF USE
O�LI `�r��
®Ne nRa
T ,ica
j' Pe
New construction
TYPE OF WOgI{, ` � Date �_qn�'�, � rm;r No.:
❑Addition/alter r`> edii y �!_�'EJ�(�
atiOn/re ❑ D A • Nonfie ethod: Other per ��
.: _ mit
Placement � � I�� �, tt� � 7�
cur
`7 No.
0 to +tl i a `�! ®see Pa 7
1 C9TEGpRY OF C0� v t 'y Supple gel2 for . . .
and 2-family dwelling FEE. mental for
❑Accesso CTION Descri, SCNED LE mafion
IY building bon ForsPecigli U
500.32 Waft
nlormat on use checklist
❑Master ❑Commerc' 1\ew 1 2-familY dwepin
builder Ial/industrial SFR(1)bath gs(includes 100�
®Multi-family SFR ft•for Total
JOE
(2)bad -each utility co
Job site address: ❑Other: SFR(3)bath 312.70 connection)
SITE INFORMATION -
llesCItY/State/ — `WD I Each additional �_
® bath/kitcheallan-. e � Fire sprinkler age 2
Suite/bldg./apt. �iU��_ alla
alliiillft
�t" sq.fl) 25.02
Cross street/directions
treet/direc ' Project �� � Catch basin orifti
barea drain Page2DryWelledr'n h lneortrench drainalliii 187• (no.lineahaft ilila
18.76Manholes ome utilities! mno.; tobob5iteu1uIi.: jRain drai IIIIIIr
nconnectoaft Sanitasewer Storm s (no.linear(no.line allimi
arft:
ete plumbing for bldg
DESCRIPTION OF WoRK
Fixture°r ice(no.linear ft.: 111.
_) alla Page 2 .O i
tape Rif tem. �) Page 2
BacBackkwater
Page 2 alliiii
water valve
el PROPERTY �', Clothes washer -®—
Name:Rolland QUER
Dishwasher
ViaAddress:111 Deve►°pmet Drinking fountain ptli 25.02 _
1 Main St. 0 TENANT Elector 25.02 .Ud.
City/State/ ontnP •alli �'
Phone:
City/State/ZIP:Vancouver,WAExpansion tank 25.02 •_
(360)6947888 over 98660 Fixture/sewer ca - 25.02
Floor P m®
dral sin
Business r_ APPLICANT Fax:(360
name.•I APF )9050153 Garbage disposal lvhub 25 02 OO.a
Contact name: CH Krase Plumbing O Hose111111 _
n
C bib 25.02
AIR:Address: Ryan Kruse CONTACT PERSON ., � 25.02
5802 NE 88th St
Interceptor/grease
25.02 0'Y%%
allialitalnalla
Cit / Ptor/gree trap
Y State/ZIP:Vancouver,
,a Medical0,0
Phone:(360)5734337 over WA.98665 gas(value:$ ) 25.02
E-mail: Roof drain(co allarearillisalW.
rJan@ebkrsue tnmerci aftlft ®_
Fax:: Sink/basin/lavatory al)
(360)57353p3 asm//avatory
Business Solar units(pot
.1018
Hess name:CH
CONTRACTORTub/s able water)
Tub/shower/shower 25.02
Address:5802 NE 88St Kruse Plumbing
Pan 0/.a
City/State/ZIP: a !;ciosejIower
t
ft®62.54 _
Phone:(360 Vancouver,WA 98665 25 ys'O.
Pho
5734337 02 _
CCB Lic. 111654Fater Piping/D 25.02
F
Other: ' ift60,
Authorized signature. ax:(360)57353p3
56.29ea
�0•y.
Print name:C Ryan Kruse
jjnthinLic.no.:37296PB 02
25.
Krusell all
Minimum Subtotal _
m permit fee: $72.50 6 .7
I:IBuildinglPe Plan review (25%
rrnitslPL�per Date:6/28/16 State of
mitApP doc areview
permit fee)
loioliov surcharge(12%of
This Permit application TO Permit fee) �� Y..L
ation expires if TOTAL
not PERMIT Oa.,. >
440_4616T *Fee me after it has been a permit is FEE _r111��'
(1 oio2/CO'tii/wEBi tl'odolog3'set by s been ccnty g�d as
complete usky SC?(:)L11:
within- ���
Board.
Th
711.17
llun*bing 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-1"100' 50.03 0 to 2,000 $121.90
2,001 to 3,600 $169.69
Footing drain-each additional 100' 37.52 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
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
each additional$100.00 or fraction thereof.
(minimum charge-1/2 hour)
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
Please check all that apply.
PP y.
Baptistry/Font 0 Any new commercial building with water service 2"and
Bath -Tub/Shower greater,except systems designed and stamped by licensed
-Jacuzzi/Whirlpool engineer.
Car Wash Wash -EachStall
-Drive Thru 0 New exterior plumbing site utilities for any complex structure
as defined in OAR918-780-0040.
Cuspidor/Water Coirator
Dishwasher
i s shwashherer -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 that meet the qualifications above.
Disposal -Domestic-food related
-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 increase of sewer EDUs,a sewer permit will be issued and
Water Extractor fees assessed for the sewer increase must be paid before the
Water Closet-Toilet
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:
13465 SW HAWKS BEARD ST, TIGARD, OR,
97223
Record Type: Record ID:
Commercial - Plumbing PLM2016-00365
Inspection Type: Inspector:
399 Plumbing final Don Sylvester
Result:
PASS - NoCofO
Comments:
1 . Plumbing final for bldg #1 - approved
2. Note: snug up all water heater straps.
Violation Summary:
Inspector Contractor