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Permit (53) i;1....-. CITY OF TIGARD PLUMBING PERMIT .' COMMUNITY DEVELOPM ENT Permit#: PLM2016-00546 T IG13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/31/2016 Parcel: 2S 101 DB00100 Jurisdiction: Tigard Site address: 7340 SW HUNZIKER RD 215 Project: TKG Subdivision: None Project Description: Relocating(1)sink and(1)dishwasher. Lot: None Contractor: WESTERN PLUMBING Owner: HILLTOP BUSINESS CENTER LLC 9460 SW TIGARD AVE SUITE 101 HUNZIKER LLC TIGARD, OR 97223 9430 NW KAISER RD PORTLAND, OR 97231 PHONE: 503-639-5296 PHONE: FAX: 503-684-9015 FEES Quantity Description Date Amount 1 ea Dishwasher 10/31/2016 $25.02 specifics: 1 ea Sink 10/31/2016 $25.02 22 ea Minimum Fee Adjustment- 10/31/2016 $22.46 Type of Use: COM Plumbing Class of Work: ALT 1 12%State Surcharge- 10/31/2016 Type of Const: Plumbing $8.70 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: rmittee Signature: .Ji... ..,‘ - ---". AG*Auku)(.........11( Call 503.639.4175 by 7:00 a.m.for the next available inspectio 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. 10/30/2016 09:11 5036849015 WESTERN PLUMBING INC PAGE 01/02 PlumbingPermtit Appli‘�_.t i . 'EPI Building Fixtures p()N of 3 1( r i'Ai. f)\i , City Of Tigard O l:r T 31 2016 Received : /,iihl MAIM , ..PeR..„a I°"/: A %1 u/b y N.__ gill N,.-xst■ 13125 SW tail Blvd,Tigard,OR 97223 Pian ReviwPhone; 503.718.2439 Fax: SI " ° iGs 1 »terOther Pernit No.: ", lli ,.,. Inspection Lina 503.639.4173" DoteB Sc.page 2 for: Internet: u gandorgi+ ', , f c NotfttecVMertiod $Y lament,-lnr '' i , 1 ,: Srg l`;i, i1 , 17",' i:7fir ion 0 New construction 0 )em iition For •'a!- ommtion we checklist Addition/alteration/replacement ❑Other Description Qty. Ea. Total 1 itio ',,T New 1-2.titmfl drvellin a includes 100 ft.for each utilityco � 1 w �S�llt' � i"ti ( connection) u 4.111... ,tl.,1 ,,:I:',1: ,_ . .;.' w I, ,,,,r s ;,i1t'v a tin ,., s'GI "r ,':3 ,,: SFR( )bath mg 312.70 0 I-and 2-family dwelling 1 Commercial/industrial SFR(2)bath 437.7$ 0 Accessory building 0 Multi-;Family SFR(3)bath 500-32 0 Master builder 0 Other: Each additional bath/kitchen 25.02 g lir ,: ,� Fire sprinkler �f ��'1�r E,i�i.4107:1t,:,,,,,'r,t �� � 4 f t h a<, �Ir X1,1 111 i1� i!� y-. sq.ft.) Page 2 1,,�.. _ {,: ii+rn r. , .,,,HI,,,t.,,,,'.1 i 4 h,,I.,y41 IF .1.? . Shire-- utilities: ...tlit es: Job site address:" jm, C� cat- ----,3 atch basin or area drain -� \\ ., �� r 18.76 City/State/ZIP: 1 ! (y Dryweli,leach line,or trench drain 18.76 >41iiiitkAIR ,1„ Ol Suite/b1dg./apt.no.: A Project name: Tied Footing drain(no.linear ft,;_) Page 2 Cross street/directions to job site: Manufactured home utilities 50,09_ Manholes 18.76 _ Rain drain connector 18.76 Sanitary sewer(no.linear ft-: ) v Page 2 Storm sewer(no.linear ft.: .,, ) Page 2 Subdivision: — Water service(no.linear ft.:_ __) page 2 Lot no.: fixture or Item: Tax map/paKpol no.: Backflow preve Iter 3127 d" p,1�ly,�SilY,� 7 } , jt j l V r ' , ?1 it I'I,� ,f i 4 r tlt q u„r l ,w ,.,�,.� s . ,;M s,l ,.a C) s Backwater varve 12.51 � �—' ii•w,v4l if671,Ti {.1 d\,1.1A'i 9a '#"�Ilai Clothes washer �25-02 — Dishwasher _ 25.02 ° u' A bAa,NotEr`- ..._ Drinking fountain µ 25.02 ;V ,, p.R','na tPYR9r v><N z�3urz ezj y 4' i Ejectors/sump .', zVtl,v Tl•,k° r,, ' } EX rlsion tank 25 5 7 f'!': Fly �l. !rvi Yl• /., �,":1.r. a ,.� P N 12.51 Name: Fixture/sewer cap 25.02 Address: . . Floor drain/floor sink/hub 25.02 Garbage disposal 25.02 — City/State/Z1P; • k . lose bib 25.02 -Phone ( ) Fax ( ) Ice maker 12.51' '' �oggg�' -7: ! :,,,i;,';„',, ,,;- xi ' ':',1,,,.,,,,: i y 1 r z interceptor/grease — 25.024 ^;;,'ai�Ag ,1, v JF l ,.1::.;,,',:::k'',:1-,: '" r •n:;o „ �4,5; ,.,�Io a:i ,; a . MdicasvaliT:s ess )_ Page 2 rime. I` I sa A . i la O it . � Primer 12,51Contact name: IlM `\, . Address: MRi +lj tr k SiRoof drain(commercial) 12 51 ( t 1 Sink/basin/lavatory City/State/ZIP: f '�' v, �. 25.02 i` "` Solar unitsr(potable wateIr�ir ��lit�. Fax=: w. _) _ Phone: " 62.54 •• ♦ ' _kms : f r ,rd ,/ Tub/s_ an hower/shower p ,., _ 1251 —Jrmal 25.02 . 25.02-E-mallrICC'' J , t a IL';'-4".' �i o "`;41-","4-7-if:: f• ,'4i7.:77,'1::,' 4 '` ifrIz z't4!"!1;-41A':, s ,: , Water 1drf ., ,, S: tlz`f, r �` .�,.CPn 1S x ;„yV� ..,',:: , Wsarheam. 37,52^Business name:Western Plumbing,Inc. Address:9460 SW Tigard Street,Suite 101 Water piPing/DWv 5629 Other: 25.02 City/State/ZIP:Tigard,OR 97223 --- , Phone:(503)639-5296 �. - Subtotal , Fax;(503)684-9015 Minimum permit fes S72.50 CCB Lic.:2439 Plumbing Lie-no.:3429PB— Plan review (25%of permit fee) Authorized signature: 4) LL 1 State sage(12°/0 of permit Print Warne: ` P► /J` )!,/,‘,16,, `��` , TOTAL PERMIT FEE cti `L � t ;ei .�f . Batays e This permit apptltation expires if a per�pdt i$not obtained within Inn d after it has been accepteda4 Mmplete "Fee methodology set by Tri-County Building Industry Service Board. 18wIdieslPermftalPLMU-PetrtitApp.doc 10/01/19 440-46161110/02/CO,ht/W6S) 10/30/2016 09:11 5036849015 WESTERN PLUMBING INC PAGE 02/02 Plumbin Permit A lication - City of Tigard Page 2 -Supplemental Information Fee Schedule: gyp,,;r� 7-''',-",-7., z���, '"; ;.5 , , , tF a ;..� , , 4 Residential. , 7", ' Fire Su, ression S stem Footingdrain- a 1 x ^' ..r.... E� „';,!,,19,,,Q,� �- . 1 00 �1 0 9 errs 50.0311111 ,,. ,i i ” ix. Footing drain-each additional 100' 0 0 2000 $121 90 ,',,:11';',..,•,.1'! Sewer•1st 100' �� 2001 to 3 600 , 62.54 3 ti0I to 1,4 $233.20 Sewer-each additional 100' 11.011111111 7 01 and= ater Water Service-Ist 100' Water Service-each additional 100' MIM 11• ',, , l Gas stems: Storm ec Ram Drain 1st 100 Storm Rata Drain each addition/100 $1.00 to$5 000.00 '•�{ Minimum fee first$ `^,-"•:,-.7;t4,77,' r $5,001.00 to$10.000.00 $72.50 for the first$5,000.00 and Si s2 for * .„, ` , ” ?,'i;' t, ..1 7 each additional$100.00 or fraction thereof,to Inspection of existing plumbing or for which no fee is existing specifically indicated $10,001-00 to$25,000.00 and.50foiu:510000.00. minimum.eh: L e-1/2 hour 90.00/hr $148.50 for the first$10,000.00 and$1.54 for Inspections outside of normal business �h additional$100.00 or fraction thereof to Inspe minimum ch: normal hours 90.00/hr . and7 i.50forte first 250. $25,001.00 to$50,000.00 $399.50 for the first$25,000.00 and$1-45 for hourReinspection Fees each additional$100,00 or fraction thereof,to 11111 90-00/hr Additional plan review for revisions and includin_�$50,000.00. minimum e v Fhour Mill90.00/hr $50,001.00 end up 5742.00 for the first 550,000.00 and$1.20 for Subtotal: �� each additional$100.00 or fraction thereof. Colmmercial fixture Wo iii: Are you capping,adding or replacing fixtures? If"yes", s" ' please indicate work performed by fixture. failure to accuratel re'ort fixtures could result in increased sewer fees*. yy � , y� �J.y{.7 :.�r :igir,��Y a� t�1 w l� 'ki f"•rrys l " 7, S n,xa ,l .7110, h ��,, ''.`x;,�'�,:,,,S07, ,, 0' i tx p i 4',f„T, . 74fn'"yLt.f' ,2 ^r' i f,,E""� a s .n� din %..F.�. I..,.....,'asi, id Ts,E�,i�k11.-�1i9`v;i�'54",,I,o.c 1„,.4.: .« t4,r'.^<r 2 01.NMr rcr �IiSn reV1eW IS � x r B.,•is• /Font requrred for any o1'the foilawin Bath -Tub/Shower � Please check all that apply, g 'Jacuzzi/Whirl �1 �� © My new commercial building with water service 2”and Car Wash -Each Stall �� mater,except systems designed and stamped by licensed -Drive Ttuu � � engineer. Cu .idor/WaterAs,irator ❑ New exterior plumbing site utilities for any complex structure Dishwasher -Commercial ��� as defined in OA,R918-780-0040. -DomesticCmr0 Medical gas and vacuum systems for health care facilities. Drinkin_Fountain .�` 0 My multipurpose fire sprinkler system. 0 Any complex structure as defined in 0A11.9I8-780-0040, Floor Drain/sink -2" MIMIIIIIIIIIIIMIMIIOIIII -3„3" Submit sets of plans with aqy of the above. ........" �'r Car Wash Drain11110.1111.=` " rf:',: T Garbage -Domestic-non-food •miummin r ° '� Disposal Domestic-food related ❑ Isometric or riser da '�.gs -Commercial-food related 11.111111.11111111111111.1. that meet the ualiflcaCoons above red for new buildings -Industrial-food related 111111.11.1.1111.1.111111 Ice Mach./Refri:, Drains 1111111.111111. 11111.1.1 Oil Se.orator Gas Station Ree.Vehicle Dum"Station Comments!tegardjng >ixture work: Shower -Gang -Stall Sink/Lav -Non-food related imimmo� -Bradley 111111.1_11.1..1111.111 -Commercial-food related 11.11111.mmollinli. -Service Swimmin_Pool Filter Washer-Clothes *Note: If the fixture work under this permit results in an Water Extractor Water Closet-To;tet �� increase of sewer EDUs,a sewer permit will be issued and 11.......111.. fees assessed for the sewer increase must be paid before the Omer Fixtures: milommummeplumbing permit can be issued. http://www.tigard-or.gov/city hall/departments/cd/docs/PLMF-1'ermitApt2doc