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Permit CITY OF TIGARD PLUMBING PERMIT N1 COMMUNITY DEVELOPMENT Permit#: PLM2017-00016 TI';A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/19/2017 Parcel: 2S110AB00200 Jurisdiction: Tigard Site address: 14363 SW PACIFIC HWY Project: Las Jaras Subdivision: CANTERBURY PLACE,AMENDED Lot: PTS 1-4 Project Description: Replace hub drain for meat case. Contractor: WESTERN PLUMBING Owner: BULL MOUNTAIN INVESTMENTS LLC 9460 SW TIGARD AVE SUITE 101 ATTN JERRY KOLVE TIGARD, OR 97223 14389 SW PACIFIC HWY TIGARD, OR 97224 PHONE: 503-639-5296 PHONE: FAX: 503-684-9015 FEES Quantity Description Date Amount 1 ea Floor Drain/Floor Sink/Hub 01/19/2017 $25.02 Specifics: 1 12%State Surcharge- 01/19/2017 $8.70 Plumbing Type of Use: COM 47 ea Minimum Fee Adjustment- 01/19/2017 $47.48 Class of Work: ALT Plumbing Type of Const: Occupancy Grp: Stories: Total $81.20 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility , ' «: -rater. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or. ect questions to 01 C by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Sig ature: Call 503.639.4175 by 7:00 a.m.for the next available .pection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. 01/17/2017 15:43 5036849015 WESTERN PLUMBING INC_ _.... _ _ _ _ PAGE 01/02 Flunnbin Permit Applicao> ' , i , -- - - Building .Fixtures City of Tigard [,,k ,a i li ; l' i (t.1.) N-- * I3125 SW Hal!Elvd.,Tigard,OR 91213 Received / /� Date/gy; ' 1/ Permit No,: 00,j/7'�Q/W Phone; 503.71$,2439 Fax: 1 .$9 . 40 / „s„ pl8n Review i[ l U Inspection Line: 503.639.4375 Date/Sy. Other Permit No.: Internet Www ngard or gov I l_ 1 °4 a x .V k ! , ! 'Yl li�. ,�it I�Q�I��'rir4£�' alc, , ,- t 1 '';:'7,1'''''''''.17, t +w r '//' .. si �5eePagelfar 1 �� �,'," ,.?�.Rkn 9�1,7{,.��';S'i� tr"'?„..�>�l `i ` i'�''11k,k i n'�1'l1z�r I'iii St "'°” ' 1171`,F)`':". 44� �p� ,, *z , Su mental Information t1.t.Z It v 1,1111,.Vvrt7l'�k41 ti,W,.al lir'1. 4. jrin l•r t + '11; �1 t r �l.1.- ! q ?t re, Q New construction tl6 r,r.,,,1.(,1 1 • li3 �, 1 7� Dennolition '''';'N‘';'.1/17',1',�l�util;l Addition/alteration/replacement}a Fors, „al in ormation usecherklist p �tI]Cnt ❑Other DCscti I ion 1-2-family MIIIIIRUI ��' 'i�lY� C#�,�t.i � ,R},It,,+-. rl '':,'-` ,77-',',‘',', a � ),._ New - tnily dwellings(includes 100 ft.for each Tatar V 1i 1 ft t M , p ``' ,M1' utility connection) i Yltta�°., �4 r,.1 o1v , 1 �r: td i rl R F Orr r ) 6a � r rWt;Mtl +qn>(�" f`}4`'tAr 0 1•and 2-family dwelling J �4t 312,70 ►v� Commercial/industrial ME ❑Accessory building 0 Multi-family SFR(3)bath 0 Master builder Each additional bath/kitchen 25 MI 02 yy k (� ©Other f i �ter 4'�u lld t yf�Y=7KSl ren "�lL v; ( �t ri/ r{.�,7 Ik Other 9 �{,i2��i y, Fire sprinkler 25 02 Mn3�1i ,r, 1nn �g�."I e r. , JI1 11 i {kt Cn T r., p (_. sq.ft.} e?1� 1 2'1 1-,v.,tA."1i 5 a.�.;t?it�11 1t luli�t� li ( 1,1li,1 MI Jab site address: • //‘ .,✓r.,,.,.iaa 1;�.[„�, Site utilities: / � � Catch basin or arca drain �� �, A Drywall,leach line,or trench drain 18.76 SuitJ IIIMICZEMME111 e/bidg./apt.nn.: Project name: Foaling drain(no.linear ft.; _ Cross street/directions to job site: ,' Manufactured home utilities 50.03 Manholes Rain drain connectorimm. 18.76 Sanitary sewer(no.linear R.:_, — MM Stutz sewer(no.linear ft.:__,,,, 111111102111.11111 Subdivision: Water service(no.linear R.: _) P e 2 Lot no.; Page Tax map/parcel no.: Fixture or item: `+` Backflow preventer 111111111331.1111111 MMIIIMINI I. �+ �,I�K.t�lra.d��a01t 1 �. i. , ”+t'{r iiyYppai' nP��1�i`r t[sl�l' Ff7 r W'd $17; 1 or11h?Y'1n re,i,,, ,n,ilud.trr,l'ieir tl tv, I+,i 1•1,11, i�M.,'441y� k f y 4+1•„t rltt, Clothes washer f 1 25.02 Mom lla M.. rr. .+ / Dishwasher 111111 252 r�1 Drinkinfbu P L, a main 11111125.002 t" Aur ,� .";.‘,:%77::,:', " \ ' Ejectors/sum 1. � rr rr `t h t� q P ��4�,r�,y im.ul.¢�dl 1ur�K r :��Ekr �.4.'.i�rt��N��+R11e:Q'+ip,!!��R�`tl�1,P tii�°4 t�1J�r�'r 1�i�� '�r i'1'F 25.02 11.111 ,1 A,,,7�f,61 ht rM1 Rhrf'l X14 HT1 �'r.�, uS'F iI1rCl r16�ta;,,: Name: ! Fixture/sewer cap Address:. 25.02 Floor drain/floor sink/hub �� 25.02 City/State/ZIP: Garbage disposal IIIII 25,02 Chane �� �4 Hose bib ��r 25,02 111111111 r „ k !:. � i 1"jTa1`�n !1 ,,,, 11v[',, 1Ii1 r'r u.;.,1Rt Ni ,t 1r miff „,,,,,,,;,,,;,;,,,T;,,,,,,,,-1: ,,x1 .k rw - ' ,.,,,,„ '.1N 1fflu a r'k,1 ' lnte!'ceptpr/gi'ea$e -p Business name. '" nrr •r�`' 1��' 25.02 MN MEM= 4�t .� �`,� a MecJicaf gas(value:$_ . ) Contact name: % Address: r ,. 1 �I � 41 Roof drain(commercial) r tatre City/State/ZIP—.4 a • Sink/basin/lavatory MI 25,02 Emmmi Solar units(potable water) REIM Phone:( , it II W,1 1 r Tub/shower/shower pan r 99 Eg( yµ ',',,.:7":'ectriorrespwrit • zs.oz immim tilP i, i s+#AN»if SiMI gh i 1,11 n ,i',,,.',),,, f x.17 r , /11,^.'77')'' 1t1Ci Gat 14, vnu,1tilr1„,, ;t rr t { i11P o f{rl, d 'MIt, mTU''-'471, Water closet M ..:, r..i ,• J,-' 1,.,1,! 1 ”' ,,3,k,g,I i41,cMji`a A{ 1 �,' inn 25.02 Business name;Western Plnrrtbing,Inc. u1,.vFr..+nnrr6,,1.,,,,r,, Water heater �� 111.11111 Address:9460 SW Tigard Street;Suite 101 Water piping/DWV 56.29 City/State/ZIP:Tigard,OR 97223 other ME 25.02 WEE Phone:(503}639-5296 Subtotal i Fax (503)684.9015 : 0�” Minimum permit fee: $72.50 41" -� �rl Plumbing Lio.no.:3429PB Plan review (25°%of permit tee)EMMEN C �„ Authorized signature: Are State surcharge(12%of permit fee) • Or, TOTAL PERMIT FEE 3` R1:, ':4_f:. Date: finn perms:application�: *V. r Thin PP expires if a permit is not obtained wit after it bas been accepted as wimple, "Fee methodology set by Tri-County Building in. ,BOdrd T is1Buildina�rnutanMil-P¢rmitApp.doc 10/01!04 �� �,.(J 440.4610T(10/02,/COM g[ 01/17/2017 15:43 5036849015 WESTERN PLUMBING INC __ PAGE 02/02 Plr robin Permit A lication - City of Tigard Page 2 -Supplemental Information Fee Schedule: } ' E; i { Residential Fire Su S . I ression S u✓ 5., 7_ + :,1��� -2,'"'-'.;''‘V, -1{'a 1 ,, , stems: Y,-'-' ,' eQtr , � A 3<i I�� Footing drain 1 100' . r, J4 I+ '7 t:'';"k I P .(. i+''t4'1,:.:' ',i..'1,;.1.1'''''' it - 1 I l q1... F 1 'E 'i'1 Pk 50.03 Footing dram-each additional 100' 0 to 2 000 a $121.90 I iOi Et,S �� 2 001 to 3 600 5233.20 Sewer 1st 100° 3 601 to 7 200 $233.20 Sewer-each additional 100' g.. 7 201 and_a-ater Water Service I si 100' Water Service-each additional 100' �liall� Medical,• Gas S Stems Storm&Rain Dram 1st 100' t ' Eli62.54MN $1 z . ° `{Ii 11' Storm&Rain Drain each additional 100' $1 00 w$5 000 00 by Minimum fee$72.50 l99"+'mi,r ii,:,' it, ,'t 1y „ , 17 ilff�li $5,001 00 to$10,000.04 $72,50 for the first$5,000.00 and 1.52 for I kYdwr�a+,,:-.7eCa< ,,.,,a -,..',.','-',',4,',:k'',','', r ' , d' f t, u"'I it i 11y +i each additional$100.00 or fraction thereof,to Inspection of existing plumbing or for and induct' :$10,000.00. $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$t•54 for which no fee is specifically indicated 90.00/hr 1111 minimum ch e-1/2 hour each additional$100.00 or fraction.thereof,to inspections outside of normal businessIIII 90.00/hand includin_$25 000.00. hours minimum charle r 2 hours) 1111 $25,001.00 to$50,000.00 $379.30 for the first$25,000,00 and$1.45 for Reinspection Fees OM 90.00/hr1.1111 each additional$100.0000. or Erection thereof,to Additional plan review for revisions 90.00/hr M $50,001.00 and u and.00 the first 500. minimum char. -1/2 hour? IIII p $742.00 for $50,000.00 and$1.2p for Subtotal: _MEM each additional$100.00 or fraction thereof Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture, !Failure to accurately re ort fixtures could result in increased '+t f' Y ` ° J a '.a, t tir�1t,Mo}^ , sewer fees*, y; y l''-;!1;46'l�M F 'q ,, d n. 7 I xf 1y1 w.�Ia'l fit FS � I ' + •a , Oktipgp1, nr;nl�` t,V,4,, f,,, 1 , up r.,- tr"—:r, ''�" { t t r ��s -(r-711 n� �k.v F x.k.. #7s 1EJ +10.1 t r 4 u 'H,+.�.14 p f r o - I ., 4 '`t d,'�S H�,a., ..' ,a, h14,;,-$r "` h'�", Plan review is required for any of the following,,, ,,. .,",,1;"A°3,% Baptistry/Font wrootla s" Please check all that apply, Bath -Tub/Shower ❑ Any new commercial building with water service 2"and -Jacuzzi/whirl,oal greater,excepts Car Wash Each Stall mYs ms designed and stamped by licensed -Drive Thur engineer. Cuspidodwatcr Aspirator 0 New exterior plumbing site utilities for any complex structure Dishwasher -Commercial as defined in OAR91$-780-0040. Domestic ❑ Medical gas and vacuum systems for health care facilities. Drinking Fountain - 0 Any multipurpose fire sprinkler system. Eye Wash - _ 0 Any complex structure as defined in OA918-780-4440, Floor Drain/sink 2'' 3 U1(� Submit 2 sets of plans with any of the above. -4.. ,I v ,.+ ,,� _ Car Wash — V-1Il Jp1�Pi y,e I1`✓I` 1+ 11 1,, , ash DrainAh,,,..:..,' 4 ff r F I «}iiyr y... Garbage - , Lff, l' ',,,,, ;,i,,-..,, ,...a E, c.0 i. ; FI,.V{01/ ,Jt p• g -Domestic-non-food • Isom�jc or riser diagram is required for new buildings"t ! Disposal -Domestic-food related - that meet the •ualifications 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 ,r -Stall Sink/Lav -Non-food related i - -Bradley -Commercial-food related -Service r - Swimming_Pool Filter washer clothes — *Note: If the fixture work under this permit results in an Water Extractor increase of sewer EDUs,a sewer permit will be issued and water closet-Toiler fees assessed for the sewer increase must be paid before the Urinal Oth-_ es Fixtures: --, _ _ plumbing permit can be issued. htip://www.tigard-or,gov/cityhall/departments/cd/docs/PLME-Permit pedoc 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 14363 SW PACIFIC HWY, TIGARD, OR, 97224 Record Type: Commercial - Plumbing Inspection Type: 399 Plumbing final Result: PASS- NoCofO Comments: Violation Summary: Inspector Tel: 503.718.2439 Inspection Date: Record ID: PLM2017-00016 Inspector: Don Sylvester Contractor