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Permit (63) CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT Permit#: PLM2017-00032 13125 SW Hall Blvd.,Ti and OR 97223 503.718.2439 Date Issued: 02/15/2017 Tf �A 9 Parcel: 2S101 BA00600 Jurisdiction: Tigard Site address: 7700 SW DARTMOUTH ST 190 Project: Spec Space Subdivision: 1995-013 PARTITION PLAT Lot: 1 Project Description: Adding:(1)drinking fountain,(2)2"floor drains,(2)primers, (1)break room sink,(2)lays,(2)water closets&(1) water heater. Contractor: WESTERN PLUMBING Owner: WAL-MART REAL ESTATE BUSINESS TR 9460 SW TIGARD AVE SUITE 101 BY PROPERTY TAX DEPT STORE 5935-00 TIGARD, OR 97223 PO BOX 8050 ATTN MS 0555 BENTONVILLE,AR 72716 PHONE: 503-639-5296 PHONE: FAX: 503-684-9015 FEES Quantity Description Date Amount 1 ea Drinking Fountain 02/03/2017 $25.02 Specifics: 2 ea Floor Drain/Floor Sink/Hub 02/03/2017 $50.04 2 ea Primer 02/03/2017 $25.02 Type of Use: COM 1 ea Sink 02/03/2017 $25.02 Class of Work: ALT 2 ea Lavatories 02/03/2017 $50.04 Type of Const: 2 ea Water Closet 02/03/2017 $50.04 Occupancy Grp: 1 ea Water Heater 02/03/2017 $37.52 Stories: 1 12%State Surcharge- 02/03/2017 $31.52 Plumbing Total $294.22 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You ma obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: - Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. 01/30/2017 11:19 5036849015 WESTERN PLUMBING INC PAGE 01/02 ATt Plumbing Permit Applic i, CEIVLI" ' Building Fixtures l t)1; ()i i ii s' ? til U\1.1 JAN 3 0 2017 eeeived City of Tigard Da relBy: l /7 de l Permit Na.:,1L b�7-tbD3a ■ 13125 SW bail B1vd.,Tigard,O t Ian RCV1C1, ■ Phone: 503.718.2439 Pax: 5x Yi.: .,t Other Permit No Qol0(7 S Inspection Line: 503,639.41 �Tg r ; �R a Read/B / 13 See Page2 for Internet: www.tt$ardorgov Ull �.3DIVISI O. of a Sn edaeataIlat'ormation r1.p. A c Tem-rn Y•qr`:.r{ r 1, r r:r r r'r'r7{'r t .r1K ^rril ttrl. � ;'*T rr_;'r; 1r�s.l,I(1�,rs r,:r.: lorl r,;❑r i `i ' r dryr ,-yatai,'1E � , rrJ� J� I t a �))r rrr( ��I '$ �n ,�q ' 'ni; r 1 t e,i If ri i.i d frxf l rY ltir ... ,..r).�, >°:.,� e?i.i�;t_1 i t�•' "''li7.t. l'l r(.kExi F9,3° ,I.,.)� r f�M t! ,r �.i"`.. r .>s�pi�l ii_ m, in a� �.! I 1 h 'I t7 /6,,, 1 r 1}•r ,i ni.. !i r r, a I i` ❑New construction ❑Demolition For r era[In ornuadon use checkilsx -r - _Description NMI Ea, Total F ►•i Addition/alteration/replacement ❑Other: New 1-2-fami dwellings(includes 100 ft.for each utility connection) (' dlKy�rhl }F' �d rf r �:'r � I f 'irf�ltf 1rnlrGit�itt;l: SPg(t)bath //mow .,u: I:11-and 2-family dwelling 1154Commerciallindustrial SFR(2)bath , ' SFR(3)bath 500.32 • D Accessory building ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder ©Other: Fire sprinkler( _sq.ft.) Page 2 ISI,“t.+r r�r ,.r;} In ,r;1ArdY site ,v,k7 utilities Job site address: Catch basin or area drain 18.76 w set,' �cs1XI Dryweli,leach line,or trench drain 18.76 City/State/ZIP7, .fi '•\ • 41.• ;\ Footing drain(no.linear ft.:_r.) Page 2 Suite/bldg./apt.no.: Project name: t. [ : ;� 1 Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:�J Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft:_,) Page 2 Subdivision: _.. i Lot no,: Fixture or item: Q Backflow preventer 31.27 Tax map/Parcel no 5/0 64.00/6 L70 r i 1 ha 1 r rrr. !, t r N 9 t' ..f tt a'r(rdrrFt l!]'}rlt ,r .,i. Backwater Valve 12,51 25.02 Dishwasher 25.02 1\.:�1 13, 10 tlii.M..: . Drinking fountain 25.02 , (3 Ejectors/sump 25.02 }Ya CtQ,_�e t S. 1 tl+ r ��wSG ,!n r r P ti 1 f" nlif t2 D Y'1 Ft1 Y7 r � 5 li ^+, r kt t Expansion tank 12.51 UYk.0 1l��, 1-zv!.Qr 6�.Irl{rer;t•„474! •..dmt,lll it"✓{4.�`}i. il a„1Gk.I4,n7.rur8�rj'uPrrvxir rCli:�V4k�,,•frwmdl,ljl;'. P � Name: Fixture/sewer cap 25.02 Floordrain/floorsink/hub /). - 25.02 �c::_ Address: Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 I Phone:( ) Fax:( ) I Ice maker 12.51 ;�.�'r '/ ISI, ;1r:rrirY" >v r -� 9. 'rjX' '� r f�f� .r nlPNi r.!e r,p!rd fFrrvY f t �:rtf7f r 71�rryn.�.iSi (d:`F�rv �.LouM�,jlriiTr,.ri,a ;.r.!mi�Rur U,l.lai,l .�"�r .1•"tr,�ra1•+3>1i�..h,ry„ ,.l.r.mn�',"!rn')rFSxti rw. „• r1,1 l Ylt h tntCrDeptOT/�C0&S8 25.02 Business name: ., Medical gas(value:$ } Page 2 ',c, Primer a 12.51 A5.0.9-- Contact name: _ 11,4_\.bff4)./Th, Roof drain(commercial) 12.51 • Address;4/' t ��� _ _ : - 5ink/basin/lsir _ .t( ! avatory 25.02 City/5tatc/CIP- \ %! Ci Solar units(potable water) 62.54 Phone: Pax:: • ei - Tub/shower/shower pan 12.51 E-marl / 1 t L e �rl CO-kvt-) Urinal 25.02 ;7 4'. ,rr / +IN#., fTM' rr•"ri'' ;r W�,:r f- f^rl f;d r�',, Water closet 25.02 .vl.�tJT d !.•><I !,, 37.52 Business name:Western Plumbing,Inc. _ Water piping/DWV_ w 56.29 • Address:9460 SW Tigard Street,Suite 101 Other: / 25.02 City/State/ZIP: Tigard,OR 97223 j Subtotal 4. Phone:(503)639-5296 Pax:(503)684-9015 Minimum permit fee: 572,50 CCB Lie.:2439 Plumbing Lic.no.:3429PB Plan review (25%of permit fee) State surcharge(12%of permit 1e) ., 3i.CA Authorized signature: P (j e TOTAL PERMIT FEB � Date:,� /��-�.11 (:))11. This permit application expires if z permit is not obtained within 180 days ,' a#ter It has bock eeeepted as complete. "bee methodology set by Tri-County Building Industry Service:oard, a i:16uiidinglPenn t PLMU•PermltApp,doc 10/01/09 440 4616T(10/ /COMWnB) 01/30/2017 11:19 5036849015 WESTERN PLUMBING INC PAGE 02/02 Plumbing Permit Application - City of Tigard Page 2-Supplemental Information Fee Schedule: Residential Fare Su. 1 ression S stems: .! r • a !. ! i,• i . . f I ',,i',,,..',,,. ..:.-,'!:.--0",- - '-',- v ., 1 F.,ty el.,.yaiJr fl:tr�M a .t , . ne .r :E ,,�. ' I,J' S, Siri i ,i,,-',',•;,,' , .,3f'fir nil?i }; Footing drain-I"100' EN50,03 r!.. I 0 to 2,000 _ $121.90 Footing drain-each additional 100' _ 37.52 111111 2,001 to 3,600 $169.69 Sewer-1st 100' E 62.54 3,601 to 7 00 $733.20 - 7 01 and y-',r $327.54 Sewer-each additional 100' Water Service-1st 100' 62.54 Mil Medical Gas S stems: Water Service-each additional 100' 37.52 Storm&Rain Drain-1st 100' 62.54 111111111111 $1.00 to$5 000.00 Minimum fee 572.50 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 +"ltk 1,, 1 1! ,r, J c1" ,i ; ;, t S & "C"' r each additional$100.00 or fraction't ereof to r 9{ ,Z%*,4,h1, af , ,, ", ., .1.',.!...,!;i:'�!' II elh.'n..L:��4„ieiFi,IE'.3�FP�+'Y:, and mctudin;.$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 char: -1/2 hour) andrncludia $25 000.00. Inspections outside of normal business MI 90.00/hr - $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for hours(minimum eh: _e-2 hours each additional$100.00 or fraction thereof,to Reinspection Pas 11111111 90.00/hr and includin'$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$120 for minimum ehar:e-1/2 hourIIIIII each additional$100.00 or fraction thereof Subtotal: _ IIIIIII - i Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurate! re s ort fixtures could result in increased sewer fees*. ;, = ��ll I I :.t ,I Ctl 4 r z�op�F r es ,F^r �^x?'"..aa^ t + c!' it `ji::,:,'M ,t v ! ✓' r .- I T '4,,, t lY i i' It SSI+ c' !, '"!4 n.._:E k»w.. v L'cr.a ai,: I I 7 a S 1 t r n' ,T57774 r,�'' a r° ,P 9 71' +.,t i& �& 1 ,3,P t �� s�.�'9r���14,,`�6:�k��,��;�; n�,a �ti.! �. y r ;y�r t!.� Plan review is required for any of the following. Baptistry/Font Please check ail 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 ❑ New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspiratoras defined in OAR918-780-0040. Dishwasher -Commercial ❑ Medical gas and vacuum systems for health care facilities. -Domestic ❑ Any multipurpose fire sprinkler system. Drinking Fountain ] ❑ My complex structure as defined in OAR918-780-0040. .Eye Wash Floor Drain/sink -2" ,� Submit l sets of plans with any of the above. -3,' -4" ?4,4ir;l l F„vi 4, {ji1',1 ! } ! Hr"'h f - 11, , y1f ! I 91v4w'pp�' Car Wash Drain ,.. �:,;I::a{hA,i ,,.,,i,.;8,,;:, ;,;,- .,a,,,H,.o :,n„111...4:, 1.,4i r,1hP ,V4.4 ,,,at tMJ Garbage -Domestic-non-food ❑ isometric or riser diagram is required for new buildings Disposal -Domestic-food related that meet the •ualifications above. -Commercial-food related -Industrial-food related Ice Mach)itcfrig,Drains Oil Separator(Gas Station) Comments regarding fixture work: Rec,Vehicle Dump Station Shower -Gang -Stall Sink/Lav -Non-f---- ood!elated -Bradley -Commercial-food related -j -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 A fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be Issued. Other Fixtures. http://www.tigard-or.gov/city_hall/departments/cd/docs/PLMF-PermitApedoc City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 7700 SW DARTMOUTH ST 190, TIGARD, OR, 97223 Record Type: Record ID: Commercial - Plumbing PLM2017-00032 Inspection Type: Inspector: 399 Plumbing final Don Sylvester Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor