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Permit (14)
uCITY OF TIGARD PLUMBING PERMIT ° ' 2COMMUNITY DEVELOPMENT Permit#: PLM2017-00089 TIG.ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/16/2017 Parcel: 1 S 135BB00501 Jurisdiction: Tigard Site address: 10575 SW CASCADE AVE 100 Project: Biamp Subdivision: None Lot: None Project Description: Install(2)new hose bibs and(1)point of use water heater in men's restroom. Contractor: COMMERCIAL PLUMBING SERVICE Owner: ICON OWNER POOL 3 WEST LLC 21185 NW EVERGREEN PKWY SUITE 105 BY INDCOR PROPERTIES HILLSBORO, OR 97124 2 NORTH RIVERSIDE PLAZA, STE 235 CHICAGO, IL 60606 PHONE: 503-439-9999 PHONE: FAX: 503-439-1999 FEES Quantity Description Date Amount 2 ea Hose Bib 03/16/2017 $50.04 Specifics: 1 ea Water Heater 03/16/2017 $37.52 1 12%State Surcharge- 03/16/2017 $10.51 Type of Use: COM Plumbing Class of Work: ALT Type of Const: Occupancy Grp: Stories: Total $98.07 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: /J/����� � 4 `�© '— Permittee Signature: f,�« 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. Plumbing Permit Application Building Fixtures 1" r F ; FOR OFFICE USE ONLY City of Tigard {( Received ., p -Gra'?G? - i.., ` i` Y i'P 21-112 DateBy: .0 �C j/7 ""'"-... Permit NP4/1,24,7-7-Gra / �u 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit No.: T I GARD Inspection Line: 503.639.4175 (, , ,Date Ready/By: Juris. H See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information -;; , ,%, , ',-,-';'w-:;:,‘;.,.i r ,.,.., / 4, :" ...r/i r/5"%r 7 ., r, ,.,r.rr %';..?%//r. ‘r•-%,„: ;: % ,"",.:./"• fr , i ‘4',N 4', / ,,.,: 11 ? ; '4 ''‘-‘:%./ ✓,..,.. /� .//: "9 .� r 4:// :- air IliA�1/ %�' !<.%/�, ? i.Gi�96�;.;,///Lr� ��i��„✓i.;..r ; :; !�/ri lir r..:; �, ,�•:��ii,;:.. �o...%, ///ra,.r.!or/ : i;,,,,.,! ;:r,,,,.r,� .!,n.r,.:%, ..///G/L, ..a?i/i,,,,/�,. G,,rv/;Ga ...,:.,..v..‘,,,,,./J-..,:..,-....41-,„ %�:Vii: .,vim.....✓�ii ,o 0 New construction ❑Demolition For special information use checklist Description I Qty. I Ea. .I Total ®Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) TX, 137/17,"a ' .17 li,f,roZr;', :.i j7I.f .iii fir'r% '7,;%'4%e J/,/� ,z., v SFR(1)bath 312.70 z, �4%% ✓7/ ,.'4'./-4,// % ,..v- / %l off ✓ ,//2.;0,/iia ,,, ->✓m ////„..:; 0 1-and 2-family dwelling ®Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 V.:- % / ! , ;/; , / -•,@ ?a � j . , .a� / /i % Site utilities: 4% / r // ,1,: � /,:,/. / ,1r : 2 /Jl ,/ ,2.' ,,.:� /4L % .&2.. : Job site address:10575 SW CASCADE BLVD Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP:TIGARD,OR 97223 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: Project name:BIAMP Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision: Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 . %6i%%„i;'.,x %/ i% � , .:7A-f 9 ipk 'y, /.,:,v7:,:‘,77/,,,,/rl%„ v Backwater valve 12.51 ,,.ta.,50 21„.%r :, �„i, 4/:%//.,T. .1;44,vn',� , D/tit,'', ,;."./A,,'.'*,,':; %lis:/0/.:. .44: Clothes washer 25.02 INSTALL TWO NEW HOSE BIBBS INSTALLING A POINT OF USE Dishwasher 25.02 WATER HEATER IN THE MEN'S RESTROOM. Drinking fountain 25.02 Ejectors/sump 25.02 % �p�j/"er/ %., ,.."X",,,;',;%„70,:,,4,-,4,-",;--7;4‘71%, . . , %a!a r `/;I,'; :'` %' /// , Expansion tank 12.51 '0//r�rad / �, . %r �/// i�/� ��/ o'�,i%/Li,iii.`.!G/4//i/r '.!//� G,...%/:G, / a � �r� >�.�%� /i ! Name:TOM JASPER Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:10575 SW CASCADE BLVD Garbage disposal 25.02 City/State/ZIP:TIGARD,OR 97223 Hose bib 2 25.02 50.04 1•,-' I 2-538 Fax:( -Ice maker - -- -- --12.51 . _ /-/ : ',,;,.,";',4:„-.,7,35,;, ei / ,7 ./% /XlrrJi ?,� 2' 7/ st ar'. !/ i� Interceptor/grease trap 25.02 JV '/✓ ✓ ' .'Y'Jirai !% j;:�/ '�,� �,'ji.. ;/ % . .:r.. L� .. %:. �rr Business name:COMMERCIAL PLUMBING SERVICES Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:HEATHER FARMER Roof drain(commercial) 12.51 Address:21185 NW EVERGREEN PKWY,STE 105 Sink/basin/lavatory 25.02 City/State/ZIP:HILLSBORO,OR 97124 Solar units(potable water) 62.54 Phone:(503)439-9999 Fax::(503)439-1999 Tub/shower/shower pan 12.51 E-mail:DISPATCH@CPS-SERVICES.BIZ Urinal 25.02 .: .,. ,.r ; 3' ' iU` Iii Water closet 25.02% . / / : r /i,; j / %%.;/ r/!,: % .moi. ! c,' 'LI:.'' ,' . ',.;.6%.,t,:---a /,..&,.,r !/ %%.% Water heater 1 37.52 37.52 Business name:COMMERCIAL PLUMBING SERVICES Water piping/DWV 56.29 Address:21185 NW EVERGREEN PKWY,STE 105 Other: 25.02 City/State/ZIP:HILLSBORO,OR 97124 Subtotal 87.56 Phone:(503)439-9999 Fax:(503)439-1999 Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lic.:126015 Plumbing Lic.no.:37-421PB State surcharge(12%of permit fee) 10.51 Authorized signature: deidieze-t/104.2 TOTAL PERMIT FEE 98.07 Print name:HEATHER FARMER Date:3/14/17 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 10575 SW CASCADE AVE 100, TIGARD, OR, 97223 Record Type: Record ID: Commercial - Plumbing PLM2017-00089 Inspection Type: Inspector: 399 Plumbing final Don Sylvester Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor