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Permit (17) CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT Permit#: PLM2016-00334 and OR 97223 503.718.2439 13125 SW Hall Blvd.,Ti Date Issued: 05/03/2017 T t Ga :RL3 9 Parcel: 25101 DB01100 Jurisdiction: Tigard Site address: 7070 SW FIR LOOP Project: Tech Heads Subdivision: 72ND BUSINESS CENTER Lot: 13 Project Description: TI-ADD(1)shower,(1)dishwasher,(1)2"floor drain,(2)ice makers,(1)water closet;REPLACE(1)dishwasher, (3)lays,(1)utility sink,(2)hand sinks,(3)water closets and(2)urinals. Contractor: PMSI LLC Owner: LANFARM LLC 21195 NW EVERGREEN PKWY#204 7060 SW BEVELAND RD HILLSBORO, OR 97124 TIGARD, OR 97223 PHONE: 503-466-2222 PHONE: FAX: 503-466-2211 FEES Quantity Description Date Amount 2 ea Dishwasher 05/03/2017 $50.04 Specifics: 1 ea Floor Drain/Floor Sink/Hub 05/03/2017 $25.02 1 ea Hose Bib 05/03/2017 $25.02 Type of Use: COM 2 ea Ice Maker 05/03/2017 $25.02 Class of Work: ALT 3 ea Sink 05/03/2017 $75.06 Type of Const: 3 ea Lavatories 05/03/2017 $75.06 Occupancy Grp: 1 ea Tub/Shower/Shower Pan 05/03/2017 $12.51 Stories: 2 ea Urinal 05/03/2017 $50.04 4 ea Water Closet 05/03/2017 $100.08 1 12%State Surcharge- 05/03/2017 $52.54 Plumbing Total $490.39 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: /� Permittee Signature: fA(4Q✓ 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 Applica ' Building Fixtures �" � FOR OFFICF: 1'S: ONI,Y Received "�� City of Tigard �© emit No.: ( ge/e-00 '3 13125 SW Hall Blvd.,Tigard,OR 9 f 2Date/B :62017 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By. Other Permit No. �/„` II i G A R C� Inspection Line: 503.639.4175CITY OF Date Ready/By: mns BJ See Page 2 for temet: ww.tigard-or.gov �� Notified/Method.," 3 �� Supplemental Information - Af , 4 z-1 Pll;'ogw I IG DIVISION it-, .4 • SCHEDULE ❑New construction 0 Demolition For spectial information use checklist Description J Qty. I Ea. ( Total Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(I)bath 312.70 - SFR(2)bath 437.78 ❑ I-and 2-family dwelling 24''Commercial/industrial SFR(3)bath 500.32 ❑Accessory building 0 Multi-family Each additional bath/kitchen 25.02 0 Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION j; - Site utilities: Job site address: 6170 5L) e r L Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP: --1-- Manufactured fi a - ( ` d `x( a Footing drain(no.linear ft.:_) Page 2 Suite/hldg./apt.no.: Project name:-1-74,,,(2.)._, �+ 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 - - Backwater valve 12.51 DESCRIPTION OF'WORK Clothes washer 25.02 J 1,..4_ ; , -t +L-t,�a_YJ,.�+i. .}i .+ •fi- Dishwasher / a `7 25.02 5-(°y.0 s / (� w �- Drinking fountain 25.02 V t✓ A 0 ,Pf ///T Ejectors/sump 25.02 � � Gil'/ST � . .s. Expansion tank 12.51 PRUP1 ItCY OWNER I ❑ TENANT p Fixture/sewer cap 25.02 Name: Floor drain/floor sink/hub ,, I / 25.02 ta'.0',.. Address: - Garbage disposal 25.02 City/State/ZIP: Hose bib / I 25.02 g,ce.0..)-. Phone: ? -- Phone:( ) Fax:( ) Ice maker ,- ';Z,.. / 12.51 IV, 0 APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name: Medical gas(value:$ ) Page 2 Primer 12.51 Contact name: - Roof drain(commercial) 12.51 Address: Sink/basin/lavatory , (0 / 25.02 1519-1 ,. City/State/ZIP: Solar units(potable water) 62.54 pan - , Tub/shower/shower ,/ 12.51 )1.1 f Phone:( ) Fax::( ) � � 25.02 E-mail: Urinal , 0..„, a 5-}.041 Water closet -'I si, 25.02 _RIO,05 CONTRACTORWater heater 37.52 Business name: Pi iyi54- UC- Water piping/DWV 56.29 (j 'f, S-- , i..tW €1„),,c,(5.4.„1,„1„..„,_ ��,,may , _o_, s' Other: 25,02 City/State/ZIP: H 1I$6or i 01Z, 97/)y Subtotal 41.VI. S" Z } C,/ Fax:( �j ) 1./4„4.,... Minimum permit fee: $72.50 Phone: 5 { � �1�/ Plan review (25%of permit fee) CCB Lic.: icah ' - t Plumbing Lic.no.: M„.11,1)11 t3 State surcharge(12%of permit fee) ,$y Authorized signature;` - - y. ^' '-'4.-- TOTAL PERMIT FEE i„Icj() 39 Print name: ( ` ''��:1 ��9. Date: t-� 7 This permit application expires if a permit is not obtained within1180 days )ra t/1 ,k 't Pa 1 after it has been accepted as complete. bsv/a n o `Fee methodology set by Tri-County Building Industry Service Board. �M i' -S She S. , CO"" I.UluildinggPermits\I'MU-PermitApp doe 10/01/09 440-4616'x(10/02/COM/WEB) Plumbing 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-l' 100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100 37.52 2,001 to 3,600 $169.69 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 ' Total Other Inspections or Fees . each additional$100.00 or fraction thereof,to - Fee(ea) ta 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 (minimum charge-1/2 hour) each additional$100.00 or fraction thereof. 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. Baptistry/Font Bath -Tub/Shower i 0 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 0 New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780-0040. Dishwasher -Commercial 0 Medical gas and vacuum systems for health care facilities. -Domestic I /' 1 7' 0 Any multipurpose fire sprinkler system. Drinking Fountain 0 Any complex structure as defined in OAR918-780-0040. Eye Wash Floor Drain/sink ( 1 Submit 2 sets of plans with any of the above. , c:, - Isometric or Riser Diagram Car Wash Drain 0 Isometric or riser diagram is required for new buildings Garbage -Domestic-non-food Disposal -Domestic-food related that meet the qualifications 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 -Stall Sink/lay -Non-food related 5 v/ (g3 c.7/ c/ -Bradley eft,l/ --/v/. J -Commercial-food related related -Service \ V 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-'foilet 1 '-' 1-....''' fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fixtures: MABrandy\Forms\Perrnit Apps\City of Tigard Plumbing.doc 2 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 7070 SW FIR LOOP, TIGARD, OR, 97223 Record Type: Record ID: Commercial - Plumbing PLM2016-00334 Inspection Type: Inspector: 399 Plumbing final Don Sylvester Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor