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Permit (19) CITY OF TIGARD PLUMBING PERMIT a.. . COMMUNITY DEVELOPMENT Permit#: PLM2017-00145 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/03/2017 T f 'a'�tt f� g Parcel: 2S 113AC01201 Jurisdiction: Tigard Site address: 7331 SW BRIDGEPORT RD Project: Ways and Means Oyster House Subdivision: COUNCIL VIEW ACRES(LOTS 1-20) Lot: 18 Project Description: Capping(2)2"floor drains,(3)3"floor sinks,(2)sinks&(1)water closet. Adding(1)dishwashers,(1)3"floor sinks,(1)ice maker drains,(2)primers&(2)sinks.Replace/relocate(2)dishwashers,(7)3"floor sinks,(1)ice machine&(9)sinks. Contractor: R A WARNER PLUMBING Owner: BV CENTERCAL LLC PO BOX 820785 ATTN: FRED BRUNING VANCOUVER,WA 98682 7455 SW BRIDGEPORT RD TIGARD, OR 97224 PHONE: 360-772-2490 PHONE: FAX: 360-263-5354 FEES Quantity Description Date Amount 3 ea Dishwasher 05/03/2017 $75.06 Specifics: 8 ea Fixture/Sewer Cap 05/03/2017 $200.16 8 ea Floor Drain/Floor Sink/Hub 05/03/2017 $200.16 Type of Use: COM 2 ea Ice Maker 05/03/2017 $25.02 Class of Work: ALT 2 ea Primer 05/03/2017 $25.02 Type of Const: 11 ea Sink 05/03/2017 $275.22 Occupancy Grp: 1 12%State Surcharge- 05/03/2017 $96.08 Stories: Plumbing Total $896.72 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: Call 503.639.4175 by 7:00 a.m.for the next available inspe tion ate. This permit card shall be kept in a conspicuous place on the job site unti''co, pletion of the pr•'ect. Approved plans are required on the job site at the time of each inspection. Plumbing Permit Application Building Fixtures RECEIVED Holz oFrl<'r. USE ()NIA City of Tigard Received ,/ , Date/By: 7 �'/7 k_ ,/ Permit No.: f /4,c`7..60`(/S 11111 I 13125 SW Hall Blvd.,Tigard,OR 97223APR 2 P 2017 ,low Phone: 503.718.2439 Fax: 503.598.19 Review ��n 00 1� Date/By: Other Permit No.: o�,e/2� T I G A R n Inspection Line: 503.639.4175 CITY OF Date Ready/By: Juris: H See Page 2 for Internet: www.tigard-or.gov TIGARD y o BotivG �! Notified/Method: Supplemental Information TYPE OF WO VISION FEE* SCHEDULE DK i New construction 0 Demolition For special information use checklist Description 1 Qty. 1 Ea. Total Kg-Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ❑ 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR(3)bath 500.32 ❑Master builderEach additional bath/kitchen 25.02 0 Other: Fire sprinkler( ,sq.ft.) Page 2 I JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 3,150T- , 1?tltAq�49?-atz-t+� ei Catch basin or area drain 18.76 ✓✓ O aDrywell,leach line,or trench drain 18.76 1 City/State/ZIP: ,�/� Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: Project name: • 1►t i t.4t . �Gdy-e- 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.: 5//3 C e, (a-p/ Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 c Clothes washer 25.02 a Ki..0 44.1.+\ L�0145ll t.,.I.Aa vt.00 Dishwasher 3 � " 25.02 , - + 1K,e,a ,-W (I©st.,,.1� c u..l%(� .(' , ✓✓'d-t O t3 Ami 3 Drinking fountain 25.02 Ejectors/sump 25.02 0 PROPERTY OWNER l 0 TENANT Expansion tank 12.51 ji II Name: Fixture/sewer cap 25,02 j9",12 ;11P.A �t. 25.02 ci 9 Address: e' Floor drain/floor sink/hub g Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice makerAt 12.51 A6-.,QZ APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name: fi,Q Vt . G�L /i _ . Medical gas(value:$ ) Page 2 V vrn.er' �/V� cf w Primer a 12.51 ag t(5?... Contact name: 3 e j, 04�k Roof drain(commercial) 12.51 Address: 70 G 4/6/3 1! Td 1� d( Sink/basin/lavatory 25.02 J1."1r�ft� City/State/ZIP: lel 14%5 ?©CO Solar units(potable water) 62.54 a+ Phone:(5:V )772- 'j' Fax::(366.1Ato A(73 q Tub/shower/shower pan 12.51 E-mail: �'GCW�v� �/®, isnaCd e 1" Urinal 25.02 Ute, Water closet CONTRACTOR • 25.02 �^ Water heater 37.52 Business name: g.a.. tom Litt C Water piping/DWV 56.29 Address: Q Gov_ 4i01..3 Other: 25.02 DO .444 City/State/ZIP: outs (,1,11- ` 13 Ca Subtotal Phone:(o) k-7') ,-)y*,, Fax:(A(fir !°0--(r/7� Minimum permit fee: $72.50 CCB Lie.: !5/3,z?., Plumbing Lic.no.: 37-52/ 7,(3 Plan review (25%of permit fee) State surcharge(12%of permit fee) „7„..8-:•C‘44' Authorized signaturef TOTAL PERMIT FEE r Print name: ja,i Nr� � Date:LI i 1 This permit application expires if a permit is not obtained witL. Fmk iafter it has been accepted as complete. ' / *Fee methodology set by Tri-County Building Industry Servic oaid. I:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(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-1St 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 Other Inspections or Fees Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to p 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 Baptistry/Font Please check all that apply. 0 Any new commercial building with water service 2"and Bathp -Tub/Shower -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 f`J ,_ '3 0 Medical gas and vacuum systems for health care facilities. -Domestic 0 Any multipurpose fire sprinkler system. Drinking Fountain 0 Any complex structure as defined in OAR918-780-0040. Eye Wash Floor Drain/sink 2" d A Submit 2 sets of plans with any of the above. F. 4„ drill S cot) 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 g, / / r Oil Separator(Gas Station) Comments regarding fixture wo/rk:: Rec.Vehicle Dump Station el) � -a G ,6� Gdt-�nlCzhower -Gang U -Stall Sink/Lav -Non-food related -Bradley -Commercial-food related g! -Service 4-2 i f - "1' ��Wyy►► 1 Swimming Pool Filter '� *r te: 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-ToiletMees assessed for the sewer increase must be paid before the Urinal �plu tng permit can be issued. Other Fixtures: 0 -- �t '� - -h''4'3 C:\Users\jmalo\Downloads\PLMF_PermitApp(2).doc2 c D , Accumulative Sewer Tally ■ Tenant Name: Ways and Means Oyster House SWR#N/A WARD Site Address: 7331 SW Bridgeport Rd PLM# 2017-00145 Parcel#: 2S 113AC01201 Fixture Value Previous Previous Credits Capped Fixture Fixture New New # value count capped#s value count added# added value total#s total values Baptisery/Font 4 0 0 0 0 0 Bath: -Tub/Shower 4 0 0 0 0 0 -Jacuzzi/Whirlpool 4 0 0 0 0 0 Car Wash: -Each Stall 6 0 0 0 0 0 -Drive through 16 0 0 0 0 0 Cuspidor/Water Aspirator 1 0 0 0 0 0 Dishwasher: -Commercial 4 0 0 1 4 1 4 -Domestic 2 0 0 0 0 0 Drinking Fountain 1 0 0 0 0 0 Eye Wash 1 0 0 0 0 0 Floor Drain/Sink: -2 inch 2 0 2 4 0 -2 -4 -3 inch 5 0 3 15 1 5 -2 -10 -4inch 6 0 0 0 0 0 -Car Wash 6 0 0 0 0 0 Garbage Disposal: -Domestic(to 3/4 HP) 16 0 0 0 0 0 -Commercial(to 5 HP) 32 0 0 0 0 0 -Industrial(over 5 HP) 42 0 0 0 0 0 Ice Machine/Refrigerator Drain 1 0 0 1 1 1 1 Living Unit 16 0 0 0 0 0 Oil Sep(Gas Station) 6 0 0 0 0 0 Rec.Vehicle Dump station 16 0 0 0 0 0 Shower: -Gang(per head) 1 0 0 0 0 0 -Stall 2 0 0 0 0 0 Sink: -Lav/Bar-Non-Food Related 2 0 0 0 0 0 -Bradley 5 0 0 0 0 0 -Com/Sery/Util-Food Related 3 0 2 6 2 6 0 0 Swimming Pool Filter 1 0 0 0 0 0 Washer-Clothes 6 0 0 0 0 0 Water Extractor 6 0 0 0 0 0 Water Closet-Toilet 6 0 1 6 0 -1 -6 Urinal 6 0 0 0 0 0 Previous EDU Count 0 0 Capped EDU Credit 0 TOTALS 0 0 8 31 5 16 -3 -15 Current Fixture Value -15 divided by 16= -0.938 Current EDU 1 EDU= $5,300.00 Previous Fixture Value 0 divided by 16= 0.000 Previous EDU Change -15 divided by 16= -0.938 over (under) $ (4,982.00) Enter EDU Change Here -0.940 * *Round EDUs to the nearest 1/100th: a count ending in.005 shall be rounded up to.01,and a count ending in.014 or less shall be rounded down to.01. Notes: ***CREDIT***REVISED SEWER TALLY 5/3/17:ADDED(1)COM DISHWASHER,(1)3"FLOOR DRAIN,(1)ICE MACHINE, (2)SERVICE SINKS;RELOCATED (2)COMMERCIAL DISHWASHERS,(7)3"FLOOR DRAINS,(1) ICE MACHINE,AND(9)SERVICE SINKS. Authorized Name/Signature:Debbie Adamski/Branden Taggart Date: 4/27/2017&5/3/2017 Building Division Note: The property owner shall retain the ORIGINAL sewer tally record. If credits exist,this document will serve as a voucher which must be submitted to the City of Tigard Building Division to redeem credits towards future system development charges. I:\Building\Sewer Tally\SewerTallySheet_5300_070116.xlsx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 7331 SW BRIDGEPORT RD, TIGARD, OR, 97224 Record Type: Record ID: Commercial - Plumbing PLM2017-00145 Inspection Type: Inspector: 399 Plumbing final Don Sylvester Result: PASS - NoCofO Comments: 1 . Corrections are complete - plumbing final approved Violation Summary: Inspector Contractor