Permit (25) 11,•„ ,
CITY OF TIGARD PLUMBING PERMIT
Permit PLM2017-00215
COMMUNITY DEVELOPMENT
T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/08/2017
Parcel: 1 S 133AC 14500
Site address: 13285 SW HAWKS BEARD ST Jurisdiction: Tigard
Project: Scholls Ferry Apartments Subdivision: HAWK'S BEARD TOWNHOMES Lot: 63
Project Description: Community Building-Plumbing fixtures for pool area, (1)backflow preventer,(2)2"floor drains and(1)sink.
Contractor: CH KRUSE PLUMBING
Owner: KELLER HOLLAND TIGARD INVESTORS
1527 SE 104TH CT BY HOLLAND PARTNER GROUP
VANCOUVER, WA 98664
1111 MAIN ST STE 700
VANCOUVER,WA 98660
PHONE: 360-573-4337 PHONE: 360-905-0104
FAX: 360-573-5303
FEES
Quantity Description Date Amount
1 ea Backflow Preventer 06/08/2017 $31.27
Specifics: 2 ea Floor Drain/Floor Sink/Hub 06/08/2017
$50.04
Type of Use: COM
1 ea Sink 06/08/2017 $25.02
Class of Work: ALT 1 12%State Surcharge- 06/08/2017 $12.76
Type of Const: Plumbing
Occupancy Grp:
Stories:
Total $119.09
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
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon lawrequires expire if work is not started within the days of
Utility Not. _ '• Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. Youthe rulesadopted
may obtainacopy of thOregon
, rules
or dir: questions to •UNC by calling 503.232.1987 or 1.800.332.2344.
Iss ed By: /
Permittee Sign•
Call 503.639.4175 by 7:00 a.m.for the next available insp ion 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
RECEIVED FOR OFFICE USE ONLY
City of Tigard Received�, h Date/By:c/BY S /5/ / Permit No.: oye9.6j/7-{x pit T-
ill
�s 13125 SW Hall Blvd.,Tigard,OR 97111-AY 31 2017
Plan Review
C Phone: 503.718.2439 Fax: 503.598.1960Date/By Other Permit No,:
TIGARD Inspection Line: 503 639.4175 CITY OF TIGARD Date Ready/By: /_ / (/,t,l�y�J Faris See Page 2 for
Internet www.tigard-or.gov Notified/Method: (O (Q /7 % Supplemental Information
B i.L,QINQ DIVISION
'. TYPE!OF WORK F1 SCHEDULE
®New construction ❑Demolition Far special inforniallon use checklist
Description . 1 Qty. I Ea. I Total
❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEOItr,:o CONSTRUCITON SFR(1)bath 312.70
CI1-and 2-family dwelling LI Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 500.32
❑Accessory building • ®Multi-family
Each additional bath/kitchen 25.02
❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2
JOB SITE,1NFOI2MATION AND LOCATION Site utilities:
Job site address:13285 SW Hawks Beard St. Catch basin or area drain 18.76
Drywell,leach line,or trench drain 18.76
City/State/ZIP:Tigard,OR 97223
t-L-5 l¢ze y 4P7-: Footing drain(no.linear ft.:^) Page 2
Suite/bldg./apt.no.: l Project name: les Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
Rain dram 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: 1 Lot no.: Fixture or item:
Tax map/parcel no.;
Backflow preventer 1 31.27 31,27
DESCRIP,TIQN OF,WORI{ Backwater valve 12.51
,, .., Clothes washer 25.02
Plumbing for Community Building/Pool Deck j�u„v„`1'4..eS Dishwasher 25.02
(.1(..t: 1 Drinking fountain 25.02
Ejectors/sump • 25.02
•P.ROI'ERTY QWNER 0 TENANT Expansion tank 12.51
^ . �
Name: d0 {l(e1- '2 Fixture/sewer cap 25.02 9.404Floor drain/floor sink/hub 2 25.02 50.04
Address: \\\' (v141eJ 5.r• S' t'(E O
� Garbage disposal 25.02
City/State/ZIP: \iAl iL rL 041, c 666 Hose bib 25.02
Phone:(1(5 O)- e\DS'-a\O Li Fax:( ) Ice maker 12.51
VafeitREWO,:'MttAtMcitg::: :tgg:EVPM::E:v,ti:;:%rrCONTA cT PERSON Interceptorlgrease trap 25.02
Medical gas(value:$ ) Page 2
Business name:
Primer 12.51
Contact name:
Roof drain(commercial) 12.51
Address: Sink/basin/lavatory 1 25.02 25.02
City/State/ZIP: Solar units(potable water) 62.54
Phone:( ) Fax::( ) Tub/shower/shower pan 12.51
E-mail: Urinal 25.02
Water closet 25.02
CONTRACTOR`
Water heater 37.52
Business name:Kruse PIumbing Water piping/DWV 56.29
Address:5802 NE 88'h Street Other: 25.02
City/State/ZIP:Vancouver WA 98665 Subtotal /el&•53
Phone:(360)573-4337 Fax:( ) 3 7-9, 6,?a Minimum permit fee: $72.50 -------
CCB Lic.: Plumbing - Plan review (25%of permit fee)
�[f(p 5 Lie.no.:111651
State surcharge(12%of permit fee) / 7t%O
Authorized signature: TOTAL PERMIT FEE t/g•
Print name:Choncy Jones. t Date:5/30/2017 This permit application expires if a permit is not obtained within 180 days i(
after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
I:V3uildinglPrrmits�l'LMU-P°rmitApp.doc I0/01109 940-4616T(10/O2/COMAVEn)*� O�0 £� 2 IPat �R �-1 b 795
C Hhiu 1,11 71-7 baa1.a/ � i dle---
��bra1•A_)y -s 1-(-6 g- ' D'A-)L-
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13285 SW HAWKS BEARD ST, TIGARD,
OR, 97223
Record Type: Record ID:
Commercial - Plumbing PLM2017-00215
Inspection Type: Inspector:
399 Plumbing final Don Sylvester
Result:
PASS - NoCofO
Comments:
1 . Correction s for fixtures in pool area are complete, plumbing final approved.
Violation Summary:
Inspector Contractor