Permit (64) CITY OF TIGARD PLUMBING PERMIT
IIIIN COMMUNITY DEVELOPMENT Permit#: PLM2017 00223
T[GAZA D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/08/2017
Parcel: 1 S 133AC 14500
Jurisdiction: Tigard
Site address: 13285 SW HAWKS BEARD ST
Project: Scholls Ferry Apartments Subdivision: Lot: 63
Project Description: Backflow preventer installation for irrigation.
Contractor: DESANTIS LANDSCAPES INC Owner: GRABHORN, BURTON E ESTATE OF
7907 SW STATE ST 14577 SE ANDERSON RD
SALEM, OR 97317 CLACKAMAS, OR 97011
PHONE: 503-364-8376 PHONE:
FAX:
FEES
Quantity Description Date Amount
1 ea Backflow Preventer 06/08/2017 $31.27
Specifics: 41 ea Minimum Fee Adjustment- 06/08/2017 $41.23
Plumbing
Type of Use: COM 1 12%State Surcharge- 06/08/2017 $8.70
Plumbing
Class of Work: OTR
Type of Const:
Occupancy Grp:
Stories:
Total $81.20
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:
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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.
06/08/2017 THU 13: 33 FAX 8t-t4.1.10
capes l001/0O3
, aPIambin Permit Application
Site Utilities J U N $ 21117
City of Tigard •r
!� Received Permit No.
71
Jer 13125 SW Hall Blvd.,Tigard,OR 97213 T p i OF, i ,/- 9N n Revier�/� /7 �
`rl.,/�DQ„;z23
Phone: 503.718.2439 Fax: 503.5 7.>, .„.,.,..,,,,Q11try_ Other Penni(ticf':20/5-Q0S
I `Ic,I.l Inspeotion Line: 503.639.4175 A it 1 J !J ie Ready/By ludas RI See Peg.2 for
Internet: www.tigard-or.gov NotificdlMcthod; 8 , leinmetel information
®New construction 0 Demolition for:pedal lrVbrmalIon use checklia
Desori tp ion [ Qty. I Ea. I Total
❑Addition/elteration/replacement ❑Other: New 1-2-11imily dwellings(includes 100 ft.for each utility connection) ,
.11 , 1 1 : 'II .1.r SFR(L)bath 312.70
❑ I-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 500.32
❑Accessory building CO Multi-family
[j Master builder ❑Other: Each additional bath/kitchen 25.02
Fire sprinkler C..__sq.ft.) I Page 2
::i :I: , ,:11:: ,; : I: I; 1,,;; 1,,t: Site utilities;
Job she address:13285 SW Hawks Board Catch basin or area drain 18.76
Drywell,leach line,or trench drain 18.76
City/Stete/ZlP:Tigard,Oregon 97223 Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt,no.: I Project name:Sygnii Tigard apartments Manufiictured home utilities _ 50.03
Cross street/directions to job site:SW 135"at and Scholia Ferry Rd 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: I Lot no.: Fixture or item;
Tax map/parcel no.: Backflow preventer 1 31.27 l _.-
Backwater valve 12.51
III :'.il'. I 11'3 „I; ,: d::,..
Clothes washer 25.02
Backflow device installation Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
I i •1 'i,),1 ' .I�' , 1 , , I Expansion tank 12.51
Name: Fixture/sewer cap 25.02
Address: Floor drain/floor sink/hub 25.02
Garbage disposal 25.02
City/State/ZIP: Hose bib 25.02
Phone:( ) Fax:( ) Ice maker 12.51
if 11 I I 11 il Ill:. ,., Interceptor/grease trap 25.02
Business name:Desantis Landscapes Medical gas(value:I ) Page 2
Primer 12,51
Contact name:Dwight Fisher ,
Roof drain(commercial) 12.51
Address:7907 State et Sink/basin/lavatory 25.02
City/State/ZIP:Salem,Oregon 97317 Solar units(potable water) 62.54
Phone:(303)364-8.376 Fax::(503)36443064 Tub/shower/shower pan 12.51
E-mail:dwightf@desentialandscapes.com Urinal 25.02
nal`; n Water closet 25.02
Water heater 37.52
Business name:Same as above _ Water piping/DWV 56.29
Address: ,j Other: 25.02
City/State/ZIP: _ Subtotal I�
Phone:( ) Fax:( ) Minimum permit fee: 572,50 72.50
Plan review (25%of permit fee)
CCB Lk.:146197 Plumbing Lie.no.: ----- -
ot ` `_ r- State surcharge(12%of permit fee)
Authorized signature: 'ed "1,+►ryvA`1� ^a�wY�"_� TOTAL PERMIT FEB 81.20
Print name:Dwight Fisher E Date 6/5/17 This permit application capias it a permit is not obtained within 150 days
after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board,
1:1BulIdIn5VrormitelPLMU-PermieApp.dut 10/01/09 4404616T(10aas/COMIWBB)
06/05/2017 MON 11: 10 FAX 5033648064 oeSantia Landscapes a001/003
Plumbing Permit Application
a
• Site Utilities
City of TigardGIES\1V Reea � -.. Pennh r(o.: .
u 13125 SW ball Blvd.,Tigard,OR patceierey: & 1 / j - /® „x}/ �-c.
Plan Review
Phone: 503.718.2439 Fax: 503 960 ) V 1 ate/By: Other Permit No.: 4140 i j-ci321
I
�; Inspection Line; 503.639.4175 `v Data Reedy/ey: ®See'rPage 1 for �J
Internet: www.tigard-or.gov J Date fa;d/Mcthod: 8 Iemeafat Intowution
•
®New construction I� For special ltfor nasion use checklist
i Description (try. 1 Be. 1 Total
❑Addition/alteration/replacement 0 Other: New 1-2-farofo
y dwelliu�s(includes 100 ft.for each utility c nnection).
r :, ,.i i I L ,, . r: ,,,' SFR(1)bath 312.70
o 1-and 2-family dwelling 0 Commercial/industrial SFR(2)b 11 437.78
"-' SFR(3)bath 500.32
4,(\ 0 Accessory building ®Multi-family Each additional bath/kitchen 25.02
0 Master builder 0 Other: Fire sprinkler( sq.ft.) _ Page 2
N :1: ':Y r.i,, . 1 ir,r,' 'i; 1 .1 1,11 Site utilities:
Job site address:13285 SW Hawks Beard
Catch basin or arca drain 18.76
\. City/State/ZIP:Tigard,Oregon 97223 Drywall,leach line,or trench drain 18.76
S tt i CS 0 yy Footing drain(no.linear ft.:__) Page 2
Suite/bldg./apt.no.: I Project name:$lgtdI FIgard apartments Manufactured home utilities 50,03
•
Cross atreet/dlrectiona to job site:SW 13311'at and Scheib Ferry Rd Manholes 18.76
Rain drain connector 18.76
cl,s.‘
Sanitary sewer(no.linear ft.: Page 2
Storm sewer(no,linear ft.: ) Page 2
Water service(no.11near ft.: Page 2
Subdivision; Lot no.: --
FJxtare or item:
Tax map/parcel no.: t3ackflow prevents/ 1 3127 1
Backwater valve 12.51
`... Clothes washer 25.02
Backflow device installation • Dishwasher 25.02
. Drinking fountain 25.02
-
Ejectors/sump 25.02
Expansion tank 12.51
a
Name: Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address: Garbage disposal 25.02
City/State/ZIP: Hose bib 25.02
Phone:( ) Fax:( ) Ice maker 12.51
Interceptor/grease trap 25.02
c\ Business name:Defiantls Landscapes
Medical gas(value:S ) Page 2
Primer 12.51
Contact name:Dwight Fisher
Roof drain(commercial) 12.51
Address:7907 State 9t
Sink/basin/lavatory . 25,02
e
City/State/ZIP:Salem,Oregon 97317 Solar units(potable water) 62.54
Phone:(503)364-8376 Fax::(503)3644064 Tub/shower/shower pan 12.51
-
4 E-mail:dwlghtfta desantislandseapes.eom Urinal 25.02
Water closet 25.02
-
Water heater 37.52
Business name:Same as above
- Water piping/D W V 56.29
Address: •
Other: 25.02
City/State/ZIP: Subtotal 1
Phone:( ) Fax:( ) Minimum permit fee: $72.50 72.50
Plan review (25%of permit fee)
CCB Lia:146197 Plumbing Liu.no.:
State surcharge(12%of permit tbe)
Authorized signature:
TOTAL PERMIT PEE 81.20
Print name:Dwight Fisher Date:6/5/17 • This permit application expires if a permit ie not obtained within IBS days
-
after It has been accepted aa complete.
'Fee methodology eel by Tri-County Building Industry Service Board,
I But!dins\Ptrmue\PLMU-rcrmI1App.auc 10/01/09 440-4616T(1o/0a/COM/wEs)
06/05/2017 MON 11: 11 FAX 5033648064 oeSantis Landscapes iit002/003
Plumbing Permit Application - City of Tigard
Page 2-Supplemental Information
Fee Schedule: Residential Fire Su' .ression S stems:
1 �� ; �,
';ii�. 1
lit 1., 1,,; ,(011..1 '.:i.1i 1 . h,'1
Footing drain-1"100' 50.03 _ 0 to 2 000 $121.90
Footing drain-each additional 100' M 37.52 - 2 001 to 3 600 $169.69
Sewer•let 100' 62.54 3,601 to 7,200 $233.20
7 201 and -ater $327.54
Sewer-each additional 100' _ 37.52
Water Service-1st 100' 62.54 Medical Gas S stems:
Water Service-each additional 100' 37.52 1
Storm&Rain Drain-1st 100' 11111111 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
",i,, 1 , 1 i each additional$100,00 or fraction thereof,to
1 and includm:$10,000,00.
inspection of existing plumbing or for $10,001.00 to$25.000.00 $148.50 for the first$I0,000.00 and$1.54 for
which no Ibe is specifically indicated 90.00/hr each additional$100.00 Or fraction thereof,to
minimum cher_ -1/2 hour ■ ■ and includin:.$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 chs :c-2 hours each additional$100.00 or fraction thereof,to
Reinspection Fees 90.00/hr and inoludin•$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 char:e-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
accurate! re ort fixtures could result in increased sewer fees*.
Plan review is required for any of the following.
Be 0 tie /Pont --- Please check all that apply.
Bath -Tub/Shower MIMI 0 Any new commercial building with water service 2"and
-Jacuzzi/Whirl'out greater,except systems designed and stamped by licensed
Car Wash -Each Stall IIIIIIIIIIII engineer.
-Drive Tluu -_-_- in New exterior plumbing site utilities for any complex structure
Cus.idor/Water As hater as defined in OAR918-780-0040.
Dishwasher -Commercial --- 0 Medical gas and vacuum systems for health care facilities.
-Domestic .-. 0 Any multipurpose fire sprinkler system.
Drinki , Fountain --- 0 Any complex structure as defined in OAR91 t3-780-0040.
E e Wash Min
Floor Drain/sink -2" -- Submit 2 sets of plans with any of the above.
-3" ---
Car Wash Drain • Isometric or riser diagram is required for new buildings
Garbage -Domestic-non-Ihod
--
Disposal -Domestic-food related --- that meet the •ualifteations above.
-Commercial-food related -
-Industrial-food related ---
Ice Mach./Refri_,Drains -_
Oil S arator Gas Station Comments regarding fixture work:
Rec.Vehicle Dum.Station --
Shower -Gang --
-Stall ---
Sink/Lav -Non-food related ---
-Bradley --�
-Commercial-food related -�-
-Service -T .
Swimmin:Pool Filter *Note: If the fixture work under this permit results in an
Washer-Clothes === increase of sewer EDUs,a sewer permit will be Issued and
Water Extractor
Water Closet-Toilet fees assessed for the sewer increase must be paid before the
Urinal MIMI plumbing permit can be issued.
Other Fixtures: ---
http://www_tigard-or.gov/document_center/B uilding/PLMU_PermitApp.d2c
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 PLM2017-00223
Inspection Type: Inspector:
399 Plumbing final Don Sylvester
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor