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Permit (69) CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT Permit#: PLM2017-00247 Date Issued: 06/22/2017 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S134AD06201 Jurisdiction: Tigard Site address: 10450 SW NIMBUS AVE RA Project: Spec Space Subdivision: IKOLL BUSINESS CENTER,TIGARD Lot: 3 Project Description: Install pump at elevator pit. Contractor: JAMES ROOD PLUMBING INC Owner: ROBINSON,JERRY CHRISTOPHER TRUS 125 S 1ST AVE#542 ROBINSON, MICHAEL WILLIAM HILLSBORO, OR 97123 HANSON, RONALD D ET AL 203604 EAST FINLEY RD KENNEWICK,WA 99331 PHONE: 503-547-0491 PHONE: FAX: 503-547-0492 FEES Quantity Description Date Amount ea Ejectors/Sump 06/22/2017 $25.02 Specifics: 1 12%State Surcharge- 06/22/2017 $8.70 Plumbing Type of Use: COM 47 ea Minimum Fee Adjustment- 06/22/2017 $47.48 Plumbing of Work: Class ALT 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: '(/),44Permittee Signature: / /9L./(7�.77d , J Call 503.639.4175 by 7:00 a.m.for the next available inspection date. �l 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. Plumbine Permit Application Site Utilities � FORc�rric l: l SL c)NL.v Received / • /7-Z L`? City of Tigard may, �,//� /"2 �:'' Permit No,: � 13125 SW'tial)Blvd.,Tigard,OR 97223 pian Review Phone: 503.718.2439 Fax: 503.590:,.. 1 9 LAI 17 Dale/By; Oder Permit Nft, ,�• yds/�,' Inspection Line: 503 639.4175 for I I C. i+n U. . e dMo .::. / rune; 2 Internet www t1gard-or gOv CITY Date � � � a► Su plem obI nfoot h, a •A �Ifi ', 'i 1 �i1 '-` ":;t--,..',,,T ``V.1.11 l N� i"d' ' tI, 7 : P ,i, , .5°Kf c,: ,';,',.;',i, I , ,i I t', i ip 1 :.l i i.i r Mi1 1 �,ip, { <,1v .:".., 1 ,,,,,, 4t zeknfr1' .otl ie,Atn.,,,:i,f`,..d6:,- ..:r.,::L,-, ,,,., lt,‘,„ 1 ..W -.„,,.a,. ,,,,„.-_�.:...,... ,... .1,u. ,,,,.p...., r,:. .,. . , g : _. -,. " , ❑New construction ©Demolition For special information toe checklist Description I Qty. I Ea. J Total '.' Addition/alteration/replacement 0 Other: New 1-2-famlly dwellings(includes 100 ft.for each utility connection) '' T-, ,, }• 4, 2kt I ,r1j:.3, ` ',. Jt 4.i � i n ) ' 'ilhi efil s SFR(1)bath 312.70 N. I Corntnercial/industrial SFR(2)bath 437.78 El 1-and 2-Family dwelling SFR(3)bath 500.32 ❑Accessory building 0 Multifamily Each additional bath/kitchen 25.02 ❑Master builder 0 Other: _Fire sprinkler( sq.ft.) Page 2 1y}t� ! ti l Int t t 1 �:.. 1 I {) fat{ a'l� ,Y v),.:,��� a �;1'�j'� c, i t "I Site utilities: Atit,j,l`; ,S ii Is.{'tti 14,t,.. �'I. ,,,. ,':a4.i.i: �-'*'4''iir T1: rid C'JJ' t'''0 4`' ,� a.5 ..y - - Catch basin or area drain 18.76 Job site address. la V 58 KW ti i 0-%,, LI,S CAAi Drywell,leach line,or trench drain 18.76 City/State/ZIP: ," nt---- Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no-:Jip..4-711 Project name:cClt.4 k Ate. ,j Manufactured home utilities 50.03 Cross street/directions to job site: 04- Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:,_J Page 2 - Storm sewer(no-linear ft.:_) Page 2 Water service(no.linear ft:,,,_,,,,,J Page 2 Subdivision: 1 Lot no.: Fixture or Item: . Backflow preventer 31.27 Tax map/parcel no.: 9=..• < ty 1<i, ,-4.',-..j.,,,;;;„1-,,�� .t i",-',4-', 7 4K1, 1 4;Est iii,'� It '4: i,, ,-: Backwater valve 12.51 {�,s}) IY' POtt Ir-,oni \tl AK RI t tr t) lC , , 1 tz'Ir' "Y i.t 40 /83,t.git,t).r:,,...h,Aif.r,,,) i ?,: a,.irni~,.. 4,,,,,',.r_.,o_424'5... '"_ <,.,ar1 .t u11GS:�l1, .,.,. . "'i.. Clothes washer 25.02 _ ,S' f pLiNo e_ .tl'it i ' Dishwasher 25.02 [kinking fountain 25.02 Ejectors/sump pr,Vr,.X'cv Ply' / 25,02 _1_S,a,L.. : yi'i.n4, � i; c+�,`� Q51 ry,f„ EaflStOnT81CWinn, es7- zrf?na;ny0 iit> MI13V ..t.i Sy:1 ;11.t(47,il v,!,1 vd`)t }r Xp 12.51 " l %. s°..n.y.,,-,,t> ...,r2, .a. ..2 !;,,,..-0, 1+ .n,a .,.A. .,.ii.. ,,.. r,a Fixture/sewer cap 25.02 Name: 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 11 ': sr m , t 1, a1cC1 i ' e 1,ii+ps'0,,,.4.-4;-,41'', :,'n ,t t Interceptor/grease trap 25.02 44iµ ,?; ft � lt( q tR1',I.A+6v , ?-.,',4,,t-,, at :,..-4-',.;,: xrri.� Medical gas(value:S ) Page 2 Business name: Primer 12.51 Contact name: _ - Roof drain(commercial) 12.51 Address: Sink/basin/lavatory 25.02 City/State,/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax::( ) Tub/shower/shower pan 12,51 , Urinal 25.02 E-mail , . .. . � . . 2 ., . WBteTCl)Set 25" 02 .,''..,.,.,, b�' I a u17 ''rt1Q, ) r; ,P r , '' w• n - 91....ri3 ,#g'7:' 1 17u .. .kI'til5?iA4, LieitL ...,.,. l S11vr,,, 14'..;° 1t.. .»,f`, Water',cater 37.52 Business name: `Ic+ S411'.$d piLhA�, , Water piping/DWv 56.29 Address: I /yam �[. .4»/ Other: 25.02 City/State/ZIP: /111/4 6y8 CyNee 97 424,7 Subtotal A-5_o 2✓ Phone:cs6-- . ) x --e)Y Fax:(Tc'0) ) c?-6 9 62.-- "' - I+,Iinimum permit fee: $72.50 7.,),-S 0 Plan review (25%of permit fee) CCB Lic.: i$ 70�/ w. Plumbing Lic-no.:PO.-c1Jr' State surcharge(12%of permit fee) a ,7o Authorized signatur- I� / p,TOTAL PERMIT FEE , ,02 a i ! This permit application expires If a permit is not obtained within 180 days Print name: Date:,6` after it has been accepted as complete. !!r *Fee methodology set by Tri-County Building Industry Service Board. t;03di16084P2rmitsql_MU-PenaitApp.dac 10/01109 440-4616T(10/02/COb/tW a) Plumbing Permit Application - City of Tigard Page 2 -Supplemental Information Fee Schedule: Residential Fire Su r t ression S stems iI.. *} 2K„gb }r7-7,, 417.4 -1: is P' 7y{T ti: M � a .z ,�,,, r ,hr. -Li,:{,* r.'„ , i' fg, ::•$ �.t } }� -y 1.g „•a.«ir.. rri',.. r;.,.,. .a$.04-,�,.,.t rt,.,� ..-,;,.'n-.,, �.�ti.. ..,d,r, ki; >.R.o1,it ♦il.:i, Footingdrain-1"100' 50.03 Oto 2 000 $121.90 2p01 to 3600 $169.69 Footing drain-each additional 100' 37.52NEM , $233.20 7,601 7,200 Scwer-1st 100' IIA��= and 7 01 and:+ .,r $327.54 Sewer-each additional 100' MIIIMIIII Water Service-1st 100' 62.54 IM Medical Gas Systems: ,t1 t ;tj��t { .. , SQ eU Water Service-each additional 100' h ' r ';;t-, °r i ri, 41 ii.i i ,'.:;,;,;...+;r t+ ) 4t k°�: ',1" :4 Storm&Rain Drain-1st 100' INE11111111.1 $1.00 to$5,000.00 Minimum fee$72,50 Storm&Rain Drain each additional 100' $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for ' U`,v ; n r ��r":42 s 1,t t ;i1F, `5' 7' + 4"�'-n-'; each additional$100.00 or fraction thereof,to t).;:,4..-%°i .: ` :4,i,'-'l.:.'4"..-t-, Y.:17::,',2,.;:: , iel2 44, : %t�s�.. i..r.,-;: ,,., '. and including$10,000.00. ..fn5.�. .1.+JJ.....ut`1 1 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 char:, -1/2 hour and including$25,000.00, Inspections outside of normal business - 90.00/hr MI $25,001.00 to$50,000.00 $379.50 for the first 525,000.00 and 51.45 for hours minimum char e-2 hours each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr 1Mand including$50,000.00. Additional plan review for revisions - 90.00/hr 1.11 $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for each additional$100.00 or fraction thereof minimum ch. :e-1/2 hour) Subtotal' Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture, Failure to accurately re.ort fixtures could result in increased sewer fees*. 5a.Rr a t f' '�,�n , ,„t l w n;,: ( 3a, x'45 +` t!,}t fir: ;1'..t-idrs.4. ,.''1A Ea Rw7 �t,I1r4�, t•'a` ..�M Z R tt W fl,.` -, ! 1 ' i, r� I t ! r , y i r 7 7 y1 I it,�R2ji ,�:;i.l.ti f ?•,L .t.. �' (y.d,k..,i4i2,.. y li, t tiw 7,3,9n , crL.St hiV',.". , T *e. al �� rn L'1 4 f': .r ,k}i�.,:.�6 .un.h r r, ,,rx-'�, ._.�.. �. Tt< �' .n i r,: s l„'.O t a „�..'��,;1a�'), t ,,.. t r Plan review is required for any of the following. `1 t1 `f J r iY a •`�” , t � �d.r Please check all that apply. Baptistry/Font --r.. El My new commercial building with water service 2"and _Barb -Tub/Shower greater,except systems designed and stamped by licensed -Jacuzzi/Whirlpool engineer. Car wash- -Each Stall Stallll El New exterior plumbing site utilities for any complex structure -Drive Thru . ....-_�.-i.-. as defined in OAR9I 8-750-0040. t dor/WaterAspirator Dishwasher -Commercial 0 Medical gas and vacuum systems for health care facilities. -Domestic - ❑ .A.ny multipurpose fire sprinkler system. Drinking Fountain 0 Any complex structure as defined hi 0AIt918-780-0040. Eye Wash - Floor Drain/sink -2" Submit 2 sets of plans with any of the above. -3" 7.,;(1,- -,' 4 s"i t it rT'37.-7-7,--.7.,F7';r—i-..",:',";.;.7;.,, f�h'u'; Car Wash Drain • Isometric or riser diagram is required for new buildings Disposal -Domestic-tbtbod related Garbage -Domestic- -food that meet the •ualifications above. s -Commercial-food related -Industrial-food related Ice MachJRefrig.Drains Oil Separator(Gas Station) Comments regarding re R' t'�C- O t Rec.vehicle Damp Station 4I .it.vs Shower -$'rang 1 r KA_ i�l�o i� r/ Rt -Stall __ . Sink/Lav -Non-food related -Bradley-Commercial-food fog-$related .. . . . • -Service • Swimming Pool Filter *Note: If the fixture work under this permit results in an Washer-Clothes ,/'¢ — increase of sewer Ebl(ls,a sewer permit will be issued and Water Extractor _ fees assessed for the sewer increase must be paid before the Water Closet-Toilet Urinal _ plumbing permit can be issued. Other Fixtures: - I C:\Users\jim\Downloads\PI,MU PermitApP:(1).doc 2 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 10450 SW NIMBUS AVE RA, TIGARD, OR, 97223 Record Type: Record ID: Commercial - Plumbing PLM2017-00247 Inspection Type: Inspector: 399 Plumbing final Don Sylvester Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor