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Permit (165) . 0 CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT Permit#: PLM2017-00311 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/31/2017 Parcel: 2S110AD08700 Jurisdiction: Tigard Site address: 10700 SW CANTERBURY LN 4 Project: Pacific Crest Apartments Subdivision: None Lot: None Project Description: Installation of clothes washer,supply and waste lines. Contractor: THE PLUMBERS INC. Owner: AUK-REDWOOD PC SPE LLC 90 NW 150TH AVE 10695 SW MURDOCK ST BEAVERTON, OR 97006 TIGARD, OR 97224 PHONE: 503-519-6644 PHONE: FAX: 503-684-1202 FEES Quantity Description Date Amount 1 ea Clothes Washer 07/31/2017 $25.02 Specifics: 1 12%State Surcharge- 07/31/2017 $8.70 Plumbing Type of Use: MF 47 ea Minimum Fee Adjustment- 07/31/2017 $47.48 Plumbing Class of Work: 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: 40/ - 11Permittee Signature: 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 d i A �ar ' FOR OFFICE USE ()NI.) City of Tigard ffh, t ) I 7/3/ / 7 Permit No,6Jy, /7.�0 Jr/Receiveyd lig "Il 13125 SW Hall Blvd.,Tigard,OR 97d8s . !-, ' Plan Review �s Phone: 503.718.2439 Fax: 503.598.1960 y Other Permit/7,©O5J I C�`'� Inspection Line: 503.639.4175 CITY Date/By: I G A R D si A OF � � '' Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov -, Notified/Method: Supplemental information RING DIVISION `Tk'1'E O FEE* SCHEDULE ❑New construction 0 Demolition For special information use checklist Description I Qty. Ea. I Total Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 El1-and 2-family dwelling El Commercial/industrial SFR(2)bath 437.78 I=1 Accessory buildingSFR(3)bath 500.32 IN Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 0100 S t ) CAkase t+et._t1 Lpyl L Catch basin or area drain 18.76 City/State/ZIP: -1-16.At2 7 y 0 R 91 Z8 Drywell,leach line,or trench drain 18.76 + ' Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: 4 )i- 1 Project name: ,.�.l }' ALL w`i) 14O'4 Manufactured home utilities 50.03 Cross street/directions to job site: 1.Q G1 4-ln A.tE Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Stone 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 31.27 DESCRP"3 NOF WORK - Backwater valve 12.51 ,-'�_��ALL- '; CO `a Clothes washer 25.02 26-,S-' - t 5 is P( -fir Dishwasher 25.02 frJ ASE SI 51-e)Vv Folz_ net....., Drinking fountain 25.02 CAKES W i453-tEjectors/sump 25.02 4gr PROPERI*11 ''z ] 0 TEN Expansion tank 12.51 A EDW 456 9 PC `� Fixture/sewer cap 25.02 Name: vl K- SPS Floor drain/floor sink/hub 25.02 Address: i©Gc 5 S(A) YVI-V<Zp0 c,g_ 57" Garbage disposal 25.02 City/State/ZIP:'-rcI 14eal 82 q'72.2 y- Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 AP %CANT ElyCONTAcT PERSON Interceptor/grease trap 25.02 Business name: 4).5 SleMedical gas(value:$ ) Page 2 Primer 12.51 Contact name: it_.t' .C4 C Roof drain(commercial) 12.51 Address: T6 '50 Z"319.-7 Sink/basin/lavatory 25.02 City/State/ZIP: "1-1&4i21)7 p 12 q-12 29 I Solar units(potable water) 62.54 Phone:(co 7) 31-i _'7 '('3 Fax::( ) Tub/shower/shower pan 12.51 E-mail: )SCpt r116•1 , Cb Urinal 25.02 ' ' ; ..-,,t. -.' Water closet 25.02 GONTRACTOt ; , r; Water heater 37.52 Business name: T"^E Pc%►"t.g 5 She- Water piping/DWV 56.29 Address: q0 4t,J l ovi- Ave- Other: 25.02 tY 13€A tJ EIC-royl City/State/ZIP: � i Q R 9 ZOO Cotp Subtotal 25 Phone:(i 3) 5\C{-4,(o 4 4 Fax:( 3) (08,4- 124 2 Minimum permit fee: $72.50 Z Z 5,.....C"-`- CCB Lic.: t'1-'� 1 "T Plumbing Lic.no.: p 7-7. Plan review (25%of permit fee) .�- State surcharge(12%of permit fee) '%0 Authorized signature: TOTAL PERMIT FEE 1 Z O Print name - Date:'Z 24 l7 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. 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: bite Utilities Total Square Footage: Pe ;mit 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 "ees Qty` Fee(ea) Total each additional$100.00 or fraction thereof,to 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*. Plan Review for Plumbing Installations Quantityby'1Fixture Type Plan review is required for any of the following. Fixture Type for Replace( Please check all that apply. Work Performed: Capped : Added Re]ueate Baptistry/Font ❑ Any new commercial building with water service 2"and greater,except systems designed and stamped by licensed Bath: -Tub/Shower engineer. -Jacuzzi/Whirlpool Car Wash: -Each Stall ❑ New exterior plumbing site utilities for any complex structure -Drive as defined in OAR918-780-0040. Cuspidor/Water Aspirator 0 Medical gas and vacuum systems for health care facilities. Dishwasher: Commercial 0 Any multipurpose fire sprinkler system. Domestic 0 Any complex structure as defined in OAR918-780-0040. Thinking Fountain Eye Wash Submit 2 sets of plans with any of the above. Floor Drain/sink: -2" 3" Isometric or Riser Diagram 4" 0 Isometric or riser diagram is required for new buildings -Car Wash Drain Garbage Domestic non-food that meet the qualifications above. Disposal: -Domestic food related -Commercial food related -Industrial food related Ice Mach./Refrig.Drains Comments regarding fixture work: Oil Separator(Gas Station) Rec.Vehicle Dump Station Shower: -Gang -Stall Sink: -Lav/Bar non-food related -Bradley -Com/Serv/Util food related -Service *Note: If the fixture work under this permit results in an Swimming Pool Filter increase of sewer EDUs,a sewer permit will be issued and Washer-Clothes fees assessed for the sewer increase must be paid before the Water Extractor Water Closet-Toilet plumbing permit can be issued. Urinal Other Fixtures: I:\Building\Permits\PLMF PermitApp.doc 08/04/2011 2 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 10700 SW CANTERBURY LN 4, TIGARD, OR, 97224 Record Type: Record ID: Commercial - Plumbing PLM2017-00311 Inspection Type: Inspector: 399 Plumbing final Don Sylvester Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor