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Permit (178) CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT Permit#: PLM2017-00300 Date Issued: 07/27/2017 T f t ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S 110AA00600 Jurisdiction: Tigard Site address: 10650 SW MCDONALD ST Project: 7-Eleven Subdivision: None Lot: None Project Description: Installing grease trap and rerouting(1)2"floor sink and(4)sinks. Contractor: S&S SEARS INC Owner: 7-ELEVEN INC PO BOX 446 BY TEXLAND PROPERTIES CORP GLADSTONE, OR 97027 TAX DEPT#16394 PO BOX 711 DALLAS,TX 75221 PHONE: 503-650-8200 PHONE: FAX: 5023-650-8203 FEES Quantity Description Date Amount 1 ea Floor Drain/Floor Sink/Hub 07/27/2017 $25.02 Specifics: 1 ea Interceptor/Grease Trap 07/27/2017 $25.02 4 ea Sink 07/27/2017 $100.08 Type of Use: COM 1 12%State Surcharge- 07/27/2017 $18.01 Class of Work: ALT Plumbing Type of Const: 1 ea Floor Drain/Floor Sink/Hub 07/27/2017 $25.02 Occupancy Grp: 0 12%State Surcharge- 07/27/2017 $3.01 Plumbing Stories: Total $196.16 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 qu UNC by calling 503.232.1987 or 1.800.332.2344. Issue B Permittee 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 Application Building Fixtures RECEIVED City of Tigard Received n,- ..l permit No.: �►U L 2 6 2017 Date/By: r PSP I/ o�O/7-d0 660 13125 SW Hall Blvd.,Tigard,OR 9722 Plan Review - Phone: 503.718.2439 Fax: 503. 6 Other Permit No.: SOF Tit-AR Date/By: Inspection Line: 503.639.4175 pp Date Ready/By: Juris: ® See Page 2 for TI(;ARD Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE 0 New construction 0 Demolition For special information use checklist Description I Qty. I Ea. I Total 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 Wommercial/industrial SFR(2)bath 437.78437.78 SFR(3)bath 0 Accessory building 0 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: C4 (I S/ Catch basin or area drain 18.76 Job site address:1 �o C of Drywell,leach line,or trench drain 18.76 City/State/ZIP: 1 �l/� ©� ( 7.,2,2L/ Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: I Project name: scow We.C.j Gam.. Manufactured home utilities 50.03 Cross street/directions to job site: paC.( d^ic., /f t.Q y 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 31.27 t Backwater valve 12.51 :: "1-'.. " DESCMPT7 ION Off`="WiiiRK . .AY#; ?< , . Clothes washer 25.02 InS ra ( 2!i ok 6y,.0.51r. �r (X.�� tle`4j(�cr� Dishwasher 25.02 f�0 /' 1� .t,/ Drinking fountain 25.02 I` Ejectors/sump 25.02 Cl pRiiiinto ovvNEki 1- t ❑ TENANT Expansion tank 12.51 Fixture/sewer cap 25.02 r/�,D1 Name: - Floor drain/floor sink/hub A yZ 25.02 ?� � - - Address: Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 u::❑ APPLICANT la CONTACT PERSON Interceptor/grease trap ` 25.02 a 6.02. Medical gas(value:$ ) Page 2 Business name: 12.51 Primer Contact name: Roof drain(commercial) 12.51 Address: Sink/basin/lavatory it 25.02 / c).°S1City/State/ZIP: Solar units(potable water) f 62.54 Phone:( ) Fax::( ) Tub/shower/shower pan 12.51 Urinal 25.02 E-mail: 25.02 v r Water closet =y CONTEiCTOR Water heater 37.52 bri .4-t' key 4-� Business name .,. rz_PS ..n s n ,� II a uip Waterpiping/DWV 56.29 � R�� 25.02 D �� / other: Address P ) x l .k �y�„v®� riI/ City/State/ZIP:17 A�(i t\ '; t 59(.2 2:7 Subtotal /60.1 A. ( SZ�3l"'( 5C7-- 67.....47V (f j V - �j -Q7 Minimum permit fee: $72.50 l Phone: Fax: W Or' .r . Plan review (25%of permit fee) CCB Lic.: '4-6, j 5-6,// 74 0 Plumbing Lic.no.: '1 S 2_ r I- State surcharge(12%of permit fee) 1 g,D Authorized signature: y /dot/2-°2TOTAL PERMIT FEE ill,Q. 13 2 6 ^/ ox This permit application expires if a permit is not obtained within 180 days Print name; date: 7- / after it has been accepted as complete. rT �� *Fee methodology set by Tri-County Building Industry Service oard. `� I:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(l0/02/COM/WEB) 196 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-15'100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 Sewer-1st 100' 3,601 to 7,200 $233.20 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 Storm&Rain Drain-1st 100' 62.54 Valuation. Permit Fee: $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 Qther Inspections or Fees (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 Renew for Plutnblu>< I stailahons .�. Quantityby Fixture Type ._ w ng Fixture Type for � �laces�� Plan review is required for any of the following. Work rformed: Capped' Ardded' Relocate Please check all that apply. Baptistry/Font 0 Any new commercial building with water service 2"and Bath: Tub/Shower greater,except systems designed and stamped by licensed -Jacuzzi/Whirlpool engineer. Car Wash: Each Stall 0 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. Drinking Fountain Eye Wash Submit 2 sets of plans with any of the above. Floor Drain/sink: -2" y 3" �r Isometric or Riser Diagrain 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 Water Extractor fees assessed for the sewer increase must be paid before the 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: 10650 SW MCDONALD ST, TIGARD, OR, 97224 Record Type: Record ID: Commercial - Plumbing PLM2017-00300 Inspection Type: Inspector: 399 Plumbing final Don Sylvester Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor