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Permit (107) CITY OF TIGARD PLUMBING PERMIT 111 . ' COMMUNITY DEVELOPMENT 0. Permit#: PLM2017-00355 Date Issued: 08/31/2017 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.24 �� Parcel: 2S113AC00103 L�i�� Jurisdiction: Tigard Site address: 7204 SW DURHAM RD 800 Project: Millenium Building Services Subdivision: None Lot: None Project Description: Interior plumbing for Ti:Adding(2)sinks. 9/6/17,REPRINTED to add(1)commercial clothes washer. Contractor: DEAN WARREN PLUMBING&REMODELING INC Owner: PACIFIC REALITY ASSOCIATES LP PO BOX 14701 ATTN: N PIVEN PORTLAND, OR 97293 15350 SE SEQUOIA PKWY#300 PORTLAND, OR 97224 PHONE: 503-236-4152 PHONE: FAX: 503-296-2218 FEES Quantity Description Date Amount 1 ea Clothes Washer 09/06/2017 $25.02 Specifics: 2 ea Sink 08/31/2017 $50.04 1 12%State Surcharge- 09/06/2017 $9.01 Type of Use: COM Plumbing Class of Work: ALT Type of Const: Occupancy Grp: Stories: Total $84.07 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�teeat....44A..„1.461 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 RECE"'I City of Tigard eceiDate/By: / 4/ , Permit No.: 4:96/ da 35s 1 q 13125 SW Hall Blvd.,Tigard,OR 972 `� 0 6 2017 y'■ Phone: 503.718.2439 Fax: 503.598.V066Plan Review Date/By: Other Permit No.: /�9,.)/7-60,2[l J T I c)A P.D Inspection Line: 503.639.4175 r at Date Read/B "-oma+ aj0 ! i. sem, ... a- Internet: www.tigard-or.gov C 1 i S..)1` 1 g V o i_Iew Ready/By: Juris: ® See Page 2 for Notified/Method: Information � 1p( �1�{Sly Supplemental Inform on 1YPl OF 1N i-14t E* SCHEDULE '' 0 New construction 0 Demolition For special information use checklist Description I Qty. Ea. I Total .Addition/alteration/replacement 0 Other: i t, New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTI 0 , ) �4®,3 SFR(1)bath 312.70 ❑ 1-and 2-family dwelling 0 Commer, • a ust al SFR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR(3)bath 500.32 0 Master builderEach additional bath/kitchen 25.02 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SIM INFORMATION AND LOCATION Site utilities: Job site address: - 7�C4 Q1.„ �y y/j� I O c�, Catch basin or area drain 18.76 City/State/ZIP: J-1-4-/ CIA-- S �.2)-4Drywell,leach line,or trench drain 18.76 ( Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: c I Project name: �✓J XS//hi I .;,WV% Q-_i l Manufactured home utilities 50.03 Cross street/directions to job site: Se�1 )� t 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 ' RESC F WORK Backwater valve 12.51 Clothes washer 25.02 f� Dishwasher 25.02 `mac`‘c- J 0(d / 3 c( Oro, ,- t(►-a- tAa✓ Drinking fountain 25.02 Ce0•rl►1-crp/ cot . i4.-v Ejectors/sump 25.02 Q 3tOPERTY.OWNER I Q TENANT. ,r, Expansion tank 12.51 Name: f✓dc-7- 7- � Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: / S S FC S S u C 4 ,-1?,,, Garbage disposal 25.02 City/State/ZIP: Tri 7rL. oil, 4 ?) y t{ Hose bib 25.02 Phone:(a c/ ) C.24-6.J crc Fax:( ) Ice maker 12.51 0 APPLICANT '"`_❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name: 7)6,_.)c_. /7)15 A ied R/1 Medical gas(value:$ ) Page 2 - Primer 12.51 Contact name: TG Z Roof drain(commercial) 12.51 Address: �A > Sink/basin/lavatory 25.02 City/State/ZIP: / n-f' z„)/..,. t3 71-- rj 3 Solar units(potable water) 62.54 Phone:Ki-3 ) 72-G - S y c6^ Fax::( ) Tub/shower/shower pan 12.51 E-mail: Urinal 25.02 „' Water closet 25.02 CONTRACTOR Water heater 37.52 Business name: t;t.$ G 194471. ��/ Water piping/DWV 56.29 Address: Other: ��,444^c 76/45 uas hi, 25.02 City/State/ZIP: v 30,-,, Subtotal Minimum permit fee: $72.50 Phone:( ) Fax:( ) CCB Lic.: Plan review (25%of permit fee) /S Cf y,.5 Plumbing Lic.no.:'C 1�/7/j State surcharge(12%of permit fee) Authorized signature: gi TOTAL PERMIT FEE '7- Print name: 6 ` A -1 L l Date:n This permit application expires if a permit is not obtained within 180 days 7 _6._, 7 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: Site I tilities: Qty. n Fee(0) d otal t Square Footage: Permit Fee: Footing drain-1"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 • el4At ee Storm&Rain Drain-1st 100' 62.54 $1.00to$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 Q�, r � ih t each additional$100.00 or fraction thereof,to 'ther.Inspections or Fees:: fee 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 each additional$100.00 or fraction thereof. (minimum charge-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 report fixtures could result in increased sewer fees*. = Plan. tevjew for Plumbing,Jnstallatiu Quantity by Fixture Type Plan review is required for any of the following. Fixture Type for Replace! ` Please check all that apply. Work Performed: Capped Added Relocate 0 Any new commercial building with water service 2"and Baptistry/Font greater,except systems designed and stamped by licensed Bath: -Tub/Shower engineer. -Jacuzzi/Whirlpool 0 New exterior plumbing site utilities for any complex structure Car Wash: -Each Stall as defined in OAR918-780-0040. -Drive Thru 0 Medical gas and vacuum systems for health care facilities. Cuspidor/Water Aspirator 0 Any multipurpose fire sprinkler system. Dishwasher: -Commercial 0 Any complex structure as defined in OAR918-780-0040. -Domestic Drinking 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 that meet the qualifications above. Garbage -Domestic non-food 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 I 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 PLUMBING PERMIT ;Fii it. COMMUNITY DEVELOPMENT Permit#: PLM2017-00355 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/31/2017 Parcel: 2S113AC00103 Jurisdiction: Tigard Site address: 7204 SW DURHAM RD 800 Project: Millenium Building Services Subdivision: None Lot: None Project Description: Interior plumbing for TI:Adding(2)sinks. Contractor: Owner: PACIFIC REALITY ASSOCIATES LP ATTN: N PIVEN 15350 SE SEQUOIA PKWY#300 PORTLAND, OR 97224 PHONE: PHONE: FAX: FEES Quantity Description Date Amount 2 ea Sink 08/31/2017 $50.04 Specifics: 1 12%State Surcharge- 08/31/2017 $8.70 Plumbing Type of Use: COM 22 ea Minimum Fee Adjustment- 08/31/2017 $22.46 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: � ���Permittee Signature: r 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 Building Fixtures 1 ''''*1 1RE a t ,a. FOR O141CI. LSE O\L\ Received City of Tigard PermitNo.: w� 5 II U 13125 SW Hall Blvd.,Tigard,OR 97223 A Date/By: f I 1 7 !v�7/ / �7" Jam" ■ Phone: 503.718.2439 Fax: 503.598.196(HU G 31 2017 Date/By: view ther Permit No.: �pJ, t 7_.^Yl3by Inspection Line: 503.639.4175 ! Cs4 T 1 G A R D Date Ready/By: 7uds: ® See Page 2 for Internet: www.tigard-or.gov / � Notified/Method: 77-4, Supplemental Information TYPE OF WWI' DIVISION ,FEE* SCHEDV,IA 0 New construction ❑Demolition For special information use checklist Description I Qty. I Ea. Total a Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRIUC' OI �, SFR(1)bath 312.70 ❑ 1-and 2-family dwelling is Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 ❑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: Catch basin or area drain 18.76 Job site address: -7 ) G c.f S 0-.f l�,y/7 7 k, Act 4�',:`°--/ Drywell,leach line,or trench drain 18.76 City/State/ZIP: 7-,,„ 1 / > 2-y / `I atm Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: Project name: Ma3l t'../1/teevie ,Let Manufactured home utilities 50.03 Cross street/directions to job site: , `,5r ksj 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 DESCH'TION F WORK Backwater valve 12.51 � ''° Clothes washer 25.02 fJL 1 - Arai 4 / � s 1 / Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ❑ PROPERTY OWNER 1 ,, 0 TENANT Expansion tank 12.51 Name: ,,c T�.0 Fixture/sewer cap 25.02 (/ /� Floor drain/floor sink/hub 25.02 Address: / c 2)-1-c., C O- C �.U L'/-1 til L-4 y Garbage disposal 25.02 City/State/ZIP: 7 e.✓o/ ©rt , 4 7 y Y Y Hose bib 25.02 Phone:(c.;'z v c i.-Lf-C7 ce Fax:( ) Ice maker 12.51 0APPLICANT ❑ CONTACT PERSON - Interceptor/grease trap 25.02 Medical gas(value:$ ) Page 2 Business name: z.,.., L � ini6 J,e-... g "tPrimer 12.51 Contact name: Roof drain(commercial) 12.51 Address: 1 C7),‘,/.. /LC,G + Sink/basin/lavatory 2 25.02 }t.GLI City/State/ZIP: tf)e i/S, C✓C - i )>- S ? Solar units(potable water) 62.54 Phone:(s''? ) -7e c,_5 4cE C Fax::( ) Tub/shower/shower pan 12.51 E-mail: Urinal 25.02 Water closet 25.02 CONTRACTOR -' Water heater 37.52 Business name: �iv. hr '^, ,fihL Y) Water piping/DWV 56.29 Address: 77 fry Other: 25.02 City/State/ZIP: Subtotal )-- , E c( Phone:( ) Fax:( ) Minimum permit fee: $72.50 '72 .f^j CCB Lic.: /f y 4/5 Plumbing Lic.no.:? C 7 36 ii Plan review (25%of permit fee) State surcharge(12%of permit fee) -76 Authorized signature � ,�( TOTAL PERMIT FEE q This permit application expires if a permit is not obtained within 180 days Print name: a Date: j -/ 7 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: Site Utilities Qty. Fee(ea) Total S4Ua4.P`b itage Permit 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 Storm&Rain Drain-1st 100' 62.54luapu'. Per�nee: $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 Fees Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to P 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 Quantity by Fixture Type Plan review is required for any of the following. Fixture Type for Replace/ Please check all that apply. Work Performed: Capped I Added Relocate 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 0 New exterior plumbing site utilities for any complex structure Drive Tall 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" 3" Isometric or Riser Diagram 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: 7204 SW DURHAM RD 800, TIGARD, OR, 97224 November 2, 2017 at 10:37:46 AM Record Type: Record ID: Commercial - Plumbing PLM2017-00355 Inspection Type: Inspector: 399 Plumbing final Don Sylvester Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor