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Permit Support Document ivsr.,20/_5-- do&, w n 1 1-1 S c /9- 4/ , .., ‘- , Dianna Howse 9/iy�j7 1r• From: Tom Hochstatter Sent: Wednesday, September 13, 2017 7:48 AM To: Dianna Howse Subject: FW:Garage at 14170 SW 119th PL.Tigard Fr : Dave Fahlma I to:fahlmanhomes@vahoo.com] Sen : u sda? September 12, 2017 6:28 PM Y. To:Tom Hochstatter<TomH@tigard-or.gov> Subject: Re: Garage at 14170 SW 119th PL.Tigard Hi Tom, No, they've changed their mind, so we can cancel it. Thanks, Dave From: Tom Hochstatter<TomHCctigard-or.gov> To: "fahlmanhomes@yahoo.com" <fahlmanhomesCcr�yahoo.com> Sent: Tuesday, September 12, 2017 8:08 AM Subject: Garage at 14170 SW 119th PL. Tigard David, I still have a permit here that just needs a new plot plan to be approved. It has been over a year, are you going to build this project? Thanks, Tom Hochstatter 14 „ , City of Tigard [ dans Examiner Tomes tigard-or.gov 503-718.2432 13125 SW Mail Blvd, Tigard,Oregon 97223 www,tigard-or,gov DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retained by the City of Tigard in compliance with the Oregon Administrative Rules"City General Records Retention Schedule.” 1 I. Building Permit Application \if i n Residential t>!al f, ( 7 2 i!," FOR OFFICE l'SE ONE) City of Tigard Received �} 13125 SW Hall Blvd.,Tigard, O722/3----' - -' ` �� a d PlateB : PermitNo.: C �j5---ell� Phone: 503.718.2439 Fax: 503.598.1960III Plan Review 1 1z�� Inspection Line: 503.639.4175Date/13y: Other Permit: Internet: www.tigazd-or.gov 2015Date Ready/By: Tuns: I l See Page 2 for Notified/Method: Supplemental Information 3FP6 :7'r::3. REQUIRED DATA:I-AND 2-FAMILY DWELLING V New construction 0 Demolition *Permit fees are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all 0 Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application.ka5 ? if t El1-and 2-family dwelling Valuation: $ ❑Commercial/industrial )1/1Fr �4 1171..1_4_7 I Accessory building ElMulti-familyNumber of bedrooms: Master builder Number of bathrooms: 00 Other: ' JOB SITE INFORMATION .AND LOCATION'` Total number of floors: Job site address: 141/70 s, K'-q. / 1 q t1( O 1 (G, New dwelling area: square feet City/State/ZIP: ;i. ./1-1...-0 0 n 9'7��� I� Garage/carport area: 5 9,Sr square feet Suite/bldg./apt.no.: I Project name: Cross street/directions to job site: Covered porch area: square feet `" ilE_ i2,19• Deck area: square feet Other structure area: square feet Subdivision: REQUIRED DATA:COMMERCIAL-USE CHECKLIST I Lot no.: Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all DESCRIPTION OF WORK' work materials,labor,overhead,and the profit for the work indicated on this application.cation. Valuation: $QT 3,,e.d 14 /16E OM,'i tJ LR.fq/ Existing building area square feet New building area: square feet 0 PROPERTY OWNER i0 TENANT ,a Number of stories: Name: pi'/0 "r. �i/-$r 14.E% Type of construction: Address: I at 1 71) 5. (.49. Il 9I1 P`. Occupancy groups: City/State/ZIP: TieFF0_0 b2 97Z2`� Phone:(5 3) Existing: '7._ /0 7 Fax:( ) ' -y] APPLICANT [+i"CO iTAGT,PERSON,' ' New: Business name: � � � 14�"JILDIlYG PERMTT�PEES*, :. �A r1LJMNttf.� ' ' ' �R�G=. ., x . 7Peatsarter ,jeesch tel ., Contact name: D>1-6+40 Structural plan review fee(or deposit): Address: 9 S. CO ()Mr- FLS plan review fee(if applicable): City/State/ZIP: T 16_k to k 7722-3 Total fees due upon application: pplication: Phone: ® ) - 2$ (' I 41106, 77 Fax::( ) Amount received: E-mail: (;.. I►«.er-+�.n�t?Nt e-`' fJ � M a*Ory� �s�. >�'HCkT,OYOL'I't1IG SOLARPANEL SYSTEM FEES' „ ' CgG,Ft RACI®)fit' Commercial and residential prescriptive installation of Business name: , " , , roof-top mounted Photo Voltaic Solar Panel System. �1'y/ttnK A +Jo nAc- - .2.--,04-. Submit two(2)sets of roof plan with connection details Address: gac,c 5. 01 eA-� and fire department access,along with the 2010 Oregon City/State/ZIP: n/� �' Solar Installation Specialty Code checklist. ��� -t.9 ©/C 57Z Permit Fee(includes planreview Phone:( ZJ) 7 9-9 -Z Ct Fax:( ) and administrative fees): $180.00 CCB lie.: 1 230 !� State surcharge(12%of permit fee): $21.60 Authorized signature: Total fee due upon application: $201.60 /sj This permit application expires if a permit is not obt^' , t4j1/Print name: within 180 days after it has been accepted J4 Jt 0ix, r yt o{/�xj I Date: 9�,� A/5- I *Fee methodology set by Tri-County Buildir I:�Building�Permits�BUP-RESPermitApp.doc 02/24/2011 / Service Board 0. 440-4613 T(11/02/COM/WEB) r a BuildinPerm g it Application Checklist One- and Two-Family Dwelling FOR OFFICE I SFoNL1 City of Tigard Received Permit No.: DateBy: 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits: ■ Phone: 503.718.2439 Fax: 503.598.1960 ❑ Electrical 0 Plumbing 0 Mechanical 24-Hour Inspection Line: 503.639.4175 ❑ Other: K''\Ftp Internet: www.tigard-or.gov les No N/A THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW 0 1 Land use actions corn•leted. See'urisdiction criteria for concurrent reviews. 0 0 0 0 2 Zonin,. Flood slain,solar balance •oints,seismic soils desi.nation,historic district,etc. 0 0 0 0 3 Verification of a• •roved •lat/lot. 0 0 0 4 Fire district a royal re•uired. Name of district: 0 0 5 Se•tic s stem •ermit or authorization for remodel. Existin s stem ca s acit 0 0 0 0 6 Sewer •ermit. 0 0 7 Water district a• •royal. 0 0 0 8 Soils re•ort. Must ca ori.inal a',licable stam• and si.nature on file or with a•,lication. 9 Erosion control 0 plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- 0 0 0 basin .rotection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance 0 0 0 to applicable local and state building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if co. ri:ht violations exist. property corner evations 11 Site/plot plan drawn to scale. The plan must show show contour d blding setback mes dimensions; intervals);location of easements( 0 0 ntial there is more than a 4-ft.elevation differential,plan must and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction indicator;lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and 0 surface draina;e. 0 0 12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size 0 0 0 and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, 0 furnace,ventilation fans, ,lumbin. fixtures,balconies and decks 30 inches above rade,etc. 14 Cross section(s)and details. Show all framing-member one cross section may be required r teams,o clearly portray fists,sub- 0 0 floor,wall construction,roof construction construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs,fire'lace construction,thermal insulation,etc. ❑ ❑ 0 15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. 0 Full-size sheet addendums showin• foundation elevations with cross references are acce stable. ❑ ❑ 16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- 0 0 0 rescri s tive •ath anal sis s rovide si ecifications and calculations to en.ineerin. standards. 17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing0 locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 00 0 s stems,see item 22,"En.ineer's calculations." 0 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists 0 0 0 over 10 feet lon. and/or an beam/'oist c• in. a non-uniform load. 20 Manufactured floor/roof truss desi:n details. 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 0 0 0 for four or more a•'fiances. 0 0 22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or architect licensed in Ore.on and shall be shown to be a',licable to the ,ro'ect under review. JURISDICTIONAL SPECIFICS ❑ 0 23 Three 3 site 'lam are re wired for Item 11 above. Site 'tans must be 8-1/2"x 11"or 11"x 17". 0 0 00 24 Two 2 sets each are re a uired for Items 16, 19,20 and 22 above. 0 0 25 Buildin. ,lans shall not contain red lines or to,e-ons. "Mirrored"buildin. 'lam am not be acce,ted. 000 26 "Reversed"buildin_ clans must meet criteria outlined in the Permit&S stem Develo.ment Fees document. 0 0 0 0 27 "Drawn to scale"indicates standard architect or en.ineer scale. 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ❑ 0 0 Street Tree List. 0 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, 0 0 0 and ,rotection measures must be drawn to scale and must include the •ro'ect arborist's si.nature of a'iroval. 30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings on a lot of record as Droved .rior to Se,tember 9, 1995. dingTermits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) V 0 1 lir Electrical Permit Application- ._.r- "tF , "',.:7, FOR OFFICE I. O\L1 City of Tigard � ` '' Received • 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: 7 /� /,‘ c �� Permit#: C' J .11111 e p ) �1'JiiS—��ll� ' Phone: 503.718.2439 Fax: 503.598.1960 Cj L D d 4 2015 Plan Review Inspection Line: 503.639.4175 Date/By: Related Permit 4: I 1�'A h l) Internet: Line:ig 4v Ready Date/By: Juris: I la See Page 2 for f�o t Notified Method: Supplemental information TYPE OF jli'`;,�. tira' '''''' -' New construction PLAN REVIEW Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): 0 Demolition ❑Other: 0 Service or feeder 400 amps or more 0 Building over three stories. where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. 0 1-and 2-family dwelling ❑Commercial/industrial Accessorybuildingless to ground,or exceeds 14,000g 0 Commercial-use agricultural ❑Multi-family ❑Master builder ❑Other: amps for all other installations. buildings. JOB SITE INFORMATION AND LOCATION 0 Fire pump. ❑largerelsepn of150KVA or ❑Emergency system, separately derived Job#: I Job site address: I y(�O S 0 Addition of new motor load of system. f r I15 f c, I00HP or more. 0"A","E","1-2„ "1-3» 2 ❑Six or more residential units. occupancy. City/State/ZIP: 7`f / die c 0 Health-care facilities. 0 Recreational vehicle parks. g p #: I Project name: B��L /y El Hazardous locations. 0 Supply voltage for more than Suite/bldg./apt. ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: A. ARS L FEE SCHEDULE Description I Qty. I Each I Total Subdivision: New residential single-or multi-family dwelling unit. Lot#: Includes attached garage. Tax map/parcel#: 1,000 sq.ft.or less 168.54 4 DESCRIPTION OF WORK Ea.add'l 500 sq.ft.or portion 33.92 l F - " Limited energy,residential �l .- f}1t('L`Li (with above sq.ft.) 75.00 2 Limited energy,multi-family SSC hot eft/i �,t residential(with above sq.ft.) 75.00 2 L 'PROPERTY OWNER TENANT Renewable Energy ❑ See Page 2 Name: L I- / T ;� _ Services or feeders installation,alter n,and/or relocation �fC�J lS�t(-4 y 200 amps or less • 100.70 2 Address: 1 t 0 /� 1 ?L 201 amps to 400 amps / 133.56 7 S � ( 1 V� 2 City/State/ZIP: 401 amps to 600 amps v014 200.34 2 .7-/ ,,A-11_49 0,2_ 97 z_a (t{ 601 amps to 1,000 amps 301.04 2 Phone:(�`0*$ ‘577 16 7,� Fax:( ) Over 1,000 amps or volts 552.26 Email: Temporary services or feeders installation,alteration,and/orrelocatint Owner installation:This installation is being made on property that I own which is not 200 amps or less intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 2 201 amps to 400 amps 1259.36 5.08 2 2 Owner signature: amps 168.54 401 amps to 599 Date: 2 'I APPLICANT I la CONTACT PERSON Branch circuits-c new,alteration,or extension,per panel 4 Business name: 1- 4-t JL ' r A.Fee for branch circuits with • 1 �r M d F rS �t,'t[ above service or feeder fee, )� Contact name: each branch circuit "� 7.42 2 p F. `�r�rT�� r) B.Fee for branch circuits without Address: 90 `�y ® � service or feeder fee,first ,W. + branch circuit 56.18 2 City/State/ZIP: / Each add'I branch� g�7�� circuit 7.42 2 Phone: i.1.3 Gia '7® rax: :( ) Miscellaneous(service or feeder not included) [ ( �Q Each manufactured or modular dwelling,service and/or feeder Email: ��1,,�,� y1,-',4--HO 67.84 2 "V,n`° 8-5 e' ,/4'HD© 'C"o&`^'" Reconnect only CONTRACTOR 67.84 2 g� Pump or irrigation circle 67.84 2 Business name: Ee eta Sign or outline lighting 67.84 2 Address: Signal circuit(s)or limited-energy panel,alteration,or extension. El See Page 2 2 City/State/ZIP: PO Q Tt. 44- 100 Each additional inspection over allowable in any of the above Phone:45- ) 233 6,t(47 �Fax:( ) Additional inspection ) hr min) 66.25/hr Investigation(I hr min) 90.00/hr .i-�C-H e t l e a keDs e I e c_i- �� e-t e- co Industrial plant(1 hr min) 78.18/hr Email: CCB Li C.: Inspections for which no fee is Electrical Llc.: Suprv.Lic.: specifically listed(''/z hr min) 90.00/hr Suprv. Electrician signature,required: ELECTRICAL PERMIT FEES Print name: Subtotal: Date: ❑Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: TOTAL PERMIT FEE: I Print name: J This permit application expires if a permit is not obtained within 180 Date: days after it has been accepted as complete. I:1Buildin Permits * Number of inspections allowed per permit. 8� i '.ELC_PemitApp_ELR_ERE.doc Rev 06/17/2015 440-46151(1 I/OS/COM/WEB s , Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: 'Itts„ E$1...1AL4Y0:^ i 5 Description I Qty. I Each Total Fee for all residential systems combined: $75.00 Renewable electrical energy systems: 5 kva or less 100.70 2 Check Type of Work Involved: 5.01 to 15 kva 133.56 2 ❑ 15.01 to 25 kva 200.34 2 Audio and Stereo Systems* Wind generation systems in excess of 25 kva: ❑ Burglar Alarm 25.01 to 50 kva 301.04 2 50.01 to 100 kva 552.26 2 ❑ Garage Door Opener* >100 kva(fee in accordance 552.26 2 with OAR 918-309-0040) El Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 3 >100 kva-no additional charge 0.0 3 ❑ Vacuum Systems* Each additional inspection over allowable in any of the above: Each additional inspection is 66.25/hr ❑ Other: charged at an hourly(1 hr mm) Inspections for which no fee is 90.00/hr specifically listed(%hr mm) Cp11IOERCIA WO 'ONLY: SubtotalnPa(Entero gel1): Fee for each commercial system: $75.00 * Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls El Clock Systems El Data Telecommunication Installation El Fire Alarm Installation El HVAC ❑ Instrumentation El Intercom and Paging Systems ❑ Landscape Irrigation Control* El Medical ❑ Nurse Calls El Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other: Total number of commercial systems: — *No licenses are required. Licenses are required for all other installations Building Permits\ELCPermitAppELR_ERE.doe Rev 06/17,2015 ' Plumbing Permit Applicat > BuildingFixtures 0., �� City of Tigard Received 1 DateBy: /� j PermitNo.: �ra//) ��t'J/ (� 13125 SW Hall Blvd.,Tigard,OR 9722 'rk 5 Plan Review .1114 • Phone: 503.718.2439 Fax: 503.598.1 DateBy: Other Permit No.: Inspection Line: 503.639.4175 Date Ready/By: Iurir ® See Page 2 for IfG \RI) tq Internet: www.tigard-or.gov C Notified/Method: Supplemental Information t gl New construction 0 Demolition For special information use checklist Description I Qty. I Ea. I Total ❑Addition/alteration/replacement 0 Other: New 11-2b-family dwellings(includes 100 ft.for each utility connection) • I i } SFR(1)bath 312.70 ❑ 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 Accesso r ildin BuSFR(3)bath 500.32 g ❑Multi-family 0 Master builderEach additional bath/kitchen 25.02 0 Other: Fire sprinkler p (___sq.ft.) Page 2 1 l �s 3' l 9, may, � • Site utilities: Job site address: �� �� i c�TN �� • Catch basin or area drain 18.76 Ill Drywell,leach line,or trench drain 18.76 City/State/ZIP: J SUR 6 q 71 / Footing drain(no.linear ft.:.c0) Page 2 Suite/bldg./apt.no.: I Project name: B i LSI R c S 40!O J . Manufactured home utilities 50.03 Cross street/directions to job site: 142494,_ Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.:Ste-) Page 2 Water service(no.linear ft.:_le Page 2 Subdivision: I Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 11 ,=3t 1 I r. Backwater valve 12.51 2 'h�.,n Clothes W l�,e e s r� washer 25.02 t- s� Dishwasher 25.02 "' �c�iOThr. 1,1441165 Drinking fountain 25.02 1"1os✓'E !.Q`, 4 ("P°"-64°I)-- .' "-64°1 --- 2- Ejectors/sump 25.02 �`,. 1 " Expansion tank 12.51 Name: C.,2_1751-4-- Fixture/sewer cap 25.02 4-10 T 1 S1- ,�z(t,�il 7 Floor drain/floor sink/hub 25.02 Address: /�I 7 ) $.L(), , 1 Q l L., ..�;- Garbage disposal 25.02 City/State/ZIP: 1 1b.ADR.- 7722-3 Hose bib 25.02 Phone:( k 577i Fax ( ) Ice maker 12.51 t � ' ° I $ ? Interceptor/grease trap 25.02 Business name: �l..lL- 71 ) / Id/4.l.c 5 1-i�e Medical gas(value:$ ) Page 2 r t Primer 12.51 Contact name: ale /,'ft 't44,44-A) n ��1 Roof drain(commercial) 12.51 Address: c 5,c a ®f},f'c s 7 r Sink/basin/lavatory 25.02 City/State/ZIP: '���.. ,�( / ((17C it-/� ®� q 7 7 Z) Solar units(potable water) 62.54 Phone:J J '7'r / 2E.IF Fax::( ) Tub/shower/shower pan 12.51 E-mail: ci Urinal 25.02 0.�'tr4,c'L� ,a I�11 iK i7J �� . L� 1 `i> 3 �: Water closet 25.02 7-n-_ Water heater 37.52 Business name: .U0/0 M - P'vn4.6/ WaterP�tin P g/DWV 56.29 Address: ti�tit 5 f . a4,.1.S1.10L it Sq'/ Other: 25.02 City/State/ZIP: t tc 14-1%%.4-5 O 12 C O O tS 7 Subtotal l A Phone:('3) 1 2 ' _ 5' Fax:( ) Minimum permit fee: $72.50 CCB Lic.: 1-71 g eI O Plu ing Lic.no.: Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized sign e: z/ TOTAL PERMIT FEE Print name: Date: 9//4/45--/4/45-- 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. 440-4616T(10/02/COM/WEB) I:\Building\Permits\PLMU-PermitApp.doc 10/01/09 Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Su i i ression S stems: Footing drain-1s`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 treater $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 • • 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 each additional$100.00 or fraction thereof,to s i i and includin t $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 charte-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 char:e-2 hours each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr _ and includin:$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 chara 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*. �;{'. '� ,.ti 's� i.1` : f l x Plan review is required for any of the following. Please check all that apply. ( � ❑ Any new commercial building with water service 2"and Ba tis /Font === greater,except systems designed and stamped by licensed Bath: -Tub/Shower engineer. -Jacuzzi/Whirl•ool ❑ 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. Cus•idor/Water As•irator --- ❑ Any multipurpose fire sprinkler system. Dishwasher: -Commercial === ❑ Any complex structure as defined in OAR918-780-0040. -Domestic Drinkin:Fountain --- E e Wash Submit 2 sets of plans with any of the above. -_-_-_ Floor Drain sink: 2" -- ° } ❑ Isometric or riser diagram is required for new buildings -Car Wash Drain that meet the Iualifications above. Garbage -Domestic non-food --- Disposal: -Domestic food related -_- -Commercial food related -_-- -Industrial food related Ice Mach./Refrit.Drains Comments regarding fixture work: Oil Se•arator Gas Station Rec.Vehicle Dum.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 SwimminI Pool Filer === 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 er Other -== Fixtures: I:\Building\Permits\PLMF PermitApp.doc 08/04/2011 2