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Permit Support Document (15)
/ S ,2G/_5- - 00lam / i , , ' S CDianna Howse y//y//7 'i From: Tom Hochstatter Sent: Wednesday, September 13, 2017 7:48 AM To: Dianna Howse Subject: FW:Garage at 14170 SW 119th PL.Tigard Frgm:Dave Faa i to:fahlmanhomes@yahoo.com] Sen : lm Tiuesday,September 12, 2017 6:28 PM 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<TomHatigard-or.gov> To: "fahlmanhomes(cr�,yahoo.com" <fahlmanhomesa,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 Hoch #ter 114 .yp« Citi of Tigard _. Plans Examiner .,,.4 ,„, TorHticjard-or, ov i 503.718.2432 13125 SW Hail Blvd. Tigard,Oregon 97223 w .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 • ` Buildin! Permit Application V 0 I Residential 41/7;4.'n? r, FOR OFFICE HESE ONLv J r . Received 1 f , 'l5 Cl of Tigard Date/B : 1© , e `J g , Permit No.: 1 11‘ 13125 SW Hall Blvd.,Tigard OR 7� - ` `""" Plan Review � Phone: 503.718.2439 Fax: 503.598.1960 4 Date/By: Other Permit l i( \R() Inspection Line: 503.639.4175 SFr�, 1 2015 Date Ready/By: Juris: El See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information - TYPE i ,Nu L V I=.*1'�-"_° REQUIRED DATA:1-AND 2-FAMILY DWELLING lid New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the d di work i X` ncateon this application. a. • i _-; Y-'OF corismutnoN _ CATUOOR 0 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ t 'Accessory building 0 Multi-family Number of bedrooms: 0 Master builder ❑Other: Number of bathrooms: €, JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: I41/7c S. CO, 1 ( 9 7G. LI New dwelling area: square feet City/State/ZIP: i2A-LO 0,2_,. 9--72..,Z Garage/carport area: 5,9,q square feet Suite/bldg./apt.no.: Project name: Covered porch area: square feet Cross street/diredions to job site: ( AiltoE Io/ Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLT ; Subdivision: Lot no.: Permit fees*are based on the value of the work performed. Indicate the value rounded to the nearest dollar)of all Tax map/parcel no.: ( equipment,materials,labor,overhead,and the profit for the DESCRI TJON OF WORK work indicated on this .is•lication. 2E/ HO ��� j Q T i ,e Valuation: $ 1 - HOO t u u/D ("1/1/7-6£ 77L./ 1 O 7 Li/4 Existing building area square feet New building area: square feet ❑ PROPERTY OWNER 0 TENANT Number of stories: Name: P3Jo t i(2..1S rA- 3 &7 Type of construction: Address: I 1 76 S, U9. 119 Ju FPS. Occupancy groups: City/State/ZIP: T%GAlto (D2- 97 Z 2Y Existing: Phone:(S-63) 477.- /07 Fax:( ) . /_.,> New: '' p. ApPLICANT Eir, CONTACT. RSON * �.� BUILDING ' RMI')l;<F ES , Business name: �� ase re er sae:Lie;,, r A 1'11-W 4tI0 k 1 O wt f,4 Structural plan review fee(or deposit): Contact name: DA-6,4 t FLS plan review fee(if applicable): Address: CiS, co, (DA-tr- S y Total fees due un application: City/State/ZIP: 'T A-2-io tot 7722-3 p p'� , Phone:(.5-03) `7_ 2$ (i- Fax::( ) Amount received: imm E-mail: PHOTOVOLTAIC SOLAR3PANE ,SV,$TENI FEES*'' Commercial and residential prescriptive installation of `� CONTI ACTQ, =.,.; roof-top mounted PhotoVoltaic Solar Panel System. Business name: Aq.y, u,"� /a ,C�. .Z � Submit two(2)sets of roof plan with connection details J and fire department access,along with the 2010 Oregon Address: q(x,i 5• to V/("t sr. Solar Installation Specialty Code checklist. 7-76'4i-4-.0/ZIP: Cit /State n Permit Fee(includes plan review City/State/ZIP: C ®/c �� 2 3 and administrative fees): $180.00 Phone:( 3) 7 (9 -Z E( F- Fax:( ) ��� State surcharge(12%of permit fee): $21.60 CCB lic.: Total fee due upon application: $201.60 Authorized signature: j/" ` This permit application expires if a permit is not obt•-' within 180 days after it has been accepted 9a Date: 9/40/5- *Fee methodology set by Tri-County Buildi' .` Print name: ot 0 / 4t) Service Board I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) r 4 Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE USE oNLv City of Tigard Date/BReceived Permit No.: ;. ' 13125 SW Hall Blvd.,Ti ard,OR 97223 a g Associated permits: ■ Phone: 503.718.2439 Fax: 503.598.1960 24-Hour Inspection Line: 503.639.4175 El Electrical 0 Plumbing 0 Mechanical r i c ,\t:D Internet: www.tigard-or.gov 0 Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW 1 es No N/A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ 0 0 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ ❑ 0 3 Verification of approved plat/lot. ❑ 0 0 4 Fire district approval required. Name of district: • 0 ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity ❑ 0 0 6 Sewer permit. 0 ❑ 0 7 Water district approval. ❑ 0 ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ 0 9 Erosion control 0 plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- ❑ 0 ❑ basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state 0 0 ❑ 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 copyright violations exist. 11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if 0 ❑ 0 there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements 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 surface drainage. 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 ❑ 0 furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- 0 0 0 floor,wall construction,roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs,fireplace construction,thermal insulation,etc. 15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. 0 0 ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- 0 ❑ 0 prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing 0 ❑ 0 locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 0 ❑ systems,see item 22,"Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ 0 ❑ over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. 0 0 ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 0 ❑ 0 for four or more appliances. 22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or 0 ❑ ❑ architect licensed in Ore.on and shall be shown to be a..licable to the .ro'ect under review. JURISDICTIONAL SPECIFICS 23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". 0 ❑ ❑ 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. ❑ 0 ❑ 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ❑ 0 Cl 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. ❑ ❑ ❑ 27 "Drawn to scale"indicates standard architect or engineer scale. ❑ ❑ ❑ 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ❑ ❑ ❑ Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ ❑ ❑ and protection measures must be drawn to scale and must include the project arborist's signature of approval. 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 approved prior to September 9, 1995. 'lding\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) • V . Electrical Permit Application -- 01rte' -. OP FOR OI'[ICI- lSh, O\l.1 City of Tigard L Received . Date/By: / 41 /S , Permit#: l J j j�5--41c1/ 9' 13125 SW Hall Blvd.,Tigard,OR 97223 -J ' I,n i Plan Review ' C Phone: 503.718.2439 Fax: 503.598.1960 S E t L Date/By: Related Permit#: Inspection Line: 503.639.4175 Ready Date/By: Juris: El See Page 2 for TIGARD �"1 Internet: www.tigard-or.gov ('-',.,-2'-tir Notified/Method: Supplemental Information TYPE OF kL.,.,1 1 t .,... ti -,.'-- 'PLAN REVIEW IA New construction Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): 0 Service or feeder 400 amps or more 0 Building over three stories. ❑Demolition ❑Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. ❑ 1-and 2-family dwelling 0 Commercial/industrial I Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. 0 Multi-family 0 Master builder 0 Other: ❑Fireum . P P 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived 0 Addition of new motor load of system. Job#: Job site address: 19 70 5', it R 111 P6_, IOOHP or more. ❑"A",°`E","1-2",°°1-3", / n y ,/1 0 Six or more residential units. occupancy. City/State/ZIP: 1 i 1 6� 72.Z t/ 0 Recreational vehicle arks. / ❑Health-care facilities. P Suite/bldg./apt.#: Project name: B le L€y 0 Hazardous locations. 0 Supply voltage for more than 0 Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: IA, 4020£ FEE SCHEDULE, Description I Qty. I Each I Total I New residential single-or multi-family dwelling unit. Subdivision: Lot#: Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.add]500 sq.ft or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential (with above sq.ft.) 75.00 2 (1 t._ 6k tiLimited energy,multi-family ��y� residential(with above sq.ft.) 75.00 2 YVl_tE. _ het.‘41.Ii IL qmitt"`''- estRenewable Energy 0 See Page 2 PROPERTY OWNER / 0 TENANT Services or feeders installation,alter• I n,and/or relocation Name: D kP t- C-(2...t3r4 13)fit CAf 7200 amps or less • iii 100.70 2 Address: et( 0 S,cC + R 1-Y I L201 ampsto 400 - amps f 133.56 401 amps to 600 amps 2 200.34 2 �� City/State/ZIP: Z Y 601 amps to 1,000 amps 301.04 2 Phone:(�0"5 77 ()It 97 Z- /0 7,4 Fax:( ) Over 1,000 amps or volts 552.26 2 Email: Temporary services or feeders installation,alteration,and/or relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 V APPLICANT CONTACT PERSON Branch circuits-new,alteration,or extension,per panel A.Fee for branch circuits with Business name: '" L441.44-fr, 0 w%- above service or feeder fee, �' each branch circuit 7.42 2 Contact name: T ,,i.--.. - j 7 �c 1...-111,144444,44, B.Fee for branch circuits without 06- S. �/ service or feeder fee,first 56.18 2 Address: r^ . �}�' � , branch circuit City/State/ZIP: 1 0 /7�7.7_,3 Each add'l branch circuit 7.42M2 // ft Each laneouu or(serviceor feeder not included) Phone: Fax: :( ) Each manufactured or modular dwelling,service and/or feeder 67.84 2 Email: c, t ©A"R S e /411D0 • 0-4— Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: kept e .cam Sign or outline lighting 67.84 2 Address: Signal circuit(s)or limited-energy panel,alteration,or extension. 0 See Page 2 2 City/State/ZIP: .1 Each additional inspection over allowable in any of the above 0 LT iN® 2 Additional inspection(1 hr min) 66.25/hr Phone:53 ) Z'3 3 0�/(C,7 Fax:( ) Investigation(1 hr min) 90.00/hr Email: 7 ZEDS plant(1 hr min) 78.18/hr 1� l G}{e t 1 e a ZEDS e I e.c f1p c_— Co Inspections for which no fee is 90.00/hrCCB Lic.: Electrical Lic.: 1 Suprv. Lic.: specifically listed(A hr mn) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal: Print name: Date: 0 Plan Review Required(25%of permit fee): State surcharge(12%of pennit fee): Authorized signature: TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. * Number of inspections allowed per pennit. 1:ABuilding,Permits\ELC_Pe,mitApp_ELRERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB r ;fl I Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RE' NTIAL,WO Description I Qty. r Each I Total Fee for all residential systems combined: $75.00 Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 133.56 2 ❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 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) ❑ Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 3 ❑ Vacuum Systems* >100 kva-no additional charge 0.0 3 Each additional inspection over allowable in any of the above: ❑ Other: Each additional inspection is 66.25/hr charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr specifically listed('h hr min) COMMERCIALWORK O Y: 3 t v x. f. cTRiC Lt!ERmIT ti;!' Fee for each commercial system: $75.00 Subtotal(Enter on Page 1): 3 * Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:,Building\PermitslELCPermitApp_ELR_ERE.doe Rev 06/17/2015 I Plumbing Permit ApplicatiV 0 I . Building Fixtures ' J CityIMIEof Tigard DateBy:d `` (( g j Re Date/BY:. ( , /c PermitNo.: �r" ! -. O/djT II 13125 SW Hall Blvd.,Tigard,OR 9722 r-(� 1 4 �,Q I J Plan Review ! • Phone: 503.718.2439 Fax: 503.598.196e-' DateBy: Other Permit No.: Inspection Line: 503.639.4175 T f G A K t7 1 Date Ready/By: furls: ® See Page 2 for Internet: www.tigard-or.gov C t 1 Notified/Method: Supplemental Information For special information use checklist 0 New construction ❑Demolition Description I Qty. I Ea. I Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) i a' ,; SFR(1)bath 312.70 0 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 EXI Accessory building ❑Multi-family SFR(3)bath 500.32 Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 ' 1 d' i t I s 1 ' Site utilities: Job site address: f"1 170 ..5, (A). 1 rt7N pt., Catch basin or area drain 18.76 Drywell,leach line,or trench drain I 18.76 City/State/ZIP: 116.4-49 lig q 7 7 / Footing drain(no.linear ft.:..it.)) Page 2 Suite/bldg./apt.no.: I Project name: Bari Ley R c S ,a)f Com► Manufactured home utilities 50.03 Cross street/directions to job site: 6_4 let_ t._ Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.:S L) Page 2 Water service(no.linear ft.:V2 Page 2 Subdivision: I Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 1 ,r t /I 1 Backwater valve 12.51 ` Clothes washer 25.02 t2 iLi (DRA-t SF r Dishwasher 25.02 roorCa 044-005 _l �le-F__ Drinking fountain 25.02 HoSe inf., opm_t_4000,. J 2, Ejectors/sump 25.02 � 3 ; ' r, , Expansion tank 12.51 Name: /� nn �/ Fixture/sewer cap 25.02 ��IO T C_C_�.Su L J t ., / Floor drain/floor sink/hub 25.02 Address: 1 Y170 S 14). (19 rd ps. Garbage disposal 25.02 City/State/ZIP: - -i&.A�-13 0 2 7j^7 Z Z-3 _ Hose bib 25.02 Phone:( • s-7-7- b r Fax::( ) Ice maker 12.51 `. �1 _ saw ''1 i I .1 '"� Interceptor/grease trap 25.02 Business name: Medical gas(value:$ ) Page 2 gift 6.444 s,t70 Hbu�1.F.s zu�� Primer 12.51 Contact name: l2 /'/ 1� n Roof drain(commercial) 12.51 Address: 7 ,s 60, Q,4( 5 l Sink/basin/lavatory 25.02 City/State/ZIP: 7( -L 0 ®f... q7 az) Solar units(potable water) 62.54 Phone:(.5,---63 7 IF Fax::( ) Tub/shower/shower pan 12.51 Urinal 25.02 E-mail: r1/41ki wt ai cu e5 c". ,' 45,u fr Water closet 25.02 r. � ` ) � �.fi tz: Water heater 37.52 Business name: ILOMi.A ?tjtyy,6/ Water piping/DWV 56.29 Address: (W t{"L s L . ,.�Cc cza%N`f$ILL ' 5-1`f Other: 25.02 City/State/ZIP: �t ct.c i-�k s o IZ 9 7 O(S Subtotal l Phone:C.913) 112' _ 1 ,-0,5,5- Fax:( ) Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lic.: t 1 g`I 0 Pl I,ing Lic.no.: / State surcharge(12%of permit fee) Authorized sign e TOTAL PERMIT FEE Print name: �' "r - Date: 9// This permit application expires if a permit is not obtained within 180 days ((( l( after it has been accepted as complete *Fee methodology set by Tri-County Building IndustryService Board. I:\Building\Permits\PLMU-PermitApp.doe 10/01/09 440-4616T(10/02/COM/WEB) Plumbin! Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Su s e ression S stems: Footing drain-1 St 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_"reater $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 � f " a each additional$100.00 or fraction thereof,to � �• i+ .# �!, „" ' ._ and includin:$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 char•e-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 minimum char:e 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'. r it`t, E' '1 Nt+ #"P t l9 9 .w, Plan review is required for any of the following. •;� , '{ Please check all that apply. �. � t ❑ Any new commercial building with water service 2"and B.stist /Font -_-- greater,except systems designed and stamped by licensed Bath: -Tub/Shower engineer. -Jacuzzi/Whirl s ool Stall =-- 0 New exterior plumbing site utilities for any complex structure Car Wash: -Each Tani as defined in OAR918-780-0040. -Drive ❑ Medical gas and vacuum systems for health care facilities. Cusidor/Water As irator Dishwasher: -Commercial _-- ❑ Any multipurpose fire sprinkler system. Domestic --- 0 Any complex structure as defined in OAR918-780- 0040. Drinkin:Fountain --- E e Wash --- Submit 2 sets of plans with any of the above. Floor Drain/sink: -2" 4" --- 0 Isometric or riser diagram is required for new buildings -Car Wash Drain -- that meet the •ualifications above. Garbage -Domestic non-food Disposal: -Domestic food related --- -Commercial food related --- -Industrial food related =-- Ice Mach./Refri:.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 Swimmin: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