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Permit (63)
CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2018-00017 1t GAP D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/12/2018 Parcel: 1S135BD02600 Site address: 9564 SW ANNA BELLE CT Jurisdiction: Tigard Subdivision: ASH CREEK VILLAGE Lot: 12 Project: Ash Creek Village, Lot 12 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 947 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height 24 Bathrooms: 3 Second: 1275 sf Garage: 340 sf Front: 20 Dwelling Units: 1 Smoke Third: 0 sf Right: 3 Detectors: Yes Total: 2222 of Value: $269,838.70 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0 Catch Basins: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 4 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group:Y Square Feet: NEW SF VB R_3 2222 Owner: Contractor: SAGE BUILT HOMES LLC SAGE BUILT HOMES Required Items and Reports(Conditions) 1815 NW 169TH PL STE 1040 1815 NW 168TH PLACE 1 Fire Rated Eave BEAVERTON,OR 97006 BEAVERTON,OR 97006 2 Ersn Cntrl 503-639-4175 PHONE: PHONE: 971-221-4597 FAX: 503-533-5164 Total Fees: $30,117.51 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 -.opted by the Oregon Utility Notification Center. Those rules ar- set forth in OAR 952-001-0010 through OAR 952-001-0090. Y in a cop of the rules o direct questions to OUNC by calling 503 32.1987 or 1.800. .- -•.4. Issued By: _ — Permittee Signature: �_ `�^ I-. .639.4176 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. R t l_.r $uildin2 Permit Application Residential =f ;*'11,' 4vit: .' ,y FOR OFFICE CSE ONLY Iiii qi City of Tigard Received 1 Permit No.: ,� 13125 SW Hall Blvd.,Tigard,OR 97223 .i/ai 10y ''',11 . Plan Revievv��L��" �`� ����^t�-/������ ����/ _ Phone: 503.718.2439 Fax: 503.598.1960 Date/By: )—a 3-)8 ---4 Other Permit: 5 �11i1S.... �C.l(G' T 1 G n R D Inspection Line: 503.639.4175 ti x' , ' :-"jDate Ready/By: / / Juris: ® See Page 2 for Internet: www.tigard-or.gov ` Notified/Method: `/ if / ,� Supplemental Information 9 rec-. TYPE OF WORK REQU ' ► DATA:I-AND 2-FAMILY DWELLING ®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 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. — ® 1-and 2-family dwelling ElCommercial/industrial Valuation: $ s6 9, $3 El Accessory building 0 Multi-family Number of bedrooms: v ❑Master builder 0 Other: Number of bathrooms: 3 • JOB SITE INFORMATION AND LOCATION Total number of floors: 2 `.1/4s 6a Job site address:9564 SW Anna Belle Ct New dwelling area: 2222 square feet City/State/ZIP:Tigard Oregon Garage/carport area: 340 square feet Suite/bldg./apt.no.: Project name:Ash Creek I=1l,,i ye.-1 Goi- Covered porch area: 28 square feet )a 7 S Cross street/directions to job site: 444/sok area:P ;Q 40 square feet c .J 7 S 6 5 4t Gt I"/ec re-7.,..e 1 EroC/ flu l �I I/dt h .1 Other structu r 4 40 square feet iir_l %LIG./.re'‘f Gs•Gt�.�//Lj/rt l6!%t� ,2'/LLtf '�S REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision:Ash Creek Lot no.:12 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 equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. New Residential Construction Valuation: $ Existing building area: square feet New building area: square feet ., PROPERTY OWNER 0 TENANT Number of stories: Name:Sage Built Homes Type of construction: Address:1815 NW 169th Place Occupancy groups: City/State/ZIP:Beaverton Oregon 97006 Existing: Phone:(971)221-4597 Fax:( ) New: �+ APPLICANT 0CNTACT PERSON BUILDING PERMIT FEES* Business name:Same As Above (PlMae refer tofee schedalee Structural plan review fee(or deposit): Contact name:Kylie Hofenbredl FLS plan review fee(if applicable): Address:Same As Above Total fees due upon application: City/State/ZIP: Phone:(971)221-4597 Fax::( ) Amount received: E-mail:Planning@sagebuilthomesllc.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CE)h1TRAC1 UIt Commercial and residential prescriptive installation of roof-top mounted Photo Voltaic Solar Panel System. Business name: Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: Solar Installation Specialty Code checklist. City/State/ZIP: Permit Fee(includes plan review $180.00 and administrative fees): Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.: 15'33 0 / /A?(",,c, — 7 Total fee due upon application: $201.60 Authorized signature: t0 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Date: { f *Fee methodology set by Tri-County Building Industry Print name: , v c' `3 �l 1Z I Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE l SE ONI.\ a 13125 SW Hall Blvd.,Tigard,OR 97223 City Tigard of Ti d Received Permit No.: Date/By: permits: IN - Phone: 503.718.2439 Fax: 503.598.1960 24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical TIGARD Internet: www.tigard-or.gov 0 Other THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW les No N/A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑ 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 0 ❑ 3 Verification of approved plat/lot. ❑ ❑ 0 4 Fire district approval required. Name of district: • ❑ ❑ 0 5 Septic system permit or authorization for remodel. Existing system capacity . ❑ ❑ ❑ 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 ❑ 0 9 Erosion control ❑plan ❑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 ❑ ❑ ❑ 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 ❑ El ❑ 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 El ❑ ❑ and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, ❑ 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 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. ❑ ❑ ❑ 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 ❑ ❑ 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 ❑ ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ 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 ❑ El ❑ over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. ❑ ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ❑ ❑ ❑ 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 0 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". ❑ ❑ ❑ 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. ❑ ❑ ❑ 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ❑ ❑ ❑ 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. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Application FOR OFFICE I SE OVLI City of Tigard t,,ed 13125 SW Hall Blvd.,Tigard,OR 97223 a", 1. .tey� Permit No.: i,Tr - l � Phone: 503.718.2439 Fax: 503.598.1960 Platt Review T I G A R D Date/By: Other Permit: Inspection Line: 503.639.4175 Internet: www.tigazd-or.gov x�y l I.)1-! ` Date Ready/By: Juris: ® See Page 2 for -`-i Notified/Method: Supplemental Information TYPE OF WORK(L,I I i Ut` 1 It-t I I. COMMERCIAL EEE* SCHEDULE'- rljT�a-•r`.%"" -.:k t n USE CHECKLIST ®New construction ❑Addition/alteratiotY7repl cold Mechanical permit fees*are based on the value of the work ❑Demolition performed.Indicate the value(rounded to the nearest dollar)of all ❑Other: mechanical materials,equipment,labor,overhead,and profit. CATEGORY OF CONSTRUCTION Value:$ ® 1-and 2-family dwelling 0 Commercial/industrialRESIDENTIAL EQUIPMENT/SYSTEMS FEES* 0 Accessory building Fors e f special information use checklist. ❑Multi-family 0 Master builder 0 Other: Description JOB SITE INFORMATION AND LOCATION g/coolin I Qts Ea. I Total Heatin g: Job site address:9564 SW Anna Belle Ct Air conditioning 1 46.75 46.75 Furnace 100,000 BTU(ducts/vents) 1 46.75 46.75 City/State/ZIP:Tigard Oregon Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: I Project name:Ash Creek Heat pump 61.06 Cross street/directions to job site: Duct work 23.32 Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision:Ash Creek Other: I Lot no.:12 23.32 Tax map/parcel no.: Other fuel appliances: Water heater 1 23.32 23.32 DESCRIPTION OF WORK Gas fireplace/insert 1 33.39 33.39 New Residential Construction Flue vent for water heater or gas fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 =� PROPERTY OWNER i ❑ TENANT Other: 23.32 Name:Sage Built Homes Environmental exhaust and ventilation: Range hood/other kitchen Address:1815 NW 169th Place equipment 1 33.39 33.39 City/State/ZIP:Beaverton Oregon 97006 Clothes dryer exhaust 1 33.39 33.39 Single-duct exhaust(bathrooms, Phone:(971)221-4597 toilet compartments,utility rooms) 5 23.32 116.60 Fax:( ) Attic/crawlspace fans APPLICANT CI 1 23.32 23.32 0'INTACT PERSON Other: 23.32 Business name:Same As Above Fuel piping: Contact name:Kylie Hofenbredl $14.15 for first four;$4.03 for each additional Furnace,etc. Address:Same As Above Gas heat pump City/State/ZIP: Wall/suspended/unit heater Water heater Phone:(971)221-4597 I Fax::( ) Fireplace E-mail:Planning@sagebuilthomesllc.com Range Barbecue CONTRACTOR Clothes dryer(gas) Business name:All Time Heating&Cooling Other: Address:PO Box 1341 MECHANICAL PERMIT FEES* City/State/ZIP:Lake Oswego,OR 97035 Subtotal Minimum permit fee($90.00) Phone:(503)208-2276 I Fax:( ) Plan review(25%of permit fee) CCB lit.:1845757 State surcharge(12%of permit fee) TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 Authorized SlgnatlJle: c___OrNINA days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board I Print name: 1 69._. A ("�( V‘l�'�ua 24 r?...._116 I �-"" I Date: I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial & Multi-Family Fee Schedule: Total Valuation: Permit Fee: $0.00 to$500.00 Minimum fee$69.06 $500.01 to$5,000.00 $3.07$69500.00 and 0 6 for eeach addir the first tional $100.00 or fraction thereof,to and including $5,000.00. $5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and $2.81 for each additional$100.00 or fraction thereof,to and including $10,000.00. $10,000.01 to$50,000.00 $247.71 for the first$10,000.00 and 54 for each additional$ 00.00 or fraction thereof,to and including $50,000.00. $50,000.01 to$100,000.00 $2$1,363.71.49 foreachor the first$50,000.00 d additional$100.00 or fraction thereof,to and including $100,000.00. $100,000.01 and up $2,608.712 rfor the first$100,000.00 and each additional$100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. I:\Building\Permits\MEC_PermitApp_040113.doc 2 Electrical Permit Application a EOR 01 1'1( E I SE O\1.1 111111 City of Tigard :' ,, 4 ,.*;.:ye d , 4 13125 SW Hall Blvd.,Tigard,OR 97223 Plan R : �_ Phone: 503.718.2439 Fax: 503.598.1960 Plan Review ILMMI Inspection Line: 503.639.4175 i A ! 9 i I j Date/B : Related Permit#: I I ,�«.1) Internet: www.tigazd-or.gov 'Ready Date/By: loris: ® Sec Page 2 for Notified/Method: Supplemental Information k$ r kk� ®New construction - - 0 Addition/alteratton/4 r ' . k�$lll�tlt `; Please check all that apply(submit 2 sets of plans w/items checked): ❑Demolition Other: ❑Service or feeder 400 amps or more 0 Building over three stories. CA1( oOF j R ©N where the available fault current 0 Marinas and boatyards. exceeds 10,000 amps at 150 volts or 0 Floating buildings. Ell-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural ❑Multi-family ❑Master builder amps for all other installations. buildings. ❑Other: 0 Fire pump. JOB STrE J!FQRMATit)N;AND;LOCATION ❑Installation a at ly 150 KVA or El system. larger separately derived Job#: I Job site address:9564 SW Anna Belle Ct ❑Addition of new motor load of system. 100HP or more. ❑<.A„ .<E„ «1-2" "1-3» City/State/ZIP:Tigard Oregon EISix or more residential units. occupancy. Suite/bldg./apt.#: ❑Health-care facilities. 0 Recreational vehicle parks. I Project name:Ash Creek 0 Hazardous locations. 0 Supply voltage for more than Cross street/directions to job site: ❑Service or feeder 600 amps or more. 600 volts nominal. FEL SCHEDULE Description IQty. I Each I Total I •. Subdivision:Ash Creek New residential single-or multi-family dwelling unit. I Lot#: 12 Includes attached garage. Tax map/parcel#: 1,000 sq.ft.or less 168.54 4 111>✓SC Ea.add'I 500 sq.ft.or portion 33.92 1 1 P N OF WORK, Limited energy,residential IS New Residential Construction 2 (with above sq.ft) Limited energy,multi-family residential(with above sq.ft.) 75.00 2 ® `t,OPERTY4'k'Pl1ER" ' "." , • Q TENANT • rgy e Name:Sage Built Homes LLC ServicesRenewable or feedersEneinstallation,altera❑ StionePage,and/or2 relocation 200 amps or less 1 100.70 100.70 2 Address: 1815 nw 169TH Place Suite 1040 201 amps to 400 amps 133.56 2 City/State/ZIP:Beaverton Oregon 97006 401 amps to 600 amps 200.34 2 601 amps to 1,000 amps 301.04 2 Phone:(971)221-4597 I 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 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 ampsto 400 am29.08 1 Ps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 '' APPLJ~CA1I1T [ 0 CONTACT PERSON Branch circuits—c new,alteration,or extension,per panel Business name:Same As Above A.Fee for branch circuits with above service or feeder fee, Contact name:Kylie Hofenbredl each branch circuit 7.42 2 B.Fee for branch circuits without Address: service or feeder fee,first branch circuit 56.18 2 City/State/ZIP: Each add'I branch circuit 7.42 2 Phone:(971)221-4597 Fax: Miscellaneous(service or feeder not included) ( ) Each manufactured or modular dwelling,service and/or feeder Email:Planning@sagebuilthomeslle.com 67.84 2 CONTRACTORReconnect only 67.84 2 Business name:Ross Electric Pump or irrigation circle 67.84 2 Sign or outline lighting 67.84 2 Address:2870 SE 75th Ave 203 Signal circuit(s)or limited-energy panel,alteration,or extension. 0 See Page 2 2 Each additional inspection over allowable in any of the above City/State/ZIP:Hillsboro Oregon 97123 Phone:(503)642-2800 Additional inspection(1 hr min) 66.25/hr I Fax:( ) Investigation1 hr min)) 90.00/hr Email: / Industrial plant(1 hr min) 78.18/hr /0 it r f/ Inspections for which no fee is CCB Lic.: 157891 I Electrical Lic.: 34-436C I Suprv.Lic.:/),g2 2 S specifical�listed('/2 hr min) 00.00/hr Suprv.Electrician signature,required: / ELIECCRfGAL PERMIT PEES(t-.name: Stephen Ross .r._,_, Subtotal: Date: 0 Plan Review Required(25%of permit fee): �D State of surcharge g (12% permit fee): Authorized signature: TOTAL PERMIT FEE: IPrint name: \ This permit application expires if a permit is not obtained within 180 \ �� Q ��')i� I Date��;'� ( I days after it has been accepted as complete. 1Y ` Number of inspections allowed per permit. I.\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11/OS/COM/WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: ONLY: i� 'sciittant�i�c` . RESIDENTIAL WORK Description Qty. I Each I 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 ❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: n 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 13 >100 kva—no additional charge 0.0 tl 3 n Vacuum systems* Each additional inspection over allowable in any of the above: Each additional inspection is 66.25/hr 1 ❑ Other: charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr specifically listed(V2 hr min) ELECTRICAL PERMIT FEES COMMERCIAL WORK.ON Y: Subtotal(Enter on Page 1): 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 ❑ Clock Systems ❑ Data Telecommunication Installation n Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems n L• andscape Irrigation Control* n M• edical ❑ Nurse Calls n Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other: Total number of commercial systems: — *No licenses are required. Licenses are required for all other installations I\Building\Permits\ELC_PermitApp_ELR_ERE.doe Rev 06/17/2015 .Pluibing Permit Application Building Fixtures OFFICE E 1 sI o`l.\ 3.7a City of Tigard r ,. x, i I '" d,R.ceived N - 13125 SW Hall Blvd.,Tigard,OR 97223 plateBy: Permit No.:M�T JjY�z rJotS T Phone: 503.718.2439 Fax: 503.598.1960 Plan Review Inspection 503.639.4175 ` ' ° 1? Date/By: Other Permit No.: TIGARD p 4�'1 DateReadB Internet: www.tigazd-or.gov y y: Juris I S See Page 2 for „� Notified/Method: Supplemental Information (-4TYPE OF WORK �1 1{0' 1 I JA J FEE* SCHEDULE ®New constructionr`, ` ' ''. '"' ❑ ®molJttdd: For special information use checklist ❑Addition/alteration/replacementDescription I Qty. I Ea. I Total 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 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building SFR(3)bath x 500.32 500.32 ❑Multi-family ❑Master builder Each additional bath/kitchen 25.02 ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address:9564 SW Anna Belle Ct Catch basin or area drain 18.76 City/State/ZIP:Tigard Oregon Drywell,leach line,or trench drain 18.76 Suite/bldg./apt.no.: I Project name:Ash Creek Footing drain(no.linear ft.: ) Page 2 Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.: ) Page 2 Subdivision:Ash Creek Water service(no.linearft.: ) Page 2 Lot no.: 12 Fixture or item: Tax map/parcel no.: Backflow preventer 1 31.27 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 1 25.02 25.02 New Residential Construction Dishwasher 1 25.02 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 C. PROPERTY OWNER ( 0 TENANT Expansion tank 12.51 Name:Sage Built Homes LLC Fixture/sewer cap 25.02 Address:1815 NW 169th Place Floor drain/floor sink/hub 25.02 City/State/ZIP:Beaverton Oregon 97006 Garbage disposal 1 25.02 25.02 Hose bib 2 25.02 25.02 Phone:(971)221-4597 Fax:( ) Ice maker 12.51 ' APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name:Same As Above Medical gas(value:$ ) Page 2 Contact name:Kylie Hofenbred Primer 12.51 Address:Same As Above Roof drain(commercial) 12.51 City/State/ZIP: Sink/basin/lavatory 5 25.02 125.10 Solar units(potable water) 62.54 Phone:(971)221-4597 I Fax::( ) Tub/shower/showerpan 4 12.51 50.04 E-mail:Planning@sagebuilthomesllc.com Urinal 25.02 CONTRACTOR Water closet 25.02 Business name:Edwards Mullen Plumbing Water heater 1 37.52 37.52 Water piping/DWV 56.29 Address: 1601 A Se River Rd Other: 25.02 City/State/ZIP:Hillsboro Oregon 97123 Subtotal Phone:(503)628-3560 Fax:( ) 7///2. Minimum permit fee: $72.50 CCB Lie.:92689 lambing Lic.no.: /�i!�r0 j/ Plan review (25%of permit fee) Authorized signature: State surcharge(12%of permit fee) e, .._ r _, TOTAL PERMIT FEE I Print name: C. V'\ de Date: 9_, 17_ � 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: Site Utilities • Qty. Fee(ea) Total Square Footage: Permit Fee: 50.03 0 to 2,000 $121.90 Footing drain-1s`100' 2,001 to 3,600 $169.69 Footing drain-each additional 100' 37.52 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 QtyFee Total Other Inspections or Fees ` 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. $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for Additional plan review for revisions 90.00/hr 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*. Quantiy by Fixture Type Plan Review for Plumbing Installations Fixture Type for Replace! Work Performed: Capped Added Relocate Plan review is required for any of the following. 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 ❑ New exterior plumbing site utilities for any complex structure -Drivepra or as defined in OAR918-780-0040. Cuspidor/WaterDishwasherCoirator -Commercial ❑ Medical gas and vacuum systems for health care facilities. -Domestic 0 Any multipurpose fire sprinkler system. Drinking Fountain 0 Any complex structure as defined in OAR918-780-0040. Eye Wash Submit 2 sets of plans with any of the above. Floor Drain/sink -2" -3" 4" Isometric or Riser Diagram Car Wash Drain ❑ Isometric or riser diagram is required for new buildings Garbage -Domestic-non-food that meet the qualifications above. Disposal -Domestic-food related -Commercial-food related -Industrial-food related Ice Mach./Refrig.Drains . Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Gang -Stall Sink/Lav -Non-food related -Bradley -Commercial-food related -Service Swimming Pool Filter *Note: If the fixture work under this permit results in an Washer-Clothes increase of sewer EDUs,a sewer permit will be issued and Water Extractor fees assessed for the sewer increase must be paid before the Water Closet Toilet plumbing permit can be issued. Urinal Other Fixtures: C:\Users\alejandra\Downloads\PLMF_PermitApp.doc 2 City of Tigard a COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D Building Permit Review Residential Building Permit #: /r7 57,260�u/7 Site Address: ciS 6`1 S W 4 011A (2die CI- Project f Project Name: AO i Crt 4. Vila s e (New dwelling=subdivision name;Addition or Alteration=last name of owner) Lot #: Z Planning Review i Proposal: L,^ t Kiln, d n Lk-1 5 r �� X11 erisite address /suite/suite# exists and activ permit system. 7 River Terrace Neighborhood: No ❑ Yes,See River Terrace Review Addendum Attached Site Plan Elements: ree(3)copies of site plan :sting structures on site � e plan must be on 8-1/2"x 11"or 11 x 17"paper it O0V ootprint of new structure(including decks)with finished wn to scale(standard architect or engineer scale) or elevations rth arrow ttlity locations&easements (required for new and additions) Br5ite address,project or subdivision name and lot number A 1' .licant information(name and phone number) Sidewalk/driveway approach cation of wells/septic systems V it dimensions and building setback dimensions g xisting trees to be retained with drip line,and tree A�ipuare footage of buildings to be demolished _-,!_ ection measures w.ot area,building coverage area,percentage of coverage and Amer,, eet tree size,type and location 71, pervious area(applicable if R-7,R-12,R-25&R-40) r treet names ��// roperty corner elevations (2 foot contour lines if more than >1,000 sf of impervious area created or replaced? II'es ❑No 4 foot differential) If yes,is a storm water .uality facility shown? EyesYONO ag Clean Water Services-Service Provider Letter of platted prior to 9 1995): /Required: tiYes,applicant was notified No eceived: �� a t �� [ Public Facili�ti�e mprovement(PFI) Permit: ❑ Yes CI No � Required: [i CI applicant was notified No Applied For: r Yes CINo,stop intake,I and Use Case#: i°0 r. 2.0 i S-0060 i oning: R-i. C I"U) LZ Required Setbacks: Fronts Rear Side _ 3 Street Side _J, Garage L //Landscape Requirement: Lij % G~ LJ' of Coverage Maximum: 0() IV Building Height: Maximum Height /n g �/ Actual Height [ 7 !�.' tsual Clearance —/ Sensitive Lands: [ Yes ❑ No Urban Forestry Plan Type Gd xi �'� (e;`� ����"e El Conditions "Met"prior to issuance of building permit Notes: (,ginP0- ,47 k k n-J 14 ) F ,.,,�, Approved By Planning: LJ Date: }-I(y Revisions (after Building Submittal only) Revision 1: ❑ Approved El Not Approved Reviewer Date Revision 2: ❑ Approved ❑ Not Approved ''t Revision 3: El Approved ❑ Not Approved I:\Building\Forms\BldgPernutRvw RES_061417.docx Building Permit Submittal Original Submittal Date: # /`d/r Site Plans: :, Building Plans: # 3 Building Permit#: nter building permit#above. ^ � t Coordinator $ Workflow Routing: fanning Ct LJ� ngineering 1, Workflow Sign-off: -off for Planning(include notes from planning review) Route Application Documents: g---Engineering: (1) copy of permit application, (1) site plan, (1) building plan and originalf� plan review routing form. L - iding: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: � iimr By Permit Technician: � Date: /// ��' Engineering Review Slope at building pad: //Z1 _/ / �r"6 •te r" Conditions"Met"prior to issuance of building permit ' / ! et Easements (encroachments)per engineering conditions of approval and plat Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes No Assess Water Quantity Fee in-lieu: ❑ Yes No LIDA Facility on lot: ❑ Yes No Date: ElNOT Approved by E inee ng: _ Notes: 4 .ems› • e,p4A �'/ '/ I J� Date: Approved by Engineering: r`�7!— /- 4e Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review XConditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: rn &(S civaikkvt 2B a,Ylu 2- -- l24+ Doi oro 1 utnr'v . dimer leis k) && 'to ileVi V,1-9 u k c no/t'c- Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: (SDC Fees Entered: Wash Co Trans Dev Tax: ] Yes ❑ N/A Tigard Trans SDC: .P3.Yes ❑ N/A Parks SDC: Yes ❑ N/A LIDA ❑ Yes R N/A Z OK to Issue Permit k,civt, IApproved by Permit Coordinator: ,uJ Date: I ltpi g I:\Building\Forms\BldgPermitRvw_RES_061417.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 9564 SW ANNA BELLE CT, TIGARD, OR, 97223 Record Type: Record ID: Residential - Master Permit MST2018-00017 Inspection Type: Inspector: 699 Mechanical final David Young Result: FA I L Comments: Provide approved UL listed tape on mechanical vents. M1601 .4.1 .3 in garage and any other location. Seal duct penetrations at back garage wall, open holes not sealed for required garage/ house Fire separation. R302.5.3, R302.6 No ac installed. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 9564 SW ANNA BELLE CT, TIGARD, OR, 97223 May 21 , 2018 at 8:08:47 AM Record Type: Record ID: Residential - Master Permit MST2018-00017 Inspection Type: Inspector: 299 Final inspection David Young Result: FA I L Comments: Not ready for building final inspection. No inspection done at this time. Provide approved plumbing final inspection prior to building final inspection. R109.1 .4 Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 9564 SW ANNA BELLE CT, TIGARD, OR, 97223 Record Type: Record ID: Residential - Master Permit MST2018-00017 Inspection Type: Inspector: 399 Plumbing final David Young Result: FA I L Comments: Provide pry and expansion tank for water heater for water pressure in excess of 80 psi. Pry installed, hose bib pressure exceeds 80. 608.2 It appears all houses in subdivision will exceed 80 psi. Glue clean out cap and coupler right side front and provide approved thread sealant. Seal base of main bath shower to floor. Seal base of upper level main bath tub/shower at floor. 407.2 Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 9564 SW ANNA BELLE CT, TIGARD, OR, 97223 May 30, 2018 at 9:31 :24 AM Record Type: Record ID: Residential - Master Permit MST2018-00017 Inspection Type: Inspector: 399 Plumbing final Chip Barnett Result: PASS Comments: Previous corrections have been completed House pressure 60# Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 9564 SW ANNA BELLE CT, TIGARD, OR, 97223 June 1 , 2018 at 11 :06:11 AM Record Type: Record ID: Residential - Master Permit MST2018-00017 Inspection Type: Inspector: 299 Final inspection David Young Result: FA I L Comments: Provide approved mechanical final inspection prior to building final inspection. Not ready for final inspection at this time. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 9564 SW ANNA BELLE CT, TIGARD, OR, 97223 June 4, 2018 at 12:31 :02 PM Record Type: Record ID: Residential - Master Permit MST2018-00017 Inspection Type: Inspector: 699 Mechanical final David Young Result: PASS Comments: Correction from previous inspection complete. No ac installed at this time. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 9564 SW ANNA BELLE CT, TIGARD, OR, 97223 June 4, 2018 at 12:38:22 PM Record Type: Record ID: Residential - Master Permit MST2018-00017 Inspection Type: Inspector: 299 Final inspection David Young Result: PASS - CofO Comments: Final erosion control approved. Street tree certification received. Moisture content form received. Moisture barrier form received. High efficiency lighting form received. Blower door test report received. Insulation certification received. C of 0 left on site at kitchen counter. Additional hand rail to code installed. No ac installed at this time, permit and inspections required at time of installation. Violation Summary: Inspector Contractor Plumbing Permit Application Building Fixtures _._ rolz of ii i; tsi; o'i.' Received _ City of Tigard 1 � „ �,rq Peru 13125 SW Hall Blvd.,Tigard,OR 97223 JUL L 2 O 2013 Date/By: 7/;c--/f,,09 xl ST.;Di B 0017 Plan Review ' I Phone: 503 718.2439 Fax: 503.598.1960Other Permit No.: Date/By: T 1 r;:\1'.t> Inspection Line: 503.639.4175 C.,2,7'0 Date Ready/By: Juns: e , See Page 2 for Internet: www.tand-or. ov i.�.t • ,.. � ,,•� Notified/MerholSupplemental In formafion 4'c � , i ®New construction ❑DemolitionG /"AIIIPP- For special information use checklist %'escription I Qty. I Ea. I Total 0 Addition/alteration/replacement ❑Other: I" New 1-2-family dwellings(includes 100 ft.for each utility connection) ifr. x r � . ,.� . .. ., 41g®!, ^, t :):•4`44‘.� 4 SFR(1)bath 312.70 �® 1-and 2-family dwelling ❑Commercial/industrials SFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building ❑Multi-family Each additional bath/kitchen 25.02 O Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 o•, tl ' t 4 t i t 04:1t: gtn' ,44 Site utilities: rkiL. Job site address:9564 SW Anna Belle Ct Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,Oregon Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: I Project name:Ash Creek Village Manufactured home utilities 50.03 Cross street/directions to job site:SW 95'Avenue 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:Ash Creek Village I Lot: 12 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 x i t •. t .,7,:;::4<,,,,-..40::,;:., Backwater valve 12.51 ,� �,.° -4::it..? - .acvsty Clothes washer 25.02 New residential construction/Plumbing contractor revision Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 < y= L-:".--frectI-,-,17v.1...!.;fx,:74.m.. Expansion tank 12.51 Name:Sage Built Homes,LLC. Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: 1815 NW 169th Place,Suite 1040 Garbage disposal 25.02 City/State/ZIP:Beaverton,Oregon Hose bib 25.02 Phone:(971)221-4597 Fax:( ) Ice maker 12.51 -e 1 >< A 1 Interceptor/grease trap 25.02 Business name:Sage Built Homes,LLC. Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Ben Cooper Roof drain(commercial) 12.51 Address:Same as above Sink/basin/lavatory 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone:(971)258-6658 Fax::( ) Tub/shower/shower pan 12.51 E-mail:planning@sagebuilthomesllc.com Urinal 25.02 rt---- • lot, Water closet 25.02 fc.._:- t .•sx - . a r ''; Water heater 37.52 Business name:Max Plumbing Service Inc Water piping/DWV 56.29 Address:PO BOX 230674 97281 Other 25.02 City/State/ZIP: Tigard,OR 97281 Subtotal Phone:(971)-275-0198 Fax:( ) Minimum permit fee: $72.50 CCB Lic.: 205392 Plumbing Lic.no.: Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE Print name:Ben Cooper Date:7/23/2018 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 Suss ression S stems: 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 t „ Storm&Rain Drain-1st 100' 62.54 c �" 1; '"?r4.11,' .. $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 y each additional$100.00 or fraction thereof,to ` ai 'yk v 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 char:e-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 char:e-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 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*. Quantity by Fixture Type Fixture hype for Repla"� Plan review is required for anyof the following. WorkPerfor'med: :Capped Added Relocate 9 Baptistry/Font Please check all that apply. Bath Tub/Shower 1=1 Any new commercial building with water service 2"and Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer. -Drive Thru ❑ New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780-0040. Dishwasher -Commercial 0 Medical gas and vacuum systems for health care facilities. -Domestic ❑ Any multipurpose fire sprinkler system. Drinking Fountain ❑ Any complex structure as defined in OAR918-780-0040. Eye Wash Floor Drain/sink -2" Submit 2 sets of plans with any of the above. -3" Isomet `oriser Diagram Car Wash Drain 0 Isometric riser diagramisrequired for new buildings Garbage -Domestic-non-food or g Disposal -Domestic-food related that meet the qualifications above. -Commercial-food related -Industrial-food related Ice Mach./Refrig.Drains Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Gang -Stall Sink/Lay -Non-food related -Bradley -Commercial-food related -Service Swimming Pool Filter *Note: If the fixture work under this permit results in an Washer-Clothes Water Extractor increase of sewer EDUs,a sewer permit will be issued and Water Closet-Toilet fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fixtures: C:\Users\kylie\Downloads\PLMF PermitApp.doc 2