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Permit (82) CITY OF TIGARD PLUMBING PERMIT 11111 111 �' COMMUNITY DEVELOPMENT Permit#: PLM2018-00156 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/09/2018 T t "' L 9 Parcel: 2S102AC00800 Jurisdiction: Tigard Site address: 12551 SW MAIN ST Project: XU Subdivision: BURNHAM TRACT Lot: 1 Project Description: Landlord interior plumbing:Adding(1)water heater;Replacing(1)sink and(1)water closet. Contractor: SARKINEN PLUMBING Owner: YU XU 9502 NE 72ND AVE 12551 SW MAIN ST VANCOUVER,WA 98665 TIGARD, OR 97223 PHONE: 503-761-2902 PHONE: FAX: FEES Quantity Description Date Amount 1 ea Sink 04/09/2018 $25.02 Specifics: 1 ea Water Closet 04/09/2018 $25.02 1 ea Water Heater 04/09/2018 $37.52 Type of Use: COM 1 12%State Surcharge- 04/09/2018 $10.51 Class of Work: ALT Plumbing Type of Const: Occupancy Grp: • Stories: Total $98.07 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: 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. PluPlu=n2 Permit Application Building Fixtures per. - City of Tigard , FOR OFFICE USE ONLY k 13125 SW Hall Blvd.,Tigard,OR 9722 Received I Date/By: ,f IN Phone: 503.718.2439 Fax: 503.598.1960 Permit No.: 0 Inspection Line: 503.639.4175 �� . �•' t TIGARD i e. Other Permit No.: Internet: www.tigard-or.gov I\���1 ;. . r: '� Date early By: ed/Methods EgjSee Page 2 fol----Th" TYPEOF © � Supplemental Information ❑New construction 1 FEE* EP ,_ CIIL 0 DemOl�t��� w r r, _ ., Total ❑Addition/alteration/replacementFor s.ecial information use checklist. 0 Other:° Descri•tion Q .E1 EGOR�' QFCONSTRUCTION New 1-2-family dwellings(includes 100 ft.for each utilityconnection) , , SFR(1)bath ❑ 1-and 2-family dwelling 11111 312.70 — 0 Commercial/industrial SFR(2)bath _® 1111111111 ❑Accessory building 0 Multi-family SFR(3)bath ❑Master builder 500.32 — ❑Other: Each additional bath/kitche) _ �' JOB,SITE 25.02 MN INFORMATION AND LOCATION; Fire sprinkler( sq.ft.) _�— Job site address: t �„y�' / City/State/ZIP: ,-'- Catch basin or area drain _ AFI q! Z 18.76 — E c?✓�i Rioting leach line,or trench drain _ Suite/bldg./apt.no.: Footing drain(no.linear ft.: 18.76 — Project name: _) _®— Cross street/directions to job site: Manufactured home utilities _ Manholes11111 50.03 — Rain drain connector 18.76 MN Rain 18.76 — Sanitary sewer(no.linear ft.:_) _azi— Storm sewer(no.linear ft.: ) _�- Subdivision: Water service(no.linear ft.:_) Tax map/parcel no.: Lot no.: Fixture or item: 1111111M1111111111111 Backflow preventer imm., )*SCR1 'ION _®- �{ PP I r red • • _ Clothes washer _ cia �..t. • 25.02 111.11111 6141 Dishwasher _ MEDrinking fountain 11111 25 02 25.02 — Ejectors/sump 11111 111111111 ": ".`� .fib , ..!14 25.02 — ❑ � ,A,�T � Expansion tank �® Fixture/sewer cap _ Address: 25 02 © �"� ME �'_��"—„ Floor drain/floor sink/hub _ City/State/ZIP: " '� P, 25.02 — Lc. Garbage disposal _ Phone ( ) 25.02 — Hose bib 111111 " x f 1 25.02 — u � ,:::•,'":.'1„ ' ,�:,,,,, Interceptor/grease trap NMI�� Medical gas(value:$ 25.02 — Contact name: l ) _�- Address: Roof drain(commercial) Sink/basin/lavatory � Phone:( ) Solar units 25.02 (potable water) Ell 62.54 111111111 Tub/shower/shower pan _® 11111111111 Elognommimmigi .' -°' ,-: ,r' ,. t. 25.02 MN Water closet IBM Business name: _ 25.02 MN 5;,: ,7 gm 7 - iiNIi 11111111 Address: - r Water piping/DW V _ City/State/ZIP; Zxh i ye° Other: 56.29 �` ✓U [ MN 25.02 Phone:( ) EIMMIIIIIIIIIIT Subtotal Minimum permit fee: $72.5011111111111 Plumbing Lic.no.: P f Plan review (25%ofpermit fee) cimmilmmumm Authorized signature: MN State surcharge(12%of permit fee) MN TOTAL PERMIT FEE d�- y UnallinialiiiIIMIIMIJI .C--=-- Date: This permit application expires if a permit is not obtained within lb,,ways after it has een accepted as � *Fee methodology set by Tri-County Building Industry Service I:�Building�permits�PLMU-Permi[App.doc 10/01/09, v try rnce Board. 440-4616T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Residential Fire Su s s ression S stems: Fee Schedule: ' Qty.z ,Fee(ea).. Total.' i uare'Foota.e :PgrmitF , Fie:�:r. ` � 0 to $121.90 ��ke g drain Utilities'100' ' 111111 50.03 0 to 2,000 3,600 $121.90 Footing drain-I each _®_ $233.20 69 Footing drain- additional 100' _ 3,601 to 7,200 62.54 7,201 and_eater Sewer-1st 100' _®_ Se Water-eachrviadditional100'100' 111111 62.54 _ Medical Gas S stems: Water Service-each IIIII®� R: P mit ec ,. ?al.,attoic , . - Worm Service Draina1st additional0' 100' _ 62.54 $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain -1st 100' $5,001.00 to$10,000.00 $72.50 for the $5,000.00 and$1.52 for Storm&Rain Drain-each additional 100' each additional first$10 or fraction thereof,to — lei): :'Total:r and includin.$10,000.00. I eeS:. Qt` l . OtInsher jam'i existingeplumbing or $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for which no nee pes a for each additional$100.00 or fraction thereof,to 90.00/hr and including$25,000.00. (minimuminfee is:e—1//2 lly indicated IIII char_e 1/2 hour 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for hours Inspections outside of normal business each additional$100.00 or fraction thereof,to _ and includin_$50,000.00. hours minimum char:e 2 hours 90.00/hr Reinspection Fees111111 $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for 111111 90.00/hr - each additional$100.00 or fraction thereof. Additional plan review for revisions minimum char:e 1/2 hour Subtotal: ___ Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", a� �k please indicate work performed by fixture. Failure to , . w ...:, `4.4,4... 1]�ii114 © s Flan Revi�vv,for�i»rn accurately report fixtures could result in increased sewer er fees*. Plan review is required for any of the following. �uanti�b: Fi�tjre Fi Re�pplace/ Please check all that apply. Work Performed: re or fors : Capped Added Relocate 0 Any new commercial building with water service licensed 2" and BaitiF '� I—_ greater,except systems designed and stamped by Battis /Font --- engineer. structure Bath: -Tub/Shower —= El New exterior plumbing site utilities for any complex Jac h Stallhirl.00l1.111.1.11.1111.1111.1 as defined in OAR918-780-0040. Car Wash: -Each Stall ==— 0 Medical gas and vacuum systems for health care facilities. -Drive Tlini --_ 0 Any multipurpose fire sprinkler system. Cu Dishwasher: Aspirator -- 0 Any complex structure as defined in OAR918 780 0040. Dishwasher: -Commercial =—_ Domestic of the above. Submit 2 sets of plans with anyDrinkin.Fountain rairjlirA -- Floor Drain sink: -2" rr -3" —=— ❑ Isometric or riser diagram is required for new buildings - a === that meet the qualifications above. -Car Wash Drain Garbage -Domestic non-food — Disposal: -Domestic food related -- -Commercial food related -- 111.111111 -Industrial food related 11.1111110.1101.1111111 == Comments regarding fixture work: Ice Mach./Ref 1_.Drains --- Oil S•e arator(Gas Station) --- Rec.Vehicle Dum'Station --- Shower: -Gang — -Stall —= INIIIIIIIIIIIIIIII Sink: -Lav/Bar non-food related =- -Bradley - -c /I1ti1 food related ==— *Note: If the fixture work under this permit results in an -Service --- increase of sewer EDUs,a sewer permit will be issued and Sw Water Ext Pool Filter 11.1.111111.111111111.11 fees assessed for the sewer increase must be paid before the Washer-clothes -- plumbing permit can be issued. Water Extractor W --�_ ater Closet-Toilet --- Other Fixtures: --- I:\Building\Perrnits\PLMF PermitApp.doc 08/04/2011 2 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 12551 SW MAIN ST, TIGARD, OR, 97223 Record Type: Record ID: Commercial - Plumbing PLM2018-00156 Inspection Type: Inspector: 399 Plumbing final Don Sylvester Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor