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Permit (30) • CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT Permit#: PLM2018-00178 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/25/2018 Parcel: 25101 DD00600 Jurisdiction: Tigard Site address: 6700 SW SANDBURG ST Project: Apex Labs Subdivision: SALEM FREEWAY SUBDIVISION Lot: 3 Project Description: Interior plumbing:Adding(6)sinks,(1)4"floor drain,and(2)dishwashers. Contractor: CASCADE PLUMBING SERVICES CO Owner: 6700 SANDBURG LLC PO BOX 112 BY NERENBERG, BIANCA WOODLAND,WA 98674 13148 SW BROADMOOR PL TIGARD, OR 97223 PHONE: 503-544-7454 PHONE: FAX: 503-283-9514 FEES Quantity Description Date Amount 2 ea Dishwasher 04/25/2018 $50.04 Specifics: 1 ea Floor Drain/Floor Sink/Hub 04/25/2018 $25.02 Type of Use: COM 6 ea Sink 04/25/2018 $150.12 Class of Work: ALT 1 12%State Surcharge- 04/25/2018 $27.02 Plumbing Type of Const: Occupancy Grp: Stories: Total $252.20 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the r les adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You ma 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. F,717 1, I. v Flrafmbine Permit Application''r - building Fixtures €'R 19 'ilii 1011. ()Fill F, USE ONE 1' City oiFTigard iteceived 13125 SW Nail Blvd,,Tigard,OR 97323: : . Dateny Phone: 503.718,2439 Fax: 503.5�8rl 40 .. k Pian Review ice/ �; Y Date/13w Othar Permit No.:L , V ef�' j✓4 JInspection Line: 503.639.4175 .i., a , 7 , ,.rbatoReady/ByWAt[ SeePage2fbrInternet vwwhgard-or.gov Notified/Method: F SuptlCah<etaf Information ,4its{fb 717r pF rety! ' q,4 �� ' 714'yr4 G7era tfy ,'nAi }Iz M ,h �' F � j L. ii' i,%WA' ..' fiG�t-J ifil@yJ 0 „r_:. '+;# ..- 1.4 ± .rt1uY :-�«...7 j ,,>,'?4',r � f3 For special btformation use cheeklic❑New construction Demolition 2. ®Addition/alteration/replacement - Description •' Alf d i,. n/ t ati a vf: 'T ❑Other: --I-Tit-Ty. Ea. „� u�'?? _�,,'a••, '�r�''"��"''yrs x�#i,J r!�-e rM2ltrJttli ,, ,�., New 1-2-family dwellin s includes �- Total '�, P ' r i'1 gikkAt m i>c 111 fi)11(i t'�L ",�, }'tt,hAlg A(1,' cif,"riff.t(.' tillf i Itc-1 SFR(i)bath - 111111 312.70 100 ft.for each utility connection and2-family dwelling ®CommerciaVindustrial SFR(2)bath 111111 437 78 ~ 32 Accessory building ❑Multi Multi-family SFR(3)bath 0 Master builder 0 Other. Each additional bath/kitchen _ t "r �' ,..1),-,,,,a;!!!,4, ,,,!;.1.1! Fire sprinkler( s . t;f"Ii Ti ';4!, i. 'i! ...t . u'P iw*1 c i 4^�i�i S � 1rlirr i t il[W q It) _ ..A, ii t �..e,i x g., ir.i�li..L.t1i iii lirit4 .,,+a,v, h'.-t:,t:A.,.s.r +_ r i SEM utilities. Job site address:6700 SW Sandburg RD �is - Catch basin or area dram 18 76 City/State/ZIP:Tigard,OR 97223 Drywell,leach line,or trench drain 1$.76 µ Footing drain(no.linear ft.: ) Page2 Suite/bldg./apt-no.: Project name: APEX LABSW Cross street/directions tojob site: n Manufactured home utilities 50,03 Manholes 18.76 • Rain drain connector 18 76 Sanitary sewer(no.linear It: ) Page 2 - - Storm sewer(no.linear ft.:_) Page 2 ubdivision: , , Water service(no.linear ft,:, ) Page 2 Lot no.. Fixture or item: Tax map/parcel no,: w � , p I :• .t Backflow preventer Or, I ,9 t is yr� 31.27 1-,_. � �s1.!:I.'.i.,MYi t 'Ndliiltl.l�l•'°fes,V*J6,11ir'(PT,.. r:.:,.2110.4=41.,R °.� i- Backwater vaive r:�. � i ,,, ; 12.51 Plumbing Rough in and finish 6-sinks,]-floor sink,2-dishwashers Clothes washer 25.02 - Dishwasher 2 25.02 Drinking fountain 50.04 25.02 Ih a'1.,.,:..,;,:,,,,, �� +4! ,Y,y v r :t tiB t)' '�' Ejectors/sump 1 �>' v y t AlSMEI25.02 .�_ rxwn znd�s . � „ i,:r r �' ".,1'j ,X. .,r,,d k ' A '-iliuj j,(1,-�;t „1, . i Expansion tank M� Name: Fixture/sewer cap _ Address: 25,02 Floor drain/floor sink/hub 1 25.02 25.02 City/State/ZiP: Garbage disposal IIIIIII25 Phone: .02 ( ) Hose bib �,t Fax ( ) 02 25.51 tea ck:.y�� �i'j�{fu1l.Iil�l�c�� 7.it V �y�� 6 y1s, ��r,fir r. tSI� , �Pi^ jt a Ice maker uilt7A r ' Rf�rCi.lL�'e.,t.l ';','7l:c1F. t-,ag7}'a Trim" u'J;���`r�J'"�,i��T�t�,1i'k�RtAif�ACIVITr �" 12.51 ,f 44-1,1:.ih 'i ,n.r...irii< h..1.4'4 :-4-tit[5!,t1+(,ia. interceptor/grease trap r 25.02 Business name:Cascade Plumbing Service Co. Medical gas(value:$ ) 11111111011 Contact name:Lindsey Long Primer 12.51 Address:PO BOX 112 Roof drain(commercial) IIIIII12.51 City/State/ZIP:Woodland,WA 98674 Si uin/lavatory 25.02 150.12 Phone:(503)544-704Sollararnits(potable water) 62.54 Fax::(360)841-8298 Tub/shower/shower pan 111111111311 Email CascadePlumbingseriviceCgmail coin Urinal MN l� ra e e ' , ii jrzF�i Ai,, t Y i mu ��, 25.02 ks ,n4x t-4,•At I y, 4u �µ jv�N 9'lA ` '- S 7" Water heater 25.02 i+i,,. la to ln,Clf ihr�t- r9.z'r5fi fk�', ' -`° ,:trg, '''745iW liMalBusiness name:Cascade Plumbing Service Co. Water heater Address:PO SOX 112 Water piping/DWV 56.29 City/State/ZIP:Woodland,WA 98674 Other: 25.02 Phone:(503)594-7454 ',, - Subtotal 225,18 Fax:(360)841-8298 Minimum permit fee; $72.50 CCB Lic.:120893 4 Plumbing Lie.no.:34-412PB Plan review (25%of permit fee) Authorized signature: `r s r State surcharge(12%of permit fee) , ,t,)1y A...`. TOTAL PERMIT FEE i Print Warne: a • . Date e A7 Tbis permit application expires it a permit is not obtained within 180 days atter it has Inco accepted as compktp "Fee methodology set by Tri-County Building industry Service Board. l\BuildmigpermitstPLMU-ParmitApp.doc 10/01/09 440-4616T(t o/D2c0M/WEB) Pluumbjn Permit,A.onlicafiion - City of Tigard Page 2 -Supplemental Information Fee Schedule: ' A,14,.„„1,,14,,w :: � Fn gq� Residential Fire Su i i n S stems: .�:: fi„'.- ;,A,',1.� ,,a, ! p �,ra q• ress>lo si rM41tEt'N: Nrd°.:rSw�" .`'6ir .., �'a i! �p,�bli� i 7F 1M . ,i. 4(rillt-Set . '�•,^,, .. , . )b P Footing drain-1 100 �"`r., , 6, ,,,T, ,_7'7..t.'::',- 2,t= t.,:',..::,-.;,": 4211i ,t Vis, Ir i }� r 1111 37.5250.03 Oto 2,000 r 1=u,h�, al :+3r Footing drain-each additional 100' © 2,001 to 3,600 $[21.90 37.52 $169.69 Sewer-Ist 100' 7,201 to 7,200 62.54 Sewer each additional i 00' ,7,201 and greater $$3223737)-----: 4 37.52 Water Service-1st 100' 62.54 11. Water Service-each additional 100' Medical Gas S stems; Stomt&Rain Drain-1st 100' �.. 37.52 62.54 VL�'1'Fz.,+� T� DF , 1 If�4rC ;}i{E 1 `tf'n''x*1117 yIN(i'ii... 7 , nr ¢�. 14 13.1. •1,T�1.0 �,1 . ' ! �y1 ,"' ''�'" I� Storm&Ram Drain each additional 100 $1.00 to$5 OOO.OQ `elr iii ,$`1! �y 37 52 $72.mum fee$72.50 "a ,,; f4 • }rlif � 1•;�'°"' $5,001,00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for �. i,1•moi,"..mi""1"F'"""'''""'.0A" '"' #,tittli . each additional$100.00 or fraction thereof,to Inspection of existing plumbing or fqr and includin $10000.00, $10,001.00 to$25,000.00 $148.50 for the first 310,000,00 grid$I.54 for which no fee is specifically indicated IIII (minimum ch: •e-1/2 hour 90.00/hr each additional$100.00 or fraction thereof,to Inspections outside of normal business and includin.$25 000.00. hours minimum char_--2 hours 90.00/hr $25,001.00 to$50,000.00 Reinspection Fees $379.50 for the first$25,000.00 and for _ 90.00/hr each additional$100.00.00 or fraction thereof,to Additional plan review for revisions 90.0D/hr $50,00and irig$50,000.00. minimum a e-v 1/1 hour) WI !.00 and u p $742..0000fflor the first$50,000.00 and$1.20 for Subtotal: each additional$100.00 or fraction thereof. Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurate! re•ort fixtures could result in increased sewer fees*. _��1�+ Gy:���6+M1, i , yt «-1,,442,„ L- r a I, l I,y•t( a{R t1�61 , V,���7i.<,2�" `C'}if�M1 rA rsiVi' ,`![ iCi {{ 1< '��tt m a,II IIP i MIRE Etnv,�r i .�. i G t i f,i Ef 1 ' i ,, 7t4 A�•F ,17771�r'-7 "1,!Y��( �'M 5'.1 ,tet .1'.1, '�� ° Y.,:l i�=; i ''.1q1 '.1]E� { ,. 111". •S�r .;(J+_.�.+ R �. F=p �rt5,;�i V �. nlet&e•-r-4a n`..)... 6a ,.S....WA'1.1.;--,�t4 �. yytcti , w f� _ 4 iV• 417 ', i" k t 13a',fist /Font � ". ev is required ap for any of the following. Bath �� Please check allcthat epply. -Tub/Shower ❑ Any new commercial building with water service 2"and -Jacuzzi/Whirlpool 1 NM. greater,except systems designed and stamped by licensed Car Wash -Each Stall 'Drive Thru ��� engineer. Cus=idor/Water As•irator 0 New exterior plumbing site utilities for any complex structure Dishwasher -Commercial - as defined in OAR91$-780 0040. bomestic 0 Medical gas and vacuum systems for health care facilities. ❑ Drinkin l Fountai n Any multipurpose fire sprinkler system. Mill Ede Wash �� Li My complex structure as defined in OAR918-780-0040. Floor Drain/sin �MEI -3' lin Submit 2 sets of plans with any of the above. -a SEN U7 " fi NGarbk ,Car Wash Drain � Vs.,L,wti � , n+. ' - ...7,- -77.771m s�9,"ft ,hlkU TM, n e -Domestic-non-food ❑ Isometric or riser diagram sreqiredfor new buildings -Domestic-food related � that meet the •ualtficatiots above.-Cornmealod related -Industrial-food related Ice Mach./Refrig.Drains NMI � Oil Separator(Gas Station) IIIMMI Rec.Vehicle Dumb Station Comments regarding fixture work: Shower -Cane _ StallMI --� Sink/Lav -Non-food related i0 -Bradley r -Commercial-food related -Service Swimming Pool Filter Washer-Clothes MEM *Note: If the fixture work under this permit results in an Water Extractor _ In�� Water Closet-Toilet increase of sewer)ED(Js,a sewer permit will be issued and fees assessed for the sewer increase must be paid before the EIMMINIMummm Other Fixtures: MERE.[ plumbing permit can be issued. CAUsers\Gary LonglA,ppData\Lveal!PackageslMicrosoft.MicrosoftEdge ivekyb3d8bbwe\rempStatelDownloads\PLMp Pcrmitgpp doe City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 6700 SW SANDBURG ST, TIGARD, OR, 97223 May 22, 2019 at 10:46:28 AM Record Type: Record ID: Commercial - Plumbing PLM2018-00178 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor