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Permit (40) IIIICITY OF TIGARD PLUMBING PERMIT . COMMUNITY DEVELOPMENT Permit#: PLM2017 00474 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/12/2018 T t "'� 'O g Parcel: 2S 1138000300 Jurisdiction: Tigard Site address: 8040 SW DURHAM RD Project: Durham Education Center Subdivision: None Lot: None Project Description: Fixtures for new alternative high school:(3)backflow preventers,(1)clothes washer,(1)dishwasher,(2)drinking fountains,(1)ejector/sump,(1)expansion tank,(6)floor drains,(1)garbage disposal,(9)hose bibs,(1)interceptor, (3)primers,(22)sinks,(1)tub/shower,(1)urinal,(9)water closets,(1)water heater,(1)eye wash,(1)mixing valve, Contractor: WESTERN PLUMBING Owner: TIGARD-TUALATIN SCHOOL DISTRICT 9460 SW TIGARD AVE SUITE 101 6960 SW SANDBURG ST TIGARD, OR 97223 TIGARD, OR 97223 PHONE: 503-639-5296 PHONE: FAX: 503-684-9015 FEES Quantity Description Date Amount 3 ea Backflow Preventer 03/15/2018 $93.81 Specifics: 1 ea Clothes Washer 03/15/2018 $25.02 1 ea Dishwasher 03/15/2018 $25.02 Type of Use: COM 2 ea Drinking Fountain 03/15/2018 $50.04 Class of Work: NEW 1 ea Ejectors/Sump 03/15/2018 $25.02 Type of Const: 1 ea Expansion Tank 03/15/2018 $12.51 11 Occupancy Grp: 6 ea Floor Drain/Floor Sink/Hub 03/15/2018 $150.12 Stories: 1 ea Garbage Disposal 03/15/2018 $25.02 g ea Hose Bib 03/15/2018 $225.18 1 ea Interceptor/Grease Trap 03/15/2018 $25.02 3 ea Primer 03/15/2018 $37.53 22 ea Sink 03/15/2018 $550.44 1 ea Tub/Shower/Shower Pan 03/15/2018 $12.51 1 ea Urinal 03/15/2018 $25.02 g ea Water Closet 03/15/2018 $225.18 1 ea Water Heater 03/15/2018 $37.52 Total $2,425.10 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. C 7 Issued i -rr Permittee Signature: ��V ,L/6,9_.77LY✓.\/ 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. ` Plumbing Permit Application _ ., ) Building Fixtures EG,,..? I •VR) _ K)R oFFit ,: 1 SE oN1,1 City of TigardReceived Permit No U 13125 SW Hall Blvd.,Tigard,OR 97223 O V `� 20�T Date/By: // '4 7 - No/I/ �O/7�©y'7 Plan Review S`t /7��„t6 Phone: 503.718.2439 Fax: 503. p�q�� ID -cI'1-/q P� Other Permit N J tis'6'€`T-'1...1�'� ��5 ;s'�'e�'1L.� Date/By: Inspection Line: 503.639.4175 r- T i G A h D t .,-iv1tors 1`, Li 1'li 10 t�A 1 Date Re/Meth. b 7uris: See Pagel for Internet: www.tigard-Or.gov t_.14�.+g'w Notified/Method: � ,� L� /' Supplemental Information TYPE OF WORK La_ FEE* SCHEDULE ►1 New construction �1 - F. lYrf, ', , „, 'on use checklist ❑Demolitions �jhr 1 j L es tion /f C Qty. I Ea. Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) a CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 1-and 2-familydwellingCommercial/industrial SFR(2)bath 437.78 ❑ ® �, ❑Accessory building 0 Multi-family SFR(3)bath 500.32 v Each additional bath/kitchen z 25.02 ) ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: t Catch basin or area drain 4 } 18.76 -7-5,04 Job site address:8040 SW Durham Road / Drywell,leach line,or trench drain ,,../ 18.76 '3-7752 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.:591) Page 2 23fi63 Suite/bldg./apt.no.: Project name:Durham Education Center Manufactured home utilities 50.03 Cross street/directions to job site:On SW Durham Road between SW 85th Ave Manholes 5 18.76 93,80 and SW Boones Ferry Road. Rain drain connector 6 18.76 1.12 56 Sanitary sewer(no.linear ft.:29) Page 2 6334 Storm sewer(no.linear ft.:884) Page 2 363,7 - Water service(no.linear ft.:316) Page 2 1 Y5:-t0 $ Subdivision: Lot no.: Fixture or item: Tax map/parcel no.: 2S113B000300 Backflow preventer „2.6-•3 31.27 ")'- 62,41 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 1 25.02 25.02 ✓ New alternative high school including common room,classrooms,science Dishwasher 1 25.02 25.02 classroom and kitchen.New deck with ramp and new door to existing school. Drinking fountain 2 25.02 50.04 Demo of existing parking area and planting to make space for new construction. Ejectors/sump 1 25.02 25.02 ❑ PROPERTY OWNER I 0 TENANT Expansion tank 1 12.51 12.51 V Name:Tigard-Tualatin School District Fixture/sewer cap 25.02 1-5-U .'446.f„ � - Floor drain/floor sink/hub f ,25-02 4�-1t, Address:6960 SW Sandburg St Garbage disposal 1 25.02 25.02 City/State/ZIP:Tigard,OR 97223 Hose bib 9 25.02 225.18 -,' Phone:( ) Fax:( ) Ice maker 12.51 0 APPLICANT 0 CONTACT PERSON Interceptor/grease trap 1 25.02 25.02 7' Business name:Glumac Medical gas(value:$ ) Page 2 �-� Primer 3 12.51 37.53 Contact name:Heather Hardie Hill Litt t i E T- 50'3 .‘''i t 'a-0 t' Roof drain(commercial) 12.51 , Address:900 SW Fifth Ave,Suite 1600 x-272 GL'-- S CAj. leS '1"' Sink/basin/lavatory )' r23� ,y ^ City/State/ZIP:Portland,OR 97204 /9 JC77.e 4-t. CCztc.i i Fug_ Solar units(potable water) 62.54 Phone:(503)227-5280 Fax::( ) iz EI,C.-S' Tub/shower/shower pan 1 12.51 12.51 E-mail:hhardie-hill@glumac.com Urinal 1 25.02 X�2}}5,.02 Water closet Cl25'369.15 CONTRACTOR - Water heater 1 37.52 37.52 Business name: vv,lf 6(Zh( i>l.uwtel,t4 J Water piping/DWV 56.29 '1,,_1.51,1g Address: t ( S , l'IT,6e,,A2"b s-r Othet:44- orpRpit 9 .,,ie`- 25.02 .-._ City/State/ZIP: 1'3 _ Mt�2 t o _. 471-1, � Fl 0 L ait'tzti rt i y,'hi Vttivt=( CI r fccldr- Subtotal � 451 Phone:( 4=31., 1 � ii4 Fax:( ) ..yt=( i ,_cit,c fav Minimum permit fee: $72.50 � l CCB Lic.:1e1/443,CI Plumbing Lic.no.: Plan review (25%of permit fee) 1 s State surcharge(12%of permit fee) ,)-i y Authorized signature: 1-,j" t. ca l,I q 1 i j 1 T TOTAL PERMIT FEE tW . Print name:Heathe Ii)ardie Hi �f W Date 018/2 /!2017 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 SA-vice Board. c7 �I1 �ti fi I)r( ).z4 S r t 1:Buildin e itsU'L Pe iultApp.doc 10/01/09 440-46161(10/02/COMlWEB) I 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: Footing drain-1'100' 1 50.03 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 5 37,52 187.60 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer-1st 100' 1 62.54 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 1 62.54 62.51 Medical Gas Systems: Water Service-each additional 100' 3 37.52 112.56 Valuation• Permit Fee: Storm&Rain Drain-1st 100' 1 62.54 62.54 $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 8 37.52 300.16 $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 Other Inspections or Fees Qty. Fee(ea) Total . 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. 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 charge-112 hour) each additional$100.00 or fraction thereof. Subtotal: Other Fixtures: 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 Type for Replace/ Plan Review for PlumbingInstallations Work Performed: Capped Added Relocate Baptistry/Font Plan review is required for any of the following. Bath Tub/Shower Please check all that apply. Jacuzzi/Whirlpool 0 Any new commercial building with water service 2"and Car Wash -Each Stall greater,except systems designed and stamped by licensed -Drive Thru engineer. Cuspidor/Water Aspirator 0 New exterior plumbing site utilities for any complex structure Dishwasher -Commercial as defined in OAR918-780-0040. -Domestic 1 / 0 Medical gas and vacuum systems for health care facilities. Drinking Fountain 2 ,, 0 Any multipurpose fire sprinkler system. Eye Wash 1 ✓ 0 Any complex structure as defined in OAR918-780-0040. Floor Drain/sink -2" 2 -3" Lhiutj) Submit 2 sets of plans with any of the above. 4" Car Wash Drain Isometric or Riser Diagram Garbage -Domestic-non-food g Disposal -Domestic-food related ❑ Isometric or riser diagram is required for new buildings -Commercial-food related that meet the qualifications above. -Industrial-food related Ice Mach./Refrig.Drains Oil Separator(Gas Station) Rec.Vehicle Dump Station Comments regarding fixtur ���o��r�k: C Shower -Gang i u. - l'' jL. �;we "t Jorr (IN H" 4P'JYV 3" -Stall 1 ,// Sink/Lav -Non-food related 19 ✓ '- fi,3 `(1' +ti ii" _%J,,4, ti'i_/1 FI.'-1rrt 3J -Bradley -Commercial-food related 2 /, -Service 1 S. Swimming Pool Filter Washer-Clothes 1 Water Extractor *Note: If the fixture work under this permit results in an Water Closet-Toilet 9 t/ increase of sewer EDUs,a sewer permit will be issued and Urinal 1 V fees assessed for the sewer increase must be paid before the H:\PROJ\16013\03 Code-ADA-Approvals\03.01_Authorites Having Jurisdiction Approvals\Building Permit\Permit Applications\PLMF_PermitApp.doc Plumbing Permit Ap licati ff Building Fixtures i t)12 (11 1 1( 1 i `1 ("I 1 City of Tigard . MAR 12 2018 Received Permit No.: g Date/By: P4 M rCO('-UO4/T li • 13125 SW Hall Blvd..Tigard,OR 9j Plan Review II• n Phone: 503.718.2439 Fax: 50. 59�OF rI�lJ� D DateBy' /[Ft1 jl `3_/a_/a 4i OtherPenSe'l,Q /%'e✓a36 I.t i`lr Inspection Line: 503.639.4175 f UILDING DIVISION Date Ready/By: Juris I M See Page 2 for Internet: www.tigard-or.gov NotifiediMethod: Supplemental information 'TBE of woRi� Fc IuT,E 0 New construction 0 Demolition For speciabinformation use checklist. Description I Qty. I Ea. I Total Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(I)bath 312.70 ❑ 1-and 2-fancily dwelling ' Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 0 Accessory building 0 Multi-family Each additional bath/kitchen 25.02 0 Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOS SITE'.111YFORMATION,AND"l LOCATION" Site utilities: Job site address: ICAO S\ W(kt fr1(L) Catch basin or area drain 18.76 ( Drywell,leach line,or trench drain 18.76 C'ilylState/Z,1P: c t 6�a-Na�`I I Footing drain(no.linear ft.:�) Page 2 Suite/bldg./apt.no.: ' �`J�"` Project name:", - rke Fdil(1¢� ( I Manufactured home utilities 50.03 Cross street/directions to job site: NiMer 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: I Lot no.: ) Fixture or item: 41.31 Tax map/parcel no.: Backflow preventer 1$ . ✓ 3 t/ 31.27 i- " Backwater valve 12.51 DESCRIPTION OF WORK / Clothes washer% ./ t- V 25.02 t j,02 C.T--,"4--e r Co i P1tc ssv f�w.i 1 Dishwasher% / % V: 25.02 ,0 D__51.11.26:Ary\. rinking fountain ii / 0 V 25.02 ,(`}-k '- Ejectors/sump) / \ ''' 25.02 1(Y1 Expansion tank / ( V 12.51Jc PROPERTY • OWNER J fENAN7 ! zs.oz•!Z.•5! . Fixture/sewer cap Name: 1. A . ! 4,J L to, eA! C Floor drain/floor sink/habil*i ✓A to V 25.02 \th A 1,, Address: Garbage disposal i ✓ i `" 25.02 ,�' II �. Hose bib lig tNt / q V 25.02 a 0g City/State/ZIP: tFax:( ) Ice maker 12.51 tyr Phone:( ) APi'L core t CONTACT PERSON interceptor/grease trap% ./ ( f 25.02 015.01- , Medical gas(value:$ ) Page 2 Business name: Vll t�0, `� i(�(N;�`) 'it, ✓ 12.51 c-V- tY 1'll l• 1 Primer ii i :5 3-�3S Contact name: ,�"A Yl Roof drain(commercial) 12.51 AddreSa ( Ak a4.td[ iSu i` r O\ Sink/basin/lavatory y tut ilw ttf (2 d V 25.02 t.4C ^ City/State/ZIP: I d Q�old3 Solar units(potable water) 62.54 i r _ Tuh/shower/shower pant ✓ 1 I I ' 12.51 10,5 Phone:( ) Y, ' Fax::( } /�� Urinal i / � ✓ 25.02 a5:�"z E-mail: y4 at • �n l 0 e r Olt 25.02 at�� .--- a Water closet•Artsidi Ct V1 extern Plumb% i *� 37.52 '3" �Water heater ✓ iInc. Water piping/DWV 56.29 ( inesname: Address:9460 S,' 'ilia d Street,Suite 101 '((her: tki.i%tit ✓ q ✓ 25.02 rZ, A% City/Stat P:Tigard,OR 97223 \ /111)4/ ✓ Subtotal -R Phoi ,(503)639-5296 Fax:( ) //''pp Minimum permit fee: $72.50 q -+ i. I PlumbingLie.no.:3429P13 T 72IN Plan review (25%of permit fee) �ti, "� CCB lie.:2439 i1 A s4; State surcharge(12%of permit fee) ; ' Authorized signatur•. / j/ Aft a 5 jO TOTAL PERMIT FEF. eegicia r ' I Tl his permit application expires if a permit is not obtained within 180 days .Print name: Y�1('�.,ic ; Date: 3 l g j after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. , L`• 40,1515T1 I n/ONCOHuildinK\PwmlisU,�MI!•PermitApp.doc :a'Ot/04 ti1!WFR) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities' Fee teat Total Square lR'oota a: . Permit Fee:. Footing drain-1m 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 Storm&Rain Drain-1st 100' 62.54 Valuation::, Perini*.)Fey $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 Other Inspections or Pees Fee=tea) Total 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 tee 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. Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first 550,000.00 and$1.20 for (minimum charge 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*. Quaatity by Fixture Type /Ian,kev 'for'Plu tbing Installations, Fixture Type for Replace/ Work Performed:, Capped Added Relocate Plan review is required for any of the following. Baptistry/Font Please check all that apply. Bath -Tub/Shower 0 Any new commercial building with water service 2"and -Jacuui/Whirlpool greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer. -Drive Thru 0 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 0 Any multipurpose fire sprinkler system. Drinking Fountain I/ 0 Any complex structure as defined in OAR918-780-0040. Eye Wash ( ✓ Floor Drain/sink -2" ) ' ,r Submit 2 sets of plans with any of the above. 3.. c.,2 ✓ 4.. e ✓ 1somet*1c ar is"er'.I iagratn Car Wash Drain 1 Garbage -Domestic-non-food ❑ Isometric or riser diagram is required for new buildings Disposal -Domestic-food related that meet the qualifications above. -Commercial-food related -Industrial-food related lee Mach./Refrig.Drains Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Gang -Stall i ✓ Sink/Lay -Non-food related .jai--7� .Nf 1/ / '11, L , -Bradley -Commercial-food related irAQUJ G1U�1)0)% -Service 1 ✓ Swimming Pool Filter *Note: if the fixture work under this permit results in an Washer-Clothes t ✓' Water Extractor increase of sewer EDUs,a sewer permit will be issued and Water Closet-Toilet q ✓ fees assessed for the sewer increase must be paid before the Urinal i ,/ plumbing permit can be issued. Other Fixtures:casegirsk, ; e http://www.tigard-or.gov/document_center/Bu i ldi ng/PLM F_Perm it App.d(it City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8040 SW DURHAM RD, TIGARD, OR, 97224 Record Type: Record ID: Commercial - Plumbing PLM2017-00474 Inspection Type: Inspector: 399 Plumbing final Don Sylvester Result: PASS - NoCofO Comments: 1 . 1/2" Watts RP device model LF009QT , serial #205487 for chemical station located by mop sink on second floor- Approved with test 2. Interior plumbing final- Approved Violation Summary: Inspector Contractor