Permit CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2013-00418
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/26/2014
Parcel: 1 S136DA02400
Jurisdiction: Tigard
Site address: 11123 SW 68TH PKWY
Project: 68th Non-Accessory Parking Lot Subdivision: WAY LEE Lot: 1
Project Description: Site utility work for new non-accessory parking lot.
Contractor: RANES EXCAVATING INC Owner: WAY W LEE GENERAL CONTRACTOR INC
8575 SW LARSON RD 5210 SE 26TH ST
GASTON, OR 97119 PORTLAND,OR 97202
PHONE: 503-985-3377 PHONE:
FAX:
FEES
Quantity Description Date Amount
4 ea Catch Basin or Area Drain 06/26/2014 $75.04
Specifics: 2 ea Manholes 06/26/2014 $37.52
742 If Storm and Rain Drain 06/26/2014 $325.18
Type of Use: COM 1 12%State Surcharge- 06/26/2014 $52.53
Class of Work: NEW Plumbing
Type of Const:
Occupancy Grp:
Stories:
Total $490.27
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 qu n OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued // �,, �1 Permittee Signature:
J�
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.
4 Igitiml bin2 Permit Application
Site Utilities O FOR OFFICE USE ONLY
IZecci ed
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City of Tigard Date/By: II a/ 3 (,�,). Pemiil Nu..rLl/Qrjf�J`"V �•
�- • 13125 SW Hall Blvd.,Tigard, 3 Plan Review a�
Phone: 503.718.2439 Fax: 0 1 `1013 Date/By: Other Permit No.: 01 T�/3-
Inspection Line: 503.639.4175 `1 f
1"1 G A R D O Vt Date Ready/By: ions ® See Page 2 for
Internet: www.tigard-or.gov \v t�Ao Notified/Method: Le ,, (� / Supplemental Information U
s.to \4?►°. � t * SCHEDhLF. V
TYPE OF WORE( 5 '-'-,.. ., ,,L 1 _ . -.'.. Ito
®New construction ❑Demolition For special information use checklist. S4
Description I Qty. I Ea. I Total O
❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(I)bath 312.70 W
❑ 1-and 2-family dwelling ®Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 500.32
I0 Accessory building ❑Multi-family Each additional bath/kitchen 25.02
❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 ( I
JOB SITE INFORMA'T'ION AM) LOCATION Site utilities:
.lob site address:1112 3 SW 6 8th Parkway Catch basin or area dram 4 18.76 7 5.04
Drywell,leach line,or trench drain 18.76
('ity/State/ZIP: Tigard, Oregon 97223 eCE5E55oQ P�
y _ Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: Project name:Weef-47ee-44en-Aeee4149. Manufactured home utilities 50.03
Cross street/directions to job site:South of intersection of Highway Manholes 2 18.76 37.52
99W and SW 68th Parkway Rain drain connector 18.76
Sanitary sewer(no.linear ft.:_) Page 2 'j .i(4
Storm sewer(no.linear ft.:7 4 2) 1 Page 2 3 r I7
Water service(no.linear ft.: ) Page 2
Subdivision: I Lot no.: Fixture or item:
Tax map/parcel no.:Tax Lot 2400, Tax Map 1S 13 6DA Back flow preventer 31.27
DESCRIPTION OF WORK Backwater valve _ 12.51
Clothes washer 25.02
Construction of a non-accessory parking area with storm
Dishwasher 25.02
water detention and water quality facility, a gravel prinking fountain 25.02
access and associated site grading Ejectors/sump 25.02
;K'ROPERTY OWNER ❑ TENANT Expansion tank 12.51
Name: way W. Lee General Contractor, Inc. Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address: 5210 SE 26th Ave
Garbage disposal 25.02
City/State/ZIP: Portland, Oregon 97202 Hose bib 25.02
Phone:(503) 234-0591 Fax:( ) Ice maker 12.51
(APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02
Business name:Way W. Lee General Contractor, Inc. Medical gas(value:$ ) Page 2
Primer 12.51
Contact name: Ken Lee Roof drain(commercial) 12.51
Address:5210 SE 26th Ave
Sink/basin/lavatory 25.02
City/State/ZIP: Portland, Oregon 97202 Solar units(potable water) 62.54
Phone:(5 0 3) 2 34-05 91 Fax::( ) Tub/shower/shower pan 12.51
E-mail: Urinal 25.02
CONTRACTOR 130) Water closet 25.02
Water heater 37.52
Business name H-k)£.3 ('Xe_ J!}-T/ /J6 i'3C Water piping/DWV 56.29
Address: grj 5- 6w LA.,,,so --p...„1, Other: 25.02 37.74
City/State/ZIP: ',9.e_sre 02 '17 r t Q Subtotal
Phone:(5D3) Q c 5- 33 7 Fax:( )
Minimum permit fee: $72.50
CCB Lie.: 1 459/7 2 yhg/j� Plumbing Lic.no.: ,3 '47p� Plan review (25%of permit fee) ,,.�
Authorized ture:
7//by State surcharge(12%of permit fee) 4 0 sax"
TOTAL PERMIT FEE fig^
Print na 4F I Date: n k at j This permit application expires if a permit is not obtained within ISB days 77
after it has been accepted as complete. i9A
*Fee methodology set by Tri-County Building Industry Service Board
1\Building\Pennits\PLMU-PennitApp.doc 10/01/09 440-4616T(10/02/COM/WEB)
ip
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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-I a 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' I 62.54
62.54 7,201 and greater $327.54
Sewer-each additional 100' 6.42 37.52 240.88
Water Service-Ist 100' 62.54
Medical Gas Systems:
Water Service-each additional 100' 37.52
Storm&Rain Drain-1st 100' 62.54 Valuation: Permit Fee:
$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 Fees Qty. Fee(ea) 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 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-1/2 hour) _ each additional$100.00 or fraction thereof.
Subtotal:
Other Fixtures: � f
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 Plumbing Installations
Work Performed: Capped Added Relocate
Ba fist /Font Plan review is required for and-of the lollowing.
p ry
Bath -Tub/Shower Please check all that apply.
-Jacuzzi/Whirtpoot ❑ 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 El New exterior plumbing site utilities for any complex structure
Dishwasher -Commercial as defined in OAR918-780-0040.
-Domestic ❑ Medical gas and vacuum systems for health care facilities.
Drinking Fountain ❑ Any multipurpose fire sprinkler system.
Eye Wash ❑ Any complex structure as defined in OAR918-780-0040.
Floor Drain/sink -2"
Submit 2 sets of plans with any of the above.
-4"
Car Wash Drain Isometric or Riser Diagram
Garbage -Domestic-non-food
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 fixture work:
Shower -Gang
-Stall
Sink/Lav -Non-food related
-Bradley
-Commercial-food related
-Service
Swimming Pool Filter
Washer-Clothes
�L ater Extractor *Note: If the fixture work under this permit results in an
WaterCloset-Toilet increase of sewer EDUs,a sewer permit will be issued and
Urinal fees assessed for the sewer increase must be paid before the
\\AKS-FILESERVERI\projectsUobs\3200-3299\3282 SW 68th Commerciitl Site\Engineering\SUBMITTAL I\APPLICATION\3282 Plumbing
Permit Application.docx
plumbing permit can he issued.
Way W. Lee General Contractor
5210 S.E. 26th Ave. 'Portland 0407202
(503)234-0591 Tax: (503)234-0593
September 23, 2014
Mr. George Heimos
Plumbing Inspections
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
RE: PLM2013-00418 Storm System Video C08-007, C05-C04-CO3-0O2,C01-MH1
Dear Mr. Heimos: f, f 3 See/ 'fe w1
Please find enclosed a DVD containing video for the Storm System sections between the
above listed clean outs and manholes for our project at 11123 SW 68th Parkway in Tigard.
The video was shot by Eric Moore of River City Environmental.
Unfortunately, only the video from CO1 to MH1 has footage superimposed on the video.
I have noted below the approximate locations of clean outs in the video by the elapsed
time displayed in the Windows Media Player program I used to view the video.
C08-007
From(4 minutes 13 seconds)4:13 and 4:17 Cleanout 7 is located near the upper left of
the display. It is harder to see because it enter in the 36 inch pipe. Eric then positioned
his camera and light directly under the location of the clean out and verified that he could
see the light looking down the top of the cleanout. Unfortunately, he started running the
camera without pouring water down Cleanout 8 so I had him record video as he poured
water and pulled the camera back to Clenaout 8.
C05-C04-CO3-0O2
7:12 Cleanout 4 can be seen at the upper left of the pipe.
12:04 Cleanout 3 can be seen at the upper right of the display.
25:25-25:30 Cleanout 2 can be seen left of the label at the top of the pipe.
If you have any questions,please call me at 503-347-5605.
incerel
g*,
4//4/
Ken Lee iffNI I
1
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
11123 SW 68TH PKWY, TIGARD, OR, 97223
Commercial - Plumbing
399 Plumbing final
FAIL
PLM2013-00418
George Heimos
1. Provide grouting on M/H's #1 and #2 top rings. 310.4
2.Provide pictures of catch basins installed in asphalt showing concrete rings to be
installed at top edge of plastic ring. 310.4
3. Recall inspection when corrections have been completed.
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
11123 SW 68TH PKWY, TIGARD, OR, 97223
Commercial - Plumbing
399 Plumbing final
FAIL
PLM2013-00418
George Heimos
1. Work not completed, no inspection made. Recall when ready. 103.5.4
2. Recall inspection when correction has been completed. Re-inspection required.
103.5.6.1
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
11123 SW 68TH PKWY, TIGARD, OR, 97223
Commercial - Plumbing
399 Plumbing final
PASS - No C of O
PLM2013-00418
George Heimos
Violation Summary:
Inspector Contractor