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Permit (286) CITY OF TIGARD PLUMBING PERMIT n Permit#: PLM2017-00237 `` 2 .' COMMUNITY DEVELOPMENT 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/15/2017 Tt Parcel: 2S115BA02500 Jurisdiction: Tigard Site address: 16200 SW PACIFIC HWY W1 Project: Dirty Dog Day Spa Subdivision: 2004-015 PARTITION PLAT Lot: 1 Project Description: Interior plumbing for TI:Adding(4)utility sinks;Capping(1)2"floor drain,(1)sink,and(1)water closet. Contractor: RON THOMPSONS PLUMBING LLC Owner: SN PROPERTIES PARTNERSHIP 15039 SE WYEAST AVE 1121 SW SALMON ST DAMASCUS, OR 97089-8833 PORTLAND, OR 97205 PHONE: 503-267-1899 PHONE: FAX: FEES Quantity Description Date Amount 3 ea Fixture/Sewer Cap 06/15/2017 $75.06 Specifics: 4 ea Sink 06/15/2017 $100.08 1 12%State Surcharge- 06/15/2017 $21.02 Type of Use: COM Plumbing Class of Work: ALT Type of Const: Occupancy Grp: Stories: Total $196.16 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 o,tain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued . 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. Plumbing Permit Application ',i. ,e _ £tv i 7- ' ' Building Fixtures RECEIVE" Folz OFFICE USE ONLY Received / City Of Tigard Date/By: 4 j� 17 �� PermitNo.: ®'/� cji 7_ >b"�x37 III - il 13125 SW Hall Blvd.,Tigard,OR 97223 / r W 1 t 1 4 2.017 Plan Review Other Permit No.:Qv 1) Phone: 503.718.2439 Fax: 503.598.1960 ��� Date/By: off CX 7�(,arl Iy Ti G A R U Inspection Line: 503.639.4175 - r�'_v AQ°Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov C1 O 171I' ,-h+ified/Method: /J Supplemental Information TYPE OF WORK'KU LD1NG W' FEE* SCHEDULE ❑New construction 0 Demolition For special information use checklist. Description Qty. I Ea. I Total c:Igr...Addition/alteration/replacement 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 s 2.m iercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: ` (...t) C C ;c- , - Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP: Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: W -1 I Koject name: 0:141( � 5p . 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 Water service(no.linear ft.:_) Page 2 Subdivision: I Lot no.: Fixture or item: Tax map/parcel no.: a6//56/5/3 Q a-$j,1Q Backflow preventer 31.27 r. Backwater valve 12.51 DESCItIPTI , F ,` i,!..,RI m.` _ Clothes washer 25.02 `� �j' ////�f �/ T � x/45/ 4 Dishwasher 25.02 / 7..--/ -5 Drinking fountain 25.02 / Ejectors/sump 25.02 � i Expansion tank 12.51 (.� PROPERTY 0 ,, `R 4'. �� TEp1ANT ,$ ``" u _ P Fixture/sewer cap 3 25.02 - 0 6 Name: Floor drain/floor sink/hub 25.02 Address: Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 y ,, ' ,-, ` ' " Interceptor/grease nterc tor/ ease trap 25.02 APPLICANT _ [ CONTACT PERSON ep P Business name: {{v' _Medical gas(value:$ ) Page 2 ' u Primer 12.51 Contact name: Roof drain(commercial) 12.51 Address: Sink/basin/lavatory L 25.02 llyj,Or City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax::( ) Tub/shower/shower pan 12.51 Urinal 25.02 E-mail:' at: Water closet 25.02 ,_ NTR ..R.` t 1, '< ,' Water heater 37.52 Business name: G.ex) ' Se"if1(.4"--t_�j 'I's-,' Water piping/DWV 56.29 Address: � �7 / c1y/ {..f 1 G Other: 25.02 1Subtotal / 7S:/y City/State/ZIP: ���/.fit� ��,5 _ Phone:( ? l*L S9 9 Fax:( ) Minimum permit fee: $72.50 7 `, Plan review (25%of permit fee) CCB Lic.: ! , Plumbin Lic.no.: G-/7 - State surcharge(12%of permit fee) Authorized signature:/12.------ -' - TOTAL PERMIT FEE 11(, it; -r-‘4Date:4-7 This permit application expires if a permit is not obtained within 180 days Print name: /- ,..,,) / i��5 Q'� S/ after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. 1:\Building\Permits\PLMU-PennitApp.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: Footing drain-15`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 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 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: 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* Plan Review for Plumbing'Insti atior Quantity by Fixture Type Plan review is required for any of the following. Fixture Type for Replace Please check all that apply. Work Performed: Capped Added Relocate 0 Any new commercial building with water service 2"and Baptistry/Font greater,except systems designed and stamped by licensed Bath: -Tub/Shower engineer. -Jacuzzi/Whirlpool Car Wash: Each Stall 0 New exterior plumbing site utilities for any complex structure Drive Thru as defined in OAR918-780-0040. Cuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities. Dishwasher: Commercial ❑ Any multipurpose fire sprinkler system. Domestic 0 Any complex structure as defined in OAR918-780-0040. Drinking Fountain Eye Wash Submit 2 sets of plans with any of the above. Floor Drain/sink: -2" 1 3,> ome4ic or Riser Diagram r.N 0 Isometric or riser diagram is required for new buildings -Car Wash Drain Garbage Domestic non-food that meet the qualifications above. Disposal: -Domestic food related -Commercial food related -Industrial food related Ice Mach./Refrig.Drains Comments regarding fixture work: Oil Separator(Gas Station) Rec.Vehicle Dump Station Shower: -Gang -Stall Sink: -Lav/Bar non-food related -Bradley -Com/Serv/Util food related -Service *Note: If the fixture work under this permit results in an Swimming Pool Filter increase of sewer EDUs,a sewer permit will be issued and Washer-Clothes Water Extractor fees assessed for the sewer increase must be paid before the Water Closet-Toilet plumbing permit can be issued. Urinal Other Fixtures: I:\Building\Permits\PLMF PermitApp.doc 08/04/2011 2 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16200 SW PACIFIC HWY W1 , TIGARD, OR, 97224 Record Type: Record ID: Commercial - Plumbing PLM2017-00237 Inspection Type: Inspector: 399 Plumbing final Don Sylvester Result: PASS - NoCofO Comments: 1 . 3/4" watts RP device,model LF009M3, serial #154604, for cold water supply to dog wash tables, located at back of bldg. across from restroom - approved with test. 2. 3/4" watts RP device, model LF009M3, serial #145498, for hot water supply to dog wash tables, located at back of bldg. across from restroom- approved with test. Violation Summary: Inspector Contractor CITY OF TIGARD PLUMBING PERMIT 141 COMMUNITY DEVELOPMENT t Permit#: PLM2017-00237 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 j Date Issued: 06/15/2017 amporap T[ 1Ft'y3 9 Parcel: 2S115BA02500 Jurisdiction: Tigard Site address: 16200 SW PACIFIC HWY W1 Project: Dirty Dog Day Spa Subdivision: 2004-015 PARTITION PLAT Lot: 1 Project Description: Interior plumbing for TI:Adding(4)utility sinks;Capping(1)2"floor drain,(1)sink,and(1)water closet. 6/20/17: REPRINTED permit to add(2)backflow preventers. Contractor: RON THOMPSONS PLUMBING LLC Owner: SN PROPERTIES PARTNERSHIP 15039 SE WYEAST AVE 1121 SW SALMON ST DAMASCUS, OR 97089-8833 PORTLAND, OR 97205 PHONE: 503-267-1899 PHONE: FAX: FEES Quantity Description Date Amount 2 ea Backflow Preventer 06/20/2017 $62.54 Specifics: 3 ea Fixture/Sewer Cap 06/15/2017 $75.06 4 ea Sink 06/15/2017 $100.08 Type of Use: COM 1 12%State Surcharge- 06/20/2017 $28.52 Class of Work: ALT Plumbing Type of Const: Occupancy Grp: Stories: Total $266.20 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 rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You -ay obtain a copy of the rules or direct qu- : OUNC b (ling 503.232.1987 or 1.800.332.2344. Issued By Permittee Signature: A 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 FOR OFFICE USE ONLY Cl Of Tigard Received • g' Date/B : Permit No.: 11111 - . 13125 SW Hall Blvd.,Tigard,OR 97223AV Plan Review �, �� ! 7-4 �� Phone: 503.718.2439 Fax: 503.598. 0 Date/By: Other Permit No.: TI G A R D Inspection Line: 503.639.4175 $ to Ready/By: Juris. ® See Page 2 for Internet: www.tigard-or.gov �� �� tx 114i Method: Supplemental Information TYPE OF WORK \ O �`v` FEE* SCHEDULE ❑New construction 0 Demob 00 For special information use checklist. Description Qty. Ea. Total ❑Addition/alteration/replacement ❑Others New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 0 1-and 2-famil y dwellin SFR(2)bath 437.78 g ❑Commercial/industrial ❑Accessory building 0 Multi-family SFR(3)bath 500.32 Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: C(�2_d c ' j G ' r\C ,(_,( i Catch basin or area drain 18.76 '✓ l`r ! 'J y Drywell,leach line,or trench drain 18.76 City/State/ZIP: r 1' r ,,,,,e____ - Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: LA../ Project nadie: lJ / /Ori' � 42/ C'f Ai,� I 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 Water service(no.linear ft.:_) Page 2 Subdivision: I Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 2, 31.27 6 ,_.:;-.11 " &rrN'� Backwater valve 12.51 ; r., ': D ON.OF,8i'©PC � .. Clothes washer 25.02 ' i2 ..._-_--a,',' V j ` l3 /&.12 Cs''' r r Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 PROPERTY'xOWNER ❑ T ,ANT i„. ,,,12 Expansion tank 12.51 Name: Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: Garbage disposal _ 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 '4 APPLICANT, ` 'TrcosjAcr pok9N Interceptor/grease trap 25.02 Business name: Medical gas(value:$ ) Page 2 Primer 12.51 Contact name: Roof drain(commercial) 12.51 Address: Sink/basin/lavatory 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax::( ) Tub/shower/shower pan 12.51 E-mail: Urinal 25.02 -` Water closet 25.02 CONTACTOR " - Water heater 37.52 Business name: / �, I � l /�/ ‘..1 r/E..>S Water piping/DWV 56.29 Address: (5.-C), , .�.' W ���c.J 4. J .� Other: 25.02 City/State/ZIP:( j GZ ( �S / , `/ Subtotal 6 z. 5-4 Phone: '.;, 6 ? / 7c, Fax:( ) Minimum permit fee: $72.50 / Planreview (25%of permit fee) CCB Lie.: `� Plumbing Lic.no.: J- J 5/? 5" / State surcharge(12%of permit fee) -7,5-e. Authorized signature: , � TOTAL PERM1 d t� Print name: p�AJ `ice Date:` -.20''''/,e7 This permit application expires if a permit is not obtainedIT within FEE 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: Footing drain-1st 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 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 Other Inspections or Fees ' 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: 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*. eview fI(r Plu Jing Installations Quantity by Fixture Type Plan review is required for any of the following. Fixture Type for Replace/ Please check all that apply. Work Performed: C.aPPed Added Relocate 0 Any new commercial building with water service 2"and Baptistry/Font greater,except systems designed and stamped by licensed Bath: -Tub/Shower engineer. -Jacuzzi/Whirlpool Car Wash: -Each Stall El New exterior plumbing site utilities for any complex structure as defined in OAR918-780-0040. -Drive Thru ❑ Medical gas and vacuum systems for health care facilities. Cuspidor/Water Aspirator Dishwasher Commercial 0 Any multipurpose fire sprinkler system. Domestic 0 Any complex structure as defined in OAR918-780-0040. Drinking Fountain Eye Wash Submit 2 sets of plans with any of the above. Floor Drain/sink: -2" gietric or Auer y "ralr 0 Isometric or riser diagram is required for new buildings -Car Wash Drain that meet the qualifications above. Garbage -Domestic non-food Disposal: -Domestic food related -Commercial food related -Industrial food related Ice Mach./Refrig.Drains Comments regarding fixture work: Oil Separator(Gas Station) Rec.Vehicle Dump Station Shower: -Gang -Stall Sink: -Lav/Bar non-food related -Bradley -Com/Serv/Util food related -Service *Note: If the fixture work under this permit results in an Swimming Pool Filter increase of sewer EDUs,a sewer permit will be issued and Washer-Clothes fees assessed for the sewer increase must be paid before the Water Extractor Water Closet-Toilet plumbing permit can be issued. Urinal Other Fixtures: I:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2