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Permit (178) CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT Permit#: PLM2018-00381 AR 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/09/2018 T FG' O g Parcel: 2S113AB00500 Jurisdiction: Tigard Site address: 16083 SW UPPER BOONES FERRY RD 300 Project: Therapeutic Associates Subdivision: FANNO CREEK ACRE TRACTS Lot: PT 37 Project Description: CAP(1)dishwasher and(1)break room sink;ADD(1)clothes washer, (1)primer, (1)shower stall and(1)2"floor drain. Contractor: BEAVERTON PLUMBING INC Owner: G&S FC LLC 13980 SW TV HWY 16083 SW UPPER BOONES FERRY RD, BEAVERTON,OR 97005 STE TIGARD, OR 97224 PHONE: 503-643-7619 PHONE: FAX: 503-643-7620 FEES Quantity Description Date Amount 1 ea Clothes Washer 08/08/2018 $25.02 Specifics: 2 ea Fixture/Sewer Cap 08/08/2018 $50.04 1 ea Floor Drain/Floor Sink/Hub 08/08/2018 $25.02 Type of Use: COM 1 ea Primer 08/08/2018 $12.51 Class of Work: ALT 1 ea Tub/Shower/Shower Pan 08/08/2018 $12.51 Type of Const: 1 12%State Surcharge- 08/08/2018 $15.01 Occupancy Grp: Plumbing Stories: Total $140.11 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: /� Permittee Signature: zw ,')f 1 Call 503.639.4175 by 7:00 a.m.for the next available inspection date. •� This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. From:Beaverton Plumbing 5036437620 08/02/2018 15:29 #419 P.001/002 Plumbing Permit Applicati R � Building Fixtures , Ili FOR OFFICE USE ONLY Received � City of Tigard F�� i� Permit Ni 0 �?Q,: / IN w DateBy: L NJ o2 /� 13125 SW hall Blvd.,Tigard,OR 9722AUG G 2 ?(l1$ Pian Revie a Phone: 503.718.2439 Fax: 503.598.1960 Other Permit h , 419 MISP TIGARD Inspection Line: 503.639 4175 CITY j lr Date Ready/By: loris ; El See Page 2 for Internet: www.tigard-or.gov gg`i�`g°fir� } Notified/Method. j Supplemental Information >. TYPE OFIKiv 7 DIVI SI. FEE* SCHEDULE El New construction ❑Demolition For special information 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 1:11-and 2-family dwelling ®Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 50032 ❑Accessory'building ❑Multi-family 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:16083 SW UPPER BOONES FERRY ROAD Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP:PORTLAND,OREGON 97224 -- Footing drain(no.linear ft.: Page 2 Suite/bldg./apt.no.: QD Project name:FANNO CREEK-THERAPEUTIC. Manufactured home utilities 50.03 Cross street/diretxions to job site: ({S So(---i{,f,kt.S Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: 1 Page 2 Storm sewer(no.linear ft.: ) Page 2 --- Water service(no.linear ft.:_)_ Page 2 Subdivision: Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION...OF WORK Backwater valve 1251 . Clothes washer I 25.02 DEMO BR SINK,CAP EXISTING Dishwasher 25.02 DWV-SINK AND DISHWASHER ARE BEING REMOVED ADDING WASHER Drinking fountain 25.02 AND SHOWER Ejectors/sump 25.02 0 PROPERTY OWNER ❑ TENANT Expansion tank 12.51 Name: Fixture/sewer cap , 25.02 Floor drain/floor sink/hub I 25.02 Address: Garbage disposal 25.02 City/State/ZIP: _ Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 ❑ APPLICANT © CONTACT PERSON Interceptor/grease trap 25.02 Business name:BEAVERTON PLUMBING INC Medical gas(value:$_ ) Page 2 Primer 1 i 12.51 Contact name:JACKIE STEWART Roof drain(commercial) 12.51 Address:13980 SW TUALATIN VALLEY HWY Sink/basin/lavatory 25,02 City/State/ZIP:BEAVERTON,OREGON 97005 Solar units(potable water) 62.54 1 Phone:( ) 503-643-7619 > ID Fax::(503)643-7620 Tub/shower/shower pan 1 12.5l E-mail:jackie@beavertonplumbing,com Urinal 25.02 CONTRACTOR Water closet 25.02 Water heater 37.52 Business name:BEAVERTON PLUMBING INC WaterPi P m°d DWV _ 56.29 Address:13980 SW TUALATIN VALLEY HWY Other: 25,02 City/State/ZIP:BEAVERTON OREGON 97005 Subtotal „.7.-.16- Minimum permit fee: $72.50 /AS:/0 Phone:(503)643-7619 X106 Fax:(503)643-7620 CCB Lie.:12889 Plumbing Lie.no.:34-4PB Plan review (25%of permit fee) /5 G'/ State surcharge(12%of permit fee) .9'Of Authorized signature: i'1//1f l i--C‘.-t...1C '- °xil '..t.-.... _ TOTAL PERMIT FEE ,....14,-0.7"-- 1 r8'1"-- ` t This permit application expires if a permit is not obtained within t$0 days Print name:JACQUiLINE SPEW ART 1 Date:08/02/2018 I after it has been accepted as complete. tCrt i if *Fee methodology set by Tri-County Building industry Service Board. I,Building`PermitsPLMU-Permtt.Spp.dun 10,'01/09 440-46t 61(I 0/n2/COM/WEB) From:Beaverton Plumbing 5036437620 08/02/2018 15:30 #419 P.002/002 Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities q Fee(ea) Total Squat e' ootage Permit Footing drain-1"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 55,000.00 and$1.52 for Qty. Fee.(ea) Total each additional$100.00 or fraction thereof,to Other.TnSpectiOnS br FCCS 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*. Quantity by Fixture Type Plan Review for:Plumbing Installations Fixture Type for Replace/ Plan review is required for anyof the following. Performed: Capped Added- Relocate ` 9 Baptistry/Font Please check all that apply, Bath Tub/Shower 0 Any new commercial building with water service 2"and IacuzzilWhirlpool 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 1 0 Any multipurpose fire sprinkler system. Drinking Fountain 0 Any complex structure as defined in OAR918-780-0040. Eve Wash Floor Drain/sink -2" 1 Submit 2 sets of plans with any of the above. -3,, Car Wash Drain Isometric or Riser Diagram Garbage Domestic-non-food 0 Isometric or riser diagram is required for new buildings Disposal -Domestic-food related that meet the qualifications above. -Commercial-food related -Industrial-food related Ice Mach./Refrig.Drains Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Gang -Stall 1 Sink/Lav -Non-food related -Bradley -Commercial-food related -Service Swimming Pool Filter *Note: If the fixture workunderthis permit results in an Washer-Clothes 1 Water Extractor increase of sewer EDUs,a sewer permit will be issued and WaterCloset-Toilet fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fixtures: http://cros4.revize.com/revize/tigard/document_center/t3ui iding/PLMF_PqmitApp.doc City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16083 SW UPPER BOONES FERRY RD 300, September 5, 2018 at TIGARD, OR, 97224 9:29:23 AM Record Type: Record ID: Commercial - Plumbing PLM2018-00381 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor