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Permit (110) CITY OF TIGARD PLUMBING PERMIT 7 COMMUNITY DEVELOPMENT Permit#: PLM2018-00331 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/26/2018 Parcel: 2S114AA00100 Jurisdiction: Tigard Site address: 9000 SW DURHAM RD Project: Tigard High School Subdivision: None Lot: None Project Description: Interior plumbing for superstructure addition. Contractor: OREGON CASCADE PLUMBING&HEATING Owner: TIGARD-TUALATIN SCHOOL DISTRICT 1728 22ND ST SE 6960 SW SANDBURG ST SALEM, OR 97302 TIGARD, OR 97223 PHONE: 503-588-0355 PHONE: FAX: FEES Quantity Description Date Amount 35 ea Rain Drain Connector 09/19/2018 $656.60 Specifics: 2 ea Backflow Preventer 09/19/2018 $62.54 2 ea Clothes Washer 09/19/2018 $50.04 Type of Use: COM 3 ea Dishwasher 09/19/2018 $75.06 Class of Work: ADD 5 ea Drinking Fountain 09/19/2018 $125.10 Type of Const: 2 ea Ejectors/Sump 09/19/2018 $50.04 Occupancy Grp: 2 ea Expansion Tank 09/19/2018 $25.02 Stories: 76 ea Floor Drain/Floor Sink/Hub 09/19/2018 $1,901.52 36 ea Hose Bib 09/19/2018 $900.72 3 ea Ice Maker 09/19/2018 $37.53 1 ea Interceptor/Grease Trap 09/19/2018 $25.02 19 ea Primer 09/19/2018 $237.69 90 ea Sink 09/19/2018 $2,251.80 28 ea Tub/Shower/Shower Pan 09/19/2018 $350.28 17 ea Urinal 09/19/2018 $425.34 58 ea Water Closet 09/19/2018 $1,451.16 Total $13,499.86 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.198 r .800.332.2344. Issued By: /i;;; ' ,... " .... . ' --. ' ... .- Permittee Signature: / Call 503.639.4175 by 7:00 a.m.for the next available inspect on date. This permit card shall be kept in a conspicuous place on the job site until completion of the proje Approved plans are required on the job site at the time of each inspection. FOR CAPPED FIXTURES SEE PLM2018-00270 FOR CREDIT Plumbing Permit Application Building Fixtures E rul: t1F1'�lclt sr nNl-1 City of Tigard Received y OateBy: U /pr PermitNo.: 42/6,710/7-__603.3/ IN e 13125 SW Hall Blvd.,Tigard,OR 97223 1 1 2018 I Plan Review • zee, aieji _Ph.one.:(?t5"?0.3.71$.243.-.:9�lFax: 5r 03.59$.1960 .. . 7 : 'p-'azigy. Ory". ali. Other Permit Mo.: ye w ` MT Inspection Line: 503.639.4175 1"1 CAR ) 0t,-- CARL. Date Ready/By: huts See Pagefor Internetwww b d-or ovNoti6ed/Method ? �Z n Supplemental Informationr131fiu :t f , t er wb �xY4 d :: .,,.. �.4. ^ �r . 1Y"W,r. ,,b CE k:FtlT-.: � fCg r". . rn :z . 4v .,4VeA _. uv vs.,s..ir.� + .f.t.-: c. -r"�ji:LvN • ..ec �Jx�,: >, x��-+?` r..iF ,,�Jin. .3 i..w.: •, v.:S'Y .. itt u...r,Y`;s t_cF.. VgN ew construction 0 Demolition[meet-le-t r,�-P rect- '�� For special In ormal!on use checklist �t /r Description I Qty. I Eat. I Total ❑Addition/alteration/replacement 0 Other / t/3 e...;7' New 1-2-family dwellings(includes 100 ft.for each utility connection) -� 4 E Y rw. � art S 1-13 .i.J�!`.��t,�Y�',A16 %. 1 !{lRt `. 4 5y y t % f; � 1� ' G,�h Q 010. � t' ,£fix,-y, :t. ,'"r• SFR(1)bath 312.70 "..� ..?%�,..y �-�,h� �, xc«rl'f .p,o r... r-t r.. ti+'ri__:�;fA;. �, 1 ..,t..., ❑ 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath437.78 at1, SFR(3)bath 500.32 1F ❑Accessory building 0 Multi-family -a Each additional bathlkitchen 25.02 p U 0 Master builder Other Educational J Fire sprinkler( sq.ft) Page 2 ,i 8,13 l ,V - m ,,;�,�� sktql k . r '� tl f ' g Slte uHtities;n ! ` : c .ar . , tfe.th fob site address: 9000 SW Durham Rd Catch basin or area drain 16.76 w -F- City/State/ZIP: Tigard,OR 97224 Drywell,leach line,or trench drain 18.76 i- - Footing drain(no.linear ft.: ) Page 2 re w Suite/bldg./apt.no.: Project name: Tigard High School Manufactured home utilities 50.03 n �- Cross street/directions to job site: SW Durham Rd and SW 92nd Ave Manholes 18.76 W Z Rain drain connector 18.76 cc m Sanitary sewer(no.linear ft.: ) Page 2 in Storm sewer(no.linear ft.: ) Page 2 7 Q Water service(no.linear ft.:_) Page 2 Subdivision: Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 62.54 0 PROPERTY OWNER' 0 TENANT Backwater valve 12.51 0 Clothes washer .f 25.02 25,02 Name: T GARO Tt.)Ai ATI!.d SCHOOL DISTRI;'1 Dishwasher 4 25.02 100.08 Addie : 6960 SWSANDI* IIG STREET Diinldngfountain 4 25.02^ 100.08 City/SaatctZlP: TICAfiD O 17223 Ejectors/sump 2 25.02 50.04 Expansion tank 2 12.51 25.02 Phone:(503) 43? -4030E rax:( ) Fixture/sewer cap 25.02 0 FAWN: wwirishis@daycerrl.Coli= Floor drain/floor sink/hub 75 25.02 2126.7 Owner installation:This installation is being tttade on property that I own which is riot Garbage disposal 0 25.02 Q intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. Hose bib 25.02 `., 33 825.66 Owner signature: Date: Ice maker 2 12.51 25.02 0 APPLICANT 0 CONTACT PERSON Interceptor/grease trap •i 25.02 25.02 4„5 Business name: BA.SSETTI ARCH?TEC T S Medical gas(value:$ ) Page2 0 Con:ac:name: DFFPA r3HARATKUMAR Primer 17 12.51 212.67 - Roof drain(commercial) 0 12.51 0 Address: /21 :°Jt`:9TH AVENUE SUITE 353 Sink/basin/lavatory 91 25.02 2176.24 , City/StaleJZ1P: PORTLAND OR 9f 230 Solar units(potable water) 0 62.54 0 Phcttc:(53 2) 224 -9:52 Fax::( ) Tub/shower/shower pan 27 12.51 337.77 E-mail: lu biiara' rr,art' assctiarch.cur. Urinal 19 25.02 475.38 r i''r rT ZzR' r .41-WI,Cp~ x� let. , iZtV ..$1. ':wi . _..^ Water closet 60 25.02 1501.2 'ozi z ,.�ra . ...» .a4. at , aa w1.% r.nl...� i✓ tm:::,;, &r 3-.:c-f4i ;.ci:;:,iS. Water heater 4 37.52 150.0s Business name: OREGON CASCADE Water piping/DWV 56.29 Address: 1728 22ND ST.SE Other: 25.02 City/State/ZIP: SALEM,OR 97302 Subtotal Phone:( 503 ) 588-0355 Fax:( ) Minimum permit fee: $72.50 CCB Lie.: ; Plumb'!gLie.no.: Eif.r .li' Plan review (25%ofpecmit fee) i . State surcharge(12%of permit fee) Authorized signature: 7i ,1 TOTAL PERMIT FEE , This permit application expires If a permit Is not obtained within 180 days Print name: WESLEY WIN IP Date: 'I it; after it has been accepted as complete. "Fee methodology set by Tri-County Building Industry Service Board. Plumbing Permit Application - City of Tigard Page 2-Supplemental Information Fee Schedule: Residential Fire Suppression Systems: w ` >} C k + ',W''d a > � it Fy. -til s K xF ,SIterUt!Yltl ., :,. :,*. ...,''�sv-,,',;, 0,,,,,,,,,,,,,:':'ryFce,,�) 'z: ',4-:41z-.......;',::, 5(qu&1, ob1A je? ? i< a • ;v �'1• Footing drain-I"100' 50.03 0 to 2,000 $121.90 ��� Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 •• Sewer-1st]00' 6254 to z 3,601 to 7,200 $233.20 • IA O 7,201 and greater $327.54 •••• Sewer-each additional I00' 37.52 f- l Water Service-1st 100' 62.54 l-- (21. ' Medical Gas Systems: Water Service-each additional 100' 37.52 la � P k• Y�z� r' VAr�i rAzs�i, ti�.'i'y ,rq Storm&Rain Drain-i st 100' 62.54 w D' '`' in � Q $1.00 to$5,000.00 Minimaglbe$72.50 Storm&Rain Drain-each additional 100' 37.52 w h $5,001.00 to$10,000.00 $72.�Afor the first$5,000.00 and$1.52 for - 5-1 r} . t *a- Yw - •,i n :IWO,,. � l + l- h additional$100.00 or fraction thereof,to : ll l„,, 3.0� 5e f I , , ,. � ;ih. t.4 W d including$10,000.00. Inspection of existing plumbing or for CC 4% d. $10,001.00 to$25,000.0Q• $148.50 for the first$10,000.00 and$1.54 for which no fee is specifically indicated 90.00/hr O. O • each additional$100.00 or fraction thereof;to (minimum charge-1/2 hour) N z •• and including$25,000.00. Inspections outside of normal business 90.00/hr ,., m $25,001.00 to V,000.00 $379.50 for the first$25,000.00 and$1.45 for hours(minimum charge-2 hours) weach additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr ❑ n . and including$50,000.00. Additional plan review for revisions 90.00/hr = L+J. $5,Qie00 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*. -" u n�l by .},,,, s'',� r,. t ►".y'•ot".c '1.'i.�.�Z'sB-Y- f {,,..T f i .,^c ' >''ss . 4)iii (y.+]l"Urtur'4.Thie i, •'' I il .ix i, r ,. ;t�=r'P. �` ';:,, .ir;.*1� `..ia.,ttoustS,g;t:4: Plan review is required for any of the following. ;Balis"(Foriited:::' ;;r`: . >`=';',;: :::.. ,,,.. ........ ... . Please check all that apply. Baptistry/FontI Bath -Tub/Shower ❑ Any new commercial building with water service 2"and -Jacuzzi/Whirlpool to .1 greater,except systems designed and stamped by licensed Car Wash -Each Stall 03engineer. -Drive Thru re 0 New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator U as defined in OAR918-780-0040. Dishwasher -Commercial CC 1 ❑ Medical gas and vacuum systems for health care facilities. -Domestic 0 3 0 Any multipurpose fire sprinkler system. Drinking Fountain 4 0 Any complex structure as defined in OAR918-780-0040. ca Eye Wash t'- 4 Floor Drain/sink -2" 0 40 Submit 2 sets of plans with any oftthee above. 9 15 -4„ co 20 Z`f,Lrr„tilaWeag0 �. ,Y ,}Yi�A.� .In+fIr%�?f'.rsi; PlcI Car Wash Drain N Garbage -Domestic-non-food -2- ❑ Isometric or riser diagram is required for new buildings Disposal Domestic food related -.I that meet the qualifications above. -Commercial-food related -Industrial-food related Ice MachfRefrig.Drains {UA 3 Oil Separator(Gas Station) w Comments regarding fixture work: Rec.Vehicle Dump Station _ u"- One of the two ice Machines has two drains associated with it. Shower -Gang b=-. 23 87 sinks,4 service sinks,91 total sinks -Stall X 4 Sink/Lav Non-food related M 63 - -Bradley to LI -Commercial-food related EL _ 24 -Service 0- 4 Swimming Pool Filter U *Note: If the fixture work under this permit results in an Washer Clothes ` Water Extractor 0 increase of sewer EDUs,a sewer permit will be issued and O Water Closet-Toilet - 's- €(. fees assessed for the sewer increase must be paid before the Urinal '_ plumbing permit can be issued. Other Fixtures: C:\Users\deenab\Downloads\PLMF PermitAno.doc 9 Plumbing Permit Application Building Fixtures FOR OFFICE USE ONLY City of Tigard Received f p� t� /tom ll °7/i67,7/ Permit No.:pi. "i a[Ofe/_L LD33i 1111 13125 SW Hall Blvd.,Tigard,OR 97223 Date By: /` I Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Other Permit No.: Date/By: $.-�`� p� Inspection Line: 503.639.4175 Date Read/B Juris: 10 See Page 2 for TIGARD Ready/By: �r; /�. Internet: www.tigard-or.gov Notified/Method: `'7 /3 /// "07-72 if Supplemental Information TYPE OF WORK t FEE* SCHEDULE New construction ❑Demolition For special information use checklist Description Qty. Ea. Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ❑ 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 buildingSFR(3)bath 500.32 ❑Accessory ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) . Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: cpc,,0 S,t,i. t � a Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP: TIS O rA.l d R. q 4. Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: I Project name: Ti .1t� (4.'y M Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 3S 18.76 656.60 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: I Lot no.: Fixture or item: Tax map/parcel no.: 12.57/4.44'%//')/c id Backflow preventer ../ a 31.27 62.54 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer ,./A 25.02 SO.04 Dishwasher .."--3 25.02 95,06 Drinking fountain i../.5 25.02 /25,/0 Ejectors/sump t/? 25.02 50,04 0 PROPERTY OWNER I 0 TENANT Expansion tank 44 12.51 ZS,O 2 Fixture/sewer cap ASM�p fg�002,07p 25.02 -- Name: Address: Floor drain/floor sink/h_b:2N/A, 6 25.02 Iq0 I.SZ Garbage disposal 25.02 City/State/ZIP: / Hose bib -,..3‘, 25.02 9QQ,72 Phone:( ) Fax:( ) Ice maker c." 3 12.51 37,S3 0 APPLICANT 0 CONTACT PERSON Interceptor/grease trap / 25.02 25,02. Business name: Medical gas(value:$ ) Page 2 Primer /Ct 12.51 ;2374? 6 Contact name: Roof drain(commercial) 12.51 Address: Sink/basin/lavatory 440 25.02 42,$/,80 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax: :( ) Tub/shower/shower pan ✓2 8 12.51 350.28 E-mail: Urinal ,,,//9 25.02 4,25,39 CONTRACTOR Water closet x/58 25.02 /tgs/,�6' Water heater a.V4. 37.52 /50.08 Business name: Water piping/DWV 56.29 Address: Other: Ste 6.0,,A.4, 4/ 25.02 gas 82, City/State/ZIP: i ytkt.....,,t S6.44* Subtotal tow 34 Phone:( ) Fax:( ) Minimum permit fee: $72.50 CCB Lic.: Plumbing Lic.no.: Plan review (25%of permit fee) 21-S0.311. State surcharge(12%of permit fee) /l/id,/6 Authorized signature: TOTAL PERMIT FEE 13,4 ?.ea o Print name: Date: 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 Service Board. Qtl I:\Buildiug)Permits)PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) LoaV= 53 w SI K1u Z 37 4- !3;t.r 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'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 hand 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 Installations See PLM2vt8- Quantity by Fixture Type Plan review is required for any of the following. Fixture Type for 002.70 Replace/ Please check all that apply. Work Performed: Ofr-Gt- ' -4 Capped Added Relocate ❑ Any new commercial building with water service 2"and Baptistry/Font greater,except systems designed and stamped by licensed Bath: -Tub/Shower engineer. -Jacniii/Whirlpool 1 Car Wash: Each Stall CI New exterior plumbing site utilities for any complex structure Drive as defined in OAR918-780-0040. CICuspidor/Water Aspirator Medical gas and vacuum systems for health care facilities. Dishwasher: -Commercial 1 ❑ Any multipurpose fire sprinkler system. -Domestic v(, ❑ Any complex structure as defined in OAR918-780-0040. Drinking Fountain S Eye Wash __1_ 14 Submit 2 sets of plans with any of the above. Floor Drain/sink: -2" 4 l 3" t5 Isometric or Riser Diagram 4„ 18 ❑ 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 3 Comments regarding fixture work: Oil Separator(Gas Station) Rec.Vehicle Dump Station Shower: -Gang a I -Stall 6 Sink: -Lav/Bar non-food related 175 -Bradley -Com/Sery/Util food related 8 -Service r7 *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 a fees assessed for the sewer increase must be paid before the Water Extractor Water Closet-Toilet 5.a plumbing permit can be issued. Urinal 19 Other Fixtures: I:\Building\Permits\PLMF PermitApp.doc 08/04/2011 2 t GL.t C\ I'k i y k _,a ( ��1 ...- q ) S.� .i.�l�r _.,-`- IVV r.. 1- 3e, 1ek b;:;k ro:-b14 _..� I-J.4 Sc.r-p LoilQ±czar t et-3 4 1-77 C J &vr Fri kyd_ iav Sy s ftw 2. 1,-5 5 .4- l-63 E � ' t1etQ e i��'�c+1t Co z( irfTP 't�r! Ielr) ;Z. ,.. II t- 1 t c6 tie_ Cow.-_,,,b,_1'_ K 1 c a-is kQ-ere 4era*tc3 S.e fl-SeVrUt' S 11 ;n C n.f4 Ca-1-4_ .;)-U, Dom,—:� Cali (.yrll -rb-r -y-o. 2 Trek ►.rel r, 1oa t Tr•a lk cl L.,A -1'‘ 7- 4 i' ).:"----- 1-21 Dr cp i h_fief- (0.:4-l( C pay i-ad..., PRV-j- CLI b i PRVd—ci<r, . PRV —C 4b 4 �1,1V-Il Yrttl�2, r V-4, r v-s, r4Y—G rn,r,nJ J -. 4 P1 P_ C. r , es, • . — testi_ �. ye r „„r;_-. A.,- - AD reA a,:,;...\ \ ..- -ft,- Floor , s,v.\(s i e, .1-ccA.,...__, (_,..) P; _a.. VI Pb•V \ d45..._4 a-3.' Re..f r 4iY' _i-4 Seat' Se tk 1J... Sidt i ,4'.c ttr. 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T.B[x:: ta,.+..-s�s 'rN II is _... .... ..._-..__.^-_ -•va,—.�..-...-,•a^um-u-.�,c..-�»..x...wt.,...nor-:.�.,+...,,m. ^ City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 9000 SW DURHAM RD, TIGARD, OR, 97224 August 22, 2019 at 10:56:21 AM Record Type: Record ID: Commercial - Plumbing PLM2018-00331 Inspection Type: Inspector: 399 Plumbing final Don Sylvester Result: FA I L Comments: 1 . Interior plumbing for sector N-1 and N-2 first and second floor,correction's are complete. Note: kitchen is not complete or being used at this time. Recall for kitchen when complete. 2. Interior plumbing for sector S-2 , corrections are complete. Bacteria report has been received, test report for backflow device's located in boiler room approved. Note: Down spout 's for south S-2 are incomplete. Recall for inspection when complete. 3. Partial final- ok Violation Summary: Inspector Contractor