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Permit (182) CITY OF TIGARD PLUMBING PERMIT nII COMMUNITY DEVELOPMENT Permit#: PLM2019-00097 T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/12/2019 Parcel: 2S112DA01400 Jurisdiction: Tigard Site address: 6650 SW REDWOOD LN 380 Project: Spec Space Subdivision: 1996-048 PARTITION PLAT Lot: 2 Project Description: Interior plumbing for TI:Adding(1)sink. Contractor: ALWAYS FAITHFUL PLUMBING LLC Owner: PACIFIC REALTY ASSOCIATES PO BOX 757 ATTN: N PIVEN WILSONVILLE, OR 97070 15350 SW SEQUOIA PKWY#300 PORTLAND, OR 97224 PHONE: 503-624-6300 503-780-9486 FAX: FEES Quantity Description Date Amount 1 ea Sink 03/12/2019 $25.02 Specifics: 1 12%State Surcharge- 03/12/2019 $8.70 Plumbing Type of Use: COM 47 ea Minimum Fee Adjustment- 03/12/2019 $47.48 Plumbing Class of Work: ALT Type of Const: Occupancy Grp: Stories: Total $81.20 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 may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 18QQ332.2344. Issued By: rPermittee 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 Building Fixtures FOR OFFICE 1.SF oyl.v City = of Tigard 7 E C E I V E D Date/By:Received // G r Permit No.: 1114 11 13125 SW Hall Blvd.,Tigard,OR 9 2 �� t "� �� /��7 7 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit No.: n] C-VLA] /Inspection Line: 503.639.4175MAR 11 2019IIGARn Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information ITY OF TIGARD `' TYPIC OF WORkC FEE* SCHEDULE ❑New construction U Demoolit Demolition OMCIfJN P f Fors special information use checklist Description I 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 El1-and 2-family dwelling U Commercial/industrial SFR(2)bath 437.78 ID Accessory buildingSFR(3)bath 500.32 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORI4TION AND LOCATION Site utilities: Job site address: _2(0 p 5 L.,..) v_4,(0,„30(--) rto Catch basin or area drain 18.76 City/State/ZIP: L n U1L Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: 3. I Project name: 110-C(4-NS�Jw 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: Lot no.: Fixture or item: Tax map/parcel no.: 2.,i i D UCS Backflow preventer _ 31.27 �� Backwater valve 12.51 i DESCRIPTIO ' r t� � r..��•: .rt «x,.4.. ., . . vim::',,. ACV "s 0 e ,3 C7 -t� ,� �� ,-� g n L Clothes washer 25.02 Dishwasher 25.02 ').(k5 1 d tl'C•-� Drinking fountain 25.02 Ejectors/sump 25.02 09 PROPERTY'OWNER I ❑ TENANT,, Expansion tank 12.51 Name: iR(J t:t C ii,at. I I )-'(/ Fixture/sewer cap 25.02 t/ 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 0 APPLICANT 0 CONTACT PERSON 5 Interceptor/grease trap 25.02 Medical gas(value:$ ) Page 2 Business name: ll Contact name: �'>„�E�( (VK 0 AC\g ER„N 1 ) Primer 12.51 i Roof drain(commercial) 12.51 Address: Sink/basin/lavatory / 25.02 „z.S" p City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax::( ) Tub/shower/shower pan 12.51 E-mail: A�w�,.tS ".l-R f nisi t( Pl_kyvi810 u e,vc,KL(aCkAA, Urinal 25.02 CONTRACTOR Water closet 25.02 Water heater 37.52 Business name: R LI,.)'r(5 FA.i�Fl&L_ P(r,o V 10 G Water piping/DW 56.29 Address: a k jc�.X 11 7 5-7- Other: 25.02 City/State/ZIP: l,J li L5 ) (f i k,L b(2� q* .4) 0- Subtotal 025'x, Phone:(103) -730 GI L,� Fax:( ) `�' Minimum permit fee: $72.50 7? 5-7) CCB Lic.: . 1-1. g Li Plumbing Lic.no.: 'Pg t°I �J LI Plan review (25%of permit fee) State surcharge(12%of permit fee) 70 Authorized signature:6- �--___ TOTAL PERMIT FEE g �� rr��,/tA J�n� A - CA This permit application expires if a permit is not obtained within 180 days L Print name: e� \ I a\V"'C( Date: 31 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-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 Storm&Rain Drain-1st 100' 62.54 Sluatlon: 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 Feel:: Fee(ea) Totaleach additional$100.00 or fraction thereof,to Qtyand 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. - 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 Baptistry/Font 0 Any new commercial building with water service 2"and 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 tall as defined in OAR918-780-0040. Cuspidor/Water Aspirator 0 Medical gas and vacuum systems for health care facilities. Dishwasher: Commercial 0 Any multipurpose fire sprinkler system. Domestic ❑ 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" isometric or Riser Diagram 4„ 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 I -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 74 Accumulative Sewer Tally C Tenant Name: SPEC SPACE SWR# N/A T G n u D Site Address: 6650 SW REDWOOD LN SUITE 380 PLM# 2019-00097 Parcel#: 2S1 1 2 DA01400 Fixture Value Previous Previous Credits Capped Fixture Fixture New New # value count capped#s value count added# added value total#s total values Baptisery/Font 4 0 0 0 0 0 Bath: -Tub/Shower 4 0 0 0 0 0 -Jacuzzi/Whirlpool 4 0 0 0 0 0 Car Wash: -Each Stall 6 0 0 0 0 0 -Drive through 16 0 0 0 0 0 Cuspidor/Water Aspirator 1 0 0 0 0 0 Dishwasher: -Commercial 4 0 0 0 0 0 -Domestic 2 0 0 0 0 0 Drinking Fountain 1 0 0 0 0 0 Eye Wash 1 0 0 0 0 0 Floor Drain/Sink: -2 inch 2 0 0 0 0 0 -3 inch 5 0 0 0 0 0 -4inch 6 0 0 0 0 0 -Car Wash 6 0 0 0 0 0 Garbage Disposal: -Domestic(to 3/4 HP) 16 0 0 0 0 0 -Commercial(to 5 HP) 32 0 0 0 0 0 -Industrial(over 5 HP) 42 0 0 0 0 0 Ice Machine/Refrigerator Drain 1 0 0 0 0 0 Living Unit 16 0 0 0 0 0 Oil Sep(Gas Station) 6 0 0 0 0 0 Rec.Vehicle Dump station 16 0 0 0 0 0 Shower: -Gang(per head) 1 0 0 0 0 0 -Stall 2 0 0 0 0 0 Sink: -Lay/Bar-Non-Food Related 2 0 1 2 1 2 0 0 -Bradley 5 0 0 0 0 0 -Com/Sery/Util-Food Related 3 0 0 0 0 0 Swimming Pool Filter 1 0 0 0 0 0 Washer-Clothes 6 0 0 0 0 0 Water Extractor 6 0 0 0 0 0 Water Closet-Toilet 6 0 0 0 0 0 Urinal 6 0 0 0 0 0 Previous EDU Count 0 0 Capped EDU Credit 0 TOTALS 0 0 1 2 1 2 0 0 Current Fixture Value 0 divided by 16= 0.000 Current EDU 1 EDU= $5,650.00 Previous Fixture Value 0 divided by 16= 0.000 Previous EDU Change 0 divided by 16= 0.000 over (under) $ - Enter EDU Change Here 0.000 * *Round EDUs to the nearest 1/100th: a count ending in.005 shall be rounded up to.01,and a count ending in.014 or less shall be rounded down to.01. Notes: .13 EDU CREDITS APPLIED FROM PLM2016-00492. Authorized Name/Signature: BRANDEN TAGGART X2449 Date: 3/12/2019 Building Division rote: The property owner shall retain the ORIGINAL sewer tally record. If credits exist,this document will serve as a voucher which must be submitted to the City of Tigard Building Division to redeem credits towards future system development charges. I:\Building\Sewer Tally\SewerTallySheet_5500_070118.xlsx Accumulative Sewer Tally il C Tenant Name: Fairway America SWR# N/A T ARD Site Address: 6650 SW Redwood Ln#290 PLM# 2016-00492 Parcel#: 2S 1 12DA01400 Fixture Value Previous Previous Credits Capped Fixture Fixture New New # value count capped#s value count added# added value total#s total values Baptisery/Font 4 0 0 0 0 0 Bath: -Tub/Shower 4 0 0 0 0 0 -Jacuzzi/Whirlpool 4 0 0 0 0 0 Car Wash: -Each Stall 6 0 0 0 0 0 -Drive through 16 0 0 0 0 0 Cuspidor/Water Aspirator 1 0 0 0 0 0 Dishwasher: -Commercial 4 0 0 0 0 0 -Domestic 2 0 0 0 0 0 Drinking Fountain 1 0 0 0 0 0 Eye Wash 1 0 0 0 0 0 Floor Drain/Sink: -2 inch 2 0 0 0 0 0 -3 inch 5 0 0 0 0 0 -4 inch 6 0 0 0 0 0 -Car Wash 6 0 0 0 0 0 Garbage Disposal: -Domestic(to 3/4 HP) 16 0 0 0 0 0 -Commercial(to 5 HP) 32 0 0 0 0 0 -Industrial(over 5 HP) 42 0 0 0 0 0 Ice Machine/Refrigerator Drain 1 0 0 0 0 0 Living Unit 16 0 0 0 0 0 Oil Sep(Gas Station) 6 0 0 0 0 0 Rec.Vehicle Dump station 16 0 0 0 0 0 Shower: -Gang(per head) 1 0 0 0 0 0 -Stall 2 0 0 0 0 0 Sink: -Lay/Bar-Non-Food Related 2 0 1 2 0 -1 -2 -Bradley 5 0 0 0 0 0 -Com/Sere/Util-Food Related 3 0 0 0 0 0 Swimming Pool Filter 1 0 0 0 0 0 Washer-Clothes 6 0 0 0 0 0 Water Extractor 6 0 0 0 0 0 Water Closet-Toilet 6 0 0 0 0 0 Urinal 6 0 0 0 0 0 Previous EDU Count 0 0 Capped EDU Credit 0 TOTALS 0 0 1 2 0 0 -1 -2 Current Fixture Value -2 divided by 16= -0.125 Current EDU 1 EDU= $5,300.00 Previous Fixture Value 0 divided by 16= 0.000 Previous EDU Change -2 divided by 16= -0.125 over (under) $ (689.00) Enter EDU Change Here -0.130 * *Round EDUs to the nearest 1/100th: a count ending in.005 shall be rounded up to.01,and a count ending in.014 or less shall be rounded down to.01. Notes: CREDITS APPLIED TO PLM2019-00097 IN FULL.3/12/19 B.T. Authorized Name/Signature: Debbie Adamski Date: 9/27/2016 Building Division INote: The property owner shall retain the ORIGINAL sewer tally record. If credits exist,this document will serve as a voucher which must be submitted to the City of Tigard Building Division to redeem credits towards future system development charges. I:\Building\Sewer Tally\SewerTallySheet_5300_070116.xlsx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 6650 SW REDWOOD LN 380, TIGARD, April 18, 2019 at 9:47:50 AM OR, 97224 Record Type: Record ID: Commercial - Plumbing PLM2019-00097 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor