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Permit (89) CITY OF TIGARD PLUMBING PERMIT 114 COMMUNITY DEVELOPMENT Permit#: PLM2019-00232 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/04/2019 Parcel: 2S103DD01201 Jurisdiction: Tigard Site address: 13920 SW PACIFIC HWY Project: Goodwill Industries Subdivision: None Lot: None Project Description: Interior plumbing: Replacing(1)drinking fountain, (5)sinks,and(1)urinal. Contractor: TAPANI PLUMBING Owner: GOODWILL INDUSTRIES OF THE PO BOX 2350 COLUMBIA WILLAMETTE BATTLE GROUND,WA 98604 1943 SE 6TH AVE PORTLAND, OR 97214 PHONE: 360-687-3983 PHONE: FAX: 360-687-4494 FEES Quantity Description Date Amount 1 ea Drinking Fountain 06/04/2019 $25.02 Specifics: 5 ea Sink 06/04/2019 $125.10 1 ea Urinal 06/04/2019 $25.02 Type of Use: COM 1 12%State Surcharge- 06/04/2019 $21.02 Class of Work: ALT Plumbing 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 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: Ow //fit.— 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 City of Tigard 1.►� Eew e• Permi[No.: ,NI - 13125 SW Hall Blvd.,Tigard,OR 972.c� �r • j/ �j i � Phone: 503.718.2439 Fax: 503.598.1'.. Q19 Other Permit No.: Date/By: TI GARD Inspection Line: 503.639.4175 3u1x O 4 2 Date Ready/By: Surfs: H See Page 2 for Internet www.tigard-or.gov Q Notified/Method: -'--�.4 Supplemental Information i *w c4 '� � - ^ 4,- s r w ,,"I kip 1,.:, . y. ' ,,1�.,' ati , d� Z,,' ,W,,,4 ®�tft w ., -.1.',-,"7...'; 1t ...uw 4 w....... -e....t. :0 i. , ❑New construction 0 Deretf M For special information use checklist Description Qty. Ea. Total ®Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) 4 4.CATEGORY OEC CONSTRUCTION SFR(1)bath 312.70 ❑ 1-and 2-family dwelling ®Commercial/industrial SFR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR(3)bath 500.32 Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 F' ,'JOB. SITE INFORMATION'A 3 LOOATION Site utilities: - Catch basin or area drain 18.76 Job site address:13920 SW Pacific Highway _--_ City/State/ZIP:Tigard/OR/97223 Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: Project name:Goodwill Tigard Remodel 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 serviceno.linear ft.: Pae 2 Subdivision: Lot no.: Fixture or item: _) _j_ Page Tax map/parcel no.: Backflow preventer 31.2'7 I DESCRIPTION OIC WORK -Sackwater valve _ - 12.51 - =- - Clothes washer 25 02�- Install new plumbing fixtures - - - --_i ----.- - - -__._-- Dishwasher 25 02 Drinking fountain 1 25.07 I 25 4)2 1 Ejectors/sump - - - -- -25 )11 0;PROPERTY OWNER F.; ©'TENANT Expansion tank -- 12�1 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 12.5 I -I `' APPLICANT a 'Ea CONTACT PERS � Interceptor/grease trap �_- 25.02 Business name:Tapani Plumbing Medical gas(value:$ ) Pagr 2 _ - - - Primer 12.51 Contact name:Debbie Millerjord ---- -- Roof drain(commercial) 12.51 Address:2103 SE 12"'Avenue Sink/basin/lavatory 5 2.5.02 125.10 City/State/ZIP:Battle Ground/WA/98604 Solar units(potable water) 62.54 I Phone:(360)687-3983 Fax::(360)687-4494 Tub/shower/shower pan 12.51 E-mail:debbiem@tapaniplumbing.com Urinal 1 25.02 2 .02 mrg�� ,i ti=. Water Closet 25.02 C e-ONT C1OR€ - ,-, �`` ` ` Water heater 37.52 Business name:Tapani Plumbing Water piping/DWV 56.29 Address:2103 SE 12th Avenue Other: 25.02 City/State/ZIP:Battle Ground/WA/98604 Subtotal ''7 i t-I Phone:(360)687-3983 CCB Lic.:60958 7/� Fax:(360)687-3983 Minimum permit fee: $72.50 Plan review (25%of permit fee) a ,�f Plumbing Eic.no.:37-269PB Authorized signature: 0State surcharge(12%of permit fee) „II,0.1,._ ��. TOTAL PERMIT FEE trl(y,.h4 Print name:Debbie Millerjord Date:6/4/20194 1 This permit application expires if a permit is not obtained within 180 days after it hat been accepted at complete ' *Fee methodology set by Tri-County Building Industry Service Board. I:\Bui:ding\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 Su. r ression S stems: r-r `mss... ... ,sU . 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 Sewer-1st 100' 62.54 L... $233.20 7,201 and �:ter $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas S stems: Water Service-each additional 100' 37.52 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 each additional$100.00 or fraction thereof,to and includin l $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 char:e-1/2 hour and includin:$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 char:e-2 hours each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr and includin:$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 char:e-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*. - r i - Plan review is required for anyof the following. �� : � �l g Please check all that apply. = ❑ Any new commercial building with water service 2"and Ba.ti /Font -_- engineer. eater,except systems designed and stamped by licensed Bath: -Tub/Shower en -Jacuzzi/Whirl.sof Car Wash: -Each Stall --- ❑ New exterior plumbing site utilities for any complex structure -Drive Thru as defined in OAR918-780-0040. C .idor/Water As.irator --- 0 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. Drinkin:Fountain --NMi E e Wash --- Submit 2 sets of plans with any of the above. Floor Drain/sink: -2" --- '3" 0 Isometric€€or riser diagram is required for new buildings -Car Wash Drain that meet the •ualifications above. Garbage -Domestic non-food --- Disposal: -Domestic food related --- -Commercial food related --- -Industrial food related --- Ice Mach./Refri:.Drains Comments regarding fixture work: Oil S .arator Gas Station --- Rec.Vehicle Dum.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 Swimmin: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 --MEM Other Fixtures: --- I:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2 City of Tigard Tel: 503.718.2439 Location: Inspection Date: 13920 SW PACIFIC HWY, TIGARD, OR, 97223 June 12, 2019 at 10:17:30 AM Record Type: Record ID: Commercial - Plumbing PLM2019-00232 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor