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Permit - CITY TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT #: PLM2006 - 00235 DATE ISSUED: 6/1/2006 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S112AC - 03000 SITE ADDRESS: 14775 SW 74TH AVE ZONING: I -P SUBDIVISION: METRO PART /MLP2002 - 00008 LOT: 001 JURISDICTION: TIG Project Description: Interior plumbing for new commercial building.Other's are 1 hose bib and 1 primer. CLASS OF WORK: NEW GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: FLOOR DRAINS; 1 TRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: 2 OTHER FIXTURES: 2 TUB /SHOWERS: SEWER LINE: ft WATER CLOSETS: 2 WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES HORNEL LLC PO BOX 159 Description Date Amount AURORA, OR 97002 [PLUMB] Permit Fee 6/1/2006 $132.80 [PLMPLN] Plan Review 6/1/2006 $33.20 [TAX] 8% State Surcha 6/1/2006 $10.62 Phone : 503- 651 -1878 Total $176.62 Contractor: PREMIER PLUMBING 20 SW 131ST AVE BEAVERTON, OR 97005 REQUIRED ITEMS AND REPORTS Contact # : PRI 503- 469 -8631 Reg #: LIC 124547 PLM 34 -318PB This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. 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 than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344. Issued By: Permittee Signature: / 7 Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day. 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. Building Fixtures Plumbing Permit Application. E OR . OFFICE USE O.NL,Y . III City of Tigard NW ;1 4 Received r ! /_ � / Permit 6/6.: \ �� ^� [ v 1312 SW Hall Blvd., Tigard, OR 97223 Date/By �� ©� � 1�1� \o�{J � � G Phone: 503.639.4171 Fax: 503.598.196g0p A ewi i// b � Other Permit No.c G -exay Inspection Line: 503.639.4175 MAY L 7 006 Date/By. Date Ready/By: Juri// s: ® See Page '2 for -ex ay G A R D Internet: www.ti and -or. ov g g _ _ N otified/Metho • '\ r Supplemental Information TYPE OF w&uU 1i OF - I1Uh1 ' FEE* SCHEDULE ` ` J'lew construction i > emoli{t�ri T ' a t ' � For special information use checklist. Description 1 Qty. 1 Ea. 1 Total ❑ Addition /alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) . CATEGORY OF CONSTRUCTION SFR(I)bath 249.20 ❑ 1- and 2- family dwelling Et Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi- family SFR (3) bath 399.00 Each additional bath/kitchen 45.00 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities Job site address: / q 77 5 S (0 '7 V 67. Catch basin or area drain 16.60 City /State /ZIP: 7 / 6 Ait D ; 0 fZ 97-2_Z y Drywell, leach line, or trench drain • 16.60 Footing drain (no. linear ft: ) Page 2 Suite/bldg. /apt. no.: I Project name: HO gA.) Ed..- 66 0 6 Manufactured home utilities 110.00 Cross street /directions to job site: 6),,--- v ,u/7 l 1, Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear ft.- j .$77. Page 2 Storm sewer (no. linear ft. Page 2 Subdivision: l Lot no.: Water service (no. linear ft.: ali 5,'/7t Page 2 Fixture or item Tax map /parcel no.: Absorption valve -®- 16.60 DESCRIPTION OF WORK - ------ -_._._ Back flow preventer � . Page 2 a. /.. CS 7 / OOM - / g°.j� '�'t'�J L �r Aaar -' . �ro,� Backwater valve 16.60 �. s =7a ... � _ iI Clothes washer ..0,... 16.60 • Dishwasher -$ 16.60 Drinking fountain 16.60 PROPERTY 1 • ❑TENANT Ejectors/sump - 16.60 Name: Ho gA) . 1.,, ` - 1 Expansion tank -9- 16.60 . Address: / 0 v Fixture /sewer cap . - 16.60 City /State /ZIP: eago/Z + og 970 p "Z- Floor drain /floor sink /hub / 16.60 1 a Garba dis osal- 16.60 • Phone: (<1.5 ) 93 95- Fax: (5 ) (� f- / 5 j / 0 g p 0 APPLICANT ❑ CONTACT PERSON Hose bib 16.60 Ice maker -©-. 16.60 Business name: /10 rt ,PFL Z,L �� � Interceptor /grease trap .E9 16.60 Contact name: GA-[ C i �L6D� Medical gas (value: $ ) .G: Page 2 Address: / o , /(57 Primer l- 16.60 City /State /ZIP: A V f Qh/9 o,� 99 ' D 2 Roof drain (commercial) 16.60 1 Sink/basin/lavatory 16.60 (S Phone: 23) q3 j^�fcl`f I Fax: : ( ) Tub /shower /shower pan -a 16.60 E -mail: Urinal ,¢y 16.60 CONTRACTOR Water closet 16.60 Business name: p R E 1Ie-r j2 G 014 6 y/ 6 ) Ai G Water heater f 16.60 Address: s- 7--.0 ki /3/ % Other: Subtotal 43. City /State /ZIP: /3 E'ff ,EgTo ) 1 0 l2 990t3''S"-- Minimum permit fee: $72.50 Phone: (b 0 ) 3 ggg Fax: (j U3) 40-$ 9/5 Residential backflow minimum permit fee: $36.25 CCB Lic.: r q 17 Plumbing Lic. no.: ' .- 3 /6/°6 Plan review (25% of permit fee) 3rd State surcharge (8% of permit fee) /6.. .ca_. Authorized signature: _il TOTAL PERMIT FEE /"Jl , Print name: 6../e.. Zt/ /li/ � /�1 Date: ! %Z y -��6' 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. I: \Building\Pennits\PLMF- PermitApp.doc 04/06/06 440 .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 - 1' 100' 55.00 0 to 2,000 $115.00 Footing drain - each additional 100' 46.40 2,001 to 3,600 $160.00 3,601 to 7,200 $220.00 Sewer - 1st 100' 55.00 7,201 and greater $309.00 Sewer - each additional 100' 46.40 Water Service - 1st 100' 55.00 Medical Gas Systems: Water Service - each additional 100' 46.40 • Valuation: Permit Fee: Storm & Rain Drain - 1st 100' 55.00 $1.00 to $5,000.00 Minimum fee $72.50 Storm & Rain Drain - each additional 100' 46.40 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each Fixture or Item Qty. Fee (ea) Total additional $100.00 or fraction thereof to and including $10,000.00. Commercial Back Flow Prevention Device 46.40 $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for Residential Backflow Prevention Device each additional $100.00 or fraction thereof, to (minimum permit fee $36.25) 27.55 and including $25,000.00. Rain Drain, single family dwelling 65.25 $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for Inspection of existing plumbing or each additional $100.00 or fraction thereof; to specially requested inspections - per hour 72.50 and including $50,000.00. Subtotal: $50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for each additional $100.00 or fraction thereof. Fixture Work: Plan Review for Complex Structures Are you capping, adding or replacing fixtures? If "yes ", A "complex structure" is defined as an installation of a plumbing please indicate work performed by fixture. Failure to system that meets any of the following criteria accurately report fixtures could result in increased sewer fees'. Ple check all that apply. Quantity by (Fixture) Work Performed - Any new commercial building. Fixture Type:. Replace ❑ Any new exterior plumbing site utilities. Previous Capped Added Existing ❑ A commercial building with installation, alteration or addition Baptistry/Font of nine (9) or more new or relocated plumbing fixtures. Bath - Tub /Shower ❑ Medical gas and vacuum systems for health care facilities - Jacuzzi /Whirlpool providing services to human beings. Car Wash -Each Stall ❑ Plumbing installations, alterations or additions to food service -Drive Thru facilities where new plumbing fixtures, including interceptors, Cuspidor /Water Aspirator are being installed for the food service area. Dishwasher -Commercial ❑ Any new residential building containing three (3) or more - Domestic dwelling units. Drinking Fountain ❑ Any NFPA 13 -D multipurpose fire sprinkler system. Eye Wash Floor Drain /sink - 2" / Submit 2 sets of plans with any of the above. -4" Car Wash Drain Isometric or Riser Diagram Garbage - Domestic ❑ Isometric or riser diagram is required for new buildings Disposal - Commercial three (3) or more stories in height. - Industrial Ice Mach./Refrig. Drains Oil Separator (Gas Station) Comments regarding fixture work: Rec. Vehicle Dump Station Shower -Gang -Stall Sink - Bar /Lavatory G .,7 - Bradley - Commercial - Service Swimming Pool Filter Washer - Clothes *Note: If the fixture work under this permit results in an Water Extractor p Water Closet - Toilet increase of sewer EDUs, a sewer permit will be issued and Urinal fees assessed for the sewer increase must be paid before the Other Fixtures: plumbing permit can be issued. i:\ Building \Permits\PLM- PerrnitApp.doc 07/06/05 CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2006-00235 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/112006 Phone: (503) 639 -4171 ,, • ' a��Ngi��i� Inspection Requests (24 Hrs.): (503) 639 -4175 ............111• _— INSPECTION WORKSHEET FOR DATE: 12/6/2006 TIME: 7 :01AM PAGE: 3 SITE ADDRESS: 14775 SW 74TH AVE CLASS OF WORK: SUBDIVISION: METRO PART /MLP2002- 00008 LOT #: 001 TYPE OF USE: PROJECT NAME: FANNO CREEK BUS. PARK DESCRIPTION: Interior plumbing for new commercial building.Other's are 1 hose bib and 1 primer. OWNER: HORNEL LLC, PHONE #: 503.861- 1878 CONTRACTOR: PREMIER PLUMBING PHONE #: 503- 469.8631 Inspection Request Scheduled For: Date: 12/6/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 040747 -01 503- 939 -9675 Y Corrections /Comments /Instructions: .. 0 1N4' , _____ i / ._ ......_ A__,,,_ e id--,,,..f. ,,C,Jart )ASS I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS !!! FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: M 11 Date: 2 Phone #: (503) 718 6/3 CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2006.00235 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/1/2006 Phone: (503) 639 -4171 �' u �� ��i� Inspection Requests (24 Hrs.): (503) 639 -4175 44 INSPECTION WORKSHEET FOR DATE: 10/30/2006 TIME: 7:Q5AM PAGE: 21 SITE ADDRESS: 14775 SW 74TH AVE CLASS OF WORK: SUBDIVISION: METRO PART /MLP2002 00008 LOT #: 001 TYPE OF USE: PROJECT NAME: FANNO CREEK BUS. PARK DESCRIPTION: Interior plumbing for new commercial building.Other"s are 1 hoe bib and 1 primer. OWNER: HORNEL'LLC, PHONE #: 503 -651 -1878 CONTRACTOR: PREMIER PLUMBING PHONE #: 503 -469 -8631 • Inspection Request Scheduled For: Date: 10/30/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 039005-01 503-939-9575 N Corrections /Comments/ Instructions: - t ff --)1 / (/7 c.) -- . 7 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED \'7<' Inspector: Date: r b 1 6 Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2006.00235 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6I1 /2006 Phone: (503) 639 -4171 4144 Iii. Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6J30//2006 TIME: 7.01AM PAGE: 21 SITE ADDRESS: 14775 SW 74TH AVE CLASS OF WORK: SUBDIVISION: METRO PART /MLP2002 - 00008 LOT #: 001 TYPE OF USE: PROJECT NAME: FANNO CREEK BUS. PARK DESCRIPTION: Interior plumbing for new commercial building.Other's are 1 hose bib and 1 primer. OWNER: HORNEL LLC PHONE #: 503. 851•'1878 CONTRACTOR: PREMIER PLUMBING 6,7_,-,,,,,-/L- PHONE #: 503-469-8631 Inspection Request Scheduled For: Date: 6130 /2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 335 Rain drain 032505 -01 503 - 939.9575 N Corrections /Comments/ Instructions: r d/!/ii.� Lr . -i 2 PASS ARTIAL APPROVAL Il CANCEL I I NO ACCESS FAIL n CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: (' VI 14- --e/ Date: 0 , 1 i) 6 Phone #: (503) 718- .2 "c 3/ it • CITY OF TIGARD _ : ,, BUILDING DIVISION PERMIT #: PLM2006- 002335 13125 SW Hall Blvd., Tigard, OR 97223 _ f DATE ISSUED: 1 /2006 Phone: (503) 639-4171 w4i I r Inspection Requests (24 Hrs.): (503) 639 - 4175' ''" INSPECTION WORKSHEET FOR DATE: 6/2/2006 TIME: 7:08AM PAGE: 22 SITE ADDRESS: 14776 SW 74TH AVE CLASS OF WORK: SUBDIVISION: METRO PART /MLP2002 - 0Q008 LOT #: 0 0 1 TYPE OF USE: PROJECT NAME: • FAWNO CREEK BUS. PARK DESCRIPTION: Interior plumbing for new commercial building.Other's are 1 hose bib and 1 primer. OWNER: HORMEL LL.C, PHONE #: 503.651 -1879 CONTRACTOR: PREMIER PLUMBING PHONE #: 503 -409 -0633 Inspection Request Scheduled For: Date: 602006 Pour Time: .../ Code # Inspection Description Confirm # Contact # ssage . P 305 Plumbing underslab . 031017 -02 603 - 939.9576 Y Corrections/ mmepts /Instructions: l 1 (kJ% 1rt-Ai'--e-- kkicire<1 . . ‘...4.ec / i • PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS n FAIL 1 1 CALL FOR INSPECTION . 1 ADDITIONAL FEES ASSESSED V l Inspector: A Date: WO Phone #: (503) 718 - Z I Z ' • ..„....---. -.- CITY OF TIGARD .4k - BUILDING DIVISION , PERMIT #: PLM2006-00235 13125 SW Hall Blvd., Tigard, OR 97223 ,, DATE ISSUED: 611/2006 Phone: (503) 639-4171 '' i ,/ ■, & , gi ' . 1 Inspection Requests (24 Hrs.): (503) 639-4175 ji t ..k— INSPECTION WORKSHEET FOR DATE: 6/2/2006 T ''-'': 7:08AM PAGE: 20 SITE ADDRESS: 14775 SW 74TH AVE CLASS OF WORK: SUBDIVISION: METRO PART/IVILP2002-011008 LOT #: 001 TYPE OF USE: PROJECT NAME: • FANNO CREEK BUS. PARK DESCRIPTION: Interior plumbing for new commercial building.Other's are 1 how bib and 1 primer. OWNER: HORNEL LLC, PHONE #: 503-651-187B CONTRACTOR: PREMIER PLUMBING PHONE #: 50:3-469-8631 Inspection Request Scheduled For: Date: 6/2/2006 Pour Time: Code # Inspection Description Confirm # - Contact # Message 395 Misc. inspection 031018-01 503-939-9575 V G citt - ec Te-u Corrections/Comments/ Instructions: 7 T (a,0,_& D j - C-k,43 c;_ca G& nt(tav-- • TI.is k 6,4' — s,,e-,-J 1) L4 • ,i fl PARTIAL APPROVAL CANCEL 0 NO ACCESS n FAIL fl CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED jir Inspector: Date: — i 7 r Phone #: (503) 718-