Loading...
Permit CITY OF TIGARD PLUMBING PERMIT '- , ' COMMUNITY DEVELOPMENT Permit #: PLM2011 -00195 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/21/2011 Parcel: 1S135AB01003 Jurisdiction: Tigard Site address: 10300 SW GREENBURG RD 485 Project: Thorson Pacific Subdivision: ASHBROOK FARM Lot: PTS 1, 2 Project Description: Remove and replace sink and water heater. No change in EDU's. Contractor: POWER PLUMBING CO Owner: LINCOLN CENTER LLC PO BOX 19418 BY SHORENSTEIN PROPERTIES LLC PORTLAND, OR 97280 555 CALIFORNIA ST 49TH FL SAN FRANCISCO, CA 94104 PHONE: 503 - 244 -1900 PHONE: FAX: 503 - 244 -8825 FEES Quantity Description Date Amount 1 ea Sink 06/21/2011 $25.02 Specifics: 1 ea Water Heater 06/21/2011 $37.52 1 12% State Surcharge - 06/21/2011 $8.70 Type of Use: COM Plumbing Class of Work: ALT 10 ea Minimum Fee Adjustment - 06/21/2011 $9.96 Plumbing 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 e tions to OUNC by calling 503.232.1987 or 1.800.332.2344. ; Issue By: Permittee Signature r r d-�� 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. JUN /21 /2011 /TUE 07:27 AM POWER PLUMBING FAX No, 503 244 8825 P. 001 Plumbing Permit Applic JQ►nilding Fixtures FOR OFFICE USE ONLY Review City o f T gQalyd • t'1 i 1 ba clam 6� .. i ti/p�D // /1 !� y 13125 Sw _' '✓ 4 1 2 011 // )'elmit NO.: H Hivd., Tigard, OR 97`z 3 plan. Phone: 503.639.4171 Fax: 503.5�l 9 Other Permit No.: p u p l Inspection Line: 503.639 -4175 CI 1 1 �G �' ate/l3y; �� 7 TIGARD DIVISION D Date Ready/By; )unit: m see Page 2 for Internet: www,tigard- or.gov , I LNG DIVI Notified/Method• 5u.plemental . y"iT ^ , , ;I:�' s.�A��, .. C' , t- r ;h' .�n �, ; f aMrry * >.G'oti'4 Rti , r n. n1� • ,. �; : �s� .. t7 ;,y m- -n ^.r� �.. b. -�' a 7.. , :,7, - •* - - [ .J•1i1 n. rry lln .h... �iR •,. ! 1 iI,F1 v1'rl, ry n F �A .t7' 7„„,,���@ •:tW "' r atl}i:.WI '4 �K '�. I.bv'?:tE?'c� a.,. "a" Tt ,a t.r i �r�Y wl j� I T,.; " t; �'Vf +.r , L:1 ,y, i � : Sv, M4 ferns,,6.,Z , iL 4 4 r ..}�,+ i F ' iF 4 r�.11;IF. Li .:, G''�yy l la'�. . a� 7... ..16 V I: ' a r � . i '4 N F �. 1, ( s ta. r asA r :M ila.., t. di' v: WCzJ1.,.. n- I.. e. Y.... tt^ fi, 1kS-. ��.' txl ,.if'u�iu.1:1:'} \2 } , , y' L.'' SGta. ur. il. �G. �S> J143f.L;L.'�'.:Gy�,; }•- r'.r"s�'.)iUt�.k`'itt: ❑ New construction ❑ Demolition Fors ecialIn ormation use checklist, Descri.don KirillIMMI Total /: Addition /alteration/repiacement ❑ Other: New 1- 2- family dwellings (includes ) 00 ft. for each utility connection) F ir x ,,,i tt I T` e �i �,AZ7+ sie J, � ( Ij Li ITOT9 ,,--. ` a n ' `I y a � 4t. , v " , ;�' SFR (1) bat 312.70 1 ..,. rYJa .�+.` ...v:i:E.z � = ,. , 1 N 1:,_.. ❑ 1- and 2- family dwelling ■? ommercial /industrial SFR ( b MI 437.78 CI Accesso building SFR (3) bath 500.32 ry g ❑ Multi - family Each additional bath/kitchen 25.02 ❑ Master builder ❑ Other c�,� Tt" t z, re �� � .rid 9< +•:r�� t 13"x1 S} .(;a<,, � }.. i�! i '+ ink rj1 i $"S f a j � "r"-:� Fire sprinkler ( sq, ft.) Page 2 a ' l y w'.R }v�4�I U�, If G t6 t 6 lr,E�_A i'1 V _ ' `'k f ti t1 �1 y f ' X3,15. „i : ,p ` , Site utilities - Job site address: 10-00 �� boat ■ Catch basin or area drain 18.76 Drywt ll, leach line, or trench drain 18.76 City /State/ZIP: �-"� ! �- ) -� Footing drain (no. Iinear ft.; ) Page 2 Suite .ldg. /apt_ no.: Project name: o"r , d � , t� , f� J Manufactured home utilities 50.03 Cross street/directions to job site: . _ Manholes 18.76 _ __...,.._.....--- ---- ........ ..._---_--.._.__._... __..- ..__...._.- .._.._._..__.._ ..,..,Rain . 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,: Back preventer 31.27 I~z1 c ��,�� ' "�I ^ m r,. r " a yj, "14s ",. j a 7 {�, 3 } f ralat t Backwater valve 12,51 M lq ZIA• c tixY�(� . CC R, . •... � L ' tlg ..1,�T1,;.4Mlrt ,A 1 - 1 I);•e74.H Clothes washer 25.02 Dishwasher 25.02 IIIIIIIIIIIIIIIMIIMIIIIIIMIIIIIIIIII Drinking fountain . 25.02 Ejectors /sump 25.02 a" 1''^t. t'',' 'j��J 4 �., ('1 i i µ 1i",21` , . ".C' , a . ', ' ' "v1+p - 1i r iki l 0• t ; R1.'£ 11 ,r� a `sligta i , ",` al'`•' Expansion tank ] 2.51 Name: Fixture/sewer cap 25.02 Floor drain /floor sink/hub 25.02 Address: _ •arbage disposal 25.02 City /State/ZIP: Hose bib 25.02 Phone: ( ) lee maker 12.51 r° .),� Nrt *s 1 TKw Y " r M1 ! 34 r1' r� , m t , m t Gt rv�a i g ` f r u y,',a�il "a a �t cF r,, �I i + wk "• I L : . a , F, i �tr�, n r, �%` interceptor /grease trap 25.02 M gas (value: S � ) Page 2 Business name; Pall,. ► , P (, ii ..• � Contact name: Primer 12.51 D" l Roof drain (commercial) 12.51 . Address: f O• d1 ci 1 g Sink/basin /lavatory 25.02 Q City /State/ZIP: P • (5sr C1,1 Q Solar units (potable water) 62.54 illi Phone: ( ) 044-- icy • Fax :: Lj D44 Jt ' Tub /shower /shower pan 12.51 E E-mail: �.�L[��r(t 7 N.r y Urinal 25.02 Mg �;,N '0� 4y ll A`5•. yr I Y / '� ' t () n f 1 .{1 ' (h S 5 . G ,a • Water closet 25.02 ,l01.ty,? ii.e'�(a�a. tu.1.,,- :.t " t s' • � 4 water heater Business name: IP 0� t' ), /,t/� 37.52 t.' `') Water piping/DWV 56,29 Address: D ,ii+ / r ! Other: 25.02 City/State/ZIP: • I "( . T Subtotal Phone: l0 e1 ) q -1 I Fax; ( ) a t � Minimum permit fee: 572.50 -72 Sv 2 ^ Plan review (25% of permit fee) CCB Lie.: _ Plumbing Lie. no.: I • r / • ► ------ State surcharge (12% of pen - nit fee) Authorized Signatu : , - TOTAL PERMIT FEE name: Q ��w Date: / This permit application expires If a permit is not obtained within I80 days Print /� LS �� �lS �� SF�16°` �' after it has been accepted as complete. "Fee methodology set by 71i -County Building Industry SeryMc Board. , 1:1Bui14ing\r rmiTAPLMU- PennitApp.km 10101/09 440- 4616r(10102/CoM/WEB) JUN /21/2011/TUE 07:28 AM POWER PLUMBING FAX No, 503 244 8825 P.002 PlumJing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Su s Y ression S stems: 2 �'{ rl a . �, .y r �`: ih iq T., : o , 17 , ^t. �' , M. © rt . ^ : 'fa l 1.r.- a �•y :,K r4 i "- -r. 7 •"'I^m� w.u,-�ei R. ^+ F 7 c? .., ( J v- 7. p u�P"K"', Lx,:„ ,y�I - �. g �lfV r L Y P .'' �I 1 N I Au }, :MV `l r�lG ri"�1,;��7- ;.�^. �t�V v.,ir A�k�F��4r t,x,ri�i�errr^ ����7�;7�ti�G`E� ''�e�Ylt hx'= N.�Y`M4/•:t�[�i:'Ir�.�'S f�+Y1 i� r,�r�M"';�i ' w ���z � t - •.max �.H�a,.m. -.,, r „M.w.u..P .aS.4t�F!.4w 4, „F i..... vi .} '�....,.. .. .. - _+.,�. ._,n tr.._ f.Q 5 -... 1 ?; :,.;.,� L,- r_,..w..,c Footing drain - l I00' 1110 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 S stems Water Service -each additional 100' 37.52 :i'lk, "1�7 ,0,:1 1 ��+� Tu, jv ,( I" 77. Y r ja FY 4 ? Storm & Rain Drain -1st 100' 62.54 n ...,f �, R.. m 7 „�:ba . � �,�.u�n c 4^.....,� � " 1: ik�.�it,.?3�.... ti�'��' 4 ��r, � ! � h 1x: �� $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 f{614 e 41 r " h iif "'c�� i i � I V r . �` T r 9 " -�1 each additional $100.00 or fraction thereof, to . ..::A �. � i • �wS,.:..«- . -F.: ..s«.»» 44 4t,tw„�,r and including $I0,000.00. Inspection of existing plumbing or for $10,001 A0 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 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 char:e -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 T minimum ch= .e -1/2 hour) each additional $100.00 or fraction thereof. Subtotal: _�� Commercial Fixture Work: Are you capping, adding or replacing fixtures? If "yes ", •'TM F u ''' ' � r�" , y;;� i� G i'� ' i `+ ; ± F please indicate work performed by fixture. Failure to any a L P P y Plan review is required for any of the following. accurately report fixtures could result in increased sewer fees *. Please check all that apply. 1 mY s� 1t,.o :'lull ti W I'.l"f: f',l7 ef3fo" k f�Ti'k"1i,'g El Any new commercial building with water service 2" and 'C' t ' P44' Isi . ' ,t v tlF t' ,, ; greater, except systems designed and stamped by licensed ''-:=4• ;1. .�. rAt , k w t . -x engineer. Baptistry/Font (_J New exterior plumbing site utilities for any complex structure • Bath Tub /Shower as defined in OAR918- 780 -0040. Jacuzzi/Whirlpool 0 Medical gas and vacuum systems for health care facilities. Car Wash -Each Stall -Drive Thru ❑ Any multipurpose fire sprinkler system. Cuspidor /Water Aspirator ❑ Any complex structure as defined in OAR9I8 -780 -0040. Dishwasher - Commercial - Domestic r_- Submit 2 sets of plans with any of the above. Drinking, Fountain u ` . Cl{Tr'•"• n,� 3 : rr E.3 " Qt, 9T n!AFsrF". ^y 7 , �. Eye Wash �';1Z4`? a Y 1 Y ' 4 q . gi18 Lz t r, Floor Drain /sink - 2" - ❑ Isometric or riser diagram is required for new buildings - 3„ - - - that meet the qualifications above. - • Car Wash Drain + Garbage - Domestic _ Disposal - Commercial Industrial Comments regarding fixture work: Ice MachiRefrig. Drains P. • AlAi a f 1 11 , - _�; Oil Separator (Gas Station) • A i'' AO. r w' Roc, Vehicle Dump Station Shower -Gang -Stall - Sink - Bar/Lavatory l - Bradley - Commercial *Note: If the fixture work under this permit results in an - Service increase of sewer EDUs, a sewer permit will be is a nd Swimming Pool Filter fees assessed for the sewer increase must be aid before the Washer - Clothes Water Extractor lumbin permit can be issued. p _ p g P Water Closet - Toilet Urinal Other Fixtures: _ y ' a.[f. http: / /www.tigard- or.govicity_lta)i/ departments /cd/docs/PLh - ParntitApedoc