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Permit CITY OF TIGARD PLUMBING PERMIT ! . — : 1 - COMMUNITY DEVELOPMENT i Permit #: PLM2009 -00224 ,TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/14/2009 Parcel: 2S113AB01400 Jurisdiction: TIGARD Site address: 7312 SW DURHAM RD Subdivision: Lot: 0 Project: Spec Space Project Description: Relocate existing breakroom sink. Owner: FEES PACIFIC REALTY ASSOCIATES Quantity Description Date Amount 15350 SW SEQUOIA PKWY #300 PORTLAND, OR 97224 1 ea Sink 08/14/2009 $16.60 1 12% State Surcharge - 08/14/2009 $8.70 PHONE: 503 - 624 -6300 Plumbing 56 ea Minimum Fee Adjustment - 08/14/2009 $55.90 Contractor: Plumbing CASCADE PLUMBING CO 2630 N HAYDEN ISLAND DR #3 PORTLAND, OR 97217 PHONE: 503 - 289 -7095 FAX: 503- 283 -9514 Type of Use: COM 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 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By: 4 � Permittee Signature: D/1/ / t_% C6 7 e/\/ / 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. ,Elu. 12 2009 3:52PM Cascade 5032839514 p.1 .n RECEIVED Plumbing Permit Application AUG 1 2 2009 1.(nz. 01 1.1( I. ('I' tNI: City f Tigard Received 'i�l Permit No ,s • IN ..- - 131 3W Hall Blvd., Tigard, OR 97223 CITY QF TIGARD bards ; 0 9 �R ' p,/ r Phone: 503.639,4171 Fax: 503 598.1960 Otlur Parma No D Inspection Line; 503.639,4175 U ILDING DIVISI •' 3 •. F n la sae Pa 2 for I u:: "(,, ir► . t Internet: www.tigard- or.gov � So• •lemental lntormatlon \ ,f .( . 7 . b -�1 i . . , j(:: 7 11 :I - ( 1 1 4 4 , , . 1 • fi t, 1, +' , 7 , , , a a 11 � II • r r n t 4' n �,xa.., ,. For special IrtJormallon use checklist. 1=1 thaw construction ❑Demolition DM ri• tion 3 Total ->r: dditiort/alteration/replacement © Other: New 1- 2. family dwellings (includes 100 R, for each utility connection) • tttY, AM �!� Y U e • d . +t le .. ,'`F;; ' . .'� SFR (1) 249.20 ti " (71'; ri is " : r � tj i p , � { a , „;, ;`. ': , bat M. O I. and 2- family dwelling Ilrhgv., merotal/Industrial SPR (2) bath 350,00 SFR (3) bath 399,00 ❑ Accessory building ❑ Multi- family Eauh additional bath/kitchen 45.00 Q Master builder ❑ Other Flit sprinkler ( sq. ft.) Page 2 ,, , (,/,,,( ; r 5 {rr mr r u+a i" 'j } {gate ; r. i o., t I s „ � t rf' ' 1:, j' " : ,' I `�•a&n4M� > t " � .. a .,.+. tl e y i '1 i Job site address: 3 . /1 � " Catch basin or area drain 16.60 City /Stata2lP: p ` to i Drywall, (each line, or trench drain 16.60 � r Suite/bldg./apt. no.: Footing drain (no. l A.' _� f , y Manufactured home utilities 110.00 Cross street/directions t. ob site 16.60 — Rain drain connector MN 16.60 — sanitary sewer (no linear ft.: —) - Storm sewer (no, linear R.: ____) Page 2 T j Lot no.: Water service (no. linear ft.: _..,) Page 2 Subdivision: Fixture or Item Tax reap /parcel no.: Absorption valve NM 16,60 MOM h s . c n r ^b:[ii WtJ tlgUt., L.7 nt1f,� t c q J 1 x lg f „� ��� � „ s§ ;y, ,1 1 kgjj t �a+ u a l It ., t� E� i " ,•T.,fiJ� G Backflow preventer Page 2 13,E1 wpm „, k ,to- BitJas, , ! 4 1 4 p iti �, __ Backwater valve 16,60 Y! h,-- Clothes washer 16.60 Dishwasher 16.60 Mill N u Ntia Tk+rtF- �� + k , n t „ Drinking fountain 16,80 .) 3• i+ i ( k •;� l 8171 is,,,,, ;, ua ? 7 , i 'h i' s "1 � 1 . r1 t • rJ4 'r�; 4 r: t l 6, a , , ,i 4. • �.., ' ? .. � I , F Ejectors /sump 16,60 Name: Expansion tank 16.60 Fixture /sewer cap 16.60 Clty /Stale/ZIP: Floor drain/floor sink/hub IMII 16.60 Garbage disposal 16.60 Phone: ( ) Fax ( ) 16 60 �� a eu�.�Im�k �/�� y it + 'W r •' + �I� r tp tuM rr''d: ;; + r1 '.tl Hose bib Ci o JrrZEaiAU�- 1 , •F i , }'0 l I ,) ,� + �3 ` i ' Ica maker 16.60 • 1 L LL. 11=21 16,60 Contact name: 1 Medical gas (value: ) Page 2 r 16.60 Address: ( • ■ �..., ' J ir Roof drain (commercial) 16 .b 0 �J _ . (�"D3) _ f S � ' �'l l I • , 16.60 . wp0' Phone: (��? 10 Fax ' Tub /shower /shower pan 111.11 16,60 MIN urinal 16,60 NM t ai,Ee s W i `4 lkji r,( i ;C,: % ,t ;, ) �t f a , I m 1 B 1 J( +' , { ti;•t i x• " ;.;4 1 . „ l;k Water closet NM 16,60 Water heater 16.60 or Qther: OM Address: ,,, R I , it ' 1 `! ♦ Subtotal M inimum permit fee: 572,50 Phone: j)')) , eq,' in ) r t . Residential bookflow minimum •ermit fee: $36.25 / �' ��1 Plan review (25 %of permit fee) • _ ��� Plu bins Lic, no.: F-� State surchnree (12%of permit tic) 'MEM Authorized signature < 1 / TOTAL ,PERMIT FEE : j• �j;� Date: This permit appucatlon empires If a permit is not obtained within 180 days a fter it has been accepted as complete. k ,/ I * Fee methodology set by Tri•County Building Industry Service Board. 1,taui,dint - rmhrlp• •oa 410•4616TIl0r0 /COM/WM) 6 .91.n 12 2009 3 :52PM Cascade 5032839514 p. 2 Plumbitt2 Permit Application - City of Tigard Page 2 - Supplemental Information Residential Fire Sue • ression S stems: � Fee S ,. . , , e; r 1,11-17 „ ,1 . • el0 kit ? ' .; " G+�;t? -470 -0. ' : "r� $115.00 footing i, : ;ii ds : . i ti ,,t � •�wr• a f� 1t i '%,; � v t .. .. • ,,. s;. , el Footing drain • 1 100' 000 55.00 2 to I00604 115.00 Footing drain - each additional 109' MI 46; 40 3 601 to 7 200 220 - 00 55.0' 7,201 •$09.00 Sewer -1 at 100' MI "'CI' 201 and greater - - Sewer • each additional 100' 46.40 Mill Water Service - let 100' MI 55.00 MN Medical Gas S stems: Water Service -cacti additional 100' 46.40 ME •'va f i...s n; c, r�arra i !'" �' ��� Vii: t ut t `�: r' • >' ,1.';rFTt' >n Storm dt. Rain Drain - I st 100' NM $5.00 MIN 51.00 to $5,000,00 Minimum tee 57250 Storm & Rain Drain - each additional 100' 11111. 46.40 OM 55,001.00 to $10,000.00 572.50 for the first $5,000.00 end $ 1.52 for each � N� t �; Qt additional $ l00.0D 0 fraction thereof, to and v{ i':,;,:;::‘,.:"';,',:.':' ' +.r�� c ' !SAWN ' inCludin; for the first 1 x,000.00 and 51.54 for 510000.00. o + Prevention v t 46.0 MI 10,001.00 to $25,000.00 14..50 - for Back Flow Prevention Device . each additional $100.00 or fraction thereof, to minim ... it $nvrntlon Devise M� end includin. "5 000.00. minimum • •• it fee family d 65. MI 525,001.00 to 550,000.00 5370.50 for the rst 525,000.00 and 51.45 for Rain Drain, single family dwelling 3 each additional 5100.00 or fraction thereof to Inspection of existing plumbing or � and includin: $50 000.00. a.ectall rer acted ins- talons • •er hour 72.50 $50,001.00 and up $742.00 for the first $50,000.00 and $120 fbr �� each additional $100.00 or fraction thereof. , - [,,,,,,� R'O � ry, ,, y V : t ti T ,r_.l li • Are you Capping, adding or replacing fixtures? if `yes ", Plan review is required for any of the following. Please check all that apply, please indicate work performed by fixture. Failure to * C A new commercial building with water service 2" and accurate] re . out fixtures could result in Increased sewer fees greater, except systems designed and stamped by licensed ! r t Vii ` rile t V yf l� kr t V '' ( r n 9 .4 , f . , 'I. . r y e .Tr, 1 . S ■ engineer. '' ;. . } 1 v s ' ' r I tl r1 11;F'' ki V ,, r� „ 1 , • 4 } y Al , �� e X q + j 2/ l `` '�'` ttv M1 t , 4 � r F ' f ,,:1 V ❑ Any now exterior plumbing site utilities. 1�Jrii•1 ti •� 1 h l.. � t „•,.: P c 11 - -I �� , „ ,,,., �� � ❑ Medical gas and vacuum systems for health care facilities. Bath ;Tub/Shcroter � MI 0 complex Any s fire sprinkler d ysum. -Jacuzd/Whirl.. •1 Any complex structure as s defi fined d In OP c wait! -Each Stall _ -Drive Thu IlliiMMIIIMIM Submit g sets of plena with any of the above. ' 4 i ' ltagttAte ;itleeG i', t .ryi '? ,i 4 i 1 4r iroi, •Dormstic M i Isometric or riser diagram is required for new buildings that meet the b ualifications above. IIMIMIIIIMOMIIIMMIIIIIIME Comments regarding fixture work: Car Wash Drain �� Com � g Garbage M. Ice Mech.fRefri . Drains MINEMIIMMII Oil g orator cat Station MiliniMO Dum Station ���� 'Notes if the fixture work under this permit results In art Shower -Crang increase of sewer EDIIs, a sewer permit will be issued and Sink -Bar/Lavatory 1111111111111MNAMI fees assessed for the sewer increase must be paid before the - Bradley MEM plumbing permit can be Issued. -Commercial MIMI wlmmin. pool Filter 1= Washer - Clothes IMEMINIMINIUM Water Extractor IllMill Water loser •Toilet ..11.11. litinal Other Fixtures: ire4meiropcm w•Perm iADp• 09122/06