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Permit • • • CITY OF TIGARD PERMIT 4 • 4 ' •COMMUNITY DEVELOPMENT Permit #: PLM2013 -00007 • • TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/09/2013 Parcel: 2S112AD00700 • Jurisdiction: Tigard Site address: 14830 SW 72ND AVE Project: Pioneer Waterproofing Subdivision: BONITA GARDENS Lot: 4 Project Description: Cap (1) dishwahser, (1) 2" drain, (1) shower stall, (6) lays, (1) service sink, (4) water closets and (2) urinals. Add (1) water closet; Replace (5) lays, (4) water closets, (1) urinal and (1) water heater. 2/4/13, reprinted to add (2) roof drains. Contractor: BEAVERTON PLUMBING INC Owner: UNION CENTRAL LIFE 13980 SW TV HWY TREASURY SERVICES BEAVERTON, OR 97005 ATTN: DIANE THOMAS PO BOX 888 CINCINNATI, OH 45240 PHONE: 503 - 643 -7619 PHONE: FAX: 503 - 643 -7620 FEES Quantity Description Date Amount 16 ea Fixture /Sewer Cap 01/09/2013 $400.32 Specifics: 5 ea Lavatories 01/09/2013 $125.10 1 ea Urinal 01/09/2013 $25.02 Type of Use: COM 1 12% State Surcharge - 01/09/2013 $85.57 Class of Work: ALT Plumbing _ Type of Const: 1 ea Water Heater 01/09/2013 $37.52 Occupancy Grp: 5 ea Water Closet 01/09/2013 $125.10 Stories: 2 ea Roof Drain (Commercial) 02/04/2013 $25.02 0 12% State Surcharge - 02/04/2013 $3.00 Plumbing • Total $826.65 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 ques UNC by calling 503.232.1987 or 1.800.332.2344. Issued y: k Permittee Signatu . 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. _q CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT Permit #: PLM2013 00007 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/09/2013 Parcel: 2S112AD00700 Jurisdiction: Tigard Site address: 14830 SW 72ND AVE Project: Pioneer Waterproofing Subdivision: BONITA GARDENS Lot: 4 Project Description: Cap (1) dishwahser, (1) 2" drain, (1) shower stall, (6) lays, (1) service sink, (4) water closets and (2) urinals. Add (1) water closet; Replace (5) lays, (4) water closets, (1) urinal and (1) water heater Contractor: BEAVERTON PLUMBING INC Owner: UNION CENTRAL LIFE 13980 SW TV HWY TREASURY SERVICES BEAVERTON, OR 97005 ATTN: DIANE THOMAS PO BOX 888 CINCINNATI, OH 45240 PHONE: 503 - 643 -7619 PHONE: FAX: 503 - 643 -7620 • FEES Quantity Description Date Amount 16 ea Fixture /Sewer Cap 01/09/2013 $400.32 Specifics: 5 ea Lavatories 01/09/2013 $125.10 1 ea Urinal 01/09/2013 $25.02 Type of Use: COM 1 12% State Surcharge - 01/09/2013 $85.57 Class of Work: ALT Plumbing Type of Const: 1 ea Water Heater 01/09/2013 $37.52 Occupancy Grp: 5 ea Water Closet 01/09/2013 $125.10 Stories: Total $798.63 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: [ / / W LC" Gt/t Permittee Signature: e � A �I e ( LOIN (C/ 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. • Plumbin Permit li iV • Building i'ix.ures � t FOR OFFICE USE ONLY City of Tigard FEB 4 2013 Received ite • nateBy: / © 1 PP mil No.: Pt_Kek) /3 "O.K!! 13125 SW Hull Rlvd., Tigard, OR 97223 e 1 a Phone: 503.718.2439 Fax: 51)TIGARD D � irw Mu- ltirmit • l) C AKL Inspection Line: 503.639.417. Time Ready/By: B '� Internet: www.Ligard- or.gov � BUILDtNG DIVISION ean�i Y Jwu: El . _ __.. �_ Noafi a ud Sn rem eabli information ❑ Ncw construction ❑ Demolition For ape.cial infornrarlon use checklist. Description 1- 2- family dwellings t - ® Addlutin/al ILratiori/repluu.mcnt ❑ Max. ' I F Total ,,,,",, dwellings (includes 100 R pr each t utility F �s1 -:1 =: 13,r - = r �; .; +. ` � - � .r - SFR (1 j bulb 312.70 ❑ I- and 2- family dwelling ® Commercial/industrial SFR (2) bath 437.78 A cicss building SFR (3) bath 500.32 O � g ❑ Multi - family _ ❑ Master builder Other; - Hach additional bath/kitchen 25.02 0 _ } t Fire sprinkle[ 9 Page 2 • - - -- _ _ ' � �''- H.'':t =' .` ?4 ,4€ -- , " _Site utilities: Job site tuidress: 1411311 SW 72 Ave. Catch basin nr area drain 18.76 CILy/StitclLll': Tigard, Or Diywcll leach line, or trench drain 18.76 Footing drain (no. linnet; _) Page 2 Suite/bldg, /apt. r • Project name: Pioneer Water Proofing . Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain Connector 18.76 • Sanitary sewer (no. linear IL: �, Page 2 Storm savor (rkn. linear ft.: ) Page 2 Water service (no. linear IL: _) Page 2 - Subdivision; Lot no.: Fixture or ilrm: Tax map/parcel no.: Backlluw preventer 31.27 - . _ . -:_ - _ _ - -_� kwatervalve 12.51 . - - - Clothes washer (Already have an existing permit, need to add (2) roof drains to it please. 25.02 lAshwasher 25.02 thinking fountain 25.02 Ejeclurs /sump 25.02 _ )t - .. _ - - - _ _ a1 ;,.r _i _ !a. n ° - 1+", r-¢,. Hxpansion tank 12,51 - '4 L - T Name; Fixture/sewer cap 25.02 Address: Floor drain/floor sink/hub 25.02 Garbage disposal 25.02 City/Statc/ZIP: Hose bib 25,02 Phone; ( ) Fax ( ) Ice maker 12.51 -,�� _- _ - __ 1 _ i '¢ trite[ toil ,: -�� _ ��_�- �.��L -�1: �� � _ a �P Frcasc trap 25.02 Business name; Beaverton 'Plumbing, INC Medical gas (value: $ ) Page 2 ( or14u name: Roxanne Grier Printer 12.51 - Roof drain (commercial) 2 12.51 .9 • 41. Address: 13980 SW Tualatin Valley Awy. Sink/basin/lavatory 25.02 City/State/ZTP: Beaverton, Or 97005 5ol.v units (potable water) 62.54 Phone: (503) 643 -7619 Fax: ; (503) 643 -7620 Tub /shower /shower pan 12.51 E -mail: r irxanne(a)beavertonplumhing.cow Urinal 25.02 - .. - -. •, , ; - _- ii ¢ Water closet 25.02 Water heater 37.52 Rosiness name: Ikaverton Plumbing, INC -' Water piping /DWV 56.29 - Address: 13980 SW Tualatin Valley Awy. Other; 25.02 City/State/71P: Beaverton, Or 97005 - Subtotal ash ,O'Ci Phone: (503) 643 -7619 Fax; (503) 643 -7620 Mini C CIi Lie.: 12889 Pam rru l 25% o f pens the �r Plumbing Lie, no.: Stale surcharge (12% of permit too etc: etc: Authorized ..g ) a . � - _ •COTAL PERMIT FHH Ai .0 X. Print name: Rosanne Grier Date: 02/04/2013 I I his per•mit'pptradon aspires if o permit is not obtained withi,i 1841 days J after it has been acrrptal as complete, *Fee methodology Sot by Td- County lauding t try Service Hoard. 1:1Mi11,14 1pemlit0PI.M(J.l'.., tAppAar. 1n/0109 441116 16'1'(1n /a JCOMAViiii) • • Plumbing Permit Application RECEIVED Building Fixtures FOR OFFICE USE ONLY Reeeiyeil City of Tigard JAN 0 7 2 013 sir Pcnnit N0.6}42_013 -Cv0Cf7 , ■ illi 13125 SW Null Blvd., Tigard, OR 97223 ,.,„„ , ' a • Phone: 503.718.2439 Fax: 503.598. i96ut i ur TIGARD 11114 Dalrilly: libm Review blell1y: 01 her Peemil NO&LA:40/1. 0 TIGARD freilteCtittn line: 5113.639.4175 BUILDING DIVISIli '.: cRead 'mil: IZ See Page 2 for .._ , intern& www.tigard Noll lied/Mei hull: ilt ., j Supplemental Informati011 ' .,, ;.--...--,•;-"--- tic- •,/,...-''..--'.A • • • . . • --'r . .t :-.! 0''' V••• le ••=-•.•'‘• •• • -.... :- ‘..- .,77 ..,„ ...., .. „_,,,, L .,,.. -,,,-,,...h.,-,00., .... _. For speck! hiforrnalion use checklist El Now construction 0 Demolition Des(aliplion_ . I QtY, I Ea. I Total 13 Addition/altcrationkplacement 0 Other: New 1- 2-family dwellings (includes ltk) ft. for cach utility connection) -,. 7 ' ''4 ' .. iii - f * Tii r- . - 7 7 . ',1;ftt_, .- ,..';.t.:IM SFR (1) hath 312.70 437.78 0 I - and 2-family dwelling Commercial/industrial SFR (2) bath SFR (3) bath 500.32 0 Acces.sory building 0 Multi __.. .. Each additional bath/kitchen 25.02 0 Master builder 0 Other: Fire sprinkler ( sq. it) Pagc 2 :7 -- - . - 2 - • ' :"'" '7, ' ' r''' 1 ; 6. ` .-7 •' -77 • •=-s k•• '".• -' ir' - . H ilit , .'h -- 3,'. ...' ". Ai Alljegt ' id Site utilities: +4., , -.. -- -,14,97 - P - '-,..--- - -- 4' ' If.- Catch basin or area drain 18.76 Job site address: /1.#3 _.5 7Lf.•'Z' ) Drywell, leach line. or trench drain 18,76 City/State/7M - I2 -- 61 g V 0 ( Footing drain (no. linear ft.: _.) Page 2 Suite/bIdgJimi. no.: Project name: /(,4!4 itCifiER Manufactured home utilities 50.03 Cross street/directions to joh site: ?Re 9 ie 4" 74; Manholes Rain drain CO1111E031 18.76 • • • • • • • ---- . Sanitary sewer (nn. linear It.: ____) Page 2 Storm sewer (no. linear ft.: ) Page 2 ' - -- .._... Water service (no. linear it.: ) Pagc 2 Subdivision: Tot no.: Fixture or item: _. • ---- ..._ Tax map/pareel no.: Bacidlow preventer 31.27 ftaclewatcr valve 12,51 25.02 washer •-...8 C- -. ' -- o.. 'e 44. '"''' . -.. -..... ... Dishwasher 25.02 - • Drinking liamtain 25.02 Ejectors/sump 25.02 . . - •, --...... , pr• ' 7L4, - . 1'17 - - • • !: ..,', ,,... . - --- ,_,.,.■ . -, .:g. , ...;,-..,11--':... ; .. +..--. . Fxnansion tank . " t. ...,,..F. t1/4. . -.4, • • - Fixe,/sewer c ap --- _ 1251 i 25.02 4 /. ee. 3 I Name: • tur Floor drain/floor sink/hub 21.02 • Address: Garbage disposal 25.02 City/State/Zll': Hose hih 25.02 ,- • • . Phone: ( ) Fax: ( ) Ice maker 12.51 4 - interceptor/grease imp 25.02 , - --,, 7 -.........12p,, ; - 3ii Medical gas (value: $ ) Page 2 Business name: 0, , V - . L . wil 111 Lk-. , 1...fl_ _TP C._ - Primer 12.51 COntact mirne: L 5 4__, it ) L e.../.1 .., Roof drain (comniucial) 12.51 Address! • becx(n_J-,r liet. ti-eii 04; ( Sink/basin/lavatory --.S 25.02 1 Cit , v n ere . 0 I Solar units (potable water) 62.54 ..._ Phone: e , zt3 -1( q Fax: : 66) z„,e/3 a.--76, Tuh/shower/shovvcr an 12.51 Urinal 25.02 25 E-mail: . v-- -7._ rin. e:...li; . ,1. -,f . • ...1g --4- Water closet Business name: 51)11A. ...... i _.. ..m A g . • - . . . . . Water piping/DWV 56.29 Address: Other: 25.02 o ... City/Slate/ZIP: Subic) 15 Ial . . _. ....... _ . . ..... . ..._ Phone: ( ) Fax: ( ) . • Minimum penult to: $72.50 • " - Plan review (25% of permit fee) CCM T ie.: ,..------ 11,..... ...,_ _•. Plumbing Tic. no.; ......;-:5.: .-- ^ State surcharge (12% of permit fee) ft -... . _ „.__.. AIIII1Orized '. , al ■ -- - --'-- ' ... In l- _' C- TOTAL PERMIT 141-31-3 r inn . I. name: t o c. ... r‘ n . 4... 0 ..r 1 I 1.... Date: 1 - .. L3 This permit application expire. if a permit IX not obtained within 180 dar after it has been accepted as tom Mete. _ .... *Fen melnoclulury set by Tri Building Induslry Service noord. lAnnaiilogusstoionmu 15/51109 140 1616T( 10/02./COM/W1-.14) , 7 C i g 63 . 1;t1V ell/ Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Su ression S stems: t °4! .' " } ", •'; '� k S'� ri i .. . . F •�' kk F �� g ► ikr .•... 1 A� •.C.e Footing dnrin - 1a 100' 50,03 n to 2,000 " $ 121.90 Footing drain • each additional 100' ' 37.52 2.001 to 3.600 - $164.69 3,601 to 7,200 $233,20 Sevier - 1st 100' 62.54 7.201 and greater $327.54 Sewer - each additional 100' 37,52 - Water Service - 1st 100' _ ti _ Medical Gas S stems: Water Service - each additional 100' 37.52 r^ a, • Su,rrn & train Drain - 1st 100' G2.54 ," ' - - ' :% • "I ' .", - •" •, z_�- : '. 1.- - '_„ $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. 3 :. .� ' �_ - � 'x, �' -? 'r' L to f 1 '..."..4 _ J 1. 5� 7 ti ^ ' ? =i L - -S r '�. - . - : - - .:.;17,, and 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 [hereof, to (tttiniurum charge -112 hour) and including $25,000.00. Inspections outside of normal business 90.00 /hr $25,001.00 to $50,001.180 $379,50 for the first $25,000.00 and $1.45 for hours (minimum chars; - 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 $120 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 `_f!r '.e ,. '.:, - — : — : .'i Plan review is required for any of the following, Iiaptisvy /Font Please check all that apply. Bath -Tub/Shower BP ❑ Any new commercial building wilh water service 2" and -Jacuzzi/Whirlpool greater, except systems designed and stamped by licensed Car Wash -Each stun engineer. . -Drive Thru ❑ New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in 0AR918- 780 -0040. • Dishwasher -commerci ❑ Medical gas aid vacuum systems for health cure facilities. - I)nmestic i ❑ Any multipurpose fire sprinkler system. Drinking Fountain ❑ Any complex structure as defined in OAR91 R- 780 -0040. Eye Wash Floor Drain /sink - 2" / . Submit 2 sets of plans with any of the above. -3" Cur Wash Drain �� , •c _i:: - =.._.' Garbage - Domestic -non -food Ili Isometric or riser diagram is required For new buildings Disposal - Domestic - fond related that meet the uali lications above. - Commercial food relaxed - Industrial -fond related Ice MachfRcfrig. Drains Oil Separator Was Station) Comments regarding fixture work: Rcc. Vehicle Dump Station Shower -sang - Stull Sink/I.uv -Non -food relate • 5 • -Bradley - Commercial -food related - Service / • Swimming Pool Filter washer - Clothes *Note: If the fixture work under this permit results in an Water Extractor increase of sewer EDUs, a sewer permit will be issued and Water Closet - Toilet i l • , f `i fees assessed for the sewer increase must be paid before the thing a.. .. 1 plumbing permit can be issued. Other Filnuies: - http: / /www.tigarrl- or.guv /city hall/ dcpartments /cd /doc,/PT,MF- PermitAppQdoc Accumulative Sewer Tally IN - ' "Tenant Name: PIONEER WATERPROOFING SWR # Site Address: 14830 SW 72ND AVE, TIGARD, OR 97223 PI ,N4 # 2013 -00007 TIGARD Parcel #: 2S 112AD00700 Fixture Value Previous Previous Credits Capped Fixture Fixture New New # value count capped #s value count added # added value total #s total values Baptiscry/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 /Watcr Aspirator 1 0 0 0 0 0 Dishwasher: - Commercial 4 0 0 0 0 0 - Domestic 2 0 1 2 0 -1 -2 Drinking Fountain 1 0 0 0 0 0 Eye Wash 1 0 0 0 0 0 Floor Drain /Sink: - 2 inch 2 0 1 2 0 -1 -2 - 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 I IP) 42 0 0 0 0 0 Ice Machine /Refrigerator Drain 1 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 1 2 0 -1 -2 Sink: - Iav /Bar - Non -Food Related 2 0 6 12 0 -6 -12 - Bradley 5 0 0 0 0 0 - C:om /Scrv/Util - Food Related 3 0 1 3 0 -1 -3 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 4 24 1 6 -3 -18 Urinal 6 0 2 12 0 -2 -12 Previous EDU Count 0 0 Capped EDU Credit 0 "TOTALS 0 0 16 57 1 6 -15 _ -51 Current Fixture Value -51 divided by 16 = -3.188 Current EDU 1 EDU = $4,665.00 Previous Fixture Value 0 divided by 16 = 0.000 Previous I.DU Change -51 divided by 16 = -3.188 over (under) S (14,881.35) Enter EDU Change Here -3.190 Notes: ** *CREDIT * ** Authorized Name /Signature: s - - _ K.(J r Date: 01/09/2013 Building Division Note: 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 \Sewcrl'allyShect- 4665.xls 07/01 /12 Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 14830 SW 72ND AVE, TIGARD, OR, 97224 Commercial - Plumbing 399 Plumbing final 03/29/2013 00:00 PLM2013-00007 PASS - No C of O Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 14830 SW 72ND AVE, TIGARD, OR, 97224 Commercial - Plumbing 399 Plumbing final 03/28/2013 00:00 PLM2013-00007 FAIL 1. Provide vacuum relief valve on water heater above fixtures 608.7 2. Provide freeze protection, needed at: Water heater, to protect all new water pipes in unconditioned spaces 313.6 3. Complete dishwasher installation 4. Provide caulking on fixture at: men's lav 310.4/407.2 5. Provide caulking on fixture at: women's lav 310.4/407.2 Violation Summary: Inspector Contractor