Permit CITY OF TIGARD
n L!- PLUMBING PERMIT
111 t ; COMMUNITY DEVELOPMENT Permit #: PLM2013 -00152
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/16/2013
Parcel: 2S113BA00400
Jurisdiction: Tigard
Site address: 7632 SW DURHAM RD 350
Project: Logs Network Subdivision: ROSEWOOD ACRE TRACTS Lot: D
Project Description: (1) dishwasher replacement and (1) sink replacement. 6/24/2013: REPRINTED to correct suite address.
Contractor: CASCADE PLUMBING CO Owner: PORTLAND SW CENTER LLC
2416 N HAYDEN ISLAND DR BY FELTON PROPERTIES INC
PORTLAND, OR 97217 ATTN: FELTON, MATT
520 SW 6TH AVE, STE 610
PORTLAND, OR 97204
PHONE: 503 - 289 -7095 PHONE:
FAX: 503 - 283 -9514
FEES
Quantity Description Date Amount
1 ea Dishwasher 05/16/2013 $25.02
Specifics: 1 ea Lavatories 05/16/2013 $25.02
1 12% State Surcharge - 05/16/2013 $8.70
Type of Use: COM Plumbing
Class of Work: ALT 22 ea Minimum Fee Adjustment - 05/16/2013 $22.46
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 questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: , Permittee Signature: D� I ' 7�G i C �`T p
TT mil/
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.
CITY OF TIGARD PLUMBING PERMIT
1 4 - n COMMUNITY DEVELOPMENT Permit #: PLM2013 -00152
T [GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/16/2013
Parcel: 2S 113BA00400
Jurisdiction: Tigard
Site address: 7632 SW DURHAM RD 300
Project: Logs Network Subdivision: ROSEWOOD ACRE TRACTS Lot: D
Project Description: (1) dishwasher replacement and (1) sink replacement
Contractor: CASCADE PLUMBING CO Owner: PORTLAND SW CENTER LLC
2416 N HAYDEN ISLAND DR BY FELTON PROPERTIES INC
PORTLAND, OR 97217 ATTN: FELTON, MATT
520 SW 6TH AVE, STE 610
PORTLAND, OR 97204
PHONE: 503 - 289 -7095 PHONE:
FAX: 503 - 283 -9514
FEES
Quantity Description Date Amount
1 ea Dishwasher 05/16/2013 $25.02
Specifics: 1 ea Lavatories 05/16/2013 $25.02
1 12% State Surcharge - 05/16/2013 $8.70
Type of Use: COM Plumbing
Class of Work: ALT 22 ea Minimum Fee Adjustment - 05/16/2013 $22.46
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 questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: DO ( V t e 4--no f 1
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 I ZECEI1VEI) i OR 01 l( 1. USE ONLY `
City of Tigard Received S� P ermit tee.
-
g MAY 16 2013 '���" : 3 km 40( 3-
II 4
13125 SW Hall Blvd., Tigard, OR 97223 14'1 Plan Review
it Phone: 503.718.2439 Fax: 503.598.1960 Other PermitNogP /3 - iQ f
r I i3 n 1t U Inspection Line; 503.639.4 l 75 CITY OF TIGARD 1 ?atn Ready /Hy: - -
__ " ;r! / - Q Page 2 for
I nternet; www.tigurd- or.guv Notified /Mrthod: l �O Su, rlementa' Informati°.[
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0 New construction 0 Demolition • „_•_ _ Fur special infurmaAat ustr chccklrrt
_ ��' _ . ------------ Description - . ».,. 5ty. 1 Ea, _1._._.Total
- El Addition /alteration /replacement [( Other: { }�� New 1- 2- family dwellings (includes 100 ft, for each utility connection)
rYtll��l,• /' 1( �j.ii i ' "'.r.;l' I'')• ' {J "� I ����" lfl(r,,,,,� �H,,�� � i :'4 r t� vw,. 1 ' vk 'C'I!IPr Vvt r�Yl,� ',N' \ f'12 1 bath .._.....�� 12.70
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❑ 1- and 2- family dwelling ID Commercial /industrial _ SFR (2) bath ,.M 437.
•
❑ Accessory building ❑ Multi-family Eac h additional bath/kitchen 25 (3) bath 500,32_
---- _. »,»...».._.....»,..."...,_ -_ - _�......... - -- Eac.0 ?, »�
❑ Master ❑ d Fire sprinkler
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` �� 45r butid.,r N r 4 ,, ' ,. Othe 5 , ,t N . \ r 6I; , r , t il l" Site utilities: ( .._. ».
builder sq. ft.) Page 2
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Job site address: 7632 SW DURHAM RD Catch basin or urea drain -__._ 1$.76 .W.. -
Drywell, leach line. or trench drain 18.76
City /State /ZIP: • I'ICARD, OR -
•-•„,-•- - u__.,_..•...., -W-- , -. . - ..._»w- ,...,, - -_.- _. -_..- Footing drain (no. linear ft.: ^) Page 2
SuittJbldg, /apt no,; Project. mime: 1.0005 NETWORK Manufactured home. utilities 50.03
Cross street/directions to job site: Manholes w,„ " - ". . 18.76
Ruin drain connector 18.76
Sanitary sewer (no. linear II.: � ) 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.: XS t ( 64- p(� f iucktlow preventer 31.27 -
-, •,m i K;q [o ? t r i +,y,L` :.,(5••,• .,,.�,,- ',.,', Ii; 9J '. I .,, ('1 ',CtJ•4'7 • 1 N; •.>; , x „n „1 , Backwater valve 12.51
W1 f` ?g 1 f ; .' /45' ti, 4 l 'tl di{t� rr'I,� I' my �'� _
i lJ , f� h�Mlilla .i • ?vY+ Q�1�tAI,��I)- ;ial7;is Mar; Y1'h,,!li�i�d; {�T :J/xWluti /JC :ii>•;. :J :.,fl ^ :,.;.a �.W��
- _ - C'lodtes washer 25.42
RELOCATE SINK & DISHWASHER I --
Dishwasher I 25.02 25.0
Drinking fountain 25.(12
Ejectors/sump 25,02
tank 12.51
75 , • 1 '^S'I' ' , ,1 t 'h� ,`�' • i$? '' f F r � I�p ,n . 1 de. ^ ini�• , , 'r } ,„;„
,tj F, , i
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b 0 1' I f ? t � i {{ 11 ! li! /, 1f Ili' ia: l 11 P P
'w� ..4Ko ', ! t t , n ., Y 'lr. I 1 1 ).�+.P 1 , . Ifi .i ;. 7. ^' ,,„ r' •)� n r t r i' ------------ .,- .•..._. • t 41,„ :. u ' ° , ' 'HI : A;. �,',, .. , (111Li 11: :u P4: ';.•' :r.4f4. ,/ .444 :4 h IR;'
Name: - •f ixture /sewer cap.•_ ^ -" 25.02
-••• - - -- - ---- -- -- Floor drain /fluor sink hub 25.02
Address: _ . » W.» »,_,.," ...,. --
-_-,----- _- ---- Garbage disposal �.. _" .m __ _ _ 25.02 _.._ "..
C ity /State/ZIP: _ - Hose bib 25.02
Phone: ( ) _ Fax: ( _ ,. lee maker _ •��--
h i }I r+' T1� tii a, + e�1 �l'M'!r -+ l' \A�t, '.W ] , v, i,5 y J
•, j;� i , ltti ` +t „' ,� ' 1 w "'�,:.51y rL rI, v ;# „tl;'? I i' r' ' i' s )��i {[ InlereC tor/ reaSc trap ,��`YF B IIJ �� �1 �ti'/, �ti /4 M1l l' I'j�Y .s.1(� : . ` f1; �I' �, gli 1 {� Oqi Y• r4'r' ..... P P 25.02
- _-- __._........ ..._..,._... .s.. ... ....- ..- ............._..
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Business name: _Medical gas (value: $ ) Page 2
» ...,.. «. "� Primer 12.51
Contact name:
- •...»»..,.»..__..,...,,.., "_, -M •-•- - -- ........, w.."...._,,,,,, ,,,,,,,,_........- .._ ....... _.. Roof drain (commercial) 12.51 •
-___ ____„..,_.._..�.�,,.,_ ________ _ r -_
Sink/basin/lavatory I 25.02 25.02 ,
-
City /State/ZiP: Solar units (potable water) 62.54 - "
Phone: ( ) Fax: : ( ) 'rub/shower/shower pan 12.51 -
E-mail: Urinal 25.02 ..----
Xnr wr *rrt±'rye r, ? no W�nrClPgCI 25'02,
/` F, 1 �l 'N.' t ? ]� :, tl,, 114 f '_ N
I',y IT'/'�i�4`7� Y$ ;f'hYr�,v 1j a !,S(. � Y' , I � � f �� ry�'r.6�I , Ji,�r) t' J• \'i) ), i =), _� ................... ............,... � «..,«,,...
!'L y ,�y�y)'1' `�� �, j, (��j ' '• 91- ••`f/' ,, .91 M ;g } ( 4l(� ;W l
J; fk' iIF�A��II }�!�;{J , , 1!(iM.d .,� ` ��V I M , , i;l S + /E :f lj�fi : l>; ��3: 1' �,I :r,,�;4��'i.�� "''.�A'�',j ('(1016 .. � 37.52
-
'j water heater
Business name: CASCADE PLUMBING CO Water piping/DW V r. - __ _ _ 56 _�_�_
".,m, » _
Address: 2416 N HAYDEN ISLAND DRIVE O her: » 25.02
City /State/ZiP: PORTLAND, OR 97217 - •- ••�-• ---- ^� Subtotal __ •
Phone: (503) 289 -7095 Fax: (503)283-9514 _" " M Minimum permit fee: $72.50 72.50 ,
,, .. ....._.._...- - -..- ._..›,•�. - - -____ ».,_...,,.,.,. Plan review (255o of permit fee)
Y (:CB Lie.: 120893 -i ?, (IN Plumbing Lic, no.: 34- 412P11 _.•• -•-- - - °- - .
- - -_ 1 char State surcharge (12% of permit fee) 8.70
Authorized si nature: ►" ?. {' L _ at : „� - - - -- - TOTAL PERMIT FEE. 8120
I _- ._._._.__
Print nname: e: C,'RYS i'AI IONF :eti [ 05/16 /2013 This permit application expires if n permit is nut;blamed within 180 days
- - "-
after It has been AMMO as tumptete.
" 1 � "Fee methodology set by 'fn- C :ounly [3)tiltlut¢ Industry Service Hoard. , • � :. I %1- '�f
,1 1NNina\'WWIAPI,MtbPermit '' ,1 7'1A 40/ i0/ 109 4 40 . 4616t ( 10l02.ICOM/WEB)
T0'd TTS6£82£0S 03 butgisnTd apsosa0 ' -tdtl£S1L0 £T /9T /S0
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Su ression S stems:
"""^T"^,,}},,,, ,,I . V r•, w , p p' '�p ' 7 p� !r E, , ,r . i • a, , r q % ,gt 1.1X e, . , tj v Y , 'w' t 'rr� ,1 Ay '�� l
1 !?IX k / ^t :. 4 22. ° 1 11( i ' T � t) ° `� . t . -i. s ° fit f , , ; rYy 1J � r MO, ' ! = Y.p.a.,3 YC•e :J1,,U.7,„R „r. ' r',11 '.W. -, ,';4,, �+ 1
Footing drain - l' 100' 50.03 0 to 2.000 $121.90 -.
- Footing ain • each additional 100' 37.52 2,001 to 3.600 $169.69 _
3,601 to 7,200 5233.20 -
Sewer • 1st 100' 6234 2t)1 and greater $327.54 r ____
Sewer - each additional 100' 37.52
Water Service - 1st 100' 62.54 Medical Gas S stems:
Water Service • each additional WO' 37.52 R. j , Q ; , l � r � iy; ; a r r art, 4 ,tf l: "'? +:ls ,, +� j a i,' z
Storm & Rain Drain • 1st 100' 62 • 5 x _ _ _ $1 -00 to $5.00(t,Ull Minimum fcc $72.,50
Storm &. Rain Drain - each additional I00' ... 37.52 $5,Obt.00 to $10,OOOAO $72.50 for the first $5,000.00 and $1.52 for
'114'4mr1 T /f , y � 1 ," ; r i , r . ,, � , e ', Y < ; r; r,; i,{� 7 ,^ r r , v : each additional $100,011 or traction thereof to
} �'1 { X47 I �!� ,t�k t ',I r (ajtF , ''`! i ,� ; ` ? ) : r li �il i s ,
., 0 w : i e ri , 7�ta1Yi.,r 4• "� ). , :. 1 ,.�., ;;. k,..� .„ ¢s $l ____ andincludinl,$lU
Inspection of existing plumbing or for Od.101.tiU tt� &'!S,OOU.00 $148.50 for the first $10,(x10.00 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 ineludin: $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 SI.45 for
hours (minimum charge 72 imrs - each additional $100.00 or fraction thereof, to
Rcinspection Fees 90.00ihr _ and including $50,000.00.
Additional plan review for revisions �. 90.00/hr $50,001.00 and up $7 2.00 for the first $50,000,00 and $1.20 for
(minimum charge-- 1/2 hour) • each additional S100.00 or frneti }>n,thereof ._
Subtotal:
Commercial Fixture Work:
Are you capping, adding or replacing fixtures? If "yes",
please indicate work performed by fixture. Failure to
accurate) re ort fixtures could result in increased sewer fees * .
.,, e'r'J,;;: a'r.'r•'t,�� .�. :�ri ,rS?,'.r.:. ,..,;, �,�r�r; ...�,,.... "• I;)'1: -'b' P. � v 1• ' rv//
�f sra inn r W �( , y / �)' + l 7 ,
l% ', lii)�i ' 1 4 'All f � 1 ' % , ,., !'1' ��' ` r° In S1' Yhclitlik . 1 !� }:; 4aw� � sd. 5 �'•"� , ' f h , � , lw ri : # ' F !� r �4' ' i .if. e�, ! , r.
i�iu� ,, ' 1P r41 'S r ti „ 1 A" i )d I, any g
'u *liiiii ° 'it ' I ;,Y 1 1\, „' i % r ° �,'/ ! ' 'LiCtii� {. if � f .Alltl40)) 'aimt4 Pl an revi is required l iar an of the following.
Baptistry/Font
check all that apply.
Bath - Tub/Shower ❑ Any new commercial building with water service 2" and
_ lacttrzinyhirtpooi greater, except systems designed and stamped by licensed
Car wash -Each Stall engineer.
- Drive 7Uhru ❑ New exterior plumbing site utilities for any complex structure
Cuspidor /Water Aspirator as defined in OAR918- 780 -0040,
Dishwasher -Commercial EIIIIIIIIIrj ❑ Medical gas and vacuum systems for health care facilities.
- Domestic ❑ Any multipurpose fire sprinkler system.
Drinking Fountain ❑ Any complex structure as defined in OAR918 -780 -0040.
EYd Wruh 111111
F
loor Drain/sink - 2" Submit 1 sets of plans with any of the above.
_ r; l++°Ti,Af. p! V'tir..l q ((( ' t a� A ] ' , ry' , l n 44 ` ' !,,,,, " ,
O F !' ,i;' j fl0ir! °l� k „,. i t 1 11 Ir�nk' A ! M ! r i t , l 11 !
Car Wash Drain Isometric or riser diagra is required for new buildings V
Garbage - bumestie- non
Disposal •1)omestio-l'ood related u that meet qualifications above.
- Commercial- -tiled related � �-
-Industrial-food related
lee Mach. /Refrig. Drains
(ail se :now (Gas st ation) Comments regarding fixture work:
Rea Vehicle D2 Station �
Shower -Gang
-Stall -
Sink/Lav - Non -timd related
- Bradley 11111111111M111.111111
- Commercial -food related
-Service
..00.00.....
Swimming Pool es Filter
Washer - clothe *Note: If the fixture work under this permit results in an
wasncr
Water Extractor increase of sewer EDUs, a sewer permit will be issued and
water Closet • Toilet fees assessed for the sewer increase must be paid before the
" ur i nal ��1 plumbing permit can be issued.
Other Fixtures:
C::lusers\ Owner \Desktop \PLMI =- PermitApp.doc 2
ZO•d 17TS6£8Z£OS 03 buTmanTd aPsose3 NVCS :LO £T /9T /S0
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
7632 SW DURHAM RD 300, TIGARD, OR, 97224
Commercial - Plumbing
320 Plumbing rough-in
05/22/2013 00:00
PLM2013-00152
PART
1. Provide running test at final plbg inspection. Provide ladder and leave ceiling open at
tie-in to existing to check for leaks. 310.0
Violation Summary:
Inspector Contractor