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Permit CITY OF TIGARD PLUMBING PERMIT 'I • COMMUNITY DEVELOPMENT Permit#: PLM2013-00297 'TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/04/2013 Parcel: 25101 BCO2401 Jurisdiction: Tigard Site address: 12650 SW HALL BLVD Project: Snyder Roofing Subdivision: TIGARDIA TERRACE Lot: 3 Project Description: Interior plumbing. Contractor: RAYBORN'S PLUMBING INC Owner: JFK PROPERTIES OREGON LLC 19990 SW CIPOLE RD 12650 SW HALL BLVD TUALATIN, OR 97062 TIGARD,OR 97223 PHONE: 503-692-4139 PHONE: FAX: 503-691-2328 FEES Quantity Description Date Amount 1 ea Dishwasher 09/04/2013 $25.02 Specifics: 1 ea Drinking Fountain 09/04/2013 $25.02 3 ea Floor Drain/Floor Sink/Hub 09/04/2013 $75.06 Type of Use: COM 5 ea Sink 09/04/2013 $125.10 Class of Work: ALT 2 ea Tub/Shower/Shower Pan 09/04/2013 $25.02 Type of Const: 3 ea Water Closet 09/04/2013 $75.06 Occupancy Grp: 1 ea Water Heater 09/04/2013 $37.52 Stories: 1 12%State Surcharge- 09/04/2013 $46.54 Plumbing 1 ea Fixture/Sewer Cap 09/04/2013 $25.02 1 ea Primer 09/04/2013 $12.51 0 12%State Surcharge- 09/04/2013 $4.50 Plumbing Total $476.37 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: • /s 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. ■ 08-29-13; 11 : 16 ;Rayborn's Plumbing ; 5036912328 # 2/ 4 Plumbing Permit Applieatio �j Building Fixtures vA E219\12 ,-1 _ • I Olt Ill I It I I ,s1 (1st 1 e»�ofTig�a AUG 013 Received ,9 ./ Permit No.: -1 toe,/.t 60‘9177 • 13125 SW Hall Blvd.,Tigard,OR 97223e ' TIGARD Plan Review li >r Phone: 503.718.2439 Fax: 503.598.19¢Q'�n� D,,t, y: Other Permit No.: Inspection Line: 503.639.4175 �11 1�I'D I�JT�DIVISION i 1 H 1 U V N Date Ready/By: taaia See Pape 2 for Internet: www.tigard�r.gov Notifiod/Melhod: $applemeatai information TYPE OF WORK FEE" SCHEDULE ❑New construction ❑Demolition For special information use checklist ®Addition/altcration! luce7ncnt 0 Description I Qty. En. j Total rep New 1-2-family dwellings(includes 1.00 ft.for=eh util' connection) CATEGORY OF CONSTRUCTION SFR(l)bath I 312.701 1-and 2-family dwelling SFR(2)bath 437.78 ❑ Y B ®CommaciaUmdustrial SFR(3)bath _ 500.32 ❑Accessory building ❑Multi-family Each additional bath/ldtcncn 25.02 ❑Master builder ❑Other: Fire sprinkler( sq,R) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address:12650 sw ball blvd. Catch basin or area drain 18.76 City/State/ZIP:Tigard,Oregon 97223 Drywcll.leach line,or trench drain 18.76 t-: . t Footing drain(no.linear lt.:_� Page 2 Suite/bldgJapt.no.: 1 Project name: 'o': si:, ' I': '�: t. Manufactured home utilities 50.03 +�i1 'r Cross street/directions to job site: Manholes 18.76 emu• Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_, Page 2 Storm sewer(no.linear ft:_•--) Page 2 Wear service(no.linear ft.;_) Page 2 Subdivision: Lot no.: Fixture or Item Tax map/parcel no.: Bacl,�low pm-venter 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 addition of two rsctroom and remodel of one restroom and breakroom Dishwasher 1 25.02 25.02 Drinking fountain 1 25.02 25.02 Ejectors/sump 25.02 ❑ PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name: Fixture/sewer cap 1 ! 25.02 25.02 Floor drain/floor sink/hub 3 i 25.02 75.06 Address: Garbage disposal 25.02 rCity/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 ® APPLICANT ❑ CONTACT PERSON Interceptor/grease nap 25.02 Business name:Rayborn's Plumbing Inc. Medical gas(value:$ ) pew 2 Primer I ' 12,51 12.51 Contact name:Jim Patterson Roof drain(commercial) 1251 Address:PO Box 69 Sink/basin/lavatory S / 25.02 125,10 City/Sthte/7.IP:Tualatin,Oregon 97062 Solar units(potable water) 62.54 ■ Phone:(503)6924139 Fax::(503)691-2328 Tub/shower/shower pan 2 ^ 12.51 25.02 E-mail:jim©rayboras.com Urinal 25,02 CONTRACTOR Water closet 3 ' 25.02 75.06 Water heater 1 ' 37.52 37.52 Business name:Rayborn's Plumbing Inc Water piping/DWV 56.29 Address:PO Box 69 Other: I 25.02„I City/State/ZIP:Tualatin,Oregon 97062 Subtotal 425.33 Phone:(503)692-4139 Fax:(503)691-2328 Minimum permit fee: $72.50 CCB Lic.:87852 Plumbing Lie.no.:34-166 Plan review (25%of permit fee) �' State surcharge(12%of permit fee) 51.04 icif,i,.......,• Authorized signature: TOTAL PERMIT FEE 476.37 [Print name:James A.P tterson t pate:8izzn3 This permit application expires if a permit is not obtained within 180 days iiti after it has been accepted as complete. 'Fee methodology sm by Tri-trooray Building Industry Service Board I:eauiiding1PerminlPLMU-VamIWDRdoc 10/01109 4404616r(I0/071COM/WEI) 08-29-13; 11 : 16 ;Rayborn's Plumbing ; 5036912328 # 3/ 4 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' 50.03 0 to 2,000 $12190 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' 6254 Medical Gas Systems: Water Service-each additional 100' 37.52 Valuation: Permit Fee: Storm at Rain Drain-1st 100' 62.54 $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 $5,001.0010$10,000.00 $72.50 for the first$5,000.00 and SI.52 for Other Inspections or Fees ` Qty. Fee(ea) 'total each additional 5100.00 or fraction thereof,to and includin&$10,000.00. Inspection of existing plumbing or for $10.001.00 to$25,000.00 $1411.50 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 charge-112 hour) and including$25,000.00. Inspections outside of normal busincas 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for hours(minimum charge-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 (minimum charge-1/2 hour) _ each additional$100.00 or fraction thereof. Subtotal: 31, . ;o 140 IP 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*. _ Quantity by Fixture Type Plan Review for Plumbing Installations Fixture Type for Replace/ Work Performed: Canned meted tletoa,te Plan review is required for any of the following. Baptistry/Font Please check all that apply. Bath Tub/Showcr ❑ Any new commercial building with water service 2"and -Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer. -Drive Thar ❑ New exterior plumbing site utilities for any complex structure Cuseidor/Watcr Aspirator as defined in OAR918-780-0040. Dishwasher -Commercial ❑ Medical gas and vacuum systems for health cart facilities. -Domestic 0 0 1 - ❑ Any multipurpose fire sprinkler system. —Drinking Fountain 0 I t 0 ❑ Any complex structure as defined in OAR918-780-0040. Eyc Wash Floor Drain/sink -2" 0 2 / 1 - Submit 2 sets of plans with any of the above. -3" Car Wash Drain Isometric or Riser Diagram - Garbage -Domcstio-non-food ❑ Isometric or riser diagram is required for new buildings Disposal -Domestic—food related that meet the qualifications above. -Commercial-food related -Industrial-food related Ice Mach./Retrig,Drains Oil Separator(Gas Station) Comments regarding fixture work: Rec.vehicle Dump Station Shower -Gang -Stall 0 2 - 0 -Sink/Lav -Non-food related 0 2 - 3 -Bradley -Commercial-food related -Service Swimming Pool Filter *Note: lithe fixture work under this permit results in an Washer-Clothes P Water Extractor increase of sewer EDIls,a sewer permit will be issued and Water Closet-Toilet 0 2 ' I ' fees assessed for the sewer increase must be paid before the Urinal 1 r 0 0 _ plumbing permit can be issued. Other Fixtures: httpJ/www,tigard-or.gov/city_hal l/departments/ed/does/PLMF-PermitApedoc 08-22-13; 13: 36 ;Rayborn's Plumbing ;5036912328 # 1/ 2 rJ0/Z4/ZVI., 14:V, DC4=7017017 1.1 I T U1 11W11'LJ 1"H17t; 04/171 0E3-22-13;00:5 ,: ,.f :,1, ;5036912329 # 2/ 2 Plumbing Pe 4,-,,,,.- -b ► I / ,� •bEVE1 wJU s GQ, d I £(/ . Of3-&'e)7S Building �,F'i$turesAJG 2 2 2(I' AUG 2 2 2013 i(Ik (lI'I H I t ,► t1Nr� II 'i�» /3 d� ® Phc�S o, , I &LDtPJ(I 1YQFT^IG�RD «�Y�� � ' 71 c,A ct n Inipeetion �S a IJ� X710 Q lha PmmltNa:B�it/d�/ �O/(o roc Internet: wanimiSard:er t�Dv Nall oule ..4 I ®Seta Pagel I ,� � •�'�i LStlpptamaneul I• �etipp 0.•, •TYPE OF WOIt1 r,- , ', .:......v•• i:;7. ,,.' ,a' FF,E" SCIUBDULE'• _ ' ❑New= ❑Detdolldotl nesad•tion 0-Ilrr,� En Total frAdditlon/alttrad• replaeetnent ❑Otbet; �,•.,�, j { �r�y�.� � �,¢�JJLY'M1�lILI�t>eu•et1c'. 1 far eachudli convection) ,..i.+'. %.1.„ (sA�,COR'W-OF VOlw TCT7O 1..'E. .. SFR(1)Birth A 312.70 01-and 2-family dwell Cernrnescinllndltntrial SFRR)bath I_ UM= 0 Accessary building ❑Muth-t`amly MO)both A @. YAM ❑Master but7dtr []p�� Fa1tb additional E,atlJklteh•�_ • Arc at(nker� . JOg-SITE INFO 'TION'A1� LOCATON• ', ■ . 4�, id. Job site address _ 0 - / L VP EMMIM, ..ft Rol 1L7 _6 Mil 1t e�� .�r* �� OrYwell,leach , or trench drain ,NE I1? Pm1�t 17ame ~ Footttu 41s r(no,linear R: • /.tv Accatc.1" Mute–. •borne utilities .013 Ctetex ctreet/directions to job sits„ /l I •t M, . V''' e err(no lin It. Ry Page 2 �Y lap rm sewer(no.111120f ft:_ M� y Water amine(no.mow R:�) MSubdivision: Itirtnre a t ,,,- Tax map/parcel no.: Nr, 9acldlavrpromoter 3127• " . - . >�Ir5Ceizn0I4 or WORK,:-. = ''..�� _Boekvarervalve n ■ t 12.51 w Chaim washer `Q 2542 �. 3 Dbrimaahcr \ alirMI 25,02 EM . _ __ +r. i i V_. I aims 25.02 S IMEMPORNIMIIAM Kiiiiillin 25.02 to PROPERTY'OWNlsP.: ' ' ❑ TE CM. EM. Name: . ,- Mill 25.02 MIN qdd FleardraWfi n 25,02 v Cipr/6tata2tP: Node N sadbpoill 25.02 F1ou b1b 25.02 Rhona( ) Fax:( 12.51 • ja--11PLICANT . ■ C'Oh7Jicr 1PI';RSO'LV = 2102 IIMMI business name ► +. / Of i SIMMINIEll P1peZ Contact non= n+, `` � ��t ~� �� r2 F+F�[1Jl1lI-.1� Adelman: Q • � 2 Adel antrizlP: AIM= .. -M 2542 0 C 2 Solar aka(potable water) MO I + _ A Fax::( .0 ) c l:..D.3.a$ Tub/shower/showcrpan liiiiim / * S C�,� urinal .25,01 CO CTOI; Water clam IOW zson !^��_t Watts heater Ir- W rJ ,, Warty aipitlQ/UWV `.:��- Addtxse; �t,Q�{• ( - °dim 25.02 IMIPT la Li6glitejallni• •sm. 0 0 0- .u, Subtotal „i" AIX:(‘'03) 6'CC -` Minimum pmnit fee $72.50– _ - Plumb'•g Lie.•..1 _ - ; Plan reviaw Z5%of permit fee) Authotf�edalggO . /�/1� �A:Ply • - . Slat:xnevltatgo(12%ofpestnil.14) MJ -i./ir_ry�.•r 17 7 TOTAL PERMIT FEE I- Print mom / Dater i -- r„ TIrIt nertaup application twin it- P trecor it not N prose. wll•n q.etl„4•��f ' aner It bat tram=cord a1 corn ore. (1 JJ7 -/ I.Ike a+llhai.lgp Vet 11 TrI.Ce,ely Bonding fad arty Straw%mt. Iipulldin.Orrmitiwt wer,,,tvynau laotroo 4.O.■516T(10+01COMAM) • 08-22-13; 13: 36 ;Rayborn's Plumbing ; 5036912328 # 2/ 2 Plumbing Permit Application - City of Tigard - Page 2-Supplemental Information Fee Schedule: Residential Fire Su. •ression Systems: Site Utilities . • • _ Qtr•, .Fee(ea) Total• S s care Foo ___MIIIIII Permit Fee: ' Footing drain-1"100' 50.03 Mill 0 to 2,000 IIIM $121.90 - F'ooting drain-each additional 100' 37.52 _ 2.001 to 3,600 MOM= $169.69 Sewer•1st 100' 62 3,601 to 7,241 $233.20 — Sewer-each additional 100' 37.52 7,201 and Al''ter $327,54 Water Service-1st 100' \ 62,54 Medi•:1 Gas S stems: Water Service-each additional 11' 37.52 - Val ,lion: - .Permit Fie: . : • Storm&Rain Drain•1st 100' 62.54 $1.00 o$5.000.00 Minimum fee$72.50 . storm&Rain Drain-each additional •0' 37.52 ■1.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for Other Ins•ections'or Fees - Qty...: 'Ece(ca).: Total-- each additional S100.00 or fraction thereof,to and including$10,000.00. Inspection of existing plumbing or for 0,001.00 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 (minimum charge-1/2 hour) each additional$100,00 or fraction thereof,to 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 charge—2 hours) each additional$100.00 or fraction thereof,to Reinspection Fees -1.00/hr and including$50,000.00. Additional plan review for revisions 90.14/hr $50,001.00 and up $742.00 for the lust$50,000.00 and$1.20 for minimum ohs e—1/2 hour each additional$100.00 or fraction thereof. IIIIMiLizglil • - Commercial Fixture Work; Are you capping,adding or replacing fixtures? If"yes", Plan Review for Pluunbin: Installations please indicate work performed by fixture. Failure to Plan review is required for any of the following. accurately report fixtures could result in increased sew fees*. •lease check all that apply. Quantity by(Fixture)Work Perfor' ed IN Any new commercial building with water service 2"and Fixture Type: R ace ,cater,except systems designed and stamped by licensed Previous Co..ed Added r. krtkq_ c :'neer. Baptistry/Font 0 Nc exterior plumbing site utilities for any complex structure Bath -Tub/Shower rill as d cd in OAR918-780-0040. y p -Jacuzzi/Whirl-ool Car Wash Each Stall ❑ Medica -and vacuum systems for health care facilities. -Drive Thru gm ❑ Any muln.urpose fire sprinkler system. Cus.idor/Water A..in;tor El Any corn* structure as defined in OAR918-780-0040. Dishwasher -Commercial Domestic Submit 2 s.. of plans with any of the above. Drinkin• Fountain TIM E e Wash = Isometri, or Riser Diagram • • ' Floor Drain/sink -2" stirs Cl Isometric or riser dia: m is required for new buildings DININIMI that meet the qualificati•.s above. Car Wash Drain MIMI — Garbage -Domestic Disposal -Commercial ■ r -Industrial Comments Comments regarding fixture ° ork: Ice MachfRefri• Drains Oil Se.armor Gas Station A _,I Rec.Vehicle Dump Station Shower -Gang �_=�� -Stall —MIV&:_��=1l0vI Sink -Bar/Lavatory ams je—' -Co-Commercial mc-Commercial mme 6 I ia] *Note: If the fixture work under this permit results in an -Service increase of sewer EDCJs,a sewer permit will be issued and Swimming Pool Filter fees assessed for the sewer increase must be paid before the Washer-Clothes �,- Water Extractor -II. plumbing permit can be issued. Water Closet-Toilet Urinal Other Fixtures: httpJ/www.tigard•or.gov/city_hal l/departments/cd/docs/PLMF-PermitApPdoc City of Tigard 13125 SW Hall Blvd. !NI Tigard, OR 97223 Phone: 503-639-4171 •' T I GARD FAX TRANSMITTAL Date August 26, 2013 Number of pages including cover sheet 2 • To: Nate From: Branden Taggart Co: Rayborn's Plumbing Co: City of Tigard Fax#: 503-691-2328 Fax#: 503-598-1960 Ph#: 503-718-2439 SUBJECT: Snyder Roofing permit MESSAGE: Nate, The plumbing permit fees are slightly different than what you calculated: $434.34. The Sewer fees come to $12,288.00. Once we have payment for both fees we will be able to issue the permit. If you have any questions,please let us know. Thanks, Branden Taggart Permit Technician 1:\Building\Forms\FaxTransmittal-T.doc 1/18/07 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 12650 SW HALL BLVD, TIGARD, OR, 97223 Commercial - Plumbing 399 Plumbing final 2014-03-14 00:00:00 PLM2013-00297 PASS - No C of O Violation Summary: Inspector Contractor