Permit CITY OF TIGARD PLUMBING PERMIT
a ; COMMUNITY DEVELOPMENT Permit#: PLM2013-00351
T t G ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/29/2013
Parcel: 2S 102AC00700
Jurisdiction: Tigard
Site address: 12550 SW MAIN ST 110
Project: NW Framing Subdivision: BURNHAM TRACT Lot: 1
Project Description: Add new restroom for TI with(1)lay,(2)water closet and(1)water heater.
Contractor: JAMES ROOD PLUMBING INC Owner: DOLAN&CO LLC
125 S 1ST AVE#542 BY FLORENCE T DOLAN
HILLSBORO,OR 97123 4523 NE DAVIS ST
PORTLAND,OR 97213
PHONE: 503-547-0491 PHONE:
FAX: 503-547-0492
FEES
Quantity Description Date Amount
1 ea Lavatories 10/09/2013 $25.02
Specifics: 1 ea Water Closet 10/09/2013 $25.02
1 ea Water Heater 10/09/2013 $37.52
Type of Use: COM 1 12%State Surcharge 10/09/2013 $10.51
Class of Work: ALT Plumbing
Type of Const:
Occupancy Grp:
Stories:
Total $98.07
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: / =e Signature:
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 ture; RFrfRVF
City of Tigard (d - i3 /,,;1I pe.mitNoA.,v,20/3 ,035'
13125 SW Hall Blvd,Tigard,OR 97223 OCT 3 2 013 Dateribk. tSu//?.2O� '
' � Phone: 503.718.2439 Fa1z 503598-1960
'~ lbspecdonLine: 503.639.4176 s. .■ rte,/ saera�x for
cd 1 Y a- Baf-i O N�oa_ 6 -1.Zi l is .
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►: Addition/alteritxOnfreplacomont fl tom: New 1- ,,, .. : -:(mdudcs 100 ft_for eat utility co ion)
,i,, % t.` ? 'i . �•r...:::'£L` 1 2 �C. K '„:- „ :S , SFR(1)bath 91270
�'i.. ret ,� ? nr�:S::,�, . . �
SFIt(2)bath l- . 500.32 W
0 Accessory building Muki-' Harp additional ." ' 25.42 ' 1
Maw builder 0 Other Fire sptialdtx ' sq.R) im - . 6
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,.,,;;'•.i ti:_ir :dam o-, r'rbbi i' o-1 �t.. ..^a s+s:, µM ,,, eY7a/%
Catch basin ar atc4.,:,. Emma
Job site address: l Dryaell.leach = outreach t each&lib NI
C i t y/S t s t e J Z I P: l'ilarei 150, 9.12. -3 Footing d r a m(n o. i l l ear it:__...) II Page 2 .IIII
S u i t e i b l d p,/a p t.na.: J I 0 I P r c i ((ante- as WWI Tt'6 °M 50u ._ Mtandadaand.-'. utilities 50.03
Cross sttect/directions to jab site manhole
Rain drain a!!1.... 18.76
Sa lttay sewer(!.. linear 8:_. J Page 2
Stool sewer(no. 1'v.,-, ft.:,.) sage 2
Wad service(no Page 2
Subdivision: Lot no.: Fixture ora img t
Tax map/pat'oel no-: vallve 12.51
i: ,i'`-:",: k _' . a 'ir;- V -ia-:1$ t,E..7.:4:''' a ^a¢,''''- r.4..s ' 25.02
•t.:ff#:+., .crlwYrg'':�:2;i%...!fA�i''S 1i�y4£ :�l4LfF+;12'_..cu:.a'.r- . Clutha wash=
,A-cu i. VeiY.lroo oN. _. Dishwasher 1 25.02 III
Drin tg fountain,I 1111 25.02
{ Ejectors/soup 25.02
. ;-7�fi.,*�*p :A' 'iiii-411 �Ya R''.�°-:J,.'-U.;?j.,1a Z."..%a,_4 ' 1',,,,, i.•._,i>1....;a*-.,:V:?;...;c.tel.,
r, isr"S% Pndure(sewea tZp1 25.02
Alarms` _ Floor floor sink/hub 25.02
.Address: Garbage disposal 1 MO 25.02
City/Stem/UP: Hose bib I I i 25.02
Phone`( ) Fax:( ) Ice maker 12.51
.M. i'M "F c,;n":' '-:4 ,-. .. .: .:w:' ,-v:N,:,, i.,-fi.ft ilgIessc1 z 25.02
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;.�r�'�„s�e*� ;�:.Y , � laa.^��� <�;��� •..�1 . +.,•.x.. ... ... .'_cad i
T Medical gas(valu*r S ) Page 2
Business same: primer 12 1
Coxitect nxm Roo fdrain( 1) 12.51
Address: . 3ddbasidlavatorir 25.02 $4 Z'
City/State/ZTP: Solar waits(potable weir) 62-54
Tub/shower/shoi pan 12-51
( ) ! Fax::( ) Urinal
E-rroul: Qs as
. . �;�-; � ;7e 4�.+..P.��,' ..�1 ` .vi 'i �• i .,,
,yf .A.VX -�•nj�}� „,., s;„„ closet :! 25.02
1�.,q"A.-
, „? o � v { fr,,"�_icad� a: ,r :�? � � - ,2 • ..Ar�H.GR:-
WBte{ltea�er j� 37.$2 1,/
1 Business name: etp,,e, t • s b<i Water piping/D' I 5629
Address: /5 j+ . -b. -0' 5* 2.. Ot1>er ,I 25.02
City/State/ZZMP:1(4;11 b bt11yo O►-- f7 123 '1 SubQo •
(1 yam pta tit£u $72 50 •
Pbeae:(ro ) t d pi i Fix:( ► ) ' 0 4t' 2.✓ _
I I Plan review (25%of permit flee)
("CB Gc- ;3.....”O Plumbing Lie.uo.: Q S ,� stare suar�ge(12%of permit tee) U)-c
Aui>totized signahu ��/ j TOTAL PEF}AI P1315 ! t. .
p ...:...expfiresi[aperm(St obtainedwlttis1SOdays
Print name: r -. �' ��f latterit We been accepted as oompbeta
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PluinbinPagi limes - City of Tigard
,
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Page 2-Supplemental Information
Fee Schedule: Residential Fire Su i ,ression .tans:
.
Fr7r.k.: 7,7-z-, ,,W.7..,-.;',...,..•::',4.' . ,.::,., .-_,,,.,,:,.,...! ,,,v...,?
,,t41._.:-..: :-..:.:.,f,.,.. ..c,-„,,,=.'',--",-....■•■=.P.---•4'."-....-•■ir At a 7.1.1 1."'On 14,. '-'IA
rea..ib..., .... sowz,/.6.-V4 •
Footing drain-r 100' 50.03
I 0 to i, ! StatS0
2,001 to 3„600 , EMCIMMIMINIM
• -ear\--- a- 1— faildilional 37_52 601 to 7 .k 3.2O
''.....— 1,1t.--'-- 100' 6234 7 .1:1 and Lo.- - , 'co .54
Sewer:each additional NO' 37.52
Watiervice-151 100' 62.54
Water Se7vice-each additional 100' 3732 *F17.. — ,.,
-'1,7NedieG,as *'=:-.7551. . .,. .-tl.A0-, .r,s,s,:r. ., .ar•.
'----Storat&Rain Drain-1st 100' 61-54 1111 • st.setospaeo ..„:-. ,..„f;e-all 50
Swan&Rain Drain-car:limb:Wong 100' En 3732 55,031.00 to$111,000.00 $72.50 liariae first S5ffi00:00 and$132 for
:each additional$100.00 or eaction thereof,to
;..1.,Z... .--.. ..T...44.1347' .14.. .,4. ...,?. ...- • -'."-. ..z !and„..,:.,.510,000.00.
Inspectionoreadstia. g phanhiag or for $10,001.90 to$25,00.00 11413.50 for the firstS10,000.00 arid S134 for
which no fite is specifically indicated _ 90-00Ihr 111 leach additional$100.00 or fraction thereof,to
(minimum charge-1/2 hour) and hicincliw$25,000.00.
Inspections outsideofnormaltnstness $25,001.00 ro$50,600.00 33793013s the first325;000.
00andS1-45 for
hours tritaimora• , t:• .-nom each additional$100.00 all-action tiered to
Reinspection Fees 111 90.00/hr 111. tad including S50,000_00.
550,601.00 and up $742-40 for the firit$56.000.00 and$1.20 for
Addisional plan review far revisions 906001br 1111 each additional$100.00 or fraction thavat ,
=Minion•r- --ia . .
Subtotrib .111 En
-----N-10-0a,--..—m—,■—••—", —.. ...—.m...
commercial Fixture Wools:
Are yon capping,adding or replacing fixtures' If 4'yes",
please indicate work performed by fixture. Failure to
accurately . I rt fixtures could result in increased sewer fees*.
.,.,, : :^ :
: ....i.---2.--e..
sPioini i,,,' foth''' :' '.''.::-:v:.:1‘.11-, '•-'''''<"1:,.. ';`:.,:::.-F.t--:;. ...::.. .... ,.:
Strtini? Plan review is required for any of the Mowing..
Please check all that apply_
0 Any new commercial building with water service 2"and
Bath -Tab/Shower greater,except systems designed and stamped by licensed
car wash -raili son engineer.
-Drive Thu 0 New exterior plumbing site utilities ler any complex structure
Creipidorliktter - ....t. IIIIIIIIrl as defined in OAR918-780-0040.
Dishwasher -Commercial MEM MINI 0 Medical gas and vacuum systems for health care facilities.
-Domestic El Any multipurpose fire sprinkler system.
P .,,... Fountain MEM= 0 Any complex structure as defined in OAR918-780-0040.
D.-Wash.
Floor Drain/sink -2" Submit 2 se ls of plans with any of the above.
-4" rt'X'
Car Wash Drain X,:.' ----2=ix. :1-11-e,.,s,-.t.. ....,,-t--4 .••• 1*•
Garbage -Domirede-iton-food 0 Isometric or riser diagram is required for new buildings
Disposal -Domestic-food related =NM MI tha____ M __mect the qualifications above.
-Commercial-thod related
-Industrial' -food related MIME
Ice Math
Otl Sepautior(Gas Stattn) MIIIIIIIMI111111101111 Comments regardhig fixture work:
Vehicle o,..-Station ilil ME= Gt-(1.41,__ ______
Shower -Gang
.a -Sian 11111111.11111 — -
S''. MT ,21.1ckbod related 11111M=11111 --
w -13radley 111111 =1111MMINNIM —
-Commercial-food related
-Service .... ....--- --.■■■•■....—...-... —• ••------
$94 Pool niter IMMIIM
Washer-Clothes IIIII IMMIIIIMIIMI *Note: lithe fixture work under this permit results in an
water lEsnactor increase of sewer EDIJs,a sewer permit will be issued and
Wmet Closet-Toilet I fees assessed for the sewer increase must be paid before the
urinal plumbing permit can be issued.
Other redraw:
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
12550 SW MAIN ST 110, TIGARD, OR, 97223
Commercial - Plumbing
399 Plumbing final
2013-12-24 (null)
PLM2013-00351
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
12550 SW MAIN ST 110, TIGARD, OR, 97223
Commercial - Plumbing
399 Plumbing final
2013-12-19 (null)
PLM2013-00351
FAIL
1. Locked out. Not ready for inspection. No inspection made OPSC 103.5.1
2. Re-inspection fee will be assessed if previous correction(s) are not approved on next
inspection 103.5.6
Violation Summary:
Inspector Contractor