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Permit Ir CITY OF TIGARD PLUMBING PERMIT ' COMMUNITY DEVELOPMENT Permit#: PLM2014-00022 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/23/2014 TIGARD Parcel: 2S101AD03500 Jurisdiction: Tigard Site address: 6600 SW HAMPTON ST Project: Pacific Parkway Center Subdivision: WEST PORTLAND HEIGHTS Lot: Project Description: Capping(75)fixures:(3)drinking fountains,(2)2"FD, (13)3"FD,(1)4"FD,(34)non-food sinks,(2)service sinks, (14)water closets&(6)urinals.4/7/14: Reprinted permit to include(12)roof drains. 4/16/14,reprinted to add(7) additional roof drains. 5/13/14: REPRINTED to add(4)roof drains. Contractor: TAPANI PLUMBING Owner: PACIFIC REALTY ASSOCIATES PO BOX 2350 ATTN: N PIVEN BATTLE GROUND,WA 98604 15350 SE SEQUOIA PKWY#300 PORTLAND, OR 97224 PHONE: 360-687-3983 PHONE. FAX: 360-687-4494 FEES Quantity Description Date Amount 75 ea Fixture/Sewer Cap 01/23/2014 $1,876.50 Specifics: 12 ea Roof Drain(Commercial) 04/07/2014 $150.12 1 12%State Surcharge- 04/07/2014 $243.19 Type of Use: COM Plumbing Class of Work: ALT 7 ea Roof Drain(Commercial) 04/16/2014 $87.57 Type of Const: 0 12%State Surcharge- 04/16/2014 $10.51 Plumbing Occupancy Grp: 4 ea Roof Drain(Commercial) 05/13/2014 $50.04 Stories: 0 12%State Surcharge- 05/13/2014 $6.01 Plumbing Total $2,423.94 I 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 • calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: �«/I fin/ „cy,i°G/(w_ /v"✓ 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. 05/09/2014 10:43 3606874494 PAGE 02/04 Plumbing permit A,pplic dot t /twit j /'//1 a-a/�f - OcUp.a., Site Utilities IVF_D 11111 tlrhl< I: I 5r; (111 1 City of Tigard Received ( „J Y 1 2 201a man Rev Permit No.: 13125 SW Nall T31vd..Tigard,OR 9 rtnrt Rcvicu Phone: 503.718.2439 Fax: 503,5981 1 ` Other Permit Na.' Inspection Line: 503,639.4175 CIYYoF r`GAHU r.uicRc T t� " '� p rr R d /B Internet: www,tigard-ar.gov •ere d/ Y : Jun.,: Sapp Pie 2 for ' � supplemrnhrl Information (znl�C��� Notified/Mother! , New construction ❑Demolition For special information me c hockffsr. t)c�.c:riptipn L,pty, 1 Ea-7 Total ❑Addition/alteration/replacement ❑Other New I-2-family dwellings(includes 100 ft.for each utility connection) ',4°TEGORY OF'C OPfsTRUCTfo1( SFR(I)bath 312.70 0 I-and 2-family dwelling L.51 Commercial/industrial SFR(2)bath 437,78 © Accessory building ❑Multifamily SFR(3)bath 500.32 Cl builder Each additional b ath/kitchen 25,02 Other: Fire sprinkler( 'q,ft,) Page 2 "JOB E O #ATTON LOCATION Sitc utilities: _ Job site address:6600 SW Hampton Street Catch basin Or area drain 18.76 City/State/ZIP:Tigard,OR 97224 Dtywcll,leach line,or trench drain 18.76 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt,no.: 1 Project name:Pacific Parkway Center Manufactured home utilities 50,03 Cross street/directions to-job site: _ Manholes 18.76 Rain drain connector _ T 8.76 Sanitary sewer(no.linear ft.;_) Page 2 Storm sewer(no.linear IL: ) Page 2 Water service(no,linear ft.:,) Page 2 Subdivision:west Portland Hcighta Lot no Fixture or Item: _ _ Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12,51 �(GAcAJ iy--- / .I.J • Gitvit'PS Oishhcs washer _ 25,02 i DishwashcT 25,02 Drinking fountain 25.02 Ejectors/sump 25,02 iR p tiVolT Expansion tank 12,51 — Name:Pacific Reality Associates Fixture/sewer cup 25.02 Address: 15350 SE Sequoia Parkway#311(1 Floor draidfoor oink/hub 25.02 Garbage disposal ~25.02 City/State/ZIP:Portland.OR 97224 Hose bib 25.02 Phone:( ) Fax: ( ) Ice maker•.PP:ic t ' coNmc l" IPi S TTY T .t•/gre trap 25 02 tole((c to ._. Business name:Tapani Plimhing Inc T Medical gas(value;$ ) page 2 Contact name:Troy Ek ~Primer 12.51 Address:PO Box 2350 Roof drain(commercial) 4 12.51 Sink/basin/lavatory 25.02 City/State/ZIP:Battle Ground,Wa 98604 Solar units(potable water) 62.54 Phone:(360)687-3983 Fax;;(3601687-4494 Tub/shnwerlshowcr pan — 12.51 E-mail: trnye(rutapanipinmbing.com — Urinal 25.02 — CdIV[RAC i l)IZ', Water closet 25.02 w, - Water heater 37.52 Business name:Tapani Plumbing Inc _ Water piping/DW V 56.29 Address:PO Box 2350 Other 25.02 City/State/ZIP:Battle Ground,WA 98604 _ Subtotal Phone:(360)687-3983 Fax:(360)687-4494 Minimum permit fee; $72.50 C8 Lie.:60958 Plumbing Lic.nn,;37-269PR Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE Print name;Troy Ek Date:04/07/2014 This prrmit appikntlon expires If a permit its not nhinIncd withiv 1811 days 1 after it has been accepted as complete. *Fee nmtlxxlology set by Tri-Counry Building Indu?t y Service Board. I'•Flarttrnti.rc,'ui \rt.M(1-rerrin AI,tl,d0C 1 I•o,:t' 440-iti0n rt„n2:mM-wI.ii) PAGE 03/04 05/09/2014 10:43 3606874494 Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule i" t, `; ' ' T a 'Oa tats _ Systems: Residential Fire Suppression SgititkiPb+iatt.Ol�;, ,> �y Footing drain-i"100' ' .. 50,03 0 to 2,000 $121.90 Footing drain-each additional 100' 37,52 2,001 to 3.600 5169.69 Sewer-i st 104' 3.601 to 7,2(x1 S23120 62.54 7.201 and greater $327.54 -` Sewer-cach additional 100' 37.52 Wattw Service-1st 100' 62.54 Water Service-each additional i 00' 37,52 Medical Gas Systems Storm&Rain!rain-1st 100' —62.54--' fllUAt�1dt Storm 8c Rain Drain-cach additional 1110' ` 51.00 to$5,000.00 Minimum fcc$72.50 37.52 $5,001.00 to S 111,000,00 $72,50 for the first$5,000.00 and$1.52 for r [!�lt�at15�2'! '1Q"Q�S.:; each additional S100.(x1 or.fraction thereof;to Inspection of existing plumbing or for and including 510.000,00. S 10,001.00 to 525,000,00 514/1.50 for the first$10.000.00 and 51.54 for which no fcc is specifically indicated 90.00/hr (minimum charbc-1/2 hour) pelt additional.fi 140,00 or firction thereof.to Inspection:outside of normal business and including 525.000.00. hours(minimum charge-2 hours) 90,00/hr $25.001,00 to$50,000.00 $379,90 for the first$25,000.00 and$1.45 for Rein a(minin Fees cach additional$100.00 or fraction thereof,to 90.00/hr and including 550.000.00, $50.001.00 and up $742.00 for the first S50,000,00 and$1.20 for Additional Plan review for revisions 90.00/hr minimum char,c-1/2 hour) each additional S 100.00 or fraction thereof. Subtotal: MY Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*- • Fixture rerformed: capped name Retreats Nan review is required •0fo "' of i '. Quantity by Fixture T e Y[ Repine rag. Baptistry/Font _ — Please check all that apply. Bath Tuh/Showcr ❑ Any new commercial building with water service 2"and Jacu'.ir'Whirlpool greater,except systems designed and stamped by licensed Car Wash -Each Stall — engineer, -Drive Thni ❑ Ncw exterior plumbing site utilities for any complex structure Cuapidnr/Water Aspirator - as defined in OAR9111-780-0040. Dishwasher -Commercial — ❑ Medical as and vacuum systems for health care facilities. -Domestic ❑ Any multipurpose fire sprinkler system. Drinking Fountain - ❑ Any complex structure as defined in OAR9 i$•7110-0040, Eye Wash Floor Drain/sink •2" Submit 2 sets of plans with any of the above, - s Car Wash Drain ' "` ,'• Garbage Domestic-non-food ❑ Isometric or riser diagram is required for new buildings Disposal Domestic-load edited that meet the qualifications above. -Commercial-fond related -Industrial-food related Ice Mach.iRefrig,Drains Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Gang -Stall Sink/lav -Non-food related -13radkry — - -Commercial-food related -Service Swimming Pool Filter Washer•Clothes — — *Note: If the fixture work under this permit results in an wales 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 _Urinal plumbing permit can be issued. Other Fixtures: C:1Uscrs\troyc\Google Drive\Tapani Plumbing\Pmjccts\Active Projects 1Pt¢itic Parkway\Permits\PLMU-PermitApp,dox: i CITY OF TIGARD etOg PLUMBING PERMIT s COMMUNITY DEVELOPMENT Mt, Permit#: PLM2014-00022 T t t;A R O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/23/2014 Parcel: 26101AD03500 Jurisdiction: Tigard Site address: 6600 SW HAMPTON ST Project: Pacific Parkway Center Subdivision: WEST PORTLAND HEIGHTS Lot: Project Description: Capping(75)fixures:(3)drinking fountains,(2)2"FD,(13)3"FD,(1)4"FD,(34)non-food sinks,(2)service sinks, (14)water closets&(6)urinals.4/7/14:Reprinted permit to include(12)roof drains. 4/16/14,reprinted to add(7) additional roof drains. Contractor: TAPANI PLUMBING Owner: PACIFIC REALTY ASSOCIATES PO BOX 2350 ATTN: N PIVEN BATTLE GROUND,WA 98604 15350 SE SEQUOIA PKWY#300 PORTLAND, OR 97224 PHONE: 360-687-3983 PHONE: FAX: 360-687-4494 FEES Quantity Description Date Amount 75 ea Fixture/Sewer Cap 01/23/2014 $1,876.50 Specifics:, 12 ea Roof Drain(Commercial) 04/07/2014 $150.12 1 12%State Surcharge- 04/07/2014 $243.19 Type of Use: COM Plumbing Class of Work: ALT 7 ea Roof Drain(Commercial) 04/16/2014 $87.57 Type of Const: 0 12%State Surcharge- 04/16/2014 $10.51 Occupancy Grp: Plumbing Stories: Total $2,367.89 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 Notific. ••• .-' er. Those rules are set forth in OAR 952-001-0010 through OAR 95 -I i -0090. You may obtain a copy of the rules or direct•iestions to OU • •y calling 503.232.1987 or 1.800.332.2344. /J Issu=• By: / ,t Permittee Sig ature: eft4. 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 TIGARDj PLUMBING PERMIT COMMUNITY DEVELOPMENT / " Permit#: PLM2014-00022 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/23/2014 Parcel: 2S101AD03500 Jurisdiction: Tigard Site address: 6600 SW HAMPTON ST Project: Pacific Parkway Center Subdivision: WEST PORTLAND HEIGHTS Lot: Project Description: Capping(75)fixures:(3)drinking fountains,(2)2"FD,(13)3"FD,(1)4"FD,(34)non-food sinks,(2)service sinks, (14)water closets&(6)urinals.4/7/14: Reprinted permit to include(12)roof drains. Contractor: TAPANI PLUMBING Owner: PACIFIC REALTY ASSOCIATES PO BOX 2350 ATTN: N PIVEN BATTLE GROUND,WA 98604 15350 SE SEQUOIA PKWY#300 PORTLAND,OR 97224 PHONE: 360-687-3983 PHONE FAX: 360-687-4494 FEES Quantity Description Date Amount 75 ea Fixture/Sewer Cap 01/23/2014 $1,876.50 Specifics: 12 ea Roof Drain(Commercial) 04/07/2014 $150.12 1 12%State Surcharge- 04/07/2014 $243.19 Type of Use: COM Plumbing Class of Work: ALT Type of Const: Occupancy Grp: Stories: Total $2,269.81 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 Noti • ion . Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may o.tain a cop of the rules or direct >uestions to OUN • calli I '32.1987 or 1.800.332.2344. Issued :y: / Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection •ate.y This permit card shall be kept in a conspicuous place on the job site until comple 'n of the project. Approved plans are required on the job site at the time of each inspection. a CITY OF TIGARD PLUMBING PERMIT '`1 s' COMMUNITY DEVELOPMENT Permit#: PLM2014 00022 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/23/2014 Parcel: 2S 101 AD03500 Jurisdiction: Tigard Site address: 6600 SW HAMPTON ST Project: Pacific Parkway Center Subdivision: WEST PORTLAND HEIGHTS Lot: Project Description: Capping(75)fixures:(3)drinking fountains,(2)2"FD,(13)3"FD,(1)4"FD,(34)non-food sinks,(2)service sinks, (14)water closets&(6)urinals. Contractor: TAPANI PLUMBING Owner: PACIFIC REALTY ASSOCIATES PO BOX 2350 ATTN: N PIVEN BATTLE GROUND,WA 98604 15350 SE SEQUOIA PKWY#300 PORTLAND, OR 97224 PHONE: 360-687-3983 PHONE: FAX: 360-687-4494 FEES Quantity Description Date Amount 75 ea Fixture/Sewer Cap 01/23/2014 $1,876.50 Specifics: 1 12%State Surcharge- 01/23/2014 $225.18 Plumbing Type of Use: COM Class of Work: ALT Type of Const: Occupancy Grp: Stories: Total $2,101.68 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 issuan , ' irk is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utilj Notification Ce -r. 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 OU b calling 503.232.1987 or 1.800.332.2344. 01-c .f•c e-;Y€1-s'soc, Is ed By: k / `, Permittee Signature: 45 ,� r-9 .4` • 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. 1'lumbing Permit Application Add I? a( Prain s � )iiwiri- ?LM aO/y-Ord Site Utilities FOR OFFICE USE ONLY Received City of Tigard Permit No.:�/M 7„ _�� 1114 • 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By:v ��j2yJ ti Plan Review = Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit No.: Inspection Line: 503.639.4175 Date Ready/By: mr s: El See Page 2 for T I G A K D Internet: www.ti and-or. ov g g Notified/Method: Supplemental information TYPE OF WORK 1 I. SCHEDULE ❑New construction ❑ Demolition For special information use checklist �( Description I Qty. ] Ea. � Total 1°Y Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ❑ I-and 2-family dwelling ACommercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler p ( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address:6600 SW Hampton Street Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: I Project name:Pacific Parkway Center Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision:West Portland Heights Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 _ _ Clothes washer 25.02 l�l�l /a1 /ZvGf Dreg C�h/'' /�r:l,L',/i l`j' Dishwasher 25.02 iill Ole T okLe j' Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER ❑ TENANT Expansion tank 12.51 Name: Pacific Reality Associates Fixturel5ewercap 25.02 Floor drain/floor sink/hub 25.02 Address:15350 SE Sequoia Parkway#300 Garbage disposal 25.02 City/State/ZIP:Portland,OR 97224 Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 ® APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name:Tapani Plimhing Inc Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Troy Ek Roof drain(commercial) 12 12.51 Address:PO Box 2350 Sink/basin/lavatory 25.02 City/State/ZIP:Battle Ground,Wa 98604 Solar units(potable water) 62.54 Phone:(360)687-3983 Fax::(360)687.4494 Tub/shower/shower pan 12.51 E-mail:troye@tapaniplumbing.com Urinal _ 25.02 CONTRACTOR Water closet 25.02 Water heater 37.52 Business name:Tapani Plumbing Inc Water piping/DWV 56.29 Address:PO Box 2350 Other: f 25.02 City/State/ZIP:Battle Ground,WA 98604 Subtotal Phone:(360)687-3983 Fax:(360)687-4494 Minimum permit fee: $72.50 Plan review (25%of permit fee) �B Lie.:60958 Plumbing Lic.no.:37-269P6 State surcharge(12%of permit fee) Authorized signature: // TOTAL PERMIT FEE Print name:Troy Ek Lf Date:04/07/2014 This permit application expires if a permit is not obtained within 180 days after It has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. 1:\Building\Permits\PLMU-PennitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) 04/16/2014 12:42 3606874494 __ ,�,II jjff PAGE 01/05 P\ltrADe- f/laa C��U1' Jrr'tti A5 1.-0 /'gyple I' Plumbing Permit Application ��M Site Utilities No' � ���D Received Permit Net.: City of Tigard Receive: Gt1A01 I-G i0c9.- 1„, • 13125-SW Hall Blvd.,Tigard, R . 22 Plan Review ■ ' Phone; 503.7182439 Fax: . 3. 1960 Uatc/By: other Permit Nn.: Inspection Line: 503.639.4175 APR 16 2014 I I(.. P.0 Dote Rcady/By: .runt I . See Time 2 for Internet: '' '` ' "' "' •' "' '',.www,liga rci-orgov Notified/Method:: Sapplementn'i Information . ' l7IE ..O F �GA j t .. y , El . ^ For special infnrnraNne t�se checklist.New construction iF ��RI(1t►f Description 1 Qty, 1 Ica. 1 Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 It for each utility connection) SFR(i)bath 312.70 l ❑ 1-wand 2-family dwelling ®Commercial/industrial SFR(2)bath _ 437.78 SFR(3)bath 500.32 [3 Accessory building ❑Multi-family _ Each additional bash/k;rchcn 25.02 ❑Master builder ❑Other: Fire sprinkler( ,sq.R.) Page 2 r'; ,VW6�S1' " Xlocrit 1'IOl'9 ( tOCAt1OW.'. Site utilities: Catch beam or area drain 18.70 lob site address:6600 SW Hampton Street Drywcll.leach line,or trench drain 18,7( City/State/ZIP:Tigard,OR 97224 Footing drain(no,linear it.:^) Page 2 Suite/bldg./apt.no.: Project name:Pacific Parkway Center Manufactured home utilities 50.03 Cross street/directions to job site; Manholes 18.76 Rain drain connector 18,76 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no,linear ft.: ) Page 2 Water service(no linear ft.: ) Page 2 Subdivision:West Portland Heights Lot no.: Fixture or item: _ Tax map/parcel no.: Backflow preventer 31.27 12.51. r F 1>FES- /11101019 Oil`, 9OVC, Backwater valve Vc are adding(7)Roof Drains to our Plumbing Permit.The Permit No.is Clothes washer 25.02 Dishwasher 25.02 PLM2014-0022 that we are adding the roof drains to. Drinking fountain 25.02 PicAst (rGxc lorAc, 4i1ts f3/4.(m\- Z R.Q.z upf Ejccturs/sump 25.02 i!. Expansion tank 12.51 4 �`�P��'i"1' 1�roVi!vElli; . '°;� 1�N#� '` Name:Pacific Reality Associates Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: 15350 SE Sequoia Parkway#300 Garbage disposal 25.02 City/State/ZIP:Portland,OR 97224 Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 4,,>4) itAr ;An' _ t«i "`p kRi . Interceptor/grease trap 25,02 Business name:Tapani Plimbing Inc Medical gas(value:S ) Page 2 Primer 12.51 Contact name:Tray Ek - Roof drain(commercial) 7 12,51 Address:PO Box 2350 Sink/basin/lavatory 25.02 City/State/ZiP:Battle Ground,Wa 98604 Solar units(potable water) 02.54 Phone:(3M)687-3983 Fax::(360)687-4494 Tub/shower/shower pan 12.51 E-mail:troye(]tapeniplumbing.com Urinal 25.02 ,oc. -- 5 W'ltcr closet 25.02 Water heater 37.52 Business name:Tapani Plumbing inc water g P,p in :DWV 56.29 Address:PO Box 2350 Othts-: 25.02 ' City/$tatC/71P;Battle Ground,WA 98604 Subtotal Phone:(360)607-3983 Fax:(360)6x87-4494 Minimum permit fee: 572.50 - Plan review (25%of permit fee) ;CB Lie.:60958 Plumbing Lie,no.:37-269PB State surcharge(12%of permit lee) Authorized signature; TOTAL PERMIT FEE i �� Date:04/16/2014 This,permit application spires,If a permit Is not obtained within IRO day? Print name:Troy Ek after It has been accepted es eumplctc. "Feu mefhculnlnpy.act.by Tri-CcunIy Building Industry Service Board. r:•&nlding'ramii'rLn1U•rermdApp.doc rtil(I Ir.) 44(1-45I Fr(111/12COM/W6a1 11/ 04/16/2014 12:42 3606874494 PAGE 02/05 Plumbing Permit Application - City of Tigard Page 2 -Supplemental Information Fee Schedule Residential Fire Suppression Systems: ,: Qty 'Pte :. Total S `i f g' - . F r ,• A ., Footing drain-l"100 50 03 0 to 2.000 ,^ 5121.90 __- Footing drain-each additional 100" 37.52 2,001 to 3,600 $169.69 - — 3,r,01 to 7,200 5233.20 Scwcr- 1st 100' 62.54 7.201 and greater _$327.54 Sewer-each additional 100 37,52 Water Service- lit 100' 62.54 Medical Gas Systems: • Water Sc+vicc-each additional 100' 37.52 e ♦ rte 1 ..;a y �tt-iia 4i._. $ � a r i Storm&Rain Drain-1st 100' 62.54 $l,0(1 to$5,000.00 Minimum fee$72.50 W Storm&Rain Drain-each additional 100' • 37.52 55,001.00 to$10,000.00 $72.50 for the first$5.000.00 and$1.52 for Total each additional$100,00 or fraction thereof,to [ ` w. $ and including$10,000.00. inspection of existing plumbing or for 510.001.00 to 525,000.00 $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 nr fraction thereof,to (minimum charge—1/2 hour) and including 525.000.00. Inspections outside of normal business 90,00/hr ` 525,001.00 to 550,000.00 $379.50 for the first 525.000.00 and 51.45 for hours(minimum charge—2 hours) _ each additional$1(x).00 or fraction thereof.to Reinspection Fccs 90.00'hr and including$50,000.00. Additional plan review for revisions 90.00/hr 550,001.00 and up 1 $742.00 for the first$50.000.00 and$1.20 for (minimum charge—1/2 hour) -- 1 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 y report fixtures could result in increased sewer fees*. accuratel r �t Qua by Fixture Type ,.. w"'for " iittons ;. Fixture Type far Revised Plan review is required for any of the following. Work Fertormed: e144 Added Reldolde Please check all that apply. Baptistry/Fent Bath -Tub/Shower ❑ Any new commercial building with water service 2"and -Tub/Shower pewl greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer. •-Drive TTuv ❑ New exterior plumbing site utilities for any complex structure ' Cuspidor/Water Aspirator as defined in OAR.918-780-0040. Dishwasher -Commercial ❑ Medical gas and vacuum systems for health cart facilities. -Domestic - I2 Any multipurpose tire sprinkler system. Drinking Fountain ❑ Any complex structure as defined in OAR918-780-0040. Eye Wash Floor Drain/Rink -2" Submit 2 sets of plans with any of the above. 3 Car Wash Drain Garbage -Domestic-non-fond ❑ Isometric or riser diagram is required for new buildings Disposal -Domestic-food related that meet the qualifications above. -Commercial-food related -Industrial-food related Tee Mach./Rcfrig. Drains Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station , Shower -Gang -Stall Sink/Lav -Non-food related -Bradley -Commercial-food related -Service Swimming Pool Filter *Note: If the fixture work under this permit results in an Washer-Clothes 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 Urinal plumbing permit can be issued. Other Fixtures: C:\Users\troyelGoogle Drive\Tapan1 Plumbing\Projects\Active Projects\P 4;6 fi c Parkway\Permits\PLMU-P urn itApp.doc iF Plumbing Permit Applic � 'EIVEI) - ,up96 ;._e), ,g/ .- Site Utilities ; I ,,: , ,, , I, t 1 ,.I ) City of Tigard JAN 2 2 2014 Received �IL i1 -�iid 13125 SW Hall Blvd.,'figard,OR 97223 �� I Plan Review Phone: 503.718.2439 Fax: S�IPVIf TIGARD Date/By: Other Permit No.: Inspection Line: 503.639.41 Date Ready/By: !uric B See Page far Internet: www.tigard or.gov BUILDING DIVISION Naified/Method: I Sagplereetai lratsrmaNaa TYPE OF WORK FEE* SCHEDULE ❑New construction aErDemolition For special information we checklist Description I Qty. I Ea. I Total ❑Addition/alteration/replacement ❑Other: New I-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath I I 312.70 I ❑ I-and 2-family dwelling Commerciandustrial SFR(2)bath 437.78 building SFR(3)bath 500.32 ❑Accesso ry g ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) _ Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 6600 Si f to 61 .3 tes� Catch basin or area drain 18.76 y Part la K P oa_ q?A2 3 YAn I 11/4441 well,kach line,or trench drain 18.76 Cit /State/ZIP: i - ) l l' Footing drain(no.linear ft.: Page 2 Suite/bldg./apt.no.: I ProjecCname: Manufactured home utilities 50.03 Cross street/directions to job site: 7•24,112 la 1 -41. .1Q �l t Manholes 18.76 I em s f wet trQ s / • S 5� Co ( eve v Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 ` J, / y Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear 8.: ) Page 2 Subdivision: ii e.Sr funs 14k1,1Q ¢ 6iil I Lot no.: Fixture or item: Tax map/parcel no.: .2s I Q t yop p o i 1 Backtlow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 y. Clothes washer 25.02 -se(µ,.t e (L� a ti wvt b I VI/t 6 )4--V CPS . Coq . Dishwasher 25.02 "'^Da'1�t�' em..1' 0 I et„,....vla. 7 6X�-t/(-P5 a(avid 1 Drinking fountain 25.02 L �� / Ejectors/sump 25.02 �1PROPERTY OWNER I ❑ TEN Expansion tank 12.51 D Fixture/sewer cap 7� 25.02 / $7rp,� Name: p [f f G Reek I ASS DG. r ac Try SO� Floor drain/floor siddhub 25.02 J Address: / ' 3 i 0 Sf� QU O 4r P�I"4 l #3uo Garbage disposal _ 25.02 City/State/ZIP: Q02T D/ pK -7 - Hose bib 25.02 Phone: ) Gzy �O 3O0 1 Fax:(�3) j�Y• ? SS' Ice maker 12.51 APPLICANT I ❑ CONTACT PERSON Interceptor/grease trap 25.02 Medical gas(value:S ) Page 2 Business name: SawtQ QS 0,,.ln.plr- Primer 1 12.51 Contact name: Da. KR t p t`PA tiNe. Roof drain(commercial) 12.51 Address: Sink/basin/lavatory _ 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) l I Fax::( ) Tub/shower/shower pan 12.51 E-mail: d i(L k e (p.- G Drys.s t • �,p✓N Urinal 25.02 (� CONTRACTOR Water closet 23.02 �p Water heater 37.52 Business name: 1-4...Pp a",..". .h f C i K Ai b t I Q Water piping/DWV 56.29 Address: p o i3 d.0 23 n5 0 Other: 25.02 City/State/ZIP: YKitie rou►✓►il , LIP,' 986/1- Subtotal /,$76.`° Phone:(360) 467. 31 g Fax:(76.) (a `? . 814,7 Minimum permit fee: 572.50 - CCB Lic.: ( se Plumbing Lic.no.: Plan review (25%of permit fee) State surcharge(12%of permit fee) (5,f f IIy slanW by Rasa TnIp FE )01,4,8 Authorized signature: us,e=o..f@up.nlp�mel q.mm,�rapanl PI Inc CN=Ross T nl TOTAL PERMIT 2or4.or 11:1s:1 This permit appakatlon expires it a peraait is eat'begged wi IN days Print name: Qoss T0. a h t Date: Zt • ��) after it has bee■accepted as complete. • °Fee methodology set by Tri-County Building Iodaatry Service Bard. I.∎Building Permiss i'LMU-PenmiUpp.do. I0/OI/09 440.4616T(10/02/COM/WEB) 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-I"100' 50.03 0 to 2,000 $121.90 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' 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52 Storm&Rain Drain-1st 100' 62.54 Valuation: Permit Fee: $1.00 to$5,000.00 Minimum tee$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 Other Inspections or Fees Fee each additional$100.00 or fraction thereof,to p Qty. (U) Total 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 thereof,to (minimum charge-1/2 hour) 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 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: 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/ Plan review is required for any of the following.Performed: Capped Added Relocate 9 y g Baptistry/Font Please check all that apply. Bath Tub/Shower ❑ 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 Thru ❑ New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780-0040. Dishwasher -Commercial ❑ Medical gas and vacuum systems for health care facilities. -Domestic ❑ Any multipurpose fire sprinkler system. Drinking Fountain 3 ❑ Any complex structure as defined in OAR918-780-0040. Eye Wash Floor Drain/sink -2" Submit 2 sets of plans with any of the above. -3,, 1 Isometric or Riser Diagram Car Wash Drain - Garbage Domestic-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 MachiRefrig.Drains Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Gang -Stall Sink/Lay -Non-food related -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 14' fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. akmaiimr..4c. Other Fixtures: ' I:\Building\Permits\PLMU_PermitApp.doc 2 �; CITY OF TIGARD FEE AND PAYMENT HISTORY • • 13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 T KJ A RI) PLM2014-00022 - 6600 SW HAMPTON ST, TIGARD, OR 97223 Revenue Payment Fee Description Account Number Fee Amount Invoiced Paid Date Paid Method Receipt# Due Fixture/Sewer Cap 230-0000-43101 $1,876.50 $1,876.50 $1,876.50 12%State Surcharge-Plumbing 100-0000-24001 $225.18 $225.18 $225.18 Totals for Fees $2,101.68 $2,101.68 $0.00 $2,101.68 Receipt# Payment Method Check# Payor: Receipt Date Receipt Amount Total Payments: $0.00 Balance Due: $2,101.68 11111 CITY OF TIGARD RECEIPT U 8 13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 TIG.,ARfl Receipt Number: 195616 - 04/16/2014 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID PLM2014-00022 Roof Drain(Commercial) 230-0000-43101 $87.57 PLM2014-00022 12%State Surcharge-Plumbing 100-0000-24001 $10.51 Total: $98.08 PAYMENT METHOD CHECK# CC AUTH.CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Credit Card 616171 DADAMSKI 04/16/2014 $98.08 Payor: Gunnar Tapani-Tapani Plumbing Inc Total Payments: $98.08 Balance Due: $0.00 CITY OF TIHARD PERMIT5 13125 SW HALL BLVD TIGARD, OR. 97223 TERMINAL I.D.: 0017340880800313065881 MERCHANT N: 8883138658 VISA ttti#t#4t#7937 SALE RECORD #: 4 IHV: 888864 DATE: APR 16, 14 TIME: 13:48 BATCH: 385 AUTH: 616171 AUS RESPONSE: 2 CUU2 RESPONSE: P 5 DIGIT ZIP MATCHES, ADDRESS DOES NOT TOTAL $98.08 I AGREE TO PAY ABOUE TOTAL AMOUNT ACCORDING TO CARD ISSUER AGREEMENT (MERCHANT AGREEMENT IF CREDIT VOUCHER) CUSTOMER COPY Page 1 of 1 Accumulative Sewer Tally Tenant Name: Pacific Parkway Center ***CREDITS*** did SWR# N/A Site Address: 6600 SW I tampion St **REVISED 1/27/14** c PLM# 2014-00022 Parcel#: S101AD03500 Fixture Value Previous Previous Credits Capped Fixture Fixture New Ncw # value count capped#s value count added# added value total#s total values Baptisery/Font 4 0 0 0 0 0 Bath: -Tub/Shower 4 0 0 0 0 0 -Jacuzzi/Whirlpool 4 0 U 0 0 0 Car Wash: -Each Stall 6 0 0 0 0 0 -Drive through 16 0 0 0 0 0 Cuspidor/Water Aspirator 1 0 U 0 0 0 Dishwasher: -Commercial 4 0 U 0 0 0 -Domestic 2 U U 0 0 0 Drinking Fountain 1 0 U 0 0 0 Eye Wash 1 0 U 0 0 0 Floor Drain/Sink: -2 inch 2 0 U 0 0 0 -3 inch 5 0 U 0 0 0 -4 inch 6 0 U 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 HP) 42 0 0 0 0 0 Ice Machine/Refrigerator Drain 1 0 U 0 0 0 Living Unit 16 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 0 0 0 0 Sink: -Lay/Bar-Non-Food Related 2 0 n 0 0 0 -Bradley 5 0 0 0 0 0 -Com/Sery/Util-Food Related 3 0 0 0 0 0 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 ll 0 0 0 Urinal 6 0 0 0 0 0 Previous EDU Count 0 0 Capped EDU Credit 11 176 TOTALS 0 0 0 0 0 0 0 -176 Current Fixture Value -176 divided by 16= -11.000 Current EDU 1 EDU= $4,800.00 Previous Fixture Value 0 divided by 16= 0.000 Previous EDU Change -176 divided by 16= -11.000 over (under) $ (52,800.00) Enter EDU Change Here -11.000 Notes: ***CREDITS***All fixtures in building being capped. Per UB,1/23/14 currently billing 11 DU's. Authorized Name/Signature:Debbie Adamski Date: 1/22/2014 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\SewerTallySheet_4800._070113.slss 114 Accumulative Sewer Tally Tenant Name: Pacific Parkway Center ***CREDITS*** SWR# N/A r Site Address: 6600 SW Hampton St PLM# 2014-00022 Parcel#: S101AD03500 Fixture Value Previous Previous Credits Capped Fixture Fixture New New # \aloe count capped#s value count added# added value total#s total values Baptisery/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/Water Aspirator 1 0 ii 0 0 0 Dishwasher. -Commercial 4 0 0 0 0 0 -Domestic 2 0 n 0 0 0 Drinking Fountain 1 0 3 3 0 -3 -3 Eye Wash 1 0 u 0 0 (1 Floor Drain/Sink: -2 inch 2 0 2 4 0 -2 -4 -3 inch 5 0 13 63 0 -13 -65 -4 inch 6 0 1 6 0 -1 -6 -Car Wash 6 0 0 0 0 (I Garbage Disposal: -Domestic(to 3/4 HP) 16 (1 0 0 0 0 -Commercial(to 5 HP) 32 0 0 0 0 0 -Industrial(over 5 HP) 42 0 0 0 0 0 Ice Machine/Refrigerator Drain 1 0 0 0 0 0 Living Unit 16 0 I) 0 0 0 Oil Sep(Gas Station) 6 0 0 0 0 0 Rec.Vehide Dump station 16 0 u 0 0 0 Shower. -Gang(per head) 1 0 0 0 0 0 -Stall 2 0 I I 0 0 0 Sink: -Lav/Bar-Non-Food Related 2 0 34 6h 0 -34 -68 -Bradley 5 0 0 0 0 0 -Com/Sery/Util-Food Related 3 0 2 6 0 -2 -6 Swimming Pool Filter 1 0 i i 0 0 0 Washer-Clothes 6 0 0 0 0 0 Water Extractor 6 0 0 0 0 0 Water Closet-Toilet 6 0 14 S4 0 14 -84 Urinal 6 0 6 36 0 -6 -36 Previous EDU Count 0 0 Capped EDU Credit 0 TOTALS 0 0 75 272 Ii 0 -75 -272 Current Fixture Value -272 divided by 16= -17.000 Current EDU 1 EDU= $4,800.00 Previous Fixture Value 0 divided by 16= 0.000 Previous EDU Change -272 divided by 16= -17.000 over (under) $ (81,600.00) Enter EDU Change Here -17.000 Notes: ***CREDITS*** Authorized Name/Signature: Debbie.ldamski Date: 1/22/2014 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\SewerTallySheet_4800._070113.xlsx