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Permit CITY OF TIGARD PERMIT COMMUNITY DEVELOPMENT Permit#: PLM2014-00060 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/05/2014 Parcel: 1S136CC00100 Jurisdiction: TIGARD Site address: 8200 SW PFAFFLE ST Project: Westside Christian High School Subdivision: 2006-016 PARTITION PLAT Lot: 3 Project Description: Plumbing for future gym:add(4)rain drain connectors,(3)2"floor drains&(1)roof drain. 3/11/14 add(5)floor drains. 3/13/14 add(1)ice maker,(4)lays,(6)shower stalls, (1)whirlpool, (1)urinal&(3)toilets.3/17/14 add(1) lavatory.5/19/14:add(1)primer&(1)roof drain. 10/23/14 add(1)clothes washer. 11/17/14 remove(1)whirlpool. Contractor: TAPANI PLUMBING Owner: WESTSIDE CHRISTIAN HIGH SCHOOL PO BOX 2350 4565 CARMEN DRIVE BATTLE GROUND,WA 98604 LAKE OSWEGO, OR 97035 PHONE: 360-687-3983 PHONE: 503-697-4711 FAX: 360-687-4494 FEES Quantity Description Date Amount 653 Plumbing Permit 10/23/2014 $653.01 Specifics: 78 12%State Surcharge- 05/19/2014 $78.35 Plumbing Type of Use: COM Class of Work: OTR Type of Const: Occupancy Grp: Stories: Total $731.36 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: GA/ /51/Z 4 e.9770A 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 FOR OFFICE USE ONLY City of Tigard r Received !� / /'/Date/By 0 emit III 13125 SW Hall Blvd.,Tigard,O EJEO / �70C W(O Phone: 503.718.2439 Fax: 50 .5 t:. 17 a q ZP1A. Date/By: Other Permit /rR f�O' O/ T I C;A R D Inspection Line: 503.639.4175 a�l Z° Date Ready/By: tuns: ® See Page 2 for Internet: www.tigard-or.gov (� ®j Notified/Method: Supplemental Information TYPE OF W 13' I ! FEE* SCHEDULE ❑ New construction G} 1iittiott For special information use checklist. Description p I Qty. I Ea. I Total S 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 iii Commercial/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: O 2,00 S W pF.Ag-�'`t S'4. Catch basin or area drain 18.76 City/State/ZIP: 'r G✓ V Y q 7 2 23 Drywell,leach line,or trench drain 18.76 f yv✓� Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: Project name: (k C I. ;•. 1k 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: Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 `- Clothes washer 25.02 Pelt-Et (1) tr0,-. S Cc Dishwasher 25.02 14111440l Drinking fountain 25.02 Ejectors/sump 25.02 ❑ PROPERTY OWNER 0 TENANT Expansion tank 12.51 Name: Fixture/sewer cap 25.02 : - Floor drain/floor sink/hub 25.02 Address: Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 ❑ APPLICANT ® CONTACT PERSON Interceptor/grease trap 25.02 Business name: Medical gas(value:$ ) Page 2 �QQKb�n� �IPIL Primer 12.51 Contact name: Ma l k Roof drain(commercial) 12.51 Address: 2,10' 7 (tth- Ave h Sink/basin/lavatory 25.02 City/State/ZIP: 60,444_ G✓ouo,iA q 09 OU, Solar units(potable water) 62.54 Phone:(+;40) (g til- 3,a'3 Fax::(3(.c) 1 ( b1_ N tic U Tub/shower/shower pan - ` 12.51 E-mail: �9t,�f./ Urinal 25.02 SC�/"Nw1i ��1•Yl�• .orii Water closet 25.02 CONTRACTOR p Water heater 37.52 Business name: ��,nl 1 V�*.blri9 T i.e. Water piping/DWV 56.29 Address: Zed t i'�- ,4t,t. Other: 25.02 City/State/ZIP: Va,i'CK C+'rt A-KA, W A, Cj We-y, Subtotal `c ,3 y $3 Minimum permit fee: $72.50 Phone:( ) ")- Fax:(�IeO) r��7-�(t-(Q N Plan review (25%of permit fee) CCB Lic.: coci S8 Plumbing Lic.no.: 37-261 IT State surcharge(12%of permit fee) Authorized signature:"tee--- 1 / TOTAL PERMIT FEE Print name: Alf S I itec(.��. Date: rp-29-la l N 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. In Building Permits'PLMU-PermitApp.doc 10'01'09 440.4616T(10/02/COM/WEB) I. Plumbing Permit Application - City of Tigard 0-Go t- ).-6,� Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qt). Fee(ea) Total Square Footage: Permit Fee: Footing drain-1'100' 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 Valuation: Permit Fee: Storm&Rain Drain-1st 100' 62.54 $1.00 to 55,000.00 Minimum fee 572.50 Storm&Rain Drain-each additional 100' 37.52 S5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for Other Inspections or Fees Fee(ea) Total each additional$100.00 or fraction thereof,to I� 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/br $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/ Work Performed: apped Added Relocate revicu is required for any of the lull��u in . Relocate Baptistry Font Please check all that apply. Bath -TubiShower ❑ 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 ❑ 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. -4" Isometric or Riser Diagram Car Wash Drain El Isometric or riser diagram is required for new buildings Garbage -Domestic-non-food g q g Disposal -Domestic-food related that meet the qualifications above. -Commercial-food related _ -Industrial-food related Ice Mach./Refrig.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\troye\Downloads\PLMU-PermitApp(1).doc 2 III' Accumulative Sewer Tally ' Tenant Name: Westside Christian High School SWR# 2014-00017_REV6•Site Address: 8200 SW Pfaff le St PLM# 2014-00060 Parcel#: 1 S136CC00100 . Fixture Value Previous Previous Credits Capped Fixture Fixture New New # 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 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 0 0 0 0 Dishwasher. -Commercial 4 0 0 0 0 0 -Domestic 2 0 0 0 0 0 Drinking Fountain 1 0 0 0 0 0 Eye Wash 1 0 0 0 0 0 Floor Drain/Sink: -2 inch 2 0 0 8 16 8 16 -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 HP) 42 0 0 0 0 0 Ice Machine/Refrigerator Drain 1 0 0 1 1 1 1 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 6 12 6 12 Sink: -Lay/Bar-Non-Food Related 2 0 0 5 10 5 10 -Bradley 5 0 0 0 0 0 -Com/Serv/Util-Food Related 3 0 0 0 0 0 Swimming Pool Filter 1 0 0 0 0 0 Washer-Clothes 6 0 0 1 6 1 6 Water Extractor 6 0 0 0 0 0 Water Closet-Toilet 6 0 0 3 18 3 18 Urinal 6 0 0 1 6 1 6 Previous EDU Count 0 0 Capped EDU Credit 0 TOTALS 0 _ 0 0 0 _ 25 69 25 69 Current Fixture Value 69 divided by 16= 4.313 Current EDU 1 EDU= $4,800.00 Previous Fixture Value 0 divided by 16= 0.000 Previous EDU Change 69 divided by 16= 4.313 over (under) $ 20,688.00 Enter EDU Change Here 4.310 Notes:3/11/14:add(5)floor drains to scope of work. 3/13/14,add(6)showers,(1)whirlpool,(1)ice machine,(4)lays,(3)toilets&(1)urinal. 3/17/14:add(1)lay.10/23/14:add(1)clothes washer. 10/23/14:correct(6)tub/showers to shower stalls. 11/17/14:remove(1)whirlpool. Authorized Name/Signature: Dianna Howse Date: 11/17/2014 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 City of Tigard-Building Division 12/2/2014 By Dianna Howse PLM2014-00060: Westside Christian High School-Plumbing Permit Fee Summary , 1 1 Invoice# Date Assessed Fee Item Quantity Unit Fees Notes 180816 10/23/2014 12%State Surcharge- Plumbing 3 Dollar Amt $ 3.00 180814 10/23/2014 12%State Surcharge-Plumbing _ 3 Dollar Amt $ 3.00 _ 180814 10/23/2014 12%State Surcharge-Plumbing 3 Dollar Amt $ 3.00 180814 10/23/2014 12%State Surcharge-Plumbing 36.02 Dollar Amt $ 36.02 180814 10/23/2014 12%State Surcharge-Plumbing 15.02 Dollar Amt $ 15.02 180814 10/23/2014 12%State Surcharge-Plumbing 19.51 Dollar Amt $ 19.51 178599 5/19/2014 Roof Drain(Commercial) 1 Each $ 12.51 178599 5/19/2014 Primer 1 Each $ 12.51 177701 3/17/2014 Lavatories 1 Each $ 25.02 177676 3/13/2014 Water Closet 3 Each $ 75.06 177676 3/13/2014 Rain Drain Connector 4 Each $ 75.04 177676 3/13/2014 Floor Drain/Floor Sink/Hub 8 Each $ 200.16 177676 3/13/2014 Ice Maker 1 Each $ 12.51 177676 3/13/2014 Roof Drain(Commercial) 1 Each $ 12.51 177676 3/13/2014 Lavatories 4 Each $ 100.08 177676 3/13/2014 Tub/Shower/Shower Pan 7 Each $ 87.57 (6)stalls&(1)whirlpool tub 177676 3/13/2014 Urinal 1 Each $ 25.02 180816 10/23/2014 Clothes Washer 1 Each $ 25.02 Total Plumbing Permit Fees $ 663.01 Total 12%State Surcharge $ 79.55 Total Permit Fees Paid $ 742.56 �' _ \ 12/2/2014 Refund Plumbing Permit Fees $ 10.00 Remove whirlpool tub 1 12/2/2014 Refund 12%State Surcharge $ 1.20 O Total Refund $ 11.20 s , O Total Permit Fees Paid $ 731.36 d !111111 CITY OF TIGARD RECEIPT I . 13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 TIGARD Receipt Number: 198132 - 10/23/2014 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID PLM2014-00060 Clothes Washer 230-0000-43101 $25.02 PLM2014-00060 12% State Surcharge-Plumbing 100-0000-24001 $3.00 Total: $28.02 PAYMENT METHOD CHECK# CC AUTH.CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Credit Card 313202 DADAMSKI 10/23/2014 $28.02 Payor: Darrin Stewart-Tapani Plumbing Total Payments: $28.02 Balance Due: $0.00 ii/z��y /9/°,L y E�tiI/ 7 a S. Dom-- /P- °7v 3 , ,/ , .,,,15(fri---- Page 1 of 1 CITY OF TIGARD RECEIPT Vs R 13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 TIGARD Receipt Number: 196095 - 05/19/2014 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID PLM2014-00060 Primer 230-0000-43101 $12.51 PLM2014-00060 Roof Drain(Commercial) 230-0000-43101 $12.51 PLM2014-00060 12%State Surcharge-Plumbing 100-0000-24001 $3 00 Total: $28.02 PAYMENT METHOD CHECK# CC AUTH.CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Credit Card 623794 BTAGGART 05/19/2014 $28.02 Payor: David Millerjord/Tapani Plumbing Total Payments: $28.02 Balance Due: $0.00 /01-/P-// /6944--- Page 1 of 1 CITY OF TIGARD IIIRECEIPT s . 13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 TIGARD Receipt Number: 195247 - 03/17/2014 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID PLM2014-00060 Lavatories 230-0000-43101 $25.02 PLM2014-00060 12%State Surcharge-Plumbing 100-0000-24001 $3.00 Total: $28.02 PAYMENT METHOD CHECK# CC AUTH.CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Credit Card 675743 BTAGGART 03/17/2014 $28.02 Payor: Darrin Stewart Total Payments: $28.02 Balance Due: $0.00 /z/L1/ / v e--/ /4'672 . T d 5 . 0c I/ / - °7a 3 , ,/ Page 1 of 1 CITY OF TIGARD RECEIPT II 111111 s 13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 TIGARD Receipt Number: 195231 - 03/13/2014 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID P LM2014-00060 Lavatories 230-0000-43101 $100.08 PLM2014-00060 Tub/Shower/Shower Pan 230-0000-43101 $87.57 P LM2014-00060 Urinal 230-0000-43101 $25.02 PLM2014-00060 Water Closet 230-0000-43101 $75.06 PLM2014-00060 Ice Maker 230-0000-43101 $12.51 PLM2014-00060 12% State Surcharge-Plumbing 100-0000-24001 $36.02 Total: $336.26 PAYMENT METHOD CHECK# CC AUTH.CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Credit Card 614974 DADAMSKI 03/13/2014 $336.26 Payor: Darrin Stewart-Tapani Plumbing Total Payments: $336.26 Balance Due: $0.00 /c.V0,7_//V .9P/e L L�-kr, T Sod ,, 2 9 — /o , rO .:29o , ay /2 °/d 6 i o.2- — /, Ad r 3171, ?2 ., 334 . 4 3d-c. 0 — // . P- o Page 1 of 1 1111 CITY OF TIGARD RECEIPT _ _ 13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 TIGARD Receipt Number: 195189 - 03/11/2014 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID PLM2014-00060 Floor Drain/Floor Sink/Hub 230-0000-43101 $75.06 PLM2014-00060 Rain Drain Connector 230-0000-43101 $37.53 PLM2014-00060 Roof Drain (Commercial) 230-0000-43101 $12.51 PLM2014-00060 12%State Surcharge-Plumbing 100-0000-24001 $15.02 Total: $140.12 PAYMENT METHOD CHECK# CC AUTH.CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Credit Card 604135 DADAMSKI 03/11/2014 $140.12 Payor: Darrin Stewart -Tapani Plumbing Total Payments: $140.12 Balance Due: $0.00 /4;"?'// 7 /9"x/4" V fi6 M� i /a3 , / `l./2 />a7e) /S . o -_ I/ Page 1 of 1 u CITY OF TIGARD RECEIPT 11111 ; - 13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 TIGARD Receipt Number: 195101 - 03/04/2014 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID PLM2014-00060 Rain Drain Connector 230-0000-43101 $37.51 PLM2014-00060 Floor Drain/Floor Sink/Hub 230-0000-43101 $125.10 PLM2014-00060 12% State Surcharge-Plumbing 100-0000-24001 $19.51 Total: $182.12 PAYMENT METHOD CHECK# CC AUTH.CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Credit Card 635025 DADAMSKI 03/04/2014 $182.12 Payor: Lars Hendrickson-Tapani Plumbing Inc Total Payments: $182.12 Balance Due: $0.00 felle //1 -/.._______9?ii_j___ PE//1/11/7— /6 .2 . 6 /arc) / 9, Si leg/ Page 1 of 1 CITY OF TIGARD j PLUMBING PERMIT ! g COMMUNITY DEVELOPMENT /444trij at Permit#: PLM2014-00060 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/05/2014 Parcel: 1 S136CC00100 Jurisdiction: TIGARD Site address: 8200 SW PFAFFLE ST Project: Westside Christian High School Subdivision: 2006-016 PARTITION PLAT Lot: 3 Project Description: Shell plumbing for future gym.Install(4)rain drain connectors,(3)2"floor drains&(1)roof drain. 3/11/14 add(5) additional floor drains.3/13/14 add(1)ice maker,(4)lays,(6)showers,(1)whirlpool,(1)urinal&(3)toilets.3/17/14 add(1)lavatory.5/19/14:add(1)primer and(1)roof drain. 10/23/14 add(1)clothes washer. Contractor: TAPANI PLUMBING Owner: WESTSIDE CHRISTIAN HIGH SCHOOL PO BOX 2350 4565 CARMEN DRIVE BATTLE GROUND,WA 98604 LAKE OSWEGO,OR 97035 PHONE: 360-687-3983 PHONE: 503-697-4711 FAX: 360-687-4494 FEES Quantity Description Date Amount 8 ea Floor Drain/Floor Sink/Hub 03/11/2014 $200.16 Specifics: 1 ea Ice Maker 03/13/2014 $12.51 1 ea Roof Drain(Commercial) 03/11/2014 $12.51 Type of Use: COM 4 ea Lavatories 03/13/2014 $100.08 Class of Work: OTR 7 ea Tub/Shower/Shower Pan 03/13/2014 $87.57 Type of Conet: ea Urinal 03/13/2014 $25.02 Occupancy Grp: 3 ea Water Closet 03/13/2014 $75.06 Stories: 4 ea Rain Drain Connector 03/11/2014 $75.04 1 ea Lavatories 03/17/2014 $25.02 1 ea Primer 05/19/2014 $12.51 1 ea Roof Drain(Commercial) 05/19/2014 $12.51 20 12%State Surcharge- 03/04/2014 $19.51 Plumbing 15 12%State Surcharge- 03/11/2014 $15.02 Plumbing 36 12%State Surcharge- 03/13/2014 $36.02 Plumbing Total $742.56 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 o ONC by calling 503.232.1987 or 1.800.332.2344. Issued y: �1 S4�/ Permittee Signatur� p/ /� 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 RECEIVED FOR OFFICE USE ONLY Cl O Tl and R / Permit No.: FL/ ^n / of g _Date/By: to 93 ♦ -� irf�/ d10 0 13125 SW Hall Blvd.,Tigard,OR 9'722.131r T 2 3 2J'4 Plan Review • ■ Phone: 503.718.2439 Fax: 503.598.1 Date/By: Other Permit No.: Inspection Line: 503.639.4175 Date Ready/By: Juris El Page 2 for TIGARD CITY (�(?�(�L) y g Internet: www.tigard-or.gov �I lull t� Notified/Method: Supplemental Information TYPE OF W t rIif!II iP FEE* SCHEDULE ❑New construction ❑Demolition For special information use checklist. Description I Qty. I Ea. I Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 El 1-and 2-family dwelling ❑Commercial/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( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities:Ak-ife Job site address: Catch basin or area drain 18.76 �:=2`00 L� dC.v Drywell,leach line,or trench drain 18.76 City/State/ZIP: __ Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: Project name: )c.47-5/77 E Qj Snr,Q,(( vlanufactured home utilities 50.03 Cross street/directions to job site: V r/4 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: I Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 -7:ifer2Z-OW-1,_ ,,� . Clothes washer / 25.02 &15,(77--&15,(77--kaft. ""-"�" Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ❑ PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name: Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 ❑ APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name: Medical gas(value:$ ) Page 2 Primer 12.51 Contact name: Roof drain(commercial) 12.51 Address: Sink/basin/lavatory 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax::( ) Tub/shower/shower pan 12.51 E-mail: Urinal 25.02 Water closet 25.02 CONTRACTOR Water heater 37.52 Business name: Water piping/DWV 56.29 Address: Other: 25.02 City/State/ZIP: Subtotal 2:02 Phone:( ) Fax:( ) Minimum permit fee: $72.50 CCB Lic.: Plumbing Lic.no.: Plan review (25%of permit fee) ----- State surcharge(12%of permit fee) S d Authorized signature: TOTAL PERMIT FEE o2g.,02-' Print name: f Date: 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-PermitApp doc 10/01/09 440-4616T(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-1"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 Valuation: Permit Fee: Storm&Rain Drain-1st 100' 62.54 $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for Other ec Ins tions or Fees Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to Inspections 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*. Plan Review for Plumbing Installations Quantity by Fixture Type Plan review is required for any of the following. Fixture Type for Replace/ Please check all that apply. Work Performed: Capped Added Relocate Baptistry/Font ❑ Any new commercial building with water service 2"and greater,except systems designed and stamped by licensed Bath: -Tub/Shower -Jacuzzi/Whirlpool engineer. Car Wash: Each Stall - ❑ New exterior plumbing site utilities for any complex structure Drive Stall as defined in OAR918-780-0040. Cuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities. Dishwasher: Commercial ❑ Any multipurpose fire sprinkler system. Domestic ❑ Any complex structure as defined in OAR918-780-0040. Drinking Fountain Eye Wash Submit 2 sets of plans with any of the above. Floor Drain/sink: -2" 3" Isometric or Riser Diagram ❑ Isometric or riser diagram is required for new buildings -Car Wash Drain that meet the qualifications above. Garbage -Domestic non-food Disposal: -Domestic food related -Commercial food related -Industrial food related Ice Mach./Refrig.Drains Comments regarding fixture work: Oil Separator(Gas Station) Rec.Vehicle Dump Station Shower: -Gang -Stall Sink: -LavBar non-food related -Bradley -Com/Serv/Util food related -Service *Note: If the fixture work under this permit results in an Swimming Pool Filter increase of sewer EDUs,a sewer permit will be issued and Washer-Clothes fees assessed for the sewer increase must be aid before the Water Extractor p Water Closet-Toilet plumbing permit can be issued. Urinal Other Fixtures: l:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2 CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT Permit#: PLM2014-00060 Date Issued: 03/05/2014 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 pr� �/� Parcel: 1S 136CC00100 Jurisdiction: TIGARD Site address: 8200 SW PFAFFLE ST Project: Westside Christian High School Subdivision: 2006-016 PARTITION PLAT Lot: 3 Project Description: Shell plumbing for future gym. Install(4)rain drain connectors,(3)2"floor drains&(1)roof drain. 3/11/14, reprinted to add(5)additional floor drains.3/13/14,reprinted to add(1)ice maker,(4)lays,(6)showers.(1) whirlpool,(1)urinal&(3)toilets.3/17/14:Reprinted permit to include(1)lavatory.5/19/14:Reprinted permit to Contractor: TAPANI PLUMBING Owner: WESTSIDE CHRISTIAN HIGH SCHOOL PO BOX 2350 4565 CARMEN DRIVE BATTLE GROUND,WA 98604 LAKE OSWEGO, OR 97035 PHONE: 503-697-4711 HONE: 360-687-3983 FAX: 360-687-4494 FEES Quantity Description Date Amount 8 ea Floor Drain/Floor Sink/Hub 03/11/2014 $200.16 Specifics: 1 ea Ice Maker 03/13/2014 $12.51 1 ea Roof Drain(Commercial) 03/11/2014 $12.51 Type of Use: COM 4 ea Lavatories 03/13/2014 $100.08 Class of Work: OTR 7 ea Tub/Shower/Shower Pan 03/13/2014 $87.57 Type of Conet: 1 ea Urinal 03/13/2014 $25.02 Occupancy Grp: 3 ea Water Closet 03/13/2014 $75.06 Stories: 1 12%State Surcharge- 03/13/2014 $70.55 Plumbing 4 ea Rain Drain Connector 03/11/2014 $75.04 1 ea Lavatories 03/17/2014 $25.02 3 12%State Surcharge- 03/17/2014 $3.00 Plumbing 1 ea Primer 05/19/2014 $12.51 1 ea Roof Drain(Commercial) 05/19/2014 i1251 3 12%State Surcharge- 05/19/2014 $3.00 Ph imbing -- Total $714.54 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.` Issued By: •- ee Signature: /Pa 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 Annlication -7 .... Building Fixtures ,.ii:' , FOR ()Fli( : ISE ti\I 1 City or Tigard =fall xi( k4, P"Thil N° tifole/ eellt166 Ilh.,„, • 13125 SW Hall Blvd.,Tigard,OR 97223 Pim Review I ' phone: 303 7Ig_2439 Fax: 503 598.1960 Other Pannsi No flially Inspection Eine 503.639.4175 ,r,:, , raise Ready/By krt. 111 Ste Paw 2 fdtr i I t'A it i) Internet. wwwtigard-or.gov kJ" ', NontlecYMediet se 4 tenitatal tatennetwa r * '1":1.44-<''''' ': En* settroviz 0 Ncw construction 0 Demolition - - % Description For special i . ,on use cheat& Ea Tottd 0 Addition/alteration/replacement 0 Other ° ill -.0.00111ER Nei'I-2-limit &MU'.., (includes 100 it rut each uillitLconnettion): CROCCRIV or- I '' ' 1 4 ik41 SFR(1)bath 312 70 ....--_ SFR(2)bath I 437 78 0 I-and 2-family dwelling 0 Coenmerci .5'stria! II - SFR(3)bath 500 32 0 Accessory building 0 Multi-family Facts additional bath/kitchen 25 02 0 Master builder 0 Other: „ 41 Fire sprinkler( so ft) Page 2 JOB MU INFORMATION AND LOCAT . 1 fl) illrj SEES c Site utilities: etch basin or area drain 18 76 Job site address... ''' )..C. '( ) 7 2..„....) / .io....i .,,k..4. _ 13rywell,leach line,or trench drain 18 76 t Ity/StaterlIP' ( Footing drain(no linear ft. ) Page 2 Suite/bldg./apt.no.: Prnicil Hanle' -5,,lit,72k.'-‘,..ii:0-...-- ill•-.1.6.4atufactured home utilities 50 03 i-- ... - Cross street/directions to job site: Manholes III 76 ..., 0 Rain drain connector 1)176 Sanitary sewer(no.linear ft.: ) Page 2 .-- Storm sewer(no linear ft.:____,) Page 2 Water service(no.linear tt. ) Page 2 Subdivision: 1 1,o1 no Fixture or item Backtlow presenter 31 27 Tax map/parcel no.: DESCRIPTION OP WORK Backwater aler Val" 12 51 - '' i --e-6 , Clothes ember 25 02 P < / e&C Dishwasher 251)2 .._. ,ckarkcicd.....t-0.. .... ._t.t..1 .6..! ..er..Isn,24-7,..(1).."..-?)....0..-ECAOJAiri Drinking fountain , 6triln Ejectors/sump 25(12 2512 St-1/q ei , .T. . OWNER 1 0 TENANT Expansion tank 12 51 Fixture/sewer cap 25 02 Name: — Floor drain/floor sirk/hub 25 02 Address: - Garbage disposal 25 02 _ . City/State//JP: Hose bib 25 02 Phone:( ) Fax:t ) Ice maker 1 2 5 1 . „ 0 APPLICANT 13 CONTACT PERSON IthereePthr/grease iraP 25 02 - — A xiMdl ( l S Page 2 gas(value ) age Business name: Contact name: f \ V141 Primer C.4,,A1 Roof drain(commercial) i .1- 12 51 / 5 Address: _ t (i\\=.1- i Siniubasitory : 23 025 10e444'- ._ C it)i StateiZI P: .i.ii.* t) i Solar units(potible water) b2 54 Phone:( ) I Fax::( I IA' 11%A Tub/shower/shower pan 1251 E-mail: )11 Urinal Water closet 25 02 -rii te* CONTRACTORi , Water heater 37 52 -_ - Business name. • e a illAg.,4,..4,6 Water piping/T)W V 5629 ___ Address: Other: 25.02 City/State/Z1P: Subtotal _395' .(.e . -------..---- _ Phone:( ) Fax:( ) Minimum permit fee. 572 50 * — Plan review (25,‘of penult fee) ----• CCII Tic.: Plumbing Lie no.: - State surcharge(12%of permit fee) q 03 Authorized signature:/ -2-'7"--1 101AI rFamn.FEE :3(061, )...4.31 Print name. 0,... Cj - -k .,_Date' 4.//341 01'i This permit application espim if a person is met obtained within tael bays , .•,,s,(,•... . c••JO a after it has beta accepted as complete. *Fee luelliodoloitv set bs TrIA'ourri■Butlitmg industry Sets ice Board 1 bustoilamPernotv,P1 NW•PeowatApp do 1001109 440- 00 4610 I(101C(MAYEA0) t alr. .....2_ CITY OF TIGARD PLUMBING PERMIT 4 t s COMMUNITY DEVELOPMENT M Permit#: PLM2014-00060 Date Issued: 03/05/2014 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503 718.2439 Parcel: 1S136CC00100 Jurisdiction: TIGARD Site address: 8200 SW PFAFFLE ST Project: Westside Christian High School Subdivision: 2006-016 PARTITION PLAT Lot: 3 Project Description: Shell plumbing for future gym. Install(4)rain drain connectors,(3)2"floor drains&(1)roof drain 3/11/14. reprinted to add(5)additional floor drains.3/13/14.reprinted to add(1)ice maker,(4)lays.(6)showers.(1) whirlpool,(1)urinal&(3)toilets.3/17114:Reprinted permit to include(1)lavatory. Contractor: TAPANI PLUMBING Owner: WESTSIDE CHRISTIAN HIGH SCHOOL PO BOX 2350 4565 CARMEN DRIVE BATTLE GROUND. WA 98604 LAKE OSWEGO, OR 97035 PHONE 360-687-3983 PHONE. 503-697-4711 FAX 360-687-4494 FEES Quantity Description Date Amount 8 ea Floor Drain/Floor Sink/Hub 03/11/2014 $200 16 Specifics: 1 ea Ice Maker 03/13/2014 $12 51 1 ea Roof Drain(Commercial) 03/11/2014 $12 51 Type of Use: COM 4 ea Lavatories 03/13/2014 $100 08 Class of Work: OTR 7 ea Tub/Shower/Shower Pan 03/13/2014 $87.57 Type of Const: 1 ea Urinal 03/13/2014 $25 02 Occupancy Grp: 3 ea Water Closet 03/13/2014 $75 06 Stories: 1 12%State Surcharge- 03/13/2014 $70 55 Plumbing 4 ea Rain Drain Connector 03/11/2014 $75 04 1 ea Lavatories 03/17/2014 $25 02 3 12%State Surcharge- 03/17/2014 $3 00 Plumbing Total S686 52 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: � _ Ceti 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 • f f PLUMBING PERMIT t C r Permit#: PLM2014-00060 COMMUNITY DEVELOPMENT 13125 SW Hall Blvd..Tigard OR 97223 503.718.2439 Date Issued: 03/05/2014 TIGARD Parcel: 1 S136CC00100 Jurisdiction: TIGARD Site address: 8200 SW PFAFFLE ST Project: Westside Christian High School Subdivision: 2006-016 PARTITION PLAT Lot: 3 Project Description: Shell plumbing for future gym. Install(4)rain drain connectors,(3)2"floor drains&(1)roof drain. 3/11114. reprinted to add(5)additional floor drains. 3/13/14.reprinted to add(1)ice maker.(4)lays.(6)showers,(1) whirlpool,(1)urinal&(3)toilets. — —� Contractor: TAPANI PLUMBING Owner: WESTSIDE CHRISTIAN HIGH SCHOOL PO BOX 2350 4565 CARMEN DRIVE BATTLE GROUND,WA 98604 LAKE OSWEGO. OR 97035 P PHONE 503-697-4711 PHONE 360-687-3983 FAX 360-687-4494 FEES Quantity Description Date Amount 8 ea Floor Drain/Floor Sink/Hub 03/11/2014 $200.16 Specifics: 1 ea Ice Maker 03/13/2014 $12.51 1 ea Roof Drain(Commercial) 03/11/2014 $12 51 Type of Use: COM 4 ea Lavatories 03/13/2014 $100.08 Class of Work: OTR 7 ea Tub/Shower/Shower Pan 03/13/2014 $87.57 Type of Const: 1 ea Urinal 03/13/2014 $25.02 Occupancy Grp: 3 ea Water Closet 03/13/2014 S75.06 Stories: 1 12%State Surcharge- 03/13/2014 570.55 Plumbing 4 ea Rain Drain Connector 03/11/2014 575.04 Total 5658 50 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 Utilit r nation rater. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules o irect questions to OUfVG.by g 503.232.1987 or 1.800.332.2344. sued By: Permittee 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 Fixtures iE1F it FOR OFFICE USE ()NI \ City of Tigard Date/By:Received: t /2 /y t ,4, Permit No.: /LW/ -�/Q�Q :1111 + 13125 SW Hall Blvd.,Tigard,OR 97223 , DatelBy: rv.+"/ ■ Phone: 503.718.2439 Fax: 503.598.1960 'j Plan Review Date/By: Other Permit No.: T I G A R u Inspection Line: 503.639.4175 y,� Date Ready/By: Ions 0 See Page 2 for Internet: www.tigard-or.gov Wit t..1 Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ❑New construction ❑Demolition For special information use checklist Description I Qty. I Ea. I Total ❑Addition/alteration/replacement ❑Other. • `, New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION yr SFR(1)bath 312.70 ❑ I-and 2-family dwelling ❑Commerci., rustrial 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( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: $ U CJ�) P..„il o Catch basin or area drain 1 8.76 WO �Ut `"` Drywell,leach line,or trench drain 18.76 City/State/ZIP: i Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name: �3t - b.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 It.:_) Page 2 Subdivision: I Lot no.: Fixture or item: Tax map/parcel no Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 (__24? C' nL / , 1 �C ! c) Clothes washer 25.02 /` ,J Y- (� Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ❑ PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name: Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: - - - Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 C)1�.�l ❑ APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 1,� Business name: Medical gas(value:$ ) Page 2 Lei) Primer 12.51 Contact name: � l`%/ (b t Roof drain(commercial) 12.51 06 Address: Sink/basi avatory� 25.02 C 5-14-e4-..... ity/State/ZIP: Air b•{ ' Solar units(potable water) 62.54 Phone:( ) Fax::( ) A,' 41`1'1 Tub/shower/shower pan 12.51 _ i�ti'7 Urinal 25.02 l E-mail: a5 CONTRALTO Water closet 25.02 -76. Water heater 37.52 Business name: J � Water piping/DWV 56.29 Address: Other: 25.02 City/State/"LIP: Subtotal . S' Phone:( ) Fax:( ) Minimum permit fee: $72.50 CCB Lic.: Plumbing Lic.no.: Plan review (25%of permit fee) ---- State surcharge(12%of permit fee) ',..3q.03 Authorized signature: / TOTAL PERMIT FEE 7(Li1[ Print name: { \ Date: ) This permit application expires if a permit is not obtained within ISO lays Kll C i• k.('k /�/,2 l after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I\Building∎Permits\PLMU-PermltApp doc 10/01/09 440-4616T(10/02/COSUWEB) 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 $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 Valuation: Permit Fee: Storm&Rain Drain- 1st 100' 62.54 $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to Other Inspections or Fees 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 40.00/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*. Plan Review for Plumbing Installations Quantity by Fixture Type Plan review is required for any of the following. Fixture Type for Replace/ Please check all that apply. Work Performed: Capped Added Relocate ❑ Any new commercial building with water service 2"and Baptistry/Font greater,except systems designed and stamped by licensed Bath: -Tub/Showsk-Tub/Show engineer. ]acu hirl Car Wash: -Each Stall ❑ New exterior plumbing site utilities for any complex structure Drive tall as defined in OAR918-780-0040. Cuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities. Dishwasher: -Commercial ❑ Any multipurpose fire sprinkler system. Domestic El Any complex structure as defined in OAR918-780-0040. Drinking Fountain Eye Wash Submit 2 sets of plans with any of the above. Floor Dram/sink: -2" 3" Isometric or Riser Diagram ❑ Isometric or riser diagram is required for new buildings -Car Wash Drain Garbage Domestic non-food that meet the qualifications above. Disposal: -Domestic food related -Commercial food related -Industrial food related Ice Mach./Refrig.Drains 1 Comments regarding fixture work: Oil Separator(Gas Station) Rec.Vehicle Dump Station Shower: -Gang -Stall Sink: -Lav/Bar non-food related C� -Bradley -Com/Serv/Util food related -Service *Note: If the fixture work under this permit results in an Swimming Pool Filer increase of sewer EDUs,a sewer permit will be issued and Washer-Clothes fees assessed for the sewer increase must be paid before the Water Extractor Water Closet-Toilet plumbing permit can be issued. Urinal Other Fixtures: 1:1Building\Permits\PLMF_PermitApp.doc 08/04/2011 2 Accumulative Sewer Tally III r Tenant Name: Westside Christian High School-Revision 2 S It# 2014-00017 Site Address: 8200 SW Pfaff le St PLM# 2014-00060 TIG RD Parcel#: 1 S136CC00100 Fixture Value Previous Previous Credits Capped Fixture Fixture New New # 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 6 24 6 24 -Jacuzzi/Whirlpool 4 0 0 1 4 1 4 Car Wash: -Each Stall 6 0 0 0 0 0 -Drive through 16 0 0 0 0 0 Cuspidor/Water Aspirator 1 0 0 0 0 0 Dishwasher: -Commercial 4 0 U 0 0 0 - Domestic 2 0 0 0 0 0 Drinking Fountain 1 0 II 0 0 0 Eve Wash 1 0 0 0 0 0 Floor Drain/Sink: -2 inch 2 0 U 0 0 0 -3 inch 5 U U 0 0 0 -4 inch 6 I 1 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 HP) 42 0 0 0 U 0 Ice Rlachine/Refrigerator Drain 1 0 0 1 1 1 1 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 U U Shower: -Gang per head) 1 U 0 0 0 0 -Stall 2 0 0 Il U 0 Sink: -Iav/Bar-Non-Food Related 2 0 0 5 10 5 10 - Bradley 5 0 0 0 0 0 -Com/Serv/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 0 3 18 3 18 Urinal 6 0 0 1 6 1 6 Previous EDU Count 0 0 Capped EDU Credit 0 TOTALS U 0 _ 0 _ 0 17 63 17 63 Current Fixture Value 63 divided by 16= 3.938 Current F.DU 1 EDU= $4,800.00 Previous Fixture Value 0 divided by 16= 0.000 Previous EDU Change 63 divided by 16= 3.938 over (under) 5 18,912.00 Enter EDU Change Here 3.940 Notes: 3/13/14,adding to scope of work. Authorized Name/Signature: Debbie Adamski/Brandon Taggart Date: 3/17/2014 Building Division Note: The property owner shall retain the ORIGINAL sewer tally record. I f 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\SewerTallyShect_480U. 0701 I 3.xlsx CITY OF TIGARD f PLUMBING PERMIT ., II s COMMUNITY DEVELOPMENT Permit#: PLM2014-00060 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 � Date Issued: 03/05/2014 Parcel: 1 S136CC00100 Jurisdiction: TIGARD Site address: 8200 SW PFAFFLE ST Project: Westside Christian High School Subdivision: 2006-016 PARTITION PLAT Lot: 3 Project Description: Shell plumbing for future gym Install(4)rain drain connectors.(3)2"floor drains&(1)roof drain. 3/11/14, reprinted to add(5)additional floor drains. Contractor TAPANI PLUMBING Owner: WESTSIDE CHRISTIAN HIGH SCHOOL PO BOX 2350 4565 CARMEN DRIVE BATTLE GROUND.WA 98604 LAKE OSWEGO. OR 97035 PHONE 360-687-3983 PHONE: 503-697-4711 FAX 360-687-4494 FEES Quantity Description Date Amount 4 ea Rain Drain Connector 03/04/2014 $75 04 Specifics: 8 ea Floor Drain/Floor Sink/Hub 03/11/2014 $200.16 1 ea Roof Drain(Commercial) 03/04/2014 $12 51 Type of Use: COM 1 12%State Surcharge- 03/11/2014 $34.53 Class of Work: OTR Plumbing Type of Const: Occupancy Grp: Stories: Total 5322 24 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 qu on's(o NC by calling 503.232 1987 or 1.800.332.2344 Issued y: C Permittee 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 Fixtures iIECFR/Fp FOR OFFICE USE ONL Received City of Tigard - Permit Na. 13125 SW Hall Blvd.,Tlgard,OR �( y - Phone: 503.718.2439 Fax: 503.598.1964 1 1 2014 Plan Other Permit No.. Inspection Line: 503.639.4175 y TIGARD aliT�'OF IIGAR[ DateReadyBy: runs. H SeePage2For Internet: www.ligard-or.gov Notified/Method: Supplemental Information TYPE OF WOR1PIM'f RM FEE' SCHEDULE ❑New construction ❑Demolition For special information use checklist Description I Qty. I Ea. I Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility correction) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ❑ I-and 2-family dwelling ❑Comercial/industrial SIR(2)bath 437.78 m SFR(3)bath 500.32 ❑Accessory building ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder El Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATIRN AND LOCATION Site utilities: Job site address: g do Q 614-e, e Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP: Footing drain(no.linear ft.: 1 Page 2 Suite/bldg./apt.no.: I Project name: Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear fl.: ) 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.: Dackflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 d��jj � _\ Clothes washer 25.02 _ (' J i5t, ,QJleu"�a t Dishwasher 25.02 , c/-/ a[,/q --6666o Drinking fountain 25.02 Ejectors/sump 25.02 ❑ PROPERTY OWNER ] 0 TENANT Expansion tank 12.51 Name: Fixture/sewer cap 25.02 Floor drain/floor sirk/hub 5- 25.02 /( 6-Jo Address: Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) lee maker 12.51 ❑ APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name: Medical gas(value:$ ) Page 2 Primer 12.51 Contact name: Roof drain(commercial) 12.51 Address: Sink/basin/lavatory 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax::( ) Tub/shower/shower pan 12.51 E-mail: Urinal 25.02 CONTRA OR Water closet 25.02 ` Water heater 37.52 Business name ✓i , Ijt-�,�r Water t m DWV 56.29 ffffff S P P P� Address: Other: 25.02 City/State/ZIP: Subtotal /VC../D Minimum permit fee: $72.50 .- Phone:( ) Fax:( ) - Plan review (25%of permit fee) CCB Lie.: P u� g Lie.no.: State surcharge(12%of permit fee) /5--.411 Authorized signaturff '"'e} / TOTAL PERMIT FEE /Li 0, This permit application expires if a permit is not obtained within 1 0 days Print name: Date' after it has been accepted as complete. "Fee methodology set by Tri-County Building Industry Service Board. I\Building\Permits\PLNU-PermiiApp doc 10/01/09 440-4616T(10/02/COMNBEB) 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 $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 Valuation: Permit Fee: Storm&Rain Drain-1st 100' 62.54 , $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for Other ect Ins ions or Fees Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to Inspections 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 fur 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*. Plan Review for Plumbing Installations Quanti y by Fixture Type Plan review is required for any of the following. Fixture Type for Replace/ Please check all that apply. Work Performed: Capped Added Relocate ❑ Any new commercial building with water service 2"and Baptistry/Font greater,except systems designed and stamped by licensed Bath: -Tub/Shower engineer. -Jacuzzi/Whirlpool Car Wash: -Each Stall ❑ New exterior plumbing site utilities for any complex structure Drive Stall as defined in OAR918-780-0040. Cuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities. Dishwasher: Commercial ❑ Any multipurpose fire sprinkler system. Domestic ❑ Any complex structure as defined in OAR918-780-0040. Drinking Fountain Eye Wash Submit 2 sets of plans with any of the above. Floor Drain/sink: -2" 3" Isometric or Riser Diagram ❑ Isometric or riser diagram is required for new buildings -Car Wash Drain Garbage -Domestic non-food that meet the qualifications above. Disposal: -Domestic food related -Commercial food related -Industrial food related Ice Mach./Refrig.Drains Comments regarding fixture work: Oil Separator(Gas Station) Rec.Vehicle Dump Station Shower: -Gang -Stall Sink: -I.avBar non-food related -Bradley -Com/Serv/Util food related -Service *Note: If the fixture work under this permit results in an Swimming Pool Filter increase of sewer EDUs,a sewer permit will be issued and•Washer-Clothes fees assessed for the sewer increase must be paid before the Water Extractor WaterCloset-Toilet plumbing permit can be issued. Urinal Other Fixtures: I:1Building\Permits\PLMF_PermitApp.doc 08/04/2011 '7 CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT Permit#: PLM2014-00060 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/05/2014 Parcel: 1 S136CC00100 Jurisdiction: TIGARD Site address: 8200 SW PFAFFLE ST Project: Westside Christian High School Subdivision: 2006-016 PARTITION PLAT Lot: 3 Project Description: Shell plumbing for future gym.Install(4)rain drain connectors,(3)2"floor drains&(1)roof drain. Contractor: TAPANI PLUMBING Owner: WESTSIDE CHRISTIAN HIGH SCHOOL PO BOX 2350 4565 CARMEN DRIVE BATTLE GROUND,WA 98604 LAKE OSWEGO,OR 97035 PHONE: 360-687-3983 PHONE: 503-697-4711 FAX: 360-687-4494 FEES Quantity Description Date Amount 4 ea Rain Drain Connector 03/04/2014 $75.04 Specifics: 3 ea Floor Drain/Floor Sink/Hub 03/04/2014 $75.06 1 ea Roof Drain(Commercial) 03/04/2014 $12.51 Type of Use: COM 1 12%State Surcharge- 03/04/2014 $19.51 Class of Work: OTR Plumbing Type of Const: Occupancy Grp: Stories: Total $182.12 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 estions • OUNC by calling 503.232.1987 or 1.800.332.2344. Issuec+ By: die Permittee 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 Site Utilities RECEIVED FOR OFFICE USE ONLY Received , - City of Tigard Date/By: �/ /t� (ij Permit No.:��L�o�O/�ACC ,c) • 13125 SW Hall Blvd.,Tigard,OR 9722 R - 4 2014 Plan Review Phone: 503.718.2439 Fax: 503.598.19] Date/By: Other Permit No.4 G2/ TI GA RD Inspection Line: 503.639.4175 CITY OF FIGARD Date Ready/By: luris: See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF W . " ' FEE* SCHEDULE ❑ New construction ❑Demolition For special information use checklist. Description I Qty. I Ea. I Total & ® Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 4 ❑ 1-and 2-family dwelling ®Commercial/industrial SFR(2)bath 437.78 p SFR(3)bath 500.32 cN ❑Accessory building ❑Multi-family Each additional bath/kitchen 25.02 1 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: O Job site address:8200 SW Pfaffle Street Catch basin or area drain 18.76 �1J1 Drywell,leach line,or trench drain 18.76 V City/State/ZIP:Tigard,OR Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: 1 Project name:Westside Christian Gym Manufactured home utilities 50.03 Cross street/dire�tions to job site: Manholes 18.76 Rain drain connector 4 18.76 75.04 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision: I Lot no.: Fixture or item: Tax map/parcel no.: /S / 3We.3 (e. tr/a0 Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 Shell plumbing for future g∎m Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER 1 ❑ TENANT Expansion tank 12.51 Name:Westside Christian High School Fixture/sewer cap 25.02 Floor drain/floor sink/hub 3 25.02 75.06 Address:4565 Carman Drive Garbage disposal 25.02 City/State/ZIP:Lake Oswego,Oregon 97035 Hose bib 25.02 Phone:(503)697-4711 Fax:(503)697-4605 Ice maker 12.51 ® APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name:Tapani Plumbing,Inc. Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Lars Hendrickson - Roof drain(commercial) 1 12.51 12.51 Address:2103 SE 12t°Ave 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: Urinal 25.02 Water closet 25.02 CONTRACTOR Water heater 37.52 Business name:Tapani Plumbing,Inc. Water piping/DWV 56.29 Address:2103 SE 12th Ave Other: 25.02 City/State/ZIP:Battle Ground,WA 98604 Subtotal 162.61 Phone:(360)687-3983 Fax:(360)687-4494 Minimum permit fee: $72.50 CCB Lic.:60958 Plumbing Lic.no.:37-269P6 Plan review (25%of permit fee) State surcharge(12%of permit fee) 19.51 Authorized signature: TOTAL PERMIT FEE 2 'N Print name:Lars Hendrickson Date:3/4/14 This permit application expires if a permit is not obtained within ISO days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. /n I:Building Perrnits,PLMU-PermiApp.doc 10,01/09 440-4616T(I0/02/COM/WEB) 1 �� rI e'[ �(Ja), O` Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee(ca) 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 Valuation: Permit Fee: Storm&Rain Drain-1st 100' 62.54 S I.00 to 55,000.00 Minimum tee 572.50 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 Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to A 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 ❑ Any complex structure as defined in OAR918-780-0040. Eye Wash • Floor Drain/sink -2" 3 Submit 2 sets of plans with any of the above. -3" Isometric or Riser Diagram Car Wash Drain ❑ Isometric or riser diagram is required for new buildings-Domestic-non-food Disposal -Domestic-food related that meet the qualifications above. -Commercial-food related -Industrial-food related Ice Mach./Refrig.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\larshendrickson\Google Drive\Tapani Plumbing\Projects\ActiveErojects\WCHS Gym\Permits\PLMU-PermitApp.doc Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 8200 SW PFAFFLE ST, TIGARD, OR, 97223 Commercial - Plumbing 399 Plumbing ﬁnal FAIL PLM2014-00060 George Heimos 1. Correction #1 (Gregory Paciﬁc rain drain permit PLM2014-00133), dated 11/26/14 not completed. Re-call both permits: (PLM2014-00060 & PLM2014-00133) for plumbing ﬁnal approval. All else ok. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 8200 SW PFAFFLE ST, TIGARD, OR, 97223 Commercial - Plumbing 399 Plumbing ﬁnal FAIL PLM2014-00060 George Heimos 1. Provide ﬁnal approvals or permit PLM2014-00133, rain drains 2. Provide outside sanitary sewer cleanout with plug. 707.1 3. Expose outside storm cleanout plugs. 103.5.1.4/103.5.1.3/315.3 4. Correct primer not working for ﬂoor sink in laundry room. 310.0 5. Provide hot water. 601.3 6. Uncover all ﬂoor drains, provide access to P trap primers 7. Stopped inspecting at laundry room. Rest to come, recall when above corrections have been completed. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 8200 SW PFAFFLE ST, TIGARD, OR, 97223 Commercial - Plumbing 399 Plumbing ﬁnal PASS - No C of O PLM2014-00060 George Heimos Violation Summary: Inspector Contractor