Permit CITY OF TIGARD PLUMBING PERMIT
"! COMMUNITY DEVELOPMENT Permit#: PLM2014-00242
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/06/2014
Parcel: 1 S135ACO2500
Jurisdiction: Tigard
Site address: 9378 SW MANDAMUS CT
Project: LONGSTAFF APARTMENTS SALES OFFICE ADDITI( Subdivision: ASHBROOK FARM Lot: 25
Project Description: Interior plumbing for TI: Installing(1)lavatory,(1)water closet,and(1)water heater.
Contractor: MODERN PLUMBING Owner: MACH 1 GE-ASHBROOK LLC
11120 SW INDUSTRIAL WAY 851 SW 6TH AVE#1500
TUALATIN, OR 97062 PORTLAND,OR 97204
PHONE: 503-691-6166 PHONE:
FAX: 503-691-6771
FEES
Quantity Description Date Amount
1 ea Sink 07/24/2014 $25.02
Specifics: 1 ea Water Closet 07/24/2014 $25.02
1 ea Water Heater 07/24/2014 $37.52
Type of Use: COM 1 12%State Surcharge- 07/24/2014 $10.51
Class of Work: ALT Plumbing
Type of Const:
Occupancy Grp:
Stories:
Total $98.07
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct ques s to • NC • -fling 503.232.1987 or 1.800.332.2344.
Issued B : / , Permittee Signa ure:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
' Jul. 23. 2014 3: 20PM Modern Plumbing No. 5233 P. 1 _
03/24/2014 03:35 5035981960 CITY OF TIGARD -'r l��
Plumbing Permit Application,
v. - 7
Building Fixtures i��
r i Rcecircd Pond?Nv-1 fLl/t')�Q Lr'(�`)(�
CI 0��gtil'd \l "� iV'
■ 19125 SW Hall 91vd.,T$gerd,OR Review �:
�� Oilier Permit W. i a• -0$ 33
'�> Phone: 503.718 2439 >7ex: 503. 8.1940 `L� Dot : : I
inspection Line: 503.639.4175 R�d1 y- Na to Srcrago3for
r I l;c,1•.11 Pots �e .
Internet www.ilgard-or.gov 0' �,6� j13 i11icd/MfdMoa supplemental lnfomuion
• for Sr«1allnfarem6on we checklist
p New construction ❑ ate` t�u+critxion _fix I Ea. 1 Tot i
'Additionfalteriion/replacement ❑0 ': New 1.2.femll dwcllin includes 100 ft.for cock utility connoetIonL
.'.'' 4. r b:.ii11-,r",./ 70 f i tleith -, " - SFR(1)bath 31270
SFR(2)bath 437.78
El [[1-and 2-fomily dwelling CommaroialAnduatriai SFIL(3)!lath 500.32
❑Accessory building ❑Multi-family Each additional balb/kitchcn 25-02
•❑Master builder ❑Other: Fire sprinkler( sq.07) Page 2
_ ;i.'- •.A r"'a'7,,00;. i.iik- *:7. Of ANb-14elii kik Y.: •. ' ' §1.14 utilities:
lob she address q 3-78 S[a-� at-s Cy, Cthtahbtuln or area drain 18.76
C Drywall,leach line,or trench drain 1.8.76
City/Stale2•1P: 1Q -! 3>3 -...king drain(no.linear ft.:.) Paget
Suite/bldg/opt.no.: Project name: c i ulbctured home utilities 50.03
Cross etrecl/direttiona to job silo: Manholes 18.76
O 7/ S i' , �I / _ Rein drain connector 18.76
c if _ Sanlllvy sewer(no.linear ft.:_) raga 2
Storm sewer(no.Ibtaar f1.:_) Page 2
Waterservice(no.linear R.:,,_•_) , Page 2
Subdivision: Lit Fixture nr items
Tax mapr'parcel no.:
Dackllow premier 31.27
15acicwatcr valve 12.51
.r.FSCR ?Fn..•d.�i:.RK.. ....., . r -
Clothes washer 25.02
!LS /1-4.4-4--) J r k.f . /°`✓ il /l144/eNS Diahwar her 25.02
i(e - /6/1_ .S c+ (mss c t'_ brinking fbumaln 25.02
Ejectors/Sump 29.02
.a.:k bT$'t 1N'ER_. • ' j dPS'Ia.NArd . r Expansion tank 12.51
-- Flxture/ecwcr cep 25.02
Name: Floor droinrftoot slok/hub 25.02
Address' a .
City/State/ZIP: klose bib 25.02
Phone:( ) Fax:( ) ►cc maker 12.51
• Interceptor/grease imp
-: --1-A PPIrC ANT,. . ..:Q CONTACT rig issm•' _ 25.02,
Business trams:
Medical gal value:T_) Page 2
Primer 1251
Contact name: .
Roof drain(commercial) 12.51
AddreSA: $ink/baslnuavutnry 1 25.02 ).5-0').
,
City/State/ZIP: Solar units(potable water) 62.54
Phone:( ) LFax::( ) Tub/shower/shower pan - A 12.51
F,-mail; thlnal 25.02
:,..._.. _......... . , ...... - - - _ _ Water o 0)_
W t r cl scl � 2S 02 S
In;QN7`MGTOR .. - • Water heater 37.52 ;7 Sd•Auainoeenamo:MOdelyl 1'"iUr1,IOrrv� CO. Waterplping/DWV T 56.29
Address: //I) 0 S w f-pi iii,t, ,',I' 14-)0-y 9. 3 Other 25.02
city/State/ZIP:T� ,,, D ye 9-7 d ro -i Subtotal WI, �7_S�
Minimum permit fee S72.50 phone:( t53) �9 i (� (�, Prat(Sb� 6 Q f `l`1 ( plan review (25%of pctmh*A)
CCB Llc.: 0 790(Q Plumbing Lie.no.:3 (1.)•SJ It. - -
State surcharge(12%of permit fee) ' e• e,.Sl
Authorized si=rhatu / ' / ? TOTAL PERMIT FER Dt{•• ,. 1.07
Print Dame: L Date: / It Thi4 permit application expires If a permit b net ebt■ined within 180 tiny%
d tr� �1✓ CLt O S !, r! r Auer it her txen ncscptwl*4 complete-
''Fee mcthodolory act by"RI-County Building industry Ser 1eo Board,
fACMIYiwMP.n.1..1M r.a�pllw.:.AwwAw. minim, AA,�AAI cTIIn erred 1WYPI I •
Jul. 23. 2014 3: 20PM Modern Plumbing No. 5233 P. 2
03/24/2014 03:35 5035981960 CITY OF TIGARD rHt 0
numbing Permit Application - City of Tigard
Page 2 -Supplemental Information
Fee Schedule: Residential Fire Suppression S stems:
Site Utilities .- Qty . . «(gsl Total Square'ootaget- .. - -
''Permit Fey:'. ''�•
0 m 2,000 121.90
50.03
F
oaring drain t"100' 2,001 to 3,600 5169.69
~Footingdrain-cinch additional In0' 37,52 -f01 to 7,200 4233.20
Sower• 1st ton' 62,51 7;201 end greater !$127.54
Sewer-each additional 100' 37.52
Water service-tat 100' _ 62.54 _ Medical Gas Sy:items:
Wtcr Service-en eh additional 100' 37.52 .VKili itioii:j: - ' 'P e r t i l i t Fee.:-- 4' -. :
Sturm&Ratn Drain- ht 100' 61.54 51.00 to 55 000.00 ' Minimum ftc$72,50
Storm&Rain Drain-each additional 100' 37.52 55.001.00 to$10,000.00 $72.50 for the first 55.000.00 and 51,52 for
Fee cA i oAl each additional 5100.00 or fraction thereof,to
QQ�.. ` ) •and including 510,000.00.
-Oti eInspectionq Or Fees ' - .
inspection of existing plumbing or 1br $10,001.00 to 525,000.00 $149.50 for tho first s10,o00.on and$1.54 for
which no fee is specifically Indlcnted 90.00/hr each additional$100.00 or fraction thereof.to
minimum charge-1/2 hour) sad including$25,000.Q9,
~Inspection,'outildc of normal Iwsincss 90.00/hr ' $25.001,00 in$50,000.00 $379.50 for the first$25,000.00 and$1,45 tar
hours(minimum charge_2 hours) each additional$t00.00 or fraelinn thereof.to
Reinspectlon Fees 90.001hr ..-.-- and including 550,000 00.
v Car ravic ions 00.00Rtr $5n,00t.00 and up $742.00 for the first 50,000.00 and$1.20 for
Additional plan rovlcs
etch additional$[00,00 or fraction[hereof,
(minimum char$c-in too
Subtntalt
. --
Commercisll Fixture Work:
Are you capping,adding or replacing fixtures? If"yes",
piease indicate work performed by fixture. Failure to .. ..-
accurately report fixtures could result in increased sewer fees*. Plan Review for kiunj
.niib 'Tusta . ttons .
_ l uantitYby Fixture Tyne Plan review k required for arty of the following.
Fixture Type for • Replace/ Please check nil that apply.
Worst .2rm4d c i d retied Ref mac
� ❑ Any new commercial building with water service 2"and
13. Istrr/Font gutter,except sy5tcros designed and 5tarnpcd by licensed
Bath! -Tub/Shower engineer.
-Jacuzzi/Whirlpool ❑ Now exterior plumbing site utilities for any complex structure
Car Wash: -Each Stull ns detlncd in OftR918-780.0040.
•DriveThru - ❑ Medical gas and vacuum systems for hcntth care facilities,
Cuspidor/Wotc1■spiraI0r . - [] Any multipurpose flre sprinkler system.
Dishwasher: -Commercial _ , ❑ Any complex structure as derided in OAR918.780-0040.
•Romcsrio
Drinking Fountain - Submit sets of plans with any of the above_
_Lye Wash -
Floor Drain/ink: •2" ,
-3•• i XSOmetritor Riser Diagram , .
El isometric or riser diagram is required for new buildings
-Car •aah Drain that meet rho gualificacions above.
Garbaoe •pomcKtic nonfood -
DiFpnsal: -Domestic food related -
-Commercial food related
-induatrid fond related Comments regarding fixture work:
ice Mach/Writ Dr lot _
oil Separator(Gat SttlIOn)
Rec.Vehicle DunlpSirginn
Shower: -Gong __ -
-Stal l
Slnk; -l,av/snr inn-food related 1 ---.
-Bradley
.COm/$erv/Util Food rclnicd _
.Service _ _ I *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
Wesber•Clothes fees Assessed for the sewer increase must be paid before the
lo VA t;xtractor
WatarClosct-Toilet L plumbing permit can be Issued.
Urinal ,
t lhar}'inures:
1:1Duildine\Pcrmits\PLMF NrmitApp,doc 08/04/2011 2
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
9378 SW MANDAMUS CT, TIGARD, OR, 97223
Commercial - Plumbing
399 Plumbing final
FAIL
PLM2014-00242
George Heimos
1. Provide hot water. 601.3
2. Recall inspection when correction has been completed. Re-inspection required.
103.5.6.1
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
9378 SW MANDAMUS CT, TIGARD, OR, 97223
Commercial - Plumbing
399 Plumbing final
FAIL
PLM2014-00242
George Heimos
1. Provide hot water. 601.3
2. Recall inspection when correction has been completed. Re-inspection required.
103.5.6.1
All else ok.
Violation Summary:
Inspector Contractor