Permit CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2014-00139
�
Date Issued: 08/14/2014
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S 102AD01900
Jurisdiction: Tigard
Site address: 8935 SW BURNHAM ST
Project: TVF&R Subdivision: TIGARD HIGHWAY TRACTS Lot: 21
Project Description: Voluntary seismic upgrade,addition&renovation. Interior plumbing for TI:Capping(1)shower stall,adding(2)2"
floor drains,(2)lavatories,(2)water closets,and relocating. 11/12/2014: REPRINT permit to add(1)roof drain.
Contractor: BEAVERTON PLUMBING INC Owner: TUALATIN VALLEY FIRE& RESCUE
13980 SW TV HWY 11945 SW 70TH AVE
BEAVERTON, OR 97005 TIGARD, OR 97223
PHONE: 503-643-7619 PHONE: 503-259-1188
FAX: 503-643-7620
FEES
Quantity Description Date Amount
1 ea Clothes Washer 07/29/2014 $25.02
Specifics: 1 ea Fixture/Sewer Cap 07/29/2014 $25.02
3 ea Floor Drain/Floor Sink/Hub 07/29/2014 $75.06
Type of Use: COM 1 ea Hose Bib 07/29/2014 $25.02
Class of Work: ALT 1 ea Primer 07/29/2014 $12.51
Type of Const: 2 ea Roof Drain(Commercial) 11/12/2014 $25.02
Occupancy Grp: 3 ea Sink 07/29/2014 $75.06
Stories: 2 ea Tub/Shower/Shower Pan 07/29/2014 $25.02
3 ea Water Closet 07/29/2014 $75.06
1 12%State Surcharge- 11/12/2014 $43.53
Plumbing
Total $406.32
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: L,�nO
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.
From: 11/12/2014 10:29 #477 P.001/001
HEcEI
Plumbing Permit Application' U V 1L
2014
Building Fixtures
FOR OFFICE' t'SF 011 1
City of Tigard MVO' D Received
,J 1 Date/By: Permit No.:
13125 SW Hall Blvd.,Tigard,O !AVM.;nPflq'nR( Plan Review
= Phone: 503.7182439 Fax: 503.598.1 l l/1, Date/13y: Other Permit No
I I�.A I:I i Inspection Line: 503.639.4175 Date Ready/By: huis: I ® See Page 2 for
Internet: www.tigardor.gov 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 R.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
❑ 1-and 2-family dwelling ®Commercial/industrial SFR(2)bath 437.78
❑Accessory building ❑Multi-family SFR(3)bath 500.32
Each additional bath/kitchen 25.02
❑Master builder ❑Other: Fire sprinkler(__sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
..) ` 1 l�uY r # Catch basin or area drain 18.76
Job site address: C % i 1�
City/State/ZIP: u V Drywell,leach line,or trench drain 18.76
Footing drain(no.linear IL: ) Page 2
Suite/bldg./apt.no.: ! Project name: t i(6 6.1 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
CA.6+- al.1,VM Afa- Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02•❑ PROPERTY.OWNER .[� TENANT Expansion tank 12.51
_ Fixture/sewer cap 25.02
Name: Floor drain/floor sink/hub T- 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
Medical gas(value:$ ) Page 2
Business name: g
Primer 12.51
Contact name:
-- Roof drain(commercial) i 12.51 (4 1,
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
CONTRACTOR Water closet 25.02
BEAVERTON PLUMBING, INC. Water heater 37.52
Business name: :: Water piping/DWV 56.29
Address: Beaverton,Oregon 97005 1 Other: 25.02
City/State/Z1P: (503)643-731 a �7 n Subtotal
Phone:( ) Fax:(3) 0 y3 / (p a /1 Minimum permit fee: $72.50
Plan review (25%of permit fee)
B Lic.: Plumbing Lic.no.:
L State surcharge(12%of permit fee) 1
V
Authorized signature / TOTAL PERMIT FEE .0
Print name: ` Vov-t, r-y�,/ Date: �/i -t fi j� This permit application t has ba if a permit is sot obtained within 180 days
4 i {y). [ r'7LY! _i after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
1A 131.1ding\Permits1PLMU-PeemitApp.doc 10/01/09 440-4616T(10/02/COM/WEB)
CITY OF TIGARD PLUMBING PERMIT
• COMMUNITY DEVELOPMENT Permit#: PLM2014-00139
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/14/2014
Parcel: 2S102AD01900
Jurisdiction: Tigard
Site address: 8935 SW BURNHAM ST
Project: TVF&R Subdivision: TIGARD HIGHWAY TRACTS Lot: 21
Project Description: Voluntary seismic upgrade,addition&renovation. Interior plumbing for TI:Capping(1)shower stall,adding(2)2"
floor drains,(2)lavatories,(2)water closets,and relocating
Contractor: BEAVERTON PLUMBING INC Owner: TUALATIN VALLEY FIRE&RESCUE
13980 SW TV HWY 11945 SW 70TH AVE
BEAVERTON,OR 97005 TIGARD, OR 97223
PHONE: 503-643-7619 PHONE: 503-259-1188
FAX: 503-643-7620
FEES
Quantity Description Date Amount
1 ea Fixture/Sewer Cap 07/29/2014 $25.02
Specifics: 3 ea Floor Drain/Floor Sink/Hub 07/29/2014 $75.06
3 ea Sink 07/29/2014 $75.06
Type of Use: COM 2 ea Tub/Shower/Shower Pan 07/29/2014 $25.02
Class of Work: ALT 3 ea Water Closet 07/29/2014 $75.06
Type of Const: 1 12%State Surcharge- 07/29/2014 $33.03
Occupancy Grp: Plumbing
Stories: 1 ea Clothes Washer 07/29/2014 $25.02
1 ea Hose Bib 07/29/2014 $25.02
1 ea Primer 07/29/2014 $12.51
1 ea Roof Drain(Commercial) 07/29/2014 $12.51
0 12%State Surcharge- 07/29/2014 $9.00
Plumbing
Total $392.31
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 • ! NC by ca ' g 503.232.1987 or 1.800.332.2344. •
Issued B i . Permittee Signature: -/2A
`_12)
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.
From: 07/28/2014 14:09 #430 P.002/003
Plumbing Permit App1 CEIVEP
Building Fixtures
City of Tigard Received p �/ QQ
IN
= y �' 1 6722
Q Date/By: 0 /4 �.�j Permit No.: L/IN/ "Q0/J/
• 13125 S W Ball Blvd.,Tigard,did 8 2014
Plan Review �r�A�/,/_�6 V'
Phone: 503.718.2439 Fax: 503.598.1960 Other Permit No �/ c f
Inspection Line: 503.639.4 7 Day
TtGAILD t,�TYUFTIGARU ° B>' �}4/L�� him ® See Page 2fnr
Internet. www.tigard-or.go Notified/Method:�LLL' •!/ 7 - Supplemental information
T ' 1,4 rt f3',.I T . t c t t Al Ay-7)t4 ,,, FEE* SCHEDULE
ID 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
❑ 1-and 2-family dwelling Ig,Commercial/industri al SFR(2)bath 437.78
SFR(3)bath 500.32 ti
❑Accessory building ❑Multi-family Each additional bath/kitchen 25.02
❑Master builder ❑Other: Fire sprinkler(T sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities: Q
Job site address: C Catch basin or area drain 18.76
135 Jl.-" 13...:sh\oCkil� :7ti t"�=
City/State/ZIP: r+ Drywell,leach line,or trench drain 18.76 'XI
f i'(a i Cvecp1 q 7`� ' Footing drain(no.linear ft.: ) Page 2
v 5 %
Suite/bldgJapt.no.: Project name:V,` ec-Ic k-i O�1 .,! 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 t 25.02 5 n y
-,k - c _-' i i_c-C V Y ! Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
Li PROPERTY OWNER ❑ TFNANT Expansion tank 12.51
Name.
-
Fixture/sewer cap / 25.02 M.
-- - - - Floor drain/floor sink/hub 3 25.02 7 5.04
Address:
Garbage disposal 25.02
City/State/ZIP: _ Hose bib j 25.02 09y,e9-
Phone:( ) Fax:( ) Ice maker 12.51
0 APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02
Business name: Medical gas(value:$_) Page 2
Primer / 12.51 /..2.S I
Contact name:
- Roof drain(commercial) i 12.51 /a.ti 1
Address: Sink/basin/lavatory '3 25.02 7,; "6'
City/State/ZIP: Solar units(potable water) 62.54
( ) ( ) Tub/shower/shower 0 2-
Phone: I Fax:: _---- � P� 12.51 ,�5.
E-mail: Urinal 25.02
CONTRACTOR Water closet 3 25.02 7 5.el.
B PUIMEVGINC+° -- Water heater 37.52
Business name:
80S:W TudIdtirrVa ,n. Waterpiping/DWV 56.29
Address: Other: 25.02
Cityisratvz►P: (503)643-76i Subtotal 3 so.''`e
Phone:( ) Fax:( (01-1 3 -7C,:Cj Minimum permit fee: $72.50
CCB Lic.: 1 a y q Plumbing Lic.no.: -Li Vt Plan review (25%of permit fee)
State surcharge(12%of permit fee) '42..o3
Authorized signature: `T-✓ { TOTAL PERMIT FEE 3?7. I
Print name: -0,� \JClt�, Date: 1 Icy t ( This permit application expires if a permit is not obtained within 180 days
l" after It has been accepted as complete.
"Fee methodology set by Tri-County Building Industry Service Board.
I:\BuitdinQPermin■PLMU-PennitAppetoc IOIOIi09 440.4616T(10+02.'COMiwEB)
From: 07/28/2014 14:09 #430 P.003/003
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 Inspections or Fees Qt' Fee(ea) TotaC` each additional$100.00 or fraction thereof,to
p 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.
Work Performed: Capped Added Relocate eC1 y 8
Bapriaay/Fuel Please check all that apply.
Bath 71rb/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" 1 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
Garbage -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 increase of sewer EDUs,a sewer permit will be issued and
Water Extractor
Water Closet-Toilet a t fees assessed for the sewer increase must be paid before the
Urinal plumbing permit can be issued.
Other Fixtures:
http://www,ti gard-or.gov/city_hal I/departments/cd/docs/PLM F-Perini tApp2d oc
From: 07/28/2014 14:09 #430 P.001/003
BEAVEIITOH PLUmBUnG
13980 SW Tualatin Valley Hwy.
Beaverton OR 97005
503.643.7619
Fax 503.643.7620
GCB* 012889
FAX COVER SHEET
Date: 71 ' I ►L\
To: CC 1 fYrh-k
Company:
Fax #: 5C3. 5°55 . IC!'<<c
Phone #:
Total # of pages: 3
Reference:
Sincerely,
D'Ann VanRiper
Project Manager
Beaverton Plumbing, Inc.
503.643.7619 phone / 503.643.7620 fax
vanriper @beavertonplumbing.com
Plumbing Permit Application (,)' 90114--,.-vr^I- ; 710, . • V •
Building Fixtures FOR OFFICE USE °Nil
City of Tigard NI9P eceived Permit No.: R_')
1111
■ 13125 SW Hall Blvd.,Tigard,OR 9722 ��III Date B : f)/ L /v �("(� `T
• � Plan Review Other Permit No.:
Phone: 503.718.2439 Fax: 503.598.1 960 4 [ 1 _ p
1 20� Date/By: 0. pQopi can
Inspection Line: 503.639.4175 A�Icy Date Ready/By: Juris: la See Page 2 for
I I t \I:I Internet: www.ti ard-or. ov "'N Y Y S
g g qf �(a I Notified/Method: Supplemental Information
TYPE OF WORK v V kji ,` 1 FEE* SCHEDULE
❑New construction ❑De .. •, 1 1.-.) For special information use checklist
Description I Qty. I Ea. I Total
lg 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 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:
Job site address: . Catch basin or area drain A 18.76
rI 1 /..f■ ng
City/State/ZIP: �A`� .y�/���� Drywell,leach line,or trench dr�_ 18.76
Q� t.t' ,011Z / Qr..- '72Z, Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: Project name: ' / ;) Manufactured home util es 50.03
Cross street/directions to job site: r . i ,it. , i � F l ,-`
e.'1 Manholes 18,76
Rain drain come•or 18.76
Sanitary sewe• no.linear ft.: ) Page 2
MIIIIIIIIIPlglSil-
�i sew (no.linear ft.:_) Page 2
i.. rffrvice(no.linear II.:_) Page 2
Subdivision: Lot no.: ) • e or item:
Tax map/parcel no.: l kflow preventer 31.27
DESCRIPTION OF WORK •+ckwater valve 12.51
AIWA � thes washer I 25.02
I...._Me' . w �i tGI/ ,- ,•1' .IL v sish 47 e 25.02
iri K,111111117A Dr' g fountain 25.02
ctors/sump 25.02
IX PROPERTY /OWWN�ERR I ❑ TENA Il passion tank 12.51
Name: ��`t A'(, !�!��i ! Fixture/sewer cap 25.02
Floor drain/floor sink/hub le. 25.02 MEN
Address:
ii• 4 4 4 .M Garbage disposal 25.02
Pr
City/State/ZIP: /l e*77, /_, 1 ,73 Hose bib 25.02
Phone:(5b ) �,,,,,,. ,. .41 ; Fax:( Ice maker 12.51
ti APPLICANT ❑ C f TACT PERSOW Interceptor/grease trap 25.02
Medical gas(value:$ ) Page 2
Business name: - `- r, .x&I _i e_._♦ f .fi
Contact name:
KN Primer e. 12.51
. •�.,,-- /- Roof drain(commercial) 12.51
Address: ' Z 1 .ir/„i- al_ _, • Sink/basin/lavatory 25.02
City/State/ZIP: iir)%11,A, `� Solar units(potable water) 62.54 RR
Phone:(47/) )j L-'u./vs r , r Tub/shower/shower pan 12.51
E-mail: Iht f`7��''I A•li!, .i !/ -Allot !� Urinal 25.02
CONT' CTOR Water closet EE 25.02 WM
Water heater WM 37.52
Business name: 7-(3 n Water piping/DWV 56.29
Address: V Other: 25.02
City/State/ZIP: Subtotal
Phone:( ) Fax:( ) Minimum permit fee: $72.50
CCB Lic.: Plumbing Lic.no.: Plan review (25%of permit fee)
Air- State surcharge(12%of permit fee)
Authorized sig lure: / TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180 days '
'gums/lir
Print name: _.-..� Date: 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(l0/02/COM/WEB)
Plumbini 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-l"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 Inspections or Fees Qt • Fee(ea) Total each additional$100.00 or fraction thereof,to
P 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
Quantit} by Fixture Type Plan review is required for any of the following.
Fixture Type for Replace/ Please check all that apply.
Work Performed: (upped Added Relocate
Baptistry/Font ❑ Any new commercial building with water service 2"and
greater,except systems designed and stamped by licensed
Bath: -Tub/Shower
engineer.
-Jacuzzi/Whirlpool
CI Car Wash: -Each Stall New exterior plumbing site utilities for any complex structure
Drive Stall as defined in OAR918-780-0040.
El 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" 4 Z 3
Isometric or Riser Diagram
4" ❑ 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 1 2- qa
Sink: -Lav/Bar non-food related >>Y Z I
-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 Ale 2- l (3) plumbing permit can be issued.
Urinal
Other Fixtures:
I:\Building\Permits\PLMF_PermitApp.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
8935 SW BURNHAM ST, TIGARD, OR, 97223
Commercial - Plumbing
399 Plumbing final
FAIL
PLM2014-00139
George Heimos
1. Caulking required on fixture(s) at: kitchen sink. 310.3
2. Provide site plumbing approval. PLM2014-00333
3. Remove plug in rear bathroom floor drain at toilet location. 310.3
4.
5. Provide cleanout plug on rear rain drain. 707.1
6. Provide cleanout on front rain drain. 708.1
Not complete inspection
Recall inspection when completed. 103.5.6.1
Violation Summary:
Inspector Contractor