Permit CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2014-00334
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/09/2014
Parcel: 1 S134BC00200
Jurisdiction: Tigard
Site address: 12186 SW SCHOLLS FERRY RD
Project: Mud Bay Subdivision: GREENWOOD TERRACE CONDO Lot: 17
Project Description: Cap(1)sink and relocate(3)sinks,(2)water closets,(2)floor drains and(1)water heater.Add(1)mop sink.
Contractor: CASCADE PLUMBING CO Owner: ATLAS GREENWAY LLC
2416 N HAYDEN ISLAND DR 333 NW NINTH AVE, STE 1009
PORTLAND, OR 97217 PORTLAND, OR 97209
PHONE: 503-289-7095 PHONE:
FAX: 503-283-9514
FEES
Quantity Description Date Amount
1 ea Fixture/Sewer Cap 10/09/2014 $25.02
Specifics: 2 ea Floor Drain/Floor Sink/Hub 10/09/2014 $50.04
3 ea Sink 10/09/2014 $75.06
Type of Use: COM 2 ea Water Closet 10/09/2014 $50.04
Class of Work: ALT 1 ea Water Heater 10/09/2014 $37.52
Type of Const: 1 12%State Surcharge- 10/09/2014 $28.52
Occupancy Grp: Plumbing
Stories: 1 ea Sink 10/09/2014 $25.02
0 12%State Surcharge- 10/09/2014 $3.00
Plumbing
Total $294.22
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 No• . ion - •er. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or dire• questions to OU b Iling 503.232.1987 or 1.800.332.2344.
1
Iss •d By: : i/ (/- Permittee Sign. ure: : 01
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 ApplicatILFCEIVED
Building Fixtures
City of Tigard OCT 7 2014 > in-d /D 7 /9 Permit Nn.:
13125 SW Hall Blvd.,Tigard,OR 97223 Y /�[-�`� '4�oa:33 f�
P1aa Review
Phone: 503.718.2439 Fax: S 1 iFTIGARD Daldnv Other remie Np„
• 90 aoai
Inspection Line: 503.639.417/5,g Date Read!R rani ®Tice Paw 2 for
T I G A R D Internet www.ti(la►d-or.jtov ILDING DIVISI0?!' NdiliedtMethod: ,C//�/q 1�7� supplemental Information
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❑New construction ❑ Demolition i For c dal in ormation use checklist.
_Description Qty. En. •Total
®Addition/alteration/replacement 0 Other: New I.2-telly dwellings(includes 10011,fur each utility connection)
„ „Ni CEtt g 1-ute O,t* dt C0S AV, O'W4l ;;7 , µ Rlir 2,9.r t$1 SFR(1)bath . 31270
❑ 1-and family dwelling ®Commercial/industrial
SFR(2)bath 437.78
CI Accessory building ❑ Multi-family SFR(3)both 590.32
Fach additional bath/kitchen 25.02
❑ Master builder ❑Other: Fire sprinkler( sy.(1i) Page 2
ikl. '!kl1 i )OH'1?t(t y;> VO A' CN1 + O1V'+.JIZ1,44T hic rSi Site utilities: _
Job site address:12186 SW SCROLLS FERRY RD Catch basin or am drain ^DTI 5,76
City/StatelZIP:TIGARD,OR 97223 f)rywell,leach line,or trench drain 18.76
Footing drain(nu.linear ft.:_) Page 2
Suitc/bldgJapt.nu.: Pcct name:MiUD-DAY
m
_ Mufactared home utilities 50,03
Cross street/directions to job site: /4ICF, 172/W 7 Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no,linear I.: ) Page 2
1 Sturm sewer(no.linear tt:i) Page 2
1 Water service(no.linear Ii:,,J Page 2
Subdivision: -1 Lot no.: Fixture or item: •
Tux map/parcel.no.: /5/ 39 -- _,.,(x).k-( Buckl]ow 1wcventa 31.27
,,.;,,,,;,,,,1,,,,t KIVo t .T x +c+ h W Tti,a ?1 'l : t'0? ` . C1, Backwater valve 12.51
4+ , ],,c; a„T0,.:" .� Kca 1 '1''". tat +r '4')
(lathes washer 25.02
CAP 1 SINK Dishwasher 25,02
RELOCATE/�3 SINKS,I WA'TE/RJ HEATER,2 W,/C'S,2 FLOOR DRAINS, _ Drinking fountain 25.02
iGitit 1 /"sec (, tf' tire, o�J IL,CL Ejectors/sump 25.02
•U}H,Ie ` "` ' + r`� r IS1jy�+', 'I r { ')�N i4a Se i
e:,, �+,�f 43; ,h k�,MY}tr:,+ ,, ><�I iltun. : 17(ie'iii4i4 M ti i3 Fxpeansiun 12.51
rr. Name. Fixture/sewer cap 1 25.02 25.02
Address: Floor drain/floor sink/huh 2 25.02 50.04 r
Garbage disposal 25.02
'•J City/State/ZIP:
Hose bib 25.02
' Phone:( ) Fax:( ) lee tacker 12.51
4 41''11'i.,"4.1914 1 "Z:4 t roII y tt ii „C11,. ,. :11 i Interceptor/gorse trap 25.02
. it s, hi,ifl, . .,, 11�t10,`., :,,,, Noy, f4�1th ' i►„,,, _ ,t` ti . 1115?
Business flame: Medical gas(value:5 ) Page 2
Contact name: Prima 12.51 + l
Roof drain(coin:nen:iut) 12.51
e� Address: Sink/basin/lavatory /J 25.02 t 'yS(lf�
City/State/ZIP: Coker units(potable w+ts) 7
62.54
Phone:( ) Fax::( ) Tub/shower/shows pan 12.51
E-mail: Urinal 25,02
nits,sy , ,, ,.17.n ,, " wee rr . n i sec r i q„ Water Chisel 2 50.04
w'(''41Sec d1 yrl,1i s,I t'( : ,r,t'.! 1!frl .`F .M1;4 f r jj1;:; 25 U2
'W` ''� �1��+.aW�(L• -rersl�I��i, �+..�"`5: Nt:i1Mt „iiinl� c?t��' Wit) !{11��';, WMeChetler I 37.52 37.52
Businevs t1nme:CASCADE PLUMBING COMPANY Water i in )W V 56.29
PP F�
Address:2416 N.HAYDEN ISLAND DRIVE Other: 25.02 le
U City/State/ZIP:PORTLAND,OR 97217 Subtotal 0-I
Phone:(503)289-7095 Fax:(503)283-9514 Minimum permit ter. $72.50
Plan review (25%ot•permit fee)
CCI3 Lic.:120893 Plumbing l.ic.no.:34-412PB 5),State surcharge(123e nt'permit fee) 2.&S '/1•
Authorized signature: ... 4�'A. TOTAL PERMIT FEE _,64ri~s'
Print name:CRYSTAL JON Date:10/07/2014 Try permit application expire,'if a permit L not obtained rilhia 1/40 days
after it hie been accepted a complete. y
"Fee uicthodolup..ot by T,i-Canty Building Industry Service Board. A x'
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Plumbing Permit Application - City of Tigard
Page 2-Supplemental Information
Fcc Schedule: rray Residential Fire Su. .ression S stems:
cA' v. •'tP w '� ��w5Ai5` r,wwm{!f�u.at,�.,!!d!d ri1°!11 Yn '� ri �4 .r1Y. a r rcn.A• ••Y, 1 ., n.�Ym ..w"{i; 11, IY
1Kcct' d^: •
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" 111,x" '' � 1{ :'^
II��A'.�'.■��4i17/r.r:,., Vi4I{dA{AYLIISI'H'rrr '..��ddiN{{{{Y 11AIh . AV iI J111,11111a::. IiMMYIlI'.I,' ':IY1liY� , �Y./ b� � ' .YM�� 1 ^ v A.!1 �1�,AGofe, �I,��.r�1.�F1111.
Footing drain-1"1(10' 50,03 0 to 2,000 $121.90
Footing drain-each additional 100' 3752 2,001 to 3.W)0 $169.69
3.601 to 7.200 $233.20
Sewer-1st 100' 62,54 7201 and• ales $3327.54
Sewer-=eh additional 100' 37.52
-1 s t 100' 62.54 Medical Gas Systems:
Water service-e;lcia additional 100' 37.52
Storm.tC Rain Drain-1st 10()' 62.54
$1.00 to$5,000.00 Minimum fee$72.50
Storm R;Ruin Drain-=eh additional 100' 37.52 $5.001.00 to$10,000.00 $72.50 for the first 55,000.00 and$1.52 for
mch additional$100.00 or fraction thereof to
o � nb��` Ci{Yiw1
and including$10.000.00.
Inspection $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 525,000.00.
Inspections outside of normal business 90.00/hr $25.001.00 to$50,000.00 $379.50 for the first 525,000,00 and$1.45 for
hours(minimum charge-2 hours) awl)additional$100.00 or fraction thereof,to
Reinspect ion 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:
Arc 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*.
YIY ..�, v, 14 tYFY '1'r `
Work 7Porfo ilr, ,r. n ,{�
�YPe 1 �t)ltte>a�tvbv](<sstLrc�, Plan Y`i�l�1^��YV'it~��OP�QI��� ��uS ,. oIIS�!„+"'rli�lr�?i
WOrki far Oral n review is required for any of the following.
rnod� '', pod : cata
Baptistry/Font
check all that apply.
Rath -Tub/Shower Any new commercial building with water service 2”and
-)acu7Ji/Whi:Ou] greater,except systems d.igo-d and stamped by licensed
Car Wash -inch Stall engineer.
-Drive 771ru ❑ New exterior plumbing site utilities for any complex structure
Cupidor/Wuter Aspirator as defined in OAR91S-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 OAlt911t-7X0-0040.
Eye Wash
Floor Drain/sink -2" 2 Submit 2 sets of plans with any of the above.
-3"
a w ,
4 ,_
tar Wash Drain .W
Garbag e Domestic-non-food Er Isometric or riser diagram is required for new buildings
Disposal Domestic food rebated that meet the qualifications above.
-Commercial-164A related
-Industrial-food related
Ice Mach,/Refrig.Drains
Oil Separator(Gas Station) Comma is regarding fixture work:
Rec.Vehicle Dump Station /ik/ 7 A.44 ( �cC({)�C'G�en_L
Shower -Gang -
-Stall -
Sink/l.av -Non-food related 1 3
-Bradley
-Commercial-fond related
-Service
Swimming Pool Filter - *Note: If the fixture work under this permit results in an
Washar-Clothes
Water Extractor increase of sewer EDUs,a sewer permit will be issued and
Water Closet-Toilet 2 fees assessed for the sewer increase must he paid before the
Urinal plumbing permit can be issued.
Other Fixture,:
•
C:\Uses\Owner\Dowwnlotids\PLMF-PcrmitApp(3).doc, 2
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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
12186 SW SCHOLLS FERRY RD, TIGARD, OR,
97223
Commercial - Plumbing
399 Plumbing final
PASS - No C of O
PLM2014-00334
George Heimos
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
12186 SW SCHOLLS FERRY RD, TIGARD, OR,
97223
Commercial - Plumbing
399 Plumbing final
FAIL
PLM2014-00334
George Heimos
.
1. Provide water required. 601.3
2. Correct leak on women's toilet. 310.0
3. Recall inspection when corrections have been completed. Re-inspection required.
103.5.6.1
tmallon@westernconstruction.com
Violation Summary:
Inspector Contractor