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Permit
CITY OF TIGARD PLUMBING PERMIT 111111 COMMUNITY DEVELOPMENT Permit#: PLM2014-00349 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/27/2014 Parcel: 1 S136DCO2504 Jurisdiction: TIGARD Site address: 7295 SW DARTMOUTH ST Project: Western Bikeworks Subdivision: HUNTER POLLOCK NO.2 Lot: G Project Description: Add(1)shower,(1)2"floor drain,(1)primer and relocate(1)mop sink. Contractor: PDX PLUMBING LLC Owner: AMERICAN INDUSTRIES INC 640 ROXE DR 1750 NW FRONT AVE STE#106 FOREST GROVE, OR 97116 PORTLAND, OR 97209 PHONE: 503-267-3183 PHONE: FAX: FEES Quantity Description Date Amount 1 ea Floor Drain/Floor Sink/Hub 10/27/2014 $25.02 Specifics: 1 ea Primer 10/27/2014 $12.51 1 ea Sink 10/27/2014 $25.02 Type of Use: COM 1 12%State Surcharge- 10/27/2014 $10.51 Class of Work: ALT Plumbing Type of Const: 1 ea Tub/Shower/Shower Pan 10/27/2014 $12.51 Occupancy Grp: Stories: Total $85.57 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. Iss dtk 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. L 2014-10-23 10:21 Daimler Trucks NA 5037455299 » 5035981960 P 1/2 Plumbing Permit Apptic R� Building Fixtures ICEIVED FOR OFFICE USE ONLY City of Tigard t s /0 a.5 / ..,.,_,.b Pennit No.: `SAO/ .40,3C/9 !� 13125 SW Hall Blvd.,Tigard,0RU�z 3 2 3 2014 Plan Review Other Permit No:OWL.aCi."/. #13 Phone: 503.718.2439 Fax: 503.598.}960 Dale,0y Ti iA n ) Inspection Line: 503.639417 C1TY OF CA Internet: wVw.tigard orgov pNaate ifeReaA Mdy cyd'. /o a7( / )uris H See 'age 2 for Supplemental Information iV TYP G ISJQN FEE* SCHEDULE ❑New construction ❑Demolition For special information use checklist_ Description Qty.T la. r Total_-. ®.Addition/alteration/replacement ❑Other New t-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(l)bath , 312.70 ,■ 1:1 ® SFR(2)bath 437.78 _.� 1-and 2-family dwelling Commercial/industrial - r SFR(3)bath 500.32 ❑Acces ory building ©Mu!ti-Tamil} 0 Each additional bath/kitchen 2502 i ❑Master builder ❑Other: - Fire sprinkler( sq.ft.) Page 2 - JOB SITE INFORMATION AND LOCATION Site utilities: ..- W Job site address:7295 SW Dartmouth Street Catch basin or area drain - 18.76 I T_ V Drywell,leach line,or trench drain 18.76 City/State./ZIP:Tigard,OR 97223 - _..- Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: Project name:Western Bikeworks Manufactured home utilities 50.03 Cross street/directions to job site: - Manholes 18.76 Rain drain connector 1 8.76 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.: /Si 3160C...-042.50 41 - F3ack11ow preventer 31.27 Backwater valve 12.51 DESCRIPTION OF WORK Clothes washer 25.02 !Mail new ADA shower Dishwasher 25.02 Relocate existing mop sink Drinking fountain 25.02 _- Ejectors/sump 25.02 _I- ❑ PROPERTY OWNER ® TENANT Expansion tank 12.51 Fixture/sewer cap 25.02 Name:Western Bikeworks --_-_-_---_-__ -_- Floor drain/floor sinkdiub 1 25 02 ��O 7- Address:7295 SW Dartmouth Street Garbage disposal 25.02 I City/State/ZiP:Tigard,OR 97223 Hose bib 2S 02 Phone:( ) Fax:( ) Ice maker 12.51 ® APPLICANT ® CONTACT PERSON Interceptor/grease trap _ 25.02 Medical gas(value:$Y) Page 2 Business name:PDX Plumbing 1.1.C'. - _. - - - Primer 1 12.51 12.51 Contact name:Michael Kane Roof drain(commercial) 12.51 Address:640 Roxe Drive _- Sink/basin/lavatory ) 25.02 2-S e) - C ity�/State/ZiP:Forest Grove,OR 97116 !- Solar units(potable water) 62.54 Phone:(503)267-3183 Fax::( ) Tub/shower/shower pan ! 12.51 12-•."-i Urinal -- • � E-mail:mtkane@live.com 25.02 25 02 Water closet Water heater 37.52 Business name:PDX Plumbing I.LC Water piping/DWV - 56.29 Address:640 Roxe Drive Other: 25.02 .____ . - - City/State/ZIP:Forest Grove-OR 97116 - Subtotal 7's.Pep-- Minimum permit tee: $72.50 -----"-- Phone:(503)267-3183 Fax:( ) _------- -1 7'�//0 Plan review (25%of permit fee) I .�• C'('B Lie.:197340 f� � Plumbing l.ic.no.:P131372� - Stato surcharge(12°i°of permit tee) p,S/ ��'WC- - -- �_. Authorized signature: �WC� TOTAL PERMIT FU.E $?,5r1J This permit application expires if a permit is not obtained within 181)days r Print name:Michael Kane Late:10/22/14 after it has been accepted as complete. �- - --- *Fee methodology set by TO-County Building Industry Service Hoard I iBuil ding\Permitat.MII-t'ermitApp.doc 101010) .i40-4615T(Iwovcomiwu ) 2014-10-23 10:22 Daimler Trucks NA 5037455299 » 5035981960 P 2/2 PlumbingPermit 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' 3/52 Valuation: Permit Fee: Storm&Rain Drain-1st 100' 62.54 $1.00 to$5,000.00 Minimum fee$72.50 Storm&Ram 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 includin:$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$50,000.00 and$I.20 for each additional$100.00 or fraction thereof. (minimum cha Ee-112 hour) 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 Baptistry/Font )lease check all that apply. Bath -Tttb/Shrnver ❑ Any new commercial building with water service 2"and -Jacurzi/Whowes 1poot greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer. -Drive'Ibru ❑ 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 OAR9i8-780-0040. Eye Wash Floor Drain/sink -2" I 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./Rettig.Drains Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Gang -Stall # Sink/1..av -Non-food related -Bradley -Commercial-food related -Service 1 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 fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fixtures: \stnafcvdo001.us164.corpintra.net1h02211iinerryk\Data\\My Doct tmentti,PE!SONAL\PLLMF-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 7295 SW DARTMOUTH ST, TIGARD, OR, 97223 Commercial - Plumbing 399 Plumbing final PASS - No C of O PLM2014-00349 Chip Barnett Violation Summary: Inspector Contractor