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Permit 111111 CITY OF TIGARD f PLUMBING PERMIT 11 e . COMMUNITY DEVELOPMENT ®v , Permit#: PLM2014-00362 TFGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/04/2014 Parcel: 2S113AB00800 Jurisdiction: Tigard Site address: 15995 SW 74TH AVE 100 Project: Duncan-Dowdle Building Subdivision:COUNCIL VIEW ACRES(LOTS 21-44) Lot: 30 Project Description: Interior plumbing:Replacing(1)dishwasher,(1)shower stall,(15)sinks,(1)clothes washer,(5)water closets,(1) water heater,and Adding(2)sinks,(2)urinals. 1/12/15:Reprinted permit to include(6)roof drains and(1)water heater. 4/1/15:Added(4)roof drains,(9)model trimmer traps,(9)backflow preventers for model trimmers,(1) Contractor: WESTERN PLUMBING Owner: DUNCAN, JOHN ARTHUR&JANICE LEE 9460 SW TIGARD AVE SUITE 101 1001 NW LOVEJOY#812 TIGARD, OR 97223 PORTLAND, OR 97209 PHONE: 503-639-5296 PHONE: FAX: 503-684-9015 FEES Quantity Description Date Amount 1 ea Clothes Washer 11/04/2014 $25.02 Specifics: 1 ea Dishwasher 11/04/2014 $25.02 6 ea Rain Drain-Single Family 01/13/2015 $75.06 Type of Use: COM Dwelling Class of Work: ALT 17 ea Sink 11/04/2014 $425.34 Type of Const: 1 ea Tub/Shower/Shower Pan 11/04/2014 $12.51 Occupancy Grp: 2 ea Urinal 11/04/2014 $50.04 Stories: 5 ea Water Closet 11/04/2014 $125.10 2 ea Water Heater 01/13/2015 $75.04 1 12%State Surcharge- 01/13/2015 $97.58 Plumbing g ea Backflow Preventer 04/07/2015 $281.43 1 ea Expansion Tank 04/07/2015 $12.51 4 ea Roof Drain(Commercial) 04/07/2015 $50.04 2 ea Water Heater 04/07/2015 $75.04 25 Misc Other Fee 04/07/2015 $25.02 25 Misc Other Fee 04/07/2015 $25.02 Total $1,771.56 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 Notif • -nter. 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 O C by calling 503.232.1987 or 1.800.332.2344. Iss d By: el / Permittee Sign 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. 10/30/2014 12:49 5036849015 WESTERN PLUMBING INC PAGE 01/03 Plumbin Permit A lien 'lEiliFn R5 ...i ..1_, • i ,.. • •04, i,-7 .4 Building Fixtures t Am. W ..,...,1 I id< i ii I it I I 7 City of Tigard OCT 3 0 2C', 13125SW Hall Blvd.,Tigard,Olk,944 , Phone: 503 782439 'Fax- 5(11',3Ailyitit i ia's.iits(e.,11/ Racadved Darnell!' /1 41 11( er-- Plan Review Date/By Psmus Na' itfilZ/if-67034,A Other Perrin Nooanti sf..,COtea, I 1,. ,‘..,I., Inspection Line: 503 6394I7 ily.ss,t.,,s,(..,,,st op.;ems Date Ready/Ely .y.k . 61 Sea-age 1 for , ''' . Internet: www.tigard-orgov 'Di:dill PrNr.,"';'1."‘I'Vi I''' NonisecVMemoct. , Su•. mut Infisrmation I''',F:t")'-r.#447''-41Z',4„.:-t`',-tr- 4,04e-%.:1`,,:,4,.Alt,it--.44.,,,-4. -z^i.-.., :;i:,.4--,ii1-:-..( ,:1e-,:.i'..,-*-,-.,:i',",-- ',.:.,.'..:;:;%, :, '- !A'''..,--',!'-"'' -'" *-.:,'-: ..-,.,,,..;--;4,'. vf,-1,-,s,-;.::,i4:-,4 !• ''',,',',, ■1- 2". 'f'.4+1,','..:`,-,e,e.V.,bj"Yi41/4:ri,7. 1.4.::0''!r.14..'..^2'11,11.::',Iree..Z..4t3tii sN''..'• ,',...•.',,,,,,1 ." -'1.:.!''7,3'.‘" -3'-', ,.::. .'',".::';;;':V.Z,';',....1,^!ItUt":"A.: L.C.,j1sle*.w cons c,..._±.3_.tru n 0 Demolition ri For sverial kfformation use checklist Descption I Qty. I Ea. j Total ...' vl Addition/alterationfreplacement 0 Other New 1-2-family dwelli.'s(includes 100 R.for each utility 6°n/iceboat f - „.4 lipsvr.,..0:x., ...,,,...:-;---.-.-,::: .---;...7:.-,:t?,'-'...: .'-,*:=.!.7-.: e7.--,, .,.•-,'-'.,.•-•4..6...,),.-i-', SFR(1)bath 312.70 ; I / ; w SFR(2)bath in 437.78 ' 0 I-and 2-family dwelling 1 II Commerciallindustrial .____... SFR(3)bath 500.32 0 Accessory building ; 0 Multi-farnily -- - Each additional bath/kitchen 25.02 0 Master builder I El Other: Fire sprinkler j _ so ft.) Page 2 • , 4 ...,.. -:::,:„....,,,,.,,..,:.)„4„:4,,,,Alt ,,,d,„..-,,, „...,... site utiiit,ea. catch basin or.drain I 18.76 I • Job site address:„A_K::iiir- az'ALAN Pt,tsticuk I .. Drywell,leach tine,OT trtrich drain ' ' 18.76 City/State/Z1P/ 1st4 , •p_ck-KU4 .... Footing drain(no.linear ft ) ---t Page-2 i -- Suite/bldg./apt.no.: 1 Project narne:.-i")...t,i,„i,a Ak.s." •1_0(AVIL,c....ifs.... Manufactured borne utilities f .; 50.03 t; Cross street/directions to job site: Manholes ---- -115;1- .., 18 76 ■ (3 V/11/5--f ( i'%/ 41, Ift ' , Ar., . Lfqta,-,Pneylo4r- iv-214.1 I-Ram(hi"wanellcIT -1- i • Sanitary sewer(no lirmar ft.: ) I Page 2 : 1 i,rfit7.0,)1 (cd , , fireha, g" v 6 niA t Storm sewer(no.linear ft.:____,) 1 I Page 2 *: (..27N) 1--ste3A-r-r- fle...eitee'S (/)4.r-z-ca1ei.21),taigagiuz-1.4)ell- Water since(no linear ft.: _,) I -Pagr 2 ' i l Subdivision: Lot"lc): taliAde Fixture or item: T Rad:flow precentor -31 27r.T.fIV .as rap no.. I :,_,2r/7'"/-"- ./ lt. .&'::40'././A11"..w/f.vsecr. .6...ra'4.-,,rt/".t.-,..e./..i..sx:-..x/:,0,..,tdt.:WW..•114/s....4.1.4.4-4,(.-.4: r clothes washer t \ , '''25 02 (zry) ......__ .....____._ Dishwasher 1 ,/ 25 02 of). ..."...1--9 \..<.....cv x.;\(.71....II-64)1 1 i 9 Drinking founuun 25.02 4.■ F.Jecrors/sump ...._ 25 02 ; k4-- ......-/•(.X.,;-:.-.7''...., ,/,'..•''''!'", ,,t'.":.- ':::'',!:''';-..;;Z:.`;'-`;:','4,',,'";...:;:","';;;;-t.:1,7":"...'-','...,,,'.',2''.::;:.,7.;,..--• ',I,; Expansion tank 1 1151 /),.51 ,../'. Fixture/sewer cap 25.02 I Name: telt - - Floor drain/floor sink/hub 25 02 . 1 ; Address: - - Garbage disposal 25.02 r C4nity :ate/ZIP/) , Fax:( ) Bose bib lee maker _25.02 12 51 ---', .. -.; ,,,, , , ,i;-•'4.i.-.:!... ,,,r;;;;;;,-;:.•:'„ . -;...7..'-*:"--.f..? .7-.!.,,.'' Interceptor/ ease trap 2502 Z '...':;',*z.',/;;;.--,70 ,... ,'''';',',',:..13,.V.;:li,',....7.:,:t-"i`f;'1.,4,■'.-4.::::04-i":.',.'qi'A'',,T... ,;,...1-:z'r.44;..07:44,-.)...i.nif..-,c;,...."-e--'"" . ! Medical gas(value.S ) Page 2 4i Business name. r____._ , - Primer 12.51 ...g Contact name: _........... ' Roof crain(commercial) 4-47, 12.51 1_ Address: _ __._,_ Sink/bast/0 as atarsisaslatil 11- 25,02 ‘.. .,?_j.. , 0 City/Staiz/ZIP- Solar units(potable water) ,62.54 i i ..... Phone:( ) i f av:( ) --] 'I abishowerishov-cr pan I \ - 12.51 Unrial .A... (2 / #...s' --, E-mail. `M l'AL.''......-70Var.e74.,Y4c .41....?../...r..?..,;,7""'..,:t~1.-v./P-1/ 77.T.:;77.7'-=';';',',.=-7".7.71.7i: ":',r'-'."- Watel closet Wet 5 -'" 23•02 c WatWater honer ‘ 4 _ k @ 37.52 !'31, 75,01 V lis 1 Bsteinces name:Western Plumbing,bac Water piping/VW V 56.29 .,.... ';•-•P' Address:9460 SW Tigard Street.Suite 101 Other. 25.02 moo, ......_ t City/Stare/ZIP'Tigard,OR 97223 7.0"('''Subtotil : ' Phone..(503) Minimum perms fee $72.50 3)639-.5296 Fax.(503) ! __ review (25%of p‘-rinit fee) ID (*CB tic•2439 Plumbing Lie no'3429P13 . .-...3 State surcharge(12%of permit fee) " , ' ,* .ri .._. Authorized signalize 411131,1 , 4,1\ „..t..5 ...": i,.. . TOTAL PERMIT FE- .0 ,6 Attla . 1 TIM permit appticartos espirta if a permit h not obtained within 150 days Print nai-r • et c ..%)-, Dare;/0 gm/VC I after It hat bora accepted as eomplett. +Fee methodology set by Tn-Counry Building Industry Service Board ',9,..0 111.Pemt,Pt ML'Perry111,72 EC,C 15 D'1C 44444:ST1!CoVIICOWWW1) 1 6 q'i•out 13. 3/ 11/1 I -4, dA.,, ' - '77-7. City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15995 SW 74TH AVE 100, TIGARD, OR, 97224 Record Type: Record ID: Commercial - Plumbing PLM2014-00362 Inspection Type: Inspector: 399 Plumbing final George Heimos Result: FAIL Comments: 1 . Hook up rain drain 1st floor at front door area. 103.5.4 2. Hard cap un-used rain drains 3-ea interior rear of building.103.5.4 3. Dishwasher hose to be securely anchored to underside of cabinet top1 st floor break room. 807.4 4. Provide approved listed model trimmer traps. Owner listed nine sinks in building that were installed to be used for model trimming. (ones installed are not approved for use, and need to be removed). 310.3 5. Provide approved listed dual checks for model trimmers on sinks. Owner listed nine sinks in building that were installed to be used for model trimming. 310.3 6. Provide building pressure reducing valve (PRV), 80psi max. (over 100psi.) 608.2 7. Complete plumbing installation for sink or hard cap water and drain, 1st floor room at bottom of stairway near front door. 101.4.1 .2/103.4 8. Provide Noritz water heater installation instructions. (CPVC and clearances to combustibles)103.2.3.1/301.1.3/310.3 9. Recall inspection when corrections have been completed. Re-inspection required. 103.5.6.1 **. Add to existing permit: 1-ea roof drain, 3-ea Interior roof drain cap-offs 9-ea model trimmer traps, 9-ea dual check valves for model trimmers, 1- PRV, 2-ea water heaters, 1- circ. pump, 1-expansion tank, ryan @venneplumbing.com. Gelco plaster traps. Ted, please forward this inspection to Ryan the owner, he needs the Gelco information. Violation Summary: Inspector Contractor CITY OF TIGARD PLUMBING PERMIT q 11111 t V COMMUNITY DEVELOPMENT © Permit#: PLM2014-00362 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 WL Date Issued: 11/04/2014 TIGARD Parcel: 2S113AB00800 Jurisdiction: Tigard Site address: 15995 SW 74TH AVE 100 Project: Duncan-Dowdle Building Subdivision:COUNCIL VIEW ACRES(LOTS 21-44) Lot: 30 Project Description: Interior plumbing:Replacing(1)dishwasher,(1)shower stall,(15)sinks,(1)clothes washer,(5)water closets,(1) water heater,and Adding(2)sinks,(2)urinals. 1/12/15:Reprinted permit to include(6)roof drains and(1)water heater. Contractor: WESTERN PLUMBING Owner: DUNCAN, JOHN ARTHUR&JANICE LEE 9460 SW TIGARD AVE SUITE 101 1001 NW LOVEJOY#812 TIGARD,OR 97223 PORTLAND,OR 97209 PHONE: 503-639-5296 PHONE: FAX: 503-684-9015 FEES Quantity Description Date Amount 1 ea Clothes Washer 11/04/2014 $25.02 Specifics: 1 ea Dishwasher 11/04/2014 $25.02 6 ea Rain Drain-Single Family 01/13/2015 $75.06 Type of Use: COM Dwelling Class of Work: ALT 17 ea Sink 11/04/2014 $425.34 Type of Const: 1 ea Tub/Shower/Shower Pan 11/04/2014 $12.51 Occupancy Grp: 2 ea Urinal 11/04/2014 $50.04 Stories: 5 ea Water Closet 11/04/2014 $125.10 2 ea Water Heater 01/13/2015 $75.04 1 12%State Surcharge- 01/13/2015 $97.58 Plumbing Total $910.71 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.801 2344. Issued By: 'Or- T •ignature: _� Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. 01/07/2015 08:26 5036849015 WESTERN PLUMBING INC PAGE 01/01 Plumbing Permit Application, Building Fixtures EwE� lie 1 ,,K ,,I i i, i 1 til REC City of Tigard 17ud0 : M�-� iN- 13125 SW Hall Blvd.,Tigard,OR 97223 Q 9015 Other porrnit No.: Phone 503.718.2439 Fax: 503.5983$ V$ Inspection Line: 503 639.4175 \i-i. T IGARD D R ions' Internet: www gr g r , n `.4 ❑New txmstruction ❑Demo)ition Deseri• •on « Es. Total r Othesr New 1-2-famil dwellings(includes 100 ft.for each utility connection) `�/ Add3LOt1/altcrgttotl/t eplacerileIlt !r I .�r i y� tx c ,q r..... Kr n rt 1. ,;,i,.A?. L r SFR(1) bah 312 70 - SFR(2)bath r 437.78 CI 1 and 2-family dwelling 1. CommerciaUtndusiTiat SFR(3)berth 500.32 ❑Armory building ❑Multi family Each additional bath/kitchen 25.02 ❑Master builder ❑Other Fire sprinkler( ,sq.ft.) Page 2 ti ,41�Vp n r ' f r Site utiitie {L� teC } e! /+ r...!t , 1., ,` .. •..:r .., I r • l Jab site addres s: rat , ! t Catch basin O r arse dram r 1$.76 Drywell,leach line,or trench drain MI 18.76 MOM City/State/ZIP: .. ` Footing drain(no.linear ft.:_ _) Page 2 Suite/bldg./apt.no.: Project name: M %I . .` .N i Manufactured home utilities 50.03 - r 18.76 MEI Cross street/directians to job sift= Manholes 18.76 Rain drain connector IIIM Sanitary sewer(no.linear tt:,) Page 2 Storm sewer(no.linear R:„_.J MI Page 2 Water service(no.linear ft.:_,.J Subdivision: Lot no F"rxtnre or item: �� Backflow preventer Tax map/Qaire#no 12.51 I Backwater valve �j��j��a , I :, ' : ,.,.; .. ,r:•, Clothes washer 25 02 4i ,.,. •s � ZS Dishwasher i I . 1 i t e Drinking fountain 25.02 a, BJ /sump 25.02 Pk�,t i": a k k i•,.r-.M] �I � �,i I' rll ni I. . r; V ".... I: _. Expansion tank �� Name . Fixtuxe/sewer cap 23.02 � Floor drainfloor sink/hub En 25.02 Address: .- Garbage disposal IN 25.02 City/State/Z1P: Bose bib 25.02 Phone:( ) Fax:( ) Ice maker lmerceptor/grease trap 25.02 +4' c�J f qa. `-.I , ,', :4 1... c.., ,,.,I, . ... ... Medical ear(value:$ ) Page 2 Business name: Primer 12.51 Contact name: Roof drain(commercial) MI 12.51 Fgleill Addeess: Sink/basin/lavatory AM 25.02 - 62.54 City/State/ZIP: Solar wets(potable water) Tub/shower/shower pan 12.51 Phone:( ) Fax::( ) Urinal 25.02 E marl Water closet 25.02 yy '; ti � *', ?. t' 37.52 MEW x •` .' Water heater Business name:Western Plumbing,Inc. Water piping/DWV MI 25.02 her. - Address:9460 SW Tigard Street,Suite 101 Ot Subtotal ' City/State/ZIP:Tigard,OR 97223 Minimum permit fce: $72.50 Phone:(503)639 5296 Fax (503)b84-9015 Plan review (25%of permit fee) CCB Lic.:2439 Plumbing Lic.no.:3429PI3 State surcharge(12%of permit fee) Authorized signature �'/ "tom a/1`N!1 TOTAL PERMIT FEE��, .. je . ,1�F • •� Thia perQit applicedoe espir'eg It g perark b sot abtaiERd e►it>tin I80 days t . sAG�t�.� Date: f g { atmer ie fug bew unty accepted l an 1ndustoa _.+, Foe methodology set by Tti-County Bu7ding Industry��Board. 1:`Bu%WingWarmae�!�rU-Pam'rtAppdoe 10/01M1A 440.46}6 T(10/OYCOMNYEB) CITY OF TIGARD PLUMBING PERMIT 1111 lr: • COMMUNITY DEVELOPMENT Permit#: PLM2014-00362 T I GAR T_7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/04/2014 Parcel: 2S 113AB00800 Jurisdiction: Tigard Site address: 15995 SW 74TH AVE 100 Project: Duncan-Dowdle Building Subdivision:COUNCIL VIEW ACRES(LOTS 21-44) Lot: 30 Project Description: Interior plumbing:Replacing(1)dishwasher,(1)shower stall,(15)sinks,(1)clothes washer,(5)water closets,(1) water heater,and Adding(2)sinks,(2)urinals. Contractor: WESTERN PLUMBING Owner: DUNCAN,JOHN ARTHUR&JANICE LEE 9460 SW TIGARD AVE SUITE 101 1001 NW LOVEJOY#812 TIGARD, OR 97223 PORTLAND, OR 97209 PHONE: 503-639-5296 PHONE: FAX: 503-684-9015 FEES Quantity Description Date Amount 1 ea Clothes Washer 11/04/2014 $25.02 Specifics:, 1 ea Dishwasher 11/04/2014 $25.02 17 ea Sink 11/04/2014 $425.34 Type of Use: COM 1 ea Tub/Shower/Shower Pan 11/04/2014 $12.51 Class of Work: ALT 2 ea Urinal 11/04/2014 $50.04 Type of Const: 5 ea Water Closet 11/04/2014 $125.10 Occupancy Grp: 1 ea Water Heater 11/04/2014 $37.52 Stories: 1 12%State Surcharge- 11/04/2014 $84.07 Plumbing Total $784.62 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 folio the r adopted • the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. •u ay obt-'n a op of the rules or direct• C by calling 503.232.1987 or 1.800.332.2344. ' Issue By: / Permittee ee Si nature:" V • 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. 10/30/2014 12:49 5036849015 WESTERN PLUMBING INC PAGE 01/03 Plumbine Permit Annli �Ei f FD a5 / ' - i Building Fixtures 1 ()1,4 ni I I( 1 I til. O.) , City of Tigard O C T 3 0 2014 Da Y, II H fit 43173- Permit -cO36o . • Permit No.: 14 13125 SW Hall Blvd.,Tigard,0' .1 Plan Review it ' Phone: 503,718.2439 Fax: 51 C I Ii4HU Date/By. Other Permit No.nva C f N-coiX Inspection Line: 503.639.417h�I� „�In� Date Ready/By: 1) .. BI See age 2 for 1 i Internet: www.tigard-or.gov �� (r' Notified/Method; �3-� Supplemental Information {;y ' C Sf qT:1 ,e..�. Si d -• ti !..:.n 111 : l•� ( i. {r '' "1.„'.:' :.r L L. 1(l,W Il T �;I_Ii4�..i'�N�..�F k ,4 : ... ... .. Lb : f,..IiiPAt . ,... New construction El Demolition For special information use checklist Description L Qty. I Ea. Total oil Addition/alteration/replacement ❑Other: New 1-2-family dwellio_a(includes 100 ft.for each utility oonnection) �t,pvp0,, tPt" il,;:, N . I•: '' r7 01 r it '' SFR(I)bath 312.70 ❑ I-and 2-family dwelling 1 Commercial/industrial SFR(2)bath Illiiiill SFR(3)bath 1 500,32 III ❑Accessory building ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler(_......r sq.ft.) Page 2•a + ,/ti r ,..,,.,,i +�1... ... .' - .. i .ii,0 ..,,,,.. Site....;ties.11t Job site address: ^ 1 ■ Catch basin or arca drain 18.76 `�� tay11 �‘ Drywell,leach lino,or trench drain 18.76 City/State/ZIP: 0 . 4"-" " C 0. 4 Footing drain(no,linear ft.: Page 2 Suite/bldg./apt.no.: Project name: );Ai Q r Vo._L,t(SL. Manufactured home utilities M 50.03 11.011 Cross street/directions to job site: Manholes 18.76 - Rain drain connector 18.76 Sanitary newer(no.linear ft.:,-^„) Page 2 Storm sewer(no.linear ft.: Page 2 Water service(no.linear ft.:_) Page 2 i Subdivision: Lot no.: Fixture or item: Tax map parcel no.. Backflow preventer 31.27 ' r Backwater valve 12.51• iii t L; ', �' .�. ti•' '..i1 r.,1. � / x i• w t,%:1,1 4;L' /:•: A,.. ,•.. M, ., Clothes washer 1 \ ✓ 25.02 /Z130 _ Dishwasher i , / 25.02 ; .(,7, vekNe...)04 -1,- / • , Drinking fountain 25.02 Ejectors/sump 25.02 �.( 7. ` ' " Expansion tank 12.51 .�. �vE tI .� dy.e.. L. W ., +... ... L✓ ..,J.•..n4�. ..Lr..+.,,..wi- ::1 .0 ...w.. t ..r.. Fixhuelsewer cap 25.02 I Name: 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 ++..,_n ,a "r L° rc '' r - 1. ,�. Interceptor/grease trap 25.02•1.� 1 '1.•t .. • 4.. r n .-r;;;4'-',..0r �v+ ;+1.,. . ••$.nt FiA..ell..rltR •■••,■ 5..1:: .A 0 Medical gas(value;S ) Page 2 Business name: -.- Primer 12.51 Contact name: Roof drain(commercial) 12.51 Address: Sink/basin/lava 25.02 -. m1Y11p ... �,t ..� City/State/ZIP: Solar units(potable water) III 62.54 Phone:( ) Fax::( ) Tub/shower/shower pan( 12.51 i0 E-mail; Urinal al (, 25 02 �- �5 4 Water closet 25.02 '..,rain. "%. :. .... :. :;; .,l I .. .,. .0 •-.. .; ...L Water heater 37.52 I i � Business name:Western Plumbing,Inc. Water piping/DWV 56.29 Address:9460 SW Tigard Street,Suite 101 Other: WA 25.02 City/State/ZIP:Tigard,OR 97223 Subtotal %�, Phone:(503)639.5296 Fax:(503)684-9015 Minimum permit fee: 572,50" Plan review (25%of permit fee) CCB Lic-:2439 Plumbing Lic.no.:3429PB State surcharge(12%of permit fee) .el Authorized signature: t tl TOTAL PERMIT FE (p,� Print name: •i I Date: /d " • This permit application expires If a permit is not obtained within 180 days Ni..� ,`!. 7 t.l. J ar after it has been accepted u complete. 'Fee methodology set by Tri-County Building Industry Service Board. 1-1$ui ties\Peemit5 MU-PercutApp.dOC 10101/09 440-4615T(10/02:COM/W92) 10/30/2014 12:49 5036849015 WESTERN PLUMBING INC PAGE 02/03 Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Su• •cession.S stems: wx... •ocr r �',.,,r i h 4A• .;;•1'.-':!.' 1, - :t ,, r ., , . 1.. t'!p%:ctltSr'S'; Footing ,.i- »s.. .. ,- O 50.03 r. _ 0 to 2 000 $121.90 "; Footin drain-1 100' --. Footing ain-each additional 100' 2 001 to 3 600 $169.69 1= ��- 3601 to 7 200 $233.20 Sewer-1st 100' 1111. 62.54 7 01 and to-:1 er $327.54 Sewer-each additional 100' 1111011 Water Service-1st 100' 111.. 62.54 Medical Gas S stems: Water Service-each additional 100' 112111 Storm&Rain Drain-1st 100' 62.54 $1.00 to$5 000.00 Minimum fee$72.50 Storrs&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 ,:47 , l '''' ' ", each additional$100.00 or fraction thereof,to 4,: t` and includin:$10 000.00. Inspection of existing plumbing or far $10,001.00 to$25,000.00 $148.50 for the first 510,000.00 and$1,54 for which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to minimum• .,•e..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 oh : -2 hours each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr 11.1111 and includin• $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 _ each additional$100.00 or fraction thereof (minimum eh: -.. 1/2 hour Subtotal: _111111 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* L r ,� u+�N1M 7M� '- 1{�.rt�( f�fl ht'�L 1 ,� •�'{t w. !!...,;.-1.;:'4::.' ., ..,.... _. . .•' �! F !,a' F W ;''f..,{�4 n,F �^tq� r '1' iw Plan review is required for any of the following. '..,a.' iC ...�.._ r, .: a,4'1 ..l4 ,- :b4auwc ra uzw64.10c so,r• eb.nm( • Please check all that apply. PP Y. Baptistry/Font Bath -Tub/Shower Q Any new commercial building with water service 2"and -Jar" i/whirlpoot greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer. -Drive Mini ❑ New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780-0040. Dishwasher -Commercial . 0 Medical gas and vacuum systems for health care%citifies. -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. -3" :".1':.. 77:77",-,7,7,.7-1:;17m Car Wash Drain 1 .r'..1 • 1 -' Garbage -Domestic-non-food • Isometric or riser diagram is required for new buildings Dtsposal -Domcstio-foots related .1 that meet the •ualifications above. -Commercial-food related _ -Industrial-food related Ice Mach./Refrig.Drains Oil Separator(Gas Station) Comments regarding fixture work: itec.Vehicle Dump Station Shower -Gang __.. -Stall t Sink/Lav -Non-food related ---- -Bradley -Commercial-food related „ -Service Swimming 1'001 Filter J *Note: If the fixture work under this permit results in an Washer-CIothcs - I 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 a ✓ plumbing permit can be issued. Other Fixtures: httpl/www.tigard-or_gov/city hall/departments/ed/d 1,MF-renmitA oc 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 15995 SW 74TH AVE 100, TIGARD, OR, 97224 Commercial - Plumbing 399 Plumbing ﬁnal FAIL PLM2014-00362 George Heimos Note, inspected men and women bathroom's near front entrance only. Fixtures working properly but have no hot water. There are no health safety plumbing issues. 1. No other ﬁxtures have been inspected, Work not completed. 103.5.4 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 15995 SW 74TH AVE 100, TIGARD, OR, 97224 Commercial - Plumbing 399 Plumbing ﬁnal PASS - No C of O PLM2014-00362 George Heimos Model trimmers with dual check valves located on 1st ﬂoor 2-ea sinks trimming room. 2nd ﬂoor main lab in study model area 1-ea. All other trimming areas have Gelco Plaster Traps. NOTE. Documentation from company owners, dated 4/28/15 received regarding areas served by backﬂow devices and plaster traps. All else ok. Violation Summary: Inspector Contractor