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Permit
CITY OF TIGARD PLUMBING PERMIT 114 i ' COMMUNITY DEVELOPMENT Permit#: PLM2015 00304 T tt;; D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/16/2015 Parcel: 1 S 1260000300 Jurisdiction: TIGARD Site address: 9540 SW WASHINGTON SQUARE RD H15 Project: See's Candies Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: S Project Description: Adding(1)3"floor drain,(1)primer,(2)non-food related sinks,(1)food related sink and(1)service sink. Relocating/replacing(1)sink,(1)toilet and(1)water heater. Contractor: MODERN PLUMBING Owner: PPR WASHINGTON SQUARE LLC 11120 SW INDUSTRIAL WAY PO BOX 847 TUALATIN, OR 97062 CARLSBAD,CA 92018 PHONE: 503-691-6166 PHONE: FAX: 503-691-6771 FEES Quantity Description Date Amount 1 ea Floor Drain/Floor Sink/Hub 09/16/2015 $25.02 Specifics: 1 ea Primer 09/16/2015 $12.51 4 ea Sink 09/16/2015 $100.08 Type of Use: COM 1 ea Lavatories 09/16/2015 $25.02 Class of Work: ALT 1 ea Water Closet 09/16/2015 $25.02 Type of Const: 1 ea Water Heater 09/16/2015 $37.52 Occupancy Grp: 1 12%State Surcharge- 09/16/2015 $27.02 Stories: Plumbing Total $252.19 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 i suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility No ation 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 dire questions to OUNC b cal•-. 503.232.1987 or 1.800.332.2344. Is- ed By: Permittee Si nature: ' • Call 503.639.4175 by 7:00 a.m.for the next available inspe on 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. Sep. ' 1. 2J15 8: 14AM Modern Plumbing No. 8805 P. 2 Plumbing Permit Application Building Fixtures I tilt OH It I. toll: ()NI l City of Tigard RECEIVED ED �e % lc / , / ?emit No.: bei- ""r3r) n 13125 SW Hall Blvd., OR 97223 y p�Review i u Phone: 503.718.2439 Fax: 503.598.19S EP P 1 4 2015 Date/By: Oi6e Permit No.�wie4Pe/57-e251) `/ T I G R n Inspection Line: 503.639.4175 Date Ready/By: �("`3 Q, lurk: 0 See Page 2 for Internet: www.ligard-or.gov CITY 0.t:�•v^.'!i r Nola-ledrMoho&?//..s-- xw`�'�� Supplemental Information TYPE OF 1 ilR'1 --+ i'. 0 N .A04111,-1, oti2.0( ✓ : :•• SCHEDULE ❑New construction ❑Demolition 'r ,`!ja/ For special itifornrarian use checklist. Description I Qty. L Ea. I Total El Addition/alteration/replacement ❑Other: New I-2-family dwellings(includes 100 ft.for each utility connection) t� CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ❑ 1-and 2-family dwelling ®Commercialfutdustrial SFR(2)bath 437.78 (� SFR(3)bath 50032 ❑Accessory building ❑Multi-family - Each additional bath/kitchen _ 25.02 ❑Master builder ❑Other; Fire sprinkler( sq.4) Page 2 964/0 JOB SITE INFORMATION AND LOCATION SIIe utilities: `r Job site address9ri9F41f Washington Square Road Catch basin or area drain i 18.76 I Q City/State/ZIPvTigard,OR 97223 Drywall,leach line,or trench drain 18.76 Fooling drain(no.linear ft.: ) Page 2 Suile/bldgJapt.no.:14-15 Project name:See's Candles Manufactured home utilities 50.03 �7-�1+ Cross street/directions to job site: Manholes T7- 8.76 tfi Rain drain connector 18.76 N1 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.:_J Page 2 Water service(no.linear ft.:_) Page 2 Subdivision: I Lot no.: Fixture or item: Tax map/parcel no.: ) 5'1 0 30 0 Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 I Clothes washer 25.0.2 Tenant Improvement 25-2 Dishwasher 25,02 working with Western Construction(BUP2015.3d39) Drinking fountain 25.02 Ejectors/sump 25.02 ❑ PROPERTY OWNER ❑ TENANT Expansion lank 12.51 Name: Fixture/sewer cap 25.02 Floor drain/floor sink/hub I 25.02 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 Business name: Medical gas(value:5 ) Page 2 1 -- Primer 1 12.51 12.51 Contact name: .. • Roof drain(commercial) I 12.51 Address; Sink/basin/lavatory 5 25.02 125.10 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fox;:( . ) Tub/shower/shower pan 12,51 A AN •,. Urinal 25.02 E-mail: ¢ ,ru.� C� rMOcQ.c,►n Water closet 1 25.02 25.02 CONTRACTOR Water heater 1 37.52 37.52 Business name:Modern Plumbing Water piping/DWV 56.29 Address: 11120 SW Industrial Way,Bldg.9.9 Other: 25.02 City/Slate/ZIP:Tualatin,OR 97062 Subtotal 225.17 - Phone:(503)691.6166 Fax:(503)641-6771 Minimum permit fee: $72.50 CCB Lie.:87906 PI igg Lic.no.:34-250PB Plan review (25%of permit fcc) State surcharge(12%of permit fee) 27.02 Authori2ed signature; OdAA,t____ TOTAL PERMIT FEE 252.19 Print name;Deborah George Date: 9-1/-6 I This permit application expires if a permit is not obtained within 130 days after it has been accepted as complete. 'Fee methodology set by Tri-County Building Industry Service Board. 1.1 BuildingTermitsPLMN•PennitAppdoc 10101109 4J0-A6t6T(10.'OLCOM/A 2) Sep. 11. 2015 8: 14AM Modern Plumbing No. 8805 P. 3 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-la 100' 50.03 0 to 2,000 5121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 3.601 to 7.200 5233.20 Sewer-1st 100' 62.54 7,201 ajreater $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 51.00 to 55,000.00 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 Other Inspections or Fees Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to p and including 510.000.00. Inspection of existing plumbing or for 510,001.00 to$25,000.00 $148.50 for the first$10,000.00 and 51.54 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$25,000.00 and 51.45 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 550.001.00 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. Quantiy by Fixture Type Plan Review for Plumbing Installations Fixture Type for Replace/ Work Performed: Capped Added Relocate Plan review is required for any of the following. •Baptistry/Font Please check all that apply. CI Bath -Tub/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 Thnr ❑ New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in 0AR918-780-0040. 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- Submit 2 sets of plans with any of the above. Isometric or Riser Diagram Car Wash Drain ❑ Isometric or riser diagram is required for new buildings Garbage -Domestio-non-food Disposal -Domestio-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 2 1 - -Bradley - -Commercial-food related 1 -Service I Swimming Pool Filter *Note: If the fixture work under this permit results in an Washer-Clothes Walerfxlrnotor increase of sewer EDUs,a sewer permit will be issued and Water Closet-Toilet t fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fixtures! C:1 Userslmary\Documents\Downloads\PLMF PemtitApp(4).doc 2 Sep. 11. 2015 8: 13AM Modern Plumbing No. 8805 P. 1 '� f 11 ODERf Pluml3nnG. 11120 SW Industrial Way, Bldg. 9 - 3 Tualatin. OR 97062 CCB #87906 t 1`. infotemode,nplumbing.us 503.691.6166 FAX COVER SHEET Attention: Permit Specialist Tigard, Oregon Fax Number: 503 598 1960 From: Deborah There are _3 page in this transaction, including this one. RE: See's Candies, Washington Square Space Attached please find the plumbing permit application for this project. We are working with Western Construction. Their Building permit number is BUP2015-2439. Please let me know when the permit is ready to issue. Thank you Deborah Deborah©modernplumbing.us Fax 503 691 6771 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 9540 SW WASHINGTON SQUARE RD H15, TIGARD, OR, 97223 Commercial - Plumbing 399 Plumbing final PASS - No C of O November 2, 2015 at 9:58:44 AM PLM2015-00304 Don Sylvester 1. Note: finish caulking around mop sink,& install insulators on lav trap & hot water supply. Violation Summary: Inspector Contractor