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Permit (18) p CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT Permit#: PLM2016-00049 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/04/2016 Parcel: 2S 113AB00600 Jurisdiction: Tigard Site address: 16160 SW UPPER BOONES FERRY RD Project: Phytelligence Subdivision:COUNCIL VIEW ACRES(LOTS 21-44) Lot: 30 Project Description: Interior plumbing for TI:Adding(2)2"floor drains,(1)sink,(1)water closet,and(1)urinal;Relocating(1)2"floor sink,(1)shower stall,(3)sinks,and(2)water closets. Contractor: MIKE PATTERSON PLUMBING Owner: PACIFIC REALTY ASSOCIATES LP 15028 S MITCHELL LN ATTN: N PIVEN OREGON CITY, OR 97045 15350 SE SEQUOIA PKWY#300 PORTLAND, OR 97224 PHONE: 503-632-7374 PHONE: 503-624-6300 FAX: 503-632-5647 FEES Quantity Description Date Amount 3 ea Floor Drain/Floor Sink/Hub 02/03/2016 $75.06 Specifics: 4 ea Sink 02/03/2016 $100.08 1 ea Tub/Shower/Shower Pan 02/03/2016 $12.51 Type of Use: COM 1 ea Urinal 02/03/2016 $25.02 Class of Work: ALT 3 ea Water Closet 02/03/2016 $75.06 Type of Const: 1 ea Water Heater 02/03/2016 $37.52 Occupancy Grp: 1 12%State Surcharge- 02/03/2016 $39.03 Stories: Plumbing Total $364.28 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 c is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 01-0090. You ma btain a copy of the rules or direct questions to OUNC by calling 50 L,.800.33 44. 3.232.1987 or 1.800.33 44. Issued By: Per 'tee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspect n e. This permit card shall be kept in a conspicuous place on thejob site until comple ion o t e project. Approved plans are required on the job site at the time of each inspection. 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IdW01,WNttftW.MWw10AppAw 10000 MO Atl14Y(I�P�GO^:fMn„A Jan.29.2016 08:48 AM Mike Patterson Plumbing 5036554349 PAGE. 2/ 3 Plumbing P ermit APRlication - CM1.Y of Tigard nd Page 2-Supplemental Information Fee Schedule: Residential Fire Suppression Systems: ��� r^:k M ma h.w ,k•`i (.i^y ,: Fooling drain-t"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-19 100' 62,54 7 01 and&enter $327.54 Sower-aach additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas S stCms:gWutar Service-aach additional 100' 37.52 .�, yr �,p�:` Storm&.Rain Drain-1st 100' 62.54 . 1.00 to$5,000 Minimum fcc$72,50 Storm&Rain Drain-cacti additional 100' 37.52 $5,001.00 to$10,000.00 $72,50 fbr the first$5,000.00 and$1.521•ar cuch additional$100.00 or fraction thereof,to and including$10000.00. Inspection of existing plumbing or ror $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 90.004ir cacti additional$100.00 or 6action thereof,to minimum char c—112 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 chargo—2!,outs each additional$100.00 or fraction thereof,to Reltupeetion Pees 90.001111. and Including$50,000.00. Additional plan review fbr revisions 90,0011v $50,001.00 and tip $742.00 for the tlrst$50,000.00 and$1.20 for minimum eh e—1/2(tour each additional$100.00 or fraction thcrcof subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by ffxturc. Failure to accurately report fixtures could result In Increased sewer fees. i,. a'ht WOO >F1tl1rR jtb tl$C ke cN , Wer br'liiCd:. taPPbd �diica 1.o i tan review 1s required for any of the following. D tilt /Pont Please,check all that apply. Bath =1'ub/Shower ❑ Any new commercial building with water service 2"arid -'l'ub/1.0 wcr cul greater,except systems designed and stamped by licensed Car Wash -Tach Stall engineer, 11-Drive Taro 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 tilcilities. -Domestic ❑ Any multipurpose fire sprinkler system. Drinking Fountain ❑ Any complex structure as defined in OAR918-780-0040. Eye Wash Floor Drain/sink -2" 2 I Submit 2 sets of plans with tiny of the above. .3" Car wash Drain Garbage -Domostia-non-food Isometric or riser diagram is required for new buildings Uispuml -Do,nestio—food related that meet the qualifications above, -Commercial—food related -Industrial-food rclatcd icc Mach,/Rcfri ,Drains Oil Separator Gas Station Comments regarding fixture work: Rm,Vehicle Dump Statist I SDC_FEES TO BE PAID BY OTHERS, Shower -Gang -Stall 1 Sink/Lav -Non-tbod refitted 1 3 -Bradley -Commercial-foot related -Service Svvitnining Pool Filter *Note: If the fixture work under this permit results in an Washes;-Clothes increase of sewer EDU9,a sewer permit will be issued and Water Lxiractor Water closet-'1'oilut 1 2 fees assessed for the sewer lnerease must be paid before the Urinal I plumbing permit can be issued. Other Fixtures; C:\Users\katic\Downloads\Pi.Mf_Pertnit'App.doe 2