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Permit CITY OF TIGARD PLUMBING PERMIT ,� Permit#: PLM2016-00079 COMMUNITY DEVELOPMENT 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/16/2016 TIGARD Parcel: 2S110AC01300 Jurisdiction: TIGARD Site address: 11430 SW BULL MOUNTAIN RD Project: Bull Mountain Heights Apartments Subdivision: 2003-083 PARTITION PLAT Lot: 2 Project Description: Adding(2)catch basins and 300 ft.of storm sewer. Contractor: KODIAK PLUMBING Owner: ANDREWS MANAGEMENT LTD 12030 SE MT SCOTT BLVD 5845 JEAN RD PORTLAND, OR 97266 LAKE OSWEGO, OR 97035 PHONE: 503-756-4696 PHONE. FAX: FEES Quantity Description Date Amount 2 ea Catch Basin or Area Drain 02/16/2016 $37.52 Specifics: 300 If Storm Sewer 02/16/2016 $137.58 1 12%State Surcharge- 02/16/2016 $21.01 Type of Use: MF Plumbing Class of Work: ALT Type of Const: Occupancy Grp: Stories: Total $196.11 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By:• �_ Permittee Signature: e"..1").7.0C; Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Plumbing Permit Application Building Fixtures Cityof Tigard Received ii/ �/y� e �r�`� Date/By: o i6 ill �_ Pennit No.: /N't�of/_ -tri ,71 111 13125 SW Hall Blvd.,Tigard,OR 97223 Vv I� Plan Review 1� (�(�t1 Phone: 503.718.2439 Fax: 503.598.19x0` Q 1 f� �0`� Date/By: Other Permit No.: ( �G/s``_-Q0jq3 Inspection Line: 503.639.4175 P 1 r to Ready/By: sur s: I ® See PageeNN2 for 1 Ili.\1:1> Internet: Line: gard-or..41 �� / ; , g �{ P�,� i d/Method: Supplementallnformation l -, .1'1' ; 4 :; ' T'IYPE OF WORD '.``�i 1 .. FEE*$C#IE LE ❑New construction 0 Dettlgr" For special information use checklist. Description I Qty. I Ea. Total 'Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) .. _ CATEGORY OF-coN twci'ioN SFR(1)bath 312.70 ❑ 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building [p7Multi-family Each additional bath/kitchen 25.02 0 Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: l LI-5b S (G1 o l), l 4Duir pn LV Catch basin or area drain 1 18.76 37,5 Drywell,leach line,or trench drain 18.76 City/State/ZIP:' P- T79c).112� Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: Project name:v",li/� xJ . Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 .Storm sewer(no.linear ft.:3.a)) 3 Page 2 3CO Water service(no.linear ft.:_) Page 2 Subdivision: I Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OP' -WORK Backwater valve 12.51 .� Clothes washer 25.02 p f QL .) 1 U LJ'` t v/4A- &er5 i t ) tot-(E7 Dishwasher 25.02 30x` OE- -1-00,- sA ¶jteas&e.42 Drinking fountain 25.02 Ejectors/sump 25.02 ❑ PROPERTY OWNER I 0 TENANT Expansion tank 12.51 Fixture/sewer cap 25.02 Name: 1\31-‘1 Floor drain/floor sink/hub 25.02 Address: I'J O'T +, C Hp In Garbage disposal 25.02 City/State/ZIP: y4�p /.f1 C I' -1 '_U-2___ Hose bib 25.02 Phone:(61,? 2 0001 / +� Fax:( ) Ice maker / 12.51 'U APPLICANT ' CONTACT PERSON Interceptor/grease trap 25.02 Business name:C,/J_��y.r�v� CD- rig/�-,-,�( Medical gas(value:$ ) Page 2 Contact name: ` ���V`` ter`` '' �' 2. l Primer 12.51 `A�� y I . \ t`N Roof drain(commercial) 12.51 Address: 252'1 2�"1 Sink/basin/lavatory 25.02 City/State/ZIP:acre4 n \(-1 0-1/._ C 009 Solar units(potable water) 62.54 Phone:( -14:5S) (i-IZ Ica `�Il 9 Fax::( )I Tub/shower/shower pan 12.51 E mall 0m , Urinal 25.02 Water closet 25.02 " ;' '": "'� .WNT C�i#1.7,1-tw Water heater 37.52 Business name: y_..cb' � QbAk.,11\2,E) Water piping/DWV 56.29 Address: 1311 LA-)110-r-02._ EFT- NI-E--- Other: 25.02 City/State/ZIP: Gj �� ,/� (512-� C/ 7 l Subtotal''(7.5.10 Phone: 3 3 4 ,-W5� Minimum permit fee: $72.50 (�j ) Fax:( ) CCB Lie.: TL22:2), Plumbing Lic.no.: - CFI Plan review (25%of permit fee) State surcharge(12%of permit fee) / Authorized signatuTOTAL PERMIT FEE /94,„// Print name:( NOSH Z'a.i f>��� Date: 24 (6/ '5- This permit application expires if a permit is not obtained within 180 days �„i`� t V tV tl after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. 1:Building Permits PLMU-PermitApp.doe 10 01 09 440-46161(1002 COM WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site;Utilities Qtr. Fee(ea) Total S4uare�Pootage. Permit Fee: Footing drain-I"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 6•7 t f 7,201 and greater $327.54 Sewer-each additional 100' 37.52 7S 0/l Water Service-1st 100' 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52 Storm&Rain Drain-1st 100' 62.54 Valuaiitm; $1.00 to$5,000.00 Minimum fee$72.50 Storm&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 D#her Inspections or Fees Qty. Fee(et0 Tom each additional$100.00 or fraction thereof,to 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 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 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$1.20 for (minimum charge 1/2 hour) each additional$100.00 or fraction thereof. Subtotal: l 37.Sr 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*. Plan Review for Plumbing Installations Quantity by Fixture Type Plan review is required for any of the following. Fixture Type for Replace/ Please check all that apply. Work Performed: Capped Added Relocate Baptistry/Font ❑ Any new commercial building with water service 2"and greater,except systems designed and stamped by licensed Bath: -Tub/Shower engineer. -Jacuzzi/Whirlpool IDCar Wash: Each Stall New exterior plumbing site utilities for any complex structure Drive Thru as defined in OAR9 I 8-780-0040. Cuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities. ❑ Any multipurpose fire sprinkler system. Dishwasher: -Commercial Domestic ❑ Any complex structure as defined in OAR918-780-0040. Drinking Fountain Eye Wash Submit 2 sets of plans with any of the above. Floor Drain/sink: -2" 3.. Isometric or Riser Diagram El Isometric or riser diagram is required for new buildings -Car Wash Drain Garbage Domestic non-food that meet the qualifications above. Disposal: -Domestic food related -Commercial food related -Industrial food related Ice Mach./Refrig.Drains Comments regarding fixture work: Oil Separator(Gas Station) Rec.Vehicle Dump Station Shower: -Gang -Stall Sink: -fav/Bar non-food related -Bradley -Coin/Serv/Util food related -Service *Note: If the fixture work under this permit results in an Swimming Pool Filter increase of sewer EDUs,a sewer permit will be issued and Washer-Clothes fees assessed for the sewer increase must be paid before the Water Extractor Water Closet-Toilet plumbing permit can be issued. Urinal Other Fixtures: 1:ABuilding\Permits\PLMF_PermitApp.doc 08/04/2011 2 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 11430 SW BULL MOUNTAIN RD, TIGARD, OR, 97224 Commercial - Plumbing 399 Plumbing final PASS - No C of O PLM2016-00079 Don Sylvester Violation Summary: Inspector Contractor