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Permit (185) CITY OF TIGARD PLUMBING PERMIT ■ COMMUNITY DEVELOPMENT Permit#: PLM2016-00590 and OR 97223 503.718.2439 13125 SW Hall Blvd.,Ti Date Issued: 12/05/2016 Trc,Ai t} g Parcel: 2S112AD00301 Jurisdiction: Tigard Site address: 14610 SW SEQUOIA PKWY Project: John Barleycoms Subdivision: BONITA GARDENS Lot: 4 Project Description: Install new grease trap and replace existing floor sink. Contractor: AMERICAN PLUMBING SERVICES INC Owner: SMETS FAMILY TRUST I 5905 N INTERSTATE AVE BY SMETS,JOHN E&MARIETTA D TRS PORTLAND, OR 97217 PO BOX 560 AURORA, OR 97002 PHONE: 503-289-6498 PHONE: FAX: 503-247-2429 FEES Quantity Description Date Amount ea Floor Drain/Floor Sink/Hub 12/02/2016 $25.02 Specifics: 1 ea Interceptor/Grease Trap 12/02/2016 $25.02 1 12%State Surcharge- 12/02/2016 $8.70 Type of Use: COM Plumbing Class of Work: ALT 22 ea Minimum Fee Adjustment- 12/02/2016 $22.46 Type of Const: Plumbing Occupancy Grp: Stories: Total $81.20 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 que -- •UNC by calling 503.232.1987 or 1.800.332.2344. Issued By: , / L/Ll_I Permittee Signet re: 4rrarrtCJ?—� Call 503.639.4175 by 7:00 a.m.for the next available inspe ion 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. 12/1/2016 03: 10 PST TO: 15035981960 FROM: 5032472429 Page: 2 Plumbing Permit Applica n , I Building Fixtures FOR OFFICE ESE ONL1 11 City of Tigard OEC 0 .. )Q15! keceised • 13125 SW Half Blvd.,Tigard,f tR 97223 : Date,l3y z, / , Pant No.:: ��,n�-pt(ecd1/6- 01 Phone: 503.7i 8.239 Fax: S01:5T#)bp, t Plan Review" ----- TIGARD Inspection Line. 503.639 41 75 t 1 I , Date€3y Other Pomo msY No Internet: wxw•iigarcl ar. o Date Ra (hy ,__.— turis. f ��� I� '�,`o '���z; i h`antied,Mettr€sd Lf gee Pad 2 Err tinIX••ental Information • I ❑New construction . ' _ ' _ } Il Q Demolition 1'`©r stsecrvl irrfvrmrrtcon axe chccktlst. Addition/alteration/replacement 1 Description a _ ❑Ober: 1 j Qty. Ea. I Total ��� New 1-2-family dwellings(includes l00 ft for tach utility onneetton, ',CATEGORY'... OF .„-. ,,rRv- ---)Iti • SFR(I)bath 1" Q 1-and 2-family dwelling "SLR -�.._... I �_ 32.78 i _ ®Commercial/industrial (2)bath 437.78 . 0 Accessory building SIR(3)bath - - -_.� 1 Q<iulti-I`anrilc _ _ i 500.32 �--� ------ Each additional bath/kitchen 2y t 2 0 Master budder 0 Other: } l I _ Fire sprir.E;ler fsq.ft.j � Page� B SITE-Il"IIrC)1 C2ATIt),S tiLOCATION' III' — _J 1 Site utilities: 1 Job site address: 14610 S«'Sequoia Pkwy f Catch basin r_ or area drain ' City/State/ZIP:Tigard,OR 97224 17r�-vveh knell line,or trench drain ._. __...�.......__ --.--. ,_ l2$76 , Stnte/bld to t no: Footingdrain{no.linear t2_ 7 Page 2 � 8 P Project uamt�- �/ �- __ JOI11x Lt L. h-1-aMo actnred horse utditiea - } _ Cross street/directions to job site: - 18(?3 1 Manholes { t 5.?G Rain drain connector jI -II 18'6 I ,ewer(np linear-IT�) f i Page 2 Sturm sew-r(nti.linear 1i.. ) Pelta 2 t - Water service(no.linear Ii.: ) J Paget Subdivision: -I- ��` Lot no.: Fixture or item: - - Tax map/parcel no.: _ i Backflow preventar ( 31.27 ' ,AT St'RIPTI+Il1Y OF WORK • �• Backwater valve, -: 12.5-ft- • I Installing New Grease Trap on Dishwasher line and replacing existing floor sink t_Clothes washer 25 02 i with newer. Dishwasher 25.02 i 1 _ Drinking fountain 24.02 1 __ Ejectors/sump I "W i `"'`—' a PROPERT' "OWNER I i TENANT ! 1'xpansian tank .4_ 12.02 �� � ... 3 I_.S1 Name:John Barley Corn/fMcMenamin'x ( F Fixture/sewer cap y�02 1 Address:14610 SW Sequoia Parkway r Floor drain/floor sink/hub 1 25.02 i 25.02 _ _ _ City/State/ZIP:Tigard,OR 97224 _ __ �� Garbage disposal- ' 25.02 1" - ) Hose bib 7 — _� l202l [ Phone:( ) Fax:( ) �" i Ice maker _ 12.51 , . APPLWA"T: T- :' C'ONTY(°1 PERSON ! Int.rceptor/grease trap 1 25.02_I ,i .02 Business name:American Plumbing Services Medical g (vahtc } 2 9 Page - Pruner Contact name:Tony Johnston t t,s t -_ __._ -.. --___ .. i Roof dram(commercial) 12 51 Address:5905 N Interstate Ave ) 1 Sink/basin/lavatory { 07 City/State/ZIP:Portland,OR 97217 f - -- ____— der!tr unit~(prit tble water) �, 1-62.54 Phone:(503)289-6498 ('ax::(503)247-2429 1 Tub/shower/shower pan 1 ' 12 .51 ' E-mail:KYLEI1aDAPSl_P.COYt .� I rirtal �. [ .-_--.. I .. 25.02 Water closet CONTRM 7 502 -_ ----- Water heater - __3 .52 Business name:American Plumbing Services I.P __"_ _ i 37752 ~ Water pipinst/15V,V -1I " 1-56 29 _� Address:5905 N Interstate Ave ? i - . _-__ _ _..—. Other: �(. 2;.02 City/State/ZIP:Portland,OR 97217 _--- r I-- Subtotal - Phone:(503)2159-6498 I tax (503)247-2429 �� Minimum permit tee" 572.50 ;i) CCB Lie.:151062 ""`- -..- ff Plumbing Lie.no.:26--567PB ----- StatePlan rwrcvv (2 'loot permit fee) Authorized signature: y- Si ire surcharge(12°o apeman I ci p i V. Print name:Kyle Harms _ this permit application plication ex ires iia �d a,' t- ,+ date:12:3/20I6 7• ! 1 t p ceetnitis not abtamed'-,than[Rf)days --._.. ._...—.„. i after it has been mewed as com pleti. ''Fer mi-ilmdokr5y set by Tri-C own.y Ilnilding lads try Seri.-ice Board. I tn!;itd,,ir5\Pe rnriisrprxts-Peril Apr)a.x. •oict;-e 4.10-Evi1-i1{p tl'u2f{;OmaVEiFij 12/1/2016 03 : 10 PST TO: 15035981960 FROM: 5032472429 Page: 3 Plumbing Permit Application - City of Tigard Page 2 -Supplemental Information Fee Schedule: Residential Fire Suppression Systems: ,. . . ,. ... .. . : . ... $iwptilitiii,._,:::'-• ::- . ' .0‘). ..Fee Oa)' . Thea! I S . . . Footage: . I. ' .. , quarc . , Permit Fee: - - Footing drain-P1100' 50.03 1 0 to 2000 i S121.90 ......„, Footing drain-each additional 100' 37.52 L2,001 to 3,600 1 S169.69 ' --------- ' i 3,601 to 7,200 1 $233.20 ----1 Sewer-1st 100' 62.54 ' — ----- ! 7,201 and greater _ i $327.54 ._.._ Sewer-each additional 100' 37.52 _i Water Service-i st 100' 62,54 Medical Gas Systems: Water Service-each additional 100 37.52 . . . .. . . , . . .. , Storm&Rain Drain-1st 100' 62.54 ' Valuation: . Permit,Fee: ,. ' . f , ... ! si.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 -35,001.00 to$10,600.00 $72.50 for the first$5,000.00 and$1 52 for ---4 . . Fees' . .QtY . Fee 010: Total i and including$10,000.00. each additional$100.00 or fraction thereof'to . Inspection of existing plumbing or for S10,001 00 to 525,000.00 $148.50 for the first$10000.00 and S1.54 for , —; which no fee is specifically indicated 90.00/M I each additional$100.00 or fraction thereof,to i ; (minimum charge--1/2 hour) and including$25,000.00. Inspections outside of normal business 90.00/hr ; $25.001.00 to$50.000.W $379.50 for the first$25,000.00 and SI.45 to'r . hours(minimum charge-2 hours) 2 I each additional$100.00 or fraction thereof'to I Reinspection Fees 90.)0/hr and including$50,000.00. Additional plan review for revisions 90.00/hr :- S50,001.00 and up 5742.00 Mr the first$50,000.00 and$1.20 Mr "1 ; (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*. Quantity by Fixture Type Plan Review for PliinibingInatallatiOns Fixture Type for Renlavel Plan review is required for any of the following_ Work performed: Capped Added Relocate Please check all that apply. Bapustry/Font 1 0 Any new commercial building with water service 2"and Bath -Tub/Shower -Jacuzzi/Whirlpool , greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer, -Drive Thru 0 New exterior plumbing site utilities for any complex structure ' CuspidortWater Aspirator as defined in OAR918-780-0040. Dishwasher -Commercial , 0 Medical gas and vacuum systems for health care facilities. -Domestic 0 Any multipurpose lire sprinkler system. ... , Drinking Fountain 0 Any complex structure as defined in 0AR918-780-0040. Eye Wash Floor Drain/sink -2" ' i I Submit 2 sets of plans with any of the above. . Isometric RiserDia.ram r ' Car Wash Drain .. i 0 Isometric or riser diagram is required for new buildings Garbage -Domestic-non-food Disposal -Domestic-food related 1 that meet the qualifications above. -Commercial-food related -Industrial-food related Ice MachlRefrig.Drains Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Gang -Stall Sinklav -Non-food related -Bradley -Commercial-Mod related -Service Swimming Pool Filter Washer-Clothes *Note: If the fixture work under this permit results in an i .• Water Extractor increase of sewer EDU ,a sewer permit will be issued and . Water Closet-Toilet fees assessed for the sewer increase must be paid before the Urinal . plumbing permit can be issued. Other Fixtures: 1\sry I0OinserslyIeh'iDo-wnloads WI,M1-7_PermitApp.dim 7 12/1/2016 03 : 10 PST TO: 15035981960 FROM: 5032472429 Page: 1 - Fax Transmission To: 5035981960@nextivafax.com From: Kyle Harms Fax: 15035981960 Date: 12/1/2016 RE: Plumbing Permit Pages: 3 Comments: Attached is the permit for John Barley Corn for New Greasetrap on existing dishwasher and we are replacing an existing floor sink with a newer one. Any questions please let me know. Kyle Harms Limited Partner/Plumbing Dispatch American Plumbing Services LP 5905 N Interstate Ave. Portland, OR 97217 Kyleh@americanplumbingservices.com (503) 289-6498 Office (503) 247-2429 Fax