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Permit (30) CITY OF TIGARD PLUMBING PERMIT 111 COMMUNITY DEVELOPMENT 1 Permit#: PLM2017-00025 TECGAR.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 ' Date Issued: 01/26/2017 Parcel: 151260000300 Jurisdiction: Tigard Site address: 9714 SW WASHINGTON SQUARE RD F04 Project: Braganza Tea Subdivision: None Lot: None Project Description: Replace piping to existing fixtures: (4)floor drains,(1)ice maker drain&(3)sinks. Contractor: A ABSOLUTE COMFORT HEATING&COOLING INC Owner: PPR WASHINGTON SQUARE LLC 15886 PARK PLACE CT PO BOX 847 OREGON CITY, OR 97045 CARLSBAD, CA 92018 PHONE: 503-513-4795 PHONE: FAX: 503-513-0797 FEES Quantity Description Date Amount 4 ea Floor Drain/Floor Sink/Hub 01/25/2017 $100.08 Specifics: 1 ea Ice Maker 01/25/2017 $12.51 3 ea Sink 01/25/2017 $75.06 Type of Use: COM 1 12%State Surcharge- 01/25/2017 $22.52 Class of Work: ALT Plumbing Type of Const: 45 Misc Administration Fee 06/15/2017 $45.00 Occupancy Grp: Stories: Total $255.17 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 a I other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is • -rted wit " 1; days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to folloye rule ado y. t-e Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through • - • 001-09You ma ••t copy .f the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: , Per ittee Sign. i re: ow dr 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 ����� FOR OFFICE USE ONLY City of Tigard \G°w h-�- Received if) / 1 Date/By: G/}r f7 Permit No.: 4J' /A 19�". ,25 13125 SW Hall Blvd.,Tigard, •i,�` ` - , Plan Review _ Phone: 503.718.2439 Fax: �o'. ! l �r Other Permit No.: ` t Date/By: Inspection Line: 503.639.4175 , ,v�\ Date Ready/By: Juris: H See Page 2 for TIGARD Internet: www.tigard-or.gov t\off, � lei Notified/Method: Supplemental Information TYPE OF WORK1� r53 FEE* SCHEDULE ❑New construction rt- ti+11 For special information use checklist Description Qty. 1 Ea. Total -frdtt1tion/alteration/replacement ❑Other: s r '+ New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION ‘ ., ' ,'x. SFR(1)bath 312.70 El1-and 2-family dwelling ❑Commercial/ind stri.• i7 V SFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building 0 Multi-family Each additional bath/kitchen 25.02 D Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 9'2// )1,J /. / -A' � ^�/;u«L- .. ' Catch basin leach line,area or trench drain 18.76 City/State/ZIP: 14,1 c" Oil Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name: )? c Manufactured home utilities 50.03 Cross street/directions to job site: 1/ Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision: I Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 Backwater valve 12.51 DESCRIPTION OF WOK 25.02 S+ ��t tr.) l 41 I''A +2 eSDishwasherClotheswasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ' Expansion tanki � ❑ ' P i. ib'WNER i0 TENANT- 12.51 Name: Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 l{Ll• C,y r Address: - - - ------ -- Garbage disposal -- 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker / 12.51 1) 5.1 T ''' ❑`--APPLI 'a 0$*„1:0 CONTACT PERSON :'x Interceptor/grease trap 25.02 Business name: c � ` Medical gas(value:$ ) Page 2 "� 1 i -�,„,,1 Primer 12.51 Contact name: Roof drain(commercial) 12.51 Address: Sink/basin/lavatory s.3 25.02 ZS .06, City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax::( ) Tub/shower/shower pan 12.51 E-mail: Urinal 25.02 ,, Water closet 25.02 C RAC�TlOR v � ;,* ,, ' Water heater 37.52 Business name:,.t A-5 SoL t-e �/c,�/`�✓j //4"4-71-7//•^, �Iir% Yater piping/DW V 56.29 Address: /514-"Ire /' X JJ ,f'/c.€( % p / - Other: 25.02 City/State/ZIP: / >) �,JA Gl''/L ''.)e�7-,. Subtotal Phone:(5c 3) ...51,..3/ ,-.09-,s- -/ Fax:( ) / Minimum permit fee: $72.50 (1'-7.(,,j~ CCB Lic.:/ 116;9. 1,> 1 e l 1 mbing Lic.no.: f6o)3 _ 7/i/r Plan review (250%of permit fee) ( I State surcharge(12%of permit fee) ,2y1„5-2 Authorized sig ,. - n *- TOTAL PERMIT FEE Print name / Date: This permit application expires if a permit is not obtained within 180 days //�ip��• �/ /s--- „icy,/ after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) 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-151 100' 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 7,201 and greater $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 $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 Other Inspections or Fees QtY• Fee(ea) Total 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: 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 forPlumbinginstallations 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 Bath: Tub/Shower greater,except systems designed and stamped by licensed -Jacuzzi/Whirlpool engineer. Car Wash: Each Stall 0 New exterior plumbing site utilities for any complex structure Drive tall as defined in OAR918-780-0040. Cuspidor/Water Aspirator 0 Medical gas and vacuum systems for health care facilities. Dishwasher: Commercial 0 Any multipurpose fire sprinkler system. Domestic 0 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" I;ometric fir Rise r.IJJo, ram 4 0 Isometric or riser diagram is required for new buildings -Car Wash Drain that meet the qualifications above. Garbage -Domestic non-food 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: -Lav/Bar non-food related -Bradley -Com/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 beaid before the Water Extractor p Water Closet-Toilet plumbing permit can be issued. Urinal Other Fixtures: I:\Building\Permits\PLMF PermitApp.doc 08/04/2011 2 ij ' It Request for Pertilit Action , ,,,ARD 13125 SW Hall Blvd. •Tigard,Oregon 97223•503-718-2439•ww).v.tigard-or.gov TO: CITY OF TIGARD Building Division 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPemlits@tigard-or.gov FROM: 0 Owner Applicant Contractor Ei City Staff Check(1)one REFUND OR Name: (Business or Individual) tA43 Ce,,d4 INVOICE TO: Mailing Address: ill k S filo e‘thc City/State/Zip: R4er klek (X., ' Phone No.: - PLEASE TAKE ACTION FOR THE ITEM(S)CHECKED(se): O CANCEL/VOID PERMIT APPLICATION. O REFUND PERMIT FEES(attach copy of original receipt and provide explanation below). O INVOICE FOR FEES DUE(attach case fee schedule and provide explanation below). REMOVE/REPLACE CONTRACTOR ON PERMIT(do not cancel permit). Permit#: pLeil 2O(T7 tt , a Site Address or Parcel#: 11 s iIrdex t;kp,) LA)a v .....vtActlet, 17 Project Name: reik41/1-2.0k 6,14 1-44 Subdivision Name: Lot#: EXPLANATION: C t)4,..AX,S r4 mom 4k"t„ „it 14Yr._ t -r ,14i 7rk4C, t5li 7 A-7 Signature: Date: 5)7 11 Print Name: 04-vet z_. Rand Policy 1. The city's Community Development Director,Building Official or City Engineer may authorize the refund of: • Any fee which was erroneously paid or collected. • Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort has been expended. • Not more than 80%of the application or permit fee for issued permits prior to any inspection requests. 2. All refunds will be returned to the original payer in the form of a check via US postal service. 3. Please allow 34 weeks for processing refund requests. Route to Sys Admits: Date .6 /7 By 3 7) Route to Records: Date By Refund Processed: Date By Invoice Processed: Date By Permit Canceled: Date By Parcel Tag Added: Date By 1:\Building\Forrns\ReqPennitAction_092314.doe CITY OF TIGARD PLUMBING PERMIT I ' COMMUNITY DEVELOPMENT Permit#: PLM2017-00025 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/26/2017 T t C'.A I' C� g Parcel: 1S1260000300 Jurisdiction: Tigard Site address: 9714 SW WASHINGTON SQUARE RD F04 Project: Braganza Tea Subdivision: None Lot: None Project Description: Replace piping to existing fixtures: (4)floor drains,(1)ice maker drain&(3)sinks. Contractor: WEST COAST CENTRAL PLUMBING LLC Owner: PPR WASHINGTON SQUARE LLC 12714 SE MAJESTIC LN PO BOX 847 HAPPY VALLEY, OR 97086 CARLSBAD, CA 92018 PHONE: 503-298-0435 PHONE: FAX: 503-855-3264 FEES Quantity Description Date Amount 4 ea Floor Drain/Floor Sink/Hub 01/25/2017 $100.08 Specifics: 1 ea Ice Maker 01/25/2017 $12.51 3 ea Sink 01/25/2017 $75.06 Type of Use: COM 1 12%State Surcharge- 01/25/2017 $22.52 Class of Work: ALT Plumbing Type of Const: Occupancy Grp: Stories: Total $210.17 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 + . I ication Ce iter„ Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or•'ect questions to OUNC,b, • g 50 .232.1987 or 1.800.332.2344. ssued By: (L//n/jIG,/nL-4-1CLI Permitt • Signature: milr Call 503.639.4175 by 7:00 a.m.for the next available ins, ction 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 ApplicaECEIVEP Site Utilities City of Tigard I�nI i ,� 13125 SW Hall Blvd.,Tigard,OR 972'fJ 2017 Dat/B /11.1111!1,1=11111111,111Rec:ivedy: 694 �� �/L '"il"O ,y, O/7-049°95 II Plan Review Phone: 503.718.2439 Fax: 503 y f, y q� ��y. Other Permit No.: ,�It I Inspection Line: 503.639.4175 C 1" i�'i l. i kO: Date Ready/By: Auris 0 See Page 2 for Internet: www.tigard-or.govin r G�r37 i��' Notified/Method: Supplemental Information TYPE O 11 VISION 1� FEE* SCHEDULE o New construction 0 Demolition For special information use checklist Description I Qty. I Ea. I Total ` ,Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(I)bath 312.70 ❑I-and 2-family dwelling Commercial/industrial SFR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR(3)bath 500.32 ❑Master builderEach additional bath/kitchen 25.02 0 Other: Fire sprinkler( sq.ft.) Page 2 `t7Lz qJOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 1 SLJ Ctt1' . �uOR n 1 Catch basin or area drain 18.76 1 W `r] Kai Drywell,leach line,or trench drain 18.76 City/State/ZIP: a✓i-W4:1GyL J 61-11-23 _ Footing drain(no.linear ft.:___) Page 2 Suite/bldg.apt.no.:. y I Project name: E,(C\ynZe1 eA Manufactured home utilities 50.03 Cross street/directions to job site: •) Manholes 18.76 tr-Y,St +ov% Cr�idim l `'i -Pc)o G rn ✓1- Rain drain connector 18.76 Sanitary sewer(no.linear fl.: ) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: I Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 ((�� L Clothes washer 25.02 ef.VIA1-4 p 1)-1� +a RC.c,--� "P. k RA cr S Dishwasher 25.02 n Drinking fountain 25.02 (`lAv L)V�>zd.0 r CI-.nQ I Ibart-&- ) Ejectors/sump 25.02 ❑ PROPERTY OWNERI 0 TENANT Expansion tank 12.51 Name: Fixture/sewer cap 25.02 Floor drain/floor sink/hub Li 25.02 t J,Og' Address: Garbage disposal 25.02 City/Sate/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 1 12.51 1 2 SI 0 APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name: Medical gas(value:$ ) Page 2 f Primer 12.51 lG Contact name: Vi ,-S ,,_-)-1 t r✓C L: Roof drain(commercial) 12.51 Address: 1--1,..,-)1 ti �f.- rt,'N O j Cif 1'e.. t..4.1 Sink/basin/lavatory 3 25.02 1 S.©io City/State/ZIP: 1401,r�,J Lh I I'Ji int- ei--)0 g-'(,.0 Solar units(potable water) 62.54 Phone:( ) 1 0 Fax::( ) Tub/shower/shower pan 12.51 E-mail: WCGle1u�+^�iil;:J rod 1i .(i3. Urinal 25.02 CONTRACTOR Water closet 25.02 Business name: vvPS+ rod,S+ c,,,,4-, © Water heater 37.52 © I u N VittesasipingifiiWV 56,29 Address: )'L 1 ILA S E 1/1Acly L 7 ,c. e,v‘ Other: 25.02 City/State/ZIP: I-,. Uti I k .- C1-10 8(o Subtotal IC87, 65 Phone:( S©3) 2`1t 613 Fax:( ) Minimum permit fee: $72.50 r� Plan review (25%of permit fee) CCB Lic.: 1 S U� 6 0 Plumbing Lic.no.: ., E,,c.'8 State surcharge(12%of permit fee) a 2.CX: Authorized signature: te___-..... TOTAL PERMIT FEE a IV. le Print name: I(/I 1 ....4,err Z Date: This permit application expires if a permit is not obtained within ISO days after It has been accepted as complete. *Fee methodology set by Tri-County Building industry Service Board. I:IBuiIding1Pumiu\PLMU-Permii pp.dec 10/01/09 440-616T(I0/02/COM/WEB) City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 9714 SW WASHINGTON SQUARE RD F04, TIGARD, OR, 97223 Record Type: Record ID: Commercial - Plumbing PLM2017-00025 Inspection Type: Inspector: 399 Plumbing final Don Sylvester Result: PASS - NoCofO Comments: 1 . Repipe waste on existing floor sinks- approved Violation Summary: Inspector Contractor