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Permit (12) CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT "' � ' ,.-:11111 Permit*: PLM2017-00154 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 f/ ! /7 Ai.f Date Issued: 06/12/2017 Parcel: 28101 DA01900 Jurisdiction: Tigard Site address: 7000 SW VARNS ST Project: Madrona Recovery Subdivision: VARNS ACRES Lot: 3 Project Description: Plumbing fixtures for TI:CAP(1)2"floor drain,(1)non-food related sink&(1)urinal;ADD(1)drinking fountain,(6) 2"floor drains,(3)shower stalls,(2)lays,(1)clinic sink,(6)primers,(2)hose bibs,(2)water closets,(1)water heater&(1)water piping; RELOCATE(2)water closets. 11/9/2017: REPRINT to correct scope of work. Contractor: OREGON CASCADE PLUMBING&HEATING Owner: NELSON VIAL LLC 1728 22ND ST SE 7155 SW VARNES ST#120 SALEM, OR 97302 TIGARD, OR 97223 PHONE: 503-588-0355 PHONE: FAX: FEES Quantity Description Date Amount 1 ea Drinking Fountain 05/01/2017 $25.02 Specifics: 6 ea Floor Drain/Floor Sink/Hub 05/01/2017 $150.12 2 ea Hose Bib 05/01/2017 $50.04 Type of Use: COM 6 ea Primer 05/01/2017 $75.06 Class of Work: ALT 1 ea Sink 05/01/2017 $25.02 Type of Const: 2 ea Lavatories 05/01/2017 $50.04 Occupancy Grp: 3 ea Tub/Shower/Shower Pan 05/01/2017 $37.53 Stories: 1 ea Water Piping/DWV 05/01/2017 $56.29 4 ea Water Closet 05/01/2017 $100.08 1 ea Water Heater 05/01/2017 $37.52 200 If Sanitary Sewer 05/01/2017 $100.06 200 If Water Service 05/01/2017 $100.06 1 12%State Surcharge- 05/01/2017 $96.82 Plumbing 3 ea Fixture/Sewer Cap 11/09/2017 $75.06 0 12%State Surcharge- 11/09/2017 $9.01 Plumbing Total $987.73 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: ,i�",,, Permittee Signature: / ____Z Call 503.639.4175 by 7:00 a.m.for the next available inspec 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. CITY OF TIGARD PLUMBING PERMIT N. '. COMMUNITY DEVELOPMENT11111 Permit#: PLM2017-00154 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/12/2017 Parcel: 2S101 DA01900 Jurisdiction: Tigard Site address: 7000 SW VARNS ST Project: Madrona Recovery Subdivision: VARNS ACRES Lot: 3 Project Description: Plumbing fixtures for TI:RELOCATE(2)water closets,ADD(1)drinking fountain,(6)2"floor drains,(3)shower stalls,(2)lays,(1)clinic sink,(6)primers,(2)hose bibs,(2)water closets,(1)water heater&(1)water piping. Contractor: OREGON CASCADE PLUMBING &HEATING Owner: NELSON VIAL LLC 1728 22ND ST SE 7155 SW VARNES ST#120 SALEM, OR 97302 TIGARD, OR 97223 PHONE: 503-588-0355 PHONE: FAX: FEES Quantity Description Date Amount 1 ea Drinking Fountain 05/01/2017 $25.02 Specifics: 6 ea Floor Drain/Floor Sink/Hub 05/01/2017 $150.12 2 ea Hose Bib 05/01/2017 $50.04 Type of Use: COM 6 ea Primer 05/01/2017 $75.06 Class of Work: ALT 1 ea Sink 05/01/2017 $25.02 Type of Const: 2 ea Lavatories 05/01/2017 $50.04 Occupancy Grp: 3 ea Tub/Shower/Shower Pan 05/01/2017 $37.53 Stories: 1 ea Water Piping/DWV 05/01/2017 $56.29 4 ea Water Closet 05/01/2017 $100.08 1 ea Water Heater 05/01/2017 $37.52 200 If Sanitary Sewer 05/01/2017 $100.06 200 If Water Service 05/01/2017 $100.06 1 12%State Surcharge- 05/01/2017 $96.82 Plumbing Total $903.66 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: W`-#1.--t 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. umbing Permit Application /VOTLT/i 13v lCf, BED 'lding Fixtures � E�� fReced City of Tigard MAY 1 2017 DateBivey: 3 / /'7 , '- PermitNeY°Lri O/7-ed/`5"? ,,...... 41 13125 SW Hall Blvd.,Tigard,OR 9722 Plan Review g Phone: 503.718.2439 Fax: 503.598.112ibTY OF TIGARD Date/By: Other Permit l'o ,. 97/1/7-trot r Inspection Line: 503.639.4175 BUILDING DIVISIOND Page��;,‘R[� ate Ready/By: 7uris: � See Pa e 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information • New construa.... -.. _U's❑ ction ❑Demolition For special information use checklist Description 1 Qty. I Ea. I Total Of/Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) t SFR(1)bath 312.70 0 1-and 2-family dwelling I.Commercial/industrial SFR(2)bath 437.78 ❑Accessory buildingSFR(3)bath 500.32 ❑Multi-family Q Each additional bath/kitchen 25.02 0 Master builder 0 Other: Fire sprinkler(/44 sq.ft.) Page 2 Site utilities: S�.v � V site address: Y42NS S . Catch basin or area drain 18.76 City/State/ZIP: I `G Af a d On q 7 01-)--3 Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.:A#A) Page 2 Suite/bldg./apt.no.: Project name:/m0//l a Rt-to v C4A. Manufactured home utilities 50.03 Cross street/directions/to job site: Manholes 18.76 4 _! { e-d or l,. a.4/L�, 1,t- Rain drain connector 18.76 0�r or Scv 72 ^��., Sanitary sewer(no.linear ft.:ab0) Page 2 '6644/F/ Storm sewer(no.linear ft.:et Page 2 Water service(no.linear ft.: .1OO) Page 2 /6 6,04 Subdivision: . //4 I Lot no 4.- Fixture or item: Tax map/parcel no.: (:V C. Backflow preventer 31.27 Backwater valve 12.51 - - r .,, '- - . Clothes washer 25.02 7 ,1SZ'MOt Lf i ' A0e'fdi t , I 441717")'...0. Dishwasher 25.02 ♦ "4" . - §'w.n iwC..r� - # ; eking fountain 0725.02 2 S',Q,Z 4111'I.,` ►.+ Cw d OR- /74 .. - ;4 ; .;. .'il 25.02 ^� c�'�s s �, �, : oExpansion � ,� �" tank 1151 Name: Fixture/sewer cap 25.02 Address: Floor drain/floor sink/hub 6u, 25.02 /S-0,11- Garbage disposal 25.02 City/State/ZIP: Hose bib A 25.02 5-0,tl y Phone:( ) Fax:( ) Ice maker 12.51 k er ase � � � � .,a In t ceptor/gre trap 25.02 • +�, ,.�� ,.... Business name: /q� Medical gas(value:$ k) Page 2 Op( ('A i,( 1?e '%' + :*zd( 0P /�F.�i/.•� /� Primer G 12.51 ?S,b 4, Contact name: J..j JS 24,t, -/l v -. / „ r,t. (17, ', ,,r,;t f.,.. Roof drain(commercial) 12.51 Address: /7.) _-..),^,el$.7/ s- Sink/basin/lavatory ,2 CA✓//c,.i,c 3/ 25.02 _7(1,6t/ City/State/ZIP:54/c.---,..i Q� GI 73(:),... la Solar units(potable water) 62.54 Phone:(50? ) f V©3f_3-- Fax::( ) ^, Tub/shower/shower pan 3 v 12.51 3 f'3 E mall . f ,�^ot,vt.�r /Yds ' C",e,f$ ," r Urinal 25.02 f tJ t !, � l G' Water closet 'L W J 2 tet / 25.02 S-0,0 q a . _=a.. .« � � _ Water heater i 37.52 3 71 S2 Business name: c4/14 S 4 ,i, ,o v Water piping/DWV / 56.29 (4, a9 Address: Other: 25.02 City/State/ZIP: Subtotal ig Minimum permit fee: $72.50 Phone:( ) Fax:( ) Plan review (25%of permit fee) I S Ai qqi- CCB Lic.: --/2_,7 --- /:--61-r</e".t.,__---,/.t // Plumbing Lic.no.: 4y_ 3 3 p8_ State surcharge(12%of permit fee) le)1,74 Authorized signature: , TOTAL PERMIT FEE 'Iox�8'/ This permit application expires if a permit is not obtained within180 days Print name: f,I/J,�� Date: !�� after it has been accepted as complete. leL i(e-,fe Is(o TP? *Fee methodology set by Tri-County Building Industry Service Board. ai r, I I:\BuildingWermits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) Dumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Su. 'ression S stems: Footing drain-1'`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 a ater $327.54 Sewer-each additional 100' _EMS_ Water Service-1st 100' 62.54 >_ Medical Gas S stems: Water Service-each additional 100' _ILIUM_ , 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 each additional$100.00 or fraction thereof,to and includin:$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 ch. :e-1/2 hour and includin_$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 char:e-2 hours each additional$100.00 or fraction thereof,to Reinspection Fees _ 90.00/hr and includin:$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 char:e-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 is required for any of the following. B..tis /Font Please check all that apply. Bath -Tub/Shower === ElAny new commercial building with water service 2"and -Jacuzzi/Whirl s ool --- greater,except systems designed and stamped by licensed Car Wash -Each Stall --- engineer. -Drive Thru --- ❑ New exterior plumbing site utilities for any complex structure Cuss idor/Water As.irator --- as defined in OAR918-780-0040. Dishwasher -Commercial --- 0 Medical gas and vacuum systems for health care facilities. -Domestic --- 0 Any multipurpose fire sprinkler system. Drinkin:Fountain -MI=- ❑ Any complex structure as defined in OAR918-780-0040. E e Wash --- Floor Drain/sink -2" ` Submit 2 sets of plans with any of the above. Car Wash Drain -_ 0 Isometric or riser diagram is required for new buildings Garbage -Domestic--non-food --- Disposal -Domestic-food related --- that meet the s ualifications above. -Commercial-food related --_ -Industrial-food related --- Ice Mach./Refri:.Drains --- Oil Se•arator Gas Station === Comments regarding fixture work: Rec.Vehicle Dom.Station Shower -Gang --- -Stall Sink/Lav -Non-food related -grAigg- -Bradley -�- -Commercial-food related --- -Service Swimmin:Pool Filter *Note: If the fixture work under this permit results in an Washer-Clothes -== Water Extractor -- increase of sewer EDUs,a sewer permit will be issued and Water Closet-Toilet -misi/mm/ fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fixtures: WAMII http://www.tigard-or.gov/document_centerBuilding/PLMF_PermitApp.dS City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 7000 SW VARNS ST, TIGARD, OR, 97223 Record Type: Record ID: Commercial - Plumbing PLM2017-00154 Inspection Type: Inspector: 399 Plumbing final Don Sylvester Result: PASS - NoCofO Comments: 1 . Corrections are complete, plumbing final- approved Violation Summary: Inspector Contractor