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Permit (78) INCITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT Permit#: PLM2018 00054 _F f(;3 A RL) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/12/2018 Parcel: 15 135BD00100 Jurisdiction: Tigard Site address: 9600 SW OAK ST 520 Project: Loan Depot Subdivision: ASHBROOK FARM Project Description: Interior plumbing for TI:Adding(1)dishwasher,(1) Lot: 5 garbage disposal,and(1)breakroom sink;Installing(1)hub drain,(1)primer,and(1)water heater. Contractor: JAMES ROOD PLUMBING INC Owner: PLAZA WEST OWNER LLC 125 S 1ST AVE#542 BY CHIEF FINANCIAL OFFICER HILLSBORO, OR 97123 680 FIFTH AVE 20TH FL NEW YORK, NY 10019 PHONE: 503-547-0491 PHONE: FAX: 503-547-0492 FEES Quantity Description Date Amount 1 ea Dishwasher 02/12/2018 $25.02 Specifics: 1 ea Floor Drain/Floor Sink/Hub 02/12/2018 $25.02 1 ea Garbage Disposal 02/12/2018 $25.02 Type of Use: COM 1 ea Primer 02/12/2018 Class of Work: ALT $12.51 1 ea Sink 02/12/2018 Type of Const: $25.02 1 ea Water Heater 02/12/2018 $37.52 Occupancy Grp: Stories: 1 12%State Surcharge- 02/12/2018 $18.01 Plumbing Total $168.12 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: 0..„ ---) Permittee Signature: / �;i� Call 503.639.4175 by 7:00 a.m.for the next available inpe ion date. This permit card shall be kept in a conspicuous place on the job site ti II completion of the project. Approved plans are required on the job site at the time of each inspection. 4 a Plumbing Permit Auniicatxv E EIV11 FOR 0 cUt . ./' _ ' Building FixturesCE Ic.>1t c-rFt-IC'r; t!4k, ciN" City of Tigard FEB 0 9 2018 ReB Permit No.: M 13125 SW Hail Blvd.,Tigard,OR 97223 t si ( C ' Phone; 503.718.2439 Fax: 503.598�y Plan ay rel Other Permit No.: �j Inspection IncL : 503.639,4175 BUILDING OF ��ARQ for �L)� 7 TiihKL? Internet: www-tigatd-oSec age 2 for : .,,,.„' .. ; .. nta Inf6r 1-+...... .�, r 'V Ants: pl�ome mmrton. Ready/By: f Not fi DIVISIONr4 .,!:..........: ..........11..,.,..-:.:.�„�i�r„r,t,._.,,..t... . , .... :ai;"'iP'^ ;P!-!; �p ;:}c:nry r ,., rll,i. ....•......�1. ..,1 1... ,.. .1 d�. , ..1. ,. ..,.h ,,,�.,.`.:• v�. .%7�': `i:'i�F.'�" r J`%, �. .. ..,...,� il, . . 1. .. •�,. .,..ti... i �L. 1..l,,.,a ..... .,:�9.._,i .a,4r trY i �:::.;.�% „i,i'j:” .m mdG.GLis..l r. ,i.� ..r�.u(,r '.04.14...'..,17) 9 1 ...,; „t s.on(Yar.'11ir�! �elkro. . ..a..,__..- „,...,,.1...r.�d • ..:::......,..:r,,•.;.. 1•' a �.T�J � +�+� ❑New construction n;r,,:,,.;,:r. ,...,,.}r,�,..,_,1.: "i,. r'', ❑Demolition- Fee specie!information use clrecklissa (�Addition/alteration/replace 0Other: I Total ] ,,. -2-family ,.- :.:..:......:;,:,„;� :,,,; :,:,,,� _ a+; ,a, (includes 100 fL forutility connection) � ::,: .,. ,,:,,:...;.:..:.,.:,:•:, dwellings ieach Addition/alteration/replacement ton ty, New! n i. "r'` i !'f, ' i1��' ).#. ';:,, itt. ;:Vii`;;0;,1!;„ -1-:f •,' SFR(I)bath . .,;':�,a,�,.,u..- i,r.._ _,v.,,,,n• �-a,q4c u,,,h n',: �%."' ..%91?iif.'a�.,4JJl !d:r!!I�Itli'll�r'rH��.9E�G±N, 312.74 0 1-and 2-family dwelling Co ercial/industrial SFR(2)bath 437.78 0 Accessory building SFR(3)bath 500-32 Multi-family ❑Master builder Each additional bath/kitchen 25.02 ..... 9 ft.) 2 Other: ,B ::- .... ....... ... 1 F.',:::.'...• ..'•,,,i.'"1:.• ..,, °'a. Site utilities: "i...'''':'" LJa��d ',,i r'r'.`i:!ri'�i n:.)i; e, Job site address: C 664 C & $ Catch basin or area drain 18.76 City/State/ZIP; !! p9��� Drywell,leach line,or trench drain 18,76 ”'” Ti pi c.. eY — Footing drain(no,linear ft-:,,,_.) Page 2 Suite/bldg./apt.no,: ' -- Project name: - Lo ah 50.03.?�7(}`� Manufactured home utilities Cross street/directions to job site: _ Manholes 18.76 Rain drain connector 18-76 Sanitary sewer(no.linear ft.: .,,, ) Pa$e 2 Storm sewer(no.linear ft.:_) Page 2 I Water service(no.linear ft.:_) Page 2 1 Subdivision: Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31-27 ,...,.., +:. ,-.-„ .�., .,...,. :�L'i” aW �a' :=,� tk Backwatervalve 12.51 Aria( .ILa� "�Il'S.ua:iiii5 ,ale.' i_ ".,,r,,,1671r.:�ic(^Ao;:�i:;i%tl;%I;yl�.,.'.1.U:;/';‘.' /,t j �} - Clothes washer 25.02 ( AJDishwasher Z-, 25.02 *®/ ,r Drinking fountain 25-02 Ejectors/sump ,: ...,� te"o V!1�-. �p;� i " 1ry 1_.n.iya.,lipg i(� `�� iye .,�'lii i;-�"i;,S,t!1 rx anslOn tank 12.51 a ,, .. 7Luu.�4', oi , ,., % 5 . ; uw � Fixture/sewer cap 25,02Name: Address: • M �` - Floor drain/floor sir11C/huj�00<iatir� ,� 25,02 "��2, Garbage disposal t� y City/State/Z1P: m l 25.02 �$-L>,�. Hose bib 25.02 Phone:( ) Fax Ice maker 12,51 :� Apf(L)6,k4. . ,,.,........... .. '�� Interceptor/grease :.... ... .. „.t ,,,, a...t�,.,:,.,,.�>:,:�•-�::�_,�::,.,,,.. •,.,: - ,�?.gin; � ,.. .-, <,ii,U I"i -} trap - Business name: Medical gas(value:$ ) Page 2 Contact name: Primer 12.51 );_5-1—Roof drain(commercial) 12.51 Address: Sink/basin/lavatory 4/ -,..125.02 0 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax::( ) Tub/shower/shdwer pan 12.51 E-mail: Urinal 25.02 r!. ';':. .,..: • >.y 2s.o2�'� ''' !,9:'fii':ipi� :;,4�;'„. ��sltilii;�.i j..: i%iWater C10SEt. ''''''''4''':''•'I'• rirdjy �1�ilrpie�Sl' r ..x3 : 4iip' :(:;„,,„ :, x)i,.,,..', ,!..:.,,.:. ...,.., 1, ."•!, 7,.i...'_�.:, Ii,i:ii,,a,,,,,,,,I--. .,;r*;;i.liN,::.,,,..,.'r:'-^--:,!:,,.,,..,,.,f,..l,,.,..• _,!;,,,.,:�,., water heater ., 37,52 ...74.2,name: � mdGM .nS Water piping/DWV it 56.29Address: 115S 1t 5'9 Z Other: 25.02 City/State/ZIP: ,Apxfbo i rt pp-. S'742.3 Subtotal /St // Phone:( ) S' 7� i Pax:( ) 19— Minimum permit fee: $72.50 CCB Lic.; f © tdi � Plumbing Lk.no.: pa Plan review (25%of permit fee) !'�S S State surcharge(12%of permit fee) f Authorized signature r,- _ TOTAL PERMIT FE ,(o-(V I Print name:signature- Date: This permit applictrtwu expires if a permit is not obtained wi in is days ��// !aC 7/4/yafter it hos been accepted a9 complete- • *Fee methodology set by Tri-County Building Industry Service Board. ClBuildinitl'nmiti I.MU-IkrmitApp.doc IWOI/09 440-4516”(10/02/COMIWE8) 1 Plumbing Permit Application - City of Tigard Page 2 -Supplemental Information • Fee Schedule: . .,,. ;Schedule: ,: ,y,,,.. :,. t.i «: ,�: Fire Su i - y �I r,,.,; ,,.,1 �, .:,,,: ,� ression S stems: i ie'r, ilii! ;, ..x..:.}.5";41;:; r:d� ..-:;F('.' Ll" 't 7, rn^..».e r2'c 7 v....u.. ..,. '�..... .......�::„.,:,,. :,,.,,.::.,::.:$lei";,t': ,ked,), ..dna - _ _ - a,c•at.,.,.v.. ,...,. ,.., ,tau-'��' :.,ae.'...: ....,.,...,. ,� :i; y .. .i :'�1,; FootingQ •,,, i. „,1 dram-1°t 100' ••e �. „,t� ,.._ ,. ;;�, ,. :+.�;a,�}....�';, .;� 'y;r,�.rlt,�,t��s � y,:':; 50. 3 0 to 2,000 : - r '._::t ra Footing drain-each additional 100' - $121.90 "" P :,.;a:;^:,�i!.: 37.52 2,001 to 3,600 $169,69 Sewer-1st 100' - 62.54 3,601 to 7,200 $233.20 Sewer each additional 100' 7,201 and greater $327,54 37.52 Water Service-1st 100' 62,54 Medical Water Service-each additional 100' 37,52 � Gas Systems: • k h t ta;to +a, Tl;"'(c „\lR,. .t, ttit gli._ 'i Storm&Rain Drain-1st 100' . r;a ,..•'lti,ur h.it i�`. 1 '• 'i+:�)'y1`:. .:,.�....::. :..:::.,, 62,54 .. ..'.�!._-....�,'i3,. M e i ..!X:tCr�f:4N.�i'9ff:>ffly'�:',.I:"�a �:(,ii. '1.i,:'. $1.00 to$5,000.00 2a "'.in-e..,. ar;z . .52 Minimumf fis.50 4 1, f. x $5,001.00 t0$10,000.00 $72,50 for the first$5,000.00 and$1.52 for m tRain -each additional 100' 37 onn Drain Inspection of existing.boos or..iei • , +its iJ i'B¢e:(�eit l'i TTbYaI:=:i each additional$100.00 or fraction thereof,to t�er:;�ti'� �� g plu bing or for a f 90.OQ/h ° and including$10A00.00. which no fee is specifically indicated $10,001.00 to$25,000.00 $148.50 for the first 510,000.00 and$1.54 for (minimum charge-1/2 hour) r each additional$100.00 or fraction thereof,to Inspections outside of normal business 90 Op/hr "" ""`" — and including$25,000.00. hours(minimum charge-2 hours) $25,001.00 to$50,400-00 $379.50 for the first$25,000.00 and 51.45 for Reinspection Fees 90 00/hr each additional$100.00 or fraction thereof,to and including$50,000,00. Additional plan review for revisions —__ 90.00/fir $50,001.00 and up $742.00 for the first$50,000.00 and 51,20 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 accuratel re ort fixtures could result in increased sewer fees*. Q upn Eby-Fixt ��tB:iJ�11'.i': r,�,� FisttU,.. . . . .... .... .. ��j g e:T e:for.., , Er 5,:.,, Ur6 � , +.... . ,'ypf'�'� �na, ar � r::.t: uS'•al t`! Baptistry/Font �..� � ..,, � ..�., � .,� "�I�lat�/"�� ?5�;�� 5'gG��-jl,,:,. , Work Yelrfo ed:. C3tpped Ad�i!d amlacatc Plan review is required for any of the following. ny/Font Please check all that apply. Bath -Tub/Shower • ❑ Any new commercial building with water service 2"and Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer. -Drive Thru ❑ New exterior plumbing site utilities for any complex structure "�""'— Cuspidor/Water Aspirator as defined in OAR918.780-0040. Dishwasher -Commercial -' 0 Medical gas and vacuum systems for health care facilities. -Domestic 1 ❑ Any multipurpose fire sprinkler system. Drinking Fountain ❑ Any complex Structure as defined in OAR918-780-0040. Eye Wash Floor Drain/sink 2" Submit 2 sets of pions with any of the above. -3" 4" Car Wash Dram '- s i�Oe..i ..,,f,:.:;':,,,, .k4. ` ; . l...!!:.......:,r Isometric or riser diagram isfor new buildings Garbage -Domestic-non-food '� 1 • 0 required ""' g Disposal -Domestic-food related that meet the qualifications above, -Commercial-food related -lndustrial•foodrelated "___. Ice Mach./Refrig"Drains T—" Oil Separator(Gas Station) . Comments regarding ><xtur work: Rec.Vehicle Dump Station 1 Shower -Gang 'ti•►4 • Q}N.. �S I�y� -Stan • fir Lid.a c,l, p ji ,.•L Sink/Lav -Non-food related z. ' -. Bradley • 1�--� . -Commercial-food related • _. � A.` �,r t:: lt�t f �1Glv1P0� j -Service Swimming Pool Filter ""-'- " C C-1, I�i�tj�_� Washer-Clothes *Note: If the fifture work under this permit results in an Water Extractor increase of sewer EDUs,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; C:\Usersljim\Downloads\PLMF PermitApp(23).doc 2 a Fixture Fixture Unit Value Swimming Pool Filter 1 Washer, Clothes 6 Water Extractor 6 Water Closet,Toilet 6 Urinal 6 Any fixture unit rating not addressed in this table shall be calculated pursuant to the current State Plumbing Code. 1.The District will count the greater of either the number of floor sinks or the units that drain into them, but not both. 2 Fixture unit values for garbage disposals less than 3/hp installed in non-residential applications shall be based on the proposed use of the facility. Uses associated with commercial food processing,preparation, handling,or group food service(cafeterias)shall be charged 16 FU. Uses for individual employee support (i.e.,employee lunchrooms)shall not be separately charged. - n C „a C'r+rn 4.w Ci a _ . _,Al„ot cac...A. ..4. ..„.3 1 ,0-6 &t.1-4....K. .,ei 404-11 — I.67......P.-7-,_—___. J......4)4,____riApc, ____1°,04-')-L......____J___ Rates s City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 9600 SW OAK ST 520, TIGARD, OR, 97223 Record Type: Record ID: Commercial - Plumbing PLM2018-00054 Inspection Type: Inspector: 399 Plumbing final Don Sylvester Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor