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Permit CITY OF TIGARD PLUMBING PERMIT S.. COMMUNITY DEVELOPMENT Permit#: PLM2018-00042 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/29/2018 Parcel: 2S102AA00490 Jurisdiction: Tigard Site address: 12085 SW HALL BLVD 130 Project: The Good Cake Bakery Subdivision: None Project Description: Interior plumbing for TI:Adding(1)sink and replacing(2)sinks. Lot: None Contractor: JTR PLUMBING INC Owner: HALL STREET CROSSING LLC 4272 NE BEAUMEAD ST BY MR&MRS ROGER W TOM HILLSBORO, OR 97124 8067 SW RIGERT COURT BEAVERTON, OR 97007 PHONE: 503-209-4290 PHONE: FAX: FEES Quantity Description Date Amount 3 ea Sink 01/29/2018 $75.06 Specifics: 1 12%State Surcharge- 01/29/2018 $9.01 Plumbing Type of Use: COM Class of Work: ALT Type of Const: Occupancy Grp: Stories: Total $84.07 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You I ay obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. eP Issued By: Permittee Signature: 4110 Call 503.639.4175 by 7:00 a.m.for the next available ins - date. 4111111116` This permit card shall be kept in a conspicuous place on the job site un i comp - .n o t • project. Approved plans are required on the job site at the time of each Inspection. Plumbing Permit Application Building Fixtures y ,t s .,`t FOR OFFIcr USG O\Ll" IPIICity of Tigard P N 6 /0 e, Received r ill 13125 SW Hall Blvd.,Tigard,OR 97223 r\ i ` Date/By: i tl It i '7 Permit No.: /24"1,40i$-Lz'1;�LI I Phone: 503.718.2439 Fax: 503.519$1 Q i -, Plan Reviewer T'I G A R D Inspection Line: 503.639.4175 ,t 1 ' .„..,.;;:k,yt4, $ Date/By: Other Permit No.:�� CZ��70 Internet: www.tigard-or.gov '= i 1!!RN t a as• ' , ; Date Ready/By: Juris: S See Page 2 for Notified/Method: 17J Supplemental Information TYPE Off' WORK For special information use checklist 0 New construction 0 Demolition ❑Addition/alteration/replacement 0 Other: - Description Qty. I Ea. I Total New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION :, SFR(1)bath 312.70 i ❑ 1-and 2-family dwelling µCommercial/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 JOB SITE;INFORMATION AND LOCATION :� yz Site utilities: Job site address: /°'y r� A9/1..._ Catch basin or area drain 18.76 address:/0)6 S- . L rl/© City/State/ZIP: •7/6 Ag� 19g 9 7p� � Drywell,leach line,or trench drain 18.76 Suite/bldg./apt.no.: !T` �i_ Footing drain(no.linear ft.:_) Page 2 ��(� Project name:~'(�il,� (?G�t( �!//�. ,, i l �' Manufactured home utilities 50.03 Cross street/directions to job site: P, / 11� /'/` II 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 a , -M , ONPFs VCR `: 12.51 �' Clothes washer 25.02 Son j -� Sire kk I Dishwasher 25.02 - St,1 ., Drinking fountain 25.02 Ejectors/sump 25.02 Er POPER 'Yy O% R i` 0 TENANT " Expansion tank 12.51 Name: Fixture/sewer cap 25.02 Address: Floor drain floor sink/hub 25.02 Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax ( ) Ice maker �-,r 12.51 APPL1CAN . '" CONTACT,PRRSOlY "` Interceptor/grease trap 25.02 Business nam "�,,iJ 1�r3y] i gYegiii Medical gas(value:$ ) Page 2 Contact name: +_'`-� Primer 12.51 ���pc C{L� ( �ii Roof drain(commercial) 12.51 Address: 5 SC vv 4LL /S, Sink/basin/la'vatory 25.02 City/State/ZIP: ' 17 j., /yam 3 73-..a, /`�I> 4"�. Solar units(potable water) 62.54 Phone:( ) 70 - ti I Fax::( ) Tub/shower/shower pan 12.51 E-mail: � �06 lynt,ii Urinal 25.02 t l N Water closet 25.02 Water heater Business name: ��� 37.52 "��2 �J i»c Waterpiping/DWV 56.29 Address: 7 L? ,ice 1?z=79 J0,.1,_y92) C Z Other. 25.02 City/State/ZIP: //i//s , c...,...3._4.-.? C;_ Subtotal 7�; Phone:( ) G 2 Com/ 9 G Fax:( ) Minimum permit fee: $72.50 cPlan review (25%of permit fee)Lic.:f S ' Plumbing Lic.no.: %_fL L. State surcharge(12%of permit fee) Authorized signature: pC1 j TOTAL PERMIT FE rif rt-,7 Print name: • I Date://27//,/ This permit application expires if a permit is not obtained wi in 180 days �r 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) PPagelumbing2 Permit ApInformationplication - City of Tigard - Supplemental Fee Schedule: Residential Fire Suppression Systems: Qty. F (ea) total, Squiare Footage, Pet'n1it ��,ite�Utili�es, >, Footing drain-1 t 100' 50.03 0 to 2,000 $121.90 37.52 2,001 to 3,600 $169.69 Footing drain-each additional 100' 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 Fee(eaTotal Other Inspections or Feeseach 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 each additional$100.00 or fraction thereof. (minimum charge-1/2 hour) 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 for Plumbing hnStallation 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 El Any new commercial building with water service 2"and Baptistry/Font greater,except systems designed and stamped by licensed Bath: -Tub/Shower engineer. -Jacuzzi/Whirlpool 0 New exterior plumbing site utilities for any complex structure Car Wash: -Each Stall as defined in OAR918-780-0040. -Drive Thru ❑ Medical gas and vacuum systems for health care facilities. Cuspidor/Water Aspirator 0 Any multipurpose fire sprinkler system. Dishwasher: -Commercial 0 Any complex structure as defined in OAR918-780-0040. -Domestic Drinking Fountain Submit 2 sets of plans with any of the above. Eye Wash Floor Drain/sink: -2" -'isometric or Riser Diagram t. 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 Comments regard1'ng fixture work: Ice Mach./Refrig.Drains .y� r,. r, y?� 1 Oil Separator(Gas Station) mm ((( "JC JJ"r� Rec.Vehicle Dump Station ) 4- i-•-11 ,4.)) ' '1wy Shower: -Gang t/ �` Perci0-1 -Stall r c'jt ►. Sink: -Lav/Bar non-food related / _A^ -Bradley _ p,tel" h, /�it s+ GWNS fWcc cl(:)(e1/1✓, �j J 0416"%i -Com/Serv/Util food related _ _ / f-- �e qtr- ✓ -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 plumbing permit can be issued. Water Closet-Toilet Urinal Other Fixtures: I:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 12085 SW HALL BLVD 130, TIGARD, OR, 97223 Record Type: Record ID: Commercial - Plumbing PLM2018-00042 Inspection Type: Inspector: 399 Plumbing final Don Sylvester Result: PASS - NoCofO Comments: 1 . Correction's are complete, plumbing final approved Violation Summary: Inspector Contractor