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Permit (180) CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT Permit#: PLM2019-00182 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/01/2019 Parcel: 1S1260000300 Jurisdiction: Tigard Site address: 9585 SW WASHINGTON SQUARE RD Project: Yi Fang Subdivision: None Lot: None Project Description: Interior plumbing for new kiosk:Adding(1)2"floor drain,(1)2"floor sink,(1)ice machine,and(4)sinks. Installing (1)grease trap and(1)water heater. Contractor: B&G EXCAVATION & PLUMBING LLC Owner: PPR WASHINGTON SQUARE LLC 4241 SE 136TH PO BOX 847 PORTLAND, OR 97236 CARLSBAD, CA 92018 PHONE: 503-761-2038 PHONE: 206-778-5184 FAX: 503-762-6710 FEES Quantity Description Date Amount 2 ea Floor Drain/Floor Sink/Hub 05/01/2019 $50.04 Specifics: 1 ea Ice Maker 05/01/2019 $12.51 1 ea Interceptor/Grease Trap 05/01/2019 $25.02 Type of Use: COM 4 ea Sink 05/01/2019 $100.08 Class of Work: ALT 1 ea Water Heater 05/01/2019 $37.52 Type of Const: 1 12%State Surcharge- 05/01/2019 $27.02 Occupancy Grp: Plumbing Stories: Total $252.19 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.:I0..332.234.4. ..� � • Issued By: �.• Permittee Signature: 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 - g Building Fixtures ENE© ho Oft l4 l; I '�il ()NEN City ofVIEC Rewert'ed ,5- / it t'r�rntcitNo.• 'A 1 1 /(-,j ° , C1te BA r ! t. Lt 13125 SW Bail Blvd.,Tigard,!R R 97' O 1 201.3 Plan Review Other Permit No.: ° ' <--,, 1 * Phone 503,718 343`7 Fox. 503.5`18. Date lls •• ins.ection L ne: 503.639.4175 Rl7 late Ready ikuc bilis 6d See Page 2 far 1St; [ i a Y �F TIGA N Noti(re t Mctlacd ,i® Supplemental lutormatrun • f.,-.: i ntemet www tagard-or goy C�1 y % %i 1- ,,, o- Far special information circ checklist 0 New construction E3 L)crm>iiiion Q�... ,...... L3cscription itv. t a. Total �. ►;� Addttionfalturationlrupiacement (�Other: New I-2-family'dwellings tincludes 100 ft.for each utilityconnection) yi 13� ��i ��� SIR(l}bath 312.71) 111121111111111111 1 Commerciaiiitadustrial SFR(21 bath 1-and 2-family dwelling „50032 SFR(31 bath 0 Multi=famii} 0 Accessory budding Each additional bath/kitchen 1111.1a0120.04.5 ❑Master builder 0 Other: E=ire sprinkler( sq.fl"1 filiMagill i, r /�/ k), ,10..,/,„,,,,-,-a' // .,.s �r� �� � �'. ., ,�� \� Site tttilltCGS; ._... a� % ;:i; r ice,/'.., ��,e; ,...._.w //,y, /' < , �, 18.76 MIN S.'' -Job Catch basin or area drain Job site address:95#1;5 Washington square rd Dryweli,leach line,or trench drain �` City/State/ZIP:Tigard Oregon 97223 Footing drain(no.linear ft.: ). IMICEllil . C 4runo.:tctbld8.lapt.n ,:116 l rc>ject name: VI k"ani Iw ttask Manufactured home utilities � 50.03 _� Manholes __ 18,76MIN Cross street/directions to job site: Rain drain connectoriii i 8.76 t'') ""�"- Sanitary sewer(no,linear ft.: ) Page 2 Storm sewer(no linear ft,: 1 Page 2 mm ...M. Water service(no.linear ft. } Page 2 Subdivision: Int nta 1Fistaare car item C ax /parcel no j G �C r.. L3ackilow preventer 3I.27 � ���) ���r Backwater valve 12 51 � ... ,. 25,02 — �.,.; Clothes washer Install 4 sinks and('442 floor sinks with I grease trap 25.02 ,1� _ Dishwasher Drinking unmann 25.02 Fjeetors'surnp 25.02 .... � • l r 12.51 � ��/ Expansion tank .,.,,tis �. M Fixture/sewer sewer cap X5.02 ...�?.,. Floordrainlff€n>r sink/hub 2 25.02 .1 °i ...Name: garbage di poral 25.0, City/State/Zit': Ice bib 25.02 l Ptaonc ( } Bax ( ) ce maker 1 Its i J c ��y " �� ai i ii: a interceptoilgreaase trap 1 E 25.02 ii_4; , ;I �r, itis ail.•; .fs, as. iesiis f__ I. F; z':i ... ...... Business name: Medical gas(value:$ 3 Page Primer _.m 12.51 • �.._ 25.021 Contact thane: ?, _,. Roof drain(commercial) i.5I Address: Sinkllaasitatlavatory 4 /1st-. cit lc _ _ City/State/ZIP: Solar units(potable water) 1 62.54 412,51 E'ubtshowcrtshcrwer pan Phone:( } kax::( ) _ _ - _... _.. _ 25,02 Urinal F naso err iii� iter c iQSet 25.02 %,> i ..,' T,,° Water heater t 37.52 s :r .a Business name: 13&C Excavation&Plumbing I.I,C Water piping/DWV sh,2et Address:4241 se 136th ave Other: 25.t12m A Subtotal -J l? City/State/ZIP:Portland,Oregon 97236 Phone:(503)761-2038 Fast(503)762-67/0 € Minimum permit fee: $72.50 Plan review (25%of permit fee) j CC B Lie.:170273 Plumbing Lie.no.:P11123 State saarvlaarge(12%of permitfee) -- Cu,i I m Authorized sigma - TOTAL PERMIT FEE , { _.... (.i { Print name:Kent Ilaatemattx Date: 1 4 This permit apps€cation expires ifs permit is Trot obtained within 1801 days after it fins been acetpted as complete "F ;iueti odcilogs set by`1 nCounty Budding industry Service nosed. I\BuildEstat'Perrnils\PLMU-PerrMApt)d €0/1114) &af-tc(�t(I tQ?�Qht WFsti) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Su i i ressiion S Mems Footing drain-In 100' 50:03 0 to 2,000 $121 90 Footing drain-each additional 100' 37.52 2,001 to 3, Jt1 $16 .69 31101 to 7,201 $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 S stems: Water Service-each additional 100' 37,52 ,, ,, 'storm&Rain Drain-1st 100' 62.54 H,. . .. , $100 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 , ' ' ,",, ;', ' f 7 ' 1.47/yv , each additional$100.00 or fraction thereof,to b �� '��,. ' ,. and including$14(;lf .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 fours(minimum ch e-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/fir $50,001.in)and up .. $742.00 for the first$50,000.00 and$1.20 for (minimum charge-- 1 hour) 1each 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 accurate!, resort fixtures could result in increased sewer fees*. �/ ��j/ �¢ �/ Y '�//j yi 4 ,.+x n. ,f/ „,,,i,,,,,,,,,,,,,-, `-„ � ,, Plan review is required for any of the following. k... /,,. Please check all that apply. Baptistry/Font Bath Tub/Slto�rer ED Any new commercial building with water service 2"and -dacuzzi/Whiral 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 Cuspidor/Water Aspirator as defined in OAR9I8-780-0040. Dishwasher Commercial Medical gas and vacuum systems for health care facilities, -Domestic 0 Any multipurpose fire sprinkler system. Drinking Fountain 0 Any complex structure as defined in OAR918-780-0040. Eye Wash Floor Drain/sink 2r, ) Submit 2 sets of plans with any of the above, 36> Car-food Drain 0 Isometric or riser diagram is required for new buildings Garbage Domestic-anon-food Disposal -Domestic-food related that meet the qualifications above. -Commercial-food related -Industrial-food related Ice Mach./Retrig,Drains Oil Separator(Gas Station) 1Co ments regarding fixture work: Rec.Vehicles Dump Station Shower -Gang P7p 5 i W✓1 1 ) ' t o 'r)s., ,--v--4',--A yak i Sink/Lav -Non-food related I 1``l Pt,c,-j',1,,1't 4 1 ±7L: .{" -141,vv -Bradley -Commercial-food related -Service SwimmingPool `filter: *Note: If the fixture work under this permit results tit an Washerte -Clothes increase of sewer I)Us,a sewer permit will be issued and Water Extractor water Closet-Toilet fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fixtures: C:\Users\Bobo\AppData\t,tical\Temp\PLMFW„PerntitApp,doc