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Permit (53) CITY OF TIGARD PLUMBING PERMIT '. COMMUNITY DEVELOPMENT Permit#: PLM2019 00283 TIGARD13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 . Date Issued: 07/16/2019 ' Parcel: 2S102AA02100 Iffiffi -i . Jurisdiction: Tigard Site address: 9065 SW CENTER ST Project: AV Equity Inc Subdivision: KINGSTON Lot: 15 Project Description: Replacing (1)kitchen sink, (1)dishwasher, (1)bathtub, (1)water closet,and(1)water heater. 7/18/19: REPRINTED permit to include(1)lavatory. Contractor: M B PLUMBING Owner: AV EQUITY INC 7112 NE 65TH PLACE 7505 NE 123RD CT VANCOUVER,WA 98661 VANCOUVER,WA 98682 PHONE: 360-608-9521 PHONE: FAX: FEES Quantity Description Date Amount 1 ea Dishwasher 07/16/2019 $25.02 Specifics: 1 ea Sink 07/16/2019 $25.02 1 ea Tub/Shower/Shower Pan 07/16/2019 $12.51 Type of Use: SF 1 ea Water Closet 07/16/2019 $25.02 Class of Work: ALT 1 ea Water Heater 07/16/2019 $37.52 Type of Const: 1 12%State Surcharge- 07/16/2019 $15.01 Occupancy Grp: Plumbing Stories: 1 ea Lavatories 07/18/2019 $25.02 0 12%State Surcharge- 07/18/2019 $3.00 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 exp. e if , .rk is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires yoi to fo o the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001;0090. Yo may ob ain copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. F Issued By: ,-;->--- '� - rmittee Signature: ` •0 /I , ii 'I Call 503.639.4175 by 7:00 a.m.for the next available inspection .- e. This permit card shall be kept in a conspicuous place on the job site until completion •f t project. Approved plans are required on the job site at the time of each inspection. Plumbing Permit Application Building Fixtures FOR OFFICE USE ONE Cit of Tl and Received n - y g Date/By: /g `y Permit No.: �//�yl`f_cv 13125 SW Hall Blvd.,Tigard,OR 97223 fiErr _' f(/v • t,; Plan Review Phone: 503.718.2439 Fax: 503.598.1960' '\ R,,: r Other Permit No.: Date/By: Inspection Line: 503.639.4175 i?,„- Date Read /B J�ris: la See Page 2 for T I G A R D Internet: www.ti and-or. ov Ready/By: g g _ ��1� Notified/Method: , O Supplemental Information TYPE OF WORK,.' FEE* SCHEDULE 0 New construction 0 Demolition For special information use checklist. Description Qty. Ea. Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ❑ 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: �d(6 S W eerr( Si- Catch basin or area drain 18.76 / Drywell,leach line,or trench drain 18.76 (( �/ City/State/ZIP: �% < Cr (J5� Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: (I I Project name:- Cee sy Manufactured home utilities 50.03 Cross street/directions to job site: 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: 1 Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 Ril 'ION OF WORK Backwater valve 12.51 4-74,41W) Clothes washer 25.02 CiJ /(A! i) /el ii,.. ✓ Dishwasher 25.02 a Drinking fountain 25.02 Ejectors/sump 25.02 0 PROPERTY OWNER I 0 TENANT Expansion tank 12.51 Name: Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( )), Fax:( ) Ice maker 12.51 I} APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name: 6/ 7- (g-r, Medical gas(value:$ ) Page 2 � Rex fi // Primer 12.51 `%'J Contact name: �/� Roof drain(commercial) 12.51 Address: 7s-�� /!/f /23 C-F- Sink/basin/lavatory J 25.02 2-3 -di City/State/ZIP: X//C6L(> U// rj6fa_ Solar units(potable water) 62.54 Phone:( ) 7 P ' `tO Fax: :( ) Tub/shower/shower pan 12.51 E-mail: Urinal 25.02 CONTRACTOR Water closet 25.02 /� Water heater 37.52 Business name:/2 / l. /t...,,,: Water piping/DWV 56.29 Address: / Other: 25.02 City/State/ZIP: Subtotal ,, l Phone:( ) Fax:( ) Minimum permit fee: $72.50 CCB Lic.: Plumbing Lic.no.: Plan review (25%of permit fee) ""F State surcharge(12%of permit fee) 3 do Authorized sign. . i TOTAL PERMIT FEE 4: i) m ✓ire /�y//r This permit application expires if a permit is not obtained within 180 days e' - l(J ( ( after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PL . ',p.doc .11/09 440-4616T(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-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 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 P 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 for Plumbing Installations 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 greater,except systems designed and stamped by licensed Bath: -Tub/Shower engineer. -Jaciuzi/Whirlpool Car Wash: Each Stall D New exterior plumbing site utilities for any complex structure Drive tall as defined in OAR918-780-0040. Cuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities. Dishwasher: Commercial ❑ Any multipurpose fire sprinkler system. Domestic El 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" Isometric or Riser Diagram 4" 0 Isometric or riser diagram is required for new buildings -Car Wash Drain Garbage Domestic non-food that meet the qualifications above. 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 be paid before the Water Extractor Water Closet-Toilet plumbing permit can be issued. Urinal Other Fixtures: I:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2 CITY OF TIGARD PLUMBING PERMIT Ili ' . ' COMMUNITY DEVELOPMENT Permit#: PLM2019-00283 Tic AR I-) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/16/2019 Parcel: 2S102AA02100 Jurisdiction: Tigard Site address: 9065 SW CENTER ST Project: AV Equity Inc Subdivision: KINGSTON Lot: 15 Project Description: Replacing(1)kitchen sink,(1)dishwasher,(1)bathtub,(1)water closet),and(1)water heater. Contractor: M B PLUMBING Owner: AV EQUITY INC 7112 NE 65TH PLACE 7505 NE 123RD CT VANCOUVER,WA 98661 VANCOUVER,WA 98682 PHONE: 360-608-9521 PHONE: FAX: FEES Quantity Description Date Amount 1 ea Dishwasher 07/16/2019 $25.02 Specifics: 1 ea Sink 07/16/2019 $25.02 1 ea Tub/Shower/Shower Pan 07/16/2019 $12.51 Type of Use: SF 1 ea Water Closet 07/16/2019 $25.02 Class of Work: ALT 1 ea Water Heater 07/16/2019 $37.52 Type of Const: 1 12%State Surcharge- 07/16/2019 $15.01 Occupancy Grp: Plumbing Stories: Total $140.10 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 -. tarted within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow e rules adopt d by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. Yr may o'tain�copy of the rules or direct questions to OUNC by calling 503.232.1987 o 1.800 32.2344. Issued By: ,..4- 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 = ,,: project. Approved plans are required on the job site at the time of each inspection. Electrical Permit Applicatio f l O►z OP► 1( 1: 1 5►:OM 1 liAllCity of Tigard Date/B : / _� 13125 SW Hall Blvd.,Tigard,OR 97223 ' '! 1 ; 0 Received ! Plan Review = Phone: 503.718.2439 Date/B : raMISCI Related Permit#: T I G A K D Email: TigardBuildingPennits@Tigard-or.gov Ready Date/By: Juris: H See Page 2 for Inspection Line: 503.639.4175 IntFrnet: www.tigard-or,gov . Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW 0 New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): ❑Demolition ❑Other: 0 Service or feeder 400 amps or more 0 Building over three stories. where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. ❑ 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. 0 Multi-family ❑Master builder 0 Other: ❑Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived / 0 Addition of new motor load of system. Job#: I Job site address: 0,6 c---54, •' C'eq-e S ti- 100HP or more. ❑°°A",°°E", °1-z", °l_3° City/State/ZIP: /� ❑Six or more residential units. occupancy. 1 '�A?el Oi 0 Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: I Project name: 9 0 Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE Description I Qty. I Each I Total I New residential single-or multi-family dwelling unit. Subdivision: I Lot#: Includes attached garage. Tax map/parcel#: 1,000 sq.ft.or less 168.54 4 Ea.add'l 500 sq.ft.or portion 33.92 1 OWPOIr WORK, , Limited energy,residential 4- ( " 0 ()�)Lf(4v)[tl C t r � l/flirt I f (with above sq.ft.) 75.00 2 ZL6/ / //��/'��/�/ / Limited energy,multi-family 75.00 2 5t!5"'60 L ! c C ✓ref*" 1,t.4 3/ t_ residential(with above sq.ft.) 0 PROPERTY OWNER Renewable Energy ❑ See Page 2 TEN Services or feeders installation,alteration,and/or relocation Name: 4i' ��� 200 amps or less 100.70 2 Address: /' 201 amps to 400 amps 133.56 2 - 401 amps to 600 amps 200.34 2 City/State/ZIP: _!� 601 amps to 1,000 amps 301.04 2 Phone:( ) ® g - (.- OS—-3C) Over 1,000 amps or volts 552.26 2 Email: Temporary services or feeders installation,alteration,and/or relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 I 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 0APPLICANT`" 0CONTACT PERSON Branch circuits-new,alteration,or extension,per panel Q� Ci fJA.Fee for branch circuits with Business name: // /7c.- above service or feeder fee, each branch circuit `12 7.42 2 Contact name: ��G� ,1l A pi/.- B.Fee for branch circuits without Address: 7r / C, service or feeder fee,first 56.18 2 ( branch circuit City/State/ZIP: to",La 4; a t,r" ),. Each add'l branch circuit 7.42 2 Lis")-° Miscellaneous(service or feeder not included) 9 Phone:(36P) " c<-3,(.7 Each manufactured or modular 67.84 2 Email:C%!/L' k. dwelling,service and/or feeder © ��Y�7G4 r/ 0Y/ Reconnect only 67.84 2 t/CONTRACTOR Pump or irrigation circle 67.84 2 t Business name._ - Crca—?_t—l.2 t✓ TQ sign oroutline ltin g 67.84 e /IG� 2 Address: `> > Signal circuit(s)or limited-energy �� 5 SC .S ot,7 y 0� /c ./' panel,alteration,or extension. 0 See Page 2 2 City/State/ZIP: C /') c,.... Each additional inspection over allowable in any of the above CA...e.,' /S v �r ] Additional inspection(1 hr min) 66.25/hr Phone:( ) 57; '� -- c3,3 2 Com. ' -'j Investigation(1 hr min) 90.00/hr Email: / Industrial plant(1 hr min) 78.18/hr �s p7 Inspections for which no fee is 90.00/hr N'59" CCB Lic.: Electrical Electrical Lic.: C— U Suprv.Lic.: y�ze, specifically listed(A hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal: Print name: Date: 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized sig v TOTAL PERMIT FEE: ►►ii\\ This permit application expires if a permit is not obtained within 180 Print name: �`1 Date /� I�T days after it has been accepted as complete. \\ J! �-�. >� * Number of inspections allowed per permit. I:\Building\Permits\EL .Permit.(.,' .doc Rev /26/2017 440-46151(11/05/COM/WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: �'+ N FEE SCHEDULE,.... .. i -h..T - � �M _- -"- Description I Qty. I Each I Total Fee for all residential systems combined: $75.00 Renewable electrical energy systems: 5 kva or less 100.70 2 Check Type of Work Involved: 5.01 to 15 kva 133.56 2 ❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: n Burglar Alarm 25.01 to 50 kva 301.04 2 50.01 to 100 kva 552.26 2 ❑ Garage Door Opener* >100 kva(fee in accordance 552.26 2 with OAR 918-309-0040) ❑ Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 3 ❑ Vacuum Systems* >100 kva—no additional charge 0.0 3 Each additional inspection over allowable in any of the above: ❑ Other: Each additional inspection is 6625/hr 1 charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr ,specfirifically listed('h hr min) RC COY IA .WQRg OI' L"1 t 5 , » t? E rif cAL PERiKri* 4 Fee for each commercial system: $75.00 Subtotal(Enter on Page 1): * Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ C• lock Systems I-1 D• ata Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* Fl Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:\Building\Permits\ELC_PernutApp_ELR_ERE.doe Rev 10/26/2017