Permit CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2020-00161
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/20/2020
T I[;,A{ f3 9 Parcel: 2S113BA00400
Jurisdiction: Tigard
Site address: 7632 SW DURHAM RD 350
Project: Grand European Travel Subdivision: None Lot: None
Project Description: Replace existing(1)sink and cold water to refrigerator.
Contractor: JAMES ROOD PLUMBING INC Owner: PORTLAND SW CENTER LLC
125 S 1ST AVE#542 BY FELTON PROPERTIES INC
HILLSBORO, OR 97123 ATTN: FELTON, MATT
520 SW 6TH AVE, STE 610
PORTLAND, OR 97204
PHONE: 503-547-0491 PHONE:
FAX: 503-547-0492
FEES
Quantity Description Date Amount
1 ea Ice Maker 04/20/2020 $12.51
Specifics: 1 ea Sink 04/20/2020 $25.02
1 12%State Surcharge- 04/20/2020 $8.70
Type of Use: COM Plumbing
Class of Work: ALT 35 ea Minimum Fee Adjustment- 04/20/2020 $34.97
Plumbing
Type of Const:
Occupancy Grp:
Stories:
Total $81.20
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. 2.1987 or 1.800.332.2344. �(
Issued By: Permittee Signature: /' /)�fi277/
Lvv
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.
RECEIVED
•
Plumbing Permit Application APR 9 2020
Building Fixtures FOR 0141(
CITY OF PG'ARD Received i i A...2,`-s-,
City af Tigard '541311MIGDIVISIC)m)ffeiHr " 7/ 1/6 P---Nro4Ai.2-0.240-0a/6/
• 13125 SW Hall Blvd.,Tigant.OR "‘ '
III Plan tim tea
er o .I Phone: 301718.2439 Fax: 501 Oth Pm NO
598,1960 Disterti:
- Inspection lane. 503 639.41 7.5 17ar Readrita httc. I fiil atre Peer 3 ror
laternet WAVIA ttnariaocetti Notttiedih4cthmt Suppantrata Information
TYPZ or WORK ..__. _ ...:__flop!fclft,TLE
For * is ove riterkirtt
0 Ness constrialion CI 1)enuilition
- I)scription I QY I Ea. 1 Total
Addition/alteration tcplaccmcnt 0 Other New 1-2suity dwellings 1 includes 100 O.for each utility connection)
CATEGORY OF COISERUCYBEN SFR(11 bath 112 70
SFR(21 bath 437.7S
0 1-and 2-family dwelling JZI Commercial,industrial
SFR 0)bath 50).12
0 Accessory building 0 Muti-ftunily ,
Each additional hadifkitchem 25.02
ID Master builder 0 Other: ,,. Fire sprinkler( sq.it.t Page 2
Job ite address: 3 ci Catch basin or area drain 18.76
s 1.,. stj i ji,j...m is, Iv
Drywell,leach line.or trench drain 18.76
City(StatelZIP: •"-ri scr d 0 ''' Footing drain(no linear ft.:_____) Page 2
CP14401,no,: 350. I Protect nem:: - Manufactured home un hues 50.03
Crass streetidirections to job sire: 62;;2,9_,,rv.z) 67,1 X 0 e te-75174 tiezeftztt,..--Manholes 18.76
Ram drain comes:tor 18.76
Sanitary sewer Ina,linear tt.:_) Page 2
.,. Storm Sewer(no.linear B.:___.) Page 2
Water service(no.linear EL:.__,) Page 2
Subdivision: Lot no.: fixture or:item:
Backllow manatee 31.27
Tax.imp/parcel no.:
Backwater valve 1151
--...1, '.,f 7 4- .! . filh..! *,,,.1--__.z.„-M-.-1:, ,,,..-fi.A.f, ..--,- Clotho wash,,, 25 02
Pe.f lc cc, "Jo ST i Al c;1/4-4t-4 la•itteNt Dishwasher 25 02
C Ofal ti4,rt.. T . ire Fel-- . Drinking fountain 25,02
Egan:imam/3 25.02
, 12.31
• t".1 - - .', l'''''''--r-- - '" --.'""-"-- ' ' Fixtumsesver cap 23.02
Name
Floor drairfilnor sinkAtub 25.02
Address.
- Garbar dispi*sal 25 02
City.`StaleZIP: Hose bib 25.02
Phone:( ) Fax:t 1 Ire maker 1 12 5 I
25.02
Medical gas(value:$ ) Page 2
Business natric.
Primer 12,51
Contact name:
Roordrain tccenmerciall 12.51
/Address: Sinkliibstirlavatory 23,02 j7,01.
City/State/ZIP: Solar units(potable water) 6154
Phone:( ) .
Fits::( ) Tab/shower/shower pan
t 12.51
Urinal 25.02
F-l114111'NAP/.4 IttiW10.i g) Pl‘l3. ( - CD/.°‘
Water aroma 25:02
CONTRA .th CTOR ...':-..- -rz.x;-'.--3, .x,..t.<- Water heater 37.52
BOSItleNS name ie., ---...„:„.
Water pipmeDWV 56.29
Address: / l5 s-, /ft aut, ar51IIz_ Other. 25.02
City/State/ZIP: 154'404:bg 04. t'l"..- f 7/1.7 Subtotal
Phone:(Sg3 ) 5'4z 7.. 0 fig/ .Jun:( .., , .-, 4. , / Minimum pemiti fee. $72 50
Plan review (25%of permit tee)
CCB Lie.: 4,12" it Plumbing Lie.no.:pd sSer
State surcharge(12%or permit fee)
Authorized signature: .., TOTAL PERMIT FEE ii" 20
This permit apptirsainammins if a permit iS not obtained frith Ha dam
Print name: ' 00485i Date: atter if Asts beto omitted to contantr.
*Fee methodology acti ka in-County Madam Indiona Samar Bumf,
I'Molting,Ift.iiiiii PLAIU-Perniii Am einc 1 S03 tit19 4114462 kti f liAgtOMAVEBt
Plumbing Permit Application - City of Tigard
Page 2 -Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Site Utilities <NY- _ :pea'taai ' Tsai Square gootitex Permit Pee:.
Footing drain-t" 100' 50.03 0 to 2,000 $121.90
Footing drain-each additional 100' 37,52 7 2,001 to 3,600 $169.69
3,601 to 7,200 $233.20
Sewer- 1st I00' 62.54 7,201 and greater $327.54
Sewer-each additional 100' 37.52
Water Service-Ist IOW 62.54 Medical Gas Systems:
water Service-each additional 100' 37.52 Valuation: , Permit Fee:
Storm&Ram[tram- I xi 1017- 62.54 $1.00 to$5•000.00 Minimum fee 572.50
Storm&Ram Chain-each additional 1 tag!' 37.52 $5.001.00 to$I0,000,00 $72.50 for the first$5,000 00 and S 1.52 for
Other In peetteue or ReesI tad Totaleach additional$1 W.IN)or fraction thereof,to
and mcktding$it100t100.
Inspection of existing plumbing or for $10,001.00 to S225,000.00 S 148 50 for the first$10900.00 and$1.54 for
which nn fee is specifically indicated 90.0 /hr each additional$100.00 or fraction thereof,to
(minimum charge- 1,2 hour) and including 523.000.00.
Inspections outside of normal business , 90,004rr $25,00I.00 to S50.000.00 S379.50 for the first$25,000.(Xi and S 145 for
hours(minimum charge--2 hours( _ each additional 5100.00 or fraction thereof to
Reinspection Fees 90,00<'hr and including$50,000.00.
Additional plan review for revisions 90.0O41r S30,001,00 and up $742.00 for the first$5(1.000.00 and$1.20 for
(minimum charge--172,hour) each additional$f 00.0t1 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*. Reviewf0 , ,,. ,'i t,„.'i e' I• t, )
Quaatiy by Future Type Plan review is required for any of the following.
Fixture Type for Replace Please check all that apply.
Work Performed: Capped Added Rekrasr 0 Any new commercial building with water service 2"and
BapustryfFoni - greater.except systems designed and stamped by licensed
Bath: -Puh!Shower
engineer.
-lacurre'WhirIPool
Car Wash -Each Stall 0 New exterior plumbing site utilities for any complex structure
-Drive Thin as defined in C)AR918-780-0€140.
C'nspid,r•`Water Aspirator ❑ Medical gas and vacuum systems for health care facilities.
Dishwasher: -Ccmntrcial ❑ 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/sank: •2"
4m •
ri Isometric or riser diagram is required for new buildings
-Car Wash Dram that meet the u:alifications above.
Garbage -Domestic ton-food tl
Disposal: -Domestic food related
-Commercial(Oust related
-Industrial thud related
•
Ice Mach'Reing(rains Comme is regarding fixture work: }
Oil Separator alas Station) off^t}g5 ft9 h gk„t[
Rec.Vehicle Dump Station Vehicle ,+'[t Jt
Shower. Ga- ng
'tLt. C et.
-Stall
Sink: -Caviller non-food related
-Bradley -
/
-GnuScrv'Utit food related !
-Service - *Note: lithe fixture work under this permit results in an
Swimming Pool Fiber increase of sewer ECUs,a sewer permit will be issued and
washer-Clohes
Water Extractor fees assessed for the sewer increase must be paid before the
Water Closet-Toilet plumbing permit can be Issued.
Urinal
Other Fixtures:
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