Permit CITY OF TIGARD PLUMBING PERMIT
.' ' COMMUNITY DEVELOPMENT Permit#: PLM2020-00173
Date Issued: 9/23/2020
-FIG R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S134BC00100
Jurisdiction: Tigard
Site address: 12100 SW SCHOLLS FERRY RD
Project: Chase Bank Subdivision: None Lot: None
Project Description: Interior plumbing for a new bank:Capping(1)2"floor drain,(1)3"floor drain,(1)ice machine,(4)sinks,and(1)
water closet;Adding(1)drinking fountain, (3)2"floor drains,(4)sinks,and(2)water closets; Installing(1)
expansion tank,(1)hose bib,(3)primers, (1)water heater,(1)coffee maker,and(1)water purifier.
Contractor: RECON INC DBA MANZCO PLUMBING Owner: ATLAS GREENWAY LLC
PO BOX 822964 808 SW ALDER ST STE 200
VANCOUVER, WA 98682 PORTLAND, OR 97205
PHONE:
PHONE: 360-772-8149
FAX:
FEES
Quantity Description Date Amount
1 ea Drinking Fountain 09/10/2020 $25.02
Specifics: 1 ea Expansion Tank 09/10/2020 $12.51
8 ea Fixture/Sewer Cap 09/10/2020 $200.16
Type of Use: COM 3 ea Floor Drain/Floor Sink/Hub 09/10/2020 $75.06
Class of Work: ALT 1 ea Hose Bib 09/10/2020 $25.02
Type of Const: 4 ea Sink 09/10/2020 $100.08
Occupancy Grp: 2 ea Water Closet 09/10/2020 $50.04
Stories: 1 ea Water Heater 09/10/2020 $37.52
50 Misc Other Fee 09/10/2020 $50.04
1 12%State Surcharge- 09/10/2020 $73.56
Plumbing
Total $649.01
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: `ir \.J QD�cJ�] Permittee Signature: on .apprtc,^6on
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. Cf
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
. m. .,a - .
Building Fixtures RECEIVED FOR OFFICE USE ONLY
Received ,,,
City of Tigard APRe/ Permit �f s, �l 77
• 13125 SW Hall Blvd.,Tigard,OR 97223 2 3 2020 Date By: / G �� 28 or V -OO I
Plan Revie
■ Phone: 503.718.2439 Fax: 503.5Other Permit N
e lrfcbFTIGARD Date/By: ~7- 0,4 WIeZ(J2,„-OO/d�►
Inspection Line: 503.639.4175 Date Ready/By: _ Jor1
"I IGARD Internet: www.ti and-or. ov BUILDING DIVISION y * �., S pie Peal for
g g Notified/Method:l!�� l� .. Supplemental Information
TYPE OF WORK CYEMallco( GG1 " e FEE* SCHEDULE
❑New construction ❑Demolition For special information use checklist.
Description I Qty, I Ea. Total
®Addition/alteration/replacement ❑Other: New I-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: 12100 SW Scholls Ferry Rd Catch basin or area drain 18.76
Drywell,leach line,or trench drain 18.76
City/State/ZIP: Tigard, OR 97223 Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: I Project name: Chase Bank Tenant Improvement Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
Corner of SW Scholls Ferry Rd&SW 121st Ave.,in the former 7-11 space, Rain drain connector 18.76
adjacent to Scotty's 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.: 1 S134BC00100 Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 25.02
Interior tenant improvement:Remodel of the former 7-11 space to become a bank. Dishwasher 25.02
Minor exterior work consists primarily of painting&storefront replacement. Drinking fountain 1 25.02 25.02
Scope includes a remote ATM drive-thru at the SE corner of the shopping center. Ejectors/sump 25.02
0 PROPERTY OWNER I ® TENANT Expansion tank 1 12.51 12.51
Name: Joe Hernandez,VP-Chase Bank Fixture/sewer cap $ 25.02 41,,l6
Floor drain/floor sink/hub 3 25.02 75.06
Address: 24085 El Toro Road,Floor 2
Garbage disposal 25.02
City/State/ZIP: Laguna Hills, CA 92653 Hose bib 1 25.02 25.02
Phone:(602 )703-3816 Fax:( ) Ice maker 12.51
❑ APPLICANT J CONTACT PERSON Interceptor/grease trap 25.02
Business name: PM Design Group Medical gas(value:$_) Page 2
Primer 3 12.51 3753
Contact name: Elizabeth Cole Roof drain(commercial) 12.51
Address: 19120 SE 34th St.,Suite 115 Sink/basin/lavatory 4 25.02 100.08
City/State/ZIP: Vancouver,WA 98683 Solar units(potable water) 62.54
Phone:(614 )212-4330 Fax: :( ) Tub/shower/shower pan 12.51
Urinal 25.02
E-mail: ecole@pmdginc.com
Water closet 2 25.02 5/.6
ONERACTOR Water heater 1 37.52 37.52
Business name: pecori inc tBA McA>C1Z'cc s{Umb r-Gt Water piping/DWV �t 56.29
Address: , E7lly 87 2�u1.4 J Other: coge,i}u(kz,1 2 25.02 oily
City/State/ZIP: veil C 1\.)Ver1 W 1(6k0 :11- w° PAViy,1•'= 051 Subtotal 9
-III-
7
Phone: 1 I I- $'4 9 Fax:( ) Minimum permit fee: $72.50
CCB Lice.: ($1 3 i 8 Plumbing Lic.no.: 1,1357.3 Plan review (25%of permit fee)
State surcharge(12%of permit fee)
Authorized signature: '.' 4- -.in �vGt- TOTAL PERMIT FEE 5.441.erzrt
Print name: Elizabeth Cole Date: 4/20/2020(updated) This permit application expires if a permit is not obtained within 1 0 days
after it has been accepted as complete. 4�1i
*Fee methodology set b T'-County Building Industry Service a!/ s
£ -uJJ A
L1Rulding\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) SNICS z.a 0 015&OA `/C ii .-
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-l'100' 50.03 0 to 2,000 S i 2190
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' 62s4 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
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
(minimum charge—1/2 hour) each additional$100.00 or fraction thereof,to
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
-Jacuzzi/Whirlpool engineer.
Car Wash: -Each Stall 0 New exterior plumbing site utilities for any complex structure
Drive Thru as defined in OAR918-780-0040.
Cuspidor/Water Aspirator ElMedical gas and vacuum systems for health care facilities.
Dishwasher: Commercial El Any multipurpose fire sprinkler system.
Domestic ❑ Any complex structure as defined in OAR918-780-0040.
Drinking Fountain 1
Eye Wash Submit 2 sets of plans with any of the above.
Floor Drain/sink: -2" 1 3
3" 1 Isometric or Riser Diagram
4 ❑ 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
Ice Mach./Refrig.Drains 1 Comments regarding fixture work:
Oil Separator(Gas Station) Existing sink types: (1) 3-compartment sink,
Rec.Vehicle Dump Station (1) lavatory, (1) bar sink, (1) mop sink
Shower: -Gang New sink types: (2) lavatories, (1) break room
-Stall 1k,in
Sink: -Lav/Bar non-food related 2 3 s (1) mop sink
-Bradley
Com/Serv/Util food related 1
-Service 1 1 *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
Water Extractor fees assessed for the sewer increase must be paid before the
Water Closet-Toilet 1 2 plumbing permit can be issued.
Urinal
Other Fixtures:
I:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2
Plumbing Permit Application
Building Fixtures FOR OFFICE USE ONLY
Cl of Tigard Received
. 111 - Date/By: ,p Permit No.: o�
13125 SW Hallll Blvd.,Tigard,OR 97223 Plan Review'� {�� q, J/' �l�a�a�"�l 7
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: .5 t-a� t +� ad Other Permit No.:
TIGARD Inspection Line: 503.639A175 DateReady/ay: lads: ® See Page 2for
Internet: www.tigard-or.gov Notified/Method:-5 /5/10 LI j.. Supplemental Information
TYPE OF WORK •if 4"L11L.aQ 637114011Rit FEE* SCHEDULE
0 New construction 0 Demolition For special information use checklist.
Description I Oty. I Ea. I Total
„ArAddition/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 {y, mmerciallindustrial
SFR(2)bath 437.78
t-.o
SFR(3)bath 500.32
❑Accessory building 0 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: i kW() 5(,J, St_i Its. 6Q r 1r Catch basin or area drain 18.76
S Drywell,leach line,or trench drain 18.76
City/State/ZIP: j�G 0L,t, OR., C(q'a.`a3 i Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: O 1 Project name:C htLSvi tp y�l(Tevtapti Ira ►IY;ile 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: I Lot no.: Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
Backwater valve 12.51
DESCRIPTION OF WORK
r Clothes washer 25.02
�yvtL cLz.k. .. y`tL
\ Y 1-1( Spa.,..,-
C. .6t.CUis'l(L Dishwasher 25.02
Drinking fountain 1 25.02 5.,02
Ejectors/sump 25.02
❑ PROPERTY OWNER I ❑ TENANT Expansion tank J 12.51 /a,5
Fixture/sewer cap a 25.02 ,OO,((a
Name:
Floor drain/floor sink/hub 3 25.02 015,06
Address:
Garbage disposal 25.02
City/State/ZIP: Hose bib Ii 25.02 25,02.
Phone:( ) Fax:( ) Ice maker 12.51
❑ APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02
Medical gas(value:$_) Page 2
Business name: Primer 3 12.51 3311$3
Contact name: Roof drain(commercial) 12.51
Address: -1r Shdc/basin/lavatory 4 25.02 00,08
r
City/State/ZIP: Solar units(potable water) 62.54
Phone:( ) I Fax: :( ) Tub/shower/shower pan 12.51
Urinal 25.02
E-mail: Water closet a 25.02 50,04
CONTRACTOR Water heater f 37.52 39r Sa
Business name: Water piping/DWV 56.29
Address: Other affeiL land.m Y 2, 25.02 50,0 q
City/State/ZIP: Wuft:r R:rt°f ier =t Subtotal 642.. 98
Phone:( ) Fax:( ) Minimum permit fee: $72.50
Plan review (25%of permit fee) /53,A 5
CCB Lic.: Plumbing Lic.no.: n
State surcharge(12%of permit fee) 173,S(2
Authorized signature: TOTAL PERMIT FEE 834,9g
This permit application expires if a permit is not obtained within 180 days
Print name: Date: after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
l:1 Building\Permits\PLMU-PermitApp.doc 10/01/09 440-46I6T(10/02/COMWWEB) 4..<1.0 =
5irtb..5?-e1
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-f"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 S10,000.00 $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
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
(minimum charge-1/2 hour) each additional$100.00 or fraction thereof,to
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 ❑ Any new commercial building with water service 2"and
Baptistry/Font greater,except systems designed and stamped by licensed
Bath: -Tub/Shower
-Jacuzzi/Whirlpool engineer.
Car Wash: Each Stall 0 New exterior plumbing site utilities for any complex structure
-Drive tall as defined in OAR918-780-0040.
Cuspidor/Water Aspirator ElMedical gas and vacuum systems for health care facilities.
Dishwasher: Commercial 0 Any multipurpose fire sprinkler system.
Domestic CI 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" f 3
3" Isometric or Riser Diagram
4 ❑ 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 i Comments regarding fixture work:
Oil Separator(Gas Station)
Rec.Vehicle Dump Station
Shower: -Gang
-Stall
Sink: -Lav/Bar non-food related a `j
-Bradley
-Com/Serv/Util food related f
-Service r' 1 *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
Water Extractor fees assessed for the sewer increase must be paid before the
Water Closet-Toilet / - plumbing permit can be issued.
Urinal
Other Fixtures:
C\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2
Branden Taggart
From: Branden Taggart
Sent: Friday, May 15, 2020 1:53 PM
To: ecole@pmdginc.com
Subject: RE: Chase Bank: PLM2020-00173 & SWR2020-00106 - 12100 SW Scholls Ferry Rd.
Attachments: Branden Taggart2.vcf; Chase Bank Invoices & Sewer Tally.pdf
Elizabeth,
I did not include the attachment in my previous email. The invoices and sewer tally are now attached above.
Thanks,
Branden Taggart
City of Tigard
Senior Permit Technician
T IC,nuD Community Development
13125 SW Hall Blvd
Tigard,OR 97223
{503)718-2449
brandent@tigard-or,gov
From: Branden Taggart
Sent: Friday, May 15, 2020 1:49 PM
To: ecole@pmdginc.com
Subject: Chase Bank: PLM2020-00173 & SWR2020-00106- 12100 SW Scholls Ferry Rd.
Hi Elizabeth,
The Plumbing and Sewer permits for Chase Bank, located at 12100 SW Scholls Ferry Road, are ready to issue now. I have
attached invoices above for you to reference, and the fees due are as follows:
Chase Bank
Permit# Fees Due
PLM2020-00173 $ 649.01
SWR2020-00106 $ 1,450.00
Total: $ 2,099.01
The above fees can be paid online now through our website: https://aca.accela.com/TIGARD/Default.aspx. From there,
click on the Building tab, enter the permit numbers in the Record Number field, and click Search. Once paid, please
notify us at tigardbuildingpermits a(�tigard-or.gov,and I will issue these permits. Furthermore, the permit fees for both
permits will need to be paid before we can issue either of them.
Please note that contractor license information is required prior to issuing these permits.
Thank you,
1