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Permit
• CITY OF TIGARD PLUMBING PERMIT I. COMMUNITY DEVELOPMENT Permit#: PLM2020-00442 T f G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/15/2020 Parcel: 1S134AA01800 Jurisdiction: Tigard Site address: 10180 SW NIMBUS AVE J3 Project: Central Geotechnical Services LLC Subdivision: IKOLL BUSINESS CENTER,TIGARD Lot: 2 Project Description: Interior plumbing:Adding(1)sink. Contractor: CALIBER PLUMBING&MECHANICAL INC Owner: DIETRICH, NANCY BISHOP 6036 N CUTTER CIRCLE, SUITE 360 ROBINSON,JERRY CHRISTOPHER TRUST PORTLAND, OR 97217 ROBINSON, LYNN ET AL 9701 SE MCLOUGHLIN BLVD MILWAUKIE, OR 97222 PHONE: 971-563-1672 PHONE: FAX: FEES Quantity Description Date Amount 12 If Sanitary Sewer 11/06/2020 $62.54 Specifics: 12 If Water Service 11/06/2020 $62.54 1 ea Lavatories 11/06/2020 $25.02 Type of Use: COM 1 12%State Surcharge- 11/06/2020 $18.01 Class of Work: ALT Plumbing Type of Const: Occupancy Grp: Stories: Total $168.11 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: VVA \ 1a\(�}C _ Permittee Signature: Cif tn't_• V , CYN Callll503.6639.4175 by 7:00 a.m.for the next available inspection date. —L T� 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 t-10/1(1120 Site Utilities it EC E I Y/ : FOR (II F1( t 1 St. (1l.1 eived City Of Tigard Permit No.: ot 1413125 SW Hall Blvd.,Tigard,OR 97223 O C T 1 ,f 202O PI2''rut R . `� a/k►db �� I Y Plan Review Phone: 503.718.2439 Fax: 503.598.1960 y N Other Permit No_ S ` a)j 7�Date/By:: V Inspection Line: 503 639.4)75iliQ�Read/B Juris m See Page 2 for TIG>A.kl?, Internet www.tigald er goy - �� lhloiirted/Methed // V tt airy 1 Supplemental Information TYPE OF WOEdk ' '-'tSMI OfTirres.A.' (yt,,,,{, +,V FEE* SCHEDULE ❑New construction ❑Demolition For special information use checklist. Description I_ Otv. I Ea. I Total ®Addition/alteration/replacement ©Other: New 1-2-family dwellings(includes 100 6 for each utility connection) CATEGORY OF CONSt"RUCTIOPI,; SFR(1)bath 312.70 0 I-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 El Accessory building - SFR(3)bath 500.32 0 Multi-family - Each additional bath/kitchen 25,02 ❑Master builder 0 Other: Fire sprinkler p (_sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address:10180 SW Nimbus Ave Ste J3 Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP'Portland OR 97223 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: Project name:Scholls Business Center Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:12 ) Page 2 62.54 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft: 12 ) Page 2 62.54 Subdivision: I Lot no.: Fixture or item: Tax map/parcel no.: 'S i3 y,t4-4r fin, Backflow preventer 31.27. DESCRIPTION OF WORK Backwater valve 12.S1 Clothes washer 25.02 Providing complete plumbing labor and materials to install new Dishwasher 25.02 utility sink and lines. Drinking fountain 25.02 Ejectors/sump 25.02 ❑ PROPERTY OWNER I Q 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 0 APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name:Caliber Plumbing & Mechanical Inc Medical gas(value.$ ) Page 2 Primer 12.51 Contact name:Galen McMahon Roof drain(commercial) 12.51 Address:2615 NW St Helens Rd Sink/basin/lavatory 1 25.02 25.02 City/State/ZIP:Portland OR 97210 Solar units(potable water) 62.54 Phone:( )503-206-7591 Fax::( )503-285-5769 Tub/shower/shower pan 12.51 E-mail:accounts@calibermechanical.com Urinal 25.02 Water eloset 25.02 CONTRACTOR o -- • Water healer 37.52 Business name:Caliber Plumbing &Mechanical Inc. Water piping DWV 56.29 Address:2615 NW St Helens Rd Other: 25.02 City/State/ZIP:Portland OR 97210 Subtotal 150.10 Phone:( )503-206-7591 Fax:( )503-285-5769 Minimum permit fee: $72.50 CCB Lic.:208245 Plumbing Lieno.:PB 1658 Plan review (25%of permit fee) d -- ,,r State surcharge(12%of permit fee) 18.01 Authorized signature: C • ryp� TOTAL PERMIT FEE 188.11 Print name:Ernie Beasley / Date: 10/6/2020 This permit application expires if a permit is not obtained within ISO days after it has been accepted as complete. *Fee methodology set by Tri-County Building industry Service Board. I:\Building\P nnus\PLMU-PernntApp,dse IO/OtM9 44046I6T(IO/s2JCOM/WCB) 6. !3 4 014 `.4 -1 -e Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site` eft ties Qty, Fee(ea) fatal 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' 1 62.54 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service- 1st 100' t 62.54 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52 Storm&Rain Drain•1st 100' 62.54 Valuation:' Permit Fee: $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 Q� Pae(ea) Total each additional$100.00 or fraction thereof,to hand including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first S10,000.00 and$1.54 for which no fee is specifically indicated 90.00/hr each additional$100.00 or fimdion thereof,to (minimum charge-1/2 hour) - and including$25,000.00. Inspections outside of normal business 90.00/hr $25,001.00 to S50,000.00 $379.50 for the first S25,000.00 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$100.00or 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*. Quanti by Fixture Type Plan Review for Plumbing Installations Fixture Type for Beldam/ Work Performed: Capped Added Relocate Plan review is required for any of the following. Baptistry/Font Please check all that apply. Bath =Fub/Shower ❑ Any new commercial building with water service 2"and Jacuzzi/Whirlpool 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 OAR918-780-0040. Dishwasher -Commercial ❑ Medical gas and vacuum systems for health care facilities. -Domestic ❑ Any multipurpose fire sprinkler system. Drinking Fountain ❑ Any complex structure as defined in OAR9I8-780-0040. Eye Wash Floor Drain/sink -2" Submit 2 sets of plans with any of the above. 3" Isometric or Riser Diagram Car Wash Drain Garbage Domestic-non-food ElIsametric or riser diagram is required for new buildings Disposal -Domestic-food related that meet the qualifications above.-Commercial-food related -Industrial-food related Ice Mach./Refrig.Drains Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Gang -Stall Sink/Lay -Non-food related t -Bradley -Commercial-food related -Service Swimming Pool Filter *Note: If the fixture work under this permit results in an Washer-Clothes Water Extractor increase of sewer EDIJs,a sewer permit will be issued and Water Closet-Toilet fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fixtures' C\Building\Permits\PLMU_PermitApp.doc 2