Permit CITY OF TIGARD PLUMBING PERMIT
s COMMUNITY DEVELOPMENT Permit#: PLM2021-00024
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 1/19/2021
TIGARD g Parcel: 2S112DA01400
Jurisdiction: Tigard
Site address: 15350 SW SEQUOIA PKWY 110
Project: Edward Jones Subdivision: 1996-048 PARTITION PLAT Lot: 2
Project Description: Interior plumbing:Capping(1)2"floor drain and(1)shower stall; Replacing(1)lavatory;Installing(1)water heater.
Contractor: POWER PLUMBING CO Owner: PACIFIC REALTY ASSOCIATES
PO BOX 19418 ATTN: N PIVEN
PORTLAND, OR 97280 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-244-1900 PHONE:
FAX: 503-244-8825
FEES
Quantity Description Date Amount
2 ea Fixture/Sewer Cap 01/15/2021 $50.04
Specifics: 1 ea Sink 01/15/2021 $25.02
1 ea Water Heater 01/15/2021 $37.52
Type of Use: COM 1 12%State Surcharge- 01/15/2021 $13.51
Class of Work: ALT Plumbing
Type of Const:
Occupancy Grp:
Stories:
Total $126.09
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: 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.
1
Plumbing Permit Applicat)ECEIVED
Site Utilities JAN 1 1 2021
City of Tigard Received /� ') lS+ram Permit No.:
Ilili13125 SW Hall Blvd.,Tigard,O1j,p -cY OF TIGARD Date/By: i fl -✓.�� /ili f d. r.�'f
Phone: 503.718.2439 Fax: 50 IlaiNG DIVISION Plan Review
I Date/By: Other Permit No.:/d A'91016)..a
i WARD Inspection Line: 503.639.4175 Date Ready/ey: lam: ® See Page 2 for
Internet: www.ligard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK FEE' SCHEDULE
El New construction ❑Demolition For special infarntation use checklist.
Description I Qty. I Ea. I Total
KAddition/alteration/replacement ❑Other: New t-2-family dwellings(includes 100 0.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(I)bath 312.70
❑ I-and 2-family dwelling `Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 500.32
❑Accessory building El 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: 153,v 5VJ Slit 0 ict` _ P Catch basin or area drain 18.76
kw y
ty 0 137Z Drywell,leach line,or trench drain 18.76
City/State/ZIP: �, 0 Footing drain(no.linear 0.: I Page 2
Suite/bldg./apt,no.:4 i go Project name: Uetkol vl.pL 5�y.,vy 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 II.: ) Page 2
Subdivision: I Lot no.: -Fixture or item:
Tax map/parcel no.: 4 L If,14r�)j its) Backflow preventer 31.27
I DESCRIPTION OF WORK Backwater valve 12.51
CI- ShGw-CA.... n 0 ✓e- e„ /� Dishwasheriothes washer25.02
�jJ �iY! `��7'�L�J 25.02
I- L r. �"dj hd � �o v� _ r Drinking fountain 25.02
lI�)C•is1 C.K Ejectors/sump 25.02
PROPE T fapc ��Y OWNER ER ❑ TENANT- Expansion lank 12.51
Name: Fixture/sewer cap o7 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: p(���i� p' Medical gas(value:$_) Page 2
Contact name: ,�C.- „V iLZ�� i
Roof drain(commercial) 12.51
Address: Primer 12.51
6 p X'�J 14 y/r Sink/basirJlavawry 1 25.02 aStCr;
City/State/ZIP: il jiL/�� 1 4724.e Solar units(potable water) 62.54
Phone:O 'aL/1/ -/4'g7.ly Fax::( ) Tub/shower/shower pan 12.51
E-mail: Se ro,,,,e_pobc-t~/p 1/�rnbiz,4 414n_ Urinal 25.02
C RACTO J Water closet 25.02
Water heater 1 37.52 3 7.S"3,
Business name: /2O til�.4_ p1 u,n 661s't Gp Water piping/D W V 56.29
Address: (J �// 4.5 J�Ad Gl/fi'e r alet. /i v/� Other: 25.02
City/State/ZIP: f Gr}// (�/Lf2�(4 eZ 9' 7223 Subtotal ifp•r.,
Phone:(93) ;Ism ..-be Fax:( ) Minimum permit fee: $72.50
CCB Lie.: 5-Z3 ] Plumbing Lic.no.: 31/_/SiJ pf3 Plan review (25%of permit fee)
�,�a State surcharge(12%of permit fee)
Authorized signature: C!] TOTAL PERMIT FEE /a6.n i
Print name: �y ' �.-Z \ Date: f,, This permit application expires if a permit is not obtained within 180 days
j,,,_µs.vr v� f,Jev S I LJ:/Z/ after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
I:,Buildingi'crmits,PLMU-PrnnitApp-doc I0,01,99 440-4616T(I0!02/COM/WEB)
i
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-I"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 S233.20
Sewer-1st 100' 62.54 7,201 and greater S327.54
Sewer-each additional 100' 37.52
Water Service-1st 100' 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 S5,001.00 to S 10,000.00 $72.50 for the first$5,000.00 and$1.52 for
Other Inspections or Fees Fee(ea) Total each additional$100.00 or fraction thereof,to
ll 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 S25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and S 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 S50,001.00 and up $742.00 for the first S50,000.00 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*.
Quantity by Fixture Type Plan Review for Plumbing Installations
Fixture Type for Replace/ Plan review is required for anyof the following.
Performed: Capped Added RelocateQ
Baptistry/Font Please check all that apply.
Bath Tub/Shower 0 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 El 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 0 Any complex structure as defined in OAR918-780-0040.
Eye Wash
Floor Drain/sink -2" Submit 2 sets of plans with any of the above.
-3"
Isometric or Riser Diagram
Car Wash Drain
0 Isom tric or riser diagram is required for new buildings
Garbage -Domestic-non-food -;r-
Disposal -Domestic-food related that meet the qualifications above.
-Commercial-food related U
-Industrial-food related -
Ice Mach./Refrig.Drains
Oil Separator(Gas Station) t mments regarding fixture work:
Rec.Vehicle Dump Station - P OivvtQ 1/4- OV) JIL •
Shower -Gang ' / t p /� 07)Y -�'. -
-Stall L
Sink/tav -Non-food related GQ-tz-
-Bradley /vl 5 641 "Lk i (.u`H.
-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 EDUs,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:
l:\Building\Permits\PLMU_PermitApp.doc 2
RECEIVED
1P osnbing Permit Application - City of Tigard JAN 14 2021
Page 2 -Supplemental Information
CITY OF TIGARD
Fee Schedule: Residen lni t %M I t n Systems:
Site Utilities Qty. Fee(ea) Total Square Footage: Permit Fee:
Footing drain-I"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 and including
1000.0. 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*.
Quantity by Fixture Type Plan Review for Plumbing Installations
Fixture Type for Replace/Work Performed: Capped Added Relocate Plan review is required for any of the following.
Baptistry/Font Please check all that apply.
Bath -Tub/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 ❑ 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 0 Any multipurpose fire sprinkler system.
Drinking Fountain ❑ Any complex structure as defined in OAR918-780-0040.
Eye Wash
Floor Drain/sink -2" i Submit 2 sets of plans with any of the above.
-3"
-4" Isometric or Riser Diagram
Car Wash Drain
Garbage -Domestic-non-food ❑ Isometric 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) mments regardingfixtture work:
Rec.Vehicle Dump Station ..Q_vv! tie- f-- ( a_ O a PLIA&KA
Shower -Gang per_ f- /',r /1 Murry lJJtietil 4 -
-Stall 1 am Z- 'J(--101" if
-Non-food related I. JD C
-Bradley ' in 5> 6-1` h.0 KJ J,L/N.
-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 EDUs,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:
I:\Building\Permits\PLMU_PermitApp.doc 2
Branden Taggart
From: #Building Permit Technicians
Sent: Thursday,January 14, 2021 4:59 PM
To: 'Kristie Bramwell'
Subject: RE: Edward Jones Plumbing Permit App: PLM2021-00024 - 15350 SW Sequoia Pkwy
Suite 110
Attachments: SKM_284e21011418170.pdf; Invoice.pdf
I-li Kristie,
The Plumbing permit for Edward Jones is ready to issue now. The balance due is$126.09, and I have attached an invoice
above for you to reference. The permit fees can be paid online through our
website: https://aca.accela.com/tigard/Default.aspx. From there, click on the Building tab, enter the permit number
(PLM2021-00024) in the Record Number field, and click Search. Once paid, please notify us at
TigardBuildingPermits@tigard-or.gov, and we will email the permit paperwork to you.
Thank you,
FirBr
anden ynden Taggart
City of Tigard
Senior Permit Technician
Community Development
44044
13125 SW Hall Blvd
Tigard,OR 97223
(503)718-2449
brartdentr@tigard-or:gov
From: Kristie Bramwell<service@powerplumbingco.com>
Sent:Thursday,January 14, 2021 10:14 AM
To:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Subject: RE: Edward Jones Plumbing Permit App. - 15350 SW Sequoia Pkwy Suite 110
Warning!This message was sent from outside your organization and we are unable to verify the sender.
Sorry, I was out last week and the person covering didn't know they had to fill in the boxes as well. Please see attached
thanks-
Kristie Bramwell I service@powerplumbingco.com
Service Department / Power Plumbing Co.
O 503.244.1900 / F 503.244.8825
Power Plumbing Co.
From: #Building Permit Technicians [mailto:TigardBuildingPermits@tigard-or.gov]
Sent:Thursday,January 14, 2021 8:51 AM
1
) To: Kristie Bramwell<service@powerplumbingco.com>
Subject: FW: Edward Jones Plumbing Permit App. - 15350 SW Sequoia Pkwy Suite 110
Importance: High
Hi Kristie,
We will need you to complete the Commercial Fixture Work section on the second page for us to process this permit.
Thanks,
triliBranden Taggart
City of Tigard
, Senior Permit Technician
Community Development
13125 SW Hall Blvd
Tigard,OR 97223
(5031718-2449
brandent@tigard-or.gov
Original Message
From: Kristie Bramwell<service(un7powerplumbingco.com>
Sent: Wednesday,January 6, 2021 11:12 AM
To:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Subject: Edward Jones Plumbing Permit App.
See attached plumbing permit application.
Thank you,
Kristie Bramwell I service@powerplumbingco.com Service Department I Power Plumbing Co.
O 503.244.1900 I F 503.244.8825
DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail
may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retained
by the City of Tigard in compliance with the Oregon Administrative Rules"City General Records Retention Schedule."
2
II Accumulative Sewer Tally
Tenant Name: EDWA1tll JONES SWR# N/A
Site Address: 15350 SW SEQUOIA PKWY PLM# 2021-00024
TIGARD
Parcel#: 2S112DA01400
Fixture Value Previous Previous Credits Capped Fixture Fixture New New
# l, value count capped#s value count added# added value total#s total values
Baptisery/Font 4 0 0 0 0 0
Bath: -Tub/Shower 4 0 0 0 0 0
-Jacuzzi/Whirlpool 4 0 0 0 0 0
Car Wash: -Each Stall 6 0 0 0 0 0
-Drive through 16 0 0 0 0 0
Cuspidor/Water Aspirator 1 0 0 0 0 0
Dishwasher: -Commercial 4 0 0 0 0 0
-Domestic 2 0 0 0 0 0
Drinking Fountain 1 0 0 0 0 0
Eye Wash 1 0 0 0 0 0
Floor Drain/Sink: -2 inch 2 0 1 2 0 -1 -2
-3 inch 5 0 0 0 0 0
-4 inch 6 0 0 0 0 0
-CarWash 6 0 0 0 0 0
Garbage Disposal:
-Domestic(to 3/4 HP) 16 0 0 0 0 0
-Commercial(to 5 HP) 32 0 0 0 0 0
-Industrial(over 5 HP) 42 0 0 0 0 0
Ice Machine/Refrigerator Drain 1 0 0 0 0 0
Living Unit 16 0 0 0 0 0
Oil Sep(Gas Station) 6 0 0 0 0 0
Rec.Vehicle Dump station 16 0 0 0 0 0
Shower. -Gang(per head) 1 0 0 0 0 0
-Stall 2 0 1 2 0 -1 -2
Sink:
-Lav/Bar-Non-Food Related 2 0 0 0 0 0
-Bradley 5 0 0 0 0 0
-Com/Scrv/Util-Food Related 3 0 0 0 0 0
Swimming Pool Filter 1 0 0 0 0 0
Washer-Clothes 6 0 0 0 0 0
Water Extractor 6 0 0 0 0 0
Water Closet-Toilet 6 0 0 0 0 0
Urinal 6 0 0 0 0 0
Previous EDU Count 0 0
Capped EDU Credit 0
TOTALS 0 0 2 4 0 0 -2 -4
Current Fixture Value -4 divided by 16= -0.250 Current EDU 1 EDU= $5,800.00
Previous Fixture Value 0 divided by 16= 0.000 Previous EDU
Change -4 divided by 16= -0.250 over (under) $ (1,450.00)
Enter EDU Change Here -0.250 *
*Round EDUs to the nearest 1/100th: a count ending in.005 shall be rounded up to.01,and a count ending in.014 or less shall be rounded down to.01.
Notes: ***CREDIT***
Authorized Name/Signature: BRANDEN TAGGART X2449 Date: 1/14/2021
Building Division
sote: The property owner shall retain the ORIGIN.\1.sewer tally record. If credits exist,this document will serve as a voucher which must be
ubmitted to the City of Tigard Building Division to redeem credits towards future system development charges.
I:\Building\Sewer Tally\SewerTallySheet_5800_070119.xlsx