Permit r, CITY OF TIGARD PLUMBING PERMIT
III `' • COMMUNITY DEVELOPMENT Permit#: PLM2021-00184
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 , Date Issued: 5/3/2021
MI
Parcel: Tigard 3102A601900
= Jurisdiction: T
Site address: 9450 SW TIGARD ST
Project: Under Luna Subdivision:RTH TIGARDVILLE ADDITION,AMENC Lot: 55
Project Description: Interior plumbing for TI:Adding(1)sink;Replacing(1)sink and(1)water closet; Installing(1)trench drain, (1)hose
bib,(1)primer,and(1)water heater.
Contractor: BRUNER PLUMBING Owner: MCLELLAN ESTATE CO
PO BOX 23985 707 OLD COUNTY RD
TIGARD, OR 97281 BELMONT, CA 94002
PHONE: 503-484-5105(CELL) PHONE:
FAX: 503-624-2173
FEES
Quantity Description Date Amount
1 ea Drywell,Leach Line or Trench 05/01/2021 $18.76
Specifics: Drain
1 ea Hose Bib 05/01/2021 $25.02
Type of Use: COM ea Primer 05/01/2021 $12.51
Class of Work: ALT 2 ea Sink 05/01/2021 $50.04
Type of Const: 1 ea Water Heater 05/01/2021 $37.52
Occupancy Grp: 1 12%State Surcharge- 05/01/2021 $17.26
Plumbing
Stories:
Total $161.11
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: Permittee Signature: ev•P-ee-- ��
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.
CITY OF TIGARD PLUMBING PERMIT
=..a COMMUNITY DEVELOPMENT Permit#: PLM2021-00184
Date Issued: 5/3/2021
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S102AB01900
Jurisdiction: Tigard
Site address: 9450 SW TIGARD ST
Project: Tigard Bottling Facility Subdivlsion:RTH TIGARDVILLE ADDITION,AMENC Lot: 55
Project Description: Interior plumbing for TI:Adding(1)sink;Replacing(1)sink and(1)water closet; Installing(1)trench drain,(1)hose
bib,(1)primer, and(1)water heater.
Contractor: BRUNER PLUMBING Owner: MCLELLAN ESTATE CO
PO BOX 23985 707 OLD COUNTY RD
TIGARD, OR 97281 BELMONT, CA 94002
PHONE: 503-484-5105(CELL) PHONE:
FAX: 503-624-2173
FEES
Quantity Description Date Amount
ea Drywell,Leach Line or Trench 05/01/2021 $18.76
Specifics: Drain
1 ea Hose Bib 05/01/2021 $25.02
Type of Use: COM 1 ea Primer 05/01/2021 $12.51
Class of Work: ALT 2 ea Sink 05/01/2021 $50.04
Type of Const: 1 ea Water Heater 05/01/2021 $37.52
Occupancy Grp: 1 12%State Surcharge- 05/01/2021 $17.26
Stories: Plumbing
Total $161.11
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: fi„ ' Van, eweeeOIv�ppLt.Ga .o
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.
. Plumbing Permit ApplicationRECEIVE
E C E I VE
• Building Fixtures t 1
City of 25SWHagard Doau3r, `I/, 4ji " PamdtNo.: Pi/VI7D )-el-VI
i+ phone S50 Hall Blvd,2439 T Fa*' 598,19722 p PhnRwittv Oilier Permit Ne.: . O r 7
t phone: 503,7182439 Fax: 503.598.1968iPR 2 0 Y01t � � V
ItnpeehonLtne 5036394175 D.eURy. f ��
ll: 1R11 Date Readyiby .by8jj,� , 08« net Sir
Internet wwwtigard-orgov , Nauiedrtfemod �Q�f
3 �n�j �p�} ryy Supplements!lafetmattoe
"`4�SP Iffit'- -a- ' '`vµ`I i ' :,t {, 'RR#l� , �.` `f-'s7 01.0+SC HEDULi1ii s x--"` 4
❑NOW consuuotioo =a L* ; 4163161ttit Far:pedal Informo7on use checklists T
Deaription I Qty. ] Ea. ] Total
cii Addition/atteratkmlrepleeement 0 Other. N .1-2-0lmlly dwellings(includes 100 IL for cash unlit connection)
ak'"mr,,N i'`i CAiTI:GO " i' i ''.2 SFR(I)Will 312.70
❑t•and 2-t1imily dwelling 'Z(Commerciattmdnatrial. SFR(2)bath 437.78
❑Accessory building 0 Multi family SFR(3)bath 500.32
Each additional hathikhchen 25.02
❑Master builder 0 Other: Fire sprinkler(_,_sq.R,) Page 2
#fiVIii,:s1.# 0-.- r. ,ry =(.i ; ...".°i;= i Y. She utillticc
Jab site address: CI Lk c skr, 1 1 err a, _S.}-, Catch basin or area drain 18.76
City/StateJZIP; 1-� y�� Drywell,leach line,or trench drain i 18.76 t$'.7i✓
42-3
/ �1 Footing drain(no.linear R.: Page 2.
Suite/bldg./tadno.: Project name: � e, !) ,ite d Manufactured home utilities 50.03
Cross street/directions to job site: tquersk. J Manholes 18.76
1 `�`can) (V1,...&i v\ I S --t y`e cxd -1 S� 57--y-e Rain drain eoimeetor 18.76
es; 11..V1 i'�. 1 5 \(1 a 1'C- I,il n.t.( �d II tb in, Ul PS�"'S i ct e Storm
Sanitary sower(no.l(no linear e.: Page a
{,, J ���p „�,{{,, Storm sewer linear fl.:_) Page 2
(�('II VIC V1 S.. F"'ra* fr C-1 Water service(oo blear ft.: ) Paget
Subdivision: A ,} oil no.: Fixture or Item:
\ 1 Tax map/parcel no.: r %/j„[/�0.Ji�L EadcRowpresenter 3t.27
! DESC)-"'f < Packvrakr vatva 12,51
t"-€Fv" US x t r -.. tl01:4a 'a$:y c'tir'I `.a clotheswasher 25.02;
t�feA t7-twine
indvt_i1.i.n yfir}'veiri U' ')tti � ,G.sv Dinhw . 25.02
.i 51 V\ J . IQCe,- `
,,. SJ! L] ' In!!, yv i k- er- Y tP !� . Drinking fantasia 25:02
Ejectorafsuotp 25,02
.. •,,. Ezpeusion tank 12.51
a.a Fixture/wwet cap 25.02
Name:
r Floor drain/floor airk/hub 25.02
'v Address: Garbage disposal 25.02
CuyiStatefLIP Hose bib 25.02 Z ,�
Phone ( ) Fax ( ) tee maker 12.51
RI wr r: lnteree or/
n, "r,l�A; 7° -.- Ttt3'1'il;iT` ,,. „I ars«s Pt 9raaretrap 25.02
nusineas llama: Medical gas(value:S_) Pagan
Primer 12.51 12,Cp,`J
\c's
Contact name:
Readmit(commercial) 12.51 ,Li. L /
Address: (/w./a1
Siakl6 tilts lavatory 25.02
City/StatNZ1P: Solar units(potable water) 62.54 il ink 1
Phone:( ) Fax::( ) Tub/shower/shower pint 12.51 0'
E-mail; Urinal 25.02
-, ` - , d. _ Water closet 25.02 ,..�1 b z f_ + Water heNcr I 37.52 Sri,a c.
Business name: SJ(^t(Ap ' q ry� I1 vw ) Water piping/DWV 56.29
Address: T(W V Eoy.. V:]'jD? OMar: . V "lcAtt:a I(l�ih (,-,..-�"d� /113.
City/State/ZIP: ""' V� ) if 1,.g I �1 Sabtolal 1 n„r'�"6+.1
Phone:( )'2,) t,7`L, . lq.. , "b L Fax:(CO3)b iL..s r^!G.( r-7 3 Minimum permit fee: 572.50 J!
CCB Lie.: V1 Ca 3 r7 _ Plumbing Lie.no.:"�(6.(i 4 c'tx/j Plan review(25%of permit see
State surcharge(12%ofpermit fee) , 7'
Authorized signaturo:if l p)J J p )l. `-6 1,4.11'41L,,.f TOTAL PERMIT FEE /(4,I,I)
�� N 9 (1
Print name: Vi t�e(t e.. a Il eAr Date: 4-)j'-1/ This hemat.ppliaaaes repine If.p t le net obtained within Ica days
.sera bee been accepted ascam lele.
*Fee methodology aft by TriCoumy Building Industry Service Band.
I Wulln PamiMPLMt)*PenmiApp.aoc IM112W 440-4e1eT(I VC0MM'am
4 (3 DLA 'Svc, ~ _
1 Plumbing Permit Application-City of Tigard
* Page 2-Supplemental Information
Fee Schedule: Residential Fire Sup n resslon Systems:
Sittrinkle FoioAt_ Too tiff eFdota Nf ,t� <_
Qat. Sol $ r ..:� jrtIt .��s::,l£�'
Footing drain-I"ISO' 50.03 0 to 2,000 $121.90 _
Footing drain-each additional 100' ' 37.52 2,001 to 3,600 $169.69
7,601 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 �t
Stonn&Rain Drain-lit 100' ' 62.54 $'alUAtb000, a , ` ermite$72.5 „„, "%y{i,ili,i-
$1.00 to$5,000.00 Minimum fee$72.50
Storm&Rain Drain-each additional ISO' 37,52 $5,001.00 to$10,000.00 J $72.50 for the that$5,000.00 and$1.52 for
Qtg. Fce tmt) Told each additional SI00.00 or fraction thereof;to
OtherAn$pcctlo 1S (�; , and including$10,000.00,
Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.501hr the first$10,000,00 and$1.54 for
which no fee is speciGealby indicated 90.IXIfir
eachnincluding
00.00 or fraction thereof,to
(minimmn charge-1/2 hour) and including$25,000.00.
Inspections outside of normal business 90,00/br $25,001.00 to 150,000.00 $379.50 for the first$25,000.00 and S I 45 for
hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to
Roinspection Fees 90.06/hr and including$50,000.00.
Additional plan review for revisions 30.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 fur
(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 Rerflew fo ilrittfubinginstalla{Id rig.
Qaanaty by Fixture'type... ~ Plan review is required for any of the following.
FisttrreTypefor Register Please cheek all that apply.
Workl'erformedr Gapped Added Relocate
BaptistrylFnnt ❑ Any new commercial building with water service 2"and
:
greater,except systems designed rind stamped by licensed
Bath -TutiShower
-lacuxzi/Whirlpoot engineer.
Car Wash: -Each Stall 0 New exterior plumbing site utilities for any complex structure
-Drive 77un as defined In OAR9t8-78.0-0040.
Cuspidor/Water Aspirator 0 Medical gas and vacuum systems for health carp facilities.
Dishwasher -Commercial 0 Any multipurpose fire sprinkler system.
Domestic 0 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" IFometric or Riser Diagram
4 CJ 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
lee Machfirefiig.Drain Comments regarding fixture,,n work: {^^
Oil Separator(Gas Staion) "T `i'� 'e /" clod), W/�}�c5 fi l. �umi i I,\ be,
Rec.Vehicle Dump Station 'fllIR/P6( to `e1f4.Ca-t.� Tr)11V3 01v
Shower. -Gang L tic�r
-Stall
Sink: -Lav/Bar run-fool related i 1
-Bradley
-Com/Serv/Util food related
Swimming Poolce Filter *Note: If the fixture work under this permit remits in an
washer-gl000es increase of sewer EDUs,a sewer permit will be issued and
Water -Clothes
fees assessed for the sewer increase must be paid before the
Water closet-roger i plumbing permit can be issued.
Urinal
Other Fixtures: L}
I:U3uilding\Permits\PLMF-PermitApp.doc 0R/04/2011 2
Branden Taggart
From: #Building Permit Technicians
Sent: Monday,April 19, 2021 4:27 PM
To: Vickie Bruner
Subject: RE: Commercial permit application - 9450 SW Tigard St.
Attachments: Scan04152021.pdf; ATT00001.txt
Hi Vickie,
We received the check today that is associated with the permit fee estimate I provided. However we are missing the
completed second page of the Plumbing Permit Application. The Commercial Fixture Work section will need to be
completed and return to us for processing. Once received, we will place this submittal in our queue. Processing is
currently taking between 1-3 weeks at the moment.
Thank you,
Brander,Taggart
q City of Tigard
( • • Senior Permit Technician
Community Development
TWARD
13125 SW Hall Blvd
Tigard, OR 97223
(503)718-2449
brandent@tigard-or.gov
Original Message
From:Vickie Bruner<vickie@brunerplumbing.com>
Sent:Thursday, April 15, 2021 4:09 PM
To:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Subject: Commercial permit application
1
From: Ward Bruner ward@brunerplumbing.com .9
Subject: Fwd:Plumbing and Sewer Estimates-9450 SW Tigard St. WB
Date: April 15,2021 at 3:06 PMixifi.
To: Under Luna carly@underluna.com
You see the$754 is the sewer fee that needs to be paid ahead of the plumbing permit.
Please send a check to city of Tigard for$754
This check we could Include when we pay the plumbing permit. If you send it directly be sure and identify it completely.
The building permit is BUP 2021-00087
Bruner Plumbing Is the plumber. The permit department knows us. Call for clarification
Ward 503-484-5105
Sent from my(Phone
Begin forwarded message:
From:Branden Taggart<brandent@tigard-or.gov>
Date:April 15,2021 at 1:16:30 PM PDT
To:Ward Bruner<ward@brunerplumbing.com>
Cc:Vickie Bruner<brunerplumbing.vicki@icloud.com>
Subject:Plumbing and Sewer Estimates-9450 SW Tigard St.
Hi Ward,
Per our phone conversation for the new building, the plumbing and sewer fees would be
as follows:
Plumbing & Sewer Permit Fee Estimates
Permit# Fees Due
Plumbing Permit $ 106.32
Sewer Permit $ 754.00
Total: $ 860.32
The Sewer Tally estimate is attached above. The trench drain, hose bib, and water
heater do not impact the sewer, so sewer fees were not assessed. I have attached the
Plumbing Permit Application above for you to complete and return to us for processing.
Please be sure to complete the Commercial Fixture Work section on the second page
as it determines sewer SDC fees. Please let me know if you have questions.
Thanks,
DISCLAIMER'.E-mails sent or received by City of Tigard employees are subject to pubiic 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 Administretve Rules"City General Records Retention Schedule.'
Branden Taggart
City of Tigard �°=
$ Senior Permit Technician POE
Community Development
rEtiAKt7 Bruner PLMF_PermitAp
13125 SW Hall Blvd Plumbi...21.xlsx p.pdf
Tigard,OR 97223
(503}713-2449
brandent@tgard-ar.gov