Permit CITY OF TIGARD PLUMBING PERMIT
.114
COMMUNITY DEVELOPMENT Permit#: PLM2021-00216
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 5/25/2021
TIC-A 12 D 9 Parcel: 2S102DA00600
Jurisdiction: Tigard
Site address: 13500 SW HALL BLVD
Project: Tigard Public Library Subdivision: None Lot: None
Project Description: Interior plumbing:Relocating(1)drinking fountain.
Contractor: CASCADE MECHANICAL SYSTEMS INC Owner: TIGARD, CITY OF
PO BOX 399 13125 SW HALL BLVD
ESTACADA, OR 97023 TIGARD, OR 97223
PHONE: 503-630-4492 PHONE: •
FAX: 503-630-5510
FEES
Quantity Description Date Amount
1 ea Drinking Fountain 05/20/2021 $25.02
Specifics: 1 12%State Surcharge- 05/20/2021 $8.70
Plumbing
Type of Use: COM 47 ea Minimum Fee Adjustment- 05/20/2021 $47.48
Plumbing
Class of Work: ALT
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 503.232.1987 or 1.800.332.2344.
Issued By: PermitteeSignature:v�r,��w OwA ppliCatto-n
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 Applicafi jECEIVED E- 513121
Building Fixtures MAY 3 2021 1OR ()Irl( I I SI_ (1y11
City of Tigard Received
Dan R : Permit No.:
• 13125 SW Hall Blvd.,Tigard,OR 972BITY OF TIGARD y cliaz) I � 1 1
Plan Review
Phone: 503.718.2439 Fax: 503.5 Date/B //S Other Permit No.:
Inspection Line: 503.639.4175 � °DINGDIVISIO� /,
1 I 1'
A R IlDate Ready/By: ) beds S See Pagel for
Internet: www ttgazd or gov Notifed/Melhod �L h' 3}^4"' t 1 Supplemental Information
a' ¢v- ""` 1 Sv $ -.'r mr u s i* t-'e-d3'r`/ sy�,q S .4., a _'.'^ :z G ',
S.sr�o� z-r ,a:3i��Y�.a:... '�3�'�. i�,Sa*�/� �'�tiH* ez,r�:aa .o ar tl +x,...,:i � . .�+_a k1.¢ha. d. ,
El New construction 0 Demolition For special information use checklist
Description I Qty. I Ea. I Total
Vddition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
3 S£z a 4 i°° tp� � t= , SFR(I)bath 312.70
El1-and 2-family dwelling IIommercial/industrial SFR(2)bath 437.78
SFR(3)bath 500.32
❑Accessory building ❑Multi-family
Each additional bath/kitchen 25.02
0 Master builder 0 Other:
�y}y:--' ��z- _ � ��sw�sz Fire sprinkler( ,sq.ft.) Page 2
�pY
-� .� r..,vim,.. •� Site utilities:
Job site address: 13 S.0 05 W 1 i 1 1 �/ Catch basin or area drain 18.76
I' Drywell,leach line,or trench drain 18.76
City/State/ZIP:T C x '7
0 1 a
/I q Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: Project name: -1t),,,,,rz' /✓t/' ,.l/ _ L h.Z, ar� Manufactured home utilities 50.03
Cross street/directions to job site: J 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
1� s�s'g' v-r;{� ' m / e: Backwater valve 12.51
'~ v.t. f�e`-5a✓C+S` a- .�-,. .,. ,,,,,, ^• .wtxr,'..n r 51 z,i.-. ;
"� `` Clothes washer 25.02
tr t0 O1 d drinks fx 1yti...rT ..))re_-voe - T`i'tf'i1 din Dishwasher 25.02
�.(/e- me A.) u►1i A- y-1-k bo/7 1Q„ )1 per'- Drinking Drinking fountain ( 25.02 a j,6 y
1� 1 Ejectors/sump 25.02
a] 'Q '`i .32 ' 4,:,._';".g =' - €d,.;vY�.,Win;,AI Expansion tank 12.51
Name: - U l_� 4 1 i IAQ Fixture/sewer cap 25.02
J Floor drain/floor sink/hub 25.02
Address:
Garbage disposal 25.02
City/State/ZIP: sn Hose bib 25.02
�3) rite as��' v >
Phone: Fax Ice maker 12.51
)� j M ,°I z . ^..c; $T p ,. Interceptor/grease trap 25.02
%t..f .,y . e� r°tuxjy, . 4
Business Warne: y�/'� ` '�,� Medical gas(value:5_) Page 2
Contact name: mGO If I_Qe1,J1GntC .[ �+�k' Primer 12.51
A1, �\ ``'1 q Roof drain(commercial) 12.51
Address: ))1> !U W )O ve Pr) nb ZrX 3 C 1 Sink/basin/lavatory 25.02
City/State/ZIP:: isrv1t C of C�p- > `17 b D3 Solar units(potable water) 62.54
Phone:(SO'j) S'7ry-- g�1i� Fax::( ) Tub/shower/shower pan 12.51
E-mail: Cc(LOKa n r Sca €i: Urinal 25.02
r, , , _ - Water closet 25.02
sd +. 4 .k'v
r .�� 5'y_„ ,v ' , `.,.a ±' rs 4 Water heater 37.52
Business name: 1 'r.. � e n1 cpi. k_,- rS) t - Water t m WV 56.29
\YI'' PP P>�
Address: I IQ !V I� 10)h Ave_ / DX 1 Other: 25.02
City/State/ZIP: dfti 0. 670�� Subtotal
V Minimum permit fee: 572.50 �a,5j)
Phone:(f�?�) '30 '�1 ax:(SrD) (A 6- )�
�3 N pi)
Plan review (25%of permit fee)
-]CCB Lic.: v ) ( Plumbing Lic.no.:
fState surcharge(12%of permit fee) 7<;
Authorized signature: 7/1 f P-3 TOTAL PERMIT FEE f y',Jr
Print name: . `?err 1/4I-le.(kvA Date:C 3, This permit application expires if a permit is not obtained n 180 days
after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
I:1Bui4inglPermdalPLMt1-PermitApp.doc IW01/09 440-I616T(l0/O2ICOM/WOB)
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
.. .M r.. in JCJ
s.. . 1ties Qty. Fee(ea) Total f. x
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' 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 s or :< >, '
Storm&Rain Drain-1st 100' 62.54 Valuat Pe t 0
$1.00 to$5,o 00o.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
o _ n 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 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(tour) 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,IIumbing Installations
Quantity by Future Type Plan review is required for any of the following.
Fixture Type for Replace/ Please check all that apply.
WorkPerformedd. Capped Added Relocate
Baptistry/Font ❑ Any new commercial building with water service 2"and
Bapi
Bath:
-Tub/Shower greater,except systems designed and stamped by licensed
engine
-Jacuzzi/Whirlpool
Car Wash: -Each Stall 0 New exer.
terior plumbing site utilities for any complex structure
Drive as defined in OAR918-780-0040.
Cuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities.
Dishwasher: -Commercial ElAny multipurpose fire sprinkler system.
Domestic El Any complex structure as defined in OAR918-780-0040.
Drinking Fountain rev icC-e_
Eye Wash i J Submit 2 sets of plans with any of the above.
Floor Drain/sink: -2"
❑ 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 MachiRefrig.Drains Comments regarding fixture work:
Oil Separator(Gas Station)
Rec.Vehicle Dump Station
Shower: -Gang
-Stall
Sink: -LavBar non-food related
-Bradley
-Com/Serv/Util food related
-Service *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 fees assessed for the sewer increase must be paid before the
Water Extractor
Water Closet-Toilet plumbing permit can be issued.
Urinal
Other Fixtures:
I:\Building\Permits\PLMF_PermitApp.doc 08/04/201 I 2
Branden Taggart
From: Branden Taggart
Sent: Thursday, May 20, 2021 4:21 PM
To: accounting@cascademech.com
Subject: Tigard Public Library Permit: PLM2021-00216 - 13500 SW Hall Blvd.
Attachments: Invoice.pdf
Mark,
The Plumbing permit for Tigard Public Library is ready to issue now. The balance due is$81.20, and I have attached an
invoice above for you to reference. These fees can be paid online now at https://aca-
p rod.accela.com/TIGARD/Welcome.aspx by searching for the permit record number PLM2021-00216 under the Building
tab. There is a 3%service fee for credit cards, but e-checks do not have a service fee.
Once paid, please email the Permit Technicians at TigardBuildingPermits@tigard-or.gov so that we may issue this
permit and email the permit paperwork to you.
Thanks,
Branden Taggart
City of Tigard
* Senior Permit Technician
Community Development
T EG.ARD
13125 SW Hall Blvd
Tigard, OR 97223
(503)718-2449
brandentctigard-or;gov
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