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Permit CITY OF TIGARD PLUMBING PERMIT 111 2 ' COMMUNITY DEVELOPMENT Permit#: PLM2021-00383 Date Issued: 9/9/2021 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 2S112DD01400 Jurisdiction: Tigard Site address: 15686 SW SEQUOIA PKWY Project: Courtyard by Marriott Subdivision: PACIFIC CORPORATE CENTER Lot: 5 Project Description: Interior plumbing for TI:Adding (1)drinking fountain and installing roof drains. Contractor: JRT MECHANICAL INC Owner: PACIFIC REALTY ASSOCIATES LP PO BOX 1450 PO BOX 58990 BATTLE GROUND,WA 98604 SEATTLE, WA 98138 PHONE: 360-666-0330 PHONE: FAX: 360-666-0830 FEES Quantity Description Date Amount 1 ea Drinking Fountain 09/09/2021 $25.02 Specifics: 7 ea Rain Drain-Single Family 09/09/2021 $87.57 Dwelling Type of Use: COM 1 12%State Surcharge- 09/09/2021 $13.51 Class of Work: ALT Plumbing Type of Const: Occupancy Grp: Stories: Total $126.10 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 Issued By:�� �;4.//nP 1 ��' Permittee Signature: 24/ 7)�� 4.f Ca ti-_7J 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 Application -- l . .d • l Building Fixtures FOR OFFICE USF ONLY City of Tigard R e"}`"a Peel xn "e 13125 SW Hall Blvd.,Tigard,OR 97228 ►E C E I V E /9 -` ftl3 Ian Review Phone: 503.718.2439 Fax: 503.598.1960 q D,�By Other Permit xa.:Ojl�71�_itrllL,�/ Inspection Line: 503.639.4175 "� 2021 Dater Ready/By: _.. hair BJ See Page 2 far L"'-I° Y i C%i'4}t 11 SEP Supplemental tuformaaoa Internet: www.tigard-or.gov Nit � �� TYPE OF WORK CI�'! ARE) i FE • SCREDUT E ❑New construction 1jMq�1 /'� ��II For,penalInforu Information use checklist _ _ ...�....._._... _-s_� IL�N4?Q�Y� . -- Inscription I QIY•J La. L latat Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 _. SFR(2)bath 437.78 ❑1-and 2-family dwelling %.CommerciaUmdustrial SFR(3)bath 500.32 ❑Accessory building ❑Multifamily Each additional bath/kitchen 25.02 ❑Master builder ❑fie: Fire sprinkler sq.ft.) Page 2 JOB SITE INFORMA I io\ AR°1l LOCATION Site utilities: / Catch burin or area drain I8.76 Job site address: 1st b �j s( y _._�...(' � ............. 0 .5p�.-�7 x 'I r1d. llrywoll,leach line,or trench drain 18.76 City/State/ZIP: l i(10 to U' I t...'.Z 1 i Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: Project name: Cpu+^{'t/OW) j' " Manufactured home utilities 50.03 i 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: Lot no.: Fixture or item: Tax map/parcel no.: - Backilow presenter 31.27 _._ "" Backwater valve 12.51 DESCRIPTION OF WORK _._ �^q p Q ., '� IW Clothes washer 25.02 //`).., - -- 25.02 25. __-____., - -kk4�M" t c.- 4 0 / Dishwasher r ,{ 4"1b4- v"'i� �^r A t)(�i"ns ^'� Drinking fountain ' 02_ _ d5'• t?jectnrcisump 25.02 'PROPERTY OWNER ❑'I'PNAN`T Expansion tank 1231 __ -Fixture/sewer cap.. - 25.02 Name: r _ _ ------.----- ...-.__.. Floor drain/floor sink/hub 25.02 Address: I;d L6 soe,ii p 1,40 ist, 6 c...r•lL, ^t. Garbage-disposal 25.02 City/State/ZIP: pc„-.1.6.4cui G n ,-z Hose bib 25.02 Phone:( 1`3) Eg."7,�-- c:,�i Ice maker 12.51 b� Fax:{ ) _.. 'APPLICANT © CONTACT PERSON lntemePtor/grease trap 25.02 Medical gas(value:$_) Page 2 Business name: tx ,iii ft,rr Primer 12.51 Contact name: ,,,e„t_ 'F1� Roof drain(commercial) 12.51 �1'y s7 Address ?.Z L( cj (2,-LP- Ai✓c Sink/basin/lavatory/lavatory 25.02 City/State/7P: ± o 4.kk_12.cove tg+ y,.y4, ik26°I Solar units(potable water) 62.54 12.51 Tub/shower/abor pan Fax::( ) __. Phone (4(0) (a f ) { � we g ..._ Urinal 25.02 E-mail r�{yc,.4, .C....-r f}-6a„f(NA,.prta.rs( ti(,f3!i.*"' __._.._-._..._.__-_ Water closet 25.02 CONTRACTOR 37.52 Business name:- "r sitjy"wA?( , ..__. .._- _ Waterptpmg/DWV 56.29 Address: Other. 25.02 q _ --_,City/State/ZIP: Subtotal L) - Minimum permit fee $72.50 iI Phone ( ) Fax:( ) Plan review (25%of permit fee {CCBLiO1PittmngLic.no: j9 State surcharge(12%of permit fee) f .S' Authorized signature 2 r j31. TOTAL PERMIT FEE / {p,/p � / f-' Thls permit application expires if r permit IS not obtdned within 180 days Print name: !1 r,G.i'iev,� „ )-4.snip.-c Date: tib7�2/ after it has been accepted as complete. VVVVV "Fee methodology set by Tri-County Building Industry Service Board. LNEail&agTomnneLMO•ParmitAsp.doe laro1ro9 440-461ef(10ro2/COM/WEa) 4 ap i i/, 31 f ' Plumbing Permit Application - City of Tigard Page 2-Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Fee(ea). 'Total Site Utilities • Square Footage: Permit Fee: looting drain-I"1 tk1' 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' 6254 Medical Gas Systems: Water Service each additional 100' 37.52 `-_ __ __- w ._w_._ __ Valuation: Permit Fee: Storm&Rain Drain-1st 100' 6.2.54 $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$152 for Other Inspections or Fees Qty. Fee lea) Total each additional$100.00 or fraction thereof,to p - „— _ and including 510,000.00. Inspection of existing plumbing or ihr $10,001.00 to 525.000.00 514850 for the first$10,000.00 and$1.54 for which no fee is specifically indicated 90.00/hr each additional S 100.00 or fraction thereof,to (minimum charge—1/2 hour) and including 525,000.00 Iospections outside of normal business 90.00/hr $25,001.00 to$50,000 00 $379.50 far the firer S25,000110 and$1 45 for hours(minimum charge—2 hours each additional$100.00 or fraction thereof,to ReinspectionFees 90.00/hr i 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$100.00 or fraction thereof. ., Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please Indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. Plan Review for Plumbing Installations . Quantity by Fixture Type Plan review is required for any of the following. Fixture Type for titNue/ Please check all that apply. Work Performed: Capped Added Relocate Baptistry/Font 0 Any new commercial building with water service 2"and greater,except systems designed and stamped by licensed Bath: Tub/Shower engineer. -Jacuzzi/Whirlpool Car Wash: -Each Stall El New as definedexterior plumbing site inOAR918-780-0040�es for any complex structure -Drive Thru Cuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities. D hwasher Commercial at ❑ Any multipurpose fire sprinkler system. Domestic 0 Any complex structure as defined in OAR918-780-0040. g Fountain . f' Eye Wash ` Submit 2 sets of plans with any of the above. Eye Wash ..__. Floor Drain/sink: -2" --. -3" Isometfic or'Riser Diagram 4" ® Isometric or riser diagram is required for new buildings -Car Wash Drain that meet the Garbage -Domestic non-food tlali fications above. 9 Disposal: -Domestic food related -Commercial food related -Industrial food related „. Ice Mach./Refrig.Drains Comments regarding fixture work: Oil Separator(GasStation) Rec.Vehicle Dump Station . Shower. -Gang - -Stall Sink: -Lav/Bar non-food related -Bradley ,Y,- -Com/Serv/Util food related -$emce *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_______ I:\Building\Penuits1PLMF_PermitApp.doc 08/04/2011 2