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Permit
CITY OF TIGARD PLUMBING PERMIT III 1 ill COMMUNITY DEVELOPMENT Permit#: PLM2021-00415 Date Issued: 10/11/2021 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1 S135DD01000 Jurisdiction: Tigard Site address: 11760 SW HALL BLVD Project: Wells Fargo Bank Subdivision: None Lot: None Project Description: Install 80 feet of water service from meter to building. Contractor: LOVETT INC Owner: WELLS FARGO BANK NA PO BOX 86280 BY DELOITTE TAX LLP PORTLAND, OR 97286 PO BOX 2609 CARLSBAD, CA 92018 PHONE: 503-737-8423 PHONE: FAX: 503-288-1630 FEES Quantity Description Date Amount 80 If Water Service 10/07/2021 $62.54 Specifics: 1 12%State Surcharge- 10/07/2021 $8.70 Plumbing Type of Use: COM 10 ea Minimum Fee Adjustment- 10/07/2021 $9.96 Class of Work: ALT Plumbing 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 `Issued By: -h Permittee Signature: c_e— Gz-, (7 /47,4/. 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. RECEIVED Plumbing Permit Application - 161 2 42021 Building Fixtures DClFOR OFFICE. I SF. ONLY' City of Tigard CITY OF TIGARD lteeeited GU / `/ , 4 ? t•1,202/_0/�1/5 iiii n 13125 SW HaII Blvd.,Tigard;Ql{I OF DIVISION DatcBy: (/ i( (/ " = 7,, 99aa Plan Review Other Permit No.: Phone: 503.718.2439 Fax: Date/By: Inspection Line: 503.639.4175 Date Read B A Jars 9J See Pa e 2 for l'IGARD y Y g Internet: www.ttgard-or.gov Noti6 ethod: t l � Supplemental Information .' E.OF WORIZ l a SCHTULT ❑New construction ❑Demolition F special itlfortuntion use checklist. Description I Qty. I Ea. I Total ®Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATE(ORY,'OF CO1I,STRUCTIONI; • SFR(I)bath 312.70 ❑ 1-and 2-family dwelling ®Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building ❑Multi-family i Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler(-sq.ft.) Page 2 t • JOB SITE INFORIIATIONi.AN) LOCATION Site utilities: Job site address:11760 SW Hall Blvd Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/state/ZIP:Tigard, OR 97223 t Footing drain(no,linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name:wc,/t[ /b-0 &i MjjK Manufactured home utilities 50.03 Cross street/directions to job site: 99 W(Pacific Hwy) 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.:80 ) 1 Page 2 Subdivision: 1 Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 a , yu< st(�' sx N Backwater valve 12.51 w_� x.a m a .>„_,. , < a..�.a,, Clothes washer 25.02 Install new water service from meter to building. Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ' ❑X'ROPERTY OWNER., ' • ( TENANT Expansion tank 12.51 Fixture/sewer cap 25.02 Name:Wells Fargo Bank Floor drain/floor sink/hub 25.02 Address:11760 SW Hall Blvd Garbage disposal 25.02 City/State/ZIP:Tigard,OR 97223 Hose bib 25.02 I. Phone:( 503 )620-5351 Fax:( ) Ice maker 12.51 ®"APPL[CAN f la CONTACT PERSON • Interceptor/grease trap 25.02 Business name:Lovett Inc Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Bradley Vaughan Roof drain(commercial) 12.51 Address:6920 NE 42nd Ave Sink/basin/lavatory 25.02 City/State/ZIP:Portland, OR 97218 Solar units(potable water) 62.54 Phone:( 503)288-1099 Fax::( ) Tub/shower/shower pan 12.51 E-mail:permits©LovettServices.Com Urinal 25.02 Water closet 25.02 CONTRACTOR Water heater 37.52 Business name:Lovett Inc Water piping/DWV 56.29 Address:6920 NE 42nd Ave other: 25.02 City/State/ZIP:Portland, OR 97218 Subtotal Phone:(503)737-8423 Fax:( ) Minimum permit fee: $72.50 CCB Lic.:125507 lambing Lie.no.:26-773PB Plan review(25%of permit fee) State surcharge(12%ofpermit fee) Authorized signature: TOTAL PERMIT FEE cation expires Ira permit is not obtained within 180 days This permit application Print route:Bradley Vaughan Date:10104/21 after it has been accepted as complete. "Fee methodology sct by 1'ri-County Building hahtstry Service Board. 1:18uildingTermits\PLMO-PcrmitApp.doc 10/01/09 440.46161110/02/COM/WFR) Plumbing Permit Application - City of Tigard Page 2 -Supplemental Information Fee Schedule: Residential.Fire Suppression Systems: Qty. Fee(ea) Total " Site Utilities 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' 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 • Storm&Rain Drain-1st 100' 62.54 valuation., Permit ee . , $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 Ins ections or Fees Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to A 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`. Plan Review for Plumbing Installations , Quantity by Fixture Type Plan review is required for any of the following. r Fixture Type for Replace/ Please check all that apply. r Work Performed: Capped Added Relocate pp y Baptistry/Font ❑ 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 ❑ New exterior plumbing site utilities for any complex structure > Drive Thru as defined in OAR918-780-0040. Cuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities. i ❑ Any multipurpose fire sprinkler system. Dishwasher: -Commercial , Domestic ID Any complex structure as defined in OAR918-780-0040. Drinking Fountain Eye Wash Submit 2 sets of plans with any of the above. i Floor Drain/sink: -2" 3" Isometric or Riser,Diagram -4,. 0 Isometric or riser diagram is required for new buildings 1 -Car Wash Drain Garbage Domestic non-food meet the qualifications above. ' Disposal: -Domestic food related i -Commercial food related -Industrial food related fi Ice Maeh.IRefrig.Drains Comments regarding fixture work: Oil Separator(Gas Station) Rec.Vehicle Dump Station Shower: -Gang t -Stall Sink: -Lau/Bar non-food related 11 -Bradley -CoirlServ/Util food related i -Service *Note: If the fixture work under this permit results in an I' Swimming Pool Filter Washer-Clothes increase of sewer EDIls,a sewer permit will be issued and Water Extractor fees assessed for the sewer increase must be paid before the Water Closet-Toilet plumbing permit can be issued. IUrinal IOther Fixtures: I:113uilding\Perinits\Pl,MF JermitApp.doc 08/04/2011 2 . 1 ., i Julie Drinkwater From: #Building Permit Technicians Sent: Wednesday, October 6, 2021 5:05 PM To: permits@lovettservices.com Subject: PLM2021-00415, 11760 SW Hall, Wells Fargo Bank Attachments: I nvoice.pdf Hello Bradley The permit for Wells Fargo Bank is ready to be issued.The balance due is$81.20. Attached please find the invoice for your review. The fees can be paid online at https://aca-prod.accela.com/TIGARDDWelcome.aspx by searching for the permit record number under the Building tab. There is a service fee of 3%for payments by card, and there no service fee for payments made by e-check. On the payment screen, select the payment method from the dropdown list next to the 'payment' field. Please email the permit technicians at TigardBuildingPermits@tigard-or.gov once the fees are paid so that they can issue the permit and make it available for pick up. Thank you Julie Drinkwater Permit Technician City of'Tigard I Building Department 13125 SW Hall Blvd Tigard, OR 97223 503-718-2804 Due to an increased demand for services, please expect longer wait times for responses to emails,voice messages and building inspections. Requests for permit status may not be responded to until the permit is ready to issue. Other requests deemed non- essential, such as fee estimates, may take longer to respond. In the meantime, please view this quick guide on how to submit common service requests. 1