Permit CITY OF TIGARD
COMMUNITY DEVELOPMENT PLUMBING PERMIT
Permit
i o #: PLM2021-00392
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 9/23/2021
Parcel: 2S101 DC03702
Jurisdiction: Tigard
Site address: 7185 SW SANDBURG ST
Project: Northpoint Wealth Management Subdivision: None Lot: None
Project Description: CAP(2)sinks;ADD(4)2"floor drains,(1)garbage disposal,(2)shower stalls,(4)lays,(3)sinks,(4)water
closets,(1)expansion tank, (4)primers,(1)water heater,(3)water supply boxes and(1)recirculation pump.
Contractor: STEWART PLUMBING Owner: NORTH POINT HOLDINGS LLC
1802 SE 16TH ST 11135 SE COUGAR CT
BATTLE GROUND,WA 98604 HAPPY VALLEY, OR 97086
PHONE: 360-892-5215 PHONE:
FAX: 360-892-5311
FEES
Quantity Description Date Amount
1 ea Expansion Tank 09/23/2021 $12.51
Specifics: 2 ea Fixture/Sewer Cap 09/23/2021 $50.04
4 ea Floor Drain/Floor Sink/Hub 09/23/2021 $100.08
Type of Use: COM 1 ea Garbage Disposal 09/23/2021 $25.02
Class of Work: ALT 4 ea Primer 09/23/2021 $50.04
Type of Const: 3 ea Sink 09/23/2021 $75.06
Occupancy Grp: 4 ea Lavatories 09/23/2021 $100.08
Stories: 2 ea Tub/Shower/Shower Pan 09/23/2021 $25.02
4 ea Water Closet 09/23/2021 $100.08
1 ea Water Heater 09/23/2021 $37.52
4 Misc Other Fee 09/23/2021 $4.00
1 12%State Surcharge- 09/23/2021 $69.53
Plumbing
Total $648.98
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: f1\ 2 (�J�� Permittee Signature: C\OTl6 /
c l S4 �( 1 `1Q�
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 ApplicatiOIRECEIVE 9 - q 19 I
Building Fixtures Fort OFFICE tat: ()YIN
SEP 09 2021
City of Tigard Receives C
13125 SW Hall Blvd.,Tigard,OR 97223 I OF TIGARD p`„R pkii Review
/
Y: /�-S 2_/ 4,r(� P«mir NF• L/-1 j jG�-DO 3O.�
R Phone: 503.7182439 Fax: 503._598.1
111111
Inspection Line: 503.639.4175 JILDING DIVISIO Jos+/8y: other Patna N 0,1220 Zl-t/a250
1 I I:I, rate Ready/BY: //
e y 1 1 % ia See rate 2 far
Internet: ww w.tigard-or.gov NotificdOdcthud: 1512/ /L C
TYPE OF WORK Supplemental!minimum]
❑ 17efit�j�EE` SCHEDULE
New construction
0 Demolition For special information use checklist
�Addition/alteratiorvreplacement 0 Other: Description f Qty. I Ea. Total
New 1-2-family dwellings(includes 1001E for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
❑ 1-and 2-family dwelling ACommercial industtial SFR(2)barh
437.1
❑Accessory building ❑Multi-family SFR(3)bath 500.32
Each additional bath/kitch® 25,02
❑Master builder ❑Other: ages
JOB SITE INFORMATION AND LOCATION Site( �'S) Paget
Site utilities:
Job site address: 712)5 +j scAnti btxe� S..'.-- Catch basin or area drain 18.76
City/State/ZIP: �s 2 3 Dryweil,leach line,or trench drain 18.76
Suite/bldg./apt no.: Project tteme: Footing drain(no.linear ft.:_) Page 2
V po if 7 E Manufactured home utilities 50.03
Cross street/directions to job site: (,J r 77/ /7477c -- 2 Iq ales 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.: Page 2
Storm sewer(no.linear ft.:_) Page 2
Subdivision: Water service(no.linear ft.: ) Page 2
Lot no.: Fixture or item:
Tax map/parcel no.:
Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
14�.� l f m _-_ -,___.y, Cur- n0 - L Clothes hewasher 25.02
11 vimwrvt t Y1 C Dishwasher
b r.M.l a,I - 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
1211.PROPERTY OWNER , 0 TENANT Expansion tank I ✓"
12.51
A -441 PO1n+ Wt0-41-1N OAcuic(GffjJledyk71-
Fbtttaelsewereap ✓ 25.02
Name:
Address: "�0ib 5w .l jeNic 1 -
Floordrain/tloorsink/hub I{ ✓ 25.02
City/State/Zip: TtJ �U Garbage disposal I Z 25,02
p c. S-1 Zz 3 - 25.02
/ 0 Hose bib
Phone:(C J 1 ) 3-I I' 414 i 3 Fax:( ) ice maker
�r7 12.51
Pj APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02
Business name; STewuh Medical MI 131( gas(value:S_) p 2
Contact name: If ,�,1 5�lvj Primer 9 12.51
Address: I ei 02 3 B A to 5� Roof drain(commercial) 12.51
� ,� So k/basts(po63utable
,/ 25.02
City/State/ZIP: l/J AT - c O Solar units(potable water) 62.54
Phone:('%(5) ai-L- Z,)5- Fax::( ) Tut/abow , ✓shawerpan 'a 12.51
E-mail: t4'i4' /50!' `"ri .c.om Urinal /25.02
CONTRACTOR s Water closet ✓ 25.02
Business name: S rit jk4t4b1i&�' 1 1-4 Water heaterI 56.L �1�I rNl _ Water pipin g/DWl' 56.29
Address: ($pL Se I l401,x StOtther: 100,4 -5(Apply 60,/7,? 4 ✓ 25.02
City/state/ZIP: .l4-k o1.04 f kot1jC oI1 ( Mfl 1" e`S ' .' `y do)e� Subtotal
Phone:( ) 192- 5.2.15- Fax:( ) I ') 4 c ir<e w Oro ; ttm permit fee: $72.50
CCM Lie.: /by GibZ„ Plnmbin Lic.no.:3-7- 5tj 3Plan review (25%of permit fee)
Authorized signature: State surcharge(1296 of permit fee)
TOTAL PERMIT FEE /1dYr c��9
Print name: � •llcr a� Date: -7 1/Z1 This permit application expires if a permit it not obtained villein lea days
C after it has been accepted as complete.
*Fee methodology set by Tri•County Building Industry Service Board.
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Plumbing Permit Application - City of Tigard
Page 2 -Supplemental Information
Fee Schedule: Residential Fire Sup t ression S stems:
Site Utilities Qty. ) Total S r ware Foota'e•
Footing drain-I"IOU' 50.03 0 to 2,000 $121.90
Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69
Sewer-1st 100' 62.54 3,601 to 7 200 $233.20
7.201 and greater $327.54
Sewer-each additional 100' 37.52 _
Water Service-1st 100' 62.54
Water 37.52
Service-each additional 100' Medical Gas Systems:
Storm&Rain Drain-In 100' 62.54 aluation: Per ,l
S 1.00 to 55,000.00 Minimum fee$72.50
Stone&Rain Dram-each additional 1(0' 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) lit each additional$100.00 or fraction thereof,to
Inspection i f existing plumbing or for and including the first 0.00.
which no fee is specifically indicated 90.00/hr
$I0,001.00 to$25,000.00 a$148.50 for first 510,000.0 and thereof,for
(minimum charge-1/2 hour) each additional$100.00 or fraction to
Inspections outside of normal business 90.00/hr and including the first 0.00.
horns(minimum charge $25,00 L00 to 550,000.(q $379.50 for first$25,000.00 and 31 AS for
-2 hours) each additional$100.00 or fraction thereof,to
Reiuspection 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 anyof the
Fixture Type far Replace! following.
Please check all that apply.
Work Performed: Capped Added Relocate
Baptistry/Font 0 Any new commercial building with water service 2"and
Bath: -Tub/Shower greater,except systems designed and stamped by licensed
-Jacuzzi/Whirlpool engineer.
Car Wash: -Each Stall 0 New exterior plumbing site utilities for any complex structure
Drive Thry as defined in OAR918-780-0040.
Cuspidor/Water Aspirator-Commercial
spirator 0 Medical gas and vacuum systems for health care facilities.
Dishwasher: -Cpir toroial 0 Any multipta}wse fire sprinkler system.
Domestic ❑ Any complex structure as defined in OAR9 1 8-7 80-1104 0.
Drinking Fountain
Eye Wash Submit 2 sets of plans with any of the above.
Floor Drain/sink: -2" N ✓
Isometric or Riser Diagram
-Car Wash Drain 0 Isometric or riser diagram is required for new buildings
Garbage -Domestic non-food , that meet the qualifications above.
Disposal: -Domestic food related j I i3ri-d74 jt-/2.@Dr-q - iD 0 N 0'r CO (A e/ 'r on..) .Cesu elf- TR-t_c_y
-Commercial food related
-industrial food related
Ice Mach./Refrig.Drains Comments regarding fixture work:
Oil Separator(Gas Station) CArPS1'� 7. S Jnf is
Rec.Vehicle Dump Station
Shower -Gang >�A,el) _ irCIARI��irre�� S/
-' 4' , I P 1
-Stall 2- ✓/'! in/,�s - l
Sink: -Lav/Barnon-food related4 V am. ,7
-Bradley j
-Com/Serv/Uril food related
-Service *Note: if the fixture work under this permit results in an
Swimming Pool Filter
washer-clothes increase of sewer EDUs,a sewer permit will be issued and
Water Extractorfees assessed for the sewer increase must be paid before the
_ WaterCloset-Toilet li ✓ plumbing permit can be issued.
Urinal
Other Fixtures:
I:lBuilding\Pennits\PLMF_Permit pp.dce 08/04/2011 2