Permit CITY OF TIGARD PLUMBING PERMIT
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_ COMMUNITY DEVELOPMENT Permit#: PLM2021-00391
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 9/28/2021
Parcel: 2S 101 DD00300
Jurisdiction: Tigard
Site address: 7100 SW SANDBURG ST
Project: CJH LLC Subdivision: None Lot: None
Project Description: ADD(2)lays and(2)water closets;REPLACE(2)lays and(2)water closets.
Contractor: LOCAL PLUMBING COMPANY Owner: CJH LLC
20833 SW OLDS PL 2480 NE CENTURY BLVD
SHERWOOD, OR 97140 HILLSBORO, OR 97124
PHONE: 503-642-2067 PHONE:
FAX: 503-642-5954
FEES
Quantity Description Date Amount
4 ea Lavatories 09/21/2021 $100.08
Specifics: 4 ea Water Closet 09/21/2021 $100.08
1 12%State Surcharge- 09/21/2021 $24.02
Type of Use: COM Plumbing
Class of Work: ALT
Type of Const:
Occupancy Grp:
Stories:
Total $224.18
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:
`i2%2 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.
_ v
BECEVED
Plumbing Permit Application , C - 9 ei 21
Building Fixtures SEP 9l121 FOR OFFICE USE OM1
City of Tigard CITI OF (IaARD Recived pop Date/By: l �� l// ,41) Pernik Nepal id Zi'Oo J 1 1
4 13125 SW Hall Blvd.,Tigard,O1� NG DIVISION !
tsltlJ� Plan By: Other Permit 0220�OD q9
7111 II Phone: 503.718.2439 Fax: 503. PlanDate Review: 1 1
1-I C; N 1) Inspection Line: 503.639.4175 Date Ready By: r s: ®See Page 2 for
Internet: www.tigard-or.gov Notified/Method: /�jlvl '"�L' m-r-t Supplemental Information
TYPE OF WORK _ J4/i- g' 'b 5 FEE* SCHEDULE
0 New construction I 0 Demolition 'For special information use checklist
Description I Qty. I Ea. I Total
®Addition'alterationlreplacement 1 ❑Other. New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION 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
------ ----- -- - Each additional bath/kitchen 25.02
0 Master builder Cl Other: Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address:7100 SW Sandburg Street Catch basin or area drain 18.76
Drywell,leach line,or trench drain 18.76
City/State/ZIP:Tigard, OR 97223 Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: I Project name:7100 Sandburg TI Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
BLDG Permit BUP2021-00194 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
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 25.02
Plumbing for TI Dishwasher 25.02
Drinking fountain 25.02
Ejectorsisump 25.02
❑ PROPERTY OWNER I 0 TENANT Expansion tank 12.51
Name: Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address:
Garbage disposal 25.02
City/State/ZIP: Hose bib 25.02
Phone:( ) Fax:( ) Ice maker 12.51
® APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02
Business name:Local Plumbing CO. Medical gas(value:$ ) Page 2
Primer 12.51
Contact name:Brandy Solano Roof dram(commercial) 12.51
Address:20833 SW Olds Place Sink/basin/lavatory 4 25.02 100.08
City/State/'ZIP:Sherwood, OR 97140 Solar units(potable water) 62.54
Phone:(503)462-2067 Fax::(503 )642-5954 Tub/shower/shower pan 12.51
E-mail: brandys@localplumbingco.com Urinal 25.02
CONTRACTOR Water closet 4 25.02 100.08
Water heater 37.52
Business name:Local Plumbing Co. Water pE-/
iP m DWV 56.29
Address:20833 SW Olds Place Other: 25.02
City/State/ZIP:Sherwood, OR 97140 Subtotal 200.16
Phone:(503)642-2067 Fax:(503)642-5954 Minimum permit fee: $72.50
CCB Lic.: 72253 Plumbing Lie,no.:34-197PB Plan review (25%of permit fee)
State surcharge(12%of permit fee) 24.02
Authorized signature: S° ti TOTAL PERMIT FEE 224.18
Print name:Brandy Sol��an"""oo Date:9/9/21 This permit application expires if a permit is not obtained within 180 days
after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board,
1,Aui)ding\Per,sits\PLM1,1.PermitApp.doc 10'01 N9 440-4616T(10/02/COM/WEB)
Plumbing Permit Application - City of Tigard
Page 2 -Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Site Utilities Qty. Fee(ea) Total Square Footage: ! Permit Fee:
Footing drain- 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
Valuation: Permit Fee:
Storm&Rain Drain-1st 100' 62.54
$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$1.52 for
Other Inspections or Fees Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to
p and including$10,000.00.
Inspection of existing plumbing or for $10,001.00 to$25,000.00 S148.50 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$50,009.00 $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.
Fixture Type for Replace/ Please check all that apply.
Work Performed: Capped Added Relocate
Baptistry/Font El 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
as defined in OAR918-780-0040.
-Drive Thru
Cuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities.
Dishwasher: -Commercial ❑ Any multipurpose fire sprinkler system.
-Domestic ❑ 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" Isometric or Riser Diagram
4 ❑ 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
Ice Mach./Refrig.Drains Comments regarding fixture work:
Oil Separator(Gas Station)
Rec.Vehicle Dump Station
Shower: -Gang
-Stall
Sink: -Lay/Bar non-food related 2 2
-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 2 2 plumbing permit can be issued.
Urinal
Other Fixtures:
I:\Building\Permits\PLMF_PetmitApp.doc 08/04/2011 2
Dianna Ornelas
From: Brandy Solano <BrandyS@LocalPlumbingCo.com>
Sent: Wednesday, September 15, 2021 10:12 AM
To: #Building Permit Technicians
Subject: RE: 7100 SW Sandburg St
Categories: Dianna
Warning!This message was sent from outside your organization and we are unable to verify the sender.
I just sent the plans in case they were needed. Yes, replacing (2) lays and (2)water closets, adding (2) lays and (2)water
closets that were not previously in the space.Thank you.
Brandy Solano
Project Coordinator
Office: 503-642-2067, Direct: 503-601-3718
brandyst localplumbingco.com www.localplumbingco.com
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PLIIMIINE ell.
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Where Ever You Are, We Are LOCAL
From:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Sent:Wednesday, September 15, 2021 9:05 AM
To: Brandy Solano<BrandyS@LocalPlumbingCo.com>
Subject:7100 SW Sandburg St
Hello Brandy,
I am processing the permit application and plans submitted for this project and I have some questions.
Plans are not required for installation of sinks and water closets. Is there a reason why plans were submitted?
I would like to confirm that the (2) lays and (2)water closets under the 'Added' column are new fixtures that did not
previously exist in this space, is that correct? And,the other lays and water closets are just replacing existing, right?
Thank you for your help with this.
Dianna L. Ornelas
Building Division Services Supervisor
City of Tigard 1 Community Development
I.
13125 SW Hall Blvd I Tigard, OR 97223
503-718-2430 Direct 1503-718-2439 Permits
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