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Permit CITY OF TIGARD PLUMBING PERMIT ` '! ' COMMUNITY DEVELOPMENT Permit#: PLM2021-00491 Date Issued: 1/6/2022 'TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S113AB01400 Jurisdiction: Tigard Site address: 7376 SW DURHAM RD Project: Credena Health Subdivision: None Lot: None Project Description: Interior plumbing for TI:Adding(2)dishwashers,(2)3"floor drains/sinks,(14)sinks, and(8)water closets; Capping(4)sinks, (3)water closets,and(1)urinal; Installing Garbage disposals, (1)primer, (1)water heater, and(1)water piping/DWV. Contractor: HERMANSON COMPANY LLP Owner: PACIFIC REALTY ASSOCIATES LP 1221 2ND AVE N ATTN: N PIVEN KENT,WA 98032 15350 SW SEQUOIA PKWY#300 PORTLAND, OR 97224 PHONE: 206-575-9700 PHONE: FAX: FEES Quantity Description Date Amount 2 ea Dishwasher 12/28/2021 $50.04 Specifics: 8 ea Fixture/Sewer Cap 12/28/2021 $200.16 2 ea Floor Drain/Floor Sink/Hub 12/28/2021 $50.04 Type of Use: COM 2 ea Garbage Disposal 12/28/2021 $50.04 Class of Work: ALT 1 ea Primer 12/28/2021 $12.51 Type of Const: 14 ea Sink 12/28/2021 $350.28 Occupancy Grp: 1 ea Water Piping/DWV 12/28/2021 $56.29 Stories: 8 ea Water Closet 12/28/2021 $200.16 1 ea Water Heater 12/28/2021 $37.52 1 12%State Surcharge- 12/28/2021 $120.84 Plumbing Total $1,127.88 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: Permittee Signature: c —"` 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. /44/l/ / -R2 Plumbing Permit Application Building Fixtures Fc1R OFF1('4: I SE ()NIA' Cityof Tigard Received l)1 t i /�_ / �21-aZig i g Otie,/13y: I i , /Q77 Permit No.: 1 '1111 - 0 13125 SW Hall Blvd.,Tigard,OR 9722�E C E I V E • Review Phone: 503.718.2439 Fax: 503.598.1 By Other Permit No.:fi.. /1 1/_/].y'}C3 0t TIGARD Inspection Line: 503.639.4175 Date Ready/By: �turisi: See Page 2 for L7/ wv Internet www.tigard-or.gov ki0� In9i Notified/Method %�:p'-, Supplemental Information �lr : r :. 'TYPE OF'�WOl C !i;�, n��FEi;'4PS�HED , �rG 14it -, ❑New construction ®DemOlt�o''OF TIGARC For special information use checklist. Description 1 Qty. I Ea. I Total ®Addition/alteration/replacement ❑otqUILDING DIVISION New 1-2-family dwellings(includes 100 ft.for each utility connection) y , .: : SFR(1)bath 0 312.70�� r ,. , T GO { CO , l t 10 ❑ I-and 2-family dwelling 0Commercial/industrial SFR(2)bath 0 437.78 buildingSFR(3)bath 0 500.32 ❑Accessory ❑Multi-family Each additional bath/kitchen 0 25.02 ❑Master builder ❑Other: Fire sprinkler(_sq.ft.) 0 Page 2 Il�, ��rTTr ,II Gn ', 'E: ,,l,1i OB""SITE-INPOI .,II"IAN ANDtt'ci ,`TtON - „„ i ! ` Site utilities: Job site address: Catch basin or area drain 0 18.76 7376 SW Durham Rd. Drywell,leach line,or trench drain 0 18.76 City/State/ZIP: Portland,OR 97224 �elza �./Th �/'�-�'� Footing drain(no.linear ft.:_) 0 Page 2 Suite/bldg./apt.no.: I Project name: ^--4-:6344a'i nrriar i tribution Center Manufactured home utilities 0 50.03 Cross street/directions to job site: Manholes 0 18.76 SW Upper Booned Ferry Rd and SW Durham Rd. Rain drain connector 0 18.76 Sanitary sewer(no.linear ft.:_) 0 Page 2 Storm sewer(no.linear ft.:_) 0 Page 2 Water service(no.linear ft.: ) 0 Page 2 Subdivision: Lot no.: Fixture or item: Tax map/parcel no a.c,Q..,16t�/ L1 t>t) Backflow preventer 0 31.27 8 r�?,o5 p, 9 0 ' ..e2,7/9 6 '.1r, 11,l;Hg ti ih;, Backwater valve 0 12.51 bil li . 'ell'rCITIPl.tU1!'i ,,5y rORIC i 1 jiiii, 1' Clothes washer 0 25.02 Tenant improvement for a mail order pharmacy with an open office area,order Dishwasher 2 25.02 $50.04 fullfillment space,and support spaces Drinking fountain 0 25.02 Ejectors/sump 0 25.02 0.PROPERTY OWNER . 'r 1►+ TENANT Expansion tank 0 12.51 Name: Credena Health Fixture/sewer cap 8 25.02 $200.16 Floor drain/floor sink/hub 2 25.02 $50.04 Address: 6348 NE Halsey St Suite A Garbage disposal 2 25.02 $50.04 City/State/ZIP: Portland,OR 97213 Hose bib 0 25.02 Phone:( 503)962-1700 Fax:( ) Ice maker 0 12.51 i4 APPLICANT- ii�� CONTACT PERSON, , ! Interceptor/grease trap 0 25.02 Business name: Peterson Kolberg and Associates Medical gas(value:$_) 0 Page 2 Primer 1 12.51 $12.51 Contact name: Kevin Rohde Roof drain(commercial) 0 12.51 Address: 6969 SW Hampton St Sink/basin/lavatory 14 25.02 $350.28 City/State/ZIP: Portland,OR 97223 Solar units(potable water) 0 62.54 Phone:( 503 ) 968-6800 Fax::( ) Tub/shower/shower pan 0 12.51 E-mail: kevinr©pkaarchitects.com Urinal 0 25.02 N u i' , tt,,, CCl 1r Cic 1 Water closet 8 25.02 $200.16 io'''1 Water heater 1 37.52 $37.52 Business name:.y s,.tq t ,ife41,410,va-ra/4 14irioIt,/ Water piping/DWV 1 56.29 $56.29 Address: 0 1 l' 9 /4�L 11/ Other: 25.02 City/State/ZIP:� (/z7209 e-J1- , ,�q C�pU3) Subtotal $1,007.04 Phone:( SQ3 ) 229 0035 Fak:( I) (J Minimum permit fee: $72.50 R 7� Plan reviewsurcharge(25%ofpermpermititfee) $120.84 .alr�9" CCBLic 1G1^ G Plumbing Lic.no.: %�J I State (12%of fee) Authorized signature: .-;-... ,��,_,,,_.. v M )7 Print name: Kevin Rohd Date: 12/1/2021 This permit application expires if a permit is not PER obtainedITFEE withinl'�80 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. r\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) (zb 3.6 3 el a., ,kv Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: QtYFee( €aL ,,: r. r i4. Ptarl 42-q a UtiYitics „,,,, .. ea Total Stir re=Ootagew„ *MN,t. Fo, 1r Footing drain-la`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' ' ex 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 Fee3 Qty Fee(ea) 'Tort 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 hour) each additional$100.00 or fraction thereof. Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accuratelyreport fixtures could result in increased sewer fees*. " j° p '. Plar�'Re�e�far, luriilb>trng Iri$t�illatalns .; . 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 CIAny new commercial building with water service 2"and Baptistry Font Bath Tub/Shower greater,except systems designed and stamped by licensed -Jacuzzi/Whirlpool engineer. CICar Wash. Each Stall New exterior plumbing site utilities for any complex structure Drive Thr as defined in OAR918-780-0040. Cuspidor/Water Aspirator ElMedical gas and vacuum systems for health care facilities. Dishwasher Commercial CI Any multipurpose fire sprinkler system. Domestic 2 ❑ 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" 0 2 ` Isome ric o 'Riser, t a r f 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 0 -Commercial food related -Industrial food related Comments regarding fixture work: Ice Mach./Refrig.Drains g g Oil Separator(Gas Station) 6e(/0 e1,J,l e3.-er ,t G.^t..n/}Yif /)'/3/)-1 Rec.Vehicle Dump Station Shower: -Gang -Stall Sink: -Lav/Bar non-food related 4 14 -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 3 8 plumbing permit can be issued. Urinal 1 Other Fixtures: l:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2