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Permit CITY OF TIGARD PLUMBING PERMIT 2 COMMUNITY DEVELOPMENT Permit#: PLM2022-00042 Date Issued: 2/14/2022 T f GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 2S102CB07400 Jurisdiction: Tigard Site address: 10470 SW PARK ST 101 Project: Middleton Trust Building Subdivision: 1998-084 PARTITION PLAT Lot: 2 Project Description: Site utilities for a new office building with accessory warehouse space. Contractor: BRUNER PLUMBING Owner: MIDDLETON HOLDINGS LLC PO BOX 23985 PO BOX 23985 TIGARD, OR 97281 TIGARD, OR 97281 PHONE: 503-484-5105(CELL) PHONE: FAX: 503-624-2173 FEES Quantity Description Date Amount 1 ea Catch Basin or Area Drain 02/14/2022 $18.76 Specifics: 190 If Footing Drain 02/14/2022 $87.55 2 ea Rain Drain Connector 02/14/2022 $37.52 Type of Use: COM 50 If Sanitary Sewer 02/14/2022 $62.54 Class of Work: NEW 100 If Storm Sewer 02/14/2022 $62.54 Type of Const: 50 If Water Service 02/14/2022 $62.54 Occupancy Grp: 1 12%State Surcharge- 02/14/2022 $39.77 Stories: Plumbing Total $371.22 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: i 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 Applicatio'�n��/� S( LU o r y �� �5 +'� -*'a CEIVED FOR OFI I( E I SE O,I., City of Tigard Received ` g 1U1Z Date/By: Permit No.: ;. „�-• 13125 SW Hall Blvd.,Tigard,OR 97223 FEB 9 ( y d �� ° � }�rX�ka Dan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By y1 //J Other Permit No.: a[IP�,t]�-n�f�C- TICARD Inspection Line: 503.639.4175 CITY OF TIGARD Date ReadyBy: �''V1 �`- 1 tuns: ElSeePage2foorrV(/� 7 Internet: www.tigard-or.gov Notified/Method. O/t'f/ID JJ / .6 Supplemental Information TYPE OF WORrll©IGDIVISION 'kmi,)4411 FEE" SCHEDLLE ,�' New construction ❑D ' ' For special information use checklist t ; s I Description city. Ea. I Total ❑Addition/alteration/replacement ❑Ot ii 1 11 I New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUrit SFR(1)bath 312.70 ❑ 1-and 2-family dwelling 10 Commercial/industrial SFR(2)bath 437.78 ❑Accessory buildingSFR(3)bath 500.32 ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler(_sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: /`LJ 9/'7( S G.✓ /P fr )� (� Catch basin or area drain I 18.76 I 7 b City/State/ZIP: Drywell,leach line,or trench drain 18.76 -7 ' G/, '� U Footing drain(no.linear ft.:f 91)) Igo' Page 2 cg?,Sj Suite/bldg./apt.no.: / 1 I Project name: !/'j/?t' /ie\feU -�� / /i1O7 Manufactured home utilities \ 50.03 Cross street/directions to job site: ` I Manholes \ �18.76 WA fk7A5 A/e Rain drain connec r L 18.76 C.,L r Sanitary sewer o.linear ft.: age 2 i t? ]''-/ Storm sewer( .linear ft.:ice IGO Page 2 V�2 r,-y Water service Ino.linear ft.: / Page 2 6 2- ,--/- Subdivision:Subdivision: I Lot no.: Fixture or ice / Tax map/parcel no.: Backflow preven / 31.27 7 . 2.7 DESCRIPTION OF WORK Backwater valve 12.51 f Z 5) f Clothes washer 25.02 (.2/y (01")1 ell(r'C 1C1.C /fv(,7/C' le16 Dishwasher / 25.02 Drinking fountain ( 25.02 Ejectors/sump 25.02 gi PROPERTY OWNER ❑ TENANT Expansion tank 12.51 ) 2, / Fixture/sewer cap 25.02 Name: %/i%,/G/Cr 7J17 (.c'5 L/jt G L C Floor drain/floor sink/hub Z 25.02 50,D I Address: 7'(2 I33',-1‘.. z 3 T f S.- Garbage disposal 25.02 City/State/ZIP: -717,64-2,f Hose bib � 2_, 25.02 ro �>k1 Phone:(303) 6 2 - <f��'G? Fax:(50; ) c V ,1' ? .!�'_ Ice maker \:\ 12.51 0 APPLICANT 0 CO.\'l ACT PERSON Interceptor/grease trap 25.02 Business name: Medical gas(value:$ ) I Page 2 Primer ' ) 12.51 17 , I Contact name: Roof drain(commercial) 12.51 Address: Sink/basin/lavatory 0 25.02 /00,L 'J City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax::( ) Tub/shower/shower pan ' 12.51 E-mail: Urinal 25.02 Water closet . 25.02 To, Cii CONTRACTOR Water heater ( 37.52 3 7, c Z Business name: j3/^ !/,,,e.,.._- /04,/yJ4.,,Z'j C Water piping/DWV 56.29 Address: ,P O O .. / O S J Other: 25.02 City/State/ZIP: Gr-.2 y( Subtotal Phone: Fax: d Minimum permit fee: $72.50 �J3) �L7� s�ergo cs �) (Z f Z 1 7� � CCB Lic.: 7�? 7 Plumbing Lic.no.: u y y�S/�� V Plan review (25%of permit fee) 7j State surcharge of permit fee) J Authorized signature: TOTALTAL PERMIT FEE 9 Print name: �q�eik- .gr-r,�_ Date: /� L /J This permit application expires if a permit is not obtained within I80 days //v - I after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. 1:1Building\Perrnits\PLMU-PermiiApp.doc 10/01/09 440-4616T(10/02/COM/WEB) 3 71. rl; 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- I" 100' 1 01,7 50.03 SC o`q 0 to 2,000 $121.90 Footing drain-each additional 100' Gi J 37.52 5 y 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer-1st 100' 50 62.54�•' G72„Fjv 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 41) 62.54 6 L,9-1 Medical Gas Systems: Water Service-each additional 100' 37.52 Storm&Rain Drain-1st 100' t7 62.54 y Valuation:_ Permit Fee: b (v L $1.00 to$5,000.00 Minimum fee$7 0 Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the st$5,000.00 and$1.52 for Other Inspections or Fees Qty. Fee(ea) Total each additio •l $100.00 or fraction thereof,to pand includ' g$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 'or 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' eluding$25,000.00. Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $ 9.50 for the first$25,000.00 and$1.45 for hours(minimum charge-2 hours) '-ch 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: Z1S,ld 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. WorkTerformed: 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:Wash: -Each Stall New exterior plumbing site utilities for any complex structure Drive Thru as defined in OAR918-780-0040. ElCuspidor Water Aspirator / Medical gas and vacuum systems for health care facilities. Dishwasher Commercial El 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" j.. 3" Isometric or Riser Diagram ❑ 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: -LavBar non-food related 2- -Bradley Com/Serv/Util food rel. ed -Service I *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 7, plumbing permit can be issued. Urinal Other Fixtures: I:Building\Permits\PLMF_Per•mitApp.doc 08/04/2011 2 Plumbing Permit Applicatioi>�� � ���� Site Utilities �� FOR OFFICE USE ONLY Cityof Tigard JAN 2 6 2012 Received 71 Date/By: Permit No.: A 13125 SW Hall Blvd.,Tigard,OR 97223 P a Review I Phone: 503.718.2439 Fax: 503.598}p Q OF fIGANU Date/By: Other Permit No.: Inspection Line: 503.639.4175 t Date Ready/By: mis TIGARD ,UILDING DIVISION t-r-r�+ See age2for Internet: www.tigard-or.gov Notified/Method: t it Supplemental Information TYPE OF WORK FEE* SCHEDULE 741ew construction ❑ 1 r RI ( - For special information use checklist. � Description I Qty. I Ea. .1Total ❑Addition/alteration/replacement ❑ I. New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONST' r' s;` SFR(1)bath 312.70 ❑ 1-and 2-family dwelling [I]rCommercial/industrial SFR(2)bath 437.78 ❑Accessory buildingSFR(3)bath 500.32 ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATIONL Site utilities; Job site address: /0 7.) /SIA/ i- k Si; Catch basin or area drain I 18.76 /8,76 Drywell,leach line,or trench drain 1 18.76 / g.,7(o City/State/ZIP: / I�(�--� O 2 O1'7 Z'Z'22 Footing drain(no.linear ft.:F4=' C Page 2 set Oil Suite/bldg./apt.no.: A Q> Project name: {r I d 6 l z. '-'r(Z�.+- qSJ Manufactured home utilities 50.03 Cross street/directions to job site: /, ,A�n �S ! Manholes J 18.76 /jr./.7‘, 6/� Rain drain connector t 18.76 /i-,7f. Sanitary sewer(no.linear ft.: 3 0) I Page 2 6z,Pf• Storm sewer(no.linear ft.: Page 2 � fo 2 , `f Water service(no.linear ft.: t711) 1 Page 2 6 Z r! Subdivision: I Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer I 31.27 7, I,1,7 DESCRIPTION OF WORK Backwater valve ( 12.51 I 1.,11 f Clothes washer 25.02 0 f/ (�1JL" e-✓L OC-c,Q Dishwasher 25.02 r Drinking fountain 25.02 ...PROPERTY Ejectors/sump 25.02 2 PROPERTY OWNER 1 ❑ TENANT Expansion tank 12.51 Name: (/Iv c W`C�} � � 1-(-USi-- CL-L_ Fixture/sewer cap 25.02 Floor drain/floor sink/hub 7" 25.02 SQ/Oy Address: P. C?07c 239 '�-- ?l'fg _ Garbage disposal 25.02 City/State/ZIP: -7-1 �.r1h / O Ol 7 2- / &�eN Hose bib 2- 25.02 5 ) Octt Phone:(J1.713)�.$� ( ,/�� Fax:( j3) c,2.'4 - Ice maker 12.51 0 APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name: Medical gas(value:$_) Page 2 Contact name: Primer I 12.51 fi r j I Roof drain(commercial) 12.51 / Address: Sink/basin/lavatory .4- 25.02 ZOOrOg City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax: :( ) Tub/shower/shower pan 12.51 E-mail: Urinal 1! 25.02 2 ,a D.- Water closet Z 25.02 SO•0q CONTRACTOR J Water heater 2_ 37.52 7'S,04 Business name: (), eN ✓1 aU 'I,1J� I vt ` (iYG_ Water piping/DWV 56.29 Address: P o . e 4.1...4 Z2�c.1.g S - Other: 25.02 City/State/ZIP: -2743 v&.. Subtotal 7 S 7,a I Phone:( 32) Fax:( ) Minimum permit fee: $72.50 CCB Lic.: 8 h"--1. 7 Plumbing Lic.no.: ,Af i7 S p 13 Plan review (25%of permit fee) .30 State surcharge(12%of permit fee) 'r 0,$7 Authorized signature: , ! TOTAL PERMIT FEE i037,3� Print name: la, / / _- ' Date:/; e, f D This permit application expires if a permit is not ohlained within 188 days ` !! l�fs after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. }jJ 1:\Building\Permits\PLMU-PermitApp_doc 10/01/09 440-4616T(10/02/COM/WEB) ^'/ C73 7 • 3 ^' , 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-1°`100' 1 j 7 50.03 ,d7 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 3 c)v 2,001 to 3,600 $169.69 Sewer-1st 100' 62.54 7 3,601 to 7,200 $233.20 3(7 (OG,S`i 7,201 and grater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62s4 bZ ' ' Medical Gas Systems: Water Service-each additional100' 37.52 Valuation Permit Fee: Storm&Rain Drain-1st 100' /a D 62.54 bl 0 $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 h 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*. Quantity by Fixture Type Plan Review for Plumbing Installations Fixture Type for Replace) Plan review is required for anyof the following. Work Performed: Capped Added Relocate Please check all that apply. Baptistry/Font Bath Tub/Shower ❑ Any new commercial building with water service 2"and -Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer. -Drive Thru ❑ New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780-0040. Dishwasher -Commercial 0 Medical gas and vacuum systems for health care facilities. -Domestic ❑ Any multipurpose fire sprinkler system. Drinking Fountain ❑ Any complex structure as defined in OAR918-780-0040. Eye Wash Floor Drain/sink -2" Submit 2 sets of plans with any of the above. -3" 4M Isometric or Riser Diagram Car Wash Drain ❑ Isometricriserdiagram requiredbuildings Garbage -Domestic-non-food or gr is for new Disposal -Domestic-food related that meet the qualifications above. -Commercial-food related -Industrial-food related Ice Mach./Refrig.Drains Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Gang -Stall Sink/Lav -Non-food related -Bradley -Commercial-food related -Service Swimming Pool Filter *Note: If the fixture work under this permit results in an Washer-Clothes Water Extractor increase of sewer EDUs,a sewer permit will be issued and Water Closet-Toilet Z, fees assessed for the sewer increase must be paid before the Urinal I plumbing permit can be issued. Other Fixtures: l:\Building\Permits\PLMU_PermitApp.doc 2 Plumbing Permit Application 1 // X. • 51 (Mi.,lit FOR ()FFI(T USE O'LI l City of Tigard Received Permit No.: �` 't 13123 SW Hall Blvd.,Tigard,OR 97223 Plan By: OlherPemdtNo,: 1 6� Phone 503.7182439 Fax: 503.598.19ti0 Date/By: pectioa Line: 503.639.4175 Data RcadylBy: lair 62 SeePage2 ter I'Ic,t .� W Internet: www.tigard-cr.gov Notified/Method: Supplemental lsfoneaaue ;.` '11 EadF`A(IXFAIC .r • .. .. 'F&Ea Acfpgd1.1Rr ° . 0 Demolltian For special informal'',use checklist El New constructionDescription I Qty. I Fa. I Total ❑Addition/alteration/replacement 0 Other: New I.2-famlly dwellings(includes 100 ft for each utilityconnection) T$ CF'I1H11•a' t SFR(1)bath _ 312.70. CATEGORY OF CONS £3 '�`���' (2) 437.78 •..... i .; Commercial/industrial SFR bath ❑1-end 2-family dwelling ® SFR(3)bath 500:32 ❑Accessory building 0 Multi-family Each additional bath4dtchen - 25.02 ❑Master builder 0 Other: Fire sprinkler(_sq.It.) Pip 2 O22 H11E,aNFYOR T1PN d.OcATOST1 t site utilities: v W'lob site address: / Q . �I�1C Sf L Datch basin or area rywell,leach line,oar trench drain ' 18.76 18.76 'g 7 b City/State/ZIP: TrGf.Ys( Ott Footing drain(ao.linear it:(Hot) 140' Far 2 3�7, ; Suite/bldg./apt.no.: I Prgiect name: ,® f2,.,,-cuts/-, /4_ Manufactured home utilities 50.03 Cross street/directions to'oh she: a Manholes 18.76 �� sat S cf. Rain drain connector 7, 18.76 �,Zu ea Sanitary sewer(no.linear R.: Page 2 47.gull Storm sewer(no.linear ft:leg too Rage 2 fe l,Sry Water service(no.linear R:gyp) Page 2 6 Z.5SI Subdivision: I Lot no.: Fixture or Item: _ Backfowpeeventer _ : 3127 - Tax maplpercelno Backwarer vain 12.31t ,.; a R ;r. ." gie+�+'A i: ,., ..":7..., r.....' Clothes washer 25.02 . .of/J! ' (,. ours,-,e.-C(,a G✓Q� Qwle Di,„......Di,„...... 25.02 '�t/4�F,�j_t ff t../ jervd.E is le-as 77,ar4J .2 /l per Drinking fountain 25.02 25.02 • e Ejectors/sump _ExpentiOn tank 12.51 yp y�� ('. �»t s -tom _ -¢M f ! ( 1....�.,«'(+;� ,,,mot ire+.7"FNANr :.. Fixture/sewer cap 25.02 Name: et ijf�j>j� Pv_fi LLL Floor drain/floor sink/hub 25.02 Address: t:0 tgNs 2398'5" Garbage disposal 25.02 City/Stats/ZIP: 77p p ?;{ Hose bib 25.02. Phone:(CjJj) 7'f Sl.te0 [Fsx (5 6s J ) ' Z(7.� Ice maker 12.31 �. `� .'-' ..r If• . c AL7 PEIIS(R�,5- : iaterecptw/pease trap 25.02 A@FLfftr; ON'C Medical gas(value:S_) _ Page 2 Business name Primer 12.51 Contact name: Roof dram(commercial) . 12.51 Address: Sink/basin/lavatory •. 23.02 City/StatZIP:. Solar units(potable water) 62.54 Tub/shower/shower pan 12,51 Phone:( ) Fax::( ) Urinal . 25.02 f E-mail: Water strict 25.02 ` " .-00844**012R,: water heeler 37.52 o-. Business name: ( P ' e?- f (I//yJy�l Pj / C_-. wall'piping/DWV 56.29 Address: ' 0 C 2- " ap - ,J Other: 25.02 _ Subtotal l • City/Slate/ZIP: tip _. ��// Fax:( dj) 24 07 Minimum permit fee: 572.50 rhate:6s13) r,.yy��`f d'e'U 1 S �a 2. T� ✓ Plan review(25%of permit fca) CCB Lie.: �'�(y' 7 I plumbing Lie.tw.: `Y S`S I. Stare archerge(12%of permit fee)`(l a Authorised signature: TOTAL PERMIT PEE 1 This permit application=Ora If a permit Is net abtdaedle lie Says Prthtname: /A/dr-I.rvnrr-- I Dalai/ ///z Z.� after It has been accepted os complete. •Fee methodology set by ThCounty Building Industry Service Heard. 1?BuidirgnormWVLMe1-PwmSApp4ec m01A9 MGWIer'NdeM'oMM'mt) Plumbing Permit Application-City of Tigard a.4 t' .6/ Tie v3-r Q vt Ai e. Page 2-Supplemental Information riJ el e/I''..- e(c-/✓24 / rIF } Fee Schedule: Residential Fire Suppression Systems: an. 'F«(es) 'Total Square Footage; . Permit Fee:- Sit Utilities;: otoz000 $121.90 Footing drain-I'100' (Ob 50.03 5-0,6 2,001 to 3,600 $169.69 Footing drain-each additional 100' 50 37.52 3�,5,,,,I 3,601 to 7,200 $1332D Sewer-1st 100' 90 62'54 A 2,>•1 7,201 and greater S327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' i4 0 62.54 col.5' Medical Gas Systems: Wefts Service-each additional 100' 37.52 •Valnahow Permit Fee Storm&Rain Drain-Irt 100' iOp 62.54 bZ'5' s1A0 to$5,000.60 Minimum fee S72.S0 Storm&Rain[rain-each additional 100' 37.52 $5,001.00 to$10,000,00 572.50 for the fins$5,000.00 and$1.52 for ; .' each additional S100.00 or fraction thereof,to OtherinspectiolisorFees _QY Fae tee) 1.54711. and includingsio,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 S146.50 for the first SI0,000.00 and SI.54 for which no fee is specifically indicated 90.00/hr each additional S100.00 or fraction thereof,to (minimum charge-12 how) and including$25,000.00. Inspections outside of normal business 90.03/hr $25,001.00 to$50,000.00 $379.50 for the first S25,000.00 and S1AS for hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to Reinapectien Foes 90.00/hr and including S50,000.00. 90.00/hr S50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for Add (mksnuel char re fhoevisions each additional S100.00 or fraction thereof. (minimum charge-v ew 1/2 haw) Subtotal: 1)7GG,2T) Commercial Fixture Work: Are you capping,adding or replacing futures? If"yes", please Indicate work performed by fixture. Failure to accurately report fixtures could result In increased sewer tees*. Quaathy'by an Fiatare TS'pe . Plan Review for Plumbing installations tre Type for Plan review is required for any of the following. Work Performed: Capped . Added gamete Please check all that apply. Baptistry/Font 0 Any new commercial building with water service 2"and Bath Tub/Shower greater,except systems designed and stamped by licensed Jacuni ool engineer. Car Wash -Each Stall ❑ New exterior plumbing site utilities for any complex structure -Drive ohm as defined in OAR918-780.0040. Drtbwasher Aspirator ❑ Medical gas and vacuum systems for health care facilities. Dishwasher -Commercial 0 Any multipurpose fire sprinkler system. -Domestic DI complex structure as defined in OAR918-780-0040. Drinking Fountain Wash Submit sets of pease with any of the above. Floor Drain/sink •2" •3" . Iagmetric�orRiserI)isgraoi .�Car Wash Drain . D Isometric or riser diagram is required for new buildings Garbage Domestic-fo related that meet the qualifications above. Disposal -Ibmestio-food r related Commercial-food related -Industrial-food related lee Mach/Refrig.Drains Comments regarding fixture work: Oil Separator(Gas Station) , Rec.Vehicle Dump Station Shower -Gang -Stall Sink/Cav -Non-food related -Bradley -Commercial-food related -Service Swoon-Ong Pool IOter *Note: If the fixture work under this permit results in an Washer-Clothes increase of sewer EDUs,a sewer permit will be issued and Water Closet- fees assessed for the sewer increase must be paid before the water Cloxt-Toilet plumbing permit can be issued. linos! , Other Fixtures: :l Building l Permits tPLMU_PermitApp.doc 2