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CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2022-00083
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 3/17/2022
Parcel: 2S104BB08000
Jurisdiction: Tigard
Site address: 14210 SW BARROWS RD
Project: Hearthstone Veterinary Hospital Subdivision: RUSSELL'S SCHOLLS FERRY Lot: 3
Project Description: Interior plumbing for TI:Adding(2)2"floor drain/sinks, (5)sinks,and(1)clothes washer; Relocating(2)sinks and
(2)water closets.
Contractor: DP PLUMBING INC Owner: BARROWS PLAZA LLC
15825 NE SPRINGBROOK PO BOX 8880
NEWBERG, OR 97132 KETCHUM, ID 83340
PHONE: 503-537-9492 PHONE:
FAX:
FEES
Quantity Description Date Amount
1 ea Clothes Washer 03/13/2022 $25.02
Specifics: 2 ea Floor Drain/Floor Sink/Hub 03/13/2022 $50.04
7 ea Sink 03/13/2022 $175.14
Type of Use: COM 2 ea Water Closet 03/13/2022 $50.04
Class of Work: ALT 1 ea Water Heater 03/13/2022 $37.52
Type of Const: 1 12%State Surcharge- 03/13/2022 $40.53
Occupancy Grp: Plumbing
Stories:
Total $378.29
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 f rth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
� 1
Issued By: ° Permittee Signature:
7
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.
1
Plumbing Permit ApplicatioRErP I/
, - D A•..._1 i•li e . ,. 0100
Site Utilities 1
i FOR OFFICE USE UNIX
FE.:'', 1, 5 22 R, ci
:,: Tved
City of Tigard ' Date Rs: 3 10j22-- 07)--- Pcm"N' Aziola?)--auk3
11 _01 13125 SW Ilall Blvd..Tigard.OR 9722rSi ,,0
iii Plan Rin iew
it Phone: 503.7 Ill.2439 lux: 503.59x.I,Iril -31 "NAriEl 1>atc 13): 4.114-_...._ Othet Pcouit Nu:
afitelgr /I
Inspektion lane: .503.639A 175 BUILDING mist N Date Ready/11:i. 'it, 4 Jut. 0 Sin- lute 2 far
TIGARD ,
inteinet: www.ti(4 ard-ot.gov Newicit'mcmott: ,..)//q,. . gitt,--- Tr& Suppletne.ntal Information
TYPE OF WORK II It eN.A.- it., 4,..e j ELIE* SCHEDULE
For cpecied h!formatio tl use checklist
EiNew coustruciton 0 Demolition
_ Desciiption 1 Qty. I Ea. 1 Total
NI Addition.alt erationit cplacement 0 Oth6n New I-lt-ramily dwellings(includes,1)10 II. tOr each ittilny connection)
CATEGORY OF CONSTRUCTION SI R II)bath 312.70
SFR(2)bath! 437.78
0 I•and 2-tamily dwellina II Commercial indhstrial -----
SFR(3)bah' 500.32
0 Accessory building 0 Multi-lainilx .
--, I Each additional bah kitchen 25 01
0 Master builder 0 Othei File sprinkler 1 sq.fi.1 Page 2
JOB SITE INFORMATION AND LOCATION Site utilities: ____
Catch basin or area drain IS,76
Job site address: 1 142 tO $w Etm-rt.,,s-
Drywol,(cue I line,or trench drain 1 X 76
City-Stale LIP: Tr yarif , ok ql 007 Footing chain tno.linear IL 1 Page 2
1 .
Suite blda.:apt.no.: : Pt Project name, ..,...Api..44grrg _5 4,4VIanulacuiret home utilities 50.03
Cross street:directions to job site: Ve...11yilis00, &if: Manholes 18-76
Ran drain co inector 1 1.76
Sanitary sewer(no.lineal It.. ) Page 2
Storm sewer in.linear It.:_) Page 2
- Witter CM I Cf.(110_(int-At fi.: ) Page 2
Subdivision: I ot no: Fixture or ittin:
Tax map parcel no.• ,2_$/0/1 6/3 6 if ot y) Rack flow ptoventel 11.27
Raekwatet votive 12.51
DESCRIPTION OF WORN
.1.viifTAA q Key/ 41.iN leir I 44/1v4tt kilkitt. - ("miles washo I
Dishwasher 25,02
l. Plop boattit i i w441,tr 6 or . Kt-locolcv 2-- Drinking Inuntzun 25.02 -
_ _id(tit Z, IAA/AA:err A-liti Z .400r ti#64 11:4 Ejectors/slump
I 25.0'
El PROPERTY OWNER 0 TENANT Expansion talk :2.51
Name:
F'ixturcrscweil cap 25.02
Floordrain•tEoor sink-huh 42. ZS.(12 Si).,0
Address: . i
Ciabaae di
' spItsal 25.02
City'State:7Th
• I lose bib I 25.02
Phone:( i i Fax:I / Ice maker 1
I 12.51
0 APPLICANT 0 CONTACT PESON Interientof gifease trap 25 0'
Business name: Medical gas fivalue.S ) Page 2
la nie
t
Ptii i 12.5)
mtact name:
Roof drain(commercial) 12.51
Addiess:
. Sink basin lavatory ri _ 25.02 i 7.5-.Aito
City State-- Sohn imin,irtotable water) 62.54
i - 4
Phone:( ) 1 I ax- :i / Tub shower lhowcat pan 12.51
Lunail:
- rrinal 25.02
'
, Water closet i CONTRACTOR , 1 25.02
,
- Water heater 1-___ 3 7.5_2 42ti,V__.
, Business twine: DI()--K----,----- -------..,. _____
) Water pipingDWV 56.29
Address: is-PS iiir tos 1 tiro. . Other: 25.112 _
City State.ZIP: 14.44/4(41_ et_ilin , Subtotal 33774,
Phone: ( A-6 ) 5--ick. Itiqg , Fax:I ) - Minimum permit lee: 572.50
Plan owie
w (25%.m permt lee)
CC HIac.. 4 6 c Purnb linv 1 ic no,
pcinuit lee) 40.5-3
Mithorricd ii"Ildllii. '
I 1.-ttlt.: 2:1 T.t TOTAL PERMIT FEE 3•27t,"
,
-- --
Pt in!triune 004144,...mud( - Tide permidepplication evIres il a permit is totOhl tined Alit bin1U dey4
_.._ i utter it bus been accepted es complete.
.1,,,rbuibliciul.b., -,-1 by Ti-i omit),timidity hulto,at S.A-,.,.-1.1..,11
i
I-nitilatibPri mat.PI MU-Nemo Atsp Si 111'1111N 441141.1. i 10112(OM.WIlli
, i t'3.1 '-'A
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< Plumbing Permit Application - City of Tigard
Page 2 -Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Site Utilities Ql. Ter tea) Total Square Footage: Permit Fee:
Footing drain- I' 100' 5(l,i13 0 to 2.n(iU $121.9(1
Fooling chain-each additional toll. 37.52 52 2,001 to 3,600 S 169.69
3,00l to 7,200 523±_20
Sewer-1st 100' n2.54 7,201 and greater S327.54
SCwer-each additional IOU' .0.52
Water Semite- 1st IOW 62.54 Medical Gas Systems:
Water Service-each additional 100' 37.51
Valuation: Permit Fee:
Storm&Rain Drain-I st 100' 62-54 1
9 S I.00 to$5,000.00 Minimum fee S72.50
Storm Sc Rain Drain-each additional I011 17,52 55.00l.00 In S I0.000.00 $72,50 tiff the first$5,000.00 and S1.52 liar
Other Inspections or Fees Qty. Fee(ea) Total ' each additional$1(I(L(1(!or fraction thereof,to
and including S10,000.00.
Inspectit in uf el:isting plunthing OF fill. -$10,001.00 to S25,000.10 SI 45.50 for the first S10,000.00 and$1.54 for
which no lee is specifically indicated '10.00 hr each additional S100.00 or fraction thereof,to
(minimum charge-- t 2 houri and including S25,000.00._
Inspections outside ofnonna!business 411,00 lit S25.001.00 to 550,000,)0 5379.50 tar the first S25,000.00 and S1.45 far
hours(minimum charge-2 hous) each additional S100.00 ur fraction thereat;to
Rcutspection I-eas 90.Ori hi and including$50,000.00.
Additional plan review fix revisions 90.00 hi S50.001.00 and up S742.00 for the lirst S50,000.00 and$1 20 for
(minimum charge-I'2 howl each additional$100.00 or fraction thereof. --___
Sublotal:
I
Commercial Fixture Work:
Are you capping,adding or replacing fixtures'? It•"yes",
please indicate work performed by fixture. Failure to
accurately report fixtures could result in increased sewer fee `'.
Quantity by Fixture Type Plan Review for Plumbing Installations
Fixture Type far Replace/
Work Performed: rapped added Relocate Ilan review is requied for any of the following.
Please check all thi t apply.
1iaptisln Fort
----_ ❑ Any new cum.'nercial building with water service 2"and
Rath -Tub shower
greater.excepsystems designedand stamped bylicensed
-Jacuzzi Pthhipouiam P
Car Wash -Each Stall engineer.
-Drive Thru ❑ New exterior Plumbing site utilities for any complex structure
Cuspidor Wale! Aspirator as defined in AR918-780-0010.
Dishwasher -Commercial — ❑ Medical gas i d vacuum systems for health care facilities.
-Domestic _ ❑ Any tnultipw' ose tire sprinkler system.
Drinking Fountain ❑ Any complex Inletm'e as defined in OAR9 1 8-780-0040.
Eye Wash I
Floor Drain sink 2" Is Submit i sets of plans with and of the above.
3"
4..
Isoinetric or Riser Diagram
Car Wash Drain
Garbage Domestic-non-rood E Isometric or Fuser diagram is required for new buildings
Disposal -Domestic-loud related that meet the qualifications above.
-C'onnuereial-food related
-industrial-fond related
lee Mach.Refrig,Drains
Oil Separate (Gas Station) Comments regarding fixture work:
Rec.Vehicle Dump Station _
Shower -Gang
-Stall
Sink Lay -Non-ii,nd related I --7% _ t
-Bradley i
-Commercial-food related -_
-Sctvice c
Stsinuning Pool Filter *Note: If the fixture work under this permit results in an
Washer-t_lathes I
Watt EMI actin increase of sewerFI)tls,a sewer permit will be issued and
Water(trawl-Toilet fees assessed fur the sewer increase must be paid before the
t)tinal plumbing permit can be issued.
Odle, l'is.ture.s,
I:`•.Ruilding\Permits,PLMU_PermitApp.doc 2