Permit Support Document Plumbin Permit Applicati4.on '%° s �� y 13 �
Site Utilities 1 tat (al it 1 I .l 11\1 1
City of Tigard J U U 02 2020 Roceived `� ,< ,q, �j�)�7� ?6-
13125 SW Hall Blvd.,Tigard,OR 97223 �° y' %M = �v` l+�E �C
t M1,*-r= Plan Review
Phone: 503.718.2434 Fax: 503.598.1960 Other Pewit No.:
I-t c.A.t t i, Frtttpuf xnnm Line: 503.b3w.417S 1 Date Ready/By: Suns ,a Bee Pagel for
Internet: www.tigurd-or.gov Nodricd/Method: S ..Iemeatallelormation
',,ZW.Z ry� ,,, Y }NTMrpr.3t .'',4 q ty.,: i �7 ,�tft1„�Fi a.-s,�t v' - 'y xis w? "'kn.� ;t 1.,4,1iz. ,,- ",,,i ;f ,„r. ',:'`Er# E
.'k. 4k�6X'..:e-r,r,,A:4' i i ,..� 'c �7, T Q i ,.'i'Y d 'f5 d -h e.. . Q T ?fY 1%;:£'.
0 New construction D Demolition For special information use checklist
Description Ea. Total
Addition/alteration/replacement New 1-2-fancily dwellings(includes 100 ft.for each unlit connection)
I � t x. ,,A'tl, 1. # a 44-,t 1 t :,, a.,` , u`. `. '. ' '.i SFR(1)bath . _ 312.70
❑ 1-and 2-family dwelling El C,ommercial/industrialSFR(2)bath 437.78
' ❑Accessory building ■ SFR(3)bath- - SO0t32
Each additional'batdnii kiicben 25 tY2
El Master builder D•Other:
Fire sprinkler( sq.ft.) Page 2
..> ., ku¢, tP .y V `,, i ,Yti , f it 'a `iMk ` '. 4)y 4 ;, Site utilities:
Job site address: /ogn s i.. c Catch basin or area drain 18 76
T +r 1 Drywell,leach line,or trench drain 18.76
City/State/ZIP: q q '�
67 L�• �'� 0 r- -+--7-�---/ Footing drain(no.linear ft.: ) Page 2
Suite/bidg.apt.no.: Project name:Fir L ,,,' Manufactured home utilities 50.03
Cross stmethiitecti5s:to joh site: Cvea.r hciManholes 1.8.76
((sin drain connector i3.76' _
Sanitary sewer(no.linear ft.:: 4 'Page 2 /p p r Oa
Stone sewer(no.linear ft.:_) Page 2
Water service(no.linear ft.: ) Page 2
Subdivision: Lot no.: Fixture or item: ,T __
Tax map/parcel no.: Backflow preventer 31.27
`r ,, �r a� v,-/ - $ackwater.valve 12,51 i
taothes washer 25.02
►__-a ! •1 .a ter r Dishwasher - 25.02
LL i
tits• :v C$ Drinking fountain 25.02
Ejectors/sump 25.02
�''iw�:�� ,t;•. '� � ��;��".v, �a.��, t24 �r w s ,a t"t . `�� ,�+ �� Expansion tank _. 12.51
a
Name: J-Gt-- _Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address: -JD%4 Si., 1C:r Of►
//�� p ^L► +� .catbageidirpose 25;02
C 1ptr4ity, ratetifP: i. VQ ! 7 2 2.3 i Hose bib 25.02
i
I'Phone:( ) , Fax:( ) lee'maker 12.51
4.4 (t tayw N'oi �,a.- test '- 1:t"",'i .7 , t, # +4 ..u� lnterceptodgreaseieap 25.02
Business name: �ED 4 Y LL.L Medical gas(value:$_) Page 2
Contact name: ,,( y Q Primer 12.51
?exEC__ De..ShsPlitt, Roof drain(commercial) 12.51
Address: pin, X 240409 Sinkibminulavatory , 25,02
City!State/ZIP: /'ti..�.ru.�'d"t d- 0 ci 762.. Sofas units(Malik water) 62.54
Phone:( 7i y2 Z 4 .1 g'�) Fax::(54)�7�p„L 4 4 Tub/shower/shower oven pan 12.51
E-mail. J Urinal 25.02-
1I ' e.4
.3 " t(.�,z:r 5 �,y- :IV,fit= Water closet 25.02
,,,4,,P „ai.. '>>G,sra..., ,z,, °" ;.i t.. tQs 24 r --!-„,:-.`s `if' m r'>+9+' '
§'? e ° `' Water heater 37.52
Business name: J 'R/7 �je. , `bn `4G Water piping/DWV 56.29
Address; pt� _ av- - Other: 25.02
I �f uryiStidel f: Sultnetai-/Q
s�-ru�.�Lo� Q�, g w�3 o P�
-1 Fhone:{53)tj2,Z.. f '31 i fax_{� .3b`(/ fw� �_______ Atinimumpermitfoe $7250 ,
1 Z�tQ"1.1 3lr )_, 1, p/� z,�r s-- ! - Plan rexieR (2S%of permit feed
CCB Lie.: Plumbin•Lie.no.: �+
Authorized signature: 1 �i S�Z --_-----.___State surcharge(12%of permit fee) /�•
TOTAL PERMIT FEE /7„/_e,tv
Print name:T�f►�►t- ' _ Mate This permit application expires if a permit is not obtained within 189 days
�+ ��►� / 2[� I after 1t has beets accepted as compkte.
*Fee methodology set by Tn.-County Building Industry Service Board.
tAft ratingutc w ismusd:-iterroiAR.dm 19/0449 4A646''4T 11002/COM/9VElp
Plumbing Permit Application - City of Tigard
Page 2-Supplemental Information
Fee Schedule: Residential Fire Su t a ression S stems
,,,, 40 ,aW t ' r r°P T *4." y, - aa i '
t;0 m w*a w-v., rt�Akr'ja..EJ:&tm--4,, ,4:.r^ 0. a c .r�4Jba .x. - �s ^ ,' + �,r:t �Li....arF sek4
1 Footing,drain-I"'100' 50.03 , 0 to 2,000 S 121.90
Footing dale.-ends additiona.td5tF' 37.52' - 2,001 to.3,400 51 tid.69
�� 3,601 to:T,200 $233.20
Sewer-1st 100' ( 62.54 Ce 2!.J 7,201 and greater $327.54 _
Sewer-each additional 100' 37.52 3'),TZ
Water Service-1st 100' 62.54 Medical Gas Systems:
Water Service-each additional 100' 37.52 t s q , ;� �t n�
Storm&Rain Ihain-1st 100' 62.54 "' if ' '} " i� '�ekkra y`
_ __, $1.00 to$5,000.00 , Minimum fee$72.50
-Sloan&main Dmin-.each additional I VO' 37.52 $5 001,00 to$10,000100 ii $72 50 for::the first$5,000:90 awed S 1.52 far
' icaoti additional 111 1.00 or fraction thereof,to
sad"inclscti»g$10,OOti:OD.
Inspection oaf misting plumbing arfor $10,,001-.00,txti425,000.00 i S14g.50fortheftrst'$10,,00:00 and'$1.54for
which no fee is specifically indicated 90.00/hr each additional S100.00 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 90.00Ru $50,001.00 and up $742.00 for the first S50,000.00 and$1.20 for .
(minimum charge-1/2 hone) _ eachadditiouatSt00.0t us tiactian.thereof:
Subtotal: - ;l bD g 1ol.
Commercial Fixture Work:
Are you capping,adding or replacing fixtures? If"yes",
please indicate work performed by fixture. Failure to
accuratel report fixtures could result in increased sewer fees*. k�
9
i,. t,a's'"td1 ,'I A *, '<,,.t�4{ :_g: ). ttY!' l/17.f it R �' ,: *,- 5 ,ii J
x � d` , "'' i"n rt � PI$n.reviewisrequirstlfarr�tyeftbef®.ilowtng.
"ttttk �` ' Relacrtr Please cheek all that.apply.
Baptistry/Font
CIAny new commercial building with water service 2"and
Bath -Tub/Shower
-Jacuzzi/Whirlpool - greater,except systems designed and stamped by licensed
Car Wash -Each Stall engineer.
-Drive Thru -' 0 New exterior plumbing site utilities for any complex structure
Cuspidor/Water Aspirator as defined in OAR918-780-0040.
Dishwasher Commercial -'. , Q Medical gas and vacuum systems for health care facilities.
-Domestic ❑ Any multipurpose tire s3ariukl.et.system.
Driraing,Fourouitt. " El Any coasplex st ss taate as defaned-atn OA}.914-780.004t).
Eye Wash -
Floor Drain/sink -2" Submit 2 sets of plans with any of the above.
,V0P�'.{`f0.0.,,MM �,gt �„+4' `"�" !F �" ` ` l�yam. �a �k�'t
,Y# xis^',-!^ Wiiiil 4 �4 x , �i 5'+Sy 1.,.2,f._;.�'.:&i'.
Car Wash Drain d
Garbage -Domestic-non-food -_ 00 Isometric or riser diagram is required for new buildings
Disposal -Domestic-food related that meet the qualifications above.
-Coturnercial-fmd.related
-htdv cial-food Masa o ;1 .
ice Mach.lftefriog.`Drains _
Oil Separator(Gas Station) - Comments regarding fixture work:
Rec.Vehicle Dump Station
Shower -Gang
-Stall
Sink/Lay -Non-food related _
-Bradley
-Commercial-food related , _f
-Service
Swimming Pout Filter *Note:, 14 the fixture perk:muter this permit results ih'ass'
Washer-Clothes; increase of sewer EJ)Us;a.sewer permit will be issued and
Water Extractor --I
Water Closet-Toilet fees assessed for the sewer increase must be paid before the
Urinal plumbing permit can be issued.
Other Fixtures: -
1:\Building\Pennits\PLMU_PermitApp.doc 2
Julie Drinkwater
From: Julie Drinkwater
Sent: Wednesday,July 1, 2020 11:27 AM
To: jrdexc@gmail.com
Subject: RE: PLM2020-00236, 7080 SW Fir Loop, 72nd Business Center
Attachments: Invoice.pdf
Hello Jesse
I wanted to follow up with you regard the permit for the 72"d Business Center that has been ready to be issued
since June 9. When you are ready to pay the balance due, in the amount of$112.07, you can go to our
website: https://aca.accela.com/TIGARD/Default.aspx. From there, click on the Building tab, enter the permit
number in the Record Number field, and click Search. I have included the invoice for your review.
Please let us know once the fees have been paid so that we can email the permit to you.
Thank you
Julie Drinkwater
Permit Technician Assistant
City of Tigard I Building Department
13125 SW Hall Blvd
Tigard, OR 97223
503-718-2804
From:Julie Drinkwater<JulieD@tigard-or.gov>
Sent:Tuesday,June 9, 2020 3:38 PM
To:jrdexc@gmail.com
Subject: PLM2020-00236, 7080 SW Fir Loop, 72nd Business Center
Hello Jesse
The permit for the 72"d Business Center is ready to be issued. The balance due is $112.07. Attached please
find the invoice for your review.
To pay the fees online, you can go to our website: https://aca.accela.com/TIGARD/Default.aspx. From there,
click on the Building tab, enter the permit number in the Record Number field, and click Search.
Please let us know once the fees have been paid so that we can email the permit to you.
Thank you
Julie Drinkwater
Permit Technician Assistant
City of Tigard I Building Department
1
13125 SW Hall Blvd
Tigard, OR 97223
503-718-2804
DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail
may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retained
by the City of Tigard in compliance with the Oregon Administrative Rules"City General Records Retention Schedule."
2