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Permit
CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT Permit#: PLM2022-00149 Date Issued: 5/10/2022 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S101 DA00102 Jurisdiction: Tigard Site address: 13221 SW 68TH PKWY 460 Project: Cetera Subdivision: None Lot: None Project Description: Interior plumbing for TI:Adding(1)dishwasher and(1)sink; Installing(1)water heater. Contractor: GRIDLINE PLUMBING Owner: G&I X TRIANGLE CORPORATE PARK LLC 14844 SW 109TH AVE BY DRA ADVISORS LLC TIGARD, OR 97224 ATTN TAX DEPT 575 FIFTH AVENUE 38TH FL NEW YORK, NY 10017 PHONE: 971-275-6167 PHONE: FAX: FEES Quantity Description Date Amount 1 ea Dishwasher 04/27/2022 $25.02 Specifics: 1 ea Sink 04/27/2022 $25.02 1 ea Water Heater 04/27/2022 $37 52 Type of Use: COM 1 12%State Surcharge- 04/27/2022 $10.51 Class of Work: ALT Plumbing Type of Const: Occupancy Grp: Stories: Total $98.07 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: v ' 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 Application wi _ , Building Fixtures i i: OFFICE USE ONLI City g �7/3�Of Tigard E C E I V E ''Received Perm pi Permit No.: � i ill III I 13125 SW Hall Blvd.,Tigard,OR 972 3 Plan Review /� Phone: 503.718.2439 Fax: 503.598.1960 q q y' ,�/ Other Permit Nu.:/t �Q� dy inspection Line: 503.639.4175 Mg t. 82022 Date/By: /� P 1'1 G AR l i ' Date Ready/By: kirk 0 See Page 2 fur `' Internet: www.tigard-or.gov Notitied/Method: 'f/ -7/f.")- /L1,r 7'�i-Ce Supplemental Information TYPE OF WORK (yJ I YY,nOI F rTIIGAKLD ,�pr f �y.�ti l< , '�iGIFEE* SCHEDULE 0 New construction ❑I tiy[(ih`JG DIVJSIOE`'�/ For special information use checklist Description I Qty. Ea. Total 4ddition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 0 I-and 2-family dwelling 0-Cmercial/industrial SFR(2)bath 437.78 uul SFR(3)bath 500.32 ❑ Accessory building 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: Catch basin or area drain 18.76 �/ � ��`�;�� fly Drywell,leach line,or trench drain 18.76 City/State/ZIP: / ' ,, „�f C.?' 97z Z- 2 / / /l Footing drain(no.linear ft.: ) Page Suite/bldg.lapt.no.: Project name: �'�li-`� Manufactured home utilities 50.03 Cross street/directions to ob site: / Manholes �-' 18.76 /�ZA 1 -6' /// 11 J/`s �f - /G Rain drain connector 18.76 �J [ ! Sanitary sewer(no,linear ft.: ) Page 2 Storm sewer(no.linear tt.:_) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision: ( Lot no.: Fixture or item: Tax map/parcel no.: / ) !f 4 /a Backtlow preventer 31.27 DESCRIPTION OF WORTk Backwater valve 12.51 �� Clothes washer 25.02 ! P _ 4-... e r� /G'" Dishwasher f 25.02 ltl. Df a27-5j °_L-d7 Drinking fountain 25.02 .'ks- /1/_A _-+ Ejectors/sump 25.02 ❑ PROPERTY OWNER 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 0 APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name: Medical gas(value:$ ) Page 2 Primer 12.51 Contact name: Roof drain(commercial) 12.51 Address: Sink/basin/lavatory X / 25.02 �25./7".,-, City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax: :( ) Tub/shower/shower pan 12.51 E-mail: Urinal 25.02 CONTRACT Water closet 25.02 ,q 5yZ Water heater / 37.52 37 Business name: /-f ////' f e"' C / Water piping DWV 56.29 Address: / e l+� /W/ 14 d ui Other: 25.02 City/State/ZIP: / /��-I / i C/7Z-Z " Subtotal Phone:(974, -75,-4/6 7 Fax:( ! ) 1 Minimum permit fee: $72.50 7/ < t� �/��j;,* Plan review (25%of permit fee) CCB Lie.: / C" PlumbingLic.no.: -i�77 State surcharge(12%of permit fee) •i t 67. '71.7 Authorized signature: TOTAL PERMIT FEE f �,1 C)Print name: t� / 9jf Date: This permit application expires if a permit is not obtained wit1811 ays V� `�� t 7 �� after it has been accepted as complete. °Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU-PermitApp.doc I0/01/09 440-46161-(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- I'100' 50.03 0 to 2,000 S 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 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$1.4.5 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 0 Any new commercial building with water service 2"and Baptistry/Font greater,except systems designed and stamped by licensed Bath: -Tub/Shower -Jacuzzi/Whirlpool engineer. Car Wash: Each Stall ❑ New exterior plumbing site utilities for any complex structure Drive Thru as defined in OAR918-780-0040. Cuspidor/Water Aspirator 0 Medical gas and vacuum systems for health care facilities. Dishwasher: Commercial 0 Any multipurpose fire sprinkler system. -Domestic f ❑ Any complex structure as defined in GAR918-780-0040. Drinking Fountain Eye Wash Submit 2 sets of plans with any of the above. Floor Drain/sink: -2" 3" Isometric or Riser Diagram 4 0 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: -Lao/Bar non-food related -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 Water Extractor fees assessed for the sewer increase must be paid before the Water Closet-Toilet plumbing permit can be issued. Urinal Other Fixtures: I:UBuilding\Permits\PLMF_PermitApp.doc 08/04/2011 2 ... ... .. .......—....-- —.. ........................................•.e...arurxwwwawarouwxtwNN+aNwpwueuwtNN. u4uiarurutuaxHCbutiMNlYlitl4{FtM£NFltfil}klli Branden Taggart From: Branden Taggart Sent: Tuesday, April 26, 2022 6:22 PM To: gridlineplumbing89@gmail.com Subject: Cetera Plumbing Permit - 13221 SW 68th Pkwy Suite 460 Hi Jeff, I located your submittal for Cetera. It appears the application was misplaced as we transitioned to opening our doors to the public. We sincerely apologize. I will make this permit ready to issue for you tomorrow, and I will send you a link for online payment at that time. Have a good night. Thanks, Branden Taggart City of Tigard oo etc. Senior Permit Technician Community Development 13125 SW Hall Blvd Tigard, OR 97223 (503)713-2449 brandent©tigard-or.gov 1