Permit CITY OF TIGARD111
PLUMBING PERMIT
n COMMUNITY DEVELOPMENT !IS Permit PLUMBING
PLM2022-00205
Date Issued: 7/18/2022
TiGARO 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 1ir
Parcel: 1 S1260000300
Jurisdiction: Tigard
Site address: 9665 SW WASHINGTON SQUARE RD CO2
Project: Spec Space Subdivision: None Lot: None
Project Description: Landlord work prior to TI. 10/4/22: REPRINTED permit for change of contractor to Columbia Allied Services.
Contractor: COLUMBIA ALLIED SERVICES INC Owner: PPR WASHINGTON SQUARE LLC
1315 SE GRACE AVE SUITE 130 BY MACERICH RET
BATTLE GROUND, WA 98604 PO BOX 4085
SANTA MONICA, CA 90411
PHONE: 360-256-1024 PHONE:
FAX:
FEES
Quantity Description Date Amount
1 ea Drinking Fountain 06/27/2022 $25.02
Specifics: 1 ea Expansion Tank 06/27/2022 $12.51
1 ea Floor Drain/Floor Sink/Hub 06/27/2022 $25.02
Type of Use: COM 1 ea Hose Bib 06/27/2022 $25.02
Class of Work: ALT 1 ea Primer 06/27/2022 $12.51
Type of Const: 1 ea Sink 06/27/2022 $25.02
Occupancy Grp: 1 ea Water Closet 06/27/2022 $25.02
Stories: 1 ea Water Heater 06/27/2022 $37.52
25 Misc Other Fee 06/27/2022 $25.02
1 Plan Review 06/27/2022 $53.17
1 12%State Surcharge- 06/27/2022 $25.52
Plumbing
45 Misc Administration Fee 10/04/2022 $45.00
Total $336.35
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:
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.
CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2022-00205
Date Issued: 7/18/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9665 SW WASHINGTON SQUARE RD CO2
Project: Aritzia Subdivision: None Lot: None
Project Description: Plumbing for new tenant.
Contractor: RAZORBLADE PLUMBING LLC Owner: PPR WASHINGTON SQUARE LLC
18045 SE MAIN ST BY MACERICH RET
PORTLAND, OR 97233 PO BOX 4085
SANTA MONICA, CA 90411
PHONE: 503-550-6280 PHONE:
FAX:
FEES
Quantity Description Date Amount
1 ea Drinking Fountain 06/27/2022 $25.02
Specifics: 1 ea Expansion Tank 06/27/2022 $12.51
1 ea Floor Drain/Floor Sink/Hub 06/27/2022 $25.02
Type of Use: COM 1 ea Hose Bib 06/27/2022 $25.02
Class of Work: ALT 1 ea Primer 06/27/2022 $12.51
Type of Const: 1 ea Sink 06/27/2022 $25.02
Occupancy Grp: 1 ea Water Closet 06/27/2022 $25.02
Stories: 1 ea Water Heater 06/27/2022 $37.52
25 Misc Other Fee 06/27/2022 $25.02
1 Plan Review 06/27/2022 $53.17
1 12%State Surcharge- 06/27/2022 $25.52
Plumbing
Total $291.35
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy f the rules
Issued By: Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Plumbing Permit Applica ••
Building•
Fixtures ' CEr E FOR OFFICE USE ONLY
2 2022
Cl of Tigard JUN Received y
g DateBy: �_/. 4G_ P. .t . -,2,(})-.2--0ii2oS`
• 13125 SW Hall Blvd.,Tigard,OR 97223
il
e Plan Review
Phone: 503.718.2439 Fax: 503.59$.b�OOF TIGAHL Date/By: 6-/3-2c 22 iJ ' #e ,Z.2 -(JUUS y
TIGARD Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready/By: . Juris ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: SupplementalInformation
1" t3 �'u Wt'IRI Ns� FEE* SC1:EDULE
TYP `
❑New construction ❑Demolition For special information use checklist.
Description Qty. Ea. Total
I., Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
5 E ' CATEdoRY q Ci*Sill t�>tt�l ,s x • 4� SFR 1 bath 312.70
❑ 1-and 2-family dwelling ® 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
i.. i w tsro t`'1( i IQI � AT A� ,l• Site utilities:
Job site address:4a5$6 SW Washington Square Rd Catch basin or area drain 18.76
Drywell,leach line,or trench drain 18.76
City/State/ZIP: Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.:CO2 1 Project name: Akr,,71-2 [ei Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.:_) Page 2
Storm sewer(no.linear ft.:_) Page 2
Water service(no.linear ft.:_) Page 2
Subdivision: I Lot no.: Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
- 1 h,% 'yy 'y N +I Backwater valve 12.51
�, . ..-.� - .41 Clothes washer 25.02
PLUMBING WORK FOR NEW TENANT
Dishwasher 25.02
Drinking fountain 1 25.02 25 ,0 Z
Ejectors/sump 25.02
] .
�,r,v.. �04,0Y oW1 'i 1 i„s<�F „,,,. �1 1, ,q Expansion tank 12.51 (2 r s I
Name:Macerich
Fixture/sewer cap 25.02
Floor drain/floor sink/hub 1 25.02 as,02
Address:11411 N Tatum Blvd Garbage disposal 25.02
City/State/ZIP:Phoenix, AZ 85028 Hose bib 1 25.02 25,OA
Phone:( ) Fax:( ) Ice maker 12.51
® 3,PPLICANT ,t x i +I UNTAGT PERS0;N Interceptor/grease trap 25.02
Business name:FASTER PERMITS Medical gas(value:$ ) Page 2
Primer I 12.51 /2,S I
Contact name:NATHAN ARNOLD
Roof drain(commercial) 12.51
Address:2000 SW 1st Ave Suite 420 Sink/basin/lavatory 1 25.02 25,02
City/State/ZIP:Portland, OR 97201 Solar units(potable water) 62.54
Phone:( )503-438-8113 Fax::( ) Tub/shower/shower pan 12.51
E-mail:nathan@fasterpermits.com Urinal 25.02
E= CONTRACTOR. z i° ,..- E Water closet 1 25.02 .`Z$•0 2
. , }�,.iz.... .- .. . Water heater 1 37.52
Business name:**TO BID** �P- /f 1,. 37`S 2
/""� b��� / C.J �/�J Water piping/DWV 56.29
Address: J(, 2 5 5,G p 1 / Other: T MV ►vi%X%n, V c.(s- ( 25.02 .25.0 2
City/State/ZIP: ,4jy Jj /i.J( 17)33 Subtotal ,t 11.6.6
Phone: ' �'
(a? ) � Fax:( ) Minimum permit fee: $72.50
lv Plan review (25%of permit fee) S3•1i
CCB Lic.: Plumbing Lic.no.:
State surcharge(12%of permit fee) S,5j
Authorized signature: G_ TOTAL PERMIT FEE .tqi,3C�
Print name:Nathan Hold Date:05/25/22 This permit application expires if a permit is not obtained within 180 days
after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
1:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB)
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression
Systems:ms:
9,0 : .,»ef,e , $ , Fee:
... •'�x1 �,:3�... •.'.
Footing drain-1st 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
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
�t1tIrxYistlo> s or ...x ...: ,,::'W11'1'40;t0(W14:01#11:;11F
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
accurately report fixtures could result in increased sewer fees*. Pl .n„Revieffor PlumbingInstalIgiouA.
Quantity by Fixture Type Plan review is required for any of the following.
Fixture Type for <t Replace/ Please check all that apply.
Work Performed: Capped Added : Relocate
Baptistry/Font ❑ Any new commercial building with water service 2"and
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 ❑ Medical gas and vacuum systems for health care facilities.
Dishwasher -Commercial ❑ 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"
3" 1 Isometr..ie..or;Riser Diagram
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
-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: -Lav/Bar non-food related j
-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 E plumbing permit can be issued.
Urinal
Other Fixtures:
I:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2