Loading...
Permit lig CITY OF TIGARD BUILDING PERMIT COMMUNITY DEVELOPMENT Permit#: PLM2022-00472 Date Issued: 12/7/2022 Tr CARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S109ACO2500 Jurisdiction: Tigard Site address: 13001 SW BULL MOUNTAIN RD Project: City of Tigard-ASR#3 Subdivision: 2000-086 PARTITION PLAT Lot: 2 Project Description: Add(6)floor/trench drains,(1)sink,and(1)eyewash in water treatment building. Contractor: II S MECHANICAL INC Owner: TIGARD, CITY OF PO BOX 639 13125 SW HALL BLVD STAYTON, OR 97383 TIGARD, OR 97223 PHONE: 503-769-3738 PHONE: FAX: 503-769-4374 Specifics: FEES Description Date Amount • Type of Use: COM Class of Work: NEW Type of Const: Floor Drain/Floor Sink/Hub 11/30/2022 $150.12 Sink 11/30/2022 $50.04 Occupancy Grp: Occupancy Load: 12%State Surcharge-Plumbing 11/30/2022 $24.02 Dwelling Units: Stories: Height: ft Bedrooms: Bathrooms: Value: Floor Areas: Total Area: Accessory Struct: Basement: Carport: Covered Porch: Deck: Garage: Mezzanine: Total $224.18 Required: Required Items and Reports(Conditions) Fire Sprinkler: Parapet: Fire Alarm: Protected Corridors: Smoke Detectors: Manual Pull Stations: Accessible Parking: 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 or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. (---z„, Issued By: , , ,_ i �l i ��� Permittee Signature:r Call 503.639.4175 by 7:00 a.m.for the next available inspecty/.../.., ate. 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 ApplicatioiRECEIVED Building Fixtures OCT 20 2022 City of Tigard Received !-/� 7111 • 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: (V a V V Penn 6,:M -��f¢'j1 t ■ ' Phone: 503.718.2439 Fax: 503.598 ,�TY OF TIGARD Mai'Review Other Permit No. �,/• Inspection Line: 503 639.4175 BUILDING DIVISION°a u'BY. a _aVa 3I T IG,IRI7 Internet: www.[igard-or.gov Dave Ready/Ily:, p 1 !,m'. ® Sec Page2for Notlfed/Meihol� t rZ-. S smell 2I nformation TYPE OF WORK Mtt ./ � New construction ❑Demolition For special Information use checklist. Description I Q . I Ea. j Total 0 Addition/alteration/replacement ❑Other: New I-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ❑ 1-and 2-family dwelling 04 Commercial/industrial SFR(2)bath _ 437.78 ❑Accessory building SFR(3)bath 500.32 ❑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: '300` Stk.) " Catch basin or area drain 18,76 DrywcCity/Slate/ZIP: lip�d DQ q-22 l{ Footing 1,leach line,or trench drain 18.76 2 �Q�^` i� l GL n Footing drain(no.linear ft.: ) Page t Suite/bldg./apt.no.: Project name:1 14rd ASg2 tj5 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 IL:,) Page 2 Subdivision: I Lot no.: Fixture er Item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 Fl are el ra l►max . �-r��"h�1, d1iV) r Dishwasher 25.02 iyiti11na_9� 1h ti }r.r- rea.l;Yyl Y►4- Drinking fountain 25.02 __-. i�t�1 Ejectors/suing 25.02 PROPERT OWNER 0 TENANT Expansion tank 12.51 Name: ©(-. I pia Fixture/sewer cap 25.02 Address: red Floor drain/floor sink/hub 25.02 150.12 City/State/ZIP: Garbage disposal 25.02 ----- Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name: r5 t / e .',I C .' A Medical gas(value:$ ) Page 2 PContact name: !/ !Q!! - t L-.�,��cy�-'�K/ Roofeimer 12.51 Address: co 0 x !D9 111L.7fe Y�.e� sin(cmmercial) 12.51 Sink/basin/lavatory I 25.02 25.OZ City/State/ZIP: r-'�c�'�1 3 - Solar units(potable water) 62.54 Phone:(51:13) 7/04, 373 g'' Fax::( ) Tub/shower/shower pan 12.51 1-mail: ine s5 cha.25 imen/`Caf2. corn Urinal 25.02 CONTRACTOR Water closet 25.02 Water healer 37.52 Business name: .C.+Sf i `e ApeI i Ca a„�� a-] �-sns 1 Water piping/DWV 56?9 Address: Other: II 25.02 Zse OZ City/Slate/ZIP: Subtotal Zm,/0 Phone:( ) Fax:( ) Minimum permit fee: $72.50 CCB Lie.: ' 1..+'y69l1„ Q Plumbing Lic.no.: Plan review (25%of permit fee) -,��- State surcharge(12%of permit lee) viol Authorized signature: /F6'7w�1•o . 2 'Ie ram] A )- / TOTAL PERMIT PEE 2 Print name: e/1 SM. �7�t0�'Xe^S Date: iD/INZL This permit application expires Ira permit Is not obtained within 180 days !---"'777 alter it has been accepted as complete. "Fee methodology set by Tri-County Building Industry Service Board, l.\n°ilding`PermilxlPLMU-Permit Apndoe IWO VW 4411-4615T(101112/COM/WEn) 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' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001to3,600 $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 $L00 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 S5,000.00 and$1.52 for Other Inspections or Fees Qty. Fee(ea) Total each additional$100,00 or fraction thereof,to P 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 nu fee is specifically indicated 90.00/4 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 Rcinspcction Fees 90.00/hr and including S50,000.00. 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 l ntiuiuwm 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 BaptisnylFont 0 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 Statl 0 New exterior plumbing site utilities for any complex structure Drive Thu 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. Domes c 0 Any complex structure as defined in OAR918-780-0040. Drinking Fountain Eyc Wash i Submit 2 sets of plans with any of the above. Floor Drain/sink: -2" 4 Isometric or Riser Diagram 0 Isometric or riser diagram is required for new buildings -Car Wash Drain Garbage -Domestic non-food that meet the qualifications above. Disposal: -Domestic food related -Commercial food related -Industrial food related Ice Mach,/Refrig.Drains Comments regardingfixture work: Oil Separator(Gas Station) . 19 CDe- U Rec.Vehicle Dump Station Shower: -Gang -Stall Sink: -Lav/Bar non-food related -Bradley -Com/ServlUtil food related -Service *Note: If the fixture work under this permit results in an Swimming Pool Filler 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 plumbing permit can be issued. Urinal Other Fixtures: [:\Building\Permits\PLMF_PermitApp,doc 08/04/2011 2