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HomeMy WebLinkAboutPermit (25) CITY OF TIGARD PLUMBING PERMIT 1114 COMMUNITY DEVELOPMENT Permit#: PLM2023-00404 Date Issued: 9/14/2023 T f GAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S112DB00401 Jurisdiction: Tigard Site address: 7319 SW KABLE LN 500 Project: QCD Portland Subdivision:HERN PACIFIC TIGARD INDUSTRIAL Lot: 4 Project Description: Fixtures for TI: relocate (1)sink, (1)hub drain,(1)primer;install(2)drinking fountains. Contractor: ALWAYS FAITHFUL PLUMBING LLC Owner: PACIFIC REALTY ASSOCIATES LP PO BOX 757 ATTN: N PIVEN WILSONVILLE, OR 97070 15350 SE SEQUOIA PKWY#300 PORTLAND, OR 97224 PHONE: 503-780-9486 PHONE: FAX: FEES Quantity Description Date Amount 2 ea Drinking Fountain 09/14/2023 $50.04 Specifics: 1 ea Floor Drain/Floor Sink/Hub 09/14/2023 $25.02 ea Primer 09/14/2023 $12.51 Type of Use: COM 1 ea Sink 09/14/2023 $25.02 Class of Work: ALT 1 12%State Surcharge- 09/14/2023 $13.51 Type of Const: Plumbing Occupancy Grp: Stories: Total $126.10 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: i' Permittee Signature: /� ' ! "At. *+� 4 �I' t 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. Building Fixtures RECEIVED FOR OFFICE USE ONLY City of Tigard SEP 1 3 2023 Date/By: atRece By: 1 /3 3 �J P ,.0�2,- bO f-Q4 ■ 13125 SW Hall Blvd.,Tigard,OR 97223 Date By: ✓ lC t • Plan Review + : C Phone: 503.718.2439 Fax: 503.598.1e�/OF TIGARD Date/By: °i1 a�3 0030 TIGARD Inspection Line: 503.639.4175 Date ReadyBy. runs ® See Page 2 for Internet: wwtiv.tigard-or.gov 3UILDING DIVISION Notifiedr'Method: sy �,y-�j,� Supplemental Information TYPE OF WORK Evrr4 r I ror Ca E* SCHEDULE For s da!information use checklist ae f New construction ❑ Demolition Description I Qty. I Ea. I Total ®Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ❑ 1-and 2-family dwelling ®Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 7319 SW KABLE LANE Catch basin or area drain 18.76 City/State/ZIP: TIGARD, OREGON 92774 Drywell,leach line,or trench drain 18.76 Footing dram(no.linear ft.. ) Page 2 Suite/bldg./apt.no.: 500 I Project name: QCD 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 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 relocate 1 sink and 1 hub drain 1 primer Dishwasher 25.02 install 2 new drinking fountains Drinking fountain 2 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER 0 TENANT Expansion tank 12.51 Name: Pacific Realty Fixture/sewer cap 25.02 Floor drain/floor sink/hub 1 25.02 Address: 6650 SW Redwood Ln Ste 290 - Garbage disposal 25.02 City/State/ZIP: Portland/ OR/ 97224 Hose bib 25.02 Phone:(503)624-6300 Fax:( ) Ice maker 12.51 ® APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name:Always Faithful Plumbing Medical gas(value:$_) Page 2 Primer 1 12.51 Contact name:Corey Chamberlain Roof drain(commercial) 12.51 Address: PO Box 757 Sink/basin/lavatory ], 25.02 City/State/ZIP:Wilsonville OR 97070 Solar units(potable water) 62.54 Phone:(503)780-9486 Fax::( ) Tub/shower/shower pan 12.51 E-mail:alwaysfaithfulplumbing@yahoo.con Urinal 25.02 . , .- ., Water closet 25.02 CONTRACTOR --- - Waterheater 37.52 Business name: Always Faithful Plumbing Water piping/DWV 56.29 Address: PO Box 757 Other: 25.02 City/State/ZIP: Wilsonville, OR 97070 Subtotal Phone:(503)780-9486 Fax:( ) Minimum permit fee: $72.50 CCB Lic.: 217284 Plumbing Lic.no.:PB194 0 Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: �_.:._- TOTAL PERMIT FEE Print name:Corey Chamberlain Date: 9/13/23 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. 1:1Building\Penn itslPLMI}PermiiApp.doc 10/01/09 4404616T(10/02/COM/WEB) I 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-Is'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 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 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 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. 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 Baptistry Font El 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 tall as defined in OAR918-780-0040. ThrElCuspidor/Water Aspirator Medical gas and vacuum systems for health care facilities. Dishwasher: -Commercial ❑ Any multipurpose fire sprinkler system. Domestic El Any complex structure as defined in OAR918-780-0040. Drinking Fountain 2 Eye Wash Submit 2 sets of plans with any of the above. Floor Drain/sink: -2" 1 3" Isometric 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) relocate 2" hub drain Rec.Vehicle Dump Station relocate 1 sink Shower: -Gang add 2 drinking fountains -Stall Sink: -Lay/Bar non-food related 1 -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 fees assessed for the sewer increase must be paid before the Water Extractor Water Closet-Toilet plumbing permit can be issued. Urinal Other Fixtures: L:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2 - Accumulative Sewer Tally "lenant Name: QCD Portland SWR# TIGARD Site.Address: 7319 SW Kable#500 PLM# 2023-00041 Parcel #: 2S112DB00401 Fixture Previous Previous Credits Capped Fixture Fixture New New # value count capped#s value count added# added value total#s total values Baptisery/Font 4 0 0 0 0 0 Bath: -Tub/Shower 4 0 0 0 0 0 -Jacuzzi/Whirlpool 4 0 0 0 0 0 Car Wash: -Each Stall 6 0 0 0 0 0 -Drive through 16 0 0 0 0 0 Cuspidor/Water Aspirator 1 0 0 0 0 0 Dishwasher: -Commercial 4 0 0 0 0 0 -Domestic 2 0 0 0 0 0 Drinking Fountain 1 0 0 2 2 2 2 lye Wash 1 0 0 0 0 0 Floor Drain/Sink: -2 inch 2 0 0 0 0 0 -3inch 5 0 0 0 0 0 -4 inch 6 0 0 0 0 0 • Car Wash 6 0 0 0 0 0 Garbage Disposal: -Domestic(to 3/4 HP) 16 0 0 0 0 0 -Commercial(to 5 III)) 32 0 0 0 0 0 -Industrial(over 5 IIP) 42 0 0 0 0 0 Ice Machine/Refrigerator Drain 1 0 0 0 0 0 Living Unit 16 0 0 0 0 0 Oil Sep(Gas Station) 6 0 0 0 0 0 Rec.Vehicle Dump station 16 0 0 0 0 0 Shower: -Gang(per head) 1 0 0 0 0 0 -Stall 2 0 0 0 0 0 Sink: -Lay/liar-Non-loud Related 2 0 0 0 0 0 -Bradley 5 0 0 0 0 0 -Com/Serv/Uul-Food Related 3 0 0 0 0 0 Swimming Pool Filter 1 0 0 0 0 0 Washer-Clothes 6 0 0 0 0 0 Water Extractor 6 0 0 0 0 0 Water Closet-Toilet 6 0 0 0 0 0 Urinal 6 0 0 0 0 0 Previous Nl)U Count 0 0 Capped EDU Credit 0 TOI AI,S 0 0 0 0 2 2 2 2 Current Fixture Value 2 divided by 16= 0.125 Current IiDU 1 EDU= $6,824.00 Previous Fixture Value 0 divided by 16= 0.000 Previous I'DU Change 2 divided by 16= 0.125 over (under) S 887.12 Enter EDU Change Here 0.130 * "Round F:Dlls to the nearest 1/100th: a count ending in.005 shall be rounded up to.01,and a count ending in.014 or less shall be rounded down to.01. Notes: Authorized Name/Signature: Joe Bailey FAT 2763 Date: 9/14/2023 Building Division Note: The property owner shall retain the ORIGINAL sewer tally record. If credits exist,this document will serve as a voucher which must be submitted to the City of Tigard Building Division to redeem credits towards future system development charges. I:A Building\Sewer Tally\SewerTallyShect_6625_07(1122.xlsx