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Permit (9)
CITY OF TIGARD PLUMBING PERMIT a COMMUNITY DEVELOPMENT Permit#: PLM2023-00156 Date Issued: 5/1/2023 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1 S1 260000300 Jurisdiction: Tigard Site address: 9532 SW WASHINGTON SQUARE RD H11 Project: Psycho Bunny Subdivision: None Lot: None Project Description: Interior plumbing for TI: Replacing(2)sinks,(1)clothes washer,and(1)water closet; Installing(1)backflow preventer,(1)expansion tank,and(1)water heater. Contractor: MODERN PLUMBING Owner: PPR WASHINGTON SQUARE LLC 11120 SW INDUSTRIAL WAY BY MACERICH RET TUALATIN, OR 97062 PO BOX 4085 SANTA MONICA, CA 90411 PHONE: 503-691-6166 PHONE: FAX: 503-691-6771 FEES Quantity Description Date Amount 1 ea Backflow Preventer 04/27/2023 $31.27 Specifics: 1 ea Clothes Washer 04/27/2023 $25.02 1 ea Expansion Tank 04/27/2023 $12.51 Type of Use: COM 2 ea Sink 04/27/2023 $50.04 Class of Work: ALT 1 ea Water Closet 04/27/2023 $25.02 Type of Const: 1 ea Water Heater 04/27/2023 $37.52 Occupancy Grp: 1 12%State Surcharge- 04/27/2023 $21.77 Stories: Plumbing Total $203.15 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 r 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 Application q/3-4-3 Building Fixtures 711111111111111121111=1111111111111 City of Tigard 11/ telBY: 1 1:7/7 J ,T-Permit No.: irr.9c .r3 SIC)i>� ceived ,. a 13125 SW Hall Blvd.,Tigard,OR 972 n Review / I"a^ / V I Phone: 503.718.2439 Fax: 503.598. Date/By: /j Other Permit No.:/79_/S,i}j°p,�3..c�f(('� I WIRE-) Inspection Line: 503 639.4175 Date Ready/Hy I L tuns See PagePa 2`�for r Internet: www.tigard-or.gov APR 5 0 3 Notified/Method (f 7✓� / Supplemental information �,�.� - -�. a i�+ . s. _ L� „ „ "sue# ewd � �.:� are ) 1 r'�� w n.-„..._ „. O New construction 0 De 'MI 1 RI For special Information use checklist lJ DIVISION Description Qty. I Ea. I Total Addition/alteration/replacement 0 6���'��" D\/S'� t p y g (includesutility connection) r. New 1-iotamp dwellings 100 ft.for each CATEGORY-OF(NgTitticinOI , - � a, , SFR(1)bath 312.70 ❑ 1-and 2-family dwelling Commercial/in r SFR(2)bath 437.78 1 t t SFR(3)bath 500.32 O Accessory building ❑Multi-family 01,11 0/ Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 .- JOB �u.:, Site utilities.b � . SITE;�1xMA� N AND LSJi��;�i Job site address; .S 2.,. S(� smash lr t • rc�l Catch basin or area drain 18.76 U Drywell,leach line,or trench drain 18.76 City/State/ZIP: g,T-LA' C 2 `"7 _ - g drain( lir ft: ) Pa Suite/bldg./apt.no.:FI,j I ( Project name: /j.,- / .„_+,y_.1 Manufactured home utilities 50.03 Cross street/directions to job site: 1671 �"V'� t/7 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: ] Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer I 31.27 3,f al .a.. '��a 11 P v � '!'. Backwater valve 12.51 e Ld 1 ibIkQ,' 1F�SCR1Fi1[#ItI or W€RIC i 1 .` 25.02 ^r� Clothes washer �� ] 2S,CZ pctiaxt DPI^,-I J•-) Ovhd -- 1)(74-_S S _Dishwasher 25.02 S+ Drinking fountain 25.02 I rzyZJI w Ejectors/sump 25.02 r- �m: H ire e: > Expansion tank 1^2.� �i PROP irVR � -_ 1 12.S1 pi,w v! ., . .. � . r tin�', 1 Name: Fixture/sewer cap 25.02 at) i .-. Address: Floor drain/floor sink/hub 25.02 �1 " , 25.02 1w Garbage disposal ii p I y' City/State/ZIP: Hose bib 25.02 Phone:( ) Fax ( ) Ice maker 12.51 it W PAPPLICAN`I i,fa,lih Y❑'CONTACT„poloist Interceptor/grease trap 25.02 Medical gas(value:$_) Page 2 Business name: Primer 12.51 Contact name: Roof drain(commercial) 12.51 Address: Sink/basin/lavatory (k't0P!LAY at 25.02 5b,0� City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax::( ) Tub/shower/shower pan 12.51 Urinal 25.02 E-mail: closet 25 02 a „.: . ,lily'; 4 ,_= ?I'LlI WA '' A mfl . . ''v- Water ate + 37.52 31.5� .Wu, �, .'. .w Water heater � a Business name:.otit�rr, et Ji,',,I Waterpiping/DWV 56.29 l L 1 '-D 4L?is E r v Lu Other: 25.02 Address: +--�^^ k i }� - ✓ City/State/ZIP: LCA lt..±0-1 12_ 9`-/Ocp Subtotal , p �' l• )i r / 1 Minimum permit fee: $72. Phone: .Lota,1 (Ql (nte Fax:(e3 tt1 Q) 1 11 - r-i I . -*�. Plan review (25%of permit fee) CCB Lic.:, "'T b Plumbing Lie no.: s�+ State surcharge(12%ofpermit fee) ak{,`)�) )-I")7 Authorized signature: L.,_rm TOTAL PERMIT FEE ( ? )'a tlfr 7.I 2L, �r,e l ygri /ke Date:y S � . This permit application expires if a permit is not obtained withthI88 days Print name: 7"1r`.�s!'� a�'. after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board, 1:1BuildingtPer,oit>\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) c Ai() e' 7teejr , Plumbing Permit Application - City of Tigard Page 2-Supplemental Information Fee Schedule: Residential Fire Suppression S stems ilti, r 42ty P. row care .. + Pe .' .. ima it Footing drain-1"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 1 ' ��alutltinln� ��n"... � '�er� ' ` � '_ 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 S5,000.00 and$1.52 for k y '��?? each additional$100.00 or fraction thereof,to etvt3t . .. °�Ni k ',; 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 fcc 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*. Plai .R.e 4w or: itAin':bitig.Iistaliations -' Quentitt by Fixture Type Plan review is required for any of the following. Fixture Type for -- ':aReplace Please check all that apply. Work Perfortrtedt Capped Added Relocate ❑ Any new commercial building with water service 2"and Baptistry/Font greater,except systems designed and stamped by licensed Bath: -Tub/Shower engineer. -Jacuzzi/Whirlpool ❑ New exterior plumbing site utilities for any complex structure Car Wash: -Each Stall ------ as defined in OAR918-780-0040. -Drive Thru Cuspidor/Water 0 Medical gas and vacuum systems for health care facilities. .Cuspidor/Water Aspirator-Commercial ❑ Any multipurpose fire sprinkler system. DDomestic CI 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., Isometric or Riser Pia i 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 C�o]mmentss regarding fixture work: Oil Separator(Gas Station) n O Sb -i- /'] g t ' .k. 1 L s 0E 1( Rec.Vehicle Dump Station Shower: -Gang -Stall Sink: -Lav/Bar non-food related I -Bradley Com/Serv/Util food related _ -Service .., I *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 I- fees assessed for the sewer increase must be paid before the Water Extractor Water Closet-Toilet ( plumbing permit can be issued. Urinal Other Fixtures: I:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2 Branden Taggart From: Branden Taggart Sent: Tuesday, April 25, 2023 11:25 AM To: Belinda Barmore Subject: Status of Psycho Bunny and Starbucks Permits Hi Belinda, We received your emails regarding the status of the Psycho Bunny and Starbucks permits. It looks like these applications were emailed on April 5. We process application within 1-3 weeks, and we are approaching three weeks due to our current work load. After looking at the application, I have the following questions regarding the Psycho Bunny and Starbucks submittals: • Psycho Bunny: There are (2) sinks listed on the application, but only(1) sink on the back page. Which is correct? Also,you have (1)floor dain/floor sink/hub listed on the front of the application, but nothing listed in the Commercial Fixture Work section. Please confirm. • Starbucks: It appears the scope of work is for replacing (5)floor drains. There were (2) sinks listed with drains, but the floor drains and sinks are listed together on the application. Please confirm. Once I receive a reply back, I will try and make these permits ready to issue by the end of the day on Thursday. Thank you, Branden Taggart v City of Tigard ■n•, Senior Permit Technician Community Development 13125 SW Hall Blvd Tigard, OR 97223 (503)718-2449 brandent©tigard-or,gov 1