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HomeMy WebLinkAboutPermit (7) III CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT Permit#: PLM2023-00299 Date Issued: 10/17/2023 T i(;A it i7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S135BA00102 Jurisdiction: Tigard Site address: 10154 SW WASHINGTON SQUARE RD Project: BioLife Plasma Subdivision: OAKBURG Lot: 9 Project Description: Site Utilities:Installation of 200 ft of sanitary sewer and 100 ft of water service. • Contractor: SAWYER&SONS CONSTRUCTION LLC Owner: PPR SQUARE TOO LLC 36206 NE WASHOUGAL RIVER RD BY MACERICH RET WASHOUGAL,WA 98671 PO BOX 4085 SANTA MONICA,CA 90411 PHONE: 360-518-8081 PHONE: FAX: FEES Quantity Description Date Amount 200 If Sanitary Sewer 09/25/2023 $100.06 Specifics: 100 If Water Service 09/25/2023 $62.54 1 Plan Review 09/25/2023 $40.65 Type of Use: COM 1 12%State Surcharge- 09/25/2023 $19.51 Class of Work: ALT Plumbing Type of Const: Occupancy Grp: Stories: Total $222.76 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. T rules are set forth ,,AR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules i •Issued By: Permittee Signature: ..„...,,z0,--72--- ___________---------- 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 Site Utilities RECEIVED FOR OFFICE USE ONLY 114 City of Tigard UL Received 1I'^`^ _ e p 13125 SW Hall Blvd..';4gard,OR 9722) ���� Date/By: Permit No.:)�lil/,7,3, 00(� tiq Phone: 503.718.2439 Fax: 503.5 98.1960 Plan Review WL/ (/ Inspection Line: 503 639.4175 Date/By. 6_ Q 2.L� j Oil Other Permit No.: tigard or.41 CITY OF TIGARD Date Ready/By: Juris RI See Page 2 for i IGARD Internet: LinW e ► IA, Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ❑New construction ❑"Demolition For special htfornration use checklist Description Addition/altera[ion/replacemcnt ❑Other: I Qty. I La. i Total 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 ElCommercial/industrial SFR(2)bath 437.78 ElAccessory building ❑ Multi-family SFR(3)bath 500.32 ❑Master builder Each additional bath/kitchen ❑Other: 25.02 Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 10154 Southwest Washington Square Road Catch basin or area drain 18.76 City/State/ZIP: Portland, OR 97223 Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.:_) ' Page 2 Suite/bldg./apt.no.: Project name:Biot ife Plasma Services Manufactured home utilities 50.03 Cross street/directions to job site: The property is bounded by SW Greenburg Manholes 18.76 Rd to the east and Southwest Washington Road to the south and west. Rain drain connector 18.76 Sanitary sewer(no.linear ft.:100) 7. Page 2 ivo,o� Storm sewer(no.linear ft.: ) Page 2 Subdivision: Water service(no.linear ft.: V) ) / Page 2 6,1 5 Y 1 Lot no.: Fixture or item: Tax map/parcel no.:1 S 13 a5 00102 Backtlow preventer - -, 31.27 r DESCRIPTION OF WORK Backwater valve 12.51 W , , ,, Installation of now6"sanitary service and new 2"water Service Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump ; 25.02 ❑ PROPERTY;OWNER f ® TENANT Expansion tank 12.51 Name:Biot_tte Plasma Services Fixture/sewer cap 25.02 Address: 10154 SW ct.;hfrTt ton Square r, .;,d Floor drain/floor sink/hub 25.02 City/State/ZIP: _� Garbage disposal 25.02 -band, o-t. 97223 Phone:( ) Hose bib 25 02 Fax:( ) Ice maker 12.51 ❑ APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name: Excei r r Medical gas(value:$ ) Page 2 Contact name: Primer 15I Address: Roof drain(commercial) 12 51 t DCtJe City/State/ZIP Sink/basin/lavatory 25 02 ' ` Solar units(potable water) 62.54 Phone:( y ) , 9�2i G 1-ax: : - ( ) Tub/shower/shower pan 12.51 1'.-mail rr -' .x-;o yyne,. cc . Urinal 25.02 j CONTRACTORWater closet 25.02 Business name Water heater 37 .52 t c E,or; r �ic�t~ ae Od tC1&1 & Water piping/DWV 56.29 Address: 100 T o yr Drive 'A-I ,0 A Other: 25.02 City/State/ZIP Beaver Dam 1. 53916 Subtotal f6 j., (,p Phone:( 92 ) 336-12 Fax: ( ) Minimum permit tee: $7250 CCB Lie.: Plumbing Lic.no.: Plan review' (25°i)of permit fee) tlU,65 Authorized signature State surcharge(12'N)of permit tee) j q, 5 j TOTAL PERMIT FEE aga, ib Print name: t ��,>i t ye x: _ This permit application rlication expires if a permit is not obtained rsithin 181)days Date:�t% _2�' after it has been accepted as complete. 'Fee methodology set by"Fri-County Building Indust') Scnice Board_ I VBuildaVPermits PLAIli-Permit App.doc 10'01/09 440-4616T(10.%02,COMilVFB) IFPlumbing Permit Application Site Utilities FOR OFFICE USE ONLY City of Tigard R CEIVE Received q 13125 SW hail Blvd..Tigard,OR 97223 Date/By: Permit No.: Phone: 503.718.2439 Fax: 503.598.1960 Plan Review Date/By Other Permit No_ TIGARD Inspection Line: 503.639.4175 Internet: \sww tigard-or eov Date Ready/By ores ® Sec Page 2 for Cri"6el b Notified/Method: Supplemental Information -tut i . TYPE OF WOI2 i Ilitt .N FEE SCHEDULE ❑New construction ❑ Demolition For special inforntanon use checklist. Description Qty. Ea. 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 ElCommercial/industrial SFR(2)bath 437.78 ❑Accessory building ❑Multi-family SFR(3)bath 500.32 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: 10154 SW Washington Square Rd Catch basin or area drain 18.76 Drywell,leach line_or trench drain I8.76 City/State/ZIP: Portland,OR 97223 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: Project name: 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 , Install new 6"sanitary service and new 2"water service Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 0 PROPERTY OWNER I 0 TENANT Expansion tank 12.51 Name: BioLife Plasma Services Fixture/sewer cap 25 02 Address: 10154 SW Washinton Sq Rd Floor drain/floor sink/hub 25.02 Garbage disposal 25 02 City/State/ZIP: Portland_OR 97223 Hose bib 25 02 Phone:( ) Fax:( ) Ice maker 12.51 El APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25 02 Business name: Excel Engineering,Inc Medical gas(value:$ ) pose 2 Primer 12.51 Contact name: Jason Daye Address: 100 Camelot Dr Roof drain(commercial) 12.51 Sink/basin/lavatory 25.02 City/State/ZIP: Eon du Lac.WI 54935 Solar units(potable water) 6254 Phone:(920 ) 926-9800 Fax: :( ) Tub/shower/shower pan 12.51 E-mail: jason.daye%aexcelengineer.com Urinal 2502 e— CONTRACTOR Water closet 25.02 Water heater 37.52 Business name: Sawyer&Sons Construction LLC Water piping/DWV 56.29 Address: 36206 NE Washougal River Rd Other: 25.02 City/State/Z113: Washougal.WA 9867I Subtotal Phone:( 360 ) 518-8081 Fax:( ) Minimum permit tee: $72.50 CCI3 Lic.: 204836 Plumbing Lic.no.: PB2696 Plan review (25" of permit lee) Authorized signature: State surcharge(12%of permit lee) ` ' TOTAL PERMIT FEE Print name: Jess Sawyer Date:10/13/23 This permit application expires if a permit is not obtained within 181)days after it has been accepted as complete. "Fee niethodolo)_y set by 1ri-County Building Industn Service Board. 1 iBiuldiii PermiisA Pt Vit-PermitApp.doe 10/01/09 440-4616T(10/02/COi5tISit n) 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' 37.522,001 to 3.600 $169.69 3.601 to 7.200 $233.20 Sewer- 1st 100' l 62.54 be.514 7,201 and greater $327.54 Sewer-each additional 100' 37.52 37 52 Water Service- 1st 100' 1 62.54 62,54 Medical Gas Systems: Water Service-each additional 100' 37.52 Storm&Rain Drain-1st 100' 62.54 valuation: Permit fee: $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$1.45 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: 162.60 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*. Quantity by Fixture Type Plan Review for PlumbingInstallations Fixture Type for Re Lace/ Work Performed: Capped Added Re ocate Plan review is required for any of the following. Baptistry/Font Please check all that apply. Bath fub/Shower ❑ Any new commercial building with water service 2"and Jacuzzi/Whirlpool greater. except systems designed and stamped by licensed Car Wash -Each Stall engineer. Drive l hru ❑ Ness exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780-0040. Dishwasher -Commercial ❑ Medical gas and vacuum systems for health care facilities. -Domestic ❑ Any multipurpose fire sprinkler system. Drinking Fountain ❑ Ans complex structure as defined in OAR918-780-0040. Eye Wash Floor Drain/sink -2'_ Submit 2 sets of plans with any of the above. -3 4` Isometric or Riser Diagram Car Wash Drain Garbage Domestic-non-food ❑ Isometric or riser diagram is required for new buildings Disposal -Domestic-food related that meet the qualifications above. -Commercial-food related -Industrial-food related Ice Mach./Rettig.Drains Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Gang -Stall Sink/Lay -Non-food related -Bradley -Commercial-food related -Service Swimming Pool Filter Washer-Clothes *Note: If the fixture work under this permit results in an Water Extractor increase of sewer EDUs,a sewer permit will be issued and Water Closet-Toilet fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fixtures: I:A Building\Permits\Pl.MU_PermitApp.doc 2 City of Tigard r COMMUNITY DEVELOPMENT DEPARTMENT 1111111 T 1 n iz D Building Permit Review — Commercial - N o Land Use AIM Building Permit #: V ,' \4,01, .pp IA Site Address: 10I54 suJ WaStriorliviN ` ,pyc F.A. Suite/Bldg#: Project Name: ?1o\\ LD/ - Site) l}r_1_i lni'le_S (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: AAA) &6 \FeU,cr d- 2" vtl CM • Existing Business Activity: & -origin (2e,ecU( I J coo- Proposed Business Activity: rkedzia0 ff;t /6Verify site address/suite# exists and active in permit system. River Terrace Neighborhood: ❑ Yes 0 No ,2 Zoning: ,M.4 C Er Permitted Use: .Yes ❑ No ❑ Spec Space 0- Confirm no land use required. /0 Business License: Exists: ❑ Yes ,'No,applicant" was provided a business license application Notes: 1AN9202S-U:20D'il V�4,a i "4 „DR rered Approved by Planning: Date: 1 I I"b,25 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Building Permit Submittal Original Submittal Date: )1/7j Site Plans: # Building Plans: ## Building Permit#: e Enter building permit#above. Workflow Routing: I 'Planning ❑ Permit Coordinator [Building Workflow Sign-off: L� ign-off for Planning(include notes from planning review) Route Application Documents: NJ Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: V> ,L' Date: i In 1.iii/3 . I:\Building\Forms\BldgPennitRvw_COM_NoL.andUse 09072022.docx Engineering Review ❑ Slope at building pad: ❑ PFI Permit#: El Conditions "Met"prior to issuance of permit ❑ Easements (encroachments)per engineering conditions of approval and plat se sical on SDR/CUP) ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: El Yes ❑ No Assess Water Quantity Fee in-lieu: El Yes ■ 1 o LIDA Facility on lot: ❑ Yes ❑ No Add Fee: El Yes El No ❑ NOT Approved by Engineering: Date Notes: Approved by Engine• ng: Date: Revisions (after : ilding Submittal only) Reviewer Date Revision 1• El Approved El Not Approved Revisit 2: ❑ Approved El Not Approved ' =vision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review El Conditions "Met"prior to issuance of permit ❑ Approved,NOT Released: Date. ❑ ENG Revisions Required: Date: Notes: ❑ SDC Exemption ❑ Applied for ❑ Rec-.ved El Does not apply ❑ Fees Entered: Wash Co Trans Dev Tax: ■ 'es ❑ N/A ❑ Deferred Tigard Trans SDC: ❑ Yes ❑ N/A ❑ Deferred Parks SDC: ❑ Yes El N/A ❑ Deferred LIDA Fe-• El Yes El N/A Date: ❑ OK to Issue/Approve. s y Permit Coordinator: Revisions (after ' ilding Submittal only) Reviewer Date Revision . ❑ Approved El Not Approved Re :.on 2: ❑ Approved El Not Approved evision 3: ❑ Approved ❑ Not Approved \Building\Fonns\BldgPennitRvw_COM NoLandUse_08162022.docx