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Permit (3) CITY OF TIGARD PLUMBING PERMIT t , COMMUNITY DEVELOPMENT Permit#: PLM2020-00162 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/20/2020 TI(;;\R - 9 Parcel: 1S135BD00100 Jurisdiction: Tigard Site address: 9600 SW OAK ST Project: Atrium West 4th Floor Common Area Subdivision: ASHBROOK FARM Lot: 5 Project Description: Replace(4)existing lays with new lays and faucets. Contractor: JAMES ROOD PLUMBING INC Owner: PLAZA WEST OWNER LLC 125 S 1ST AVE#542 BY CHIEF FINANCIAL OFFICER HILLSBORO, OR 97123 680 FIFTH AVE 20TH FL NEW YORK, NY 10019 PHONE: 503-547-0491 PHONE: FAX: 503-547-0492 FEES Quantity Description Date Amount 4 ea Sink 04/20/2020 $100.08 Specifics: 1 12%State Surcharge- 04/20/2020 $12.01 Plumbing Type of Use: COM Class of Work: ALT Type of Const: Occupancy Grp: Stories: Total $112.09 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 or direct questions to OUNC by calling 503.232.1987 o r 1.800.332.2344. Issued By: .L OT,r/ .75,‘".17-.__ :<.,.c. Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection date. ll// 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. .e at i . v 'Plumbine Permit Appli ile . z __ Building Fixtures APR 1 4 2020 City of TigardEl �,; RGe1YCd LI / 7/Zee © Pr min N GIy�1,2.O Q�/b 13125 SW Hall Blvd.,Tigard,OR TY OF .�aARD Datr1BY: �ING DIVISION Plan Review thherPermit No.: Phone: SOJ.718.2439 Fax 503. Date/By: Inspection Line: 503.639.4175 Date Ready/By: him: I 0 See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supptmasatal lefermaWa TYPE OF WORK FEE` SCHEDULE New construction 0 Demolition For special information use checklist. _� Description I Qty. I Ea. I Total fAddition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(I)bath 312.70 ❑ I-and 2-family dwelling IE Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building 0 Multi-family Each additional bath kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler(_sq.ft.) Page 2 JOH SITE INFORMATION AND LOCATION Site utilities: Job site address: 9�0Q S aa5( s.[ Catch basin or area drain 18.76 / " Drywell,leach line,or trench drain 18.76 I City/State/ZIP: 7-i5 ( 0 v Footing drain(no.linear ft.:_) Page 2 Suite/bldglapt.no.: Project name: f /i agp if lt06lh. Manufactured horn utilities 50.03 Cross street/directions to job site: � Wi Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Stone sewer(no.linear ft.: Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: I Lot no.: Pignut.or Item: Tax map/parcel no.: Backflow preventer 31.27 . Backwater valve 12.51 DESCRIPTION OF WORK Clothes washer 25.02 a p/a.c4 9 tiiS hs ia.v$ V/ aJ Si ) Dishwasher 25.02 11- •tµµG fieS .__. Drinking fountain 25.02 Ejectors/sump 25.02 0 PROPERTY OWNER -1 0 TENANT Expansion tank 12.51 Fixture/sewer cap 25.02 Name: Floor drain/floor sink/hub 25.02 Address: Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 CI 4M4N4Alfr ,❑ CONLAcr?IISRiOM Interceptor/grease trap 25.02 Medical gas(value:S ) Page 2 Business name: Primer 12.51 Contact name: Roof drain(commercial) 12.51 Address: Si oust 4/ _ 25.02 Ai ,Dge City/State/ZIP: Solar units le water) 62.54 Phone:( ) Fax::( ` ) Tub/shower/shower pan 12.51 E-mail,./vbe _pituDivti l�"P i fta 4-j 4 A' _ Urinal - 25.02 Water closet 25.02 Ff _ Water heater 37.52 Business name: J jw.s Riot pls4.0 VJ I j Ziv , Water piping/DWV 56.29 Address: l2 S S. if t etA.. #Sy'1- Other 25.02 City/State/ZIP:A mix b taw r- 9?1 23 Subtotal /Op, ®J 'lime:(3X0T ) sty,- 4 !- corgi Minimum permit fee: 572.50 y Plan review (25%of permit fee) CCB Lie.: ika.70) Plumbing Lic.no.: I` /a State surcharge(12%of permit fee) a/ Authorized signature: TOTAL PERMIT FEE /y?,d 5 This permit application expires If a permit it not obtained within 11ta days Print name: �'� Abe Detetf�/�� after it has been accepted as complete. 'Fee methodology set by TriCourny Building Industry Service Board, I^Building`Pemoia\PLMU-PermtApp.doc IQUI Xn 440-1616Tk 1a/abCOMM'EB) Y Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee(ea) Total Square Footage: ) :Pew Footing drain-1"100' 50.03 0 to 2,000 S 121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 SI69.69 3,601 to 7,200 S233.20 Sewer-1,t I Ot)' 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 $100 to$5,000.00 Minimum fee S72.50 Storm&Rain Drain-each additional 100' 37.52 55,001.00 to$10,000.00 $72.50 for the first 55,000.00 and$1.52 for Other Inspections or Fees Qty' Fee(W Tsai each additional S 100.00 or fraction thereof,to and including S10,000.00. Inspection of existing plumbing or for 510,001.00 to S25,000.00 $148.50 for the first S10,000.00 and 51.54 for which no fee is specifically indicated 90.00/hr each additional S 100.00 or fraction thereof,to (minimum charge-1/2 hour) and including S25,000.00. Inspections outside of normal business 90.00/hr S25,001.00 to$50,000.00 $379.50 for the first 525,000.00 and$1.45 for hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr and including 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 (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 Quaatlty 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 Re1Oeita ❑ 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 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" Isometric or Riser Diagram - - ❑ 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 -Con nercialfood related -Industrial food related Ice Mach./Refrig.Drains Comments regarding fixture work: oil Separator(Gas Station) ep/&c4 CXrs /4,(4,s Rec.Vehicle Dump Station h w . / V Shower: -Gang ��M� -Stall ---- Sink: -Lav/Bar non-food related -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 Waa a Ea-Clothes fees assessed for the sewer increase must be paid before the Water Closet-Toilet plumbing permit can be issued. Urinal Other Fixtures: 1:\Building\Permits\PLMF PermitApp.doc 08/04/2011 2