Permit (193) CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT
Ill
Permit#: PLM2018-00318
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/28/2018
f ;A O Parcel: 1 S135BD00100
Jurisdiction: Tigard
Site address: 9600 SW OAK ST 380
Project: PrimePay Subdivision: ASHBROOK FARM Lot: 5
Project Description: Replace existing fixtures:(1)dishwasher and(1)break room sink.
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
1 ea Dishwasher 06/28/2018 $25.02
Specifics: 1 ea Sink 06/28/2018 $25.02
1 12%State Surcharge- 06/28/2018 $8.70
Type of Use: COM Plumbing
Class of Work: ALT 22 ea Minimum Fee Adjustment- 06/28/2018 $22.46
Plumbing
Type of Const:
Occupancy Grp:
Stories:
Total $81.20
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 or 1.800.332.2344.
1
Issued .
9 r /f --' Permittee Signature: /Y� ,6 / j-7�
/4
L C
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 Applic G
Building Fixtures FOR OFFICE 1.SF OM
City of Tigard 1 U N 2 6 2018 m Received d i-- i-y
Pormit N.. 2^
1111 .1 13125 SW Hall Blvd.,Tigard,OR k9722y,3r} Plan Rev r ,� �Y'fa�-��� ,
Phone: 503 718.2439 Fax. F 14601. °' C4-1.A i I) t e'BY Other m' -
t d A i t) Inspection Line 503.639.442A p 11"x-! ' rhe Rem�B;/ G una ®See P e Z to
Internet Www ugard»o[g ,,,61 L. 6v D J yi P A v 1o(ifiedlMetholfj r rO Sopplemmhl lntormaGon
�&3.'i4'+t Y + k i'rJF. 19. 4 @y{ry;,1�,'�` - $ dj ¢
1 t r,Jrit t"+'0" ,1410 1 e Li
1 t �i."�.n Eiliiy rh� � 9 �F3y�r S�� 5#+.� tl�' ,,,;.-Vv_z�.^1�`��,..,n+ A z tl .
��:.x..�..»...a.a�+�_#tv .:iU..._�.,.: � _. ......a,r«��,,, 'Asv<:- -..m :�'e�..��Fts..� � ,, _
❑New construction 0 Demolition For special information use checklist
Description I Qty. j Eu. I Total
tip Addition/alteration/replacementt. 1 ❑Other: : New I-2-family dwellings(includes 100 ft.for each utility connection)
1 p kn SRai,fti.0 SFR(I)bath 312.70
D 1-and 2-family dwelling gr CommerciaVindustrial 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
""r,v. a1Nl*:IV* e. . ,,lia. `t=' 'logy `lat.`�,7 Site utilities:
Job site address: 016o 0 c t J oatCatch basin or area drain 18.76
Drywall,leach line,or trench drain 18.76
City/State/ZIP: r
Ti�0-� � Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.:31S0 I Project name: Piila,e y 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
F w at if1d. "aiNat-g)a 8 F ' a gi "rk
_Backwater valve 12.51
Clothes washer 25.02
,jets Gh po Iv*.S 114 - " oe4+C(y, �vDishwasher j 25.02
07,03"
Di11 i .00 �S& b Ili
40 iteAd Drinking fountain 25.02
ri0 14,ik Ejectors/sump 25.02
. , ., fik*Atft* 140 s410 . 4101. 18 Expansion lank 1251
Name: Fixture/sewer cap 25.02
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
;r' tiSO NTiti ltni ,.. . W_ ° Interceptor/grease trap 25.02
JBusiness name: Medical gas(value:$_) Page 2
Primer 12.51
Contact name: Roof drain(commercial) 12.51
Address: Sink/basin/lavatory , 25.02 �,OZ
City/State/ZIP: Solar units(potable water) 62.54
Phone:( ) Fax::( i) Tub/shower/shower pan 12.51
•
E-mail: . Urinal 25.02
F :; t '4;.;e,' nni!.A . 1=�r M .7ri r ` �.d:1„";, " iia. .,., Water
el°set 25.02
_ Water heater 37.52
Business name:J�,40.Zg $%10-/ . ,4k ;:tribC. Water piping/DWV 56.29
Address: 1 y,5 S /ft a w;r Syz- ' Other 25.02
City/State/ZIP: i'��A pray 0 Q7/P-2 Subtotal
Phone:(spa)Sli? -6 VI/ Fax:(SA)3107-a 99 2_.- Minimum permit fee $72.50
8',X..1
Plan review(25%of permit fee)
CCB Lic.: l UtX�O / Plumbing Lic.no.:Pit s 0 State surcharge(12%of permit fee)
Authorized signature: ,.,.--: ‘,......4 TOTAL PERMIT FEE ei, o
Print name: t4 gj Date: - 40This permit application expires If a permit is not obtained within ISO days
after it has been aeeepted as complete.
t'Fee methodology sd by Tri-County Building Industry Service Board.
\Buiiding1PmnitsiPLMU-P4mritdpp.doc 10/01/09 440-4616T(10/07/COM/WEB) •
. Plumbing Permit Application-City of Tigard
Page 2-Supplemental Information
Fee Schedule: y�,�� Residential Fire Suppression Systems:
.may .ii .�{ y '✓ '� � !R„'"t yy (r�ahF g. ..�; f�&" �9e?f�Lzr
� y � T* �'��r"��,' �...rt�.� .�i. 5�'��`'��,��,,,4�-"�,...;^s...m: .liyC�� _ .- ��k_�t��;�"s�,'de'4 �..'d��;G;ibP.� '�'.u ,
Footing drain-I'100' 50.03 0 to 2,000 $121.90
Footing drain-each additional 100' / 37.51 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`1 y ,' • 'o m
. wrtStorm&Rain Dein-1st 100' 62.54 $ rt
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
ii10 ^I'. v S-d` 1,741 lA'.i, ? . ('. each additional$100.00 or fraction thereof,to
�l 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-I/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 90.001,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*.
i S t Ukitity bs l tx{ar-Viipe C ;'4r'° :V:”i'l''''':',7:171.Toritirilial'R' at
Fixturexype'iRri c' ilt Plan review is required for anyof the following.
WAr1:k4ifurttie'(1' , Gpypitt r' d±: 1!!!!'ta that $•
Please check all 1
BaptistrylFom . . •,.".., apply.
Bath -Tub/Shower 0 Any new commercial building with water service 2"and
-Jacuzzi/Whirlpoolgreater,except systems designed and stamped by licensed
Car Wash -Each Stall engineer.
-Drive Thm 0 New exterior plumbing site utilities for any complex structure
Cuspidor/Water Aspirator as defined in OAR918-780-0040.
Dishwasher -C mmercial I if 0 Medical gas and vacuum systems for health care facilities.
aet� 0 Any multipurpose fire sprinkler system.
Drinking Fountain 0 Any complex structure as defined in OAR918.780-0040.
Eye Wash
Floor Drain/sink -2" Submit 2 sets of plans with any of the above.
•
-��r!"ipL4Krss {{ tt�� �;yr-r, k+ % 'i i }n 'h -S
ui; it '�'J I c.. , l;,a ,.}..... -•�Q YAtSn i�i 55+1 5 '.`iJ•
Car wash Drain 0 Isometric or riser diagram is required for new buildings
Garbage -Domestic-non-food gr eq
Disposal -Domestic-food related - that meet the qualifications above.
-Commercial-food related
-Industrial-food related
Ice Mach./Refrig.Drains
Oil Separator(Gas Station) Comments regarding fixture work,
Rec.Vehicle Dump Station IN:Jac-01 jhtahis 1v- $t t,,,C Y iitr h'S
Shower -Gang
-Stall Lc,C.A`Citah, plate ryrli.mvA44.t--
Sink/Lav -Non-food related I ele;sviil , (•er`bi pl. / r✓'o Q,.detS
-Bradley ()lir- Ctly*S
-Commercial-food related
•
-Service
Swimming Pool Filter *Note: If the fixture work under this permit results in an
Washer-Clothes
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:
C:\UsersljimiDownloadsWPLMF PermitApp(25).doc 2
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9600 SW OAK ST 380, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Plumbing PLM2018-00318
Inspection Type: Inspector:
399 Plumbing final Don Sylvester
Result:
PASS - NoCofO
Comments:
1 . Replace existing fixtures- approved
Violation Summary:
Inspector Contractor