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Home My WebLink AboutPLM2023-00419 • CITY OF TIGARD PLUMBING PERMIT Ill _- COMMUNITY DEVELOPMENT Permit#: PLM2023-00419 T 1 C;A R f? 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/6/2023 Parcel: 2S115AB01900 Jurisdiction: Tigard Site address: 16200 SW PACIFIC HWY G2 Project: The Joint Chiropractic Subdivision: 1994-028 PARTITION PLAT Lot: 2 Project Description: TI adding 1 lay sink and relocating 1 floor drain,1 lay sink, 1 water closet. Contractor: POWER PLUMBING CO Owner: SN PROPERTIES PARTNERSHIP PO BOX 19418 1121 SW SALMON ST PORTLAND,OR 97280 PORTLAND, OR 97205 PHONE: 503-244-1900 PHONE: FAX: 503-244-8825 FEES Quantity Description Date Amount 1 ea Floor Drain/Floor Sink/Hub 10/05/2023 $25.02 Specifics: 1 ea Primer 10/05/2023 $12.51 2 ea Sink 10/05/2023 $50.04 Type of Use: COM 1 ea Water Closet 10/05/2023 $25.02 Class of Work: ALT 1 ea Water Heater 10/05/2023 $37.52 Type of Const: 25 Misc Other Fee 10/05/2023 $25.02 Occupancy Grp: 1 12%State Surcharge- 10/05/2023 $21.02 Stories: Plumbing Total $196.15 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 Issued By: r7 — tr/i6 i, , Permittee Signature: ` < I l 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 ApplicatioRECEIVED Building Fixtures SEP 1 4 2023 City of Tigard Received (�� r Date/E3y: ! Permit No.:p L�t 5,"a`'-1(9 lig = 13125 SW Hall Blvd.,Tigard,OR 97223 ,ITY OF TIGARD Plan Review qq u0 Phone: 503.718.2439 Fax: 503.598.19 DateBy: 1Al/1 Other Permit No.. (q 3,.ex./3 .41 TIGARD Inspection Line: 503.639.4175 BUILDING DIVISION DateReady/By; Juris: sd See Page 2for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ❑New constniction 0 Demolition For special Information use checklist. Description I Qty. I Ea. I Total ®Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ❑ I-and 2-family dwelling ®Commercial/industrial SFR(2)bath 437.78 ❑Accessory building El Multi-familySFR(3)bath 500.32 CI Master builder Each additional bath/kitchen 25.02 ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB-SITE INFORMATION AND LOCATION Site utilities: Job site address: 16200 SW PACIFIC HVVY Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP:TIGARD, OR 97223 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.:G2 I Project name: 23-758 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 JOINT CHIROPRACTIC TENANT IMPROVEMENT Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ❑ PROPERTY OWNER I 0 TENANT Expansion tank 12.51 Name: Fixture/sewer cap 25.02 Floor drain/floor sink/hub 1 25.02 Address: Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 0 APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name:POWER PLUMBING CO. Medical gas(value:$ ) Page 2 Contact name: MIKE WARREN Primer 1 12.51 Roof drain(commercial) 12.51 Address: P.O. BOX 19418 Sink/basin/lavatory 2 25.02 City/State/ZIP: PORTLAND, OR 97280-9418 Solar units(potable water) 62.54 Phone:( 503-244-1900 Fax::( 5031.244-8825 Tub/shower/shower pan 12.51 E-mail:SERVICE@POWERPLUMBINGCO.COM Urinal 25.02 Water closet 1 25.02 CONTRACTOR Water heater 1 37.52 Business name:POWER PLUMBING CO. Water piping/DWV 56.29 Address:6611 SW MULTNOMAH BLVD Other: 1 25.02 WATER COOLER City/State/ZIP:PORTLAND, OR 97223 Subtotal Phone:( 503-244-1900 Fax:( 503L244-8825 Minimum permit fee: $72.50 Plan review 25%of permit fee) CCB Lie.:52378 Plumbing Lic.no.: 34-150PB ( State surcharge(12%of permit fee) Authorized signature: iletC. t1.1,4-41- ' TOTAL PERMIT FEE Print name:KRISTI BRAMWELL Date:9-14- 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. t:UBuilding\Pcrmits\PLMMU•PermitApp.doc 1ONI/09 440-4616T(10/02/COM,WEB) Plumbing Permit Application - City of Tigard Page 2 -Supplemental Information Fee Schedule: Residential+ Fire Suppression Systems: Site Utilities QtY• Fee(eu) Total Square Footage: Permit.Fee: Footing drain-la 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 Fie 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(eu); '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 nonnal 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 ❑ Any new commercial building with water service 2"and Baptistry/Font greater,except systems designed and stamped by licensed Bath: -Tub/Shower engineer. -lacuzzi/Whirlpool Car Wash: -Each Stall ❑ New exterior plumbing site utilities for any complex structure as defined in OAR918-780-0040. -Drive Thru C Aspirator ❑ Medical gas and vacuum systems for health care facilities. Cuspidor/Water Dishwasher: -Commercialirator ❑ 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. 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) Rec.Vehicle Dump Station PLEASE CALL MIKE WARREN WITH QUESTIONS 503-936-5929 Shower: -Gang -Stall Sink: -LavBar 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 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: 1:\Building\Permits\PLMF PermitApp.doc 08/04/2011 2