HomeMy WebLinkAboutPLM2024-00069 CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2024-00069
Date Issued: 2/23/2024
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S1156A02500
Jurisdiction: Tigard
Site address: 16200 SW PACIFIC HWY W2
Project: Tigard Pet Supply Subdivision: 2004-015 PARTITION PLAT Lot: 1
Project Description: Plumbing for TI: Relocating(3)non-food related sinks and(2)toilets.
Contractor: MODERN PLUMBING Owner: SN PROPERTIES PARTNERSHIP
11120 SW INDUSTRIAL WAY 1121 SW SALMON ST
TUALATIN, OR 97062 PORTLAND, OR 97205
PHONE: 503-691-6166 PHONE:
FAX: 503-691-6771
FEES
Quantity Description Date Amount
3 ea Sink 02/23/2024 $75.06
Specifics: 2 ea Water Closet 02/23/2024 $50.04
1 12%State Surcharge- 02/23/2024 $15.01
Type of Use: COM Plumbing
Class of Work: ALT
Type of Const:
Occupancy Grp:
Stories:
Total $140.11
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: (fr -
Permittee Signature: Q C � 1.�'7
Call 5 .639.4175 by 7:00 a.m.for the next available inspection date. 666
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 ApplicatioR EC E I V E
Building Fixtures FEB /�
Ci of Tigard " °- 2 2024 Received / y Pe //� L
e 13125 SW Hall Blvd,Tigard,OR 9722f / Datday: / "( /` t �l [J�
Phone: 503.718.2439 Fax: 503.59 .�960 f OF TIGARD Date/By:
Plan Review
lit% Other Permit No.:
P IJILDING DIVISION Date Rs
Inspection Line 503.639.4175 Date Read/B orris: ®See Page 2 for
I Ii,',ill) � Y Y� B
Internet: www.tigard-or.gov Notified/Mcthod "__t 4t'� ? Supplemental Information
. TYPE OF WORK ue"°i c tseFw SCHEDULE
❑New construction ❑Demolition For special information use checklist
Description ] 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
0 I-and 2-family dwelling IACommercial/industrial SFR(2)bath 437.78
SFR(3)bath 500.32
0 Accessory building 0 Multi-family
Each additional bath/kitchen 25,02
0 Master builder 0 Other: Fire sprinkler(_sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address:16200 SW Pacific Hy, Suites W&W2 Catch basin or arcs drain 18.76
Drywell,leach line,or trench drain 18.76
City/State/ZIP: Tigard, OR 97224
Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: I Project name:Tigard Pet Supply 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 It: ) Page 2
Water service(no.linear ft.: ) Page 2
Subdivision: I Lot no.: Fixture or Item:
Backflow preventer 31.27
Tax map/parcel no.:
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 25.02
Rough in and set fixtures per plans and specs.Remove fixtures in both bathrooms
Dishwasher 25.02
and to preserve toilets for future work. Plumbing will tie into existing hot and cold water Drinking fountain 25.02
lines within some. Ejectors/sump 25.02
.
❑ PROPERTY OWNER I ❑ TENANT Expansion tank 12.51
Name: Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address: 16200 SW Pacific Hwy,Suite W&W2 Garbage disposal 25.02
City/State/ZIP: Tigard,OR 97224 Hose bib 25.02
Phone:( ) Fax:( ) Ice maker 12.51
0 APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02
Business name: Medical gas(value:$ ) Page 2
Primer 12.51
Contact name:
Roof drain(commercial) 12.51
Address: Sink/basin/lavatory 3 25.02
City/State/ZIP: Solar units(potable water) 62.54
Phone:( ) Fax::( ) Tub/shower/shower pan 12.51
E-mail: Urinal 25.02
Water closet Z, 25.02
CONTRACTOR
Water heater 37.52
Business name: Modem Plumbing Company Water pipingfDWV 56.29
Address: 11120 SW Industrial Way,#9-3 Other: 25.02
City/State/'LIP: Tualatin,OR 97062 Subtotal
Phone:(503 ) 691-6166 Fax:(503 )691-6771 Minimum permit fee: $72.50
CCB Lie.: 87906 Plu ing Lic.no.:34-250PB Plan review (25%of permit fee)
State surcharge(12%of permit fee)
-
Authorized signature: TOTAL PERMIT FEE
Print name: �✓" Date: permit is not obtained within 180 days
Jennie Lee ♦////11/a� I 2/22/2024 This permit application expires if a after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board
I:\Building\Permits 1PLMti•PcmtitApp doe 10/01,09 440-4616T(10/02/COM/WEBI
Plumbing Permit Application - City of Tigard
Page 2-Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Site Utilities Qey. Fee(ea) Total Square Footage: Permit Fee:
Footing drain-I"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 Fee:
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 Fee(e*) Total each additional S 100.00 or fraction thereof,to
p and including$10,000.00.
Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first S 10,000.00 and$1.54 for
which no fee is specifically indicated 90.00/hr each additional S100.00 or fraction thereof,to
(minimum charge-1/2 hour) and including$25,000.00.
Inspections outside of normal business 90.00/hr S25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for
hours(minimum charge-2 hours) each additional S 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-in hour) each additional S100.00 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.
-Jacuzzi/Whirlpool
Car Wash: -Each Stall ❑ New exterior plumbing site utilities for any complex structure
as defined in OAR918-780-0040.
-Drive Thru
Aspirator 0 Medical gas and vacuum systems for health care facilities.
Dishwasher:Cuspidor/Water-Commercial al 0 Any multipurpose fire sprinkler system.
Commer 0 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" 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 Comments regarding fixture work:
Oil Separator(Gas Station)
Rec.Vehicle Dump Station
Shower: -Gang
-Stall
Sink: -Lav/Bar non-food related 3
-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 Z plumbing permit can be issued.
Urinal
Other Fixtures:
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