HomeMy WebLinkAboutPLM2024-00093 CITY OF TIGARD PLUMBING PERMIT
' . . ' COMMUNITY DEVELOPMENT Permit#: PLM2024-00093
Date Issued: 3/11/2024
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S115A601900
Jurisdiction: Tigard
Site address: 16200 SW PACIFIC HWY
Project: Tigard Town Square Subdivision: 1994-028 PARTITION PLAT Lot: 2
Project Description: 120 ft.of storm sewer line and(2)rain drain connectors.
Contractor: PMSI LLC Owner: SN PROPERTIES PARTNERSHIP
8295 NW EVERGREEN PKWY#204 1121 SW SALMON ST
HILLSBORO, OR 97124 PORTLAND, OR 97205
PHONE: 503-466-2222 PHONE:
FAX: 503-466-2211
FEES
Quantity Description Date Amount
2 ea Rain Drain Connector 03/11/2024 $37.52
Specifics: 120 If Storm Sewer 03/11/2024 $100.06
1 12%State Surcharge- 03/11/2024 $16.51
Type of Use: COM Plumbing
Class of Work: ALT
Type of Const:
Occupancy Grp:
Stories:
Total $154.09
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
Issued B Permittee Signature: C eee2 p
Call 503.649.4175 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 Applicati it ` ,i'f -� \''� --.34`
Building Fixtures 1 2024 `
IIIIIIIIII
• Received r :.7" V
City of Tigard Date/ay: a' 1[ t{ P° �"" { ',
• 13125 SW Hall Blvd.,Tigard,OR 971 I Ol 'TI ARD Plan Review
i . Phone: 503.718.2439 Fax: 503.531816DING DIVISION Date/By: Other Permit No.:
•
T I G A R D Inspection Line: 503.639.4175 Date Ready/By: ieris: fa See Page 2 for
Internet: www.tigatd-or.gov Notified/Method: i.. -i,.,),0Supplemental Information
y
, TYPE OP WOW( ,`.s. iffi' ' Dalw -
0 New construction 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(I)bath 312.70
SFR(2)bath 437.78
❑ 1-and 2-family dwelling IE Commercial/industrial
SFR(3)bath 500.32
❑Accessory building ❑Multi-family Each additional bath/kitchen 25.02
❑Master builder ❑Other: Fire sprinkler(__sq.ft.) Page 2
.1013 UTZ INFORMATION AND.LOCATION Site utilities:
�. Catch basin or area drain 18.76
Job site address: 16200 SW Pacific Hwy, Suite W 18.76
Drywell,leach line,or trench drain
City/State/ZIP: Tigard, OR 97224 Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: Project name: Tigard Town Square 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.:_) 120 Page 2 106.00
Water service(no.linear ft.:_) Page 2
Subdivision: Lot no.: Fixture or item:
Backflow preventer 31.27
Tax map/parcel no.: 12.51
Backwater valve
DESCRIPTION OF Clothes washer 25.02
120 ft of storm line, connect to existing rain drain piping. Install Dishwasher 25.02
2 new downspout nozzles. Drinking fountain 25.02
Ejectors/sump 25.02
Expansion tank 12.51
l $FTtI �kWlt� Na '.. , :.. 25.02
Fixture/sewer cap
Name: Floor drain/floor sink/hub 25.02
Address: Garbage disposal 25.02
City/State/ZIP:
Hose bib 25.02
Ice maker 12.51
Phone:, ) Fax:( ) 25.02
APPLICANT It r oN C1�� Tnterceptor/grease trap
Medical gas(value:$_) Page 2
Business name: PSI, LLC Primer 12.51
Contact name: Cindie Shatto Roof drain(commercial) 12.51
Address: 8295 NE Evergreen Pkwy, Ste 204 Sink/basin/lavatory 25.02
City/State/ZIP: Hillsboro, OR 97124 Solar units(potable water) 62.54
Phone:( 503 466-2222 Fax: :( 503 466-2211 Tub/shower/shower pan 12.51
Urinal 25.02
E-mail: cshatto C(�•msi-systemS.cOr71 Water closet 25.02
CON TRACTOR Water heater 37.52
Business name: PIVISI. t_LC Waterpiping/DWV 56.29
Address: Other: 25.02
SA-ME Subtotal 106.00
City/State/ZIP:
Minimum permit fee: $72.50
Phone:( ) Fax:( ) Plan review (25%of permit fee) 26.50
CCB Lic.: 158286 Plumbing Lie.ns.: 34.434PB State surcharge(12%of permit fee) 12.72
61,,tzitiAuthorized signature: '` / TOTALPERMiTFEE 145.22
I This permit application expires if a permit is not obtained within 180 days
Print name: Cindie Shatto I Date: 3/7/24 after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
i\Building\Perrnits\I'LMU-PernutApP.doc 10'01/09 440-4616T(10/02/COM/wEB)