HomeMy WebLinkAboutPLM2024-00505 (2) CITY OF TIGARD PLUMBING PERMIT
IN11, ', COMMUNITY DEVELOPMENT Permit#: PLM2024-00505
Date Issued: 3/12/2025
T I G ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 ' Parcel: 2S115AB01900
gyams Jurisdiction: Tigard
Site address: 16200 SW PACIFIC HWY F
Project: Consumer Cellular Subdivision: 1994-028 PARTITION PLAT Lot: 2
Project Description: Interior plumbing for TI: Capping(1)sink and(1)water closet;Adding(1)drinking fountain,(1)3"floor drain,(3)
sinks,and(1)water closet; Installing(1)water heater and water piping.3/25/25: REPRINTED to include 18 ft.of
sanitary sewer.
Contractor: DEVELOPMENT NORTHWEST INC Owner: SN PROPERTIES PARTNERSHIP
1075 W HISTORIC COLUMBIA RIVER HWY 1121 SW SALMON ST
TROUTDALE, OR 97060 PORTLAND, OR 97205
PHONE: 503-667-1781 PHONE:
FAX: 503-667-9891
FEES
Quantity Description Date Amount
1 ea Drinking Fountain 03/12/2025 $25.02
Specifics: 2 ea Fixture/Sewer Cap 03/12/2025 $50.04
1 ea Floor Drain/Floor Sink/Hub 03/12/2025 $25.02
Type of Use: COM 3 ea Sink 03/12/2025 $75.06
Class of Work: ALT 1 ea Water Piping/DWV 03/12/2025 $56.29
Type of Const: 1 ea Water Closet 03/12/2025 $25.02
Occupancy Grp: 1 ea Water Heater 03/12/2025 $37.52
Stories: 1 12%State Surcharge 03/12/2025 $35.28
Plumbing
18 If Sanitary Sewer 03/25/2025 $62.54
8 12%State Surcharge- 03/25/2025 $7.50
Plumbing(manual)
0 12%State Surcharge- 03/25/2025 $8.40
Plumbing
Total $407.69
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: Permittee Signature:
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 ApplicatiRECE VED
Building Fixtures Cr �� r(>Iz t>rricr rSE t)N1.1
1 Received /�/� /,
City of Tigard Date/By: I 1 W V�.Ai9 Permit No.:Q1M W 14. t(�
WS
IN ■ 13125 SW Hall Blvd.,Tigard,OR 9t4Ty OF T'GARD Plan Review II Phone: 503.718.2439 Fax: 503
03�e L��f�'
tr ,` DIVISION Date/By:
Other Permit No.:�YkJ D U 14 OU 3c
3
Inspection Line: 503.639.4175
I I( AR )
Date Ready/By: `` I/i .11 1,'lis See Page 2 for
Internet: www.tigard-or.gov 1 otified/Method:1�h�I W Ir1 '((' Supplemental Information
TYPE OF WORK 1 '1./ I ,, . ... * ,*`1,
,1,
Par,0 New construction 0 Demo r S• i 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)
CATE R`Y OF' NSTIW CC CT(3N1 SFR(1)bath 312.70
❑ 1-and 2-family dwelling 0 Commercial/ind ,•. SFR(2)bath 437.78
, n d 7 4 -•. SFR(3)bath 500.32
ElAccessory building 0 Multi-family 1
Each additional bath/kitchen 25.02
❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND;LOCA i ` Site utilities:
Job site address: 16200 SW Pacific Hwy Suite F
Catch basin or area 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: Consumer Cellular Manufactured home utilities 50.03
Cross street/directions to job site: SW Durham Road Manholes S`!! 18.76
Rain drain connectoyYj D 18.76
Sanitary sewer(no.linear ft.: Pi) 1 Page 2 4tA_5471
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.: 2s 115AB01900 Backflow preventer •
31.27
DE$ ON pi;'S�11 K Backwater valve 12.51
�ri.. "... � t Clothes washer 25.02
Remove restroom for office Dishwasher 25.02
l,/�I 11 Ut Q fo y I Umbi n j forII . pp Drinking fountain 1 25.02 ZS,61,
Ejectors/sump 25.02
0 PROPERTY,"OWNER " , r Expansion tank _ 12.51
Name: Consumer Cellular Fixture/sewer cap 'Z 25.02 S6 84
Floor drain/floor sink/hub 1 25.02 tS,QZ
Address: 12447 SW 69th Ave
Garbage disposal 25.02
City/State/ZIP: Tigard OR Hose bib 25.02
Phone:(815) 910 -2568 Fax:( ) Ice maker 12.51
APPucAN1;' CONTACT "' N' Interceptor/grease trap 25.02
Business name: CPG Medical gas(value:$ ) Page 2
Primer 12.51
Contact name: Roxanne Berlien Roof drain(commercial) 12.51
Address: 12 Turnberry Dr Sink/basin/lavatory 3 25.02 1S.O6
City/State/ZIP: coto de caza CA 92679 Solar units(potable water) 62.54
Phone:( 310) 407-9789 Fax::( ) Tub/shower/shower pan 12.51
E-mail: roxanneb@commercialpermitgroup.com1, ilt1W Urinal 25.02
�11 �'wkna closet 1 25.02 'LS.02.
CONTRACTOR; 4• ;
Vv1 1 f q� 11 '4bG'nter heater 1 37.52 31.S 2
Businessname: ry`I O�IIl1�V[ ut.) Wit C�Ut� I�Iu tAnG� Waterpiping/DWV , 56.29
u" P ` f 0' y� J Sb.29
Address: tO-S SitY« Ativyko i M.UAl vit i Other: i 25.02
City/State/ZIP:"rol lltiale, i nz q16 J Subtotal Z(13A1
Phone:(\ 3) 661.`1 gl Fax:( ) /1 I1 1% Minimum permit fee: $72.50
!' ` Plan review (25%of permit fee)
CCB Lic.: t t//l U It,i, umbing Lic.no.:1(0-%'1A a State surcharge(12%of permit fee) 35.13
Authorized signature: TOTAL PERMIT FEE 11,(4 ,tiS
Print name: Date: 3/11/25 This permit application expires if a permit is not obtained within 180 days
Roxann Berlien after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
I:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) 7/75 s-. Gol4
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Sus 'ression S stems:
Footing drain 1"100' 50.03 ,0 to ,000. :, $121.90
Footing drain-each additional 100' 37.52 2,001 to 3;61 i'; $169.69
3,601 to 7,200 $233.20
Sewer-1st 100' / 62.54 e 7,201 and ea er $327.54
Sewer-each additional 100' 37.52
Water Service-1st 100' 62.54 Medical Gas S stems:
Water Service-each additional 100' 37.52 mot
;i
Storm&Rain Drain-1st 100' 62.54
t to$5,000.00 Minimum fee$72.50
Storm&Rain Drain each additional 100' 37.52 € •y t 1.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for
each additional$100.00 or fraction thereof,to
as :1 , ' ,444 g- ,.c ., ..., and including$10,000.00.
Inspection of existing plumbing or for I ,01.00 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 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 90.00/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: I GrtYll
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*. V r ��
Plan review is required for any of the following.
,Ftitstre typeter ^.6 Please check all that apply.
WV I ormed; 1 ❑ 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
Stall El New exterior plumbing site utilities for any complex structure
Car Wash: -Each as defined in OAR918-780-0040.
Drive Thr
Cuspidor/Water Aspirator 0 Medical gas and vacuum systems for health care facilities.
Dishwasher: Commercial ❑ Any multipurpose fire sprinkler system.
Domestic El Any complex structure as defined in OAR918-780-0040.
Drinking Fountain 1
Eye Wash Submit 2 sets of plans with any of the above.
Floor Drain/sink: -2"
4" O Isometric or riser diagram is required for new buildings
-Car Wash Drain
Garbage Domestic non-food that meet the I ualifications above.
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: -Lay/Bar non-food related 1 2
-Bradley
-Com/Serv/Util food related
-Service 1 *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 1 1 plumbing permit can be issued.
Urinal
Other Fixtures:
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