Permit r ,.•4
. CITY OF TIGARD PLUMBING PERMIT
. IS : COMMUNITY DEVELOPMENT Permit #: PLM2009-00206
T t GAR.D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 07/28/2009
Parcel: 2S101 DA00102
Jurisdiction: Tigard
Site address: 13221 SW 68TH PKWY 100
Subdivision: TRIANGLE CORPORATE PARK Lot: 2
Project: Spec Space
Project Description: Demo (2) sinks and (1) steam table.
Owner: FEES
GK TRIANGLE CORPORATE PARK III L Quantity Description Date Amount
BB# 73- 1771- GK1130, CBRE, PO BOX 2096
WARREN, MI 48090 3 ea Fixture /Sewer Cap 07/28/2009 $49.80
PHONE: 1 12% State Surcharge - 07/28/2009 $8.70
Plumbing
23 ea Minimum Fee Adjustment - 07/28/2009 $22.70
Contractor: Plumbing
JAMES ROOD PLUMBING INC •
880 NE 25TH AVE SUITE 2, PMB 129
HILLSBORO, OR 97124
PHONE: 503 -648 -3907
FAX: 503- 681 -2196
Type of Use: COM
Class of Work: ALT 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
Utili • . . 01 '. - nter. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
• direct questions to • . N • • • a .246.6699 or 1.800.332.2344.
7 .--- C -- . ,_
Issued By: / 4 , / ' Permittee Signature: / I „ill
/
Call 503.639.4175 by 7:00 a.m. for an inspection that busines ■ ay.
This permit card shall be kept in a conspicuous place on the job si - . completion of the project.
Approved plans are required on the job site at the time of each inspection.
-i
1 FROM JAMES ROOD PLUMBING FAX NO. : 503 6483907 Jul. 23 2009 02:06PM P1
Plumbing Permit Appli V.
Building Fixtures ; p
01( till l( t; l tit' ON I.1
City of Tigard JUL 2 3 2009 Received n ,
111
• 13125 SW Hall Blvd., Tigard, OR 97223 / A . Permit No.: )_
Phone: 503,639.4171 Fax: 5 i�r' TIGARD Plan Review .����91>aXJ
Tic ,\ h Inspection Line: 503.639.417 Date/BY: other Puma No.:
Internet www.tigard-or.gov DIVISION Do:Ready/By: ,uric 6J see Page 2 for
Notified/Method:
TYPE OF WORK SuPPkmental information
❑ New construction
FEE* SCHEDULE
Demolition For special Lrfonrtatlon use checklist
❑ Addition /alteration/replacement 0 Other: I t . Fa Total
New I.2-famlly dwell (includes 100 ft. for cacti utility
CATEGORY OF CONSTRUCTION cOnnuXion)
SFR (1) bath 2490 0
[] 1- and 2- family dwelling V Commercial/industrial SFR (2) bath
350
❑ Accessory building _ 350,00
❑ Multi family
SFR ( bath 399.00
Each additional bath/kitchen 45.00
❑ Master builder ❑Other
JOB SITE INFORMATION AND LOCATION • Fin sprinkler ( sq. ft) Page 2
Site utilities
Job site address; di
.. 7 argemini
Catch basin or area drain 16.60
City /StatelZlP: P y.ti -Cr. 9 2a.3 Dr leach line, or trench drain
9 16.60
Suite/bldg./apt. no,: Project name: /r-r. �r. �� / Footing drain (nn. linear ft.: ) Page 2
Cross street/dircctions to job site: u. Manufactured home utilities 110.00
Manholes 16.60
Rain drain connector 16.60
Sanitary sewer ( no linear R: _____, ) Page 2
Storm sewer (no. linear ft.: __) Page 2
Subdivision: Water service
Lot no.: (no. linear ft.: _.) Page 2
Tax map /parcel no.: Fixture or item
DESCRIPTION OF WORK
valve 16.60
_Dv Backflow pre venter Page 2
t-°J _Backwater valve age 16.60 2
Clothes washer - 16.60 -
Dishwasher 111.11 16.60
, 11111
0 PROPERTY OWNER 1 CI TENANT Drinking fountain 16:60
III
Name:
Ejectors/sump 16.60 60
Address: Expansion tank ! 6,
City /State/7.IP: Fixture/sewer cap 16.60 � �r
Phony. ( )
• Floor drain/floor sink/hub 16.60 NMI
Fax ( ) Garbage disposal 16.60
❑ APPLICANT [J CONTACT PERSON Hose bib
16.60
Business name: ice maker
16.60
Contact name; Interceptor /grease trap 16.60
Address: Medical gas (value: $ )
61111111:031
City/StatefZ[p: 16,60
Roof drain (commercial) 16.60
Phone: ( ) Fax :: ( ) Sutk/basitlllavatory
l - 16.60.
E-mail 'rub/shower/shower / p 16.60
536.25
CONTRACTOR Urinal
16 -
Business name. ie I T� Water closet 16.60 r
/� w v Water b
Adds • R 1 1.
City/State/ZIP: - t Other. eakr 16.60
�+y _ ���
sr r .0 V f • Phone: ( .3) 'r Subtotal Emm
y �� ' Mu' u m permit fee: $72.50
v le Residential bacldluw minimum permit Dec 4,.." n
Pltunbing Lic. no.: '� 55', P (pt'
A zed s / r tan review (25% of potmit fee)
Print name: WAIF_ - State surcharge (I2% of permit five) L • 70
.1•. Date: 4j This
TOTAL AL it is PERMIT FEB �� �
ATM] permit a expires if a permit is not attained within
Ys after it has been accepted as complete.
=� FROM JAMES ROOD PLUMBING FAX NO. : 503 6483907 Jul. 23 2009 02:07PM P2
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Site Utilities ' Qt. Fee (Ea) Total Square Footage: Permit Fee:
Footing drain - 1" 100' 55.00 0 to 2,000 $115.00
Footing drain -each additional 100' 46.40 2,001 to 3,600 $160.00
sewer. 1st 100' SS.oa 3.601 to 7,200 $220.00
7,201 and greater $309.00
Sewer - each additional 100' 46.40
Water Service -1st 100' _ 55.00 Medical Gas Systems:
Water Service - each additional 100' 46.40
storm a !fain Drain - 1st 100' 55,00 Valuation: Permit Fee:
Storm & !tale Drain -tech additional 100' - $1.00 to $5,000.00 Minimum fee $72.50
46,40 $5,001.00 to $10,000.00 $72.50 for the first $5,000,00 and $1.52 for each
FiXtlitll a Or Item Qty. Fee (ea) Total additional $100.00 or fraction thereof, to and
Commercial Back Flow Preverion Device 46.40 including $10,000.00.
$!0,001.00 to 525,000.00 $148.50 for the first 510,000.00 and $1.54 for
Residential 13avkflow Prevention Device
additional $100.00 or fraction thcteof; to
(minimum permit foe $3625) 27.55 _ and including 525,000.00.
Rain Drain, single family dwelling 65.25 525,001.00 to 550,000.00 5379.50 for the first $25,000.00 and 51.45 for
Inspection of existing plumbing or --' each additional $100.00 or fraction thereof, to
_specially requested inspections .1?� ]mom 72.50 and includia� 550,000.00.
�s
Subtotal: $50,001.00 and up $742.00 for the rust $50,000.00 and $120 for
each additional $100.00 or fraction thereof.
Commercial Fixture Work: Plan Review for Plu Installations
"y e s ",
Are you capping, adding or replacing fixtures? If
Plan review is required for any of the following.
please indicate work performed by fixture. Failure to Please check all that apply.
accurate report fixtures could result in increased sewer fees *. 0 Any new commercial building with water service 2" and
(tiantity bylFrstnre) Work Performed greater, except systems designed and stamped by licensed
Fixture Type: Replace engineer.
Proviaaa Ca Ad E>as,
ded l„e ❑ New exterior plumbing site utilities for any complex structure
BoPUStry/Func as defined in OA1t918- 7$() 0040.
Bath -Tub /Shower ❑ Medll.
-Jacua hVhirlpool gas and vacuum systems for health care facilities.
Car Wash - h Stall 0 Any multipurpose fire sprinkler system.
- Drive TM, ❑ Any complex structure as defined in OAR918- 780.0040.
Cuspidor/Water Aspirator ---
Dishwasher -Commercial Submit 2 sets of plans with any of the above.
-Domestic
D finking Fountain Isometric or Riser Diagram
Eye wash O Isometric or rise[ die
F gmn is requited for new buildings
Floor Drain /sink - 2°
- 3" that meet the quali$ cations above.
- 4"
Car Wash Drain —
Garbage - Domestic
Disposal - Commercial Comments regarding fixture work:
-Industrial 1 — —�p � a � Sin Cs
1 = Mach✓ltefiig Drains "—' /
Oil Scparator(Gas Station) — _J L. — r�TP�.1r1 `T
Rec. Vehicle Dump Station
Shower -G
-Stall
Sink - Bar/lavatory -- -
- Bradley -- *Note. If the fixture work under this permit results ia an
commercial a% increase of sewer VDUs, a sewer permit will be issued and
service
Swimming of Filter fees assessed for the sewer increase must be paid before the
Washer Clothes ‘ . _ plumbing permit can be issued.
W Enactor
Water C1os t - Toilet ----_—
Urinal