Permit CITY OF TIGARD PLUMBING PERMIT
2 • COMMUNITY DEVELOPMENT Permit #: PLM2012 -00050
T 1 GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/08/2012
Parcel: 1S134AA01800
Jurisdiction: Tigard
Site address: 10120 SW NIMBUS AVE C3 •
Project: Spec Space Subdivision: IKOLL BUSINESS CENTER, TIGARD Lot: 2
Project Description: Interior plumbing.
Contractor: BEAVERTON PLUMBING INC Owner: HANSON, RONALD D
13980 SW TV HWY ROBINSON, CONSTANCE A
BEAVERTON, OR 97005 ROBINSON, CHESTER TRUST ET AL
203604 EAST FINLEY RD
KENNEWICK, WA 99331
PHONE: 503 -643 -7619 PHONE:
FAX: 503 -643 -7620
FEES
Quantity Description Date Amount
1 ea Garbage Disposal 03/07/2012 $25.02
Specifics: 1 ea Sink 03/07/2012 $25.02
1 12% State Surcharge - 03/07/2012 $8.70
Type of Use: COM Plumbing
Class of Work: ALT 22 ea Minimum Fee Adjustment - 03/07/2012 $22.46
Plumbing
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
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
or direct q ions to 0 by ca . 503.232.1987 or 1.800.332.2344.
Issued y: 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 Application
Building Fixtures ``��j 1:()I: rn is l:: I !..:1: 0.:(.\ `
City of Tigard s qa. Da>� : 3R PamitHo.: .
13125 SW Hull Blvd.,'I'igard, OR 9 � L. ��� -• 6 - SO
Plan Phone: 503,718.2439 Fax 503.598.1960 Dm/By: : OtherPexmitNo.:
Inspection Line: MP S I�GP;�� a a R r See Pag 2 for
Internet "
rn wwa
7. nfied/Method
O �►\. c • 1 ��o Snpplomenral iotormatlon
�barrr..'. , xF.. : , r �t�,. . ` \V ''.?'- "� �;)c. .. . • :b :� : : � H. ��:l� :'5 • . �' '�" �p+! 4 '� . : !:• ' - ' •` � . "`..'�% y'•.i�r' :;7ii-
❑ New construction "7:'...
n�� Far special irrlorrnad on use e
Description qty E u I 'Total
® Addition/altcrafion/replacemen Other. : : Y New 100 ft. fur nett[ ,C� 2-family dwellings
,.;.... :� :.. ... - :..,.. :,... :;�.: :.. „� :. ...,. .:.. (1) bath
❑ 1- and 2-Family dwelling ® Commercial/industrial SI1t (2) bath 437.78
❑ Accessory building ❑ Multi - family SFR (3) bath 500.32
❑ Master builder
Each additional bath/kitchen 25.02 ..•.
,
❑ Other: hire sprinkler (_, sq. R) Page 2
:
`., arts u6'litiea•
Job site address: 10120 SW NIMBUS Catch basin or area drain 18.76
City /Statell.TP: TIGARD, OREGON 97223 S' Dryac4 leach line, or trench drain 18.76
Footing drain (no. linear ft.; _____) Page 2
Su itelbldgfaspt. no.; C -3 I Project name: SC'ROI S CNTR Manufactured home utilities 50.03
Cross tittroct/directions to job site: Manholes 18,76
Rain drain connector 18.76
Sanitary sewer (no. linear R: ) Page 2 -
Storm sewer (no. linear R: ) Page 2
Water service (no. linear ft.: ) L Page 2
Subdivision: Lot no.:
_ _ Fixture or item:
Tux mup/patecl no.: Rack - low prevcntcr 31.27
w
:r:: w: • fi
. r, ,f f y- v. Backwater valve 12.51 .Vis • : "�".: '. Clothes washer 25.02
INSTALL A NEW BREAK ROOM SINK AND GARBAGE DISPOSAL _` Dishwasher 25.02
(finking tbuntain 25.02 �-
Ejectors/sump 25.02
.1 ' #:0 r ` t : :• nr. ^,V, •'r4:° A '.'' ! Expansion tank 12.51
Name: SCROI.I.S BUSINESS CENTER F /sewer cup 25.02
Address:
~ Holy drain/floor sink/hub 25.02
Garbage disposal 1 25.02 25, 01
City /State/Z1Pt Hone bib 25.02
Phone: ( ) Fax: ( ) Ice maker 12.51
:i4i :. . 441- A ` r A <' :iii k•. Intetoeptor/grcesc trap 25.02
Business name: BEAVERTON PLUMBING, INC Medical gas (value: $ ) Page 2 `
Contact name: CASEY T Rimer 12.51
Roof drain (commercial) 12.51
Address: 13980 SW TTTAI.ATIN VALLEY HWY
Sink/basin/lavatory 1 25.02 DJ_
City /State/L1P: BEAVERTON, OREGON 97005 Solar units (potable water) 62.54
Phone: (503) 643.7619 I Fax : (503) 643.7620 Tub /shower /shower pan 12.51
E -mail; Suerajbeavertonpdumhing,com Urinal 25.02
:, : ,.,. . :. , l :. ' �" Water closet 25.6'i
� . : .;:. v' ' .... ' . .' �. l . ? . ` .K,VLA'�.�f! \Ul.'ft1.1R�•'. �. J .''.'. hY'" . .(�. J
. . • , . '. -:. ... Water heater 37.52
Business name: BEAVERTON PLUMBING, INC
Water piping/DWV 56.29
Address: 13980 SW TUAI.ATIN VALLEY HWY Other: 25.02
City /State/ZIP: BEAVERTON, OREGON 97005 Subtotal 507)4
Phone: (503) 643.7619 Fax: (503) 643.7620 Minimum permit fee: $72.50 72,50
CCA T.ic.: 12889 Plumbing Lic. no.: 34-4PB Plan review (25%ofpermit fee)
State surcharge (12% of permit fee)
Authorized signalize: TOTAL PERMIT PER f/, )1) Print name: SUSAN DEAN Date; 3/6/12 This permit appueadoa expire" it a permit is not obtained within 1 days
after 11 ham been accepted as complete.
'Fee methodolo&y act by MI-County Building Industry Service Doard.
LBuiIdiagTamintPLMt1•PemitAppdm 1n/sue, 440 461r(r(IM)2VOMWEB)
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential F'
:,.�. :�•. � �. � Su��1l�eSRiO Syste_
;`Ste. „._ : t kti ei s - . , : s ,, oey�z`, eti - :- ..-come � ° ` -
Footing drain -1 ' 100' 50.03 ° ” :' 'x - , ....., � ..:. . .
o w 2,tmo � $121.90
Footing drain - each additional 100' 37.52 2,001 to 3,600 $169.69
sews- 1st 100'
62.54 -- 3,601 to 7.200 $23320
7,201 and ureater $327,54
Sewer - each additional 100' 37.52 `
Water Service -1st 100' 62,54 Medical Gas Systems:
Wale Service - each additional 100' 37.52 ` r
Storm & Rain Drain - 1St 100' 62.54 1 ,: , ; ' ......
$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
'' . ..: . " t�t y .:
fi r. i ...:.:, ':jl' •. ` ().. * each additional $100.00 or fraction thereof. to
and including $10,000.00.
Inspection of existing plumbing or for 510,001.00 a, $25,000.00 $145.50 for the first $10,000.00 and $1.54 for
which no ti c is specifically indicated 90.00/hr each additional $100.00 or fraction thereof, to
(minimum charge - lR 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 bouts)
each additional $100.00 or fraction thereof, to
Reinspection bees 90.00/hr and including $50,000.00.
Additional plan review for revisions 90 $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 rem*.
QueuttiM Fixtdri ripe *' �`- �� .
1r'iiRPre )ape for::,. 'l(»
Work Perfu;�ned::. (upped. • Added . *incite
Plan review is required for any of the following. v
IIaptistry/Font Please check all that apply,
Bath -Tub/Shower ❑ My new commercial building with water service 2" and
d acumi/Whirlpool — greater. except systems designed and stamped by licensed
Car Wash -Each Stall engineer.
- Drive 'tirru - ❑ New cxterior plumbing site utilities for any complex structure
Cuspidor/Water Aspirator as defined in OAR918 -7R9 -0040.
Dishwasher - Commercial '•- ❑ Medical gas and vacuum systems for health care facilities.
- Domestic � ❑ Any multipurpose fire sprinkler system.
C V
Drinking Fountain " , ❑ Any complex structure as defined in AAR918- 780.0040.
Eyc Wash
Floor Drain/sink - 2" V ��''b Submit 2 sets of plans with any of the above.
-3"
k
Car wash Drain �� - .: ISu> t l tiigllser.. i' m :: :: .
Garbage - Domestic -non -food ‘,.-0 0 Is oo etric or riser diagram is required for new buildings
r
Disposal •D<mrestio -food related ' tha meet the qualifications above.
- Commereial-food related 'S„ f . •
- Industrial -food related ■`11G.9 i
Ice Mech./Rcfrig. Drains ,
Oil Separator ((:as Station) I i , C ■ ents regarding fixture work:
Rec. Vehicle Dump Station I _ ' E SINK 1S A BREAK ROOM STNK
Shower Shaw -tall —
-Stall .
Sink - Non -f ond related
- Bradley
- CommemiJ -food related
-Service >< -_.
Swimming Pool Filter
Washer "Note: If the fixture work under this permit results in an
water Extractor increase of sewer EDUs, a sewer permit will be issued and
Water Closet - Toilet fees assessed for the sewer increase must be paid before the
Urinal plumbing permit can be issued.
Other Fixtures:
http://www.tigard-or.gov/ city... hal Udepartnu snts/cd/docs/PLMF- PcrmitApedtic
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