Permit y CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit #: PLM2013 -00104
T t GA R O 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/01/2013
Parcel: 1 S136DA00100
Jurisdiction: Tigard
Site address: 11308 SW 68TH PKWY
Project: Comcast Tech Ops West Subdivision: PFAFFLE PLAZA CONDO Lot: 2
Project Description: CAP (13) 2" sink drain and (1) drinking fountain; ADD (8) lays, (1) service, (1) W/C and (3) urinals; REPLACE (2)
drinking fountains, (7) 2" sink drains, (3) garbage disposals, (2) shower stalls, (11) lays, (4) corn. food rel. lays, (2)
service, (19) W/C and (4) urinals
Contractor: PMSI LLC Owner: BENENSON 68TH PARKWAY KEY LLC, T
21195 NW EVERGREEN PKWY #204 BY PROVIDENCE HEALTH SYSTEM
HILLSBORO, OR 97124 ATTN: PROPERTY MANAGEMENT
1235 NE 47TH STE 160
PORTLAND, OR 97213
PHONE: 503 -466 -2222 PHONE:
FAX: 503- 466 -2211
FEES
Quantity Description Date Amount
2 ea Drinking Fountain 04/01 /2013 $50.04
Specifics: 14 ea Fixture /Sewer Cap 04/01/2013 $350.28
7 ea Floor Drain /Floor Sink/Hub 04 /01/2013 $175.14
Type of Use: COM 3 ea Garbage Disposal 04/01/2013 $75.06
Class of Work: ALT 26 ea Lavatories 04 /01/2013 $650.52
Type of Const: 2 ea Tub /Shower /Shower Pan 04/01/2013 $25.02
Occupancy Grp: 7 ea Urinal 04/01/2013 $175.14
Stories: 20 ea Water Closet 04/01/2013 $500.40
2 ea Water Heater 04/01/2013 $75.04
1 12% State Surcharge - 04/01/2013 $249.20
Plumbing
Total $2,325.84
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 -0 0 You ma obtain a copy of the rules
or direct qu- • OUNC by calling 503.232.1987 or 1.800.332.2344. /
7
Issue By: f /, �' Permittee Signature: V /t / /
_ �
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.
Mar. 27. 2013 2:07PM No. 6896 P. 2
Plumbing Permit A.pplicatiow
Building Fixtures r(lt Orrlct: list: ONLY
City of Tigard MAR 2 7 2013 Received -�f'a--i 11 -t permit No,:p[.tu Dot 3 - 6p iv
4 13125 SW W Ball Olvd., Tigard, Olt 97223 �
, /
Plan ew Other Permit No. :AL.: .L arc '1 3 - 000 y
2 . - Phone: 503.7182439 Fax: 503.59 . gam, Date/By.
inspectio
503.639. �l 1 Y OF �1'1GA1�D Date Ready/Hy: runs See Page 2 for
T't; n a Internet: www,tigard- or.gov BUILDING DIVISION Noliii,emetbod: i � ? i t 3 Tt 40 ® Supplemental Information
. gr. ' OR OA KS sv,... :.._ _ -
❑ New construction ❑ Demolition
For Special I t frrmatiorr use efieel'llbj
Description I Qty t Ea. I Total
® Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection)
-. N: ;&:14;CrORY Oi CUI.� - ilitic ii:jja' ,' < 0 > ,, SFR(1)bath 312.70
p 1- and 2- family dwelling ® Commercial/industrial SFR (2) bath 437 1
SFR (3) bath 500.32
❑ Accessory building ❑ Multi- family Each additional bath/kitchen 25.02 C
❑ Master builder ❑ Other:
Y Fire sprinkler ( sq. ft.) Page 2 41 r ,;
.x(9)) ,9 i�i1∎ � .11,,1 A'�`�S L OCA' 1'15)3 i > >- Site utilities: -1_
Job site address: 11308 SW 68' Pkwy Catch basin or area drain 18.76
Drywell, leach line, or trench drain 18.76
City /State /ZIP: Tigard, OR 97223
Footing drain (n0, linear IL; _1 Page 2
Suite/bldg. /apt, no.: I Project name: Comcast Tech Ops Ch• Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
Rain drain connector 18.76
Sanitary sewer (no. linear it: ) Page 2
Storm sewer (no. linear R.: ____,) Page 2
Water service (no. linear ft.: , ) Page 2
Subdivision: I Lot no.: Fixture or item:
Tax map /pored n0.: Bnekflow preventer 31,27
.,.; ;;. ,> � :- . .::::� -= Backwater valve 12,51
... _.. _..._ ......... .... .... . .. .... . .... ....: -.: Clotheswasher 25.02
Plumbing for remodel
Dishwasher 25.02
• Drinking fountain 2 25.02 50.04
Ejectors /sump 25.02
12.51
y l, ,,, Y
1
--- PROP R�Y.:Q31^! y . . o < .i s i'�' �� ExpanS i0
.�_,_ ,., v 11 tan/:
r
Name: Fixture/sewer cap lif 25.02 3c0
Floor drain/floor sink/hub 7 25.02 175.14
Address. Garbage disposal 3 25.02 75.06
City / State/ZIP: Hose bib 25.02
Phone: ( ) Fax: ( ) lee maker 12.51
- - - •a : r_ '' :_a ;%z; %: Interce roc/ cease crap 25.02
- - .APP JC�h)T. lvTA . > '3r�SD11:,
Business name: ,Medical gas (value: $ _ ) Page 2
Printer 12.51
Contact name. - -
Roof drain (commercial) 12.51
Address: Sink/basin/lavatory 26 25.02 650.52
City /State/ZIP: Solar units (potable water) 62.54
Phone: ( ) Fax: : ( ) Tub /shower /shower pan 2 12.51 25.02
E-mail: Urinal 7 25.02 175.14
-..- - .....:_.. _ , :_ >: •, :L-...1:: . .::.; :.....:_. L..' . _ - Water alma 20 25.02 500.40
_ _
_ - .. =: CO I!ITl1�+iL ?rUli ' _ -_ _ ,:.4....,..........., .r.: _
:._•_•._..._._.,....---= �,:-:_•---..---- ._ __.:_,__.____.__._- __ - -. Water heater 2 37.52 75.04
Business name: PMSI LLC Water piping/DWV 56.29
Address: 2.1195 NW Evergreen Pkwy Suite 204 Other: 25.02
City /State /ZIP: Hillsboro, OR 97124 g3 Subtotal 1726.36
Phone: (503) 466 -2222 4 t ��, Fax: (503) 466 -2211 Minimum permit fee: S72.50
Plan review (25% of permit fee)
CCD Lie,: 158286 Plumbing Lie. no.: 34 -434PB
1 State surcharge (12% of permit fee) 207.16
Authorized signatu 4,1:
` TOTAL PERMIT FEE 1933,52
Print name: Lanell " obinson Date: 2/12/13 This permit application expires If a permit is not obtained withln ISO days
after it has been aceepred as complete,
• +Fee methodology set by Tai- Connry Building industry Service Board,
I:' BundinglPermirs \PLMiJ•Peradapp.doc 10/01/09 4404616110/02/COM/WEB) :43 ° r7�, 4
Mar. 27. 2013 2: 07PM No. 6896 P. 3
, Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information •
Fee Schedule: Residential Fire Suppression Systems:
:.::. :_ ::__.gy m,,, . , ..Q : �:•Ee ea 40.1 r...:21, .e. : ._ • _
�llt . . .. . . ._......_.,; , a ,, y .
� t . :....::e...... _ _ � ,. - :•: I'mlt et:.. -
fz �• # illties _:- ,,- .:. - :_. ......:__ __ _.............._._ ..._.::...::.:. .Ss�aX�- �'Qoi ?g.
Footing drain - 1 100' 50.03 0 to 2 $121.90
- Footing drain - each additional 100' 37.52 2,001 to 3,600 $169.69
S _3,601 to 7,200 5233.20
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 - =- - - - - -• =-- --- ••_............ ___....._ t _
storm & Rain Drain - 1st 100' 62.54 ,'' 4lll,a.ttA � .-.Y: r:- 0.x iiifig ti ;;:.,._`._:__;-.:.::_ •:= ---�-.::;:... .
51.00 to $5,000 -00 - Minimum tee $72.50
Sromt &Rain Drain - each additional 100' 37.52 $5.001.00 to $10.000.00 $72.50 for the first $5,000.00 and S1.52 for
- -. - S .CC v r!:.... -• _ - __, • - `_ _ 4>� g)N 1,:'r,.•, each additional 5100.00 or fraction thereof, to
a R.... 1A aQt l egg and including $10,000.00.
Inspection of existing plumbing or for $10,001.00 to 525.000.00 5 148.50 for the first $10,000.00 and 51.54 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 550,000.00 5379.50 for the first 525,000.00 and 51.45 for
hours (minimum charge - 2 hours) each additional $100.00 or fraction therco£ to
Reinspcction Fees 90.00/hr and including 550,000.00.
Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first 550.000.00 and 51.20 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 fees*,
. .. . _. .. , ... .. .. :: •: :: uanfi b yixtnre .. . a _.
4 h y rrp Ptau Reviiiii' f or'P1um i rig I sta1% :_ _ _
nice Type.for ;; : ; . , :- ;- •Replaee/: plan review is required for any of the following
r:Sk iikiRerformed'= . k ' capped_: . Added • . - .abate ;
Baptistry/Font Please check all that apply.
Bath Tub /Shower ❑ Any new commercial building with water service 2" and
-Jacuzzi/Whirlpool greater, except systems designed and stamped by licensed
Car Wash -Each Stall en
-Drive Thni ❑ New exterior plumbing site utilities for any complex structure
CuspidorAVater Aspirator as defined in OAR918 780 - 0040.
Dishwasher - Commercial ❑ Medical gas and vacuum Systems for health care facilities.
- Domestic ❑ Any multipurpose Bre sprinkler system.
Drinking Fountain 1 2 ❑ Any complex structure as defined in OAR918- 780.0040.
Eye Wash
Floor Drain/sink - 2" 13 7. Submit 2 sets of plans with any of the above.
- 3"
.__ = ==_.= oinetrie =nr �3tiis.eFAiagram :__'_ - --
Car Wash Drain ❑ isometric or riser diagram i required for new buildings
Garbage - Domestic- non -food s re q .
Disposal - Domestic -food related that meet the qualifications above.
- Commercial -food related 3
- Industrial -food related
Ice ivlachfReirig. Drains
Oil Separator (Gas Station) Comments regarding fixture work:
Rec. Vehicle Dump Station
Shower -Gang .
- Stall 2
Sink/Lay - Non -food related 8 11
- Bradley _
- Commercial -food related 4
- Service _ 1 2
•
Swimming Pool Filter - *Note: If the fixture work under this permit results in an
washer - Clothes
Water Extractor increase of sewer EDUs, a sewer permit will be issued and
Water Closer - Toilet I 19 fees assessed for the sewer increase must be paid before the
Urinal 3 4 plumbing permit can be issued. .
Other Fixtures: tr .
( `f c ( 3 `r
11Dataserverltappsllob Piles\PMS1 Jobs140412- Comcnst Technics Op Cu L iviF- PermitApp (7).docx
: Accumulative Sewer Tally
.' Tenant Name: Comcast Tech Ops Ctr S\`4R # 2013 -00075
Tta/CRD Site Address: 11308 SW 68th Parkway PLM # 2013 -00104
Parcel #: 1S136DA00100
Fixture Value Previous Previous Credits Capped Fixture Fixture New New
# value count capped #s value count added # added value total #s total values
Baptiscry/ Font 4 0 0 0 0 0
Bath: - Tub /Shower 4 0 0 0 0 0
- Jacuzzi /Whirlpool 4 0 0 0 0 0
Car Wash: - Each Stall 6 0 0 0 0 0
- Drive through 16 0 0 0 0 0
Cuspidor /Water Aspirator 1 0 0 0 0 0
Dishwasher: - Commercial 4 0 0 0 0 0
- Domestic 2 0 0 0 0 0
Drinking Fountain 1 0 1 1 0 -1 -1
Eye Wash 1 0 0 0 0 0
Floor Drain /Sink: - 2 inch 2 0 13 26 0 -13 -26
- 3 inch 5 0 0 0 0 0
- 4 inch 6 0 0 0 0 0
- Car Wash 6 0 0 0 0 0
Garbage Disposal:
- Domestic (to 3/4 HP) 16 0 0 0 0 0
- Commercial (to 5 I -IP) 32 0 0 0 0 0
- Industrial (over 5 HP) 42 0 0 0 0 0
Ice Machine /Refrigerator Drain 1 0 0 0 0 0
Oil Scp (Gas Station) 6 0 0 0 0 0
Rec. Vehicle Dump station 16 0 0 0 0 0
Shower: - Gang (per head) 1 0 0 0 0 0
- Stall 2' 0 0 0 0 0
Sink:
- l.av /Bar - Non -Food Related 2 0 0 8 16 8 16
- Bradley 5 0 0 0 0 0
- Com /Scry /Util - Food Related 3 0 0 1 3 1 3
Swimming Pool Filter 1 0 0 0 0 0
Washer - Clothes 6 0 0 0 0 0
Water Extractor 6 0 0 0 0 0
Water Closet - Toilet 6 0 0 1 6 1 6
Urinal 6 0 0 3 18 3 18
Previous EDU Count 0 0
Capped EDU Credit 0
TOTALS 0 0 14 27 13 _ 43 _ -1 16
Current Fixture Value 16 divided by 16 = 1.000 Current EDU 1 EDU = $4,665.00
Previous Fixture Value 0 divided by 16 = 0.000 Previous EDU
Change 16 divided by 16 = 1.000 over (under) S 4,665.00
Enter EDU Change Here 1.000
Notes:
Authorized Name /Signature: Shirley Treat Date: 03/27/2013
Building Division
ote: The property owner shall retain the ORIGINAL sewer tally record. If credits exist, this document will serve as a voucher which must be
submitted to the City of Tigard Building Division to redeem credits towards future system development charges.
I:\ Building \Sewer Tally \ScwerTallySheet -4665 xls 07/01/12
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
11308 SW 68TH PKWY, TIGARD, OR, 97223
Commercial - Plumbing
320 Plumbing rough-in
06/05/2013 00:00
PLM2013-00104
PART
Rough test with air DWV 5psi / water 50 psi pass. Pro vide 2-ea access panels for water
hammer arrestor.
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
11308 SW 68TH PKWY, TIGARD, OR, 97223
Commercial - Plumbing
305 Plumbing underslab
05/13/2013 00:00
PLM2013-00104
FAIL
1. Provide plan review for plumbing, 2" or larger water service.
2 ea paper copies for all.
NOTE: Inspected under slab plbg 4", rm. 204/205
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
11308 SW 68TH PKWY, TIGARD, OR, 97223
Commercial - Plumbing
320 Plumbing rough-in
06/10/2013 00:00
PLM2013-00104
FAIL
1. Provide test on hot/cold water and DWV. 609.4, 712.1 thru 712.3
Recall
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
11308 SW 68TH PKWY, TIGARD, OR, 97223
Commercial - Plumbing
320 Plumbing rough-in
06/07/2013 00:00
PLM2013-00104
FAIL
Not ready for inspection. No inspection made OPSC 103.5.1
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
11308 SW 68TH PKWY, TIGARD, OR, 97223
Commercial - Plumbing
305 Plumbing underslab
05/21/2013 00:00
PLM2013-00104
PASS
6-ea cap-offs off of grid lines F/G and 1/2. Pass
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
11308 SW 68TH PKWY, TIGARD, OR, 97223
Commercial - Plumbing
320 Plumbing rough-in
06/10/2013 00:00
PLM2013-00104
FAIL
1. Provide test on hot/cold water and DWV. 609.4, 712.1 thru 712.3
Recall
Violation Summary:
Inspector Contractor