Permit u CITY OF TIGARD PLUMBING PERMIT
1.1114 a • COMMUNITY DEVELOPMENT Permit #: PLM2013 -00136
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/17/2013
Parcel: 25101 DC04500
Jurisdiction: Tigard
Site address: 7555 SW TECH CENTER DR A
Project: LaCie, LTD Tenant Improvement Subdivision: TECH CENTER BUSINESS PARK Lot: 1
Project Description: CAP (6) fixtures' ADD (1) dishwasher, (1) expansion tank, (2) 2" floor drain, (1) primer (10) lays (4) urinals (10)
water closets (2) water heaters
Contractor: ASSOCIATED PLUMBING CO Owner: SUMMIT PROPERTIES INC
200NE VICTORY AVE "C" 5550 SW MACADAM BLVD STE 205
GRESHAM, OR 97230 PORTLAND, OR 97201
PHONE: 503 -492 -1922 PHONE:
FAX: 503 -492 -1923
FEES
Quantity Description Date Amount
1 ea Dishwasher 06/17/2013 $25.02
Specifics: 1 ea Expansion Tank 06/17/2013 $12.51
6 ea Fixture /Sewer Cap 06/17/2013 $150.12
Type of Use: COM 2 ea Floor Drain /Floor Sink/Hub 06/17/2013 $50.04
Class of Work: ALT 1 ea Primer 06/17/2013 $12.51
Type of Const: 10 ea Lavatories 06/17/2013 $250.20
Occupancy Grp: 4 ea Urinal 06/17/2013 $100.08
Stories: 10 ea Water Closet 06/17/2013 $250.20
2 ea Water Heater 06/17/2013 $75.04
1 12% State Surcharge - 06/17/2013 $111.09
Plumbing
Total $1,036.81
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 • .rk is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility s ification Cen = . Ti _ • - rul are set forth in OAR 952 - 001 -0010 through AR ' • I I 4 190. You may obtain a copy of the rules
or d• ect questions to OUN 6 ..y calli 0 .232.1987 or 1.800.332.2344.
Is ued By: I /� Permittee Signatuz : i. I *14.
r /is l
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 App lication
f -1(76
Building Fixtures CEIVED FOR OFFICE USE ONI.,Y
City of Tigard Rc c iva „if //3 ^ Permit No.: PLAL'D / 3'C91.3,o
IN n 13125 SW Hall I31vCl., Tigard. OR NAY 1 2013 Dat Review �/ /� 3 Other Permit Nq 1 . 1����fIOS `
Phone; 503.718,2139 Fax 503.595.1960 pnlclBy:
inspection Line: 503,639.4175 CITY OF TIGARI) Dei Read my �/ / 3 h See Pncc h for
1' I GARf7 Internet: www.tignrd•or.gov BUILDING ING DIVISION Nclilhd /Mclhod, / 1 "� Supplcmcntnl Information
D V FEE* SCHEDULE L;: New construction E -} "OV RIC - -- •.•
Demolition ^ • For special infarmafon use checklist.
onstntction 1:1 I Qty, i , Ea. I Total
Description
® Addition /alteration /replacement ❑ Other: New t 2 family dwellings (includes 100 R. for each utility connection)
SFR (I 1 haril 312J0
CATEGORY OF CONSTRUCTION -
I SFR I2) bath 437.75
❑ 1- and 2- family dwelling g Cbmmcrcial /indusirinl 500. t2
_ SFR (3) bath - ' O
❑ Accessory building ❑ Multi - family Each additional had, /kitchen 25.02
E
❑ Master builder ❑ Other: I; ire. sprinkler ( sq. 11.) Page 2 us
:IOU Mt iN,FORMAT1ON AND LOCATION sue ntilitics: 1 •
Caleb basin or area drain 18.76 Cr
,lob Site address: 7555 SW TECH CENTER DR Drywcll. leach line, or trench drain 18,76
City /State /ZIP; TiGARD, OR 97223 Fooling drain (IIO. linear Fl.: ) Page 2 }x'
Suite /bldg. /apt. no.: Project name: LADE T.I. manufactured home utilities 50.03 U�
Cross street /directions to, job site: SW 72 " AVE & SW TECH CENTER DR Manholes 18.76
Ruin drain connector 18.76
"' Sanitary sewer (no, linear it.: _ 1 Page 2
• -- Storm sewer (no. linear ft.: ) Page 2
Water service (no. linear It.: ) Page 2
Subdivision: " J Lot no.: N Fixture or item:
-- '" -- i3acknow preventer > <' 31.27
Tax map /parcel no.: .
1251
_ - Backwater valve .
•DESCRIPTION Or WORK C'It then washer 25.02
INTERIOR T.I. uis hwashcr t 25•(12
"
Drinking fountain 25.02 _
E cclors/sttmp x 25,02
❑' ''PROPERTY OWNER 0 TENANT Expansion tank .Ks' 1 12.51 12,51
• ' ' Fixrurc/sewcr cap ' ( 25.02
Name: - - - l -'Inor drain /floor sink /huh . _ • 2. ' 25.02 50.04
Address: _^ Garbage disposal 25,
City /State/ZIP: Hose bib >� _ 25.02
maker 12,51
Phone: ( ) Fax: ( ) lee _.,..
•
❑, APPLICANT 0 CONTACT 'PERSON Interceptor /grease trap >4.,. 25.02
"..._ Medical gas (value: S i ),, Page 2
Business name: Primer I' 12.51 12,51
Contact name: Roof drain (commercial) X 12.51
Address: Sink/basin/lavatory Q ,9}fr 25,02 250.20
City /State /7_IP: Solar units (potable watcr)x l 62.54
F ( ) Tub /shower /shower pan 12.51
Phone: ( ) Urinal 4, 25,02 100.08
E -mail;
_ .. Water closet ,10. ,, 25.02 250,20
CONTRACTOR
- Water healer k .2 • 37.52 75.04
Business Home; ASSOCIATED PLUMBING COMPANY _ Water piping/DWV X _ ".. J 56.29
Address 200 NE VI(rORY AVE "C" (?Char: - 25.02
City /State/ZIP: GRESHAM, OR 97030 - _ -- "5 (p Subtotal
Fax: 503 492 - 1923 Minimum permit Ice: 572.50
Phone; (503) 492 - 1922 ( ) '
I Plan review (25% of permit fee)
CCB Lie.: 057890 ill (14- Plumbing Lic. no.; 2(i- 2PB 'fl It (( - State surcharge (12 ° /n of permit f
Authorized signature ^ TOTAL PERMIT FEE lb 31 . S I
i Date: S /i /13 This permit application expires If n permit it not obtained within 180 dnyv
[ name: BRAD R MARSHALL after It has been accepted at complete.
^Fcc methodology set by Tri•Connly Building Industry Scrvico nnard.
g16ui ldins Tertnits'PLMl Permit App ,doc I col 109 40W6 16T( I Mn2 /CCMIWEII I 3,31
Plumbing ]Permit A lication - City, of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Su • ression Systems:
• — Site-Utilities Uilil'>Itieg Q ty. Fee (est) Total Square Footage: Permit Fee: ,-
— o to 2,oau $lzl.9o
Footing drain - I" 100 50'03 - $1(,9,69
F 2.001 to 3,b00 ooting drain •each additional 100' 37.52 3,(01 to 7,200 $233.20 '
Scwcr • 1st 100' A2,54 7,201 anti greater .- $327.54 •
Scwcr • each additional 100' 37,52
water Service - 1st 100' 62,54 Medical Gas S stems:
Water Service •each additional 100' 37.52 Valuation: Permit Fee:
Storm & Rain Drain - 1st 100' 62.54 _ $1.00 to $5.000.00 Minimum fee $72,50
Storm Sc Rain Drain - each additional 100' 37.52 $5.001.00 to $1 0.000.00 $7ch additi nal $10050 00.0 action thcrcof, to
(j er -AS . ettlons AP ee5
Qty. • Fee (en) Total
_ anti including $10.000.00.
inspection of existing ph+mbing or for $10,001.00 to $25.000,00 $148.50 for the first $10,000.00 and $1 for
which no fcc is specifically indicated 90.00Ax each additional $100.00 or fraction thereof, to
nimum char e - 1/2 hour) — _ _
h and includin025.000,0
- I ls mi pectirnts outside of normal bus
iness 90 00 /hr $25,11(11.00 to $50.000.00 $379.50 for the first $25.000.00 and $1.45 for
hours (minimum charge - 2 hours) - -., _
i each additional $100.(10 or fraction thcrcof, to
einspectinn Fees " 90.00 /hr .- .- and including $50.000,00.
90.00 /ht' $50.001.00 and up $742.00 for the first $50,000.00 and $1.20 for
Additional plan review for revisions each additional $100.00 or traction thereof.
( minim u m charge- 1/2 hour)
Subtotal:
..-�
Commercial Fixture W ork:
Arc you capping, adding or replacing fixtures? If "yes ",
please indicate work performed by fixture. Failure to
accuratei rc+ort fixtures could result in increased sewer fees * . -
Quantity by Fixture Ty_ .Plan Review for .Plumbing installations
$?iritureTypt for Rcnlaei/ Plan review is required for any or the following.
. VWOrk:Performed: Capped Ad+led Rclocnte Please check all Ihat apply.
Baptistry /Font [] Any new commercial building with water service 2" and
Bath - Tub /Shower h p. 5 Stems b
ater. exec t desi ned and stain ed licensed
,,iacuzzi/Whirl . ool e„ y. r y
engineer.
Car Wash -Each Stall El New exterior plumbing site utilities I'or tiny complex structure
-Drive Thru — Os defined in W918- 780 -0040.
Cuspidor /Water Aspirator ,
12 Medical gas and vacuum systems for health care facilities.
Dishwasher Commercial
- Domestic ❑ Any multipurpose lire sprinkler system.
Drinking Fountain ❑ Any complex structure as defined in OAR918- 780 -0040.
r_ye Wash
Floor Drain /sink - 2" 6 2 Submit 2 sets of plans with any of the above.
- 3"
- 4' _ isometric or Riser Diagram . •
—
Car Wash Drain -
0 Isometric or riser diagram is required for new buildings
GarUagc Domestic- non -food
Disposal - Domestic -food related 7 that meet the qualifications above.
- Commercial -food related •
- Industrial - food related
Icc Mach. /Rcfrig. Drains ,
Oil S •arator Gas Station Comments regarding fixture work:
Rcc, Vehicle Dump Station _,_„ ,_
Shower -Gang
-Stall —
Sink /Lay •Non -fond related 4.- 4 -
- Bradley
- Commercial•food related ,
- Service I
swimming Pool Filter — *Note: If the fixture work under this permit results in an
Washer • Clothes
increase of sewer EDUs, a sewer permit will be issued And
Water Extractor
Water Closet • Toilet 6 -- 4 fees assessed for the sewer increase must be paid before the
Urinal 2 2 plumbing permit can be issued.
Other Fixtures;
t, ,J; /0 3
C: \Users\Owner \Desktop 1DocumentS\Documcnts \Per its) Tigard Plmb,dn2
�� PLUMBING Co.
' � r 200 NE Victory AVE "C"
•' ` Gresham, OR 97030
CC134 057890
Phone: 503- 492 -1922
Fax: 503- 492 -1923
FAX TRANSMITTAL
DATE: May 1, 201
TO: City of Tigard
PROJECT: LaCie
ATTN: Trade Permits
PAGE #f INC. COVER: 3 r M,
SENT BY: Brad Marshall
MESSAGE:
-
See the attached permit application. Please call when ready for payment.
503 -492 -1922
Commercial * Residential * Industrial * Remodel * Repair * Service
„04402 jacierteee
e PLUMBING C®.
200 NE Victory AVE "C”
Gresham, OR 97030
C C B# 057890
Phone: 503- 492 -1922
Fax: 503- 492 -1923
FAX TRANSMITTAL
DATE: June 17, 2013
TO: City of T igar d
PROJECT: LaCie T.Y.
ATTN: Trade Permits
PAGE ## INC. COVER: 2 m.
SENT BY: Brad Marshall
MESSAGE:
See the attached credit card authorization form for the plumbing permit on the LaCie T.I.
project at 7555 SW Tech Center Dr.
Please call if there are any questions:
503- 492 -1922
Commercial * Residential * Industrial * Remodel * Repair * Service