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Permit CITY OF TIGARD PLUMBING PERMIT 1111 COMMUNITY DEVELOPMENT Permit #: PLM2013 00089 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/15/2013 Parcel: 2S101AB01400 Jurisdiction: Tigard Site address: 7600 SW DARTMOUTH ST Project: Walmart Subdivision: HERMOSO PARK Lot: 8 Project Description: Interior plumbing for new 137,900 square foot retail store. Other fixtures are: (7) water hammer arresters, (5) mixing valves, (3) circulating pumps, (1) eye wash, (1) pressure reducing valve, (2) vacuum breakers & (2) storage tanks. Contractor: MCLANE PLUMBING INC Owner: PACIFIC REALTY ASSOCIATES LP 7675 HIGHBANKS RD #3 15350 SW SEQUOIA PARKWAY #300 CENTRAL POINT, OR 97502 PORTLAND, OR 97224 PHONE: 503 -624 -6300 HONE: 541- 664 -1880 FAX: 541 - 664 -4216 FEES Quantity Description Date Amount 3 ea Backfiow Preventer 05/28/2013 $93.81 Specifics: 1 ea Backwater Valve 05/28/2013 $12.51 5 ea Drinking Fountain 05/28/2013 $125.10 Type of Use: COM 3 ea Expansion Tank 05/28/2013 $37.53 Class of Work: NEW 96 ea Floor Drain /Floor Sink/Hub 05/28/2013 $2,401.92 Type of Const: 7 ea Hose Bib 05/28/2013 $175.14 Occupancy Grp: 3 ea Ice Maker 05/28/2013 $37.53 Stories: 1 5 ea Urinal 05/28/2013 $125.10 12 ea Water Closet 05/28/2013 $300.24 5 ea Water Heater 05/28/2013 $187.60 1 Plan Review 05/28/2013 $1,390.16 1 12% State Surcharge - 05/28/2013 $667.28 Plumbing 1 ea Interceptor /Grease Trap 05/28/2013 $25.02 7 ea Primer 05/28/2013 $87.57 36 ea Roof Drain (Commercial) 05/28/2013 $450.36 15 ea Lavatories 05/28/2013 $375.30 Total $7,618.07 Required Items and Reports (Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit' will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules or direct que ' • • ■ NC by calling 503.232.1987 or 1.800.332.2344. Issued By: 1-4111 I Permittee Signature: Call 503.639.4175 by 7:00 a.m. for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Plumbing Permit Application Building Fixtures g■�. w/� FOR OFFICE USE ONLY City of Tigaf'lT'r E1VED ' LI eceived zz / perm No i U 2 p�i ., te/B d C/ /3 L. 0 / V 13125 SW Hall Blvd., Tigard OR 97223 Review I Phone: 503.718.243 x:�5l�i.$�I9.��60 � 1 :ate /By: g / 3 Other Permit No.: � / 3 �� Inspection Line: 503T175 luris: ®See Page 2 for r I G A R D Internet: www.ti Date Ready/By: ///,/, 7/ ��qj g g Oli N otified /Metho Supplemental information BUTPriNG DIVISION 4 T: FEE* SCHEDULE ® New construction ❑ Demolition For special information use checklist. Description I Qty. I Ea. I Total ❑ Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath 312.70 ❑ I- and 2- family dwelling ® Commercial /industrial SFR (2) bath 437.78 building SFR (3) bath 500.32 ❑ Accessory g ❑ Multi- family Each additional bath/kitchen 25.02 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 I JOB SITE INFORMATION AND LOCATION i Site utilities: Job site address: -mod d `-DA- 0-'{pwx-(-- Catch basin or area drain 18.76 O City/State /ZIP: Tigard, OR 97223 Drywell, leach line, or trench drain 18.76 Footing drain (no. linear ft.: _) Page 2 N Suite/bldg. /apt. no.: I Project name: Walmart Manufactured home utilities 50.03 - - - "Cross street/directio fs to job site: SW Dartmouth & SW 72nd Ave Manholes 18.76 Rain drain connector 18.76 Sanitary sewer (no. linear ft.: _) Page 2 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.: 04200, 00101, 01400 Backflow preventer 3 .1" 31.27 93, g/ DESCRIPTION OF WORK Backwater valve 1 12.51 /2 . 57 Clothes washer 25.02 Construction of an approximate 137,900 SF Walmart store. Dishwasher 25.02 2rHf2 / A X ru QES = (/) Ey f WI}Sl+ (7) IATP 149N/1fL AQP.E5ra.5,Drinking fountain 5 25.02 /Z5, /0 (15) 11 t Yr rJC0 +141 ,1e5, (3)C, 4 C. L.i D0 ,6) Peter. &D. h„dt, () 4 L - v, s Ejectors /sump - 25.02 ® PROPERTY OWNER I 0 TENANT ��A7op qp, L Expansion tank 3 12.51 3'7, 53 Name: Walmart Stores, Inc. (Steve Dyer) Ts}r71(, Fixture /sewer cap 25.02 Floor drain/floor sink/hub 96 25.02 4 S/Ol , 91, Address: 2001 SE 10th St. Garbage disposal 25.02 City /State /ZIP: Bentonville, AR 72716 Hose bib 7 25.02 /7$ , t `/ Phone: (479)273 - 4567 Fax: ( ) Ice maker, 3 -Y 12.51 37,53 ® APPLICANT ❑ CONTACT PERSON ! Interceptor /grease trap 1 25.02 Ac ,O,2 Business name: BCRA, Inc. Medical gas (value: $ ) Page 2 Primer 7 12.51 87. Contact name: Lorie Limson Cole ysO. Roof drain (commercial) 36 12.51 .(O Address: 2106 Pacific Ave, Suite 300 Sink/basin/lavatory Aq _ t, a ks 39 25.02 9'75.7 City/State /ZIP: Tacoma, WA 98402 Solar units (potable water) 62.54 Phone: (253) 627 -4367 Fax: : (253) 627 -4395 Tub /shower /shower pan 12.51 E - mail: Icole@bcradesign.com Urinal 5 25.02 /a5, i0 Water closet 12 25.02 3 • as • CONTRACTOR Water heater 5 37.52 / '7 , (pD Business name: t. -- kei 0 L pLu,_,,,t ,jc, i,,J Water pipingDWV 56.29 Address: 74,75 / ,,,/ "h .'J Other: A/ 25.02 52.5 il� City /State /ZIP: Cl �CtJTic� L t"O t t it , d E, 9-7 Subtotal Pf p (o?j 1 Phone: (5L 1) (a pt, - / q8/] Fax: ( ) . Minimum permit fee: $72.50 CCB Lie.: ? 1,-/ Plumbing Lic. no.: /6 -• / Pt) Plan review (25% of permit fee) ( X90. 1!0 ,/ // 1 /t/ State surcharge (12% of permit fee) 4,4,7, 718 Authorized signature: TOTAL PERMIT FEE 7 I g . 07 Print name: Dale: II/ Sit 3 This permit application expires if a permit is not obtained t■ithin IRO days after it has been accepted as complete. ` Fee methodology set by T Counntyy Building Industry Service Board. I:\ Building \ Permits\PLMU- PermitApp.doc 10 440- 4616T(I0 :02/COM /WEB) r `" "F 1 W ia I 2 5 P' ii 6/9,81/3 Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information e ' , � ` ' ' 4 esidentia1 Fee Schedule: Fire Su . 1 ression S stems: Site Utilities Qty , Fee (ea) Total Square Footage: ; Permit, Fee: • Footing drain - I" 100' 50.03 0 to 2,000 $121.90 Footing drain - each additional 100' 37.52 2,001 to 3,600 $169.69 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 Valuation: Permit Fee:• Storm & Rain Drain - 1st 100' 62.54 $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 S I.52 for Other.Inspeetions or Fees Qty. . Fee (ea) , Total each additional $100.00 or fraction thereof, to and including $10,000.00. Inspection of existing plumbing or for $10,001.00 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 S 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 S100.00 or fraction thereof. Subtotal: Other Fixtures: 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 * . Quantity by Fixture Type Fixture Type for Replace'. • _ Plan Review for Plumbing Installations' Work Performed: Capped Added , , Relocate Baptistry/Font Plan review is required,for any of the following. • . Bath - Tub /Shower Please check all that apply. - Jacuzzi /Whirlpool El Any new commercial building with water service 2" and Car Wash -Each Stall greater, except systems designed and stamped by licensed -Drive Thru engineer. Cuspidor /Water Aspirator ❑ New exterior plumbing site utilities for any complex structure Dishwasher - Commercial as defined in OAR918- 780 -0040. - Domestic ❑ Medical gas and vacuum systems for health care facilities. Drinking Fountain 5 A' ❑ Any multipurpose fire sprinkler system. Eye Wash I ❑ Any complex structure as defined in OAR9I 8- 780 -0040. Floor Drain /sink - 2" 51 3" t5 49 Submit 2 sets of plans with any of the above. 4" g 23 Car Wash Drain Isometric o Riser Diagram . Garbage - Domestic- non -food .. , Disposal - Domestic -food related ❑ Isometric or riser diagram is required for new buildings - Commercial -food related that meet the qualifications above. - Industrial -food related Ice Mach. /Refrig. Drains 3 42• Oil Separator (Gas Station) Rec. Vehicle Dump Station Co ment regarding fixture } woor � Ott k• Shower -Gang Y AL1 C / 3 .lot -i k l.�L - ru. .k.. --J L G�,�,.., -Stall Sink /Lav - Non -food related tr�'J� ` 15 LA 0 - Bradley 9 ‘FILIJ• o�r 01 Wrou -r 4.4f)2 A liks - Commercial -food related /J . e A I'p = ,, - Service 13 $" Fp _ is- lerrn L F'D = 740 Swimming Pool Filter - 4 1 4 i = 3• Washer - Clothes *Note: If the fixture work under this permit results in an Water Extractor Water Closet - Toilet /9,y4 increase of sewer EDUs, a sewer permit will be issued and Urinal 5 fees assessed for the sewer increase must be paid before the C: \Users \Debbie \AppData \Local \Microsoft \Windows \Temporary Internet !iles \Content.Outlook \DIM75ZHA \5935 Tigard OR - revised - PennitApp.doc Plumbing Permit ApplicatioE Building Fixtures - FOR OFFICE USE ONLY City of Tigard MAR 19 2013 Received qa 19 / 3 1 11 y g OJ k , ) Permit No.: - n 13_ yy Date /By: W��' ww i , a 13125 SW Hall Blvd., Tigard, OR 97 Plan Review Q� �I l II Phone: 503.718.2439 Fax: 503.5 OFTIGARD Date /By: �/ / 3 Other Permit No. edo`3.ew� V v I G n R D Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready /By: Juris: ® See Page 2 for VVVV �� ' Internet: www.tigard - or.gov Notified /Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE I P ® New construction ❑ Demolition For special information use checklist. Description I Qty. Ea. Total ❑ Addition/alteration/replacement ❑ Other: New I- 2- family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION - - . i SFR (I) bath 312.70 I ❑ I - and 2- family dwelling ® Commercial /industrial SFR (2) bath 437.78 Accessory building SFR (3) bath 500.32 ❑ ry g ❑ Multi- family Each additional bath/kitchen 25.02 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION 1 Site utilities: Job site address: 7 6 .t.tJ ' , _ t_ibc.:ri 7 6 , Catch basin or area drain 18.76 ` Drywell,'leach line, or trench drain 18.76 City/State /ZIP: Tigard, OR 97223 l Footing drain (no. linear ft.: _) Page 2 i Suite/bldg. /apt. no.: Project name: Wal t -O 1 /y� P Manufactured home utilities 50.03 Cross street/directions job W 72nd A lf/ J Manholes 18.76 n Rain drai connector 18.76 IV ��t Sanita r sewer (no. linear ft.: _) Page 2 . St* n sewer (no. linear ft.: _) Page 2 Wt/ ke P Water service (no. linear ft.: _) Page 2 Subdivision: Lot Fixture or item: Tax map /parcel no.: 04200, 0010 t, 01400 al b 101 A 6 o f `701 Backflow preventer 3 ... ...-1 ' 31.27 DE' CRIPTION OF WORK Backwater valve I 12.51 Clothes washer 25.02 Construction of an approximate ' ,900 SF Walma : t re. Dishwasher 25.02 Drinking fountain 5 25.02 Ejectors /sump 25.02 ® PROPERTY OWNER . ❑ TENANT . Expansion tank 3 12.51 Name: Walmart Stores, Inc. (Steve Dyer) Fixture/sewer cap 25.02 Floor drain /floor sink/hub 96 25.02 Address: 2001 SE 10th St. Garbage disposal 25.02 City/State /ZIP: Bentonville, AR 72716 Hose bib 7 25.02 Phone: (479)273 -4567 Fax: ( ) Ice maker 3 12.51 ® APPLICANT ❑ CO NTACT PERSON i Interceptor /grease trap 2 25.02 Business name: BCRA, Inc. Medical gas (value: $ ) Page 2 Primer S 12.51 Contact name: Lorie Limson Cole Roof drain (commercial) 13 12.51 Address: 2106 Pacific Ave, Suite 300 Sink/basin/lavatory 39 25.02 City /State /ZIP: Tacoma, WA 98402 Solar units (potable water) 62.54 Phone: (253) 627 -4367 Fax: : (253) 627 -4395 Tub /shower /shower pan 12.51 E -mail: Icole@bcradesign.com Urinal 5 25.02 a . - - - • Water closet 12 25.02 CONTRACTOR - Water heater 5 37.52 Business name: To Be Determined Water piping /DWV 56.29 Address: Oth £yt DASH ( 25.02 City/State /ZIP: Subtotal Phone: ( ) Fax: ( ) Minimum permit fee: $72.50 Plan review (25% of pennit fee) CCB Lie.: Plumbing Lic. no.: State surcharge (12% of permit fee) Authorized signature: TOTAL PERMIT FEE Print name: Date: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri- County Building Industry Service Board. I: \Building \Permits \PLMU - PermitApp.doc 10M /09 440- 4616T( 1010JCOM /WEB) Plumbing Permit Application - City of Tigard • Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty.. :Fee (ea) Total Square Footage: i Permit Fee: • Footing drain - l' 100' 50.03 0 to 2,000 $121.90 Footing drain - each additional 100' 37.52 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 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 Valuation: Permit Fee: Storm & Rain Drain - 1st 100' 62.54 $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 55.000.00 and $1.52 for Other Inspections or' Fees Qty. Fee (ea) Total each additional $100.00 or fraction thereof, to and including $10,000.00. Inspection of existing plumbing or for $10,001.00 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: Other Fixtures: 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 * . • Quantity by Fixture Type Fixture Type for Replace/ Plan Review for Plumbing Installations • . Work Performed: , ' Capped . _ Added Relocate • Baptistry/Font Plan review is required for any of the following. Bath - Tub /Shower Please check all that apply. Jacuzzi /Whirlpool ❑ Any new commercial building with water service 2" and Car Wash -Each Stall greater, except systems designed and stamped by licensed -Drive Thru engineer. Cuspidor /Water Aspirator ❑ New exterior plumbing site utilities for any complex structure Dishwasher - Commercial as defined in OAR918- 780 -0040. - Domestic ❑ Medical gas and vacuum systems for health care facilities. Drinking Fountain ❑ Any multipurpose fire sprinkler system. Eye Wash ❑ Any complex structure as defined in OAR918- 780 -0040. Floor Drain /sink - 2" 3" Submit 2 sets of plans with any of the above. -4" Car Wash Drain Isometric or Riser Diagram Garbage - Domestic- non -food Disposal - Domestic - food related ❑ Isometric or riser diagram is required for new buildings - Commercial - food related that meet the qualifications above. - Industrial -food related Ice Mach. /Refrig. Drains Oil Separator (Gas Station) Rec. Vehicle Dump Station Comments regarding fixture work: Shower -Gang -Stall Sink /Lav - Non -food related - Bradley - Commercial -food related - Service Swimming Pool Filter Washer - Clothes Water Extractor *Note: If the fixture work under this permit results in an Water Closet - Toilet increase of sewer EDUs, a sewer permit will be issued and Urinal fees assessed for the sewer increase must be paid before the C: \Users \MarkV \AppData \Local \Microsoft \Windows \Temporary Internet \Contcnt.Outlook \HSJSWTGU\5935 Tigard OR - PLMF- PermitApp.doc Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 7600 SW DARTMOUTH ST, TIGARD, OR, 97223 Commercial - Plumbing 399 Plumbing ﬁnal FAIL PLM2013-00089 George Heimos Did a partial inspection on, pharmacy, men's/women's bathrooms at ck stands, mechanical rm at ck stand, recycle, deli and produce prep. Mechanical room near check stands 1. Provide test results for PVB. 603.3.3 2. Provide provide provisions for spillage. 603.2.5 Pharmacy 1. Provide test results for Backﬂow device. 603.3.3 Men's bathroom near check stand 1. Provide 1/4" per ft grade on 3-comp. sink continuous waste. Table 10.1 2. Allow removal of ﬂoor drain cover. 310.4 Recycle 1. Complete installation of hand sink. 310.4 2. Caulk hose Bibb. 407.2 Deli 1. Provide cleanout on 3-compartment sink. 707.4 2. Provide test results for PVB. 603.3.3 Produce Prep 1. Provide 1/4" per ft grade on 3-comp. sink continuous waste. Table 10.1 2. Provide test results for PVB. 603.3.3 3. Provide RP device for RO equipment if it has a pump, if not a double check is acceptable. 603.1 4. Provide test results for Backﬂow device. 603.3.3 Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 7600 SW DARTMOUTH ST, TIGARD, OR, 97223 Commercial - Plumbing 395 Misc. inspection CNCL PLM2013-00089 George Heimos Wrong inspection called, should be ﬁnal plumbing inspection. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 7600 SW DARTMOUTH ST, TIGARD, OR, 97223 399 Plumbing ﬁnal FAIL PLM2013-00089 George Heimos 1. All corrections dated 7/1/14 not completed, and included on this report. 2. Correct combined water heater temperature and pressure relief tubes and size by inside area of tubes, as per code. 3. Provide temperature gauge for eye wash in rear storage area that is in one degree increments for the required 72 degrees. 319.2 Provide backﬂow test results for all testable devices. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 7600 SW DARTMOUTH ST, TIGARD, OR, 97223 Commercial - Plumbing 395 Misc. inspection FAIL PLM2013-00089 George Heimos 1. Provide test results for 4-PVB devices: Left Rear bldg, mechanical rm. above mop sink/mechanical rm. front near check stands/Deli/ and produce prep. 2. Recycle: caulk hose Bibb at hand sink. 3. Produce Prep: Provide 1/4" per foot grade at 3-comp sink continuous waste left side. 4. Deli: provide cleanout on 3- compartment sink 5. Correct water heater temperature and relief tubes sizing. Size by adding area of each tube. 3/4" area = .44 sqin, 2- tubes = .88, 3- tubes = 1.32 and 4-tubes = 1.76sqin. 6. Provide compaction test results required for all ADS installations on private side storm piping. 7. Recall inspection when corrections have been completed. Re-inspection required. 103.5.6.1 7-ea backﬂow test results provided: all 6 SVBA last one is RPBA Recycle: 3/4" watts model LF008PCQT Serial No. 01855 Lt Door Bakery: 3/4" watts model LF008PCQT Serial No. 02504 Back Rt bakery: 3/4" watts model LF008PCQT Serial No. 02209 Back Lt corner deli: 3/4" watts model LF008PCQT Serial No. 01980 Receiving door (mop sink): 3/4" watts model LF008PCQT Serial No. 01957 Meat back L room: 3/4" watts model LF008PCQT Serial No. 01970 Bakery, back lt door: model LF009M3QT serial No. 20587. (RP) Violation Summary: Inspector Contractor