Permit CITY OF TIGARD PLUMBING PERMIT
11111 COMMUNITY DEVELOPMENT Permit #: PLM2013 00239
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/15/2013
Parcel: 1 S 134DC 12700
Jurisdiction: Tigard
Site address: 11365 SW TIGARD ST
Project: BAPS Temple Subdivision: 2004 -050 PARTITION PLAT Lot: 2
Project Description: Add fixtures for new bathroom: (1) clothes washer, (2) 2" floor sinks, (1) primer, (2) lays, (2) shower stalls, (1)
urinal & (3) water closets.
Contractor: BEAVERTON PLUMBING INC Owner: BAPS PORTLAND LLC
13980 SW TV HWY ATTN CORPORATE AFFAIRS DEPT
BEAVERTON, OR 97005 81 SUTTONS LN
PISCATAWAY, NJ 08854
PHONE: 503 - 643 -7619 PHONE: 503 597 -3030
FAX: 503 - 643 -7620
FEES
Quantity Description Date Amount
1 ea Clothes Washer 07/15/2013 $25.02
Specifics: 2 ea Floor Drain/Floor Sink/Hub 07/15/2013 $50.04
1 ea Primer 07/15/2013 $12.51
Type of Use: COM 2 ea Lavatories 07/15/2013 $50.04
Class of Work: ALT 2 ea Tub /Shower /Shower Pan 07/15/2013 $25.02
Type of Const: 1 ea Urinal 07/15/2013 $25.02
Occupancy Grp: 3 ea Water Closet 07/15/2013 $75.06
Stories: 2 12% State Surcharge - 07/15/2013 $31.53
Plumbing
Total $294.24
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 questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued B : jJ \ ' /1 Permittee Signature: e7K—
JJJ
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.
From: 07/12/2013 11:03 #162 P.001/003
111_ GElE®
Plumbing Permit Applic : 1
Site Utilities 'JUL 15 2013
FOR OFFICE USE ONL1' h
City of Tigard OF TIGARD Received 7 /s � :, Permit NA/% /3 _00,739 ,‘ up •
13125 SW Hall Blvd., Tigard, OR 2 Date/B
MI : Phone: 503. 718.2439 Fax: Plan Review Other Permit
ONG DIVIS Date/By: evfic?D/3 -00/44
- f I G A R D Inspection Line: 503.639 l
Internet: www.tigard- or.gov
PE . ified/
OF WOR .
e age
Supplemental 1 n form ati on
..TY
❑ New construction ❑ Demolition For special information use checklist
Description Qty. 1 Ea. 1 Total %
® Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) N
CATE < RYOF "CO " SFR bath GO NSTItUCTION= =. = �:: (1) 31
❑ 1- and 2- family dwelling ® Commercial/industrial SFR (2) bath 437.78
❑ Accessory building ❑ Multi - family
SFR (3) bath 500.32
❑ Master builder Each additional bath/kitchen 25.02
❑ Other: Fire sprinkler (_, sq. ft.) Page 2
JOB aSITE'INFORMATION: < LOCA ON`s ::;.: ':`�; .`�:r:-
,.......e..; "..::. -. �D-<,:..... � .,.:.- .. ;_•,,..:,,. Site utilities:
Job site address: 11365 SW TIGARD ST. Catch basin or area drain 1 8.76
City/State /ZIP: TIGARD, OREGON 97223
Drywell, leach line, or trench drain 18.76
Footing drain (no. linear ft.: _) Page 2
Suite/bldg- /apt. no.: I Project name: BAPS TEMPLE Manufactured home utilities 50.03
Cross street/directions to job site: 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.: Backflow preventer 31.27
`. DESC t TJO. OF WO Backwater valve 12 "51
Clothes washer 1 25.02 25.02 •
INSTALLING NEW FIXTURES
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
l`' ;1 Q' r S` Ex
ItQE1~RTY. W�!lER " - � � = `,- -;a -•_ erasion tank
.. _ �:Q:. _:- „�. ,. ,..:.s „ rt �;� T�Pj - ":a;: P 12.51
Name: Fixture/sewer cap 25.02
Address:
Floor drain/floor sink/hub / 2 25.02 50.04
Garbage disposal 25.02
City/State /ZIP:
Hose bib 25.02
Phone: ( ) Fax: ( ) Ice maker 12.51
_ , _ &4 - 'A'� 6iiiIT ; . UM' ' : CT Interceptor/grease tra
..._. -. _.. �G - ... �' -- - ERSOK ^ z -.�=' `. P 25.02
Business name: BEAVERTON PLUMBING, INC Medical gas (value: $ _ ) Page 2
Contact name: ROXANNE GRIER Primer 1 12.51 12.51 s'''
Roof drain (commercial) 12.51
Address: 13980 SW TUALATIN VALLEY HWY Sink/basin/lavatory 2 25.02 50.04 ✓
City/State /ZIP: BEAVERTON OREGON 97005 Solar units (potable water) 62.54 -; "
Phone: (503) 643 -7619 Fax: : (503) 643 -7620 Tub /shower /shower pan ./ 2 12.51
E -mail: ROXANNE@BEAVERTONPLUMBING.COM Urinal I 25.02 25.02 , ./ r
`.`CO
I'
Water closet 3 25.02
75.06 6
Dl1'RA, C O -
_ . - ":...,±',''''...::-1.k Water heater 37.52
Business name: BEAVERTON PLUMBING, INC
Water piping/DWV 56.29
Address: 13980 SW TUALATIN VALLEY HWY Other: [ 25.02 gl ll
City/State/ZIP: BEAVERTON OREGON 97005 Subtotal
Phone: (503) 643 -7619 Fax: (503) 643 -7620 Minimum permit fee: $72.50 L
CCB Lic.: 12889 Plumbing Lie. no.: Plan review (25% of permit fee) '24 53
.".:
State surcharge (12% of permit fee)
Authorized gna Q 1-2./1 i o
l-J'' ✓ TOTAL PERMIT FEE
Print name: ROXANNE GRIER Date: 07/12/13 This permit application expires if a permit is not obtained wIthinia0 days
after it has been accepted as complete.
*Fee methodology set by Tri -County Building Industry Service Board.
1:\ Building \Permhs \PLMU•PernitApp.doc 10/01/09 440-46161110'02/C0191/WEB) p�� ��
Afo.t.,,/
From: 07/12/2013 11:03 #162 P.002/003
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
, .._ . _ . :'Square:Foof�g�:_ ; :,:::, _` ' �: Pe�miit'�Ees•::::, �;;' �F:::. ": -:.: - ..::::'.,
Footing drain -1 S ' 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 - I st 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
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 $1.52 for
each additional $100.00 or fraction thereof, to
t >le t 'T rispectaori sor;Fees;:.::::. may'='.' 1 ` {e @ }: ;,<�9ta1 ._< 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:
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 * .
Qt[anaty:
a
ah
b}xture,.T a for .. -'
• : n #'or;P umlin�- ; Install`"
.Work`Performede . ;: _ • ;:' apped ".Add t-, ' ., tCIOe e;•. Plan review is required for any of the following.
Please
Baptistry/Font
e 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 engineer.
-Drive Thru ❑ New exterior plumbing site utilities for any complex structure
Cuspidor/Water Aspirator as defined in OAR918- 780 -0040.
Dishwasher - Commercial ❑ Medical gas and vacuum systems for health care facilities.
- Domestic ❑ Any multipurpose fire sprinkler system.
Drinking Fountain ❑ Any complex structure as defined in OAR918- 780 -0040.
Eye Wash
Floor Drain/sink - 2" 2 Submit 2 sets of plans with any of the above.
-3"
Wash Drain .,....,:,.,
Car Wa
Garbage - Domestic- non -food ❑ Isometric or riser diagram is required for new buildings
Disposal - Domestic -food related that meet the qualifications above.
- Commercial -food related
- Industrial -food related
Ice Mach JRefrig. Drains
Oil Separator (Gas Station) Comments regarding fixture work:
Rec. Vehicle Dump Station
Shower -Gang
-Stall 2 ✓
Sink/Lav - Non -food related 2
- Bradley
- Commercial- food related
- Service
Swimming Pool Filter
Washer - clothes 1 / *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 3 fees assessed for the sewer increase must be paid before the
Urinal 1 ✓ plumbing permit can be issued.
Other Fixtures:
•
http: / /www. tigard- or.gov /city_hal l/ departments /cd /docs/P P ermitAp2doc