Permit CITY OF TIGARD PLUMBING PERMIT
14 -- COMMUNITY DEVELOPMENT Permit#: PLM2013-00349
Date Issued: 10/09/2013
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 1S135BD00100
Jurisdiction: Tigard
Site address: 9600 SW OAK ST 400
Project: Everest Institute Subdivision: ASHBROOK FARM Lot: PTS 5&
Project Description: Replace(3)2"floor drains,(6)lays,(2)urinals and(8)water closets for interior remodel.
Contractor: WESTERN PLUMBING Owner: SUN LIFE ASSURANCE CO OF CANADA
9460 SW TIGARD AVE SUITE 101 BY NORRIS BEGGS&SIMPSON
TIGARD, OR 97223 121 SW MORRISON ST#200
PORTLAND, OR 97204
PHONE: 503-639-5296 PHONE.
FAX: 503-684-9015
FEES
Quantity Description Date Amount
3 ea Floor Drain/Floor Sink/Hub 10/09/2013 $75.06
Specifics: 6
ea Lavatories 10/09/2013 $150.12
2 ea Urinal 10/09/2013 $50.04
Type of Use: COM 8 ea Water Closet 10/09/2013 $200.16
Class of Work: ALT 1 12%State Surcharge- 10/09/2013 $57.05
Type of Const: Plumbing
Occupancy Grp:
Stories:
Total $532.43
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: .4 /.- �/,�L`elz--77d`
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. �V
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
10/04/2013 08:36 5036849015 WESTERN PLUMBING INC PAGE 01/03
Plumbin Permit Application
Building Fixtures
,-.26cf-- = i1�h On: is t_tik: fi'�L.1�
City of Tigard �h „�
13123 SW Ball Blvd.,r`A" „ ,�p13 r /43 t//a/ ' P xy�°LM.?o/3 7940 �/9
• _C Phone: 503.639.4171 Fax: 303.5
Plan Review
IoapeQlon Line 503.639.4175® Other Perna No:
T 1' 4
Internet wwwsipprd-or.gev ti & e� c,®y, N8" ab ' s: 0 See rage z tar
O New construction `II Demoliticm ( .$
Far ep erial sirs cheek/ha
-Addi0o0/aiiecstion/replacemrnt 0 Other �� °° Ea Total
lloW 1-2-famfly&tangs(includes 100 R for each utilit
connection)
311.70
❑1-and 2-family dwelling i Commercial/industrial SFR(2)bath 437.78
❑Accessory building ❑Multi-family SFR(3)bath r 500.32
❑bloater builder ❑Other
Each additional 25.02
Fire sprinkler aP(1$':8n'�:1Ni+!Pttlf4ri01314 7 111? g4 ) 2, , Site utilities:
_� T
.ft Page
Job site ads,ass ►1_M ► L `11 �c ll) _C basin or area drain IIIIZI
City/Stato'Z1P: l 17tywen,laadt line,or or trench drain 18.76
J{J
Suitc/bldgJapt no.: ' Project turner: Footing drain(no.liana-R.:_) NM Page 2
I •k I t\*Ikikk Matmibc4red home utilities 50.03
Crow spree/directions to job she: lfaoltolas `
18.76
Ram drain orionector 18.76
- Sanitary sewer(no.linear S:_) EMI
Storm scorer(no,linear ft:_)
Subdivision: T�i no.: weer service(no linear lt.:_� Page 2
1lRnum or Henri
Tax map/paroci no.: $RCk$ow i e
. ., ,: .. 31.27
!1 01t 1Q�gj Baticwater valve 12.51 ME
r ‘r J(' (Y1 1 aothea wa&har 25.02
-
Dishwasher 25.02 ill
Drinking amain 25.02
3=1iiS ovt+ht�l
ora/'a� 25.02
ci 41.4:, Bxpauldon tank 12.51
Name Fixture/sewn cap 25.02 III
Address: Floor drain/floor aioirlhub- 25.02
City/StateJ7,ip; disposal 25.02
Bose bib 25.02
Phone:( ) Fax( ) Ice maker 12.51
17.JlilrPLIE AM' . i tar .1s N I eptor/geasebaP 25.02
Business nartto: Medical gas(value:$ ) Page 2
Contact name: - --- - 12.3]
Address: Roof drain(commercial) 12.51
City/State/ZIP: - .., Bmi/f�inllax Hey it It 1 k.,6 25.02
Solar units(potable water) 62.54
Phone:( ) Fax:( ) Tuhishowc/ahowar pan . 12.51
E-mail:
Urinal 25.02 alliMI
water ob0sat L.. . 25.02 tcrIPMIII
Business name:western Plumbing,lnc ee
Wert r heater 37.52
wr piping/Dwv 56.29
Address:9460 SW Tigard Avwtue Suite 101 r ors
25.02
6/
City Phone:(503) Tigard,OR 97223 Subtotal
Phone:(503)639296 Fax (503)6B4-9Q1 S permit fee: $72.50
__VII
CCB Lie.:2439 Plumbing Lie,no.:3429PB r Phu review (2596 of permit fee)
Antbmized signature: 07 it a surcharge(12%of permit fine) Mil
"'J / 1 : /t TOTAL PERMIT FEE
Print Hama Dana Jenson f� ` That planate a �Jo2
Dare: ill/9 l t4�estiso tie permit b not attained%man 160 days
Y / after n gm been accepted ere complete.
.v.....wM1..v1nlewy oral tar TAX'nanow 12.4/Awn,7w.e......a...v:.-..n.. .
10/04/2013 08:36 5036849015 WESTERN PLUMBING INC PAGE 02/03
Plumbing Permit Application -City of Tigard
Page 2-Supplemental Information
Fee Schedule:
=;,Schedule: -'-" Residential Fire Suppression tems:
. . .. '. ,*stem -
rbeting main.1 100' 50.03 ;;:oy °12''
Footing chain-each $16!40
8 additional 100' 37.52 . 2.001 to 3,600 $169.69
Sewer-1st 100' 62.54 3,601>4 7.200 3233.20 74
Sewer.each additional 100' 37.52 -. Ol -- 32 .5
Water Service-1st 100' 1111 62.54 .'
Waxer Service-each additional 100' 37.52 Medical Gas stems:
Storm&Rain Drain-1st 100' MI 62.54 'WOO.: �
Storm Rain Drain-each additiarm(100' 37.32 $!00 to$5.000-00 fah$72.50'
Stop ..fie,. _ -$5,001.00 to$10,000.00 $72.50 for the fast$5,000.00 $1.52 For
V tliiii Jn6+etiwun8::'':r P 9 Qb : 0.4�', 'ro'4- each additional$IOO.o0 or fraction thereat to
ttrspection of5sisting gambles or for — and iactud' $10000.00.
which an fee is specifically indicated 9000 $10,001.00 to$25,000.00 $14850 forth.feat 10,000.00 and$1.54 thr
(ni -1P2 lour) each additional$100.00 or fraction thereat to
Inspections ouLade of normal 90.00/h and including$23,000.00.
-
boars(mininamscharge-2 hams) $25,001.00 to$50.000-00 $3•9.50 forth*rust$25,000.00 and$1.45 for
Rcinspeaion Foos 90.00/!4 each additiooal$100.00 . fraction thereat;to
Additional plan review tar revisions — up and inol
(minimum -In hour) 90.00/hr $50,001.00 and tip $742.00 for the $SO,000.00 and$1.20 tbr'
t
each additional$100.00 or fraction thereof
•■
Commercial.Fixture Work: �.
Are you capping,adding or replacing flares? i'f"yes",
please indicate work performed by future. Failure Mor. iulltti :.
Plan review is required for any of the following.
accurately report fixtures could re$utt in 1» sewer fees*
.: . '�T hY(iIrbAa+a}'�!! r".2.:':.; Please check ai!that apply.
„ 0 Any new building with water service 2"and
Baptistry/Feed
.mass . e engineer and stamped by licensed
Hato Tula/Shower 0 New exterior plumbing site utilities for any complex structure
Car Wash-- as in OAR918-780,0040.
and vacuum systems for health care facilities.
Drive Thin D Any purpose fire sprinkler systenL
Diahwasher -Commercial
in? ❑ Any complex structure as defined in OAR918-780-0040.
Driukin5 Fei*taro
-Domestic Submit 2 sets of plans with any of the above.
Eye Wash ^--
Floor Drain/sink -2" : > 1 � �].. :,:: .'
-3" cc riser diagram is required four new buildings
-4" that meet the qualifications above..
Car Wash Drain
Garbage Dodo
Disposal -Commercial
Comments regarding fixture work:
Oil Separator fcae sadion) —
Rec.Vehicle Dump Station _ 1
Shower -Gang
-
-Stall
r Sink -Bar/lavatory
-Bradley
• -Commercial
-Service --- *Note: If the fixture work under this permit results in an
Swimming Pool Filter — increase of sewer EDUs,a sewer permit will be issued and
Washer-cietltea
fees assessed for the sewer Increase must be paid before the
Water Euraaor plumbing permit can be issued.
Wawa Closet.-Toilet
Urinal
Otter Fixltara:
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
9600 SW OAK ST 400, TIGARD, OR, 97223
Commercial - Plumbing
399 Plumbing final
2014-02-11 (null)
PLM2013-00349
PASS - No C of O
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
9600 SW OAK ST 400, TIGARD, OR, 97223
Commercial - Plumbing
399 Plumbing final
2014-01-13 (null)
PLM2013-00349
FAIL
Lounge bathroom not accessible for inspection, fixtures taped over.
All else ok.
Violation Summary:
Inspector Contractor