Permit CITY OF TIGARD UMBNG
14 • COMMUNITY DEVELOPM Permit #: PL PLM2 -070 90 RMIT
13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/05/2013
T r c r� lz 1--) 9 Parcel: 1 S136CD04200
Jurisdiction:
Site address: 7700 SW DARTMOUTH ST
Project: Tigard Retail Center, Retail #1 Subdivision: PALMER ACRES Lot: 1 -3, PLL
Project Description: Interior plumbing for new 12,000 square foot retail shell.
Contractor: MCLANE PLUMBING INC Owner: PACIFIC REALTY ASSOCIATES
7675 HIGHBANKS RD #3 ATTN: N PIVEN
CENTRAL POINT, OR 97502 15350 SE SEQUOIA PKWY #300
PORTLAND, OR 97224
PHONE: 541 - 664 -1880 PHONE: 503 624 -6300
FAX: 541 - 664 -4216
FEES
Quantity Description Date Amount
1 ea Backflow Preventer 05/28/2013 $31.27
Specifics:, 2 ea Interceptor /Grease Trap 05/28/2013 $50.04
4 ea Roof Drain (Commercial) 05/28/2013 $50.04
Type of Use: COM 1 Plan Review 05/28/2013 $32.84
Class of Work: NEW 1 12% State Surcharge - 05/28/2013 $15.76
Type of Const: Plumbing
Occupancy Grp:
Stories:
Total $179.95
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 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 ApplicatiJECENED
Building Fixtures MAR 19 2013 FOR OFFICE USE ONLY
City
of Tigard Per No.:
ty g 6 � Date;By: ! 13 . K as /3 -600 96)
• 13125 SW Hall Blvd., Tigard, OR 9eITY OF
II = Phone: 503.718.2439 Fax 50 Plan Dale /By: p3 Rev iew M
$�t �ING ISION
DN /p'1� � 3
• Other Permit No.: / A-
�_.
T I G A R D Inspection Line: 503.639.4175 Date Ready /By: r� - orris: 61 See Page 2 for
Internet: www.tigard or.gov Notified /Method: / 7 Ylf�/' or Supplemental Information
TYPE OF WORK FEE* SCHEDULE
® New construction ❑ Demolition For special information use checklist.
Description 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
❑ 1- and 2- family dwelling ® Commercial /industrial SFR (2) bath 437.78 4
building SFR (3) bath 500.32 Q
❑ Accessory g ❑ Multi- family
Each additional bath/kitchen 25.02
❑ Master builder 0 Other: Fire sprinkler ( sq. ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Catch basin or area drain 18.76
Job site address: 77 00 5, D
Drywelt, leach line, or trench drain 18.76
City/State /ZIP: Tigard, OR 97223
p Footing drain (no. linear ft.: _) Page 2
Suite/bldg. /apt. no.: Project name: Waftttart TG42b r.trA /L ebirfAej Manufactured home utilities 50.03
Cross street/directions to job site: SW Dartmouth & SW 72nd Ave k€4 /1... 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 ' 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 25.02
Construction of an approximate 12,000 SF Outparcel Building (Retai 1) Dishwasher 25.02
Drinking fountain 25.02
Ejectors /sump 25.02
PROPERTY OWNER ❑ TENANT Expansion tank 12.51
Name: Walmart Stores, Inc. (Steve Dyer) Fixture /sewer cap 25.02
Floor drain /floor sink/hub 25.02
Address: 2001 SE 10th St.
Garbage disposal 25.02
City/State /ZIP: Bentonville, AR 72716 Hose bib 25.02
Phone: (479)273 - 4567 Fax: ( ) Ice maker 12.51
111 ® APPLICANT ❑ CONTACT PERSON Interceptor /grease trap 2 25.02
Business name: BCRA, Inc. Medical gas (value: $ ) Page 2
Primer 12.51
Contact name: Lorie Limson Cole
Roof drain (commercial) 4 12.51
Address: 2106 Pacific Ave, Suite 300 Sink/basin/lavatory 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(et)bcradesign.com Urinal 25.02
Water closet 25.02
CONTRACTOR Water heater 37.52
Business name: Taa 11 Elats- AL- L �J�,/�,
1•40.41_40 ! . 1 -�►"^r J l \ � Water piping/DWV 56.29
Address: 'N `7S 14.j 0(f or d 1--f -3 Other: 25.02
City/State/ZIP: Pe> T', 02 975DR Subtotal
F ax: /
Phone: (5iE () / I q• �S0 (� (! - � � SO Minimum permit fee: $72.50
CCB Lic.: 9 � �- Plumbing Lic. no.: Plan review (25% of permit fee)
State surcharge (12% of permit fee)
Authorized signature: j_' TOTAL PERMIT FEE
Print name: / 0 G fe t p Date: 7 `�I This permit application expires if a permit is not obtained witht-
after it has been accepted as complete.
*Fee methodology sel by Tri- County Building Industry Service
1: Building Permits PLMU- PermitApp.doc 1001 440- 4616T(1002{COM'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: 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 $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 $5.000.00 and $1.52 for
Other ec
Ins tions or Fees Qty. Fee (ea) Total each additional $100.00 or fraction thereof, to
Inspections 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:
I 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 Thry 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 *Note: If the fixture work under this permit results in an
Water Extractor
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 !files \Content.Outlook \HSJSWTGU \5935 Tigard OR - PLMF- Permit App
Retail I ).doc
FOR OFFICE USE ONLY — SITE ADDRESS:
This form is recognized by most building departments in the Tri- County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
I II City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
• • Transmittal r L tt
e e
I ! ! ! 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard- or.gov
TO: DATE RECEIVED:
DEPT: BUILDING DIVISrON
• RECEIVED
FROM: �� .1"--,(9-3 t C APR 0 8 2013
•
` CITY OF TIGAR
COMPANY: �� �
PHONE: A5 2j— 1pa-7 -• 4( eao-7
BUILDING DIVISIO
RE: 7700 o� t ✓vto-c ki -6 70
ite Address (Permit Number)
rod ct name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: I Copies: I Description:
Additional set(s) of plans. Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor /roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other (explain):
REMARKS:
1
FOR OFFICE USE ONLY
Routed to Permit Technician: Date: Initials:
Fees Due: ❑ Yes ❑ No Fee Description: Amount Due:
Special
Instructions:
Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done
Applicant Notified: Date: Initials:
I:\Building\ Forms \TransmittalLetter - Revisions.doc 05/25/2012
ARCE HIT ECTURE �
R EC EIVED
LAND USE PLANNING , ; n n �
INTERIOR DESIGN fIf 8 2013
GRAPHIC DESIGN
CITY OF TIGARD
Date: March 20, 2013 x Transmittal BUILDI N G DN ISION
To: City of Tigard
Community Development Fax
13125 SW Hall Blvd.
Tigard, OR 97223 Pages including this cover sheet
Attn: Debbie Adamski
Project: 5935 Walmart Building x Phone 503.639.4171
We are sending you:
X Attached Under separate cover via the following items:
COPIES DATE NO. DESCRIPTION
2 Walmart Building; Sheet E4 in response to electrical permit review
comments.
2 Retail 1; Sheet E2; Electrical Plans for Electrical Permit
2 Retail 1; Sheet Ml; Mechanical Plans for Plumbing Permit
2 Retail 2; Sheet Ml; Plumbing Plans for Plumbing Permit
2 Retail 2; Sheet E2; Electrical Plans for Electrical Permit
THESE ARE TRANSMITTED as checked below:
For approval Reviewed as submitted Resubmit For review
For your use Reviewed as noted Submit for distribution
x As requested Returned with response Return Corrected prints
X For review / comment For Recording
FOR BIDS DUE PRINTS RETURNED AFTER LOAN FROM US
The attached sheets are in response to plan review comments.
If enclosures are not as noted plea e notify us at once.
Signed: Kathryn Jerko c
2106 PACIFIC AVE, SUITE 300
TACOMA, WASHINGTON 98402
P 253 627 4367
F 253 627 4395
ARCHITECTURE RECEIV
ENGINEERING t L A ���
LAND USE PLANNING ; ; i
INTERIOR DESIGN
GRAPHIC DESIGN MAR 21 2013
Date: March 20, 2013 x Transmittal CITY OFTIGARD
To: City of Tigard BUILDING DIVISION
Community Development Fax
13125 SW Hall Blvd.
Tigard, OR 97223 Pages including this cover sheet
Attn: Debbie Adamski
Project: 5935 Walmart Building x Phone 503.639.4171
We are sending you:
X Attached Under separate cover via the following items:
COPIES DATE NO. DESCRIPTION
2 ✓ Walmart Building; Subway Sheets and FXS (Rack) Sheets
2 ✓ Y/ Walmart Building; Electrical Plans for Electrical Permit
2 / Walmart Building; Plumbing Plans for Plumbing Permit
2 / Retail 1; Plumbing Plans for Plumbing Permit
2 / Retail 1; Electrical Plans for Electrical Permit
2 L / Retail 2; Plumbing Plans for Plumbing Permit
2 / Retail 2; Electrical Plans for Electrical Permit
THESE ARE TRANSMITTED as checked below:
For approval Reviewed as submitted Resubmit For review
For your use Reviewed as noted Submit for distribution
As requested Returned with response Return Corrected prints
X For review / comment For Recording
FOR BIDS DUE PRINTS RETURNED AFTER LOAN FROM US
If enclosures are not as noted, ple..c. notify us at once.
Signed: Kathryn Jerkovic
2106 PACIFIC AVE, SUITE 300
TACOMA, WASHINGTON 98402
P 253 627 4367
F 253.627.4395
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
7700 SW DARTMOUTH ST, TIGARD, OR, 97223
Commercial - Plumbing
399 Plumbing final
PASS - No C of O
PLM2013-00090
Chip Barnett
Previous corrections have been completed
Violation Summary:
Inspector Contractor