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Permit
CITY OF TIGARD PLUMBING PERMIT 11111 COMMUNITY DEVELOPMENT Permit#: PLM2014-00055 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/06/2014 T I��'�k 9 Parcel: 25101 BB01500 Jurisdiction: Tigard Site address: 12242 SW GARDEN PL, BLDG#1 Project: Chester Labs Subdivision: CROW PARK 217 Lot: 3 Project Description: Plumbing fixtures for TI: ADD(1)break room sink,(2)lays,(2)water closets and(1)water heater. Contractor: K&C PLUMBING INC Owner: WALTON CWOR PARK BC 8 LLC PO BOX 2124 BY EQUITY OFFICE MANAGEMENT LLC OREGON CITY, OR 97045 PO BOX A-3879 CHICAGO, IL 60690 PHONE: 503-518-0234 PHONE: FAX: 503-518-1100 FEES Quantity Description Date Amount 1 ea Sink 03/03/2014 $25.02 Specifics: 2 ea Lavatories 03/03/2014 $50.04 2 ea Water Closet 03/03/2014 $50.04 Type of Use: COM 1 ea Water Heater 03/03/2014 $37.52 Class of Work: ALT 1 12%State Surcharge- 03/03/2014 $19.51 Type of Const: Plumbing Occupancy Grp: Stories: Total $182.13 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 co•' % CITY OF TIGARD SEWER CONNECTION PERMIT a COMMUNITY DEVELOPMENT Permit#: SWR2014-00015 T(G A R O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/06/2014 Parcel: 2S 1018801500 Jurisdiction: Tigard Site address: 12242 SW GARDEN PL, BLDG#1 Project: Chester Labs Subdivision: CROW PARK 217 Lot: 3 Project Description: 1.13 EDU increase. Contractor: Owner: WALTON CWOR PARK BC 8 LLC BY EQUITY OFFICE MANAGEMENT LLC PO BOX A-3879 CHICAGO, IL 60690 PHONE: PHONE: FAX: FEES Description Date Amount Specifics: Sewer Connection Fee 03/06/2014 $5,424.00 Type of Use: COM Class of Work: ALT Install Type: Building Sewer Fixture Units: Number of Dwelling Units: 1.13 Total $5.424.00 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, o if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility No ation 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 dir- questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: Call 75 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 ApplicatiltE Building Fixtures t,,: ,„ , i( 1 , ,1 I,, , City of Tigard Dewarr .11/1i1 6.7• Permit Bo"'6til1e20/y'400 t IN,.... 13125 S W Ilan Blvd.,Tigard,OR 972E B 2 7 2014 Plan Review Phone: 503.718.2439 Fax 503.598.1960 Date./13y: Other Permit No.; 44 /y--elo©`s- _ Inspection Date kris: See far j,\,.D hite: or.gov CITY OF TIGARD Notified/Method: S ppkaseat hl lsfb rmatior . . -47.1.7'.:7--� 1 IAi it ❑New construction ❑Demolition For eclat information use checklist Descri• on •l,. Ea. Total PS Addition/alteration/replacement ❑Other: New 1-2-family dwelli■ (includes 100 ft.for each utility connection).' : --,.----H .‘ -, SFR(1)bath 312.70, ...- -- -.-. -- , -- ❑ 1-and 2-family dwelling tgComumercial/industrial SFR(2)bath 437.78 1 SFR(3)bath 500.32 ❑Accessory building ❑Multi-family % Each additional bath/kitchen 25.02 Q ❑Master builder ❑Other Fa ft.) Page 2 W O Fire sprinkler( sq. .) age ,, "l Site utilities: I_ 1 2. 4 L W a /, h ..m Catch basin or area drain 18.76 Job site address. 41 � City/State/ZIP: dt Drywall,leach line,or trench drain 18.76 Footing drain(no.linear ft: ) Page 2 Suite/bldgJapt.no.: 1 Project name: atLy5.-)c„,- £ASS Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:w) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no-linear ft.:r•) Page 2 Subdivision: Lot no.: Fixture or item: Tax map/parcel no Backflow preventer 31.27 ------------_ _ _ -- T_ ,. . ,_: Backwater valve 12.51 . - . i _ Clothes washer 25.02 I kl S 4- c_,(1 3 s ( H k ; q 2- f o i 14 f�/ Dishwasher 25.02 tom.p-1 of ( (7�.p tr y-v w 1.4 P Drinking fountain 25.02 _ / A fiE r_. a G o M ^/ - "3 1-5 Ejectors/sump 25.02 Expansion tank 12.51 Name: Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 `f1 Interceptor/grease trap 25.02 Business name: Medical gas(value:$ ) Page 2 Primer 12.51 Contact name: roof drain(coutnrevNial) 12.51 Address: nk/basin/tevat ern 3 25.02 75,O O. City/State/ZEP: Solar units(potable water) 62.54 Phone:( ) Fax::( ) Tub/shower/shower pan 12.51 E-mail Urinal .r. water closet Z- 25.02 r ,1 I 2s 5�,s6.2 _- Water heater 1 37.52 3- Business name. as k7 a -• Ala Water piping/DWV 56.29 r Address: _C 0 e . q Other: 25.02 City/State/ZIP: a j:2_0 • ,, Alifk, / ' d 4/f j Z s 6' - Subtotal t Phone: • ) -- Fax: 2�) J _./I • Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lic.: ) 6‘,t I ri Plumbing Lic,no.: p $ 5 State surcharge(12%of permit fee) I l ,Si Authorized signature �� TOTAL PERIVIIT PEE 1$2J3 L/ This permit application expires if a permit is not obtained within 180 days Print name: II. c Date: 2.714 abler k bat bees accepted as complete. "Fee methodology set by Tri-County Building Industry Service Board I:1Bailding\retntiul4LMUPernittApp.doc 10/01/69 440.4616T00/07JCOM/WEB) Plumbing Permit Application - City of Tigard Page 2 -Supplemental Information Fee Schedule: Residential Fire Su 1 •ression S stems: = ,� 0 to i000 $121.90 - Footing drain-1 100' 50.03 Footing drain-each additional 100' ffiall 2 001 to 3 600 $169.69 3 601 to 7 200 $233.20 Sewer-1st 100' Mill 62.54 7 01 and:eater $327.54 Sewer-each additional 100' 37.52 MN Water Service-1st 100' � 62.54 Medical Gas Systems: Water Service-each additional 100' Storm&Rain Drain•1st 100' 62.34 IIIM $1.00 to$5 000.00 Minimum fie$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 and includin:$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 111 90.00/hr ■ each additional$100.00 or fraction thereof,to minimum ch •e-1/2 hour and includin:$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 char:e-2 hours each additional$100.00 or fraction thereof,to Reinspection Fees lin 90.00/hr and includin:$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 cb _c-1/2 hour each additional$100.00 or fraction thereof Subtotal: 1.111 ME Commercial Fixture Work: Are you capping,adding or replacing fixtures? if"yes", please indicate work performed by fixture. Failure to accurately re. .rt fixtures could result in increased sewer fees*. i Plan review is required for any of the following- , , ..; -i.. Please check all that apply. Ba• is /Font -- PP Y• Bath -Tub/Shower ❑ Any new commercial building with water service 2"and Jacuzzi/whirl••of —MM. greater,except systems designed and stamped by licensed Car Wash -Each Stall —� engineer. -Drive Tbru IIMIIIIIIIMMI- 0 New exterior plumbing site utilities for any complex structure Cu-,idor/Water AS.irator -�MIMI as defined in OAR918-780-0040- Dishwasher -Commercial =�� El in gas and vacuum systems for health care facilities. -Domestic ❑ Any multipurpose fire sprinkler system. Drinkin:Fountain 1..1101 ❑ Any complex structure as defined in OAR918-780-0040. . . MINIM� Floor Drain/sink -2" 111111 - Submit 2 sets of plans with any of the above. -3' 4 m., .;'''''F'",',;11 4" =NM ,-- e Car wash Drain MEM III ❑ Isometric or riser diagram is required for new buildings Garbage -Domestic-non-food —�- Disposal -t)oraestic-ibod related --- that meet the •ualifications above. -Commercial-food related M -adirstrial-foad related Mach./Refri: Drains IIIIIIIIII Oil Se.:rater Gas Station Comments regarding fixture work: Rec.Vehicle Dum. Station MOM .-__ Shower -Gang . -Stall -.—MOM "-""' Sink/I-ay -Non-food related IIIMIII— -Bradley -Commercial-food related �== -Service sr n-Clctoes Pool Filter Washer *Note: If the fixture work under this permit results in an Washer Water Extractor increase of sewer EDUs,a sewer permit will be issued and -�� Water Closet-Toilet - fees assessed for the sewer increase must be paid before the Urinal- plumbing permit can be issued. Other Fixtures: -MIMI Macintosh HD:Users:bllcerrlb2:Downloads:PLMF-PermitApp-l0.doc 2 CITY OF TIGARD _ BUILDING DIVISION PERMIT #: Pl MAO,4 - 000 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: / f_ /4/ TIME: PAGE: SITE ADDRESS: l�a1f� k ' 6,40bepi pi 8O#* CLASS OF OF ORK: SUBDIVISION: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message PhIA ketiv6.. Qv tji Corrections/Comments/Instructions: J C-9 Cv2✓1LG"1 / Gf�` b(�.41►� t cr7-17c4 Lt/ T 1�E- -'r ; 0— / , 01 Co. EC,— 'roll-CT 1-441-, i4(144-7 04./Ev1--- 6 / /a- r 5Et -Div;pec7a' lzr / u3 6:6•/ C c v� � / /✓t A � W N qv': V P i�CC)/,`� E I/ C ci(i /2 LY i :'P li t.✓A -1 L \ H L A.- ,r 2- 1 ,/ - 2 , (// A ;avr- 7 PASS I I PARTIAL APPROVAL CANCEL NO ACCESS FAIL I I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: ('aIQ Er 6- 41E Irk .$ Date: 3-o - Phone #: (503)1941- 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 12242 SW GARDEN PL BLDG 1, TIGARD, OR, 97223 Commercial - Plumbing 399 Plumbing final 2014-04-04 (null) PLM2014-00055 PASS - No C of O Violation Summary: Inspector Contractor