Permit CITY OF TIGARD PLUMBING PERMIT
1 COMMUNITY DEVELOPMENT Permit#: PLM2014 00100
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/08/2014
T E R O Parcel: 25101 DC00200
Jurisdiction: Tigard
Site address: 13535 SW 72ND AVE 135
Project: Tigard Make-Ready Subdivision: 72ND BUSINESS CENTER Lot: 13
Project Description: Add(1)sink and(1)water heater
Contractor: WESTERN PLUMBING Owner: PNWP LLC#2
9460 SW TIGARD AVE SUITE 101 BY PACIFIC NW PROP LTD PTNSP
TIGARD, OR 97223 PO BOX 2206
BEAVERTON, OR 97075
PHONE: 503-639-5296 PHONE.
FAX: 503-684-9015
FEES
Quantity Description Date Amount
1 ea Sink 04/08/2014 $25.02
Specifics: 1 ea Water Heater 04/08/2014 $37.52
1 12%State Surcharge- 04/08/2014 $8.70
Type of Use: COM Plumbing
Class of Work: ALT 10 ea Minimum Fee Adjustment- 04/08/2014 $9.96
Plumbing
Type of Const:
Occupancy Grp:
Stories:
Total $81.20
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct q ions to•UNC by calling 503.232.1987 or 1.800.332.2344. ■
` gIssued B I iIo ;
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
04/07/2014 15: 09 5036849015 WESTERN PLUMBING INC PAGE 01/03
•
Plumbing Permit Applies#
Building Fixtures ilL I' FOh C11.1:1(F I SF Q\LI
City lipii Of Tigard >'"d
-. if'i WJJ lac No.:i JO/ ....60/60
l SW Blvd.,T;�d,OR.9'qA APR 702014
Pim y Phi.Inspection 0 .6 a 503.639.4175 17 Finn 01 1 VI ��17 45 � O�haPamallo.: LJ/Q / — -
1 L li ,l i i. Dec Reedy/By huh VI Sec Page 2 for
' lammed: www.tigard-or.gav BIM Dlryl7 UIVISI JPt Nod&d/Method
lemontat Information
TYPE�YF {Y01tlg 1011 '0C i:,
Q New construction ❑Demolition Far _ - we a
= .a- Ea. Total
Lt Additian/akeration/feplaeement ❑Other: New 1-2-,‘. .,. dwellings(includes 100 ft fbr each utility connection)
,: ...: :, . Cd' 011 O"S�NS7l' i' •'• • ' SFR(1)bath 312-70•
fl 1-and 2-family dwelling I'i Commercial/indwdtirl Mt(2)bath 437.78
o AccessolY building ❑Multi-fermi' SFR(3) 500.32
r-t Each additional bathidichea 23.02
❑Master builder L.i Other fine eprinider(__sq.fl.) Page 2
,:' JOB 511$,pagostM IVN.AND OC,TON Site ud ies:
Job site ttdd �' Catch basin or area drain 1&76■ (, i II li . / Drywdl.lttach 1®e,or iRndt drain 18.76 all
City/State/ZIP "T‘c', Tc\t t "1 Ta1�3 . _
_ '` Footing drain(Da.linear R:_) Page 2
Suit'e/bldg apt no.: / Project tame: S. ( u,!_ •-tl.,_\; ' MaISX caned home,utilities 50-03
Cross street/d' : ,r,.i ,. •
. Manholes 18.76
Rain drain connector 18.76
Sanitary sower(no.linear S: 1 Page 2
Storm sewer(m-linear ft:.. ) Pate 2
Wider service(no.limn-ft: ) Page 2
Subdivision: =MI Blain-or New: _.
Tat[map/parcel no.: ow pave 31.27 II
. . .:- ..•. . .. ;. , ...- Backwater valve 12.51
�I;�01f WORK
Clothes washer 25.02
Va: i 9/1 ■ ►me:1A t Dishwasher 25.02 ME
�,fa 1, ' ♦}(--* I ...c t Drinking tbumain 25.02
F.jeaters/actmp 25.02
Y OWNER i E peneiontank 1151
Nano
Fixture/sewer alp 25.02
Floor draidlbor smiJhnb 25.02
Address:
Garbage disposal 25.02
City/State/DP: Rose bib 25.02
Phone:( ) Fax:( ) Ice maker 12.51
•:: 'IY.POMMY 0 CONTACT PERSON Qi$Or/gr trap 25 02
Baia.*name: Page 2 MI
12.91
Contact name: Roof drain(commercial) III 12.31
Address: Sioac/bnai J1avatory Z3.02 MS
City/State/ZIP: Solar amts(potable water) _
Phone:( ) Boic:( ) T ublshawcr/shower pan 1111 12.51 IIII
E-mail: Urinal 23.02
. . .. Water dose 25.02
�'4 R
Vida-heater 1111111 39.32 WAWA
Business Dana Western Phumabbap,Inc. Wilda'piping03wv 56.29
Address:9460 SW Tigard Aroma State 101 Other: 25.02
City/State/ZIP:Tigard,OR 97223 Subtotal ia�,.f -i-
Minimum L Phone:(503)639-5296 Fax:(503)6E4-9615 permit fee £72.50 ,�j(`
CCB Lie.:2439 Pl»tabing Lie,no.:34-29PB Plan review(25%ofpetxnitfee)
M
f L,-:-.1_ State surcharge(12%of permit t e) L',1-0„
•
Authorized si /1 ` ^A^, (?;�,r / TOTAL P'ERMrr m
Print name ) y Wv Data C ,�///1
This permit appilcatlon expires Ks permit 1r not obtained within 1e� 0 days
{ f � after it has bees weceptnd es cumpletr.
- i .r.........,w,an,.........1..,'hi 1-..,,n,c.R..:IA:...,i..A.,o..-,a.-•.,■•••.A•••■•i
04/07/2014 15: 09 5036849015 WESTERN PLUMBING INC PAGE 02/03
Plumbing Permit Application - City of Tigard
Page 2- Supplemental Information
Fee Schednie: Suppression
Q�_ rte 04) Residential Fire �a>ton�teems
Wit` -,..,...
Footing drain-1 100' 50.03 0 to 2,000 $121.90
Footing drain-each additional 100' 37.52 2 001 m 3,600 $1G4.89
3,601 to 7,200 $233.20
Sewer-tat 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-ends additional 100' 37-32 Valaatiop:' `"`';'.'`,.'Permit Fee:'
Storm&Rain Drain-1st 100' 62.54 $1.00 to$5,000.00 Minimum fee$72.50
Storm&Rains Drain-each additional 100' 37.52 35,001.00 to 310,000.00 372.50 for the first$5,000.00 and 31.52 for
:' :Ql�. Fee let Titl�l ' cach additional$100.00 or fraction thereat to
and including$10,000.00.
Inspection ofatiating*tubing Of 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/r each additional$100.00 or fraction thereof,to
(mininoun charge-lt2 boor) and includiig$25,000.00.
Inspections outside of normal business 90.0011 r $25,001.00 to$50,000-00 $379.50 for the first$25,000.00 and$1.45 for
hour, minimum charge-2 hours) each additional$100.00 or fraction theroa&to
Reinspection Fees 9O- +r anduv'rndine$50,000.00.
Additional P�° � r evifions 550,001.00 and up $742.00 for the first$50,000.00 and$1.20 for
(min lawn charge x-1/2 Wu') each additional$100.00 or fraction thereof
Subtotal:
C91.111ne_rCial Fixture Work:
Are you capping,adding or replacing fixtures? If Q`yes", n fd ' `Ins lations
please indicate work performed by fixture. Failure to Plan review is required for any of the following.
accurately report fixtures could reaak in increased sewer fees*. Please check all that apply.
:::; . Qaatntlt�by t> )1?Irastlr rtcrflaa>ged,;' ❑ My new commercial building with water service 2"and
' greater,except systems designed and stamped by licensed
Protest. Causal 7 Jiiirl .- engineer.
Baptistry/Font . ❑ New exterior plumbing site utilities for any complex structure
Bath -Tub/Shower as defined in OAR918-780-0040.
bi,lp°0l ❑ Medical gas and vacuum systems for health care f lciliues.
Car wash -Each Stall - - 0 Any multipurpose fire sprinkler system.
-Drive 1Lnr ❑ Any complex structure as defined in OAR9I8-780-0040.
Cuspidor/Water Aspirator
Diahwa9lta Cvmic Submit a sets of plans with any of the above.
-Domestic
Drinking Fountain
Eye Wash �iiiii t:,of It k'.liniikil
floor Drain/sink -2" t-I Isometric or riser diagram is required for new buildings
-3" meet the qualifications above.
-4„ -
Car Wart Drain
Garbage -Domenic .
Disposal -Comme1' Comments regarding fixture work:
-Industrial
tee Mach/Ra&ig.D ama '
Oil Separator(Gas Station)
Roc.Vehicle Duup Station -
Shower -Gang
-Stall - -
Sink -Bar/Lavatory i
-Bradley
-Commercial *Note: If the fixture work under this permit results in an
-Service increase of sewer EDUs,a sewer permit will be issued and
swirl:;coal Filter fees assessed for the sewer increase must be paid before the
Washer-Clothes
Water Edo, - plumbing permit can be issued.
Water Closet-'I-oilet
Urinal
Other Fixtures: -
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
13535 SW 72ND AVE 135, TIGARD, OR, 97223
Commercial - Plumbing
399 Plumbing final
PASS - No C of O
PLM2014-00100
George Heimos
NOTE: Plumbing underslab and topout inspections were done on PLM2014-00084 and
passed rough and test.
Violation Summary:
Inspector Contractor