Permit CITY OF TIGARD PLUMBING PERMIT
II
Ill I COMMUNITY DEVELOPMENT Permit#: PLM2014-00287
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/03/2014
Parcel: 151260000300
Jurisdiction: Tigard
Site address: 9589 SW WASHINGTON SQUARE RD B09
Project: Apple Store Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: S
Project Description: Capping(2)lays&(2)water closets. Adding(1)expansion tank,(2)2"floor drains,(3)lays,(1)service sink,(1)
urinal,(3)water closets, &(1)water heater.
Contractor: MCKINSTRY COMPANY LLC Owner: PPR WASHINGTON SQUARE LLC
16790 NE MASON ST., STE. 100 PO BOX 847
PORTLAND,OR 97230 CARLSBAD,CA 92018
PHONE: 503-331-0234 PHONE:
FAX: 503-331-6907
FEES
Quantity Description Date Amount
1 ea Expansion Tank 09/03/2014 $12.51
Specifics: 4 ea Fixture/Sewer Cap 09/03/2014 $100.08
2 ea Floor Drain/Floor Sink/Hub 09/03/2014 $50.04
Type of Use: COM 1 ea Sink 09/03/2014 $25.02
Class of Work: ALT 3 ea Lavatories 09/03/2014 $75.06
Type of Const: 1 ea Urinal 09/03/2014 $25.02
Occupancy Grp: 3 ea Water Closet 09/03/2014 $75.06
Stories: 1 ea Water Heater 09/03/2014 $37.52
1 12%State Surcharge- 09/03/2014 $48.04
Plumbing
Total $448.35
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 952-001-00•s. 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:
Call 503.639.4175 by 7:00 a.m.for the next available inspe ion 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 AnnlciECIFIVFF
S LP,N4. n FOR OFFICE USE ONLY
City of Tigard tee t" AUG 21 2014 i't Rateived i/� l�/ vie/ �.e.7
13)25 SW Hall Blvd.,Tigard, 7 '' 11 Plan Re:
6 7 Permit No.: L//�J! 8
' • Phone: 503.718.2439 Fax 'I U Date/By:Review Other Permit No.:p j/L f-enrWe
DateBy:
T I G A R[ Inspection Line: 503.639.4134 IfA �` nn^ ^F Date Ready/By: q mru 65 See Page
2 for
Internet: µww.tigard-or.go iJ Notified Method: Y x/4 C221./ Supplemental Information
ormation
' TYPE OF WORK tot `1- m FEE* SCHEDULE
❑New construction 0 Demolition
For special information use checklist.
Description I Qty. I Ea. I Total IL
®Addition/alteration,replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
-N SFR(1)bath 312.70
CATEGORY OF CONSTRUCTION �`
❑ 1-and 2-family dwelling ®Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 500.32 Q
El Accessory building El Multi-family Each additional bath/kitchen 25.02 '�,
❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2
-7537 JOB SITE INFORMATION AND LOCATION Site utilities: C
Job site addressW Washington Sq.Rd Catch basin or area drain 18.76
City/State/ZIP:Tigard,OR 97223 Drywell,leach line,or trench drain 18.76
Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.:8-09 I Project name:Apple Store-WA Square Manufactured home utilities 50.03
Cross street/directions to job site:Greenwood/Hall Blvd. 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.:1S1260000300 Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 25.02
Apple Store WA Square-Tenant Improvement
Dishwasher 25.02
Restroom upgrade,RElocation and upgrade of existing plumbing. Drinking fountain 25.02
Ejectors/sump 25.02
❑ PROPERTY OWNER I ® TENANT Expansion tank 1 12.51 12.51
Name:Apple,Inc.
Fixture/sewer cap 4/ 25.02
Floor drain/floor sink/hub 2 25.02 50.04
Address: 1 Infinite Loop,MS 52-RD Garbage disposal 25.02
City/State/ZIP:Cupertino,CA 95014 Hose bib 25.02
Phone:(917)297-5028 Fax:( ) Ice maker 12.51
0 APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02
Business name:McKinstry Co. Medical gas(value:$ ) Page 2
- Primer 12.51
Contact name:James Taylor
- - Roof drain(commercial) 12.51
Address:16790 NE Mason St.,Suite 100 Sink/basin/lavatory 4 25.02 100.08
City/State/ZIP:Portland,OR 97230 Solar units(potable water) 62.54
Phone:(503)308-3052 Fax::(503)715-8652 Tub/shower/shower pan 12.51
E-mail:jamest1mckinstry.com Urinal 1 25.02 25.02
Water closet 3 25.02 75.06
CONTRACTOR
Water heater 1 37.52 37.52
Business name:McKinstry Co. Water piping/DWV 56.29
Address:16790 NE Mason St.,Suite 100 Other: 25.02
City/State/ZIP:Portland,OR 97230 Subtotal 356.52
Phone:(503)308-3052 Fax:(503)715-8652 _(� Minimum permit fee: $72.50 356.52
CCB Lie.:172811 Plumbing Lic.no.:3 37/}-Y Plan review (25%of permit fee) 89.13
State surcharge(12%of permit fee) 42.78
Authorized signature: 0-4--"'0-4--"'_ � TOTAL PERMIT FEE 488.43
Print name:James Taylor Date:8/20/2014 This permit application expires if a permit is not obtained within 180 days
after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
C\Building\Permits\PLMU-PermitApp.doe 10/01/09 440.46167(10/02/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- 1'100' 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 S327.54
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 Inspections or Fees Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to
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.
Quantity by Fixture Type _ Plan Review for Plumbing Installations
Fixture Type for Replace/ Plan review is an required for of the following.
Work Performed: Capped Added Relocate 9 any ow g
Baptistry/Font Please check all that apply.
Bath tub/shower ❑ Any new commercial building with water service 2"and
Jacurli/Whirlpool greater,except systems designed and stamped by licensed
Car Wash -Each Stall engineer.
-Drive Tltru ❑ 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"
- Isometric or Riser Diagram
Car Wash Drain
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./Refrig.Drains
Oil Separator(Gas Station) Comments regarding fixture work:
Rec.Vehicle Dump Station
Shower -Gang
-Stall
Sink/Lav -Non-food related 2 3
-Bradley
-Commercial-food related
-Service 1
Swimming Pool Filter *Note: If the fixture work under this permit results in an
Washer-Clothes
Water Extractor increase of sewer EDUs,a sewer permit will be issued and
Water Closet-Toilet 2 3 fees assessed for the sewer increase must be paid before the
Urinal 1 plumbing permit can be issued.
Other Fixtures:
C:\Users\jamest\Documents\Temp\Apple Store\Permit\PLMU-PermitApploc
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
9589 SW WASHINGTON SQUARE RD B09,
TIGARD, OR, 97223
Commercial - Plumbing
399 Plumbing final
PASS - No C of O
PLM2014-00287
George Heimos
Provide caulking on mop sink. 310.3/407.2
Violation Summary:
Inspector Contractor