Permit n CITY OF TIGARD PLUMBING PERMIT
$ COMMUNITY DEVELOPMENT Permit#: PLM2014-00284
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/03/2014
Parcel: 1S135BC01100
Jurisdiction: Tigard
Site address: 11101 SW GREENBURG RD
Project: Computer Solutions Tech Subdivision: HILLSBORO Lot: PTS 1-2
Project Description: Adding(1)dishwasher,(1)expansion tank,(2)lays,(1)service sink,(2)water closets&(1)water heater.
Contractor: WESTERN PLUMBING Owner: GREENBURG SPACE CENTER LLC
9460 SW TIGARD AVE SUITE 101 PO BOX 91305
TIGARD,OR 97223 PORTLAND, OR 97291
PHONE: 503-639-5296 PHONE:
FAX: 503-684-9015
FEES
Quantity Description Date Amount
1 ea Dishwasher 09/03/2014 $25.02
Specifics: 1 ea Expansion Tank 09/03/2014 $12.51
ea Sink 09/03/2014 $25.02
Type of Use: COM 2 ea Lavatories 09/03/2014 $50.04
Class of Work: ALT 2 ea Water Closet 09/03/2014 $50.04
Type of Const: 1 ea Water Heater 09/03/2014 $37.52
Occupancy Grp: 1 12%State Surcharge 09/03/2014 $24.02
Stories: Plumbing
Total $224.17
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 qu=: •••s • •UNC by calling 503.232.1987 or 1.800.332.2344. •
Issued -� : `/�; Permittee Signat e: ` /
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.
08/15/2014 10:05 5036849015 WESTERN PLUMBING INC PAGE 01/03
Plumbing Permit Applic
Building Fixtures CEt IVED ; ft', 1/I I If t ~` I,.I .1
/� (� �r , le/ i
ROCa('wed 1 ■, ,��� Pemtit No.: '��
liCity of Tigard nAtiG 18 2014 �atenay: [•�
f• 13125 SW Hall Blvd,,Tigard,OR Plan Review �� Other permit No„6/,,j1e94/41--e)00S-
■ IPhone: 503.718.2439 Fax: 5044 /6F r p Date/0
- Inspection Line: 503.639.4175 t I IGARD Date Rady?ey: �,, �5� 7 ''fit toga Pages for
I t' Nontrd/Method:' t!' •�ta1 iafo*rnatrsu
Irttemet www ggerd or.gov \ t a, • u't
a ,� ,g'�'�q -_5:174'7 Cr ' -..� - .-' `
,'.4''. .lei i.:T t�;1N '?H r ar t:% •, _,r "� s.'' .,. s, ri saI ,•ormadon use CtEC LfL v
For a• T
❑Nev.,construction ❑Demolition Descri•ton « Ea. Total d
Addition/alteration/replacement ❑Other. New 1-2-family dwellings includes 100 ft.for each utility connection)
,,f r r 74: '‘ SFR(1)bath 312.70
,a :L-ik'i>+E ? ,:' w: d.. SFR(2)bath 437.78 r`
(] 1-and 2-family dwelling 9F'Commercial/industrial SFR(3)bath 500.32 -�
❑Accessory building ❑Multi-family Each additional batl>lkitchen 25.02 1
❑Master builder i ❑Other: Fire sprinkler( -sq.f.) Page 2
' ' cite uiitiea:
0p't ;l'd b,;.: � ' `- CaRCh basin or area drain �
Job site address. lb" L l i 144.I.. ,u' .tip( . Drywell,leach line,or trench drain 1.111 18.76
City/State/ZIP: ,. tk `a t1L...4 1 _ Footing drain(no.linear ft.-_,..) 11=1 Page 2
Suite/bldg./apt.no.: Project name:lima .L./.v�, ; y .. s//)l.
Manufactured home utilities NM 50.03
/�eh- Manholes 18,76
Cross street/directions to job site: vCj - - 18.76 EMI
• Rain drain connector III
_ Sanitary sewer(no.linear ft.:_J Page 2
Storm sewer(no.linear 8.:__) Page 2
Water service(no.linear ft.:_,,.) Page 2
Subdivision: Lot no,: Fiume or item:
BaCkflow preventer 31.27
Tax map/parcel no.; Jr- 'e.,..0 /0
a� , Backwater valve 12.51
r, al -
Clothes washer 1M 25.02
Dishwasher I 25.02 .ice f
\-1( \V Drinking fountain 25.02
Ejectors/sump 25.02
W -h Iv,tr_ " Expansion tank 12.51 KM;
i.'� ;,u..,,,,. .: ... s� 25.02
Fixture/sewer cap
Name: Floor drain/floor sitik/hub. 25.02
Address: Garbage disposal IMMI 25.02
City/State/ZIP: Hose bib 25.02
Phone:( ) Fax ( ) Ice maker
12.51
-"•-:,'...1.7;7,-4,-;. � ' Iatsrcepror/ retrap t 25.02
# a S r, s „r. s
Medical gas(value:S ) Page 2
Business name: primer 12.51
Contact name: Roof drain(commercial) 1E1E111�
Address: Sink/basin/lavatory 3 25.02 IIM
City/State/ZIP:
Solar units(potable water) 62.54
- MN 12.51
Fax;:( ) Tub/shower/shower pan
Phone:( ) Urinal 1MMI 25.02
E-mail Water closet 25.02 ��^� �i'�
,ti , rg'A a: Water heater
Business name.Western Plumbing,Inc. water piping/DWV 56.29
Other: 25.OT
Address:9460 SW Tigard Street,Suite 101 Subtotal /1,rJ
City/StatelZIP:Tigard,OR 97223 _ - Minimum permit fee: 572.50 �~
Phone:(503)639 5296 Fax;(503)684-9015
Plan review (25%of permit fee)
CC13 Lic.:2439 Plumbing Lic.no.:34241PB State surcharge(12%of permit fee) ,i 1-
Authorized signature: ,� . l' API / TOTAL PERMIT FEE p--40 7_j
//. ..Ii
�j This permit application e>pires'tf a permit is not obtained w►tmla 160 der-,
Print name: . .L j/ i Date: Uri miter It has es if accepted m of obta n
_ *Fee methodology set by Tri-County Building ledusay Service Board,
I'tau;ldlvePermlu\PI.MU-re mitApa.doe 10/01109 440-46167(1047JCOM/w68)
08/15/2014 10:05 5036849015 WESTERN PLUMBING INC PAGE 02/03
Plumbin Permit A lication - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Su. .ression S stems:
Footing drain-1.100' - 50.03 0 to 2000 $121.90
2,001 to 3600 $169.69
Footing drain-each additional 100' 37.52 3.601 to 7200 $233.20 .
Sewer-1st 100' 62.54 .1111 7 01 and: •r $327.54
Sewer-each additional 100' 37.52
Water -1st 100' 62.54
� Medical Gas stems:
water Service-each additional 100' 37.52
Storm&Rain Drain-let 100' IIMI 62.54 1111111 $1.00 to$5,000.00 Minimum fee$72.50
Storm&Rain Drain-each additional 100' =NM $5,001.00 to$10,000.00 $7250 for the first$5,000.00 and$1.52 for
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 5148.50 for the first$10,000.00 and$1.54 for
which no fix is specifically indicated 90.00/hr ■ each additional$100.00 or fraction thereof,to
minimum char:c-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 ch; :e-2 hours each additional$100.00 or fraction thereof,to
Reinspection Fees _ 90.00/hr and includin $50 000.00.
Additional plan review for revisions 90,00/hr $50,001.00 and up J $742.00 for the first$50,000.00 and$1.20 for
each additional$100.00 or fraction thereof.
minimum ch:,: -1/z hour
Subtotal:
Commercial Fixture Work:
Are you capping,adding or replacing fixtures? If"yes",
please indicate work performed by fixture. Failure to
accuratel re'I rt fixtures could result in increased sewer fees*.
�`�} .
i , r: y, sl '4,t FF '4'4: r, 4 m ,
,,f•..,.,,K ,,,, r , . ,i •io ,},;e ">! Plan review is required for any of the following.
x._.y: '� .F.a. ' +tt � ' o"':::,' '� Please check all that apply.
Baptiatry/Font _ 0 Any new commercial building with water service 2"and
Bath -Tub/Showct greater,except systems designed and stamped by licensed
-Jacurzi/Whi> t engineer.
Car Wash -Each Stall ❑ New exterior plumbing site utilities for any complex structure
-Drive Thai •_ - as defined in 0AR918-780.0040.
Cuspidor/Water Aspirator
Dishwasher -Commercial ❑ Medical gas and vacuum systems for health care facilities.
-Domestic ,_ 4 ❑ Any multipurpose fire sprinkler system.
Drinking Fountain — T ❑ My complex structure as defined in OAR918-780-0040.
Eye Wash
Floor Drain/sink -2,. Submit 2 sets of plans with any of the above.
-3" – t,
Car Wash Drain , il Isometric or riser diagram is required for new buildings
Garbage -Domestic-non-food
Disposal -Domestic-food related that meet the .ualifications above.
-Cotrmaerciai-food related
- -industrial-food related
Ice Mach./R.efrig.Drains
Oil Separator(Gas Station) - Comments regarding fixture work:
Rec.Vehicle Dump Station
Shower -Gang
-Stall
Sink/Lay -Non-food related :'' -
-Bradley
-Commercial-food related
-Service - 1
Swimming Pool Filter _ "Note: If the fixture work under this permit results in an
• washer-Clothes increase of sewer EDUs,a sewer permit will be issued and
Water Extractor
Water Closet Toilet - fees assessed for the sewer increase must be paid before the
Urinal plumbing permit can be issued.
Other Fixtures;
httpJ/www.tigard-or.gov/city hall/departments/cd/does/P1.MF-PermitApi2doc
' Accumulative Sewer Tally � tr /q - --e, �"'� '�et. '
"Tenant Name: Computer Solutions Tech %-.14./..A-C., [ S\4 2014-00082
TSL;ARD
Sire Address: 11101 SW Grecnburg;Rd •t�2014-00234
Parcel#:"1S 135BC01100 - ' . .. . . -... -7:),
Fixture Value Previous Previous Credits Capped Fixture Fixture New New
# value count atpped#s value count added# added value total#s total values
Baptiscty/!toot 4 0 0 0 0 0
Bath: -Tub/Shower 4 A:;e i 9'4-fv-ai •• I i$ X40 leits}.4,;0∎4$40r;n,p 0 0 0
Jacuzzi/Whirlpunl 4 0 (r..: � ��c.}0 0 0 0
Car Wash: -Each Stall 6 , 0 l 54 ■ A l- to�-.t"L ela ati... 0 0
-Drive through 16 0 .. 0 0 0 0
cuspidor/water Aspirator 1 4:4A:., 1 A)vie,aarw.plhf t/ 0 0 0 0
Dishwasher. -Commercial 4 - I (i. E ": 0 e I 0 0
•
Domestic-Dnestic 2 ( 0�'14 4.i.: 0 1 '' 0 1 2
Drinking Fountain 1 0 . . 0 I 0 0
Eye Wash 1 0 0 0 0 0
Floor Drain/Sink: -2 inch 2 0 • 0 0 0 0
-3 inch 5 0 0 0 0 0
-4 inch 6 0 0 0 0 0
-Car Wash 6 0 0 , • 0 0 0
Garbage Disposal:
-Domestic(to 3/4 11P) 16 0 0 0 0 p
-Commercial(to 5 l IP) 32 0 .. 0 :. 0 0 0
-Industrial(over 5 111') 42 0 :• 0 . 0 0 0
Ice Machine/Refrigerator Drain 1 ,--. 0 0 0 0 0
Living Unit 16 0 0 0 0 0
Oil Sep(Gas Station) 6 0 0 0 0 0
Rec.Vehicle Dump station 16 0 0 0 0 0
Shower: -Gang(per head) 1 0 0 0 0 0
-Stall 2 0 0 0 0 0
Sink:
-l,av/liar-Non-food Related 2 0 0 x 1 f ,.4• L. 2 4
-Rradlev 5 0 0 0 0 0 •
-Com/Sere/Util-Food Related 3 1.... 0 0 r•*"./t $( 1 3
Swimming Pool Filter 1 /.:' 0 `;•r:' 0 0 0 0
Washer-Clothes 6 0 0 0 0 1)
Water Extractor 6 0 0 0 0 0
Water Closet-Toilet 6 0 0 . .2' .% (t./-1-x `d 2 12
Urinal 6 0 0 0 0 0
Previous EDU Count 0 0
Capped EDU Credit 3 \° 3 0
TOT.I].5 0 0 0 0 ,,,•G-- A 21
Current Fixture Value 2 I divided by 16= 1.313 Current F.DU 1 EDU= $4,900.00
Previous Fixture Value 0 divided by 16= 0.000 Previous EDU
Change 21 divided by 16= 1.313 over (under) S 6,419.00
Enter EDU Change Here 1.310
Notes:
Authorized Name/Signature:Debbie Adatnslu Date: .. 3/25/2014 •
Building Division
Note: The property owner shall retain the ORIGINAL sewer tally record. 1 f credits exist,this document will serve as a voucher which must be
submitted to the City of Tigard Building Division to redeem credits towards future system development charges.
I:\Building\Sewer T ally\Sever TallyShcet_49111._0711114.xlsx
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
11101 SW GREENBURG RD, TIGARD, OR,
97223
Commercial - Plumbing
399 Plumbing final
PASS - No C of O
PLM2014-00284
Chip Barnett
Violation Summary:
Inspector Contractor