Permit CITY OF TIGARD PLUMBING PERMIT
I COMMUNITY DEVELOPMENT Permit#: PLM2014-00336
T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/13/2014
Parcel: 25101 DC04000
Jurisdiction: Tigard
Site address: 7500 SW TECH CENTER DR 110
Project: Lennox Industries Subdivision: TECH CENTER BUSINESS PARK Lot: A
Project Description: Cap(1)laundry sink,m add(1)mop sink and relocate(1)water heater. No change in EDU's.
Contractor: K&C PLUMBING INC Owner: WALTON CWOR SOUTHWEST 12 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 Fixture/Sewer Cap 10/13/2014 $25.02
Specifics: 1 ea Sink 10/13/2014 $25.02
1 ea Water Heater 10/13/2014 $37.52
Type of Use: COM 1 12%State Surcharge- 10/13/2014 $10.51
Class of Work: ALT Plumbing
Type of Const:
Occupancy Grp:
Stories:
Total $98.07
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 dir-• .r- • to OUNC by calling 503.232.1987 or 1.800.332.2344.
sued By: / LWAd / / Permittee Signatur
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 A. lie ' EIVEP
Building Fixtures r n r: i i l i l c 1 1 ,1. /,Ni \
City of Tigard (n�rr TT Re Received /O 9 fie/ Permit No.: � jJf Z j/ -790 3 3 do
w 13125 SW Hal[Blvd.,Tigard OR`9�223 2 14 Plan Review
■. Phone: 503,7182439 Fax: 503.598.1960 Date/B : other Penult No.: /A9U/41-00 • ,
Inspection Line: 503.639,4175C OF f IGARU DateReady/By: /D Q ��T l ( LInternet www.tigar g Notified ethod:
❑New construction ❑Demolition ,4 ' For ,eaial information rrse checklist
Al' 4 Description Qty. Ea. Total
.i Addition/alteration/replacement ❑Ot11er / `' New 1-2-family dwellings(includes 100 ft,for each utility connection)•
t - SFR(1)bath 312.70
❑ 1-and 2-family dwelling %Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 500.32
❑Accessory building [j Multi-Family
Each additional bath kitchen 23.02
Cl Master builder ❑Other: Fire sprinkler(_sq.ft) Page 2
Site utilities
Job site address: "5-to 5t.4) G t [-Q 11 ' r ....,.. Catch basin or area drain 18.76
7
Drywell,leach line,or trench drain 18.76
City/State/Z)}': Footing drain(no.linear ft.: ) Page 2
4 rr dgJapt no.: ) sr Project name: h rk,b , Manufactured home utilities 50.03 I
rose street/directions to job site: 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: 1 Lot no.. Fixture or item:
—
Tax map/parcel no.: Backtlow preventer 31.27
7 M. 'f' Backwater valve 12.51
, ,,r,. , iii:' ' Clothes washer 25.02
r I e ,t► 10 - �a Dishwasher 25.02
_
n a: A .. . e Drinking fountain 25.02
t Ejectors/sump 25.02
--:';`,.:,','t" ' " ' 7177777 Expansion tank '
Fixture/sewer cap 2502 lc.,6
Name
Floor drain/floor sink/hub 25-02
Address: Garbage disposal 25.02
City/State/,ZIP: Hose bib 2.02
Phone:( ) Fax ( ) Ice maker - 12-51
5
` nterceptor/grease trap ■ 25. 2
Easiness ,.:... Medical gas(value:$ ) Page 2
name: /vt
- Primer MI 12-51
Contact name: S ,p t G4 Roof draion.(commercial) Magi
Address: r l -4-- j Sink/basin/lavatory rill 25.02 25,a-
City/State/ZIP: amp r O i„,.i„,. C C)f„._ 'r 0 Y t Solar units(potable water) 1.1. 62.54
Phone:b3) 7B f— - 17-2- , Fax:; 03) S('--/ $r/1 Dc Tub/shower/shower pan 1111 12.51
E-mail b 1 k-[ . to /. P-,pc-L C 0 Is'— _Urinal 25.02
- r-m a er c ose
25.02
- Water heater .- 37.52
Business name: C LA I. °a _ )1 C Water piping/DWV -- 56.29
Address: P o_ n$ 4. _ . 1.214 p Other: 25.02 Nillii
city/State/Z,,: (,),.._,2. 0,-,. e - 0 12_ q )c) 1 - subtotal girMA
Phone,(!a� ) 7 6) 7�F 7 Z :c '3) i7 16-i I 00 Minimum permit fee: $72.50 -
_ Plan review (25%of permit fee)
cCB Lic.: L�{a/ Plumbing Lic.no.: j
State surcharge(12%of permit fee) (if,),
Authorized sign,IILTallik, TOTAL PERMIT FEE Cik I 0 '
Print nam- Date: 1 b.�q—// This permit application expires if a permit Is not obtained within 180 days
f�u 55 M' Q D l tR after it has beep accepted as complete. �'/
J *Fee methodology set by Tri•Cormty Building Industry Service Board. te'''"
r:lBuildinaTerMirs lPLMra-FamitApp.dos 10(01/09 440-4616tO0/01COM/WEB)
Plumbing Permit Application- City of Tigard
Page 2 -Supplemental Information
Fee Schedule: Residential Fire Su• •ressioilt Systems
Footing drain 1"100' 50.03 0 to 2000 $121.90
2 001 to 3 600 $169.69
Footing drain-each additional 100' 37.52 3 601 to 7 200 $23320
Sewer-1st 100' 62.54 — 7 201 and: :ter $327.54
Sewer-each additional 100' 37.52
Water Service-1st 100' Mill 62.54 Medical Gas S stems:
37.52 r ,
Water Service-each additional l00' -. .• . - ,
Storm&Rain Drain-1st 100' 62,54 $1.00 to$5 000.00 Minimum fee$72-50
Storm&Rant 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 510,000.00 and$1.54 for
which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to
minimum char;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
geinspection Fees 90.00/Iv and induct' :$50 000,00.
Additional plan review for revisions 90,00/hr $50,001.00 and up each additional 0 for the first$50,000.00 and$1.20 for
each a $100.00 or fraction thereof.
minimum char;a-1/2 hour
Subtotal: •Fixture Work:
Are you capping,adding or replacing fixtures? If"yes",
please indicate work performed by fixture. Failure to
accurately re I ort fixtures could result in increased sewer fees*. �r r
ti t ,r Y. ; `:, a i , f i ' N ,t ,1 7'471,',, Plan review is required for any of the following.
i , k' l I e.:::r$ ,1. k..,.:: L�,k.i :�:::' ..:..iii$:-,I), rk'Ns.7t.J
I,,,�_�� .-,.i.�a.-,-, ...: . ......... Please check all that apply.
13,• is, /Font ❑ Any new commercial building with water service 2"and
Bath, -Tub/Shower greater,except systems designed and stamped by licensed
-Jacuzzi/Whirl.001 engineer.
car Wash -Each Stall ❑ New exterior plumbing site utilities for any complex structure
Cu Drina or - as defined in 0AR918-780-0040.
Dishwasher wa hWater As�irator ❑ Medical gas and vacuum systems for health care facilities.
Dishwasher -Dommercial ��� ❑ Any multipurpose fire sprinkler system.
-Domestic ❑ Any complex structure as defined in OAR918-780-0040.
lkiakin_Fountain
E e Wash
FlcarDrain/sink Submit 2 sets of plans with any of the above.
-3" �=
Car Wash Drain p isometric or riser diagram is required for new buildings
Garbage -Domestic-non-food -� u
that meet the •ualitications above.
Disposal -Domestic-food related —�r
-Commercial-food related
-Industrial-food related —IIIIMMEIMI
—
Ice Mach./Refri: Drains MM. Comments regarding fixture work:
g g , t
Oil s �stator Gas Station) � I.
aa�
Rec.Vehicle Dual.Station =� 1l('&o U I h Z� a'
shower -Gang �r .." s� 1 t*$ • •;
-Stall —��
Sink/l av -Bradley d related
-Bradley •
-Commercial-food related - -
-Service MEI
Swimmin: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 Closet Extractor fees assessed for the sewer increase must be paid before the
Water Closet-Toilet
��
Urinal plumbing permit can be issued.
Other Fixtures: ' ,! .Ma«l IMM
Macintosh HD:Users:blkemb2:Downloads:Pl,Iv1F-PermitApp-1 1-doc 2
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
7500 SW TECH CENTER DR 110, TIGARD, OR,
97223
Commercial - Plumbing
399 Plumbing final
PASS - No C of O
PLM2014-00336
George Heimos
Violation Summary:
Inspector Contractor