Permit CITY OF TIGARD PLUMBING PERMIT
1111 COMMUNITY DEVELOPMENT Permit#: PLM2014-00350
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/27/2014
Parcel: 1 S126CA01100
Jurisdiction: Tigard
Site address: 9009 SW HALL BLVD 100
Project: Target Subdivision: FAIRVIEW PLACE CONDO Lot: 20
Project Description: Replace grease trap
Contractor: DETEMPLE COMPANY INC Owner: DAYTON HUDSON CORPORATION
1951 NW OVERTON ST BY TARGET CORP T-0345
PORTLAND, OR 97209 PROPERTY TAX DEPT/TPN-0950
PO BOX 9456
MINNEAPOLIS, MN 55440
PHONE: 503-227-2641 PHONE:
FAX: 503-274-7686
FEES
Quantity Description Date Amount
1 ea Interceptor/Grease Trap 10/27/2014 $25.02
Specifics: 1 12%State Surcharge- 10/27/2014 $8.70
Plumbing
Type of Use: COM 47 ea Minimum Fee Adjustment- 10/27/2014 $47.48
Plumbing
Class of Work: ALT
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 i ication`inter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or di ct questions to OUNC by calling 503.2 •.1987 or 1.800.332.2344.
Iss ed By: - � Valk i Permitte Signature:
I
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.
OCT/23/2014/THU 10: 21 AM RECEIVED FAX No, P. 002
Plumbing Permit Application RECEIVED
Site Utilities l'nT 2 3 2014 WIZ 01i I( I 15e lr►,N
111 : 13125 of Tigard i.��i�, T Date/By: /e ,z7 if ° PetmitNNo.: L,,.� ,i4/e>55n
q 13]25 SW Hall Blvd.,Tigard,OR WAY !IGA� Plan Review
Phone: 503.718.2439 Pax:
5 0111iLThNG DIVISION Date/By: Permit No.:
Inspection Line: 503.639.4175
T I G A R r Date Ready/By: luris: 0 See e Page 2 for
.
Internet: ww.w.ti gard-or.gov Notifed/Method: Supplemental tarormation
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❑New construction ❑Demolition For special information use checklist.
Description I QtY7T Ea. I Total
®Addition/alteration/replacement [I Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
:'',,t3..... _:� ( uiI tG4'44'.
�r tl AC):c'%i ' ,xwj�(i1j y: SFR(l)bath 312.70
❑ 1-and 2-family dwelling ®Commercial/industrial SFR(2)bath 437.78
❑Accessory building ❑Multi-family SFR(3)bath 500,32
Each additional bath/kitchen 25.02
❑Master builder ❑Other: Pirc sprinkler( ,sq.ft,) Page 2
:117::::: 3 li;!ll+ i.n rt � 1) 1 ; vypr,.rn ; )i 1( ' ; 44 Site utilities:
- s _ , .,.
Job site address:9009 SW Hall Blvd Catch basin or area drain 18.76
City/State21P:Tigard OR 97223 1)rywell.leach line,or trench drain 18.76 _w
Footing drain(no,linear ft.; ) Page 2
Suite/bldgJapt.no.: 1 Project name;Target T0345 Grease Trap Manufactured home utilities 50.03
Cross 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: Lot no.: Fixture or item:
Tax neap/parcel no.: Backflow preventer 31.27
F y t` f a' u `r +", i 1 �t a : Backwater valve 12.51
, ; __.1 ,_ :..,;,.,.. . :a. _.1f_. ...t.;. . . ._ - k
clothes washer 25.02
Replace grease trap
Dishwasher 25.02
-
Drinking fountain . 25.02
Ejectors/sump 25.02 -i
r ,T•mt t�� C - 1 " i (47±1 ff ' l
Expansion tank 12.51
Name:Target Corporation
Fixture/sewer cap �. 25,02
--- Floor drain/floor sink/hub 25.02
Address:1000 Nicollet Mall
Garbage disposal 25.02
City/State/ZIP:Minneapolis MN 55403 Hose bib 25.02
Phone:(612)304-6073 Fax;(612)761-5555 Ice maker 12.51
7t`'' - KF n,i lii j'Ott . •: :..4 f r i it �y:? `S U'� Interceptor/grease trap 1 25.02 25,02;
Business name:DeTemple Company,Inc Medical gas(value.S ) Page 2
---- Primer 12.51
Contact name:Julie Prabucki
- Roof dram(commercial) 12.51
Address:5636 NE Hassalo Street Sink/basin/lavatory 25.02
City/State/ZIP:Portland OR 97213 Solar units(potable water) 62.54
Phone;(503)227-2641 Fax::(503)274-7686 Tub/shower/shower pan 12.51
E-mail:j.pr•abucki®detemple.com m Urinal 25.02
.ih.,...ne_:..'?is 1 p�r>......`x. 0 a"��i Mat psi s,e. y 1t, »:., Water closet 25.02
• ..__.. � 111.:] r kk r .. '#£r`_. : ■ Water heater 37.52
4)
Business name;Same as Applicant Water pipiug/DWV 56.29 -�
Address:
Other; 25.02
City/State/Z1P: Subtotal 25.02
Phone:( ) Fax:( ) Minimum permit fee; 572.50 72.50
CCB Lie.:2510 , i Plumbing Lie.no.:26-25PB Plan review (25%of permit fee)
State surcharge(12%of permit fee) 8.70
Authorized signature: ./ . /, M TOTAL PERMIT FEE 81.20
Print name:Julie Prab`♦ Date; 10/21/14 This permit apphcafion expires If a permit is llor obtained within 150 days
after it has been accepted ns complete. p�
'Foe methodology set by Tri-County Building Industry Service Board. v
1.1Binding\Pormi(e1PLM-etrIIApp.Oc 10/01ro9 .l40.46I6T(ION2/COaiW5H)
OCT/23/2014/THU 10:21 AM FAX No, P. 001
•
D E TEMPLE PLUMBING-HEATING-AIR CONDITIONING-BOILERS
Since 1895
•C O M P A N Y, I N
•
ua�nst o •
www.detemple.com Honeywell Building Control Specialist
24 HR EMERGENCY SERVICE
Fax •
TO: Permitting FROM: Julie Prabucki
FAX: 503-598-1960 PAGES: 3
PHONE: 503-718-2439 DATE: October 23, 2014
•
RE: Plumbing Permit Application
LJ Urgent 11 For Review ❑ As Requested ❑ Please Reply EI Please Recycle
Comments: Following is our plumbing permit application for work to be performed at
9009 SW Hall Boulevard, and the Payment Authorization Form for this permit.
If anything additional is required in order to process our application, please let me know.
Thank you!
Julie Prabucki I /, # 1?14
Construction Administrator
•
DeTemple Company
D: 603-471-5262 4
0: 503-227-2641
F: 503-274-7686
Email: jrabucki(a�detemple_com
Coast SeruireArea
Portland Officer: Salem Offices: Astoria toManzanita: Nebalcm to Tillamook:
503/227-2641•FAX:503/214-7686 503/585-7567•FAX:1-503/274-1686 503/738-4313•FAX:503/138-5662 503/436-1750-FAX:503/738-5662
Mailing Address For All Offices:5636 NE Hassalo Street-Portland,OR 97213
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
9009 SW HALL BLVD 100, TIGARD, OR, 97223
Commercial - Plumbing
399 Plumbing final
PASS - No C of O
PLM2014-00350
George Heimos
P.huth@detemple.com
Violation Summary:
Inspector Contractor