Permit u
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CITY OF TIGARD PLUMBING PERMIT
If
''111 COMMUNITY DEVELOPMENT Permit#: PLM2014-00399
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/17/2014
Parcel: 25101 DC00200
Jurisdiction: Tigard
Site address: 13535 SW 72ND AVE 200
Project: Umpqua Bank Subdivision: 72ND BUSINESS CENTER Lot: 13
Project Description: Interior plumbing: Relocating(2)dishwashers and(2)food related sinks. 12/31/2014: REPRINT permit for adding
(6)ice maker/water outlet boxes.
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
2 ea Dishwasher 12/17/2014 $50.04
Specifics: 6 ea Ice Maker 12/31/2014 $75.06
2 ea Sink 12/17/2014 $50.04
Type of Use: COM 1 12%State Surcharge- 12/31/2014 $21.02
Class of Work: ALT Plumbing
Type of Const:
Occupancy Grp:
Stories:
Total $196.16
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 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 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.
12/29/2014 05:19 5036849015 WESTERN PLUMBING INC PAGE 01/01
Plumbing Permit Applicati EcEitiFi--)
Building Fixtures i , 1... !>i l i! ! 1 -0 ,,,! ,
City of Tigard DEC 3 0 1 61"`4./c Si /r 1 T .,;--ta, 'G/'1ao/y-d0 9
- 13125 SW Hall Blvd.,Tigard,OR 9 l PLo Revue Other Perms No.
k„ Phone: 503.718.2439 Fax: 503.5 1 V � r�1L See ram 2 far
Inspection Line: 503.639.4175 or.go � 'n�
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appteaeera!E faa fo
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g
]New construction 0 Demolition For special information A9CC1LCkG36
1 Description Qt' r. _ Total
74
Addition/alteration/replacement ❑Other: New y dwellings(includes 100 ft.for connection)
I-2 11mi1 dw i inc each utility tonne
SFR(I)bath 312.70
� sy,-Zt «ry`' 14 'r'_ r. ' 437.78•`+ h, � ;r _, -- SFR(2)bath
[] I-and 2-family dwelling J� Commercial/industrial SFR(3)bath 50032 Ers
❑Accessory building
Multi-family Each additional bath/kitchen Mil 25.02
Page 2
0 Master builder ❑Other: _,_Fire sprinkler( sq.ft.) pi
�'¢ f Site utilities:•1.}` F ) ;' 18.76
rfk� a"'::,r ( ' . Catch basin: area dram Mal
Job site address: A (,►) _Ai It M1 A , Drywell,leach line,or trench drain 18.76
City/State/ZIP: i . "1l. b Footing drain(no.linear ft.:..) Page 2
Manufactured borne utilities 50.03
Suite/bldgJapt.no.: Project name: e 1 F 0 4,... A,,_ -
18.76
Cross street/directions Rain ctions to job site: -f_ drain comer 18.76
Sanitary sewer(no.linear ft.:__) - Page 2
Storm sewer(no.linear ft.:__,_) Page 2
Water service(no.linear ft.:_�
Subdivision: a Lot no.: Fixture or ite :
Backflow preventer II 31.27
Tax map/parcel no.: -1 Backwater wive
12.51
* k Clothes washer MI 25.02
it^� '
=h:urnain 25.02
,, 25,02
•��l _! Ejectors/sump 25.02 -
7' p T ..a ....r. '.- .? Expans ion tank 12.51
FlX2Ure/aeWOf cap NM
25.02
Name: Floor drain/floor sink/hub
Address:
Garbage , y, 25.02
Hose bib Lt. µJ A/0-Q btT 1d►1 25.02
Fax ( ) Ice m, - t Ito• it a .. Mill.3311=1
Phone:( Interceptor/grease trap 25.02 MIME
W17i:�,:Si** fw r.rar { ,,.., r^ ,.7 1' r.,. u�rL,..,. ....rl .:1.,-,t to r!§[.41. .., Medical gas(value:8 ) IIM1112t33•11M1
Business name: _ Primer INNIEE131.11.1
Contact name:
Roof drain(commercial) 12.51
Sink/basin/lavatory 25.02
Address: 62.54
.
Fax::
City/State/ZIP: . Solar Units(potable water) 12.51
( ) Tub/shower/shower pan
Phone:( ) Urinal 25.02
E-mail: Water closet 25.02
r '
"' '`r" Water cledier 37.52
�r-,�' ><lf,�; ' ',1;,:,'
;. . . =<• ':� .. ._ _..• _ ...., . 56.29
Business name:Western Plumbing,Inc. Water pipiog/DWv Mil
r Other, 25.02
Address:9460 SW Tigard Street,Suite 101 $uDtotal
City/State/ZIP:Tigard,OR 97223 Minimum permit fee: $72.50 tal
Phone:(503)639-S296 Fax:(503)684-9015 plan review (25%of permit fee)
Plumbing Lie.no.:3429PB State surcharge(12%of permit fee) IBM NMI
ln:IEIIIIIIUPIMIIIII r !/ TOTAL PERMIT FEE � �
Audio signature: ; d Is sot obtained within 180 days
i � This permit'application expires U a permit
w. v I a r
Print name'1117.0111,- = _ , Date: after it by been accepted as Industry
'Fee methodology set by Tri-County building Industry Sorviec Board.
440.4616T(10162/COMH)
i,�Dw'ldiaa�R^pe�n.MU-Yam�tApy.000 10/01/09
CITY OF TIGARD PLUMBING PERMIT
_ q
II COMMUNITY DEVELOPMENT Permit#: PLM2014-00399
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/17/2014
Parcel: 25101 DC00200
Jurisdiction: Tigard
Site address: 13535 SW 72ND AVE 200
Project: Umpqua Bank Subdivision: 72ND BUSINESS CENTER Lot: 13
Project Description: Interior plumbing: Relocating(2)dishwashers and(2)food related sinks.
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
2 ea Dishwasher 12/17/2014 $50.04
Specifics: 2 ea Sink 12/17/2014 $50.04
1 12%State Surcharge- 12/17/2014 $12.01
Type of Use: COM Plumbing
Class of Work: ALT
Type of Const:
Occupancy Grp:
Stories:
Total $112.09
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 questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: i ittee Signature: i A
/
40.;101r /I
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.
12/11/2014 05:40 5036849015 WESTERN PLUMBING INC PAGE 01/02
Pintbing Permit Application (2Z 0 I , 0.
Building Fixtures ti :. rr Full OF.I:Ic t. t 4 0N1.%
13l Of Tigard c Permit No.: , r
, 13125 SW Hall Blvd.,Tigard,OR 97223 .. V ..! -�►
• Phone; 503,718.2439 Fax: 503.598.1960 Sao Dme/By: Other Permit No.: /
inspection Line: 503.639.4175 Date ReadyfBy: FM 121 SW:age 2 for
l"i t 111 Internet www ti d-or ov ' i ',•1 r l�'
S Notified/Method Supplemental information
m a 4 •
' ,4 "9f;t' ..Z K:M ' ,"- 0..61,.r 1,.+ro"i', , u,r, a:: •.?.,. , . . =i . ...1.,s °,:°'",t z...:,ttl it{I•.II s.1
0 New construction Q Demolition For special bt ormillon use checklist
Description } Qty. 7 Ea. I Total ,
h°• Addition/alteration/replaccment ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
Y2' h'?'44 1/i'' r . ' ~ +t., . 1, SFR(1)bath 312.70
❑ i-and 2-family dwelling 1'Commercial/industrial `SFR(2)broth 437.78
❑Accessory building
SFR(3)bath 500.32
boil ❑Multi-family
Each additional bath/kitchen 25.02
❑Master builder ❑Other: Fire sprinkler( ,sq•ft.) Page 2
AS r + 'htpr.∎ ,,✓r. , . 7.ri4 4,F"✓i t, 1° 4.'-A!. t
i4 4 r'•� S A + ,.i4-.. I w. ,.' r.,,, de.T.••.,);,;-s,',1: A,.-,...� 't cite utilities:
, ..:, sa.w.i ��r).:Ci,SL.SSc�? I:°.. .,
Job site address:k at)t � �\k rX� Catch basin or aces drain 18.76
Drywell,leach line,or trench drain 18.76
City/State/ZIP.1 r(1, Q`
Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: Project name:1 , _ Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear R.:-) Page 2
Storm sewer(no.linear ft.:____) Page 2
Water service(no.linear ft.: ) Page 2 ;
Subdivision: Lot no.: Fixture or item: _
Tax map/parcel no.: Backilow preventer T 31.27
.:r rr t, w Backwater valve - 12.51 -J
t, , v,.'2•`-,lt, b� x. i< r,.. ...,i. , ..4n�, rlrl �,..�.w:,.. :. .... 25.02
c-} Clothes washer _
't�D'elY,(�Q Dishwasher 25.02 e c,,I,
Thinking fountain 25.02
O ),4 0' • . at #- tit °•.41/ �t4 , Ejectors/sump 25,02 r, rut h r+ a mosv, d -t: Expansion tank 12.51
Fixture/sewer cap 25.02
Name:
Floor drain/floor sink/hub 25.02
Address: Garbage disposal 25.02
City/State/ZIP: Hose bib - 25.02
i Phone:( ) Fax:( ) Ice maker 12.51 '
in 4:.i1 s1 ° +,> . Y r: ^ interceptor/grease trap 25.02
: .," u• ..:u,r. ,,,.::::,--.::-._',-;••••,,,,,,„:., -,:,:i-:,•.:,,-
,,.,.,:a,a :1.,,,.n,,,1 t,. "n.... , .
Business name: Medical gas value:$ ) Page 2
■ Primer 12.51
• Contact name: Roof drain(commercial) 12.51
Address: Sink/basin/lavatory --D--- 25.02 C�,
City/State/ZIP: �NY Solar units(potable water) 62.54
Phone:( ) Fax::( ) Tub/shower/shower pan 12.51
Urinal 25.02
E-mail:-
I Water closet 25.02
�rFs ix r n a { 1 a
..,Fr .k . . -
Water heater 37.52
Business name:Western Plumbing,Inc, Water pipinp/DWV 56-29
Address:9460 SW Tigard Street,Suite 101 Other: 25,02
City/State/ZIP:Tigard,OR 97223 _ Subtotal /06,6%
Phone:(503)639-5296 Fax:(503)684-9015 Minimum permit fee: $72.50
Plan review (25%of permit fee)
CCB tic.:2439 Plumbing Lic.no.:3429PB --
State surcharge(12%of permit fee)_f,,O
Authorized signature:4=t!J I` 1 1k At TOTAL PERMIT FEE /tJ
r `! This permit application expires tf a permit m not obtained wattle iSO days
Date: • • otter it has fern accepted as comp[ea
*Fee methodology set by Tn-County Building Industry Service Board
11mu*Vne1Permns\PLMU.PamitAvp.doc Io/Cir09 44O-4616T(10/021C0MfWE$)
12/11/2014 05:40 5036849015 WESTERN PLUMBING INC PAGE 02/02
Plu"mbinQ Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Su t I ression S stems:
-.' .f. r �c,g*. . 'r.- r:r 4 ,V�: „„,..„.„,„7-,-,,,,..,„„,,,(t7..".• a „'4' .' ..;;r7� r 4 �T ,.•'a-' r V:..-s.c.t-, 9. M .... nw. +xr +r rh;rta�Anl�. ..e ..^. ,..ll; lt..V. .. ,,•x,..:... .. : r.r:,.,....M's.•rt 1,;:
Footing drain-1a 100' 50 03 0 to 2,000 $121.90 1
Footing drain•each additional 100' 37.52 2,001 to 3600 $169.64 r
1601 to 7,200 i $233.20
Sewer-Est 100' 62,54 _7,201 and greater I $327.54
Sewer-each additional 100' 37.52
Water Service-1st 100' 62.54 Medical Gas stems:
Water Service-each additional 100' 37.52 ;i {r +�;�$•
Storm&Rain Drain•1st 100' w 62.54 51.00 to$5,471.043 Minimum fee$72.50
Storm 84 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
.4"' 5' +!Y-*rziWlf-1_. < - zt ■ ; each additional$100.00 or traction thereof,to
$,,M �•,r �:4 r-frrf � rludc' t.,,..: and including$10.000,00, 1
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 fcc is specifically indicated 90 00/hr each additional$100.00 or fraction thereof,to
(minimum charge-1/2 hour) I and including$25,000.00.
Inspections outside of normal business 90.00/ht 525;001.00 to 550,000.00 $379.50 for the first 525,000.00 and$1.45 for
hours(minimum charge-2 hours) µ. � each additional$100.00 or fraction thereof,to
Re,nspection 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
lminimum charge-1/2 hour) „__ each additional$100.00 or fraction thereof.
Subtotal:
Commercial Fixture Work:
Are you capping,adding or replacing fixtures? If"yes",
please indicate work performed by fixture. Failure to
accuratel retort fixtures could result in increased sewer fees*.
�,
r 4 ^! r , p�w+etnlrn"i�"�."p.r`"`^r•*rFxir v7KF�' Vf✓ �t - c 'ti''%z '"^` 1.� a �' ti t?=�,,�, �'c '; ,'>. ""�.$.
.�� w. ' 1 V � 1 ,,, iF}" '' �ti a Vli fi;rr r x•., .+,1„^
.-,,,e15.714.•i 11 !. J DIN r¢'^i lk.�'�1!.•`�;•• �r!.Suh •�.d.:�Y�ia'�4ar�•wvr«fi�vuwn A�.a..,. a :-twa.�=:F ,tri.
"'iF 'v tr ...4-..:.,',.:,,,,,._:,I, ' d "tu r s Plan review is required for any of the following_
warii P;trfiiirni . .... J. . .'J 9 Y g-
Baptistry/Font
y`" "`" ' Please check all that apply.
Bath •Tub/Shower ❑ Any new commercial building with water service 2"and
. greater,except systems designed and starnped by licensed
-3acuzzi/Whirlpool .
Car Wash -Each Stall engineer.
-Drive Thru ❑ New exterior plumbing site utilities for any complex structure
Cuspidor/Water Aspirator as defined in OA,R9I 8-780-0040
Dishwasher -Commercial ❑ Medical gas and vacuum systems for health care facilities.
-Domestic .f--- X ,t, ❑ Any multipurpose fire sprinkler system.
Drinking Fountain ❑ Any complex structure as defined in OAR918-780-0040.
Eye Wash
Floor Drain/sink •2'' Suhmit 2 sets of plans with any of the above.
• .. 4- l R" `". , ,.y�...44 � ,r"x• '�' q ry-�vr VT -MF-Pi'>'.i vii 17.,i 11�j' br `f
Car Wash Drain r' "Y%.lr^2dGSL srr1 .nG+.ix.'u.:at .r s.lr. ..,Lnizi.::14 aliw.:9PlFY.' '0. �..
Garbage Domestic-non-food ❑ isometric or riser diagram is required for new buildings
Disposal -Domcstiv-food related that meet the Qualifications above.
-Commercial-food related
-Industrial-food related
Ice Mach./Refrig.Drains
Oil Separator(Gas Station) omments regarding fixture work:
Ree.Vehicle Dump Station /1/3 /Veva -AX ,.• r ,i I /j. 7/, •r,
Shower -Gang - Lf// Q11!1,4 Y...--r
-Stall T
Sink./Lav -Non-food related • /
-Bradley
-Commercial-food related .A ft .2
-Service
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.
http://www.tigard-or.gov/city_hall/departments/cd/docs/PLMF-PermitAp>SS2doc
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
13535 SW 72ND AVE 200, TIGARD, OR, 97223
Commercial - Plumbing
399 Plumbing final
PASS - No C of O
PLM2014-00399
George Heimos
Violation Summary:
Inspector Contractor