Permit CITY OF TIGARD PLUMBING PERMIT
4
111111
2 COMMUNITY DEVELOPMENT Permit#: PLM2015-00014
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/20/2015
Parcel: 1 S135CA01200
Jurisdiction: TIGARD
Site address: 11380 SW GREENBURG RD
Project: Columbia Care Services Inc Subdivision: GREENBURG Lot: 11
Project Description: Interior plumbing in a 324 sq ft accessory building:Adding(2)sinks,(1)water closet,and(2)water heaters. Sewer
permit not required per Clean Water Services.
Contractor: MIKE PATTERSON PLUMBING Owner: COLUMBIA CARE SERVICES INC
15028 S MITCHELL LN 3587 HEATHROW WAY
OREGON CITY, OR 97045 MEDFORD,OR 97504
PHONE: 503-632-7374 PHONE: 541-858-8170
FAX: 503-632-5647
FEES
Quantity Description Date Amount
2 ea Sink 01/20/2015 $50.04
Specifics: 1 ea Water Closet 01/20/2015 $25.02
2 ea Water Heater 01/20/2015 $75.04
Type of Use: COM 1 12%State Surcharge- 01/20/2015 $18.01
Class of Work: ALT Plumbing
Type of Const:
Occupancy Grp:
Stories:
Total $168.11
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. 344. ,J
Issued By: Ar / e Signature:
Cal .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 Application
Building Fixtures }iN FOR OFFICE USE ONLI
Received
City of Tigard J /�- Permit No..
DateBy: /poi/15 err- r/`(OTl I5-_,a v!y
■
13125 SW Ball Blvd.,Tigard,OR 97223 A1 q 0 2Q�� Plan Review
■ Phone: 503.718.2439 Fax: 503.598.1960 A,v y Daffy Other Permit
l
NSoe.:4ajA ge p 2 i Ir_axxU Q
Inspection Line: 503.639.4175
T I G A R D V�ItuM oto tifiReadyeSt o:d:Internet: www.tigard-or.gov ��! Supple mtal 2 for
TYPE OF WORK ikititi FEE* SCHEDULE
New construction ❑ olition For special information use checklist
Description I Qty. I Ea. [ Total
❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
ID 1-and 2-family dwelling NI Commercial/industrial SFR(2)bath 437.78
❑Accessory building SFR(3)bath 500.32
❑Multi-family
Each additional bath/kitchen 25.02
❑Master builder ❑Other: Fire sprinkler(_sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 113 80 S L C7Ir'.�evtb(Al f Catch basin or area drain 18.76
City/State/ZIP: Tor& t_ Ccl2,Z,3 Footing 1,leach line,or trench drain 18.76
1 Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: I Project name: 6,0 it ‘6,A 6afc, ccer ie4.9 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: I Lot no.: Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
` - ( ee i , Clothes washer 25.02
- ■A 0%, IKs44` T 1 k-k s ■ Dishwasher 25.02
A N ��W , Drinking fountain 25.02
Ejectors/sump 25.02
❑ PROPERTY OWNER I ❑ TENANT 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
Phone:( ) Fax:( ) Ice maker 12.51
❑ APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02
Business name:
Medical gas(value:$ ) Page 2
Primer 12.51
Contact name:
Roof drain(commercial) 12.51
Address: _ Sink/basin/lavatory 2 , 25.02
J
i-/1 J
, `l
City/State/ZIP: Solar units(potable water) 62.54
Phone:( ) Fax: :( ) Tub/shower/shower pan 12.51
E-mail: Urinal 25.02
Water closet t 25.02 .r.,„),,
CONTRACTOR Water heater 2. 37.52 75: 01
Business name: MI .L. PaiterSOV 12(t)141.10 Water piping/DWV 56.29
Address: 1.5-02_8 S. iTCLQ-L( t a jAk., Other: 25.02
City/State/ZIP: 0 retio . OR. 01-1045 Subtotal /.V. JO
Phone:(9)3) IL--1 S1 L( Fax:( D3) (032 - S(0(-(1 Minimum permit fee: $72.50
CCB Lie.: D' w Plumbing Lic.no.: 3-3 m Plan review (25%of permit fee)
State surcharge(12%of permit fee) / . Of
Authorized signature:W2 TOTAL PERMIT FEE !G !!
Print name: /V Lt 6 Ol Date: 1/20 /0 / 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.
1:\Building\Permiss\PLMU-PennitApp.doc 1001/09 440-4616r(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 $327.54
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
Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to
Other Inspections or Fees 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*. Plan Review for Plumbing Installations
Quantity by Fixture Type Plan review is required for any of the following.
Fixture Type for Replace/ Please check all that apply.
Work Performed: Capped Added Relocate
Baptistry/Font ❑ Any new commercial building with water service 2"and
greater.except systems designed and stamped by licensed
Bath: =tub/Shower
engineer.
-Jacuzzi/Whirlpool
Car Wash: -Each Stall ❑ New exterior plumbing site utilities for any complex structure
Drive Stall as defined in OAR918-780-0040.
Cuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities.
Dishwasher. Commercial ❑ Any multipurpose fire sprinkler system.
Domestic ❑ Any complex structure as defined in OAR918-780-0040.
Drinking Fountain
Eye Wash Submit 2 sets of plans with any of the above.
Floor Drain/sink: -2"
3" Isometric or Riser Diagram
❑ Isometric or riser diagram is required for new buildings
-Car Wash Drain
Garbage Domestic non-food that meet the qualifications above.
Disposal: -Domestic food related
-Commercial food related
-Industrial food related
Ice Mach./Refrig.Drains Comments regarding fixture work:
Oil Separator(Gas Station)
Rec.Vehicle Dump Station
Shower: -Gang
-Stall
Sink: -LavBar non-food related 2 .
-Bradley
-Com/Serv/Util food related
-Service *Note: If the fixture work under this permit results in an
Swimming Pool Filter increase of sewer EDUs,a sewer permit will be issued and
Washer-Clothes
Water Extractor fees assessed for the sewer increase must be paid before the
WaterCloset-Toilet I plumbing permit can be issued.
Urinal
Other Fixtures:
I:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2
Debbie Adamski
From: Debbie Adamski
Sent: Tuesday, January 20, 2015 1:02 PM
To: Branden Taggart; Dianna Howse
Subject: FW: Columbia Care Services, 11380 SW Greenburg Rd, Tigard, OR
BUP2013-00249
FYI—
Please see the email chain below. Mike Patterson Plumbing will be coming in to pull a plumbing permit for this
project. It is to install a bathroom in this accessory building. This is a commercial project, but we do not need to access
sewer fees these fixtures. See the justification below.
Debbie Adamski
Senior Permit Technician
City of Tigard I Community Development
13125 SW Hall Blvd.,Tigard, OR 97223
503-718-2450
From: Rob Burns [mailto:rob @cwoodruffconst.com]
Sent: Tuesday, January 20, 2015 12:55 PM
To: Debbie Adamski
Subject: RE: Columbia Care Services, 11380 SW Greenburg Rd, Tigard, OR BUP2013-00249
Debbie,
Please see below regarding your comment on the SDC fees for this project. Call me afterwards to discuss our plumber
being able to obtain permit.
My direct number is 541-659-7936.
Thanks,
Rob Burns
C. Woodruff Construction L.L.C.
P.O. Box 909
Grants Pass, OR 97528
Cell: (541) 659-7936
Office: (541)479-3621
Fax: (541)479-1066
From: Debbie Adamski [mailto:DEBBIE@tigard-or.gov]
Sent: Monday, October 27, 2014 3:40 PM
To: rob @cwoodruffconst.com
Cc: #Building Permit Technicians
Subject: Columbia Care Services, 11380 SW Greenburg Rd, Tigard, OR BUP2013-00249
Rob,
I spoke with Clean Water Services and they said there are no additional sewer system development fees to be charged
for the bathroom being added to this accessory structure. Per their Rates and Charges: "The Residential I Rate Method
shall include all common facilities such as laundry, kitchen and recreation areas so long as they are located on the same
tax lot as the residential units and are intended for the sole use of the residents."
The electrical permit can be taken out online. Because this is a commercial project, the plumbing and mechanical
permits will be need to applied for by fax and paid online (we no longer accept payment authorization forms for credit
cards) or they can be applied for in person at our permit counter. Our counter hours are Monday through Thursday,
from 8:00 am to 4:30 pm. We are closed on Fridays.
Debbie Adamski
Senior Permit Technician
City of Tigard I Community Development
13125 SW Hall Blvd.,Tigard, OR 97223
503-718-2450
DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail
may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retained
by the City of Tigard in compliance with the Oregon Administrative Rules"City General Records Retention Schedule."
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
11380 SW GREENBURG RD, TIGARD, OR,
97223
Commercial - Plumbing
399 Plumbing final
PASS - No C of O
PLM2015-00014
Chip Barnett
Note: Provide threaded cap at unused rain drain ( located at front window of structure)
Approved once above note has been completed
Violation Summary:
Inspector Contractor
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
11380 SW GREENBURG RD, TIGARD, OR,
97223
Commercial - Plumbing
399 Plumbing final
FAIL
PLM2015-00014
George Heimos
1. Crawl space pump/pit and piping to an approved location (3" ABS rain drain riser
stubbed up above grade for pump) not completed. 103.5.4
2. Complete rain drain downspouts. 103.5.4
3. Cleanout plugs need approved thread sealant at: outside sanitary and storm sewer.
316.1.1
4. Locked out, provide access to building. 103.5.4
5. Work not completed, no inspection to inside of building. Recall when ready. 103.5.4
Violation Summary:
Inspector Contractor