The URL can be used to link to this page

Permit 3111Cy n ITY OF TIGARD PLUMBING PERMIT 1 8 COMMUNITY DEVELOPMENT Permit#: PLM2015-00061 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/03/2015 Parcel: 1 S135BB00501 Jurisdiction: Tigard Site address: 10575 SW CASCADE AVE 130 Project: Spec Space Subdivision: OAKBURG Lot: 27 Project Description: Capping(14)fixtures:(1)drinking fountain,(2)2"floor drains,(3)3"floor drains,(4)lavatories,(1)service sink,and (3)emergency eye wash showers. Contractor: CASCADE MECHANICAL SYSTEMS INC Owner: BRE IPC PARCEL PROPERTY OWNER LL PO BOX 399 TWO NORTH RIVERSIDE PLAZA, STE 2350 ESTACADA, OR 97023 CHICAGO, IL 60606 PHONE: 503-630-4492 PHONE: FAX: 503-630-5510 FEES Quantity Description Date Amount 14 ea Fixture/Sewer Cap 03/03/2015 $350.28 Specifics: 1 12%State Surcharge- 03/03/2015 $42.03 Plumbing Type of Use: COM Class of Work: ALT Type of Const: Occupancy Grp: Stories: Total $392.31 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 ....led by the Oregon Utility Notification Center. Those rules are set fort I OAR 952-001-0010 through OAR 952-001-0090. a •btain - copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.::r 44. �� 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. Plumbing Permit Application j 13s ■ ,I Building Fixtures 11>I2 OFFICE USE ONLY Received ]^�/ /y� City of Tigard ��N E Date/B • , 4//s- �r Permit No.: 0106-__ 1'w(o1 • 13125 SW Hall Blvd.,Tigard,• Plan Revi • . Phone: 503.718.2439 Fax: 51'. ':.1960 215 Other Permit No.:,Q 15- -Ut Date/By: T I G A R U Inspection Line: 503.639.4175 ,1 AR Date Ready/By: 7urir 61 See Page 2 for Internet: www.tigard-or.gov 1v1 �„pD Notified/Method: j--Z Supplemental Information TYPE OF WQ �f OF?/ SION FEE* SCHEDULE ❑New construction vv�` lt`on For special information use checklist Description I Qty. I Ea. I 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 ❑ 1-and 2-family dwelling giCommercial/industrial SFR(2)bath 437.78 building SFR(3)bath 500.32 ❑Accesso ry g ❑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: /4157S- Catch L aS�+4aC �`� Catch basin or area drain 18.76 City/State/ZIP: fi I y1,r 1 DE 9 720.3 Drywell,leach line,or trench drain 18.76 y/ Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: /30 I Project name: i-hopicn 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 It.:_) Page 2 Subdivision: I Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 P1ri 0 Ph/l 'ti� /h ee..c.S, i"'4 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 _ PROPERTY OWNER ❑ TENANT Expansion tank 12.51 Name: k ' �� ' A' Fixture/sewer cap /g 1 25. o,AT f Floor drain/floor sirrlc/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 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax::( ) Tub/shower/shower pan 12.51 E-mail: Urinal 25.02 CONTRACTOR Water closet 25.02 Water heater 37.52 Business name: fi.1G.4Je Ihie CL c, ii cc'y ) Sy&*ci4l.s 2A14- Waterpiping/DWV 56.29 Address: )940°, 110x. 3 ,9 Other: 25.02 y City/State/ZIP: �s 4 e oc� .LSE 5'7_023 Subtotal+ - Phone:(.'J)Colo- 9C/9e Fax:(5.7,j)4,30-,S7j140 Minimum permit fee: $72.50 CCB Lic.: J?Jo J 2 Plumbing Lic.no.: 3-3 2 y7-1? Plan review (25%of permit fee) IIJ State surcharge(12%of permit fee) ct j.Q3 Authorized signature: TOTAL PERMIT FFE '31,1, 3/` Print name: / �'/1- ``,.y e.0 P d.,//-` Date]3--'�J This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. iFee methodology set by Tri-County Building Industry Service Board. I.\Building'Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(l0/02/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-ls'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 Storm&Rain Drain 1st 100' 62.54 Valuation: Permit Fee: $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 Other Inspections or Fees Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to p and includin: $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 • 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 El CCar Wash: Each Stall New exterior plumbing site utilities for any complex structure Drive tall 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 4" ❑ Isometric or riser diagram is required for new buildings -Car Wash Drain that meet the qualifications above. Garbage -Domestic non-food 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 -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 fees assessed for the sewer increase must be paid before the Water Extractor Water Closet-Toilet plumbing permit can be issued. Urinal Other FixturesAety4/ Sy e -3 L✓01k Sou1Cn I:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2 IIIAccumulative Sewer Tally ,ii. Tenant Name: SPEC SPACE SWR# N/A 1 It.A tt) Site Address: 10575 SW CASCADE AVE PLM# 2015-00061 Parcel#: 1S135BB00501 Fixture Value Previous Previous Credits Capped Fixture Fixture New New # value count capped#s value count added# added value total#s total values Baptisery/Font 4 0 0 0 0 0 Bath: -Tub/Shower 4 0 0 0 0 0 -Jacuzzi/Whirlpool 4 0 0 0 0 0 Car Wash: -Each Stall 6 0 0 0 0 0 -Drive through 16 0 0 0 0 0 Cuspidor/Water Aspirator 1 0 0 0 0 0 Dishwasher: -Commercial 4 0 0 0 0 0 -Domestic 2 0 0 0 0 0 Drinking Fountain 1 0 1 1 0 -1 -1 Eye Wash 1 0 0 0 0 0 Floor Drain/Sink: -2 inch 2 0 2 4 0 -2 -4 -3 inch 5 0 3 15 0 -3 -15 -4 inch 6 0 0 0 0 0 -Car Wash 6 0 0 0 0 0 Garbage Disposal: -Domestic(to 3/4 HP) 16 0 0 0 0 0 -Commercial(to 5 HP) 32 0 1 0 0 0 0 -Industrial(over 5 HP) 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 1 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: -Lav/Bar-Non-Food Related 2 0 4 8 0 -4 -8 -Bradley 5 0 0 0 0 0 -Com/Sery/Util-Food Related 3 0 1 3 0 -1 -3 Swimming Pool Filter 1 0 0 0 0 0 Washer-Clothes 6 0 0 0 0 0 Water Extractor 6 0 0 0 0 0 Water Closet-Toilet 6 0 0 0 0 0 Urinal 6 0 0 0 0 0 Previous EDU Count 0 0 Capped EDU Credit 0 'I'O'l'ALS 0 1 0 11 31 0 _ 0 -11 -31 Current Fixture Value -31 divided by 16= -1.938 Current IE1)U 1 EDU= $4,900.00 Previous Fixture Value 0 divided by 16= 0.000 Previous EDU Change -31 divided by 16= -1.938 over (under) $ (9,506.00) Enter EDU Change Here -1.940 Notes: ***CREDIT*** Authorized Name/Signature: BRANDEN TAGGART X2439 Date: 3/3/2015 Building Division rote: The property owner shall retain the ORIGINAL sewer tally record. If credits exist,this document will serve as a voucher which must be bmitted to the City of Tigard Building Division to redeem credits towards future system development charges. I:\Building\Sewer Tally\SewerTallySheet_4900._070114.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 10575 SW CASCADE AVE 130, TIGARD, OR, 97223 Commercial - Plumbing 399 Plumbing ﬁnal PASS - No C of O PLM2015-00061 George Heimos Violation Summary: Inspector Contractor