Permit CITY OF TIGARD PLUMBING PERMIT
I COMMUNITY DEVELOPMENT Permit#: PLM2015-00218
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/20/2015
Parcel: 25101 DA01700
Jurisdiction: Tigard
Site address: 7130 SW FIR LP
Project: FTDI Subdivision: 72ND BUSINESS CENTER Lot: 7
Project Description: Adding(1)expansion tank,(1)2"floor drain,(1)ice maker,(1)break room sink,(1)shower,(1)water closet &(1)
water heater.Relocating(3)sinks/lays&(2)water closets.
Contractor: JAMES ROOD PLUMBING INC Owner: FUTURE TECHNOLOGY DEVICES
125 S 1ST AVE#542 INTERNATIONAL LTD
HILLSBORO, OR 97123 7130 SW FIR LOOP
TIGARD, OR 97223
PHONE: 503-547-0491 PHONE: 603-726-5416
FAX: 503-547-0492
FEES
Quantity Description Date Amount
1 ea Expansion Tank 07/14/2015 $12.51
Specifics:, 1 ea Floor Drain/Floor Sink/Hub 07/14/2015 $25.02
1 ea Ice Maker 07/14/2015 $12.51
Type of Use: COM 1 ea Sink 07/14/2015 $25.02
Class of Work: ALT 3 ea Lavatories 07/14/2015 $75.06
Type of Const: 1 ea Tub/Shower/Shower Pan 07/14/2015 $12.51
Occupancy Grp: 3 ea Water Closet 07/14/2015 $75.06
Stories: 1 ea Water Heater 07/14/2015 $37.52
1 12%State Surcharge- 07/14/2015 $33.03
Plumbing
Total $308.24
•
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: 1 /
Call 503.639.4175 by 7:00 a.m.for the next available inspectio`ate.
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.ADnhic
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Site Utilities �IV�D , I,R 1)1 Ili I I ,t 1,\I.1
14 40 City of Tigard L 13 2015 Received le '? / /S / Permit No.: °a/c,/S-e)oaig
13125 SW Hall Blvd.,Tigard,OR 9
Plan Review
a` Phone: 503.718.2439 Fan: 5 9�F TIGARD Date/By: Other Permit No.:swi,k,s exoss.�.
T 1 G R i inspection Line: 503.639.417 Date Ready/By. runs: 0 Sec Pa 2 for
Internet: www tigard-or gov b U I LD I t'G DIVISION /i/
NonHed/Methcd �/ I
Supplemental Information•(lr r : f :. "f� Vi... /11.7. , •9r T1 '4' i ...77.7:f.,"'
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Plumbing Permit Application - City of Tigard
Page 2 -Supplemental Information
Fee Schedule: Residential Fire Su r 1 ression S stems:
rn1w�i ri ,` f L 1 ,�'m 7z .ti"rL y:..t- 7R F-'^^T �
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.xtf�A M *,ti ,4'I ' }h3 ��f.-�- 0,t r +2 �(9 'fi;r k� 7, •:_: lsi L i.. .�4f4 l 2 L, :t... �„:1,,.. :t 4I, x? PIH.f-.;i •
Footing drain-P 100' 50.03 0 to 2,000
$121.90
Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69
•Sewer 1st 100' - 62 54 3601 to 7,200 5233.20
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 v �rt �.. ? d r q . n q t lEf AP iS,r
. 1!, ,.!w .:,',, ::, t ' ` - ,'1 ,f L'{ iy:,':' g 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$1.52 for
t:a ,+ " 1 r TVn ' •" 4 a ` }�$} r, a each additional$100.00 or fraction thereof,to
- •121/n.,..1,c�1,r i•-intA,,° _. �1�,1:4,31:-- lt., tint as i.. ,.'..,.;in.,I +..K; 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 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 charge-2 hours) each additional$100.00 or fraction thereof.to
Reinspection Fees 90.00/hr and includin_$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
accuratel re i ort fixtures could result in increased sewer fees*. _
1 ; Ohl 1,i!1 i s 4s,: .,,,p. 'MC ih,2rAs p' bi:i•rl.' ° -d ore,.. , :7`t ;711- - 4:7 7r , r; ', 1 1 ;.- ' 4 f( ! ° 1 'r,-5r'.'+.
i 1 t . 0 .1 •4 Iw"ni4Af� p. 4.1 . A.:K ,C•.. :... .),.- t _....• -.:. ,..w� ;. •. -^ck,-L-�.
4 nor..°s E is $LL,y,,i'� t!' (4,'fp"'x..j/- h tt' +x Plan review is required for any of the following.
B= tilt /Font --1 Please check all that apply.
Bath -Tub/Shower -�J�;�� ❑ Any new commercial building with water service 2"and
-Jacuzzi/Whirl,..1 --- greater,except systems designed and stamped by licensed
Car Wash -Each Stall -_ engineer.
-Drive Thru --MM. ❑ New exterior plumbing site utilities for any complex structure
Cuspidor/WaterAs.irator -- as defined in 0A.R918-780-0040.
Dishwasher -Commercial --- ❑ Medical gas and vacuum systems for health care facilities.
-Domestic -MINIM ❑ Any multipurpose fire sprinkler system.
Drinkin' Fountain --- ❑ Any complex structure as defined in OAR918-780-0040.
IIMETEMIIIIMiPME. 1111111111
Floor Drain/sink 411EIPP 11111111F'- Submit 2 sets of plans with any of the above.
-3., Ell=-
-4'• ., 11 pti,,,i7` ap:il:v grr p.r,:-. ,n- 4 x ro rr.v..a ern,
Car Wash Drain -� kg 01s?i..,.,t.1l! z�•tR:; ` M. .L.t t} .' a''
Garbage -Domestic-non-food 111=MMilill ❑ Isometric or riser diagram is required for new buildings
Disposal -Domestic-food related ��= that meet the •ualifications above.
-Commercial-food related
-Industrial-food related r--
Ice Mach./Ref i:.Drains -�-
Oil Se,arator(Gas Station MM. Comments regardiing fixture work:)
Rec.c r Vehicle Du 8p Station ��- A.Al t I S+�A -, / rho! atA�•'ti,.. .4.1'f
-Stall -_al t gova.k fix S I f . 4 WC..
Sink/Lav -Non-food related .1-1MW.=
-Bradley Sil♦IIIIIIIII olio C- UfSti' _ cI 4. .
-Commercial-food related MIN -
-Service -MIMI
Washer Cl Pool Filter � *Note: If the fixture work under this permit results in an
washer-Clothes
water Extractor =MN- increase of sewer EDUs,a sewer permit will be issued and
Water Closet-Toilet =11♦F fees assessed for the sewer increase must be paid before the
=== plumbing permit can be issued.
Other Fixtures:
C'\Usersy im\Downloads\PLMU_PermitApp.doc 2
Accumulative Sewer Tally
III Tenant Name: Fl DI SWR# 2015-00085
i�, \RI)
Site Address: 7130 SW 14 Loop PLM# 2015-00218
i
Parcel#: 2S101DA1700
Fixture \,11 ti, I'rcvious 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 (1
Drinking Fountain 1 0 0 0 0 0
Eye Wash 1 0 0 0 0 0
Floor Drain/Sink: -2 inch 2 0 0 1 2 1 2
-3 inch 5 0 0 0 0 0
-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 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 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 1 2 1 2
Sink:
-Lav/Bar-Non-Food Related 2 0 0 1 2 1 2
-Bradley 5 0 0 0 0 0
-Com/Serv/Util-Food Related 3 0 0 0 0 Il
Swimming Pool Filter I 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 1 6 1 6
Urinal 6 0 0 0 0 0
Previous EDU Count 0 0
Capped EDU Credit 0
TOTALS 0 0 0 0 4 12 4 12
Current Fixture Value 12 divided be 16= 0.750 Current IJDU 1 EDU= $5,100.00
Previous Fixture Value 0 divided by 16= 0.000 Previous EDU
Change 12 divided by 16= 0.750 over (under) $ 3,825.00
Enter EDU Change Here 0.750 *
*Round EDUs to the nearest 1/100th: a count ending in.005 shall be rounded up to.01,and a count ending in.014 or less shall be rounded down to.01.
Notes:
Authorized Name/Signature: Debbie Adamski Date: 7/14/2015
Building Division
Note: The property owner shall retain the ORIGINAL sewer tally record. If credits exist,this document will serve as a voucher which must be
submitted to the City of Tigard Building Division to redeem credits towards future system development charges.
1:\Building\Sewer Tally\Sewer 1'allySheet_5100_070115.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
7130 SW FIR LP, TIGARD, OR, 97223
Commercial - Plumbing
399 Plumbing final
PASS - No C of O
PLM2015-00218
George Heimos
Violation Summary:
Inspector Contractor