Permit q
r CITY OF TIGARD PLUMBING PERMIT
' ' COMMUNITY DEVELOPMENT Permit#: PLM2015-00291
Date Issued: 09/02/2015
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S101BA00101
Jurisdiction:
Site address: 7500 SW DARTMOUTH ST
Project: Tigard Retail Center,Retail#2 Subdivision: WEST PORTLAND HEIGHTS Lot:
Project Description: Installation of approximately 20'of storm line and(9)roof drains.
Contractor: KERR CONTRACTORS OREGON INC Owner: WAL-MART REAL ESTATE BUSINESS TRUST
PO BOX 1060 2001 SE 10TH STREET MAIL STOP 5570
WOODBURN, OR 97071 BENTONVILLE,AR 72716-5570
PHONE: 971-216-0050 PHONE: 479-273-4000
FAX:
FEES
Quantity Description Date Amount
20 If Storm Sewer 09/02/2015 $62.54
Specifics: g ea Roof Drain(Commercial) 09/02/2015 $112.59
1 12%State Surcharge- 09/02/2015 $21.02
Type of Use: COM Plumbing
Class of Work: ALT
Type of Const:
Occupancy Grp:
Stories:
Total $196.15
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 . • - . -nter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or d• ct questions to O. C b ailing 503.232.1987 or 1.800.332.2344.
I.sued 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
Building Fixtures t(CEj IVEP FOR OFFICE USE ONL1
City of Tigard Received
: ty ll CI l J Permit No.: t�AIS1Wt�9/
� 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: �5 � 1JV
Plan Review 6u��/2 Z`'9
Phone: 503.718.2439 Fax: 503.5160 2 2015 pate/By: Other Permit No.: G[�(p
T 1 G A R D Inspection Line: 503.639.4175 Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard-or.gov CYrj, `_ ' Notified/Method: Supplemental Information
TYPE OF) a i A* ?, FEE* SCHEDULE
❑New construction For special information use checklist.
u Demolition
Description I Qty. I Ea. I Total
❑Addition/alteration/replacement ❑Other: New I-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
❑ I-and 2-family dwelling El Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 500.32
❑Accessory building ❑Multi-family Each additional bath/kitchen 25.02
❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
7500 -W��t t Catch basin or area drain 18.76
Job site address: /�,u
�, Drywell,leach line,or trench drain 18.76
City/State/ZIP: �,-� 0 Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: I Project name: t/�t „ - v2 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 I �
Storm sewer(no.linear ft.:_) a 0 Page 2 f
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
� n Clothes washer 25.02
,QQ
F4Q C () d("A t on S CA S r'fv•N CL r.el 1 ✓N Dishwasher 25.02
Clt (it' e e---4 ,C) (1 Drinking fountain 25.02
Ejectors/sump 25.02
❑ PROPERTY OWNER ❑ TENANT Expansion tank 12.51
Name: W p ' _ v4l)(--4 Fixture/sewer cap 25.02
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 0 CONTACT PERSON Interceptor/grease trap 25.02
Business name: Medical gas(value:$ ) Page 2
Contact name: Primer 12.51
Roof drain(commercial) 7 Agra. 12.51 //;011
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
--A Water heater 37.52
Business name: f,212._ l'L',ti i 4.f)e_ U ie6 Water i m DWV 56.29
PP 8/
Address: Po Ad X 1o6,0 Other: 25.02
City/State/ZIP: /4. -77/L,, J b 2 9707/ Subtotal /76;./3
Minimum permit fee: $72.50 1'--'
Phone:(i pt) tp-oe'j t)--0 Fax:( )
Plan review (2p5%of permit fee)
CCB Lic.: I f 9s-6 Plumbing Lic.no.: ay-49,7M
C State surcharge(12%of permit fee) a,,GI
Authorized signature: ' TOTAL PERMIT FEE e? ,/S
�^ This permit application expires if a permit is not obtained within 180 days
Print name: b / f Date: ?_ -�� after it has been accepted as complete.
'/f *Fee methodology set by Tri-County Building Industry Service Board.
1:\Building Permits\PL NW-Permit App.doc 10/01/09 440-4616T(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-I"100' 50.03 O to 2,000 S121.90
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: rmit 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
Other Inspections or Fees Qty. Fee(ea) Total and anincluding additional$100.00 fraction thereof,to
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 90.00/1u $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
❑ Any new commercial building with water service 2"and
Baptistry/Font greater,except systems designed and stamped by licensed
Bath: -Tub/Shower
-Jacuzzi'Whirlpool
engineer.
CI 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
-4" ❑ 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: -Lav/Bar 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 Fixtures:
I:\Building\Permits\PLMF_PcrmitApp.doc 08/04/2011 2
co 2106 Pacific Avenue,Suite 300 PERMIT SUBMITTA
Tacoma,WA 98402
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el T(253)62T-4367
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C4 p� o �44
Date: August 13, 2015 jG 'q.cd From: BCRA, Inc.
To: City of Tigard �`II0� x Transmittal (mail/cover)
Community Development E-mail
13125 SW Hall Blvd.
Tigard, OR 97223 x Phone: 503-718-2450
Attn: George Heimos/Debbie Adamski Pages including this cover sheet
Project: Walmart Outlot Buildings
Tigard, OR
We are sending you:
x Attached: Under separate cover via :
COPIES DATE NO. DESCRIPTION
2 08/07/15 Outlot Building#1 - Revision 4—Downspout Below Grade
Revision (Rear of Building)
2 08/07/15 Outlot Building#2— Revision 4—Downspout Below Grade
Revision (Rear of Building)
These are transmitted as checked below:
X For approval For your use As Requested
Remarks:
George—As requested, attached are two copies of the revised plans for both outlot buildings. The
design of the downspout drains on the rear of the building have been changed to discharge under the
sidewalk.
If enclosures are not as noted, please notify us at once.
SIGNED: Kathryn Jerkovic/
i
i
BCRADESIGN.COM
A,11/.
u
'NI*
116 i
IMP,. _ - ' .,, ', i .__ T
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
7500 SW DARTMOUTH ST, TIGARD, OR, 97223
Commercial - Plumbing
399 Plumbing final
FAIL
PLM2015-00291
George Heimos
1. Complete downspout installation to rain drain risers, recall inspection when
completed. 103.5.4
All else ok for cover
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
7500 SW DARTMOUTH ST, TIGARD, OR, 97223
Commercial - Plumbing
399 Plumbing final
PASS - No C of O
PLM2015-00291
George Heimos
Violation Summary:
Inspector Contractor