Permit r CITY OF TIGARD PLUMBING PERMIT
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'F 2 COMMUNITY DEVELOPMENT Permit#: PLM2015 00393
i Date Issued: 12/03/2015
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S 101 BA00101
Jurisdiction: TIGARD
Site address: 7500 SW DARTMOUTH ST 190
Project: Which Wich Subdivision: WEST PORTLAND HEIGHTS Lot:
Project Description: Interior plumbing for TI: Adding(5)2"floor drains,(1)ice maker,(2)lavatories,(4)food related sinks,(1)service
sink,and(2)water closets.
Contractor: WESTERN PLUMBING Owner: WAL-MART REAL ESTATE BUSINESS TR
9460 SW TIGARD AVE SUITE 101 BY PROPERTY TAX DEPT STORE 5935-00
TIGARD, OR 97223 PO BOX 8050
ATTN MS 0555
BENTONVILLE,AR 72716
PHONE: 503-639-5296 PHONE.
FAX: 503-684-9015
FEES
Quantity Description Date Amount
2 ea Backflow Preventer 11/18/2015 $62.54
Specifics: 5 ea Floor Drain/Floor Sink/Hub 11/18/2015 $125.10
1 ea Ice Maker 11/18/2015 $12.51
Type of Use: COM 7 ea Sink 11/18/2015 $175.14
Class of Work: ALT 2 ea Water Closet 11/18/2015 $50.04
Type of Const: 1 ea Water Heater 11/18/2015 $37.52
Occupancy Grp: 1 12%State Surcharge- 11/18/2015 $55.54
Stories: Plumbing
Total $518.39
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: cL...... aL 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.
11/15/2015 05:40 5036849015 WESTERN PLUMBING INC PAGE 01/02
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Plumbing Permit Application ( --.-. -3 lU 1 ' d i :4L__.15'--•
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City of Tigard 'Received // /S
p„ By 6 Permit No.:
• 13125 SW Hall Blvd.,Tigard,0 �'r,3� 6 2015 '� '�
i ' Phone: 503.718.2439 Fax: 503 •••:.19 0 lan Review
Pate/B : Other Permit No.:
Inspection Line: 503.639.413Z ,�UIS t"
T l t, ,K.E? Internet: www tigard or .t1TY OF TIGARD !� SE Sce,Page 2 for
t/ 1`: r Su lemental information
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11/15/2015 05:40 5036849015 WESTERN PLUMBING INC PAGE 02/02
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•'Plumbing Permit Application - City of Tigard
Page 2 -Supplemental Information
Fee Schedule: Residential Fire Su t i ression S stems:
pp!�r ^F inr 4 if ."it�,"+.-11:!i i4 t➢r a l,r tiler,tl•1 77.'C r^ ,3"i ,,t iG r'e 'fr i ti y , t , i l„ �r • f ,O ,1:i' -';',';':0..I i t.,{ry f'y, P,
FM,�..z a1,, 3.r„1., ....s.:,:a.F '{•�C.4,4;i C4r,.itisz�l.!fii:._R�'L:',1>,i moi..(tai}4::T'Az t,,1zi_,iv:Sellzhiifi I 1A..:ti wr {;:::; :, t' .r .,. :,rr-f,51.Sl:.ti.:ii_ Iw.:ai...„,'lokr� .f.:::alt ;,11',C W1M :
Footing drain-1'1 100' 50.03 0 to 2,000 $121.90 _. -
Footing drain-each additional 100' min 37.52 - 2,001 to 3,600 $16969
3,601 a I $233.20
Sewer-1st 100' 62.54 7,201 and greater $32754��
Sewer-each additional 100' 37,52 ....
Water service-151 100' Medical Gas S stems:
Water Service-each additional 100' 11111111 37.52 iyt L,e;e ,t�t•g+7.rre^7axn',"^^;r^ :,,, fi +t ^ ;t '€t?i; tC.F3r a laiNI' y iX.O
. r,..h:,,}r >:,2,::„o+k JrAi• ai"K9r{. ;;,, .,,.;;;A M.ro a• r!,r�Sanrrlik�'a�'ir•.rt3)1^;"4CC�.'tf�'s}�`-As.,b.
Storm&Rain Drain-1st 100' 62.54 t$1.00 to$5,000.00 Minimum fee$72.50
Storm&Rain Drain-each additional 100' IIIII 37.52 Mil $5,001.00 to$10,000.00 $72.50 fbr the first$5,000.00 and$1.52 for
w,r r9: r TF17 s t 17+ ,t tNacer} nr Fit i.,: '£ r{ ` " 7 each additional$100.00 or
fraction thereof;to
aalr�,M1,^fri..,. , �1. c.!w.rar0.kk41tvn.a.wtH,+.dr�, :;�.,.. , r5xl,�141,it{1stL , and including$10,000.00.
Inspection of existing plumbing or fbr $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 IIII each additional$100.00 or fraction thereof,to
minimum char_e-1/2 hour) and including$25,000.00.
Inspections outside of normal business - 90,00/hr N $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for
hours minimum char e-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 ch, _ -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*.
r' 191
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, '.'er':r •:i1;!'!, , ';;"".1i; �,I;l' � i it t 'r ,::41..I.:, '''...•ft!( �e,rft'VIN','; 6it � 5 .':;., 7>�:7:1; w`'F1 ,-.xT.
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•� !� e,� 1 � ,� if , o ' r 1 � I ifiA ,, ,t:� t„{,+niw44m1.;. . ,-Q,, x ,-R, h,.,,;,:,mY�..,.rk1� liT vr c3f i bdhurcy ,� �� 19i''''"4';l Plan review is required for any of the following.
Baptistry/Font Please check all that apply.
Bath -Tab/Shower ! ❑ Any new commercial building with water service 2"and
-Jacuzzi/whirlpool greater,except systems designed and stamped by licensed
Car Wash -Each Stall engineer.
-Drive Pp ❑ New exterior plumbing site utilities for any complex structure
Cuspidor/Water Aspirator - as defined in OAR9 i 8-780-0040.
Dishwasher -Commercial 0 Medical gas and vacuum systems for health care facilities.
-Domestic 0 Any multipurpose fire sprinkler system.
Drinking Fountain " 0 Any complex structure as defined in OAR918-780-0040.
Eye Wash
Floor Drain sink 2" J Submit 2 sets of plans with any of the above.
-3"
,Ns . tit tnl
it r ice'.i .., rot tt n,_."fi •WiCar Wash Drain
111Garbage Domestianon#bad Isometric or riser diagram is required for new buildings
Disposal -Domestic-fbod related that meet the .ualifications above.
-Commercial-food related
t-
-Industrial-food
-Industrial-food related ,
Ice Mach./Refrig.Drains I �
Oil Separator(Gas Station) Comments regarding fixture work:
Rec.Vehicle Dump Station
Shower -Gang O 1�--�1
-Stall
Sink/Lav -Non-food related
-Bradley
Commercial food related ,
-Service 1
Swimming Pool Fillet Note: If the fixture work under this permit results in an
Washer-Clothes
Water Extractor increase of sewer EDIls,a sewer permit will be issued and
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-Perot itApt2doc
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 190, TIGARD, OR,
97223
Commercial - Plumbing
399 Plumbing final
PASS - No C of O
PLM2015-00393
Don Sylvester
1. Corrections are complete, plumbing final is approved.
Violation Summary:
Inspector Contractor