Permit p CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2016-00021
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/01/2016
Parcel: 1 S135BB00501
Jurisdiction: Tigard
Site address: 10575 SW CASCADE AVE
Project: Biamp Subdivision: OAKBURG Lot: 27
Project Description: TI-Adding(6)2"floor drains,(6)primers,(2)shower stalls,(8)sinks/lays,(5)water closets,(1)urinal&(2)water
heaters. Replacing/relocating(1)dishwasher,(2)drinking fountains,(16)sinks/lays,(1)service sink,(18)water
closets&(5)urinals.
Contractor: Owner: ICON OWNER POOL 3 WEST LLC
BY INDCOR PROPERTIES
2 NORTH RIVERSIDE PLAZA, STE 235
CHICAGO, IL 60606
PHONE: PHONE:
FAX:
FEES
Quantity Description Date Amount
1 ea Dishwasher 01/25/2016 $25.02
Specifics: 2 ea Drinking Fountain 01/25/2016 $50.04
6 ea Floor Drain/Floor Sink/Hub 01/25/2016 $150.12
Type of Use: COM 6 ea Primer 01/25/2016 $75.06
Class of Work: ALT 24 ea Sink 01/25/2016 $600.48
Type of Const: 2 ea Tub/Shower/Shower Pan 01/25/2016 $25.02
Occupancy Grp: 6 ea Urinal 01/25/2016 $150.12
Stories: 23 ea Water Closet 01/25/2016 $575.46
2 ea Water Heater 01/25/2016 $75.04
1 12%State Surcharge- 01/25/2016 $207.16
Plumbing
Total $1,933.52
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:
Call 503.639.4175 by 7:00 a.m.for the next available inspec ion 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 An lilt HaCr.E I V E
Site Utilities
JAN 2 0 2016 Received
City ofTigard Datc/B ; to PcrmitNo.
; LF�ol�-�aJ
w 13125 5W Hall Tigard
503.718,2439 Pa,
a Phone: y I A- D PDleatndRBeyY;
iow /�/ /� (7thct Permit Nsoe.c;pPage 2 forinspectoOW1,13110N Date Reidy/By: Supplemental Information
Internet;
Information�onInternet www,tigard-or.gov NotifiedMethod: O� ,3
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1 ;
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NOW construction ❑Demolition For special inormarinn me Checklist.
Deicri tion Pa, I Total
®Addition/alterati(m/replactemcnt ❑Otbcr. New 1-2-ramily dwellings(includes 100 A.for tach utility connection)
SFR(1)bath 312.70
❑ 1-and 2-family dwelling ®Commercial/industrial
SFR(2)bath 437.78
SFR(3)bath 500.32 (�
❑Accessory building ❑Multi-family Each additional bath/kitchen 25.02
I
[3 Master builder ❑Other: Fire sprinkler(_sq.1L) Page 2 Q
1;1 ,n an llaplll ,li,i „�r' + t.r it (W'Al4' :,LX)ICA1'CG►lc), Site tldlitics;
Job slte address.10575 SW CASCADE AVL Catch basin or arca drain 18.76 (�
Drywell,leach line,or trench drain 18.76
City/State/ZIP:T[GARb,OR 97223 Footing drain(no,linear ft,: ) Page 2
Suite/bldg./apt.no.: Prgieet name:BiA.MP SYSTEMS T.I. Manulbctured home utilities 50.03
Cross street/directions to job site: Manholes 18,76
Rain drain connector 18.76
Sanitary sewer(no,linear t,;.) Pagc 2
- Storm sewer(no.linear ft.:_) Page 2
Water service(no.linear ft.:_ -� Pagc 2
Subdivision: I.ot no.: Fixture or item:
Tax map/parcel no.: 161 3566061S-6/ Backflow prevcntcr 31.27
8ackwatcr valve 12.51
{111115.,II I i 1 1 1.1u'✓I�:+�I Ir 1}Ifl/4i rI I1 1'1(,rl � 1��.rry'1•-�,I', I1. '�I1� '..r .,1_
V Clothes washer 25,02
INTERIOR TENANT IMPROVEMENT IN EXISTING BUILDING Dishwasher 1 25.02
Drinking fountain 2 25.02 .S0.o
y1p'1y'y'(p{ �yy {µ E,iccttars/sl.tmp 25,02
I"l.ii�'i rdI i:',r RAY I , 111,I,.i �' ' Irl i Api�lA 1 )'11 Expansion tank 12.51
Fixturc/scwcr cap 25.02
Name:
Floor drain/floor sinkAutb 6 25.02
Address: Garbage disposal 25,02
City/State/ZiP: Hosc bib 25.02
Phone:{ ) Fax:( ) Icc maker 12.51
interceptor/greme trap 25.02
Business name: Medical gas(value:$ ) Pagc 2
Primer 6 12.51 75
Contact.name: Roof drain(commercial) 12.51
Address: Sink/basin/lavato
ry qJA't 7.5,02 0.rl g
City/$tate/zlp, Solar units(potable water) 62,54
Phone:( ) tt Fax::( ) Tub/showed-howerpan 12,51
E-Mail: t455 a dta�tLQ �+�+vchln ym0.t La CDM Urinal 25,02 16-0./X
Willer CiOSCt 25.02
(I!1� '.1 1�{"wain r{ 1 ❑I,,I 1�y �ll l,u'il,,� �' UCK'III �V11 ! 19 1 ,.r �- -•q
' Water heater 2 37.52 75:oY
Business natne:ASSOCTATTD PLUMBING COMPANY Water piping/DW V 56.29
Address,200 NE VICTORY AVE,"C" Other,. 25.02
City/State/717-,C%RESHAM,OR 97030 Subtotal /,7;t&-34,
Phone,
7;t&-
Phone:(503)492-1922 Fax:(503)492-1923 �. .._� Minimum permit fee: $72.50 -
Plan review (25%ofpermit fcc)
CCB Lic.:57890 Plumbing& F.no.;26412PB
Statc surcharge(12%of permit roe) X07/G
Authorized aignautrc; TOTAL PERMIT FEE / sj-S
This permit application expires it a Permit Is not obtained within IRO days
Print name:BRAD MARSHALL Date: 1120/16 after it has been complete.
as nets ted
P
^ret methodology set by I'ri-COLMty Building Industry Service Sonrtl.
f:\BuildIng\Permit�IPLMl1.Pr m{tAppdoc !0/01/90 440-40167(1MYCOMlWEB)
Plumbing Permit ARnfication - City of Tigard
Page 2- Supplemental Information
Fee Schedule: Residential Fire SupprMMession Systems.
."FOO
Footing drain-I'100' $0,03 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-I st 100' 62.54 7.201 and grcfjtcr $327.54
Sewer-each additional 100' 37.52
Water Service-I st 100' 62.54 Medical Gas Syst ms:
Water Service-each additional 100' 37,52 ',77777777777
Storm&Rain Orain-1 st 100 62.54 $1,00 to$5,000.00 Minimum fee$72.50
Storm&Rain DiWin-cach additional 100" 37.52 $5,001.00 to$10,000.00 $72.50 fbr the first$5,000.00 and$1,52 for
each additional$100.00 or fraction thereof,to
and includine$10.000.00.
inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 For the first$10,000.00 and$_154_f.,
which no fee is specifically indicated 90.00/lir each additional$100.00 or fraction thereof,to
(minimum char p-1/2 hour) _ and includinA$25,000,00.
Inspections outside of normal business 90,0/hr $25,001.00 to OMOM'.00 $379.50 for the first$2-5,000.00 and$1.45 for
hours(minimum charge-2 hours) each additional V 00,00 or fraction thereof,to
Reinspection Fm 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 dwcof,
Subtotal:
Commercial Fixture Work:
Are you capping,adding or replacing fixtures? If"yes",
please indicate work performed by fixture. Failure to
accurate) re fixtures could result in increased sewer fees*.
A@Aot Lit "00'ft
W. Plan review is required for any of the following,
Baptistry Please check all that apply.
Bath /Font -Tu"hower El Any new commercial building with water service 2"and
-Jacuzzi/whirlpool greater,except systems designed and stamped by licensed
Car Wash 7;ch Stall engineer,
-Drive Thin 0 New exterior plumbing site utilities for any complex structure.
Cu.2idor/WatcT Aspirator as defined in OAR918-780-0040.
Dishwasher -Commercial ❑ Medical gas and vacuum systems for health care facilities.
-Domestic El Any multipurpose fire sprinkler system.
Drinking Fountain ❑ Any complex structure as defined in OAR918-780-0040,
Eye Wish
Floor Drain/sink -21, 6 Submit 2 sets of plans with any of the above.
.3
-4-
Car Wash Drain
Garbage -Domestic-non-rood ❑ metric or riser diagram is required for new buildings
Disposal -Domestic-food related that meet the qualifications above.
-Commercial-flood related
-Industrial-food related
Ice Mach./Refrig,Drains
Oil Separator(GwStationComments regardxjg fixture work:
Rec.Vehicle Dump Station 26 wo,4- t)kc�
Shower -Gang .Lai
-Stall 2 t_—
Sink/Lav -Non-food related IA^4'-4
-Bradley VLA, !J.
-Commercinl-fbnd related
-Service
SwimmipA Pool Filter *Note- if the fixture work under this permit results in an
Washcr-Clothe,; increase of sewer EDUi,a sewer permit will be issued and
Water Extractor
Water Closet-Toilet fees a%sesqed for the sewer increase must be paid before the
Urinal plumbing permit can be imaued.
I Other Fixtures:
C:\Users\Brad\Dcsktop\Document-\Dociimcntq.-\Permits\Tigard Plmb.dOc 2
=�� ��► PLUN'✓IE-LINO C( 3.
200 NE Vlotory AVE "C"
Gresham, OR 97030
GCB# 057890
Phone: 503-492-1922
Fax: 503.492-2923
FAX TRANSMITTAL
ITTAL
DATE: January 20,2016
TO: Ci of Tigard
PROJECT: HjAnp Systems T.1,
ATTN: Trade Permits
PAGE# INC. COVER: 3
SENT BY: Brad Marshall
MESSAGE:
See the attached permit application. Please call when ready for payment.
Thank you
503-492-1922
Commercial * Residential * Industrial * Remodel * Repair Service