Permit CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2016-00124
T fG ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/09/2016
Parcel: 2S112DD00400
Jurisdiction: Tigard
Site address: 15954 SW 72ND AVE
Project: Environmental Controls Corporation Subdivision: None Lot: None
Project Description: Relocate(2)sinks and(1)water closet.
Contractor: CASCADE PLUMBING CO Owner: PACIFIC REALTY ASSOCIATES L P
15765 SW 74TH AVE#110-A 15350 SW SEQUOIA PKWY#300-WMI
TIGARD, OR 97224 PORTLAND, OR 97224
PHONE: 971-312-1174 PHONE:
FAX:
FEES
Quantity Description Date Amount
2 ea Sink 03/09/2016 $50.04
Specifics: 1 ea Water Closet 03/09/2016 $25.02
1 12%State Surcharge- 03/09/2016 $9.01
Type of Use: COM Plumbing
Class of Work: ALT
Type of Const:
Occupancy Grp:
Stories:
Total $84.07
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 qu ions to • C by calling 503.232.1987 or 1.800.332.2344.
Issued y: /t % Permittee Signa re: ( J
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 Applieatiki
RiEr‘
FIVED
Building Fixtures FOP. OFFICE USE ONLY
MAR 8 2016
City of Tigard RecOvcd 2 ,..1 , I tiPalo-coia
. ... .. ....0 7 / / , 6 Permit N:..) .
....... -
1112C S"' I la" II" 11"rd ()R ' AD_y i Plan Rcmev.
1 D'IcR\ Othor Perini I N o,16141„,ArYoo"eef95-19
Inspection I int"; 501 639.4175 !NG DIVISION . ' -
TIGARD ' ' ' - - ' • I Date Read03:, Jur,, El See Page 2 for i
Internet; NAW,A.tigard-or go% 1 Notin,d'N-I,Jhod , Supplemental Information i
I , 1
1 ,
1 OF WORK
1
FEE* SCHEDULE
1
Li Ness construction L.1 Demolition 1:w•special iti.formation use check/iv.
l ' Description 1 Qty. -1. La 1 loot ,1
Li Addition'altcrationireplacement n Other: NON I-2-family On ellings i i»cluslcs 100 11 for each(Mins connection) 1
1 -
CATEGORNOF CONS ERI'CTION SFR(1)batb 1 312.70 i
C
-fa
l nk dSI-k(2)hith 1 437.78 E.] 1-and lllIlityi
c El ommerciabindiNtrial 4
iI
SFR i 31 bath 500.32
[I]Accessory building 0 Alulti-family i
. , 1 act)additional[null/kitchenI 25.02
0 ls,laster builder 0 Otr:heI
fire sprinkler( sq. U.) Page 2
_
JOB SITE INFORMATION AND LOCATION Site utilities
Catch basin l e
or aa drain t 8.76 f
Job site iiddress: 15954 SW 72".X.ve I
or sell 105011 Inc.or trench drain I 18.76
City/State/710:Tigard,OR 0 T _4
_ hooting drain(no. linear lc I i Page 2
Siliteibidgilpt.no.: .1 Project name: Ev ironment al controls Mui
anRictured home utilities 50.03
Cross street/directions to job site: Manholes
4 18.76 .
Rain drain connector18,76
1 1
' 1 Sanitary sewer(no linear ft.:„,., ) 7 Pane
-
. Storm sewer(no.linear ft.: 1 Page 2
. A
W
Subdivision1:
,...ot no.: _ ater service(no.linear 13: ) P
Fixture or item: age 2
I
....
Back nor%preventer 31.27
las map/parcel no.:
Baeksvater salve 12.51
DESCRIpTioN oF AVORK
Clothes washer 25.02
relocate existing fixtures
1)ishisiishci 25.02 I
Drinking human 35.02 l
Hectors:sump 25 0? 1
___ _ tl
i
llxpansion tank 12 51
I.ixturelsesser cap 35.03
Name:
i 1.10or drain/floor sink/huh 25.02
Addi,,,, 1
cial bilge disposal 25.02 , I
I i)11(sulic:zip; IL bib25.02 1
il .1
Phone:( ) - flax:( I Ice maker 12.51
. '. _ . ..__...
0 APP1.ICANT 0 CONTACT PERSON InlerillePtorlgrease 101P 25.02
1 N,ledical gas Is aloe S_ ,,,,,,,_li Page 3
Rosiness name: _
Primer 12.51
Contact mune:
loof drain(commercial) 12 51 I
•Address Sunkibasindayaters 2 25.03 50.04
1 Cits1State/.10: Solar units(p(rtable s,ater) 62.54 1 1
i
l . ,
Phone:( 1 ' has; :( l '19b/showcr/iiihwAer pan
Ilium: 25.02 !
Lmall:Odel. I me L/&l1,1F0 • e. #4
water closcl 1 35.02 25 i0,,
1COARAC'FOR
- \\atet heater 1. 37.52
,
Business ninne:Cascade Plumbing Co i W:tier pipingdWsN I 56.29 1
\kiiIrciiis: 15765 SW 74'll AN e ft I 10-,X.
' Other. i 25,02
i
S its;S(ate.'1'10:Tigard,OR 97224 Subtotal
; 'Minimum permit tee, $72.50 75.06
Phone,(503)289-7095 I Fax:(503)283-9514
1 . Plan rnoc 0..5°-'i,or permit fee) !
1 .1
t(.111 ic.:204392 1 Plumbinn 1c.no.: 1'111528
,,,,
il, : , Sum:mirciume(12,of permit lee( , op(
I'
Atatioriled -,iejlaturc: k i -1 \I ,. ( ,.
\\ -., 1 40.111,P40A1H'444 'i 840
tit.-.2 1(2--'s -...,4 L._11....,,s....:„,«1.-------,
,
In moue: Crystal Jones J i Date:3/4/16 l'hi,iierinit 3ppliCatiflit OpifVS if a permit is not obtained sithin 180 dors
after i
:t has InCeit At7k-epted a,COMplk`fC.
.111,111,,10,,,:, ..41 is fr,-Count1 liltildfil?, IlititiStf>Suns WC fiC,Itfl
1 ,Po:I,:al%V ,i',,m,5n,.fs, 1,. ,L', 4,;,-1,1,21(ii,,:.COSI-51Iji,
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-1m 100' 50.03 0 to 2,000 $121.90
Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69
3401 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: PermitFee:
$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
(NY* Fee(ea)•: Total each additional$100.00 or fraction thereof,to
Other Inspections or Fees 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 including$25,000.00.
Inspections outside of nonnal 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*.
Quantity by Fixture Type Plitn Review for Plumbing'Installatlons..
Fixture Type for Replace Plan review is required anyof the following.
Performed: Capped Added Relocatee d for
Baptistry/Font Please check all that apply.
Bath -Tub/Shower 0 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 Thru 0 New exterior plumbing site utilities for any complex structure
Cuspidor/Water Aspirator as defined in OAR918-780-0040.
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.
Fye Wash
Floor Drain/sink -2" Submit 2 sets of plans with any of the above.
-3"
Isometric or Riser Diagram
Car Wash Drain
0 Isometric or riser diagram is required for new buildings
Garbage -Domestic-non-food
Disposal -Domestic-food related that meet the qualifications above.
-Commercial-food related
-Industrial-food related
Ice Mach./Refrig.Drains
Oil Separator(Gas Station) Comments regarding fixture work:
Rec.Vehicle Dump Station
Shower -Gang
-Stall
Sink/Lav -Non-food related 2
-Bradley
-Commercial-food related
-Service
Swimming Pool Filter
washer-clothes *Note: If the fixture work under this permit results in an
Water Extractor increase of sewer EDUs,a sewer permit will be issued and
Water Closet-Toilet I fees assessed for the sewer increase must be paid before the
Urinal plumbing permit can be issued.
Other Fixtures:
C:\Users\Cascade Main\Desktop\Tigard.doc 2
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
15954 SW 72ND AVE, TIGARD, OR, 97224
Commercial - Plumbing
399 Plumbing final
PASS - No C of O
PLM2016-00124
Don Sylvester
Violation Summary:
Inspector Contractor