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Permit (103) CITY OF TIGARD PLUMBING PERMIT 1111 COMMUNITY DEVELOPMENT Permit#: PLM2015-00435 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/30/2016 Parcel: 1 S135BA00102 Jurisdiction: Tigard Site address: 10154 SW WASHINGTON SQUARE RD Project: Pier 1 Imports Subdivision: OAKBURG Lot: 9 Project Description: Adding(2)drinking fountains,(2)3")floor drains, (2)lays,(1)sink,(1)service sink&(2)water closets.4/15/16, REPRINTED to correct address from 10144 to 10154 SW Washington Square Rd. Contractor: II S MECHANICAL INC Owner: PPR SQUARE TOO LLC 520 WILLAMETTE AVE PO BOX 847 STAYTON, OR 97383 CARLSBAD, CA 92018 PHONE: 503-769-3738 PHONE: FAX: 503-769-4374 FEES Quantity Description Date Amount 2 ea Drinking Fountain 03/30/2016 $50.04 Specifics: 2 ea Floor Drain/Floor Sink/Hub 03/30/2016 $50.04 2 ea Sink 03/30/2016 $50.04 Type of Use: COM 2 ea Lavatories 03/30/2016 $50.04 Class of Work: ALT 2 ea Water Closet 03/30/2016 $50.04 Type of Const: 1 12%State Surcharge- 03/30/2016 $30.02 Occupancy Grp: Plumbing Stories: Total $280.22 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:(.6._)Lee0-- 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. CITY OF TIGARD PLUMBING PERMIT 1'! ' COMMUNITY DEVELOPMENT Permit#: PLM2015-00435 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/30/2016 Parcel: 1S135BA00102 Jurisdiction: Tigard Site address: 10144 SW WASHINGTON SQUARE RD Project: Pier 1 Imports Subdivision: OAKBURG Lot: 9 Project Description: Adding(2)drinking fountains,(2)3")floor drains,(2)lays,(1)sink,(1)service sink&(2)water closets. Contractor: II S MECHANICAL INC Owner: PPR SQUARE TOO LLC 520 WILLAMETTE AVE PO BOX 847 STAYTON, OR 97383 CARLSBAD, CA 92018 PHONE: 503-769-3738 PHONE: FAX: 503-769-4374 FEES Quantity Description Date Amount 2 ea Drinking Fountain 03/30/2016 $50.04 Specifics: 2 ea Floor Drain/Floor Sink/Hub 03/30/2016 $50.04 2 ea Sink 03/30/2016 $50.04 Type of Use: COM 2 ea Lavatories 03/30/2016 $50.04 Class of Work: ALT 2 ea Water Closet 03/30/2016 $50.04 Type of Const: 1 12%State Surcharge- 03/30/2016 $30.02 Occupancy Grp: Plumbing Stories: Total $280.22 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: /. — Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next availabl- nspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the p . Approved plans are required on the job site at the time of each inspection. L r . Plumbing Permit App U I!'E Building Fixtures FOR ()1•1:l( F. ESE Oy1.1 DEC 2 8 2015 Received . if /S ‘I.N�/5-G�YSu City of Tigard Permit No.: IR 13125 SW Hall Blvd.,Tig 9 3 Date.Bv: Plan Review Phone: 503.718.2439 F43 0 1 15�i46A � /� Other Permit No. 4�IC,Y�9.eti<� Date-B}: J �Y' Inspection Line: 503.6$D1NC DIVISION Date ed Metho krcis I ® See Page 2 for IlGA6,lI S Internet: wtirw.tigazd Notified-Method: �/ �� Supplemental Information TYPE OF WORK Print name:Alan Tomasi Date: 12/ 0 New construction 0 Demolition ®Additionialteration/replacement ❑Other: FED C ATGOII or CQNBTRLtCTIQN For special information use checklist. Description I Qty. I Ea. I Total ❑1-and 2-family dwelling 0 Commercial/industrial New 1-2-family dwellings(includes 100 R.for each utility connection) ❑Accessory building 0 Multi-family SFR(1)bath 312.70 SFR(2)bath 437.78 ❑Master builder 0 Other: #� SFR(3)bath 500.32 / Lc/ � 8�INFORMATION D L A O Each additional bath/kitchen 25.02 Job site address..:".5861.SV.Washington Square Rd. Fire sprinkler( sq.ft.) Page 2 City/State/ZIP:Tigard,OR 97233 Site utilities: Catch basin or area drain 18.76 Suite/bldg./apt.no.:B Project name:Pier 1 Imports Drvwell,leach line,or trench drain 18.76 Cross street/directions to job site:S.W.Hall Blvd.and Scholls Ferry Rd. Footing drain(no.linear ft.: Page 2 Manufactured home utilities 50.03 Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Subdivision: Lot no.: Storm sewer(no.linear ft.: ) Page 2 Tax mapiparcel no.: l5 135 6 k' op/07-- Water service(no.linear ft.:_) Page 2 DESCRIPTION OF R'ORK Fixture or item: 9,615 S.F.tenant improvement of a Pier 1 Imports store into an existing Backflow preventer 31.27 Backwater valve 12.51 shopping center.No additional square footage added. Clothes washer 25.02 Dishwasher 25.02 os,. PROPERTY OWNER 0 TENANT Drinking fountain ., 25.02 6-Q,Oil Name:PPR Square Too LLC c/o Macerich Ejectorsi sump 25.02 Address: 11411 N.Tatum Blvd. Expansion tank 12.51 City/State/ZIP:Phoenix,AZ 85028 Fixture sewer cap 25.02 Floor drain/floor sinldhub 25.02 5Q. G ct Phone:(602)853-6200 Fax:( ) Garbage disposal 25.02 0 APPLICANT Cs CONTACT PERSON Hose bib 25.02 Business name:TSArchitects,Inc. Ice maker 12.51 Contact name:Alan Tomasi Interceptor,'grease trap 25.02 Address:2050 S.Bundy Dr.#225 Medical gas(value:$ ) Page 2 Primer 12.51 City/State/ZIP:Los Angeles,CA 90025 Roof drain(commercial) 12.51 Phone:(310)895-7923 Fax::( ) Sinkibasin/lavatory ! 25.02 /Pe.o(6' E-mail:atomasi@`tsarch.com Solar units(potable water) 62.54 CONTRACTOR' Tub/shower/shower pan 12.51 S �eeAri,V 1 t C4-G i_ f G Urinal 25.02 Business name: JV Water closet 25.02 59.05• Address: t Lt_A �-fre. A of__ Water heater 37.52 City/State/ZIP: *T";-.9,y-7---e) k) v2 q7 3 g 3 Water piping.DWV 56.29 Phone:( .9 7( 9.. 7.5 g Fax:( ) /�Q, Other: 25.02 5yq (el, g 0J-/gs-p6 Subtotal Pvs1.SW CCB Lie.: P . bin �.no.: ` re'-+--• .... f $72 en /P-'1.4 6,1-,,rt.6,1-,,rt. SGkK. e ,7,x.07. Authorized signal vt „�o ^c �.. -i '. ---10-1/)L :� p� 7.?4 I:',Buildmg•Pemuis,PLMSU-Pe; . rn, in 1,0 ' 440-46I6T(IO'02:COT4;AEB1 -moo-/ccz. i Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities , roec . , Total SqUare Footage: Permit Fee: Footing drain-1"100' 50.03 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-1st 100' 62.54 7,201 and greater S327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52 Valuation: 7 Permit Fee. Valuation: 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 S72.50 for the first$5,000.00 and$1.52 for Other � .' ees Qty' Fee{ea} ' Tamil each additional$100.00 or fraction thereof,to 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 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/hr 550,001.00 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: Other Fixtures: 1 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*. Quinn*,by Fixture Type Fixture Type for Rtithttei Pian Review for Plumbing Installations Work Performed: CaPPed Added Reioeate Ba fist Font Plan review is required for any of the following. p n- Please check all that apply. Bath -Tub/Shower PP y' Jacuzzi/Whirlpool 0 Any new commercial building with water service 2"and Car Wash -Each Stall greater,except systems designed and stamped by licensed -Drive Thru engineer. Cuspidor/Water Aspirator 0 New exterior plumbing site utilities for any complex structure Dishwasher -Commercial as defined in OAR918-780-0040. -Domestic 0 Medical gas and vacuum systems for health care facilities. Drinking Fountain 2 0 Any multipurpose fire sprinkler system. Eye Wash ❑ Any complex structure as defined in OAR918-780-0040. Floor Drain/sink -2" 3" 2 Submit 2 sets of plans with any of the above. -4" Car Wash Drain Isometric or Riser Diagram Garbage -Domestic-non-food Disposal -Domestic-food related 0 Isometric or riser diagram is required for new buildings -Commercial--food related that meet the qualifications above. -Industrial-food related Ice Mach./Refrig.Drains Oil Separator(Gas Station) Rec.Vehicle Dump Station Comments regarding fixture work: Shower -Gang -Stall Sink:Lav -Non-food related 3 -Bradley -Commercial-food related -Service 1 Swimming Pool Filter Washer-Clothes Water Extractor *Note: If the fixture work under this permit results in an Water Closet-Toilet 2 increase of sewer EDUs,a sewer permit will be issued and Urinal fees assessed for the sewer increase must be paid before the C:\Users\gwaggner\Documents\Temp\PLMF PermitApp.doc 3 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 10154 SW WASHINGTON SQUARE RD, TIGARD, OR, 97223 Commercial - Plumbing 399 Plumbing ﬁnal PASS - No C of O PLM2015-00435 Don Sylvester 1. Corrections are complete, plumbing ﬁnal - approved 2. 1" watts DC model LF 007M1QT, ser.# 037679 for bldg. supply , located in janitors room, - ok with test. Violation Summary: Inspector Contractor