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Permit CITY OF TIGARD PLUMBING PERMIT •' COMMUNITY DEVELOPMENT Permit#: PLM2016 00528 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/19/2016 T f ;+ 1<D9 Parcel: 2S101DB00100 Jurisdiction: Tigard Site address: 7320 SW HUNZIKER RD 208 Project: Spec Space Subdivision: None Lot: None Project Description: Cap(1)sink Contractor: WESTERN PLUMBING Owner: HILLTOP BUSINESS CENTER LLC 9460 SW TIGARD AVE SUITE 101 HUNZIKER LLC TIGARD, OR 97223 9430 NW KAISER RD PORTLAND, OR 97231 PHONE: 503-639-5296 PHONE: FAX: 503-684-9015 FEES Quantity Description Date Amount 1 ea Fixture/Sewer Cap 10/19/2016 $25.02 Specifics: 1 12%State Surcharge- 10/19/2016 $8.70 Plumbing Type of Use: COM 47 ea Minimum Fee Adjustment- 10/19/2016 $47.48 Plumbing Class of Work: ALT Type of Const: Occupancy Grp: Stories: Total $81.20 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By:CO /_J(012.44cjajLer Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. 10/17/2016 08:30 5036849015 WESTERN PLUMBING INC PAGE 01/02 P1umbin� Permit Apnlica CEI\E ' Building Fixtures , of; O, ,•i< l: , t cry,, \ City of Tigard ( 1 2016 I Raneived 4 /SOMI P.-"N-, *1.4-/. ./.? 5a c AlIII- 13125 SW Hail Blvd,,Tigard,OR 97223 DateB Phone; 503.718.2439 Fax; 503. Plan Review w f� + Other Permit No.: �/4- t ,r:,, inspection Line: 503.639.4175 a ° '° Dc Re Internet www heard-or gov a r pp� Decoti edJ 4e$y ,��„ $ Sec Page 2 for e s as 1 , #'1V .1 1` onfied/Mathod lemental information i.. • i a err 0 New construction 0 Demolition For ai ormm,tontlxicchec4(J� DescriptionMills Ea TOtai 1({Additi pon/alteration/replacement 0 ter New 1-2-family dwellings(includes 100 ft,f0r each utility connection) 1' kl ', 0,Ill\l) �C{�w j''';',..' T'4 r r '''''''' '''7 c 4E 1 ' l'S 1 1 • `i j P, „u. i ai' �if.§E•1LV'er, u- diqtr i :;,' : }'.?Y .:P...7CA t'.iw4l iii' '^,'It I1',1',1;1 1,, �1,. .�FR(I)barth 1 311.70 0 1-and 2-family dwelling ,.1• Commercial/industrial SF�t(2}bat---r--, eth 437.78 0 Accessory building 0 Multi-family SFR(3)bath 500.32 0 Master builderEach additional bath/kitchen 25.02 �r5Fire sprinkler( sq.ft,) Page 2 0 Other tssb. �lWi} :�� }}��..'':,':::,-;.':',r,,1:.; 1� cr ir Y w211i Id l Yx1h ys}�,yr Y'} .s�pil �r� 1 <I�.,_,,,r,.: ',,',.!,,';`:,:''':".r,. n .1::,:::::‘,..::::::,,,,,,,_,',..,1:;; til }',r, 1 } .Fite aNlltiea: Job site address: w Catch basin or area drain 18.76 �� 1 1r1. A / ; Drywell,leach line,or trench drain 18.76 City/State/ZIP: il Footing drain(no,linear ft.:_,) Page 2 Suite/bldgfapt.no.: 0,111r4 Project name: =t :_ "�.�- Manufactured home utilities 50.03 Cross street/directions to job site: e_psr ' ,011.-C-4...., - Manholes 18.76 - Rain drain connector _ 18.76 Sanitary sewer(nu.linear ft,:-__.._ ) Page 2 w - Storm sewer(no.linear It:____) Page 2 ------1 -- Water service(no.linear ft.:_) - Page 2 Subdivision: Lot no.: Fixture or item: m Tax map/parcel no.: a 5/O/7)Ute")/DO Backflow preventer 31.27 i, �` 7,. r I ,� t r, 1}, } ,;!1 ir},,y,, 4, 7: wl' Backwater valve 12.51 ,444th dFF,e,;,rail, r ° y ,,.Iren, .,: ,. ,:r.n'9.....t,. .1:-,,r..,r.........n,il."..}S...... ,.'`....-.lAi, l.i)r''r�"� .. clothes Washer 25.02 Dishwasher _ 25.02 _ • • ' I :a till - Drinking fountain 25.02 Ejectors/sump .. 25.02 ' 4',,.: ur 9 r• 9 I'; 7 '' v::',I,,.,,';',7,7",:!`".•,...--I.;:„:', ,r . -„ li 1 NEEd K. sn,kl �7;7:C.l 1 " �N, 'r' � P/, 41']'S 1kfi Expanstontank 12.51 Name: _Fixture/sewer cap 25,02 r�r�; moi_ Address Floor drain/floor sink/hub 25,02 ,_____ -- Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax ( ) Ice maker u�t d vl k)+1rr, 7 2 6""Rp r 71 y v auZ^+•»r+ 12.51 q ' int tor/ ase tr ¢ d ,4 .1,r�i"�Ailk",r:, Pn,:FcifY ;'i „,,+.,'4‘,,,,•1 k! '}„, w,6:�:', 4f,,1ro,nn„5 rd u, .r.1! ,r,', ^«,r,(.} 1f �p 'gyp - 2S.O2 Business name: Medical gas(value:$ ) Page 2 Contact name: Primer 12,51 .. Roof drain(commercial) 12.51 Address: Sink/basin/lavatory 25.02 CityfState/ZIP; Solar units(potable water) 62.54 Phone:( ) Fax::( ) Tub/shower/shower pan 12,51 E-mail: m Urinal 25.02 I1s' mw rIfi,i .._Yv e.,..(,�1, 1 ',"'I-7727:.:" ..>',r . n'. M. x, M ^nh•y v°nIA . �. � FMWater closet 25.0ttcy,ig„ +1,,,,,0;.,,..;-: 1;n ..m 11 f I., , ",71 , . ,.. 114 .'•1,,0,,.' i.,,,,,,,'1.',,',('.,,,,,,,,...:,'• i7,J ,7Yi Water heater 37,552 Business name:Western Plumbing,Inc. Water piping/DWV 56.29 Address:9460 SW Tigard Street,Suite 101 Other; 25.02 City/State/ZIP:Tigard,OR 97223 _ Subtotal Phone:(503)639-5296 Fax:(503)684-9015 __ Minimum permit fee: $72.50SCG-4) CCB Lic_:2439 Plumbing Lic.no.:3429PB Plan review (25%of permit fee) - State surcharge(12%of permit fee) ()_ Authorized signature '(^ r+91 ( i V 1 / ----^ TOTAL / ,.....a '' TOTAL PERMIT FEE Print name: 1,l ►� r`` Ilk Date: 1. This permit appivatioa expires if n permit is not obtained within 1110 days ». . after it has been accepted as complete, 'Tee methodology set by Tri-County Building Industry Service Board. 1:1Suildingtvermitx1PL MU-PermltApp.doc Ut/01/09 44oa616T(1O/oz coM/wWB) 10/17/2016 08:30 5036849015 WESTERN PLUMBING INC PAGE 02/02 Plumbin Permit A plication - City of Tigar Page 2 -Supplemental Information Fee Schedule `` �r ♦ e w Residential Fire Su, .res " 7 „e,' ,:' ; •'',, ',0,"[,',,,.1,,',.',,' ' , ,,r ,. sa<on- stems Footing dram 1, 100' ,,r i 1 r"',-,,•,',,,',' I} ir., .,li,: ,,, • C^ 1;n Footing drain-each additional 100' IIIIII 50.03 an 0 to 2 000 ` $12190 r�" �� �111111 2,001 to 7 600reirri Sewer-1st 100' 3 60I to 7 200 $233.20 Sewer-each additional 100' 7 201 and, alar 327.54 - Water Service-1st 100' � � Water Service-each additional 100' Me �xas stems: Storm c�Ram Din ist 100 � . ,. • ` t, n Storm&Rain Drain each additional 100' $1.00 to$5 000.00 Minimum fee$72,50 ,,i:•4:•,1 ~ 'u r $5,001.00 to$10,000.00 $72.50 for the first$5,000.00and$1.52 for „`..,. „;, ;; } each additional$100.00 or*action thereof to ^ and including 510,000,00. 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 90,00/4 minimum char=e,1/2 hour each additional$100.00 or or fraction ction thereof,to Inspections outside of normal businessIIII 90.00/hr and including$25,000.00. hours minimum chn r q hours $25,001.00 to$50,000.00 $379-56 for the first$25,000,00 and$1 45 for Reinspection Fees ilin90 00/hr each additional$100.00 or fraction thereof,to Additional plan review for revisions 90,00/hr $50,001.00 and u MI and i 00fo n:$50,000.00, minimum oharzc v I/2 hourIIII , p $742,00 for the first$50,000.00 and$1.20 for ial Subtotal: each additional$100,00 or fraction thereof 1111111 Ar A•Ipipianmmm oercial Fr tore Work: "-� m Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurate! report fixtures could result in increased sewer v', �F( , ��e�W y fees*. tl, e N Y 1p �i R� lY, 'Rif ,Ai Tu nw! , a, we,f 7 '„ 1 Y Y'�r n l� �� �� ,,.J a d t�YF.., i~� ;t wA , ,1i.:,,i'.q„� .MT,,A.J'i'„1e , 9 f1,at iHS 74A,T fi 1��'wt', F e Rp� 'WS.ck ,r..�ae v.' ... ,- i,.t-,j f, 7 d rr �.4 ” i�rt ,rq' Plan review is required for any Baptistry/Font Please check all that apply. of the following. -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. Dnvc 0 New exterior plumbing site utilities for any complex structure Cuspidor/Watcr Aspirator as defined in OAR918-780-0040, Dishwasher -Commercia -Domestic ❑ Medical gas and vacuum systems for health care facilities. Drinking Fountain 0© Any multipurpose lire sprinkler system- Ey WagyAny complex structure as defined in OAR9I8-780-0040. Floor Drain/sink —2 .3» Submit 2 sets of plans with any of the above. -4" Car Wash Drain - Garbage -Domestic-non-food Disposal -Domestic-food related 0 Isometric or riser diagram is required for new buildings -Commercial-food related that meet thequalifications above. -Industrial-food related �—' Ice Mach./Refrig-trains Oil Separator(Gas Station) Rec.Vehicle Dum Station --._ Comments regarding fixture work: Shower -GangI -Stall — Sink/Lav -Non-food rotated -- — - -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 " fees assessed for the sewer increase must be paid before the i Urinal Other Fixtures: plumbing permit can be issued. http://www.tigard-or.gov/city,hall/departments/ed/docs/PLMF-PermitApi2doc I Accumulative Sewer Tally 11111 Tenant Name: Spec Space SWR# N/A 1. c,n�t�� Site Address: 7320 SW Hunziker Rd#208 PLM# 2016-00528 Parcel#: 2S101 DB00100 Fixture Value Previous Previous Credits Capped Fixture Fixture New New # value count capped#s value count added# added value total#s total values Baptisery/Font 4 0 0 0 0 0 Bath: -Tub/Shower 4 0 0 0 0 0 -Jacuzzi/Whirlpool 4 0 0 0 0 0 Car Wash: -Each Stall 6 0 0 0 0 0 -Drive through 16 0 0 0 0 0 Cuspidor/Water Aspirator 1 0 0 0 0 0 Dishwasher: -Commercial 4 0 0 0 0 0 -Domestic 2 0 0 0 0 0 Drinking Fountain 1 0 0 0 0 0 Eye Wash 1 0 0 0 0 0 Floor Drain/Sink: -2 inch 2 0 0 0 0 0 -3 inch 5 0 0 0 0 0 -4 inch 6 0 0 0 0 0 -Car Wash 6 0 0 0 0 0 Garbage Disposal: -Domestic(to 3/4 HP) 16 0 0 0 0 0 -Commercial(to 5 HP) 32 0 0 0 0 0 -Industrial(over 5 HP) 42 0 0 0 0 0 Ice Machine/Refrigerator Drain 1 0 0 0 0 0 Living Unit 16 0 0 0 0 0 Oil Sep(Gas Station) 6 0 0 0 0 0 Rec.Vehicle Dump station 16 0 0 0 0 0 Shower: -Gang(per head) 1 0 0 0 0 0 -Stall 2 0 0 0 0 0 Sink: -Lay/Bar-Non-Food Related 2 0 1 2 0 -1 -2 -Bradley 5 0 0 0 0 0 -Com/Sery/Util-Food Related 3 0 0 0 0 0 Swimming Pool Filter 1 0 0 0 0 0 Washer-Clothes 6 0 0 0 0 0 Water Extractor 6 0 0 0 0 0 Water Closet-Toilet 6 0 0 0 0 0 Urinal 6 0 0 0 0 0 Previous EDU Count 0 0 Capped EDU Credit 0 TOTALS 0 0 1 2 0 0 -1 -2 Current Fixture Value -2 divided by 16= -0.125 Current EDU 1 EDU= $5,300.00 Previous Fixture Value 0 divided by 16= 0.000 Previous EDU Change -2 divided by 16= -0.125 over (under) $ (689.00) Enter EDU Change Here -0.130 * *Round EDUs to the nearest 1/100th: a count ending in.005 shall be rounded up to.01,and a count ending in.014 or less shall be rounded down to.01. Notes: ***CREDITS*** Authorized Name/Signature: Debbie Adamski Date: 10/19/2016 Building Division Note: The property owner shall retain the ORIGINAL sewer tally record. If credits exist,this document will serve as a voucher which must be submitted to the City of Tigard Building Division to redeem credits towards future system development charges. I:\Building\Sewer Tally\SewerTallySheet_5300_070116.xlsx 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 7320 SW HUNZIKER RD 208, TIGARD, OR, 97223 Commercial - Plumbing 399 Plumbing final PASS - No C of O PLM2016-00528 Don Sylvester 1. Demo and cap off sinks - approved Violation Summary: Inspector Contractor