Permit (24) �� +'• �� PLUMBING PERMIT
CITY OF TIGARD
COMMUNITY DEVELOPMENT 112i;14 �� Permit#: PLM2017-00030
Date Issued: 02/09/2017
TI i A r Il 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S112DA01400
Jurisdiction: Tigard
Site address: 6650 SW REDWOOD LN
Project: PacTrust Subdivision: 1996-048 PARTITION PLAT Lot: 2
Project Description: Upgrades and addition to entire building's common area plumbing: Adding(1)bar sink,replacing(3)drinking
fountains,(12)lays,(16)water closets&(6)urinals. 3/14/17: REPRINT to add tankless water heater. .\
Contractor: DEAN WARREN PLUMBING&REMODELING INC Owner: PACIFIC REALTY ASSOCIATES
PO BOX 14701 ATTN: N PIVEN
PORTLAND, OR 97293 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-236-4152 PHONE: 503 624-6300
FAX: 503-296-2218
FEES
Quantity Description Date Amount
3 ea Drinking Fountain 01/31/2017 $75.06
Specifics: 13 ea Lavatories 01/31/2017 $325.26
6 ea Urinal 01/31/2017 $150.12
Type of Use: COM 16 ea Water Closet 01/31/2017 $400.32
Class of Work: ALT 1 12%State Surcharge- 01/31/2017 $114.09
Type of Const: Plumbing
Occupancy Grp: 1 ea Water Heater 03/14/2017 $37.52
Stories: 0 12%State Surcharge- 03/14/2017 $4.50
Plumbing
Total $1,106.87
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: ' "0- Permittee Signature:
i
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.
CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2017-00030
Date Issued: 02/09/2017
f[t ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S 112 DA01400
Jurisdiction: Tigard
Site address: 6650 SW REDWOOD LN
Project: PacTrust Subdivision: 1996-048 PARTITION PLAT Lot: 2
Project Description: Upgrades and addition to entire building's common area plumbing: Adding(1)bar sink,replacing(3)drinking
fountains,(12)lays,(16)water closets&(6)urinals.
Contractor: DEAN WARREN PLUMBING&REMODELING INC Owner: PACIFIC REALTY ASSOCIATES
PO BOX 14701 ATTN: N PIVEN
PORTLAND, OR 97293 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-236-4152 PHONE: 503-624-6300
FAX: 503-296-2218
FEES
Quantity Description Date Amount
3 ea Drinking Fountain 01/31/2017 $75.06
Specifics: 13 ea Lavatories 01/31/2017 $325.26
6 ea Urinal 01/31/2017 $150.12
Type of Use: COM 16 ea Water Closet 01/31/2017 $400.32
Class of Work: ALT 1 12%State Surcharge- 01/31/2017 $114.09
Type of Const: Plumbing
Occupancy Grp:
Stories:
Total $1,064.85
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:(� ��cSI i / Permittee Signature: (y(
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 ApplicReC LI I ij 4,7 n
Building Fixtures
�I �l
City of Tigard I t V 3 Received 1. Date/By: , 7/ 17 Permit No.: ( �/T QOC 3 0
II q 13125 SW Hall Blvd.,Tigard,OR�9723
Date/By:503.718.2439 Fax: Sfl31 .1da ,., ,q DPlan Review
ate/By:
Other Permit No.: Px7- N
T I G A R D Inspection Line: 503.639.417 lb k . t; ti Date Ready/By: Juris: la See Page 2 for
Internet: www.ti and-or. o ir 1 T
UILDIN DIt+iSION Notified/Method: Supplemental Information
g g
,TYPE OF WORK FEE* SCHEDULE
El New construction 0 Demolition For special information use checklist.
Description Qty. I Ea. I Total
VI-Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
❑ 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 500.32
❑Accessory building 0 Multi-family
Each additional bath/kitchen 25.02
❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2
JOB SITEINFORMATION AND LOCATIONSite utilities:
/� ) Catch basin or area drain 18.76
Job site address:
C�` S W tr,of c,. d L-A- Drywell,leach line,or trench drain 18.76
City/State/ZIP: r 1-5 i..,,j oil_ '} 7 ysl'j Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: I Project name: 2-9 C) Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.:_) Page 2
Storm sewer(no.linear ft.:_) Page 2
Water service(no.linear ft.:_) Page 2
Subdivision: ��77 / ,� I Lot no.: Fixture or item:
Tax map/parcel no.: P- '`/y✓4 &«0t7 _Backflow preventer 31.27
DESCRIP'T'ION,OF WORK Backwater valve 12.51
x \ �n . ' " ri, Clothes washer 25.02
(�) V4l- �Q..L.t� 4- s-0--Q-- AJC - Dishwasher 25.02
,.....b,--r-t--A.4_,.., _ Drinking fountain -S 25.02
Ejectors/sump 25.02
0 PROPERTY OWNER.A., a` NANT Expansion tank 12.51
Name: /� Fixture/sewer cap 25.02
r G�� // Floor drain/floor sink/hub 25.02
Address: f r S c�� 1,y..,. SQGV n, d/O7 4-45/ Garbage disposal 25.02
City/State/ZIP: r,,,,,,,,,i. 0,4Cr' ,). 97 Hose bib 25.02
Phone:(5-1::3 ) ,.!(-G 3 ap Fax:( ) Ice maker 12.51
Interceptor/grease 25.02
❑ AP�"I.ICANT � � CONTACT PERSON trap
, /:...,1 p 2� fi Medical gas(value:$ ) Page 2
Business name:
9�2 h-- -0'a ti0 al Primer 12.51
Contact name:
Roof drain(commercial) 12.51
Address: Ptheo y1, /y yc i Sink/basin/lavatory 25.02
City/State/ZIP: p'--A COL- 1 )). S, Solar units(potable water) 62.54
Phone:(Cr.S ) A.-;-.9 i,8(' Fax::( ) Tub/shower/shower pan 12.51
E-mail: Urinal C 25.02
Water closet i 6 25.02
CO)tiA►CTOR
Water heater 37.52
Business name: Water piping/DWV 56.29
Address: Other: 25.02
City/State/ZIP: Subtotal
Phone:( ) Fax:( ) Minimum permit fee: $72.50
CCB Lic.: /5-1/'q/el Plumbing Lic.no.: )l"--73)(A-3 - Plan review (25%of permit fee)
State surcharge(12%of permit fee) '$Authorized signature(De.,f TOTAL PERMIT FEE /O
Print name: eROi�„ Date: This permit application expires if a permit is not obtained within 1 0 days
after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
I:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) i el.V°
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-l'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 $327.54
Sewer-each additional 100' 37.52
Water Service-1st 100' 62.54 Medical Gas Systems:
Water Service-each additional 100' 37.52 Valuation: Permit Fee:
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 $72.50 for the first$5,000.00 and$1.52 for
Other Inspections or Fees '` Fee< ) Totaleach additional$100.00 or fraction thereof,to
e 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 $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*. ',5'f Plan Review for Plumbing InstailationS
Quantity by Fixture Type Plan review is required for any of the following.
Fixtut=e Type for Replace/ Please check all that apply.
Work Performed: Capped Added Relocate ,
Baptistry/Font 0 Any new commercial building with water service 2"and
greater,except systems designed and stamped by licensed
Bath: -Tub/Shower
-Jacuzzi/Whirlpool engineer.
Car Wash: Each Stall
0 New exterior plumbing site utilities for any complex structure
Drive tall as defined in OAR918-780-0040.
Cuspidor/Water Aspirator 0 Medical gas and vacuum systems for health care facilities.
Dishwasher: Commercial
0 Any multipurpose fire sprinkler system.
Domestic ❑ Any complex structure as defined in OAR918-780-0040.
Drinking Fountain
Eye Wash Submit 2 sets of plans with any of the above.
Floor Drain/sink: -2"
ometr c or Riser Diagram
4
0 Isometric or riser diagram is required for new buildings
-Car Wash Drain that meet the qualifications above.
Garbage -Domestic non-food
Disposal: -Domestic food related
-Commercial food related
-Industrial food related
Ice Mach./Refrig.Drains Comments regarding fixture work:
Oil Separator(Gas Station)
Rec.Vehicle Dump Station
Shower: -Gang
-Stall
Sink: -Lav/Bar non-food related
-Bradley
-Com/Serv/Util food related
-Service *Note: If the fixture work under this permit results in an
Swimming Pool Filter increase of sewer EDUs,a sewer permit will be issued and
Washer-Clothes
Water Extractor fees assessed for the sewer increase must be paid before the
Water Closet-Toilet (p plumbing permit can be issued.
Urinal (fJ
Other Fixtures:
I:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
6650 SW REDWOOD LN, TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Plumbing PLM2017-00030
Inspection Type: Inspector:
399 Plumbing final Don Sylvester
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor