Permit (104) CITY OF TIGARD PLUMBING PERMIT
"' COMMUNITY DEVELOPMENT
Permit#: PLM2017-00135
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/13/2017
T f ` Parcel: 1 S126CA01100
Jurisdiction: Tigard
Site address: 9009 SW HALL BLVD 100
Project: Target Subdivision: None Lot: None
Project Description: Interior plumbing for TI:Relocating(1)drinking fountain, (10)2"floor drains,(7)sinks,(9)water closets,(2)urinals;
Adding(3)2"floor drains and(2)water closets;Capping(6)sinks; Installing(1)grease trap and(2)water heaters.
Contractor: PORTLAND MECHANICAL CONTRACTORS Owner: DAYTON HUDSON CORPORATION
2000 SE HANNA HARVESTER DR BY TARGET CORP T-0345
MILWAUKIE, OR 97222 PROPERTY TAX DEPT/TPN-0950
PO BOX 9456
MINNEAPOLIS, MN 55440
PHONE: 503-656-7400 PHONE:
FAX: 503-655-0620
FEES
Quantity Description Date Amount
1 ea Drinking Fountain 04/13/2017 $25.02
Specifics: 6
ea Fixture/Sewer Cap 04/13/2017 $150.12
13 ea Floor Drain/Floor Sink/Hub 04/13/2017 $325.26
Type of Use: COM 1 ea Interceptor/Grease Trap 04/13/2017 $25.02
Class of Work: ALT 7 ea Sink 04/13/2017 $175.14
Type of Const: 2 ea Urinal 04/13/2017 $50.04
Occupancy Grp: 11 ea Water Closet 04/13/2017 $275.22
Stories: 2 ea Water Heater 04/13/2017 $75.04
1 12%State Surcharge- 04/13/2017 $132.10
Plumbing
Total $1,232.96
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://3.----\_____,C)244--
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 Application A ., CA.•• °la 1 _�
Building Fixtures ,i-keck.\\I . FOR OFFICE USE ONLY
Cityof Tigard t� ,,�f,�,�. Permit No.: i
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IIIIIe 13125 SW Hall Blvd.,Tigard,OR 97223 1 aB
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P. eview
Phone: 503.718.2439 Fax: 503.598.1960 P� +-k'h . Other Permit No.: •i
T I GARD Inspection Line: 503.639.4175 ��-araC •
�. ?,1'/By: 7 ^® See if age 2 for
Internet: WWW tlgard-or gov (`'Iciolt ON t ted/Method: Supplemental Information
... TYPE..QF WORK lav` . , .. iwEE* SHE>)U)(E ;:
❑New construction ❑Demolition For special information use checklist.
Description I. Qty. 1 Ea. i Total _
®Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
• CATEGORY OF CONSTRUCTION ,, w r SFR(1)bath 312.70
0 1-and 2-family dwelling ®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 ❑Other: Fire sprinkler( sq.ft.) Page 2
' TOB SITE INFORMATION AND LOCATION Site utilities:
Job site address:9009 SW Hall Blvd Catch basin or area drain 18.76
Drywell,leach line,or trench drain 18.76
City/State/ZIP:Tigard,OR 97204
Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: / Project name:Tigard WA Square-PLM TI 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: I Lot no.: Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
- Backwater valve 12.51
,- x DESCRIPTION OF WORK - -
Clothes washer 25.02
plumbing remodel
Dishwasher 25.02
Drinking fountain 1 25.02 25.02 ,./�
Ejectors/sump 25.02
"� Expansion tank 12.51
►'1"PROPERTY`OWNER { (= TENANT p
Name:Target Fixture/sewer cap i/ (;) ) 25.02 1'7) A t/"
Floor drain/floor sink/hub ,/ 13 25.02 325.26 yr
Address:
Garbage disposal 25.02
City/State/ZIP: Hose bib 25.02
Phone:( ) Fax:( ) Ice maker 12.51
0:APP'LICANT ❑ CONTACT'PERSON ¢ '... Interceptor/grease trap ,/ 1 25.02 25.02
Business name:Portland Mechanical Contractors,LLC Medical gas(value:$ ) Page 2
Primer 12.51
Contact name:Carol A.Murray
Roof drain(commercial) 12.51
Address:2000 SE Hanna Harvester Drive Sink/basin/lavatory 1/'" l 25.02 1 7-$,,/if ,
City/State/ZIP:Portland,Oregon 97222 Solar units(potable water) 62.54
Phone:(503)656-7400 Fax::(503)656-6374 Tub/shower/shower pan 12.51
E-mail: Urinal l,/ 2 25.02 50.04 +."'
Water closet 11 25.02 275.22 •/
CONTRACTOR ,. _',,ke.e
Water heater 2 37.52 75.04
Business name:same as applicant Water piping/DWV 56.29
Address: Other: 25.02 t
City/State/ZIP: Subtotal .yvo./c
Phone:( ) Fax:( ) Minimum permit fee: $72.50 /-
CCB Lic.: 151807 Plu bing Lic.no.:3-425PB Plan review (25%of permit fee)
/ State surcharge(12%of permit fee) ,.1.95.80 i3',,,J$
Authorized signat '•. TOTAL PERMIT FEE 10r.. :
ice.
This permit application expires if a permit is not obtained with'• .I .ay.
Print name:Ca of A.Murray Date:4/13/20 after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Sery e i o.�.1 .
1:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB)
Uri � G o- P � � t 1 per" r2. D \ _ZI)C"›.
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Site Utilities . ,' Qty; Fee tea) Til. Square,Foote: 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 $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: PermitA Fee:
$1.00 to$5,000.00 Minimum fee$72.50
Storm&Rain Drain-each additional 100' r 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for
. ..,.
"= •.. �1"Qty Fee{ea? )total each additional$100.00 or fraction thereof,to
Othe)rJ1 sp coons 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 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:
Other Fixtures: I 1 0 I 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*.
Quantity by Fixture Type
Fixture Type for Replace/
,Plan Review for Plumbing Installations
'Work Performed:, _ -'Capped Added. Relocate
Baptistry/Font Plan review is required for any of the following.
Bath Tub/Shower Please check all that apply.
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 X0 1 0 Any multipurpose fire sprinkler system.
Eye Wash 0 Any complex structure as defined in OAR918-780-0040.
Floor Drain/sink -2" 1Q
3" ` Submit 2 sets of plans with any of the above.
-4,,
Car Wash Drain
Diagram
Garbage -Domestic-non-food Isometric Or Riser ..
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 ARS 0 • 5
-Bradley
-Commercial-food relate • 0 2
-Service
Swimming Pool Filter
Washer-Clothes
Water Extractor *Note: If the fixture work under this permit results in an
Water Closet-Toilet 2 • 9 increase of sewer EDUs,a sewer permit will be issued and
Urinal ?i o 2 fees assessed for the sewer increase must be paid before the
H:\Departments\New Div 71 ech& ulrl m lag\Projects\Projects- 100001eries\12400-12499JobFolders\12481-7-17 Target WA Square\Permit\City
of Tigard-Plumbing Fixture Units.doc
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9009 SW HALL BLVD 100, TIGARD, OR, 97223 July 7, 2017 at 1 :04:09 PM
Record Type: Record ID:
Commercial - Plumbing PLM2017-00135
Inspection Type: Inspector:
399 Plumbing final Aaron Cillo-Gobel
Result:
PASS - NoCofO
Comments:
Corrections completed from previous inspection.
All other plumbing ok.
Violation Summary:
Inspector Contractor