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Permit (22) CITY OF TIGARD PLUMBING PERMIT N.. . COMMUNITY DEVELOPMENT Permit#: PLM2017-00152 and OR 97223 503.718.2439 13125 SW Hall Blvd.,Ti Date Issued: 05/03/2017 T_f ,hR.G7 9 Parcel: 2S 112AD00900 Jurisdiction: Tigard Site address: 14800 SW SEQUOIA PKWY Project: Home Depot Subdivision: PACIFIC CORPORATE CENTER Lot: 9 Project Description: Install(4)hose bibs on the front of the garden center. Contractor: MP PLUMBING CO Owner: HD DEVELOPMENT OF MARYLAND, INC PO BOX 393 BY HOME DEPOT USA, INC CLACKAMAS, OR 97015 PROPERTY TAX DEPT#4002 PO BOX 105842 ATLANTA, GA 30348 PHONE: 503-655-9161 PHONE: 503-655-9161 FAX: 503-655-1726 FEES Quantity Description Date Amount 4 ea Hose Bib 05/01/2017 $100.08 Specifics: 1 12%State Surcharge- 05/01/2017 $12.01 Plumbing Type of Use: COM Class of Work: OTR Type of Const: Occupancy Grp: Stories: Total $112.09 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: a--/97/ //f/7‘e "OlJZ//16‘ala 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. 1^ From: 04/28/2017 13:34 #264 P.001/002 RECEIVED Plumbing Permit Application Building Fixtures MAY 1 2017 FQR OFFIC I. ESE ON1. City of Tigard Received Date/By: / Permit No 1,1 . 13125 SW Hall Blvd.,Tigard,XI OF TIGARD Plan Review 1/ ! 7 � �U/� ,� ■ Phone: 503.718.2439 Fax'�}5p �,��grr��,p��pTT[� riC Other Permit No.: ' 11JAl�(„(,l lUl(1 Date;By: TI c,A It D Inspection Line: 503.639.41 tlJ it 1! Date Ready/By: I r s. WI See Page 2 for Internet: www ugard or gov Notified/Method: Supplemental Information TrnE OF WO* t-ii/4j r`+t :,11 k 1 EE* SC DU 0 New construction ❑Demolition For special information use checklist Description I Qty. { Ea. 1 Total fra Addition/alteration/replacement 0 Other: New I-2-family dwellings(includes 100 ft.for each utility connection) CATS ORX OP CONSTRUCTION SFR(1)bath 312.70 Dl and 2-family dwelling ®Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler(_sq.ft.) Page 2 3OB SITE 1NFORIIIATION AND LOCATION Site utilities: Job site address:14800 SW SEQUOIA PKWY Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP:TIGARD'OR 97224 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: l Project name:S4619 NCRC/HOME DEPOT 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.:,Y) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: I Lot no.: Fixture or item: Tax map/parcel no.: Backtlowpreventer 31,27 D1SCRI3, N OOF WURIC Backwater valve 12.51 Clothes washer 25.02 INSTALLL.I)HOSEBIBBS ON THE FRONT OF THE GARDEN CENTER Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 . 1 PROPERTY OWNER „Q TENA1k1T tank 12 51 Expansion Name: Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: Garbage disposal 25.02 ~ City/State/ZIP: Hose bib 4 25.02 100.08 Phone:( ) Fax ( ) Ice maker 12.51 A*X*:, #�1T CONTACT PERSON Interceptor/grease trap 25.02 Business name:MP PLUMBING COMPANY Medical gas(value:$_) Page 2 Primer 12.51 Contact name:DONNA MATTHEWS Roof drain(commercial) 12.51 Address:PO BOX 393 Sink/basin/lavatory 25.02 City/State/ZIP:CLACKAMAS,OR 97015 Solar units(potable water) 62.54 Phone:(503)655-9161 Fax::(503)650-7050 Tub/shower/shower pan 12.51 E-mail:donnam@mpplumbing.eom Urinal 25.02 CONTRACTOR ,! a er c oset 25.02 W t 1 Water heater 37.52 Business name:MP PLUMBING COMPANY Water piping/DWV 56.29 Address:PO BOX 393 Other: _ 25.02 City/State/ZIP:CLACKAMAS,OR 97015 Subtotal 100.08 Phone:(503)655-9161 Fax:(503)650-7050 Minimum permit fee: $72.50 CCB Lie.:5002 Plumbing Lie.no.:3-17PB Plan review (25%of permit fee) /fir ` 1 y State surcharge(12%of permit fee) 12.00 Ly(Authorized signature: ../ /(f o/(<;a. t-- TOTAL PERMIT FEE 1-FgrE?8+ Print name:DONNA MATTHEWS /( t� Date:4-2H-17 'This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. /1 g Io. *Fee methodology set by Tri-County Building Industry Service Board. L'AuildinePermits,PLMO-PermitApp hoc 10.01,09 440-4616T(10,02'COMMEB) • �' From: 04/28/2017 13:35 #264 P_002/002 Plumbing Permit Application - City of Tigard Page 2 -Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site,T7tltiltaes, Qty FCC{ea) rotas Squ lrc to er Pelrnlut Fce: Footing drain-1"100' 50"03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $Ib9.69 Sewer-1st 100' 62.54 3,601 to 7,200 $233.20 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Water Service-each additional 100' 37.52 Medical Gas Systems: Storm&Rain Drain-1st 100' 62.54 VaIuatl©nr' " TOr*It Fee' $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` nsp coons or Fees 4 Fee Beal ptal each additional 5100.00 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 tee 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*. qua*ittty by Fixture Plan Review for Plu Fixture Type for Replace/ t1l llig I stalls#iDbs ..; Work"Performed Capped Addeit Relocate Plan review is required for any of the following. 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. Eye Wash Floor Drain/sink -2" Submit 2 sets of plans with any of the above. -3,, Car Wash Drain sometric Olt'Riser Di`gram ..?. Garbage Domestic-non-food 0 Isometric or riser diagram is required for new buildings 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 -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 Urinal plumbing permit can be issued. Other Fixtures: http://www.tigard-or.gov/document center/Building/PLMF_PennitApp.4 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 14800 SW SEQUOIA PKWY, TIGARD, OR, 97224 Record Type: Record ID: Commercial - Plumbing PLM2017-00152 Inspection Type: Inspector: 399 Plumbing final Don Sylvester Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor