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Permit (58)
• 4 CITY OF TIGARD PLUMBING PERMIT -' COMMUNITY DEVELOPMENT Permit#: PLM2017-00231 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/14/2017 Parcel: 1 S 135BA00102 Jurisdiction: Tigard Site address: 10104 SW WASHINGTON SQUARE RD Project: Visionworks Subdivision: OAKBURG Project Description: Relocate(2)existing restrooms for new tenant: CAP(1)breakroom sink;RELOCATE(2)2"floor drains,(2)lays, Lot: 9 (1)laundry sink,(2)water closets;ADD(1)drinking fountain,(1)expansion tank,(1)primer,(1)water heater and (3)hand sinks in labs. Contractor: WEST COAST CENTRAL PLUMBING LLC Owner: PPR SQUARE TOO LLC 12714 SE MAJESTIC LN PO BOX 847 HAPPY VALLEY, OR 97086 CARLSBAD, CA 92018 PHONE: 503-298-0435 PHONE: FAX: 503-855-3264 FEES Quantity Description Date Amount 1 ea Drinking Fountain 06/14/2017 $25.02 Specifics: 1 ea Expansion Tank 06/14/2017 $12.51 1 ea Fixture/Sewer Cap 06/14/2017 $25.02 Type of Use: COM 2 ea Floor Drain/Floor Sink/Hub 06/14/2017 $50.04 Class of Work: ALT Type of Const: 1 ea Primer 06/14/2017 $12.51 3 ea Sink 06/14/2017 $75.06 Occupancy Grp: ea LaundryTray Stories: 1 06/14/2017 $25.02 2 ea Lavatories 06/14/2017 $50.04 2 ea Water Closet 06/14/2017 $50.04 1 ea Water Heater 06/14/2017 $37.52 1 12%State Surcharge- 06/14/2017 $43.53 Plumbing Total $406.31 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. A Issued By: Permittee Signature: cy,v (9/0/412./69-770,..1 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. ' 06/08/2017 06:12 FAX lit001 Plumbing mic ' ER/ED tt Building FixturesPerit ApPlFou t,rtlt t: ► t).t,, City of Tigard Dewed �N 2017 LhtelBy: z�i7 ,c Pemritl�a, '�,y /�_�,�1 City SW Hall Blvd.,Tigard,OR 23 / ' II Phone: 503.7182439 Fax: nit V l-TIGARD PlanB /a.y: Other Permit(jhv�0/7_ ,ei/ I l t;v;L) Inspection Line: 501639.4173 lJt- Internet: www.tigard-or.go,gUILDiNG �IVISiOIV Date Ready/By:r /� /? ! Jury; See rage 2for Notrtiad/Medro 4 Su le lemeatal Information TYPE OF WORK 9r,../t. f/* c-,'AJ41- FEE* SCHEDULE ❑New construction 0 Demolition For special 1V-omitdon use checklist Descrion u. Ea Total t` ddi[ioNafteration/re lacement 0 Other: New 1-2-famil dwellin•a includes 100 ft.for each utilt connection CATEGORY OF CONSTRUCTION SFR(1)bath 312,70 IIIIIII SFR(2)bath 437.78 ❑1-and 2-funny dwelling `Commercial/indttsttial N' CI Accessory building ❑Multi-faSFR(3)bath 500.32MEM t`r, mily ❑Master builder Each additional bath/kitchen 25.02 N•1❑Other. Fire sprinkler( sq.ft,) Page 2 1 Site utilities:JOB SiTE INFORMATION AND LOCATION t,..) Catch basin or area drain i8,7G Job rite address; • O 4S t, City/State/ZIP; • Drywall,leach lino,or trench drain 18.76 —�j r if' Footing drain(no.linear ft.;_ Page 2 Suite/bldg./apt.no,: Project name: Ii„$tirtl works 1, �'�S Manufactured home utilities 50.03 111.11111 Cross street/directions to job site: riex.+ aper. +0rib, Manholes 18.76 NEM Rain drain connector 18.76 Sanitary sewer(no.linear ft.;_) Page 2 Storm sewer(no.linear ft.:_._...j Page 2 Water service(no.linear ft,: _ .,,.) Page 2 Subdivision: I Lot no.; Fixture or Item: Tax map/parcel no.: Backflow preventer 31,27 DESCRIPTION OF WORK Aackwater valve a 12.3! Clothes washer " 'r 25.02 IIISill Ft r iDshwasher 25.P2V.41 " „L_ -„ Drinking fountain 25 02 Ejectors/sump 25.02 ❑ PROPERTY OWNER 0 TENANT Expansion tank 1/ 12.51 6Z_5! Name: Fixture/sewer cap / 25.02 Address: floor drain/floor sink/hub t/ Zs.02 Sur o y City/Stine/ZIP: Garbage disposal 25.02 Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 C( APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name: d r0 �Qbt�v�1 1 N�L. Medical gas(value:$ ) Ilirn Contact name; y a w e f irG l////lr��N/� Primer ✓ 12.51 j �`i Address: tr MA 11L V Roof drain(commercial) 12,51 S7 Sink/basin/lavatory WM( +O lw ' a4ilkre_ r i Q . ! Solar unis(potable water) Phone:(Sp 1) 2515 .Q 3 r Fux::( ) Tub/shower/shower pan IRO— E-mail: (u h,,io,' K, Lwin , a A. 25,02 CONTRACTOR Water closet ✓ sa 25.02 SO,09 Business name: /?e � i U - Water heater ` ` c I 37.52 �J*CI -- Business piping/DWV Address: 56.29 NEIN (Z.�1 1+>�Q� .cC. (,� Other: 25.02 City/State/Z11'; a. . VA,I / —' 1_ '1D, + a rSubtotal Phone!( ) Fax ( ) Minimum permit fee: $72.50 CCB Lia: 192,4)2,0 Plumbing Lie.no,: ` g"'�• Plan review (25%of permit fee) Authorized signature: State surcharge(12%of permit fee) 1-7-5 r ~``IMM TOTAL PERMIT FEE 0,26 _ en Date:(o 1 ` .. This permit application expires if a permit Is not obtained within 150 days atter It baa bean accepted as complete. "Fee methodology sot by Tri-County Building industry Service Doard, rc5ullding\Pennitrlpusu-rvmi%APp dos 10/01/09 440.4616T(10/02/COWWF,,R) ' 06/08/2017 06:12 FAX 0002 \, 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-1"100' 50,03 0 to 2,000 5121.90 Footing drain-each additional 100' 37.52 2 001 to 3 600 I69,69 Sewer-1st 100' -- 3,601 to 7,200 $233.20 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 2k.Rain Drain-!Bt 100' 62.54 Valuation: Permit Fee: $1.00 to$5,000.00 Minimum fee_$72,St) Storm 6t Rain Drain-each additional 100' 37.52 S5,001.00 to$10,000.00 $72,50 fm-the first$5,000.00 and$1.52 for Other Infections or Fees Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to Inspection of existing plumbing or for and.50 t rt $10,000.00. specifically $10,001.00 to$25,000.00 $148.50 brthe first$10,000.00 and$1.54 for which no fee is s pc y indicated 90.00/hr (minimum charge-1/2 hour) each additional including ,$100.00. or fraction thereof,to Inspections outside of normal business 90.00/hr and othefieat 250, hours(minimum charge-2 hours) $25,00 L00 to$50,000.00 $379.50 for fust$25,000.00 and 5145 for 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-112 hour) , each additional$100.00 or fraction thereof. Subtotal: ,—_____„" — Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in Increased sewer fees*. 9utntity by Fixture Type Plan Review for Plumbing Installations Fixture Type for Re lacd Work Performed: Capped Added Re,Beate Plan rCVlew is required for any of the foilOwing, Baptistry/Font — Please cheek all that apply. Bath Tub/Shower 0 Any new commercial building with water service 2"and -Jacuzzi/Whirlpool _ greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer. -Drive Thru ❑ New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780-0040. Dishwasher -Commercial 0 Medical gas and vacuum systems for health care facilities. -Domestic 0 Any multipurpose fire sprinkler system_ Drinking Fountain j 0 Any complex structure as defined in OAR918-780-0040. Eve Wash Floor Drain/sink -2" 2. Submit 2 sets of plans with any of the above. -3" -4„ Car Wash Drain Isometric or Riser Diagram -Garbage -Domestic-non-food © Isometric or riser diagram is required for new buildings Disposal -Domestic-food related _ that meet the qualifications above. -Commercial-food related -Industrial-food related lee Mach./Refrig.Drains Oil Separator&as Station) Comments regardin' fixture work: Rec.Vehicle Dump Station --- to4c4-1-,../,' 2, ek:.Z �4�1 A . 0 S Shower -Gang �-Stall 1 c�4- ` , r Sink/Lav -Nen-food related 1 3f 3 / , 1 •I. , i.0_ S . — -Bradley 3 L. 11...„4., t • -Commercial-food related icy IP __ -Service Swimmin_Pool Filter Washer-Clothes "Note: If the fixture work under this permit results in an Water Extractor increase of sewer EDU$,a sewer permit will be issued and Water Closet-Toilet 1, fees assessed for the sewer increase must be paid before the Urinal T plumbing permit can be issued. Other Fixtures: Macintosh HD:Users:W CCPIumbing:Downloads:PLMF-Fern,itApp-3.do2 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 10104 SW WASHINGTON SQUARE RD, TIGARD, OR, 97223 Record Type: Record ID: Commercial - Plumbing PLM2017-00231 Inspection Type: Inspector: 399 Plumbing final Don Sylvester Result: PASS - NoCofO Comments: 1 . Corrections are complete, plumbing final - approved Violation Summary: Inspector Contractor