Permit (55) CITY OF TIGARD PLUMBING PERMIT
'' COMMUNITY DEVELOPMENT Permit#: PLM2017-00242
TR\R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/20/2017
Parcel: 2S101 DB00100
Jurisdiction: Tigard
Site address: 7320 SW HUNZIKER RD 202
Project: Discover Counseling Subdivision: None Lot: None
Project Description: Relocate(1)sink,(1)garbage disposal&(1)dishwasher.
Contractor: WESTERN PLUMBING Owner: HILLTOP BUSINESS CENTER LLC
9460 SW TIGARD AVE SUITE 101 9430 NW KAISER RD
TIGARD, OR 97223 PORTLAND, OR 97231
PHONE: 503-639-5296 PHONE:
FAX: 503-684-9015
FEES
Quantity Description Date Amount
1 ea Dishwasher 06/20/2017 $25.02
Specifics: 1 ea Garbage Disposal 06/20/2017 $25.02
1 ea Sink 06/20/2017 $25.02
Type of Use: COM 1 12%State Surcharge- 06/20/2017 $9.01
Class of Work: ALT Plumbing
Type of Const:
Occupancy Grp:
Stories:
Total $84.07
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 e -s ions •UNC by calling 503.232.1987 or 1.800.332.2344.
Issu d By: dif
/ . Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspe on 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 Applica #� " 'T "�
Building Fixtures � `
City of Tigard 'n) Received
:�` • 13125 SW Hall Blvd.,Tigard,OR 973 Y DateBy: �(�f Permit No.: pL��� a �'�
Phone: 503.718.2439 Fax: 503. 9 J 96 Plan Review >
I 1 I 1 Inspection Line: 503.639.4175 , ' ' „ Date/By:Re �� Other Permit No.:J0 Pfor /��
Internet www.tigard-or.gov Date Ready/By. gyp,7(" _"r/ buns e S See Page 2 for
��'� r w r n, Nohfied/Method
Int„ Su p17. atal laformatloe
. � sero-`;. �.. dY t :.r "- j � ��' b^�t 'sd''.s" �n� ! . ay".-.� rxr^7Pjceli'- ,a.. 4i'.. a. ,
A.s,.. ';-. .a ,✓.s.F,:...;er_...4„A .;- "E s,.. -,f ; 41,.., t;a:i `', •t�,m€z.,.,:: a!?�" k z» », „,,,,,, .s'.
0 New construction 0 Demolition ‘44ili
F',, For special Information use checklist
Description 1 Qty. I Ea. I Total
tkAdditton/alteration/replacement 0 Other
{, ���� � �, ����' � }� �,.. � s � �� �� t New 1-2-family dwellings(includes 100 ft.for each utility connection)
as.< » .F:� Ate: % �i. iieca �Alv.:' xc...ac. m, 4-. ° , �". SFR(1)bath 312.70
❑ 1-and 2-family dwelling ►'rCommercial/industrial SFR(2)bath 437.78
❑Accessory building ElMulti-familySFR(3)bath 500.32
❑Master Each additional bath/kitchen 25.02
builder 0 Other: Fire sprinkler( sq.ft.) Page 2
'„�h4 l F t 7^.-s. + aW0-�0", 't -' +'3 *y, : �.ts 5:„,.. 1 a,�,z_..
. ' ' t ' r""._* ^* cmi X;: itht `� r +� ''.1 Site Utilities
Job site address: 4: 0(C) SW Ai x\�\tax` (},r,,► Catch basin or area drain 18.76
City/State/ZIP:'11)(d /^gyp /) �n2 w.�tat Drywell,leach line,or trench drain 18.76
L/1�- "1 cam) Footing drain(no.linear ft.:_ ) Page 2
Suite/bldg./apt,noQ 1 Project name:l�\ 44 m% 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
�',�,, A b .� : z # ¢"- 4•""c,�a, z '�- x j. .: .TBackwater valve 12.51
;' zC 4.„ • Clothes washer
25.02
f�� �� O(� Dishwasher 1 25.02 r
`\ 1 On srnk lda.S lzsa di tori slu l-- Drinking fountain 25.02
r, x
Ejectors/sump 25.02
at : c .,-rc a; an s� �-
Expans
k
f 12.51 Fx9nkA7 , ; r el a:` ^ G, Wa f :,a>s ?iVitrr �t It� mature/sewercap 25.02Name: Ae#1' le %\- CY\
Address:a''.�'t �l� C)X �,ii,,i t ` Floor a floor sinkmub 25,02
Garbage disposal 25.02 r1�
City/State/ZIP:\ cc t( - _Q'1,_ - 161 Qc Hose bib }��
Phone: '1, W,olJ 25.02
Fax
r��„ L ,tta�S 5 \ (� ►� r7�- Ice maker 12.51
'. :D_:%).,,,1::::1,11::..s.:.Yf'.C. " y?',4 i ""'4.; rfkC..� €ft.,;, ,; Pr'. .a . .4 s. a.%' Interceptor/grease
., .,, - . . .„,� ��, , trap 25,02
Business name: S ' t, ,,m�i`,\,` ),nC Medical gas(value:$ ) Page 2
Contact name:'�'tek. 1 sln�u� 1 Primer 12.51
v S\-1,0
1�6 Roof drain(commercial) 12.51
Address: al �� 7' i �'S, t , >(c)1 Sink/basin/lavatory 25.02 00,
City/State/ZIP-MCV �(9' Solar units(potable water) 62.54
Phone:( 'j (.0 - .lIQ, Z_, 9 q J„ Fax::( ) Tub/shower/shower pan 12.51
E-mail: r , ra. 11 04 �d< p` 1114 Urinal 25.02
b ,.5 a ,, r, i{ a ki 5- ''r d' Water closet 25.02
P° Water heater 37.52
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 -1. ,(1.D
Phone:(503)639-5296 Fax:(503)684-9015 Minimum permit fee: $72.50
CCB Lic.:2439 Plumbing Lic,no.:3429PB Plan review (25%of permit fee)
State surcharge(12%of permit fee) GI n I
Authorized signature: .1 rij I • 1 1
� J TOTAL PERMIT FEE qt./J.)-4
Print name:�'..-D- Date; ' f This permit application expires if a permit is not obtained within 180 days
(�s 4 �' "t after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
1:1Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(l0/02/COM/WEB)
Plumbing Permit Application - City of Tigard
Page 2 -Supplemental Information
Fee Schedule: Residential Fire Su. •cession S stems:
.,mow , ,, a 7,;754.,a. 3 „ ?f yfr r
m n � 5,. ..i-l'.5 ;. n ..]cess tNI7<.;'!: e,t ..,..,mrn%,ens - ....--_ 4«, r Y,, ,r.c...�..-sr. -,'W.,41,4 '',441,-r,
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 S stems:
Water Service-each additional 100' 37.52 f hm x t r
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
x w each additional$100.00 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 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
accurate report fixtures could result in increased sewer fees*.
F ii w:,,,:, ,r :3.a.,°- ..4, »a.: '.... 1/,o-u,;..',�.„'.. .lltiOr
r {: ,` ^ oeftWq Plan review is required for any of the following.
Baptistry/Font Please check all that apply.
Bath -Tub/Shower ❑ 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 k 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 W8811 DI'S1n wee, o9`uwu%vz�?r°nrnR.�. 1+,� na
Garbage -Domestic-non-food 1 ■ Isometric or riser diagram is required for new buildings
Disposal -Domestic-food related that meet the •ualifications above.
-Commercial-food related
-Industrial-food related
Ice MachiRefrig.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 *Note: If the fixture work under this permit results in an
Washer-Clothes increase of sewer EDUs, permit will be issued and
Water Extractor a sewer
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/city_hall/departments/cd/docs/PLMF-PetmitApp2doc
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
7320 SW HUNZIKER RD 202, TIGARD, OR,
97223
Record Type: Record ID:
Commercial - Plumbing PLM2017-00242
Inspection Type: Inspector:
399 Plumbing final Don Sylvester
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor