Permit (136) CITY OF TIGARD PLUMBING PERMIT
(1 COMMUNITY DEVELOPMENT Permit#: PLM2017-00275
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/12/2017
fGji1 "O 9 Parcel: 25101 DB00100
Jurisdiction: Tigard
Site address: 7320 SW HUNZIKER RD 300
Project: Eagle Home Mortgage Subdivision: None Lot: None
Project Description: Interior plumbing for TI:Relocating(1)garbage disposal and(1)breakroom sink.
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 Garbage Disposal 07/12/2017 $25.02
Specifics: 1 ea Sink 07/12/2017 $25.02
1 12%State Surcharge- 07/12/2017 $8.70
Type of Use: COM Plumbing
Class of Work: ALT 22 ea Minimum Fee Adjustment- 07/12/2017 $22.46
Plumbing
Type of Const:
Occupancy Grp:
Stories:
Total $81.20
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 Notific. ••• enter. 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••estions to • NC by calling 503.232.1987 or 1.800.332.2344.
Issue. By: Permittee Si ature: `
Call 503.639.4175 by 7:00 a.m.for the next available in ction 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
Building FixturesIA) I Ok Oil I( I: (�l O\1.1
City of Tigard CVA.344 Received Permit No.: 7 )
13125 SW Halt Blvd.,Tigard,O Date/By: 74. (7 ` v f / r t t��J,
• Phone: 503.718.2439 Fax: 503 . 60 Plan Review . i
Date/By: Other Permit No8t: 'fl2Li7_C /q3
l l t, 1(0 Inspection Line: 503.639.4175 1 `- Date Ready/By: Jurist III See Page 2 for
nA
Internet: www.tigard-or.gov )� I Notified/Method. i Supplemental Information
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❑New construction E a` . iti ' AO
` For special information use checklist
gg��� � Description I Qty. I Ea. I Total
Addition/alteration/replacementtit 11:13c ,1t New 1-2-family dwellings(includes 100 ft.for each utility connection)
1: g4 xt ',$4. .r �,� ,g, t ,•v,ia- ili , y... SFR(1)bath 312.70
.ss _ ,, sa t .z0.t,s�a,,"».a�S';' t!A;, •41,i- -,'''''--,Wr -'�au,„,y •v:,K r. ie �‘,NW`"; ,„t ,,,',21
❑ 1-and 2-family dwelling E, 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
* f $vs sr •", : er ,:::y,40
k w ' Site utilities:
Job site address:` 0 l) S.),:) � ZS\ Q Y- Catch basin or area drain 18.76
City/State/ZIP: 1 C� c� aD� Drywell,leach line,or trench drain 18.76
Footing drain(no.linear ft.:�� Page 2
Suite/bldg./apt.no.: '}O t Project name: EaolprACTIT. Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.:__J Page 2
Storm sewer(no.linear ft.:,_) Page 2
Water service(no.linear ft.:_.) Page 2
Subdivision: I Lot no.: Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
, .,,,, e s a at * 5 t tf, >,$ t , ' 14. . Baokwater valve 12.51
- • Clothes washer 25.02
Dishwasher 25.02
/,14. s ' OGDO. ,\..ict1 TC\ g Y\)( b4t-Q-- Drinking fountain 25.02
.' `_ Ejectors/sump 25.02
o ua _ 1 r � a
,. e,-,,,,,,044:,,,,, Expansion tank 12.51
,'",'"':".,,,:':!...40,14,#:,, MZa'' '
Fixture/sewer cap 25.02
Name: *Ci1`(\SOY) 0 ' Y1Ae t1CX1 -
1/--�� /f�\ Floor drain/floor sink/hub 25.02
Address:
t7! t7U ��� . einvt Garbage disposal i 25.02 •
Cy)
City/State/ZIP:I-XS - tb-N(e.- (11.)g togg5 Hose bib 25.02
Phone: Et),)Cd.. : P Fax • v.-C-1�54 Ice maker 12.51
Yl ,, l 8 - :'�E ,t °a fk" ak" ',,1,:-/ : � Interceptor/grease trap 25.02
Business name Q viurr\131 A \y•\(_.
Medical gas(value:$ ) Page 2
Primer 12.51
Contact name: kn }(L�0 Yl
L Roof drain(commercial) 12.51
Address:
N(100 /7-4)3'"-S\
4,urek SkY 9 T, SuLt' j Sink/basin lavatory { 25.02 (�`�
City/State/ZIP: I f. I, •'c.. ' 3 Solar units(potable water) 62.54
Phone: ) ) t' r Fax:: _ Tub/shower/shower pan 12.51
•E-mail: a C� ( fdad Urinal 25.02
4pit iJ ` Water closet 25.02
��z� ,: uw_.m� z ��_� .�n� ?� a�.e^ �' ; ,' 4" .x 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 90,04
Phone:(503)639-5296 Fax: Minimum permit fee: $72.50
Plan review (25%of permit fee)
CCB Lic.:2439 Plumbing Lic.no.:3429PB e ♦ -�
State surcharge(12%of permit fee) 1 s..
,
Authorized signature: IF g ` / • //5 TOTAL PERMIT FEE Eb .A
` Date: ( 1 This permit application expires if a permit is not obtained within 180 days
Print name: d ���k , 11 /1after it has been accepted as complete.
"Fee methodology set by Tri-County Building Industry Service Board.
I:\Building\Permits\PLMU-PermitApp.doe 10/01/09 440-4616T(I0/02/CO114/WEB)
Plumbing Permit Application - City of Tigard
• Page 2 -Supplemental Information
Fee Schedule: Residential Fire Su. ,ression S stems:
yst, :. E ,, a ..0,:,,,,,,„,L;
, AK
r, r2 x `x•`3f.`�'3,. Y mia' ,2,c. saas .s ..;.c.xi.,M,m..�t..°°» . +:%n.- �1a a:e`Fw'in `' ,ads.•' ,a,l
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
Sewer-1st 100' 62.54 3,601 to 7,200 $233.20
Sewer-each additional 100' - 7,201 and:eater $327.54
37.52
Water Service-1st 100' 62.54
Water Service•each additional 100' Medical Gas S stems:
37.52 . S 4r"'Srfrt t'4' n a ' '', * S
Storm&Rain Drain-1st 100' 62.54 : : t t � � '
Storm&Rain Dram each additional 100' 37 52 $1.00 to$5,000.00 Minimum fee$72.50
$5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for
+ -i<. each additional$100.00 or fraction thereof,to
Inspection of existing plumbing or for and including$10,000.00.
$10,001.00 Co$25,000.00 $148.50 for the first$10,000.00 and$1.54 for
which no fee is specifically indicated 90.00/hr
(minimum charge-1/2 hour) each additional$100.00 or fraction thereof,to
Inspections outside of normal business 90.00/hr and including$25,000.00.
hours(minimum charge-2 hours) $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 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-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*.
ii'orkl("i i ,:•.,::-..., ,; y,� 'motes 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 ❑ 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"
g
Car Wash Drain f�a4'r J " , • <. , < ,x , .. :' ,Ai w t
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
Other Fixtures: P g permit can be issued.
h tip://www.tigard-or.gov/city_hal I/departments/cd/docs/PLMF-PermitApi2doc
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
7320 SW HUNZIKER RD 300, TIGARD,
OR, 97223
Record Type: Record ID:
Commercial - Plumbing PLM2017-00275
Inspection Type: Inspector:
399 Plumbing final Don Sylvester
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor