Permit (107) CITY OF TIGARD PLUMBING PERMIT
2COMMUNITY DEVELOPMENT
Permit#: PLM2017-00342
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/30/2017
TIGARD Parcel: 2S113AB01400
1 Jurisdiction: Tigard
Site address: 7358 SW DURHAM RD
Project: Coram Subdivision: None Lot:
None
Project Description: Interior plumbing for clean room renovation:Adding(1)eye wash,(1)2"hub drain,and(1)sink.
Contractor: WHITTINGTON&SONS PLUMBING COMPANY Owner: PACIFIC REALTY ASSOCIATES LP
6375 SW CHERRYHILL DR ATTN: N PIVEN
BEAVERTON, OR 97008 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-536-5910 PHONE:
FAX: 503-648-0617
FEES
Quantity Description Date Amount
1 ea Floor Drain/Floor Sink/Hub 08/24/2017 $25.02
Specifics: 1 ea Sink 08/24/2017 $25.02
25 Misc Other Fee 08/24/2017 $25.02
Type of Use: COM 1 12%State Surcharge- 08/24/2017 $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 questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: %;
iy .. .06 c Permittee Signature:
_...,--_.;'2"--
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 r/, ' /f 5c4 1 - _
* .SitP,,. .Jtilities , 1 I(1R ( I I I I ': 1 SE ONLY
CI of TigardPermit No.: �//►Ij�7 C'�7. r3i
iii . t eiBy: D _f / 7 /v
13125 SW Hall Blvd.,Tigard,OR 97223 ‘414, iA Paan Resew r
Other Permit No.: 7- /!7
Il' Phone: 503.718.2439 Fax: 503.598.1960 ,,,,Date/13y: W`4r
Inspection Line: 503.639.41754. Date Ready/By: s: RI See age 2 for
f l(31�R LI Internet: www.tigard-or.gov N� ethod: , Supplemental Information
x' FEE* SCHEDULE
TYPE OF WORK �' � �� fi �l�.
Demoliti n .l a `" For special information use checklist.
❑New construction ❑ Description I Qty. I Ea. ( Total
❑Addition/alteration/replacement 0 Other: ? New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
SFR(2)bath 437.78
❑ 1-and 2-family dwelling Commercial/industrial 500.32
SFR(3)bath
❑Accessory building 0 Multi-family Each additional bath/kitchen 25.02
❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Catch basin or area drain 18.76
Job site address: 735sDU R net m Drywell,leach line,or trench drain 18.76
City/State/ZIP: --n G4 aft X , eg.r ci Vii; Footing drain(no.linear ft.:__J Page 2
Suite/bldg./apt.no.: J Project name: CVS/()prise vile_ (dYTL/Vpljpnufactured home utilities 50.03
Cross street/directions to job site: r Manholes 18.76
S- ` Du r t / C, \ l �fry 6003162.S-
00 5 -r, Rain drain connector Page 2
w c_)l� Of Sanitary sewer(no.linear ft.: )
Storm sewer(no.linear ft.: ) Page 2
Water service(no.linear ft.: ) Page 2
Subdivision: I Lot no.: Fixture or item:
Backflow preventer 31.27
Tax map/parcel no.:
Backwater valve 12.51
DESCRIPTION OF WORK 25.02
Clothes washer
add hartcl idci..6 h S i✓)k i t ifh 2)f WA5 h _Dishwasher 25.02
Aci4i hub ace utr7 ThA co'4(115a-fe°, Drinking fountain 25.02,
to fie mpe)rA r v c)ea r rn. Ejectors/sump tr 0L N.Y
0 PROPERTY OWNER 0 TENANT Expansion tank 12.51
Fixture/sewer cap 25.02
~Name: 25.02
Floor drain/floor sink/hub
Address: Garbage disposal 25.02
City/State/ZIP: Hose bib 25.02
Phone:( ) Fax:( ) Ice maker 12.51
jil APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02
Medical gas(value:$ ) Page 2
Business name: bji.1111-1nom 1 50i ft1,f 609. 64.,enectry Primer
1231
Contact name: me,irilAco -
Roof drain(commercial) 12.51
Address: 1!x•3. j so eherryv 11 di , Sink/basin/lavatory 25.02
City/State/ZIP: 0(;'4r (jt-. C(i-cce Solar units(potable water) 62.54
Tub/shower/shower pan 12.51
Phone:(503 )53(p 5q10 Fax::( ) Urinal 25.02
E-mail: Pi(,(( btYl�LeciPrri0.1.�lt LOvxl
Water closet 25.02
CONTRACTOR Water heater 37.52
Business name: w h t ft nekiU i'\ 155)ii. . 0 Lt 4,b,pita G , Water piping/DWV 56.29
Address: CDS 1-5-.SO C efift4 kit( etc-- Other: Ebie„ i J 'i► 25.02
City/State/ZIP: j 2G7 tJ v- t,,'\ 7 OA co-oe7`B Subtotal '7c,
Phone: C 3 53G0 5 9 I C1 Fax:( ) Minimum permit fee: $72.50
Plan review (25%of permit fee) -r'-
CCB Lic.: 2_0-7-8 f Plumbing Lic.no.: j q State surcharge(I2%of permit fee) 4(: G 1
Authorized signature: i, /.4 TOTAL PERMIT PEE /i(,0-7
KKev4g//y_ ' This permit application expires if a permit is not obtained with 80 days
Print name:�� (�I?) /�(lr'�TD� Date: I after 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(10/02/COM/WEB)
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-1e 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
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
Valuation: Permit Fee:
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
Other Inspections or Fees Qty- Fee(ea) Total each additional$100.00 or fraction thereof,to
Inspection of existing plumbing or for $14 including efirst$.00.
which no fee is specifically indicated 90.00/hr $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for
p y each additional$100.00 or fraction thereof,to
(minimum charge
g 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-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*.
Quantity by Fixture Type Plan Review for Plumbing Installations
FiWork
Pere foermed:
for Replace/ Plan review is required for anyof the following.
Performed: Capped Added Relocate. Please check all that apply.
g
Baptistry/Font
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.
u r3 Drake) -3"
")C Q e t M -4„ Isometric or Riser Diagram
Car Wash Drain
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 *Note: If the fixture work under this permit results in an
Washer-Clothes
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:
C:\Users\Kaleo\Downloads\PLMU PermitApp.doc 2
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
7358 SW DURHAM RD, TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Plumbing PLM2017-00342
Inspection Type: Inspector:
399 Plumbing final Don Sylvester
Result:
PASS - NoCofO
Comments:
1 . Plumbing final for temporary clean room - approved
Violation Summary:
Inspector Contractor