Permit (123) CITY OF TIGARD PLUMBING PERMIT
:14
COMMUNITY DEVELOPMENT Permit#: PLM2017 00407
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/11/2017
Parcel: 2S 102AD03051
Jurisdiction: Tigard
Site address: 12760 SW ASH AVE
Project: Studio 7 Hair Subdivision: BURNHAM TRACT Lot: 5
Project Description: Add(1)clothes washer,(1)sink,(2)shampoo bowls and(1)water heater for hair salon.
Contractor: CASCADE PLUMBING CO Owner: PREMIUM PROPERTY-TIGARD LLC
15765 SW 74TH AVE BY CAPSTONE PARTNERS LLC
TIGARD, OR 97224 1015 NW 11TH AVE
STE 243
PORTLAND, OR 97209
PHONE: 503-289-7095 PHONE: 503 226-1972
FAX:
FEES
Quantity Description Date Amount
1 ea Clothes Washer 10/11/2017 $25.02
Specifics: 3 ea Sink 10/11/2017 $75.06
1 ea Water Heater 10/11/2017 $37.52
Type of Use: COM 1 12%State Surcharge- 10/11/2017 $16.51
Class of Work: ALT Plumbing
Type of Const:
Occupancy Grp:
Stories:
Total $154.11
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: (;) /716-"- -r Permittee Signature:
ty3V
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 Applicata n
Building Fixtures I .,,
City of Tigard Received �G 9,/,
7 �j
II
41 13125 SW Hall Blvd.,Tigard,OR dr _ �� Datehe t' Permit N ' ,7�/(.�/0 7
= Phone: 503.718.2439 Fax 50 S98 19b0 Plan Review t'`�
Inspection Line: 503.639.4175.ti R �i r ,, Date?R Other Permit N -eel/
/y �/
1 Irl ARI) a y. �� LG/ 7
Internet' www.ligard or.gov 1 ' ', E " y Date Ready'BY /'/� auris: 0 See Page 2 for
Notified'Meth0/O 9/7 Supplemental Information
TYPE OF WORK r¢/L ,6-67G41- FEE* SCHEDULE
❑New construction ❑Demolition For special information use check!isx
®Addition/alterationlreplacement ❑Other: Description Qty. Ea. Total tiN:.)
New 1-2-family dwellings(includes 100 ft for each utility connection)
CATEGORY OF CONSTRUCTION SFR(I)bath 312.70
❑ I-and 2-family dwelling ®Commercial/industrial SFR(2)bath
437.78
❑Accessory building 0 Multi-family SFR(3)bath 500.32
❑Master builder Each additional bath/kitchen 25.02
k,"
/Alb /� ❑Other: Fires sprinkler
(,p' P ( sq.0.) Page2
JOB SITE INFORMATION AND LOCATION • Site utilities:
Job site address. SN'Ash St Catch basin or area drain 18.76
City/State/ZIP:Tigard Or 97224 Drywell,leach line,or trench drain 18.76
Suite/bldg./apt.no.: ] Project name:Studio 7 Hair Footing drain(no.linear ft.:_) Page 2
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 It:__) Page 2
Subdivision: I Lot no.: Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
rough in and install I clothes washer box,130 gal elec water heater I sink Clothes washer I 25.02
2 shampoo bowls
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
0 PROPERTY OWNER I 0 TENANT Expansion tank 12.51
Name: Fixture/sewer cap 25.02
Address: Floor drain/floor sink/hub 25.02
City/State/ZIP: Garbage disposal 25.(12
Phone:( ) Hose bib 25.02
Fax:( ) Ice maker
12.51
=1 APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02
Business name:Quality West Plumbing DBA Cascade Plumbing Medical gas(value:$ ) Page 2
Contact name:Bekka Greer Primer 12.51
Address: 15765 SW 74th Ave#110A Roof drain(commercial) 12.51
Sink'basin='lavatory 3 25.02
City/State/ZIP:Tigard Or 97224 Solar units(potable water) 62.54
Phone:(503)2897095 ] Fax::(503)2839514 Tubfshowerishower pan 12.51
E-mail:Cascadeplum(ayahoo.com Urinal 2502
CONTRACTOR Water closet 25.02
Water heater 1 37.52
Business name:Quality West Plumbing DBA Cascade Plumbing
Water piping/DW V 56.29
Address: 15765 SW 74'h Ave#110A
Other 25.02
City/State/ZIP:Tigard Or 97224 Subtotal
Phone:(503)2897095 Fax:(503)2839514 Minimum permit fee: 572.5(1
CCB Lic.:204394 Plumbing Lic.no.:PB1528 Plan review (25%of penult fee)
f
State surcharge(12%of permit fee)
Authorized signature: .- , � j '- E
'�' ` " TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within ISO dans
Print name:Bekka Greer Date: 10/4/2017
after it has been accepted as complete.
*Pee methodology set by 1 ri-County Building Industry Service Board.
t Building Permits PI MC-PertmaApp.dos 10 01 09 440.46161110 02 COM'FB)
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 $121.90
2,001 to 3,600 $169.69
Footing drain-each additional 100' 37-52 3,601 to 7,200 $23320
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 Systems:
Water Service-each additional 100' 37.52 Valuation: Permit Fee:
Stone&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
Qty. Fee(ea) Total each additional$100.00 or fraction thereof.to
Other Inspections or Fees 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 5100.00 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
each additional S 100.00 or fraction thereof.
(minimum charge-1/2 hour)
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*.
Quantic by Fixture Type Plan Review for Plumbing Installations
Fixture Type for Capped Added Plan review is required fir any of the following.
Work Performed: Please check all that apply.
Baptistry/Font 0 Any new commercial building with water service 2-and
Bath -Tub/Shower greater,except systems designed and stamped by licensed
-Jacuzzi/Whirlpool engineer.
Car Wash -Each Stall
-Drive Thru ❑ New exterior plumbing site utilities for any complex structure
as defined in OAR918-780-0040.
Dishwasher
Cuspidor/Water Coirator
cM• -Commercial 0 Medical gas and vacuum systems for health care facilities.
-Domestic 0 Any multipurpose tire 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"
4 Isometric or Riser Diagram
Car Wash Drain ❑ Isometric or riser diagram is required for new buildings
Garbage -Domestic-non-to od
Disposal -Domestic-food related that meet the qualifications above.
-Commercial-ti od related
-Industrial-food related
Ice Mach./Refrig.Drains
Oil Separator(Gas Station) Comments regarding fixture work:
Rec.Vehicle Dump Station
Shower -Gang
-Stall
Sinkllav -Non-food related 3
-Bradley
-Commercial-food related
-Service
Swimming Pool Filter *Note: If the fixture work under this permit results in an
Washer-Clothes 1
increase of sewer EDUs,a sewer permit will be issued and
Water Extractor fees assessed for the sewer increase must be paid before the
Water Closet-Toilet
Urinal plumbing permit call be issued.
Other Fixtures:
C:\Users\Cascade Main\Downloads\PLM F_PenmitApp(6).doc 2
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12760 SW ASH AVE, TIGARD, OR, 97223 December 15, 2017 at
8:45:04 AM
Record Type: Record ID:
Commercial - Plumbing PLM2017-00407
Inspection Type: Inspector:
399 Plumbing final Aaron Cillo-Gobel
Result:
PASS - NoCofO
Comments:
Corrections completed
Violation Summary:
Inspector Contractor