Permit (107) CITY OF TIGARD PLUMBING PERMIT
. ` COMMUNITY DEVELOPMENT Permit#: PLM2017-00303
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/09/2017
Parcel: 2S 113 BA02200
Jurisdiction: Tigard
Site address: 7520 SW DURHAM RD
Project: Durham Square Subdivision: 2017-013 PARTITION PLAT Lot: 1
Project Description: Plumbing site utilities for new commercial building.
Contractor: REVCON INC Owner: MISSION HOMES NORTHWEST LLC
21420 NW NICHOLAS CT PO BOX 1689
HILLSBORO, OR 97124 LAKE OSWEGO, OR 97035
PHONE: 503-848-7300 PHONE:
FAX: 503-356-5599
FEES
Quantity Description Date Amount
5 ea Catch Basin or Area Drain 11/09/2017 $93.80
Specifics: 140 If Sanitary Sewer 11/09/2017 $100.06
570 If Storm Sewer 11/09/2017 $250.14
Type of Use: COM 51 If Water Service 11/09/2017 $62.54
Class of Work: NEW 1 ea Backflow Preventer 11/09/2017 $31.27
Type of Const: 1 ea Roof Drain(Commercial) 11/09/2017 $12.51
Occupancy Grp: 25 Misc Other Fee 11/09/2017 $25.02
Stories:
1 Plan Review 11/09/2017 $143.84
1 12%State Surcharge- 11/09/2017 $69.04
Plumbing
Total $788.22
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: Permittee Signature:
12V/ �
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.
Jr IL
Plumbing Permit Application
Site Utilities FOR OFFICE USE ONLY
City of Tigard , � Received
Illiw 13125 SW Hall Blvd.,Tigard,OR 97223 [_!!-' i 8 I}1`J Date/By: 77,)7//7 nmt opi,/�� 7.�ec
Plan Review
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Phone: 503.718.2439 Fax: 503n 'MAR
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Inspection Line: 503.639.4175 i � 1Rtey:
TIGARD ate Ready/By. , Juris ® See Page 2 forInternet: www.tigard-or.gov ; r� � � ,FeFd/Method�'L� i/ f 7 :Supplemental Information
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New construction ❑Demolition For special information use checklist
Description I Qty. I Ea. I Total
❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
;:,t 'J,WMf�ir..,Al'Ji,'Jr,A•�,Wt�/PAf 1, : i Flt AfW9r1,04
SFR(I)bath 312.70
rf!!'/WWrf '�5r`; r � r , r��4fJi
0 1-and 2-family dwelling X Commercial/industrial SFR(2)bath 437.78
0 Accessory buildingSFR(3)bath 500.32
0 Multi-family
Each additional bath/kitchen 25.02
❑Master builder 0 Other:
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Fire sprinkler( sq.ft.) Page 2
aH7OBSIZEIVyTlbll .DLU T101 f tlte :
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Job site address: S L)....) t) jtI\ g.'' ' Catch basin or area drain 18.76 (;
Drywell,leach line,or trench drain 18.76
City/State/ZIP: "T-IC.-y, NX) , 0(Z 01-92.--2_q Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: / Project name: t) 21-11 C?1/4,J` S GmAize Manufactured home utilities 50.03
Cross street/directions to job site: S� t)(Ak-VI f ..\ (ZD 4 5 1/4.Ni Manholes 18.76
' ..(41‘:-\ ,(UE, Rain drain connector ,�} 18.76 _
Sanitary sewer(no.linear ft.:iii• i PCI' Page 2 j ;'e:e f •,u`V/
Storm sewer(no.linear ft.: 5.16'_5°7C;` Page 2 ,)5C,, /47,-
Water service(no.linear ft.:. 51 Page 2 'r ,54 c/
Subdivision: Lot no.: Fixture or item:
Tax map/parcel no.: 2S i,13 p -V2.2(Z`jyj Backflow preventer l 31.27 31,, °l -"'
13ESC1 ''''1O1y JS'' WORD `11Backwater valve B I 12.51
Clothes washer 25.02
'e It Ay //,/'6:- s/ 11776,//7 3 i;-X-147J eo f Dishwasher 25.02
ie..-.&/4.i(7-'" Z.4)/'77/ zJ li 7--&z, ,�ze ‘/G' ' Drinking fountain 25.02
Ejectors/sump 25.02
Inuit o �`J JlI , ` f ;`r r'J Expansion tank 12.51
Name: NA t5 tC3 :1 -ttONX M -Tit LLIE5y/ LLC Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address: 7v (( t Garbage disposal 25.02
City/State/ZIP: "LAk--f OS `_,,}Q G ti/ cl3, 7 Hose bib 25.02
Phone:(t60 � (t tFax:( ) Ice maker 12.51
` ` te t Ae Pmoi j Interceptor/grease trap 25.02
Business name: UJB=ST(.�1°t4.a= Cas3SU.L---1-7kNTsr ( Medical gas(value:$ ) Page 2
(� \-P k r� . Primer 12.51
Contact name: / 1�JG� Roof drain(commercial) i 12.51 0,i;i v'
Address: k 5()6 3 t,t SQ uk O i k T-7 Ugly 1 S TC, I6g Sink/basin/lavatory 25.02
City/State/ZIP: -VI Ge 1 Q CI.72 t,,f', 7 Solar units(potable water) 62.54
Phone:('6 fjI Le_ LI-_ 0L0,62._ Fax::( ) Tub/shower/shower pan 12.51
E-mail: S`V\( \,�,y wWTukte.- WIVs(LL-I JTs C Urinal 25.02
25.02
,; f 5. t,t1"ifJi ? , - rlrcrf. !f ; , rWater closet
r , „% A rr A,s "" r '` N,Atx,:Rr. ice,r , f�i j ar
Water heater 37.52
Business name: v(11Ne(tiC Water piping/DWV 56.29
Address: 21(,,,A.2• 4 3 t,k3 L(CAA-0 LA3 C_-T• Other: R!,k hi(6 r Vac,/4=( 1 25.02 ).5,0cl-
City/State/ZIP: -H:(�L-G rte' c. 99-(22.f Subtotal r i, i;S 7
Phone:( 1,-f cs2 ltz i..(- - y5' Fax:( ) Minimum permit fee: $72.50
CCB Lic.: I c6c6(....4 l 9-- Plumbing Lic.no.:
Plan review (25%of permit fee)
State surcharge(12%of permit fee) i'
Authorizedsignature: TOTAL PERMIT FEE
Print name: j r„G.f}_ I �� Date::..11g,./1..?._ This permit application expires if a permit is not obtained w'
`' (� / after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry S
I:\BuildingiPermits\PLMU-PermitApp.doc 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:
,:l r t f,., H g4i,1 t ? a #�►f g+� f f rm
Footing drain-161 100' 50.03 0 to 2,000 $121.90
Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69
7,2
1' 7,201 and gr0eater $327.54
0 $233.20
Sewer-1st 100' 62.54 c v
Sewer-each additional 100' 1 37.52 31 5..
Water Service-1st 100' 62.54
10 Sit Medical Gas Systems:
Water Service-each additional 100' 37.52 'r mit /f,%„f��,�rfr,' if/fK/ etefr oc f ' fff/
Storm&Rain Drain-1st 100' f 62.54 ' y % 1 F'f f/i. %
�r
�' $1.00 to$5,000.00 Minimum fee$72.50
Storm&Rain Drain each additional 100' 37.52
tf , ,
,5 iv/.!:o $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for
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: 4 ' `Cilli
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-fol Plumbing Installations
Fixture Type for Replace/ Plan review is required for anyof the following.
Work Performed: Capped Added Relocate 9
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 ❑ New exterior plumbing site utilities for any complex structure
Cuspidor/Water Aspirator as defined in OAR918-780-0040.
Dishwasher -Commercial ❑ Medical gas and vacuum systems for health care facilities.
-Domestic ❑ Any multipurpose fire sprinkler system.
Drinking Fountain ❑ 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.'
I
Car Wash Drain someric dr I cer 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
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 plumbing permit can be issued.
Other Fixtures:
C:\Users\slh\AppData\Local\Microsoft\Windows\Temporary Internet File2Content.IE5\MP27AV4L\PLMU_PermitApp.doc
IIIWestlake consultants,Inc TRANSMITTAL
ENGINEERING ♦ SURVEYING ♦ PLANNING Phone:503 684-0652
Fax:503 624-0757
Date: July 18,2017 Project No.: 2312-017
To: City of Tigard Project Name: Durham Square
Engineering Department SDR2016-00008
13125 SW Hall Blvd.
Tigard,OR 97223
From: Shad Haney CC:
Re: Durham Square Parcel 1 Plumbing Permit
No.of
Copies Dated Description
1 7/18/17 Site Development Permit Application
3 7/12/17 Construction Documents
Comments:
Erosion control sheets, C200 and C204 for an amendment to existing site work permit#51T2076-
00020, are included for reference.
If you have any questions,please do not hesitate to call.
-Shad
Fax 0 No. of Pages[including cover) Fax No.
Mail 0 Messenger 0 Overnight 0 Hand Delivery •
Pacific Corporate Center, 15115 S.W.Sequoia Parkway,Suite 150,Tigard,Oregon 97224
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
7520 SW DURHAM RD, TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Plumbing PLM2017-00303
Inspection Type: Inspector:
399 Plumbing final Don Sylvester
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor