Permit (100) CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2017-00305
13125 SW Hall Blvd.,Ti Date Issued: 11/09/2017
T[GA TL� and OR 97223 503.718.2439 9
Parcel: 2S 113BA02300
Jurisdiction: Tigard
Site address: 7560 SW DURHAM RD
Project: Durham Square Subdivision: 2017-013 PARTITION PLAT Lot: 2
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
6 ea Catch Basin or Area Drain 11/09/2017 $112.56
Specifics: 1 ea Rain Drain Connector 11/09/2017 $18.76
427 If Sanitary Sewer 11/09/2017 $212.62
Type of Use: COM 665 If Storm Sewer 11/09/2017 $287.66
Class of Work: NEW 844 If Water Service 11/09/2017 $362.70
Type of Const: 1 ea Backflow Preventer 11/09/2017 $31.27
Occupancy Grp: 1 Plan Review 11/09/2017 $262.65
Stories: 1 12%State Surcharge- 11/09/2017 $126.07
Plumbing
25 Misc Other Fee 11/09/2017 $25.02
Total $1,439.31
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: ✓'J,'/7
� -z._—
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.
f
L
Plumbing Permit Application
Site Utilities RECEIVE ,1. FOR OFFICE USE ONLY
g Received 74277/
/ 7` ennit No �7
- Cl of Tigard Date/By: �` /�7 Non./1,20 / -400_9)_,6---
.;
13125 SW Hall Blvd.,Tigard,OR 97223 I; i� 1 �8 7 017 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 " Date/By: f -)t., C. '-d-- Other Permit NS/7;20/7-�j
Inspection Line: 503.639.4175 �; Date Read/B' inns: El Pagefor ��
TIGARD I (` TIC ARI y y.
Internet: www.tigard-or.gov I Notified Method: j 7 Supplemental Information
U,:FF. r „ ,.�> �� r�;r9...; , r�.. ;� .,�.�, ., .,, .-',10,/r,
.; :., ,.< , ... ,`-� 4.07.",e,',;/'? rte„ fr.
,;F F�� ,:�/'�. ,:;',/,�''.r r r,'r�l=! ;' "J'�lr. r.' r 9 i fir tt ::14'..,105,;., ,�`,+.r�/�i-,. f ''rr/r yFr rr
, sil-,'r'iri'�,. ,.,, r i40 r;V Q ',...;//..0:;,,--,,..;
'�. ,f Win: ,� -r rr74 1 , .. lr rfj"., !r L' a 5
` r.k�'�r,% >✓�>�r`'r',�,1�'>�,�� i;�:�r�;i+:rl.�f,.,-,rs/r,+� r�fl,�/�;:.d ,-,l'.).,"'' ,..,,;•,, ,,,,,, ...?,,:.r,,;rF ;;;f�",,,;',<'.',:,', .� �. r..r�!><f ..rvlrFrrfil.�.�i� rtr�F?t fir,.�,,;;'�
F New construction ❑Demolition For special information use checklist
Description I Qty. 1 Ea. I Total
❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
r r ;.rir r''f�fI r';tfr Y�rr'Pi'
(/i ,,1.J>`r,'rr ,y",,i�r fir{r /,f✓r,.�.�F .r 'r'fr'f�yr�,�'!'F J,
' �1�„'�4hei.t f r Grp f ... ,@rrr�..k,>;- � r.,:'r 71,,,,,A4-4/0aSFR(1)bath 312.70
CI1-and 2-family dwelling V Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 500.32
❑Accessory building El Multi-family
Each additional bath/kitchen 25.02
❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2
r r/ r r ff`rs'r r p/
r ;JOB;SI`Z'E: O,RMAflO ANI CATIO Site utilities:
Job site address: (p z 5 w />( -tANk 12...1> DryweCatch basin or area drain 18.76 �� �5
g,� OR \�2�- Footing
1,rainleachline,or trench drain 18.76
City/State/ZIP:-n
/ pA � _ Footing drain(no.linear ft.: Page 2
Suite/bldg./apt.no.: Project name: 1) k�M S(Wi c, Manufactured home utilities 50.03
Cross street/directions to job site: S ll., D\j`�l NA !t0 F Manholes - 18.76
S W 9.y� Au Rain drain connector 4 9' / 18.76 i p .-)6
Sanitary sewer(no.linear ft.:, `37r 5 Page 2 )0,/,)
Storm sewer(no.linear ft.: Page 2 1;1,i,6,6
Water service(no.linear ft.:.,` g' t ia Page 2 '1,E.),, 90.
Subdivision: Lot no.: Fixture or item:
Tax map/parcel no.: 23 1 1 3 Q��� �0 Backflow preventer 1
31.27 3 t, `i' PT L OF URI x
Backwater valve 12.51
>f. - D,,,, O' i
Clothes washer 25.02
Afr7 '//flrS,7 �� JJ ��/ L � U� Dishwasher 25.02
/( ,Els/r'16- 4)/77( 2-5` Ci447& >s i7C-7/iL-r-�� Drinking fountain 25.02
Ejectors/sump 25.02
5R � �� r r 0 tres} / r
Expansion tank 12.51
Name: t i N t N� qC -
i�I�� { U t i l I+\ . LLC. Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address: pc g( l(11.5?9 Garbage disposal 25.02
City/State/ZIP: 'L.._ K- as c,0, co_ 019-pg5 Hose bib 25.02
Phone:(rj03 ( (g t tt Fax:( ) Ice maker 12.51
LT Y, � CQr
TACT;' I Interceptor/grease trap 25.02
Business name: s-rb\-- Cc* a.c.--�kis, (mc
Medical gas(value:$ ) Page 2
Primer 12.51
Contact name: l\t, )1WtRoof drain(commercial) 12.51
Address: (.j(kS 'Sw S- , uOtA P`' 25_. *t 57 .• Sink/basin/lavatory 25.02
City/State/ZIP: `--n(....,-, (Z�r 0 9--/' `4 Solar units(potable water) 62.54
Phone:(rUj W3 ( S"k 4 t 0La b2_ Fax::( ) Tub/shower/shower pan 12.51
E-mail:S�k(L�-1& ()e. yi (lak�as Lk,I�tS �1 Urinal 25.02
r°, xrrF< ; f;rfr %'err.f,,rJt � /, .41N ., :r /�V JP5 fi Water closet 2S.O2
Water heater 37.52
Business name: 17_4--k e(} l I j�}�. Water piping/DWV 56.29
Address: ',k, (2c6 Iv(k k rci-fj( S Tr. Other:pc,t<.. iIfev kluatt=( 25.02 )S,�.% -
City/State/ZIP: ( .c r,(z 01.q 12_1/4.
/ Subtotal 110 5L?,tj"11
Phone:(43 y L (Q- O( Fax:( ) Minimum permit fee: $72.50
CCB Lic.: t Lav,Li k� J�-' Plumbing Lic.no.: Plan review (25%of permit fee) i,�1 ,45
State surcharge(12%of permit fee) l 3 6,,ii'/
Authorized signature: _ ,¢ - TOTAL PERMIT FEE
Print name: 7- --(t-- K_Lem Loi Date: !( /i This permit application expires if a permit is not obtained within/A0 days
/ ( after it has been accepted as complete.
111 fff *Fee methodology set by Tri-County Building Industry Service Board.
I:\Building\Permits\PLMU-PermiiApp.doe 10/01/09 440-4616T(10/02/COM/WEB)
A
TAbing Permit Application - City of Tigard
2 - Supplemental Information
e Schedule: Residential Fire Suppression Systems:
, 'G;,!!lrf%, /� y.r.: r',/ w 9 ,i4./`,k4 7 ,.,40 �`'w,1' ;" ,ififX r✓ , 14;, w/f �4 w
fw - , . , quar , otage y c mit Fey ,�r ,f
�, ��„' . ..F,'.�uwr.� ,/_r%w�„.��:.w„ .. ,.-r%';'�„�-., ..w`,�F`wr�iw�r�."�w, - ���., ,. �, f5.
Footing drain-1st 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' i 62.54 1;,.:).,.54 7,201 and greater $327.54
Sewer-each additional 100' . 37.52 ,50 OF
Water Service-1st 100' 62.54
P b �5`l Medical Gas Systems:
Water Service-each additional 100' 4 37.52 � ���'`rr %%y; ror �y f� '{�. i,eot, o r ; f'wiww sfa
L CX,. '{] w�f?`,'� lwwi.;. aCnl. i+ry.` �is �ii!, f1�.i'rr,�:; ,;wf,�=
Storm&Rain Drain-1st 100' I. 62.54 e; ,5 4
$1.00 to$5,000.00 Minimum fee$72.50
Storm&Rain Drain-each additional 100' t; 37.52 D').5.1.) $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for
ww;;,w w w each additional$100.00 or fraction thereof,to
w Q Pet�ea ' ota)
(P, �Sp c O11K fk ee9,; : „4 .. f. ,,. ,,e : 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: 8 64,18
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 rq j"laii Re 'iew``for PlumbiI1g'Installations
Fixture Type for Replace/ Plan review is required for any of the following.
Work Performed' Capped Added Relocate
Baptistry/Font Please check all that apply.
Bath Tub/Shower El 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 El 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"
-4» 3 � xr,wwww � c r ���;� ,,,w w^w
,w Tsontetri�c or R serrDiagramw w
Car Wash Drain
El Isometric or riser diagram is required for new buildings
Garbage -Domestic-non-food
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\slh\AppData\Local\Microsoft\Windows\Temporary Internet File2Content.IE5\MP27AV4L\PLMU PermitApp.doc I
111 Westlake
consultants,inc TRANSMITTAL
ENGINEERING ♦ SURVEYING ♦ PLANNING Phone:503 684-0652
Fax 503 624-0157
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 2 Plumbing Permit
No. of
Copies Dated Description
1 7/18/17 Plumbing Permit Application
3 7/12/17 Construction Documents
Comments:
Erosion control sheets, C200 and C204 for an amendment to existing site work permit#SIT2096-
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:
7560 SW DURHAM RD, TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Plumbing PLM2017-00305
Inspection Type: Inspector:
399 Plumbing final Don Sylvester
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor