Permit (187) CITY OF TIGARD PLUMBING PERMIT
1111 "
COMMUNITY DEVELOPMENT Permit#: PLM2018-00013
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/23/2018
Parcel: 2S 101 DC03800
Jurisdiction: Tigard
Site address: 7180 SW SANDBURG ST 100
Project: Whitaker Ellis Subdivision: SALEM FREEWAY SUBDIVISION Lot: 4
Project Description: Interior plumbing for TI: Adding(1)urinal;Relocating(1)sink and(1)water closet;Installing(1)hose bib.
Contractor: ASSOCIATED PLUMBING CO Owner: MCCORMACK PROPERTIES LP
200NE VICTORY AVE"C" 7190 SW SANDBURG ST
GRESHAM, OR 97230 TIGARD, OR 97223
PHONE: 503-492-1922 PHONE:
FAX: 503-492-1923
FEES
Quantity Description Date Amount
1 ea Hose Bib 01/16/2018 $25.02
Specifics: 1 ea Sink 01/16/2018 $25.02
T 1 ea Urinal 01/16/2018 $25.02
ype of Use: COM 1 ea Water Closet 01/16/2018
Class of Work: ALT $25.02
1 12%State Surcharge- 01/16/2018 $12.01
Type of Const: Plumbing
Occupancy Grp:
Stories:
Total $112.09
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: e„,CCJA4..
Permittee Signature:
1-74,4d C61-770 Al
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.
i m ing Permit Application
C Wlding Fixtures RECEIVED FOR OFFICE USE ONLY
City of Tigard Received
. lit - a 13125 SW Hall Blvd.,Tigard,OR 97223 JAN 4 2011 Date/By: I�IY 'f PermitNo.: `,� (� j
1' Plan Review �`^� �lJ �""�L3
Phone: 503.718.2439 Fax: 503.598.1960 Other Permit No.
Inspection Line: 503.639.4175
Date/By: ti.,._ ___ _,1,
TIGARD '''.!`-.;,:',,,Fir:1 �iW�'
Date Read/B
Internet: www.tigard-or.gov Ready/By: Juris S See Page 2 foriILDIt,a 1t )a;zti# 1 Notified/Method. Supplemental
TYPE OF WORK FEE* SCHEDULE
0 New construction 0 Demolition For special information use checklist
®Addition/alteration/replacementDescription I Qty. Ea. I Total
0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
-
! CATEGORY OF CONSTRUCTION..' SFR(1)bath 312.70
❑ 1-and 2-family dwelling ®Commercial/industrial SFR(2)bath
437.78
0 Accessory building 0 Multi-family SFR(3)bath 500.32
0 Master builder Each additional bath/kitchen 25.02
❑Other:
Fire sprinkler( sq.ft.) Page 2
3011-SITE INFORMATION AND LOCATION Site utilities:
Job site address:7180 SW Sandburg St Catch basin or area drain 18.76
City/State/ZIP:Tigard,OR 97223 Drywell,leach line,or trench drain 18.76
Suite/bldg./apt.no.:100 I Project name:Whitaker Ellis Footing drain(no.linear ft.: ) Page 2
Manufactured home utilities 50.03
Cross street/directions to job site:SW Sandburg St at SW 72nd Ave Manholes
18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.: ) Page 2
Storm sewer(no.linear ft.: ) Page 2
Subdivision: Water service(no.linear ft.: ) Page 2
Lot no.: Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
T ESCRIPTION WORK Backwater valve 12.51
interior tenant improvement. Relocating toilet to the side to allow for a Clothes washer 25.02
urinal Dishwasher 25.02
. ,4,%, dila.; _. /65, 6,65 r.+.s-et~a.,y s; 61 Drinking fountain 25.02
Ejectors/sump
25.02
-;❑-PkOPERTY'OWNER 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 25.02
Phone:( ) 1
Hose bib 25.02 � o�
Fax:( ) Ice maker
12.51
!l APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02
Business name:Associated Plumbing Company Medical gas(value:$ ) Page 2
Contact name:Brad Marshall Primer 12.51
Address:200 NE Victory Ave"C" Roof drain(commercial) 12.51
Sink/basin/lavatory 1 25.02
City/State/ZIP:Gresham,OR 97030 �w
Solar units(potable water) 62.54
Phone:(503)492-1922 I Fax::(503)492-1923 Tub/shower/shower pan 12.51
E-mail:associatedplumbing@ymail.com Urinal l 25.02
CONTRACTOR closet 1 25.02
g,..5-,,:,,,i,
Business name:Associated Plumbing Company Water heater 37.52
Water piping/DWV 56.29
Address:200 NE Victory Ave"C"
Other: 25.02
City/State/ZIP:Gresham,OR 97030
Subtotal e t
Phone:(503)492-1922 Fax: 503
( )492-1923 Minimum permit fee: $72.50
CCB Lic.:57890 Plumbing Lic.no.:26-412PB Plan review (25%of permit fee)
Authorized signature: ...„.„-,,, „,..,-;... ..,----- ;,,.,`„L--`
'''. State surcharge(12%of permit fee) f J., 4 i
% TOTAL PERMIT FEE' ,
Print name:Brad Marshall Date: 1/3/18 I This permit application expires if a permit is not obtained within 18 days
after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
i.\Building\Permits\PLMU-PermitApp.doc 10/01/09
440-4616T(10/02/COM/W EB)
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Site i.f£ilitkes f Q Fie(en) .Total Square Footage: Permit Fee: .
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' 3,601 to 7,200 $233.20
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
Storm&Rain Drain-1st 100' 62.54 Valuation: Per it Fee`
$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 Inspecltions or Fees Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to
Inspection of existing plumbing or for and including$10,000.00.
$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:
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
Fixture Type for Re lace/
Work Performed: Capped Added Relocate Plan review is required for any of the following.
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"
4„
Car Wash Drain Isometric orRiser 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 The existing restroom lay is being
Shower -Gang
Stall removed and re-installed on a new
Sink/Lav -Non-food related 1
-Bradley countertop
-Commercial-food related
-Service
Swimming Pool Filter
Washer-Clothes
Water Extractor *Note: If the fixture work under this permit results in an
Water Closet-Toilet 1 increase of sewer EDUs,a sewer permit will be issued and
Urinal I fees assessed for the sewer increase must be paid before the
tifirk)7 I plumbing permit can be issued.
C:\Users\Brad\Desktop\Documents\Documents\Permits\Tigard Plmb.doc 2
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
7180 SW SANDBURG ST 100, TIGARD,
OR, 97223
Record Type: Record ID:
Commercial - Plumbing PLM2018-00013
Inspection Type: Inspector:
399 Plumbing final Don Sylvester
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor