Permit CITY OF TIGARD PLUMBING PERMIT
IliI1.. . COMMUNITY DEVELOPMENT Permit#: PLM2018 00032
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/22/2018
Parcel: 2S113AC00103
Jurisdiction: Tigard
Site address: 7204 SW DURHAM RD 100
Project: Spec Space Subdivision: None
Project Description: Interior plumbing for TI:Adding(1)breakroom sink. Credits applied from PLM2017-00456. Lot: None
Contractor: ALWAYS FAITHFUL PLUMBING LLC Owner: PACIFIC REALITY ASSOCIATES LP
PO BOX 757 ATTN: N PIVEN
WILSONVILLE, OR 97070 15350 SE SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-780-9486 PHONE:
FAX:
FEES
Quantity Description Date Amount
1 ea Lavatories 01/22/2018 $25.02
Specifics: 1 12%State Surcharge- 01/22/2018 $8.70
Plumbing
Type of Use: COM 47 ea Minimum Fee Adjustment- 01/22/2018 $47.48
Class of Work: ALT Plumbing
Type of Const:
Occupancy Grp:
Stories:
Total $81.20
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:
Call 503.639.4175 by 7:00 a.m.for the next available inspection ate.
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
Building Fixtures FOR OFFICE ESE ONE
IIICity of Tigard Received /
U 13125 SW Hall Blvd.,Tigard,OR 9A Date/By: 6 ��i Permit No.�
l: s +O Plan Review 31
Phone: 503.718.2439 Fax: 503.598.1960} ,,_, i Date/By: Other Permit No.:� � 7r=., `'3
TI ARD Inspection Line: 503.639.4175 `+s, 7-v
ac Date Ready/By: Juris: 61 See Page 2 for
Internet: www.tigard-or.gov '"`Notified/Method: �C
'�°' h'� Supplemental Information
' -` TYPE OF o ' ` 110'.7
❑New construction 0 I7etnolition For special information use checklist
Si Addition/alteration/replacementDescription Qty. 1 Ea. Total
0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
;,r a , .1, yz ItATEttoRy or o1's1IuJ4 IoN-- ''., - SFR(1)bath 312.70
❑ 1-and 2-family dwelling 61 Commercial/industrial SFR(2)bath 437.78
❑Accessory building 0 Multi-family SFR(3)bath 500.32
El Master builder Each additional bath/kitchen 25.02
❑Other:
�� Fire sprinkler( sq.ft.) Page 2
J6Ii
INFOtMATOIAAGAIION Site utilities:
Job site address: -3.204 SW1 r4, 0 Catch basin or area drain 18.76
City/State/ZIP:`nt1 ,/ D �1M RDrywell,leach line,or trench drain 18.76
r� Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: 1 00) I Project name: �,iq,V� S
Per....... 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 ft.: ) Page 2
Subdivision: I Lot no.:
Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
.4' U '' -a, DESS r
TIoJo {RR '0;;„ ,, ' Backwater valve 12.51"
8( Clothes washer 25.02
x1.z�L. I 4C Si, 1(C Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
,e- PItOPER1 OW IEII 4 ,v , 0 , N,Ar4T 44 Expansion tank 12.51
Name: QA/i ,67- Fixture/sewer cap 25.02
Address: �J Floor drain/floor sink/hub 25.02
Garbage disposal 25.02
City/State/ZIP:
Hose bib 25.02
Phone:( ) Fax:( )
Ice maker 12.51
i 0 APPLICANT' ` ;. x �, ❑ CO %ACT PERSON Interceptor/grease trap 25.02
Business name: Medical gas(value:$ ) Page 2
Primer 12.51 name: ` / kA mv it
,VTt`w
Roof drain(commercial) 12.51
Address:
Sink/basin/lavatory ' 25.02 AS 02
City/State/ZIP: Solar units(potable water) 62.54
Phone:( ) /Fax::( ) Tub/shower/shower pan 12.51
E-mail: A� 5 �L.nik4N81N /�VA.4,00i c0 'tf\ Urinal 25.02
"AWater closet
4 .xi, �4` � � 4F,CEJ 11%.° 25.02
������ � � � "" � � � Water heater 37.52
Business name: 1T' 14LL PO Q)0�7
/_ Water piping/DWV 56.29
v
Address: P O ox ')-S' - �/ Other:
/� Q1 25.02
City/State/ZIP: V)tL600 u i LLc 1v ei T 0 Subtotal
Phone:(spy Igo 9N aio Fax:( ) (" Minimum permit fee: $72.50
CCB Lic.: Q 11261-1 �t O Plumbing Lic.no.:P13`4 li Plan review (25%of permit fee)
Authorized signature: /� / ��
State surcharge(12%of permit fee)
!��!/ 9c . TOTAL PERMIT FEE b''` ')(..%Print name: C De v� 0,A-mg Erz4 .,,,J Date:7- .�`a This permit application expires if a permit is not obtained within 180 days
ll after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
I:\Building\Permits\PLMJ-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:
- ) ' Permit
Site"Utilities Fee a Total QRS uare Footage `; Fee:"
Footing drain-1S`100'" 50.03 0 to 2,000 $121.90
37.52 2,001 to 3,600 $169.69
Footing drain-each additional 100' 3,601 to 7,200 $233.20
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 `
ditliitiol Permit' `e8: , .
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
Qty. Fee�a) Total each additional$100.00 or fraction thereof,to
Other Inspections r Fees and including$10,000.00.
Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the fust$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
each additional$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
P ' II
accurately report fixtures could result in increased sewer fees*. ., AeW foxr Plumbing fitstaliatios
Quantify by Fixture Type Plan review is required for any of the following.
Fixture Type for ' Replace/ Please check all that apply.
Work Performed: Capped Added Relocate ❑ Any new commercial building with water service 2"and
Baptistry/Font greater,except systems designed and stamped by licensed
Bath: -Tub/Shower engineer.
-Jacuzzi/Whirlpool 0 New exterior plumbing site utilities for any complex structure
Car Wash: -Each Stall as defined in OAR918-780-0040.
-Drive Thru 0 Medical gas and vacuum systems for health care facilities.
Cuspidor/Water Aspirator 0 Any multipurpose fire sprinkler system.
Dishwasher: -Commercial 0 Any complex structure as defined in OAR918-780-0040.
-Domestic
Drinking Fountain Submit 2 sets of plans with any of the above.
Eye Wash
Floor Drain/sink: -2"
-3.> - .,, I om ric or Riser ?lagrallC�: ,; a, ff
4"
0 Isometric or riser diagram is required for new buildings
-Car Wash Drain that meet the qualifications above.
Garbage -Domestic non-food
Disposal: -Domestic food related
-Commercial food related
-Industrial food related Comments regarding fixture work:
Ice Mach./Refrig.Drains
Oil Separator(Gas Station)
Rec.Vehicle Dump Station
Shower: -Gang
-Stall
Sink: -Lav/Bar non-food related
-Bradley
-Com/Serv/Util food related
-Service *Note: If the fixture work under this permit results in an
Swimming Pool Filter increase of sewer EDUs,a sewer permit will be issued and
Washer-Clothes fees assessed for the sewer increase must be paid before the
Water Extractor plumbing permit can be issued.
Water Closet-Toilet
Urinal
Other Fixtures:
I:\Building\Permits\PLMF PermitApp.doc 08/04/2011 2
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
7204 SW DURHAM RD 100, TIGARD, OR, 97224 February 26, 2018 at
11 :30:33 AM
Record Type: Record ID:
Commercial - Plumbing PLM2018-00032
Inspection Type: Inspector:
399 Plumbing final Aaron Cillo-Gobel
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor