Permit (96) PLUMBING PERMIT
CITY OF TIGARD Permit#: PLM2018-00052
;a'. COMMUNITY DEVELOPMENT Date Issued: 02/14/2018
T 1G A 1 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S112AD00500
Jurisdiction: Tigard
Site address: 14650 SW 72ND AVE None Lot: None
Project: Rogers Machinery
Subdivision:
Project Description: Interior plumbing:Capping(1)
hoer.stall and(1)sink;Adding(4)water closets and(3)urinals;Replacing(1)
sink,(1)Bradley,and(1)water
Owner: ROGERS MACHINERY CO INC
Contractor: CALIBER PLUMBING&MECHANICAL INC 4
23029
10940 SW BARNES RD#114 PO PORTLAND,gOX BOX0 29OR 97281
PORTLAND, OR 97225
PHONE:
PHONE: 971-563-1672
FAX:
FEES
Quantity Description
Date Amount
2 ea Fixture/Sewer Cap 02/08/2018 $50.04
2 ea Sink 02/08/2018 $50.04
Specifics:
3 ea Urinal 02/08/2018 $75.06
5 ea Water Closet 02/08/2018 $125.10
Type of Use: COM o
Class of Work: ALT 1 12%State Surcharge 02/08/2018 $36.03
Plumbing
Type of Const:
Occupancy Grp:
Stories:
Total $336.27
Required Items and Reports(Conditions)
Thiscipal
de,
of OR.
d all
er
l permit is issued All work subjectwill be donehe ing regulations
ntwith din the Tigard approved plans. This perrmitCwill expire if work isnotSpecialty tarted w thin n1180 daysoapf
issuance,
e, law.
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.
Permittee Signature: C7/. 1� ��/A JC//:.,jIssued By: , //
/2
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 Application
Building Fixtures . FOR OFFICE USE oNLl'
City of Tigard Received
Date/By: Permit No.: /� �j,1 ry,_ J
.11111111
13125 SW Hall Blvd.,Tigard,OR 9722, y 7 i /_% )477 /jj -�
_ Phone: 503.718.2439 Fax: 503.598.1960 z,,.i.' Plan Review
56
Inspection Line: 503.639.4175 e -�4 Date/By: Other Permit No.:(� if f/ j l
I I( ARD p r t Ready/By: t'xage 6Q
Internet: www.tigard-or.gov 1 pateJuris: See Pagefor
fi .Nobfied/Method: -Mei I Supplemental Information
TYPE OF WORK CVO kik Slii .x `FEE* SCHEDULE ,
4b :, ,', - For special information use checklist
0 New construction 11 D
Description I Qty. I Ea. I Total
Addition/alteration/replacement
0 Other:
4 w _
New 1-2-family dwellings(includes 100 ft.for each utility connection)' ` ',. CATEGORY OF;£ONS''111NUCTION. x SFR(1)bath I I 312.70
❑ 1-and 2-family dwelling IN 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
❑Other:
Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND �L CAT#ON
Site utilities:
Job site address: (z)S .) \.„.3 --1,‘-.2: 11D U Catch basin or area drain 18.76
City/State/ZIP: 7 , G PTZSM' Ql� 9-1 -2:22--\ Drywell,leach line,or trench drain 18.76
Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: I Project name:
4 ) fil Az:...4 17 Manufactured home utilities 50.03
Cross street/directions to job site: Manholes
18.76
�n''` �,P -77..."'"° 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/parcelno.ZS X X2-p�-- dQSO'D-• cnOSD1 Backflow preventer 31.27
{, r >s *# iit "`ES�CRII "I6N o 1�V a Di{ - " " .": Backwater valve 12.51
�r S4c72Q,z Clothes washer 25.02
V , 1 Qom'--' Dishwasher
25.02
Drinking fountain 25.02
' , PR Pggry two EIt A '� .
Ejectors/sump 25.02
"" = ' KK " ❑-,TiNANT�-Am 1 A Ai" Expansion tank 12.51
Name: c2A�\„ .NI 1��` Fixture/sewer cap 25.02
tt� �;;�
Address: t� Ag '4271#s‘. 1
Floor gedrdisposal/floor sink/hub 25.02
City/State/ZIP: Garbage 25 02
Hose bib 25.02
Phone:5Q3)`-.1"Z.C3-- -2_3;2,% Fax:( ) Ice maker
I ICANT 5 : 12.51
a. r ,. x t 5❑ CONI ACT J'E SON= . '. .' Interceptor/grease trap 25.02
Business name: 3R,(t. t VR,: ,._, � ��� Medical gas(value:$ ) Page 2
Contact name: �� 162`xN� Primer 12.51
Address: 14
(5 0 c 2 U �v Roof drain(commercial) 12.51
Sink/basin/lavatory 25.02 i'
City/State/ZIP: T G c rZ� CA Z2 t� �L1,t.
3)1�Z..Cr' � �� � Solar units(potable water) 62.54
Phone: O Z(a b I Fax::( ) Tub/shower/shower pan 12.51
E-mail: �2Aw�C. W IFfZ\n�G®(�-l•A '� �; Urinal 3 25.02
7
z ', '. .� CON'I'RAC1f'oJ Water closet 5„ 25.02 t L�
Business name: �` '" Water heater 37.52
/t 6 ',E�v,io,pv v`/` .,,,,, . Water piping/DWV 56.29
Address: 67 033 .(U AlA /_.t*le-- 1 i.-. ,-44, t cr1^:f'G .360 other: 25.02
City/State/ZIP: ,pv Y `ctip ei-29) 7 Subtotal
Phone:(17t1) 67:.-, -_ Fax: *;",&1). �
) �,7,j ( ) Minimum permit fee: $72.50
CCB Lic.: V its- Plumbing Lic.no.: fiyi 4,5� Plan review (25%of permit fee)
Authorized signaturve: �` State surcharge(12%of permit fee) + 3 0 3
rr1� -�-' TOTAL PERMIT FE 7
Print name: \ Thispermit application `
���c����L,��- I Date: �,`�) /� pp'cation expires if a permit is not obtained within 180 days
i after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
I:\Building\Permits\PLMO-PemiltApp.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:
Square footage: - 'cr tit Fee: ,
Site Utilities r.Fee(ee) ° �,;Total
50.03 0 to 2,000 $121.90
Footing drain-l'100' 2,001 to 3,600 $169.69
Footing drain-each additional 100' 37.52 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 Valuation: _ Permjt Fee: , ,
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
each additional$100.00 or fraction thereof,to
Other`Inspections or Fees '.
QtY Feel") 'otal'," 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.
$50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for
Additional plan review for revisions 90.00/hr 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 .,.
accurately report fixtures could result in increased sewer fees*. - _:Plan Review for Plumbing Installations
Quantity by Fixture Type Plan review is required for any of the following.
Fixture Type forReplace/ Please check all that apply.
Work Performed: Capped Added ' Relocate 0 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" Isometric.Or Riser iagrajn
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 ___1
--
Sink: -Lav/Bar non-food related i" _ i
-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 I� ,
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:
14650 SW 72ND AVE, TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Plumbing PLM2018-00052
Inspection Type: Inspector:
399 Plumbing final Don Sylvester
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor