Permit (155) CITY OF TIGARD PLUMBING PERMIT
- 2 COMMUNITY DEVELOPMENT Permit#: PLM2018-00037
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/29/2018
Parcel: 2S112DA01400
Jurisdiction: Tigard
Site address: 15350 SW SEQUOIA PKWY 300
Project: Spec Space Subdivision: 1996-048 PARTITION PLAT Lot: 2
Project Description: CAP(1)break room sink,RELOCATE(1)break room sink,ADD(1)island sink, (1)water heater and(1)hub drain
for water heater. No increase in sewer EDUs.
Contractor: BEAVERTON PLUMBING INC Owner: PACIFIC REALTY ASSOCIATES
13980 SW TV HWY ATTN: N PIVEN
BEAVERTON, OR 97005 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-643-7619 PHONE:
FAX: 503-643-7620
FEES
Quantity Description Date Amount
1 ea Fixture/Sewer Cap 01/24/2018 $25.02
Specifics: 1 ea Floor Drain/Floor Sink/Hub 01/24/2018 $25.02
2 ea Sink 01/24/2018
$50.04
Type of Use: COM 1 ea Water Heater 01/24/2018
Class of Work: ALT $37.52
1 12%State Surcharge- 01/24/2018 $16.51
Type of Const: Plumbing
Occupancy Grp:
Stories:
Total $154.11
Required Items and Reports(Conditions)
•
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature:
/ e7/V f- /et°9-770
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
gi From-Beaverton Plumbing 5036437620 "" - 01/22/2018 10:46 #375 P.002/003
Plumbing Permit Applicatiatii}F1w 0 x
Building Fixtures FOR OFFICE USE ONLY'
° � s) i i 9 Received �i
City o1'Tigard J A i.f 2 2 10 i u DateBy: //,,,7y. Za "-Permit No..pz,g }`,0`1037
• 13125 SW flail Blvd.,Tigard,OR 97223 Plan Review
-
Phone: 503.718.2439 Fax 503.5 910 ` l' r t 'i-',,-.-:,;4/„.--:', DateBy: Other Permit No.:
TIGARD Inspection Line: 503.639.4175 =';{ 1$ f1 i ' 3 r^ 1., Date Ready/By: lads li3 See Page 2 far
Internet: www.tigard-or.gov t" t'- Notified/Method: Supplemental Information
TYPE OF WORK :FEE* SCHEDULE ,
0 New construction n..,..._
of ition For special information use checklist
Description J Qty. J Ea. j Total
®Addition/alteration/replacement 0 Other: New I-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(I)bath 312.70
0 1-and 2-family dwelling ®Commercial/industrial
SFR(2)bath 437.78
SFR(3)bath 500.32
0 Accessory building ❑Multi-family Each additional bath/]itches 25.02
0 Master builder ❑Other: Fire sprinkler(.-_sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION. Site utilities:
Job site address:15350 SW SEQUOIA.PARKWAY,STE 300 Catch basin or area drain 18.76
Drywell,leach line,or trench drain 18.76
City/State/ZIP:PORTLAND,OREGON 97224
Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.:300 Project name:PAC TRSIST RREAKROOM RENO Manufactured home utilities - 50.03
Cross street/directions to job site: S PC-C. .-CA4-1.7- 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: Lot no.: Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12,51
Clothes washer 25.02_
SAFE OFF PLMB SERVING EXISTING BREAKROOM SINK,INSTALL PLMB Dishwasher 25,02
FOR NEW BR SINK AND NEW ISLAND SINK.BR SINK WILL HAVE HUB Drinking fountain 25.02
DRAIN UNDER SINK WITH EMAX W WHICH WILL ALSO SUPPLY ISLAND Ejectors/sump 25.02
0 PROPERTY OWNER 0 TENANT ;: Expansion tank 12.51
Fixture/sewer cap r 25.02
Name:
Floor drain/floor sink/hub 1 25.02 25.02
Address:
Garbage disposal 25.02
City/State/ZIP: Hose bib 25.02
Phone:( ) Fax:( ) Ice maker 12.51
0 APPLICANT l CONTACT PERSON Interceptor/grease trap 25.02
Business name:BEAVERTON PLUMBING INC Medical gas(value:$_ ) Page 2
Primer 12.51
Contact name:JACKIE STEWAR7'
Roof drain(commercial) 12.51
Address;13980 SW TUALATIN VALLEY HWY Sink/basin/lavatory 2 25.02 50.04
City/State/ZIP:BEAVERTON,OREGON 97005 Solar units(potable water) 62.54
Phone:(503)643-7619 X106 Fax::(503)643-7620 Tub/shower/shower pan 12.51
E-mail:jaekie@beavertouplumbing.com Urinal 25 02
Water closet 25.02
CONTRACTOR
Water heater 1 37.52 37.52
Business name:BEAVERTON PLUMBING INC Water piping/DWV 56.29
Address:13980 SW TUALATIN VALLEY HWY Other: 25.02
City/State/ZIP:BEAVERTON,OREGON 97005 Subtotal „.„1y218
Phone:(503)643-7619 X106 Fax:(503)643-7620 Minimum permit fee: $72.50 ('77,e7(//
Plan review (25%of permit fee) ,/
CCB Lie.:12889 Plumbing Lie.no.:34-4PB
State surcharge(12%of permit fee)
Authorized signatur l JZ GL TOTAL PERMIT FEE 12„p9---
Print name:Jacque``((t//ne""St__ewart I Date:01/16/2018 This permit application expires if a permit is not obtained within lgle days
after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry.Service Board1b2J //
I.`Building`Pennits`J'LMU•PermicApp don I0/0i/09 440-46161V 0,02/COM WEB)
it Prom:Beaverton Plumbing 5036437620 01/22/2018 10:46 #375 P.003/003
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Site:Utilities QtY• 'Fee(ea) Total Square Footage: Permit Fee:
Footing drain-15i 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' 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• Permit 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
Other Inspections or Fees QIY• Fee(ea) Total ' 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:
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 fors Plumbing Installations
Fixture Type for Replace/
Work Performed: Capped Added Relocate Plan review is required for any of the following.
Baptistry/Font Please check all that apply.
Bath Tub/Shower
0 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 0 New exterior plumbing site utilities for any complex structure
Cuspidor/Water Aspirator as defined in OAR918-780-0040.
Dishwasher -Commercial 0 Medical gas and vacuum systems for health care facilities.
-Domestic 0 Any multipurpose fire sprinkler system.
Drinking Fountain 0 Any complex structure as defined in OAR918-780-0040.
Eve Wash
Floor Drain/sink -2" Submit 2 sets of plans with any of the above.
-3,,
a„ Isometric or Riser Diagram
Car Wash Drain
Garbage Domestic-non-food
0 Isometric or riser diagram is required for new buildings
Disposal -Domestic-food related that meet the qualifications above, �/ /
-Commercial-food related Lvt r
-Industrial-food related .1/ l i
Ice Mach./Refrig.Drains "�
Oil Separator(Gas Station) Comments regarding fixture work: IN ` A5
Rec.Vehicle Dump Station 1 -4 Gallon E-Max water heater is to6
Shower -Gang _yt✓ �f
Stall supply breakroom and island sink with �
Sink/Lay -Non-food related I 1 1 hot water and will be located under the
-Bradley breakroom sink
-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: 1
http://www.tigar d-or.gov/document_center/Bu i t d i ng/PLM F_Petm i tApp.d S
�. From:Beaverton Plumbing 5036437620 01/22/2018 10:41 0375 P.001/003
EA 0fl]Wi!1N!ftK
13980 SW Tualatin Valley Hwy.
Beaverton OR 97005
503.643.7619
Fax 503.643.7620
CCB# 012889
January 22, 2018
Good Morning
Attached, please find our plumbing permit application for our project located at 15350 SW Sequoia Parkway,Ste 300—
Pac-Trust Breakroom
If you have any questions or concerns, please feel free to contact me at 503-643-7619 x106
Respectfully Submitted
Jacqueline Stewart
Commercial Operations
503-643-7619 x106
jackie@beavertonplumbing.com
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
15350 SW SEQUOIA PKWY 300, TIGARD,
OR, 97224
Record Type: Record ID:
Commercial - Plumbing PLM2018-00037
Inspection Type: Inspector:
399 Plumbing final Don Sylvester
Result:
PASS - NoCofO
Comments:
1 . Correction's are complete, plumbing final approved.
Violation Summary:
Inspector Contractor