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Permit (51) x CITY OF TIGARD PLUMBING PERMIT . }. COMMUNITY DEVELOPMENT Permit#: PLM2018-00069 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/27/2018 Parcel: 2S112AD01000 Jurisdiction: Tigard Site address: 7007 SW CARDINAL LN 185 Project: Horiba Instruments Subdivision: PACIFIC CORPORATE CENTER Lot: 1 Project Description: Plumbing fixtures for new tenant: ADD(1)2"floor drain,(1)garbage disposal,(1)hose bib,(1)non-food related sink,(1)water heater and(1)eye wash;REPLACE existing(1)dishwasher. Contractor: WESTERN PLUMBING Owner: PACIFIC REALTY ASSOCIATES LP 9460 SW TIGARD AVE SUITE 101 ATTN: N PIVEN TIGARD, OR 97223 15350 SW SEQUOIA PKWY#300 PORTLAND, OR 97224 PHONE: 503-639-5296 PHONE: FAX: 503-684-9015 FEES Quantity Description Date Amount 1 ea Dishwasher 02/23/2018 $25.02 Specifics: 1 ea Floor Drain/Floor Sink/Hub 02/23/2018 $25.02 ea Garbage Disposal 02/23/2018 $25.02 Type of Use: COM 1 ea Hose Bib 02/23/2018 $25.02 Class of Work: ALT T 1 ea Sink 02/23/2018 $25.02 ype of Const: 1 ea Water Heater 02/23/2018 $37.52 Occupancy Grp: Stories: 25 Misc Other Fee 02/23/2018 $25.02 1 12%State Surcharge- 02/23/2018 $22.52 Plumbing Total $210.16 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: l Permittee Signature: 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. e Plumbing Permit Applicata i nv clAVVII 11 Building Fixtures . Cityof Tigard Received ate/o : t ?dz /, Permit NA I iti-67%706 13125 SW Hall Blvd.,Tigard,OR 97221 B Gl1i Plan Review iZ2 n02O/L/ / �' Phone: 503,718.2439 Fax: 503.598.1960 t` t Date/gy_ Other Permit N O (� inspection Line: 503.639.4175 .;1~,' t r t. 1170 8 Date Ready/By: �L June ® See Page 2 for (lt,A,ltI) �- , - Internet: www.tigard-or.gov i,.�� \ nivisiONNotifiedJMethod: /7�e//�L7Y Supplemental Information TYPE a' c ,;, , &- '/I-- '.25,/1,749" kg1 *S., ll DU E 0 New construction 0 Demolition For special information use checklist. Description I Qty. I Ea. I Total Addition/alteration/replacement I Q Other: , New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF'CONSTRUCTION SFR(1)bath 312.70437 0 I-and 2-family dwelling V Commercial/industrial SFR(2)bath .78 I Z SFR(3)bath 500.32 Accessory building 0 Multi-family Each additional bath/kitchen 25.02 []Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB-WE INFORMATION ANS LOCATION Site utilities: Job site address:NAW"} ) e0L4cLi Y1JdCatch basin or area drain 18.76 Drywall,leach line,or trench drain 18.76 .c1 City/State%ZIP: ‘ � Footing drain(no.linear ft.: ) Page 2 � + O� Q` ti I Suite/bldg./apt.no.: Q� 1 Project name: i 1,15 1JiifgtJ-S' Manufactured home utilities 50.03 I. 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: Lot no.: Fixture or item: . Tax neap/parcel no.: Backflow preventer 31.27 DESCiI1PTI©N •O AOR Backwater valve 12.51 ,, p Clothes washer 25.02 r�{C\K1X RSZYY QX Dishwasher % V 25.02 (ZOO, Drinking fountain 25.02 Ejectors/sump 25.02 [;] PROPERTY OWNER Q TENANT Expansion tank 12.51 Fixture/sewer cap 25.02 Name: Floor drain/tloor sink/hub X I/ 25.02 S(y-). Address: I Garbage disposal ` t/ 25.02 ocb� City/State/ZIP: • Hose bib \ V 25.02 a'j,p2 i Phone:( ) Fax:( ) lee maker 12.51 N APPLICANT Q CONTACT PERSON Interceptor/grease trap 25.02 Business name: a rp,'/ 11 fa I c Medical gas(value:$ ) Page 2 1 Primer 12.51 Contact name: Roof drain(commercial) 12.51 Address: p�J } 4rsk.,..„,,,,,,,,,,, I Sink/basin/lavatory ` ✓ 25.02 j,(�`Z'� City/State/ZiP: 14-61. Solar units(potable water) 62.54 Phone: '• .-61.I O f Fa_x::( ) 'l'uh/shower/shower pan 12.51 UrF-mail: (�.I%\,, tt ,Qs�a'YI Gti.c�ibn yYie, cow) l 25.02 CONGTOR / Water closet / 25.02 •/ Water heater ' ✓ 37.52 3-4,521 Business name:Western Plumbing,Inc. Water piping/DWV 56.29 r Address:9460 SW Tigard Street,Suite 101 OtherNe Lash I ✓ 25.02 0,p'1. City/State/ZiP:Tigard,OR 97223 Subtotal 1 A r(4 Phone:(503)639-5296 Fax:( ) Minimum permit fee: $72.50 ✓ Plan review (25%of permit fee) / I CCB Lie.:2439 Plumbing Lic.no.:3429PB• State surcharge(12%ofpermit fee) It2Q,5). Authorized signature: A//,�?� (j TOTAL PERMIT FEE cob I0 iz Print name: )� r s� C1r)� Date: i,06//g This permit application expires if a permit is not obtained within 18(1 days after it has been accepted as complete. "Fee methodology set by Tri-County Building Industry Service Board. I`.Building`•Permits\PI.MU-PermitApp.doc 10/01/09 440.46161(I0/02/COM,/WEB) Plumbing Permit Application - City of Tigard Page 2-Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. - re:tet) .r Total Sguar e'Footage: . Permitted Footing drain-l''100' 50.03 0 to 2.000 $121.90 I . 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-Ist 100' 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52V& `i` Permit, , d 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 Flit(ea} Total each additional$100.00 or fraction thereof to Other Inspections.or Fees 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-112 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 PianIteyiew for Plumbing Installations Fixture Type for Replace/ Plan review is required for any of the following. Work Performed: Cupped Added Relocate Please check all that apply. Baptistrv/Font 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 4ny edical gas and vacuum systems for health care facilities. -Domestic " ) multipurpose tire sprinkler system. Drinking Fountain oany complex structure as defined in OAR918-780-0040, Eye Wash Floor Drain/sink -2" % r/ Submit 2 sets of plans with any of the above. -3" -4.. Car Wash Drain - Isinttett'jc,or ser iagram Garbage Domestic-non-Brod 0 Isometric or riser diagram is required for new buildings Disposal -Domestic-food related (a;;h( sty that meet the qualifications above. -Commercial-food related Al or' (vif472e SA it..e---- -industrial-food related Ice MachJRefrig.Drains f O �`� C/ �� S'7 2-/ 1, Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station / i G .46//"N"1 E52 j CS -72 CT._ Shower -Gang / O " .� -Stall CC /72�"t //1/ ,cz7,itt. Sink/I.av -Non-food related k k/ 'f/✓&-�1 ` 'AX7zt�, r '' ' -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: ( p kaagh \ il http://www.tigard-or.gov/document_center/Bu i l d i ng/PLM F_Perm i tApp.dry City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 7007 SW CARDINAL LN 185, TIGARD, OR, 97224 Record Type: Record ID: Commercial - Plumbing PLM2018-00069 Inspection Type: Inspector: 399 Plumbing final Don Sylvester Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor