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Permit (173) CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT Permit#: PLM2018-00079 R TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/22/2018 Parcel: 1 S136CD01000 Jurisdiction: Tigard Site address: 11745 SW PACIFIC HWY 100 Project: 4 Wheel Parts Subdivision: None Lot: None Project Description: Plumbing fixture work for TI for new tenant: ADD(1)drinking fountain, (2)3"floor drains,(2)lays,(1)utility sink, (2) water closets and(1)water heater. Contractor: ICON PLUMBING LLC Owner: MONAGHAN FARMS, INC 1415 WISTERIA RD 1950 E PRETICE AVE, STE 101 WEST LINN, OR 97068 GREENWOOD VILLAGE, CO 80111 PHONE: 503-539-4151 PHONE: FAX: FEES Quantity Description Date Amount 1 ea Drinking Fountain 03/22/2018 $25.02 Specifics: 2 ea Floor Drain/Floor Sink/Hub 03/22/2018 $50.04 1 ea Sink 03/22/2018 $25.02 Type of Use: COM 2 ea Lavatories 03/22/2018 $50.04 Class of Work: ALT 2 ea Water Closet 03/22/2018 $50.04 Type of Const: 1 ea Water Heater 03/22/2018 $37.52 Occupancy Grp: 1 12%State Surcharge- 03/22/2018 $28.52 Stories: Plumbing Total $266.20 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature::/):7 - ,C/ /''4.i r�}-T>c�.�0 Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. le , :. Plumbing Permit Application RE(,E1VF . . Building Fixtures .. . . - USE . ,i'OR 4011:14,.1,.. (ENI.‘ City of TigardMAR 201(i R.,,,,,,d g,..2 ,-..... rz . 2 2 I,. nateitiv. .2 ,..z.. /or- f Permit Ni. , t / .-eep ' .41 1312'5 SW(lull Blvd.,'figarl OR 97'13 111 i w 503 , *:.. '" _ ---c,r,41-% - -,. - .. Plan ReVieW (Sher Pepuld7reei/,_,7,94.4---19#1,6 0, , . Phone: .71$.2439 lax: s03 598 Pitpt 1 1/() ru ,i 7,-;.,f, ... . ...... '. . ... ., ..„. A A kg,1,g, ,att,,pc, -......, Inspection hine. 503.639.4175 , lila es ,, Date Snatlyy: how, PI Sae Pap 2.for ) Internet, www,tigard-or.gov 5u fLp III u- .r'''1 c, .'-i‘titnrirSitthod, Sup =mental information '': ",.",' -'''' '',N ''4:, '''- .,''''':. ::-.'''', 4 :,,` '4:*WORK -k,,''., ..tr -.4 ' ".•:' 4 . ,,,,,v, ,-,1 liul, f,,a.: 'Op--,,,,,r -„efF, ,,.011*k`.',g'' .,'II t;l")LT'gr,",-1,114' V-,'-',,,','-'-'47F ',"'''A" 0 rx,„,,,ir*""11111M4014 For s,.cial ihirrination use checklist. 0 NCAV construction ' e7,..:24. f, ., ‘, Descri ion IIEMMINEElliallnall 8,A dditionialterationireplacement 0°the "'" New I,2-family dwellings(includes I Ott ft,fin each utility eonitectkin) .,, ,, ,, „... , , limistmonimmium 112 7) aim , ....„.,„! ....,,, ,...--,'' "'.,"'" 11' '-',"6,,:', :'I ''''":" ''' PrIT''3"1-"T '1"4W ' ' 41'''IP"H''''''''' '''''''' Ad' ''' .. ' ' '—'1' '''''' '''''' IMEMEMIN11.111111111111111111=3.1111111. 0 and 2-family d I^ welling Co *1 mmerciallinthistrial . 11111111ganlian bt tiding 0 AccessoryI. ' 0 Multi-family SFR(3)bath - Each additional hada itchen 25.02 , 0 Master builder 0 Other Fire sprinkler( sq.fl,) Page 2 JOH03Tit't i.oft0ektiON,Al$1),!;(1t2ATIONj' -'1'', '"' ., Site ttillitits: Catch Itrtin or area drain I 76 k , - Job site address:\I-1_4.1.5 sw eeic,c-fic.....RLAA.10- - , Drywell.leach line.or trend,drain 18 76 City/State/LW: 1 1 0 c.x...--ck, 0.9... ot .2_,3 ........ ....... Footing dram no.linear 0.' ) Page 2 Suite/1)14,Mo.no: kap Project name' 4. wv,,,,„....ti 1),0,...1/41-s Manufactured home utilities 50.0.; ("Foss strcetidirections to job site: Manholes 1111110111112111111111111 i Rain drain connector IS 76 Sanirmy sewer(no linear R.. ) Page 2 .. Storm sewer(no.linear tt. ) Page 2 . .. Water service no linear It.. ) Page 2 Subdivision: 01,IUIIIIIIIIIIIIIIII Fixture or item; Back floss;preventer 3(.27 Fax nm/parcel no.: (2,51 25 02 . 0 4" IA 46 2-ta-1-4 1 1 ......... AA .- -,....--...-.....— Dis isms ter 25.02 2-f-u.trpr-cL,ricA-L4,-,s .1 \ 4)/14) ctr-c4- I Drinking fountain s .....„ - 0' '' Ct, - .11 ± --) .. \ Vs-Lp- .4 , ‘• . f , Eteetorsisunm 25.02 ' i,),,,,:tow. $1041,„r 7%,,„ 1.,„ ....f, 1. p NalveL11,&:_w• 0 4. , tr„,,.4.15, ,- -------- ri bo. L-kVyVN-e-r-t 111. .112")11111 * Floor drionifloor sink/hub "5 07 ddress: 4...V0.0 94 , fl1/41.4.,esAr-A„12,1 VC-A (Jarbar,e disposal CityiStniefZIP: ..,.., ea.....,040,44,, CA a. look 0 Hose bib 25.02 Phone'(.610) C‘00--.5 SOC) IZIIIIIIIIIIIIIIIIIM Icern' uker (2.51 T 't-T-4,F, ,,,,,---ON ,-:, ., 1114'reePlor/llrease` trap 25,02 B . usiness name- Medical gas(value'$ ) s Page- lib I ' "-.... Contact name: %yap. ' gm IPIIMIIIIBMIIIIIIIIII Roof dram(commercial) Address: 1...1.1 A, ' A ,ct t, 1/.4 SlajbaSntlAlVatOrY 111PAIIIIIIIIIIIMNII cityis...el-zip: w....„„4„.L.,11„, , . - . .. Solar units(potable water) 1111111.2011111111.1 )'-- -- lik # ' ME l'hone:(WI) 5%9— 1St Fax: ( ------) lob/shower/shower pan ..__ _ - A Urinal ,___Iiimmisin I/-mail' Cr-9,r1P1: -.01-4'2'err 0"*-C .--.11 'C-1°)N-N IMME311111111111111111111011113121.111111 Water , i... 37 52 Businesstaine: LCC , ?I.1/4,...r-,E;,...r.s,, 1.--1-C Water 11PiPalall)WV 56 29 11 11111 , Other --t .•-•‘ .. ...,,,,.... ., .c„&s,,,,a_______.___ ________ _ __... . City/State/ZIP:vc4 tr.inr-N.,),..), si t„ CA .,."91)keg ,.., an Subtotal25()2 ______ it....., . ' Minimum pennit fee: $72.50 i Phone:sr.) ) 5 -_ s 1.,.ax:(----.) , 1 _ Plan review (25%of permit fee) (,'CITI,ie.: .linii.„„I„....3 Plumbing Lie.no,:P a'1 SSG State surcharge(12%of permit fee) Authorized signature.: / 7-1.-",___.- ,-. TOTAL PERMII"HI,. IIII /2:2„/•g This permit application expires if a permit is mit obtained within 180 days I ' —7 f) Print name: ,,,t,„ 4 ate:3 i aur it has been aceepted as complete. *fee riwthadalogy tee by Tri-County fluilding tndwiiy Scrtice Board. 1 Putt Sr Vu wor.vrt NIL-K,:rmaApp do, moi.V9 440.461 e.,1t I Alla(ONVWFB I /9/t‘1",7-6-"C1 7: //017'7,96e72--- .1 /. ff/ 6 b ?.., d1-7 3, "h• /-4,,,,,,.i;a,i,a.-7 6,-. ./..i-J/0 - Plumbing Permit Application - City of Tigard Page 2-Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Square Footage; .$0,001.**Miga Footing drain-I"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 $23320 Sewer-1st 100' 62 54 7,201 and areater $327,54 Sewer-each additional 100' 37 52 Water Service-1st 100' 62.54 Medical Gas Systems: Water Service,each additional 100' 37,52 fkiY*14,0001141112051ell' Storm&Rain Dram-1st 100' 62,54 $1 00 to$5,000.00 Minimum lee$72.50 Storm&Rain Drain-each additional IOU' 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 thereot1 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 tee is specifically indicated 90.00/hr each additional$10000 or fraction thereof,to (minimum charge-112 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/fir and including$50,000.00. Additional plan review for revisions 90.00/1w $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 aceuratel report fixtures could result in increased sewer fees*. Plan Review for Plumbing Installations Quandt,by Ninny Type Plan review is required for any of the following. ltgbkilfrfaY0tar Please check all that apply. Cupd - -"led 0 Any new commercial building with water service 2"and Baptistr /Font greater,except systems designed and stamped by licensed Bath: :rub/Shower engineer. -.Neu:at/Whirlpool 0New 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" istinvwc; 17,„-- 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 lee Mach./Retri* Drains Comments regarding fixture work: Oil Separator(Gas Station) Rec,Vehicle Dump Station Shower: -Gang -Stall Sink: -Lavalar non-food related 3 -Bradley -Com/Servithil food related -Service *Note: li 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 Water Closet Toilet plumbing permit can be issued. thinal Other Fixtures: BuildingWermits\PLIM F_PermitApp.doc 08/04/2011 Plumbing Permit Applicatilir C,• • Building Fixtures FEB QQ �p p t� FOR OFFICE USE ONLY City of Tigard i C 2 O LU iii Received 13125 SW Hall Blvd.,Tigard,OR 972 Date/By: r-3 c/�' Permit No,4_/,2Q� CfCjC, Phone: 503.718.2439 Fax: 503. 1 6 h illi Plan Review Inspection Line: 503.639.4175 �4.€_ Date/By: Other Permit�lo-) T1v AItt� �S aGc(lJf Df D Internet www.tigard-or.gov BUIL DIN G k i +' S (E\ Date Ready/By: Juns ', „r r d DIA a s..' �� /. See Page l for 4, � � Nohfied/Me[ho 1/ "� + "�. � 44' w •)'�� O� WORK"��: *4'''''° �;#,. : � ,�,,�: ,� � a�� � i . _ ,� Supplemental Information , 3 i ��,..„ ��� ' KL..-:�, ` ��� . FEE*�SC$EDI3Lt_q 1... 1 4 ❑New construction ❑Demolition For special information use checklist ❑Addition/alteration/replacement Description ®Other. Renovation I Qty. I Ea. I Total New 1-2-family dwellings(includes 100 ft.for each utility connection) Itk W "" 'CATEGORYOF COINSTRUCTION`" 4 4 e , '`t` w;; SFR(1)bath 312.70 El 1-and 2-family dwelling ®Commercial/industrial SFR(2)bath 437.78 0 Accessory building ❑Multi-family SFR(3)bath 500.32 c ' 0 Master builder Each additional bath/kitchen 25.02 0 Other: = Fire sprinkler( sq.ft.) Page 2 :JOB SITE'INFORMATION AND LOCATION ' " " Site utilities: Job site address: 1 1 745 SW Pacific Hwy Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 t� City/State/ZIP: Tigard, OR 97223 Suite/bldg./apt.no.: 100 I Project name: 4 Wheel Parts Footing drain(no.linear ft.: ) Page 2 �J Manufact Cross street/directions to job site: Just north of Beaverton Tigard Parkway Manholesured home utilities 18.76 on the north side of Pacific Highway Rain18.76 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 I Lot no.: Fixture or item: Tax map/parcel no Backflow preventer ✓1 31.27 31.27 wA a " „ ' : ""`-"DESCRIPTION= `4' * Backwater valve AWO r t r a 12.51 Minor Modifications, including new restrooms/office core, new Clothesshwherwasher 25.02 door openings, and exterior painting. Existing ceiling to be Dishwasher 25.02 removed and opened to deck,sprinkler heads raised. Drinking fountain V 1 25.02 25.02 ��'-'11 � , :t ;,. " Ejectors/sump TX OWNER25.02 Q PROP R „i , Expansion tank 12.51 Name: TAP Worldwide LLC d/b/a 4 Wheel Pars Fixture/sewer cap ,-/ 1 25.02 25.02 Floor drain/floor sink/hub d 4 25.02 100.08 Address: 400 W. Artesia Blvd City/State/ZIP: Compton, CA 92656 Garbage disposal 25.02 Phone:(310)900-5500 Hose bib 25.02 Fax'( ) Ice maker AP [� I?i I`AN * 12.51 , w ', Ill CONTACT PERSON Interceptor/grease trap 25.02 Business name: Oxford Architecture Medical gas(value:$ ) Page 2 Contact name: Brett Greene Primer 12.51 Address: 1205 Paris Ave, Suite 205 Roof drain(commercial) S ,z- 12.51 City/State/ZIP: Nashville, TN 37212 Sink/basin/lavatory ; 1,1'7/3 25.02 50.04 Solar units(potable water) 62.54 Phone:(615)256-3455 x 18 Fax::( ) Tub/shower/shower pan 12.51 E-mail: brett@oxfordarchitecture.com Urinal r ,,.;, 25.02 „t zr. , xA, u „CONTRACTOR. ' 4,. ,` x4 "` Water closet .�- ,✓2 25.02 50.04 Business name: To be determined A' A Water heater V 2 37.52 75.04 Address: Water piping/DWV 1 56.29 56.29 Other: 25.02 City/State/ZIP: Subtotal 412.80 ( ) Minimum permit fee: $72.50 Phone:( ) Fax: CCB Lic.: Plumbing Lic.no.: Plan review (25%of permit fee) 1-e3.2. Authorized signature: State surcharge(12%of permit fee) 49.54 TOTAL PERMIT FEE 564.74 Print name: I Date: I This permit applicaafliteorn itexhpaisrbeseeifn aacpceerpmteitd isasncoot mobptlaeitnee.d within 180 days *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) A J • Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: 'Site-Utilities;,) Ax 1". '1.3 -Qty Fee(ea),- -Total , $. SquareFootage.#rx, P± ><,(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' 62.54 3,601 to 7,200 $233.20 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Water Service-each additional 100' 37.52 Medical Gas Systems: , Storm&Rain Drain-1st 100' 62.54 ' lllatlpnel'Illit Pee. fir, Storm&Rain Drain-each additional 100' $1.00 to$5,000.00 Minimum fee$72.50 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for ther�Inspectit�ns'`fjr trees . 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 (minimum charge-1/2 hour) each additional$100.00 or fraction thereof,to Inspections outside of normal business 90.00/hr and including$25,000.00. $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*. Fixture Type for Quantity by Fixture Typecd g' �Plan'Rcview for'PlumbingvInstallations; ,, n`tt Work Performed: Capped� Added Re lo, 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 ® Any multipurpose fire sprinkler system. Drinking Fountain 1 / 0 Any complex structure as defined in OAR918-780-0040. Eye Wash Floor Drain/sink -2" 2 / Submit 2 sets of plans with any of the above. 1 ✓ 2 Car Wash Drain .' IS011etriC tfr:Riselr I�iagrarn" - 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 -Industrial-food related Ice Mach./Refrig.Drains Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower Gang Adding new restrooms, drinking fountain, utility sink. Stall Capping existing sere ce sink Sink/Lav -Non-food related 3 ,/ (a.) ti-vJ (i) Ur/Li ��r r Li �+i�/(. Bradley / �v -Commercial-food related -Service Swimming Pool Filter Washer-Clothes *Note: If the fixture work under this permit results in an Water Extractor increase of sewer EDUs,a sewer permit will be issued and WWater ter Closet-Toilet 2 fees assessed for the sewer increase must be paid before the plumbing permit can be issued. Other Fixtures: C:\Users\Brett.WJ6NKL02\Downloads\PLMF_PennitApp.doc 2 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 11745 SW PACIFIC HWY 100, TIGARD, April 27, 2018 at 11 :35:03 AM OR, 97223 Record Type: Record ID: Commercial - Plumbing PLM2018-00079 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor