Permit (89) CITY OF TIGARD PLUMBING PERMIT
1.. COMMUNITY DEVELOPMENT Permit#: PLM2018 00238
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/16/2018
J '� R°L g Parcel: 1 S 135CA01202
Jurisdiction: Tigard
Site address: 9910 SW NORTH DAKOTA ST 13
Project: Fir Terrace Apartments Subdivision: None Lot: None
Project Description: Replacing(2)tubs and valves in units 13 and 17 due to fire damage.
Contractor: OASIS PLUMBING INC Owner: F T A INC
11177 S ALLEN CT BY C&R REALTY
OREGON CITY, OR 97045 1440 SW TAYLOR ST
PORTLAND, OR 97205
PHONE: 503-351-0743 PHONE:
FAX: 503-212-0165
FEES
Quantity Description Date Amount
2 ea Tub/Shower/Shower Pan 05/16/2018 $25.02
Specifics: 1 12%State Surcharge- 05/16/2018 $8.70
Plumbing
Type of Use: MF 47 ea Minimum Fee Adjustment- 05/16/2018 $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 tain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. r'
Issued By: 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 completio on` fhheroject.
p J
Approved plans are required on the job site at the time of each inspectioyd.
Plumbing Permit Application
Building FixturesFOR OFFICE USE ONUI'
City of Tigard
Received
13125 SW Hall Blvd.,Tigard,OR 9722 J Date/By: w�
`4, „3,-/-,--
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JJ,!..
"nick Plan Review Permit N
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: Phone: 503.718.2439 Fax: 503.598.1960 Other Permit No.:&V/Di r )(i GDate/By:
Inspection Line: 503.639.4175 #AH
TIGARD 3a[e Ready/By: Juris: See Page 2SInternet www.tigard-or.gov Of �t�PS, (feet o (4r....6, SupplementallnformationC � �;' �I E OF WOHK IMG1j� F�� :SCHE)ULE�
LII-❑New construction ❑) ri olition For special information use checklist
Description Qty. I Ea. Total
Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
4.1'1. , = CATk0.4 9Y OF C4 ,k.,UCTI[ON, . SFR(1)bath 312.70
0 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
❑Accessory building [ Multi-family SFR(3)bath 500.32
Each additional bath/kitchen 25.02
0 Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2
''' JOB'All E INFO f TION; LOCATfON Site utilities:
Job site address: Cj f 10 5 tz 1i(-0+6 Cf, Catch basin or area drain 18.76
City/State/ZIP: ePo Y+ t 6..4‘..
„Q Drywell,leach line,or trench drain 18.76
"� Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: I Project name:
‘it +el�
- G{ /4
i°4t2
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
D "RIPlQ1Y OF ® ' 7- Backwater valve 12.51
. _' Clothes washer 25.02
R-'e.--vo(t�C� Vita 7 VCr(V 4. C K NNZ44f Dishwasher 25.02
1 ( 't / Drinking fountain 25.02
ci{GM VTr
PREi1Y e i TENAEjectors/sump
Expansion tank 25.02
12.51
'V Aa
. z/ mow.
Name: Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address:
Garbage disposal 25.02
City/State/ZIP: Hose bib 25.02
Phone:( ) Fax:( ) Ice maker 12.51
', ❑ )AC h" I7,- A t <. ON Interceptor/grease trap 25.02
Business name: Medical gas(value:$ ) Page 2
Primer 12.51
Contact name:
Roof drain(commercial) 12.51
Address: Sink/basin/lavatory 25.02
City/State/ZIP: Solar units(potable water) 62.54
Phone:( ) Fax: :( ) Tub/shower/shower pan Z 12.51 )..,.5-.1 J"
E-mail: Urinal 25.02
, Water closet 25.02
A wrNT' ' ..'° ;, . ,,,, , , , zW Water heater 37.52
Business name: Cs CZ%S ?1 V 1111 ,k 111AI.IA Water piping/DWV 56.29
Address: 1 I t -k'4 $ 41 te, C+- J Other: 25.02
City/State/ZIP: d VG�0 C, , 0 y7 O‘1%-)r- Subtotal as-,4).
Phone:(g"(yl 3 '�a� a 07t{� Fa :( ) Minimum permit fee: $72.50 7).5O
2 ` Plan review (25%of permit fee)
CCB Lic.: j‘i/j,,,-i �
Plumbing Lic.no.: t J (G
State surcharge(12%of permit fee) 70
Authorized signature: / TOTAL PERMIT FEE
Print name: ��' �� Date: /r(� �x$ This permit application expires if a permit is not obtained wit n days
J " / c G' after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
I:\Buildng\Permits\PLMU-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:
Site utilities, Qty. Fee eai TPtel .Square Footage Permit F e.
Footing drain-Pt 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 •
Storm&Rain Drain-1st 100' 62.54UaflOn' t'erm><t� a..,
$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 Qty. F ea) otal 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$100.00 or fraction thereof.
Subtotal:
Commercial Fixture Work:
Are you capping,adding or replacing fixtures? If"yes",
please indicate work performed by fixture. Failure to
accurately report fixtures could result in increased sewer fees*. an I rr 'for P bill Install$rtis
Quanti y by Fixture 3e Plan review is required for any of the following.
Fixture Type for ° , " Replace/ ' Please check all that apply.
Work,Performed: >r;a 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 aengineer.
-Jacuzzi/Whirlpool
Car Wash: -Each Stall ❑ New exterior plumbing site utilities for any complex structure
as defined in OAR918-780-0040.
-Drive Thru
0 Medical gas and vacuum systems for health care facilities.
Cuspidor/Water Aspirator
Dishwasher: Commercial
0 Any multipurpose fire sprinkler system.
Domestic 0 Any complex structure as defined in OAR918-780-0040.
Drinking Fountain
Eye Wash Submit 2 sets of plans with any of the above.
Floor Drain/sink: -2"
3" pet or:. gram,
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
Ice Mach./Refrig.Drains Comments regarding fixture work:
Oil Separator(Gas Station)
Rec.Vehicle Dump Station
Shower: -Gang
-Stall
Sink: -lav/Bar non-food related
-Bradley
-Com/Sery/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
Water Closet-Toilet plumbing permit can be issued.
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:
9910 SW NORTH DAKOTA ST 13, TIGARD,
OR, 97223
Record Type: Record ID:
Commercial - Plumbing PLM2018-00238
Inspection Type: Inspector:
399 Plumbing final Don Sylvester
Result:
PASS - NoCofO
Comments:
1 . Note: caulk around tub in unit #17
Violation Summary:
Inspector Contractor