Permit (73) CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2018-00237
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/23/2018
Parcel: 2S 110AA01200
Jurisdiction: Tigard
Site address: 14300 SW PACIFIC HWY
Project: Spec Space Subdivision: CANTERBURY PLACE,AMENDED Lot: 8
Project Description: CAP(8)sinks,ADD(1)sink,and relocating water heater.
Contractor: FOSTER PLUMBING INC Owner: JAW INVESTMENT LLC
10100 SW EVERGREEN CT 14300 SW PACIFIC HWY
WILSONVILLE, OR 97070 TIGARD, OR 97224
PHONE: 503-951-2050 PHONE:
FAX: 503-482-5310
FEES
Quantity Description Date Amount
8 ea Fixture/Sewer Cap 05/21/2018 $200.16
Specifics: 1 ea Sink 05/21/2018 $25.02
1 ea Water Heater 05/21/2018 $37.52
Type of Use: COM 1 12%State Surcharge- 05/21/2018 $31.52
Class of Work: ALT Plumbing
Type of Const:
Occupancy Grp:
Stories:
Total $294.22
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:
4.--)
Permittee Signature: 6:r/tl 'T l/ /�‘ /e1-770"/
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. J
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 Applicatio> ECEi IVE
Building Fixtures b()k OF1,I(;L (.Sl. UNI.),
INCity of Tigard MAY 14 2013 Received ,;n d,y )� f� /��}
a 13125 SW Hall Blvd.,Tigard,OR 97 Date/By: �� Permit NY`Lr% l�O (J//
S Phone: 503.718.2439 Fax 503.591OF i �( Plan Review (!
T1 GA RI� Date/By: Other Permit ���..-er/e
Inspection 503639.4175ru,s.
See Page forT1C,A3 BUILDING niYIJoNAateReady/By:Internet www.tigard-or.gov
Notified/Method: Supplemental
Information
1 or woi
New constructionFor
❑Demolition special information use checklist
Description I Qty. I Ea. f Total
Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY Or CONSTRUCTION 3 SFR(1)bath 312.70
❑ 1-and 2-family dwelling Commercial/industrial SFR(2)bath 437.78
❑Accessory building SFR(3)bath 500.32
❑Multi-family
0 Master builder
Each additional bath/kitchen 25.02
0 Other Fire sprinkler( sq.ft.) Page 2
JOBS SITll 'IN O MA*N MU LOCATION Site utilities:
5 )
Job site address: /9300 1.r c L4.W Catch basin or area dram 18.76
City/State/ZIP: I -X e,;4 lu(, C/ I' t Drywell,leach line,or trench drain 18.76
t)` Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: I Project name: ,54---,c-_-
si4,9"C.,&-7-- 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 It: ) Page 2
Water service(no.linear ft.:_) Page 2
Subdivision: I Lot no.: Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION O WORk Backwater valve 12.51
1.
/ Clothes washer 25.02
CC'Q q' -t W\(�? •�'•nj ,4. 4.)k.64. (ref(' Dishwasher 25.02
V 1 i D bk, , +- ,i,.-•,, 0e lei K, /;"} I.5 Drinking fountain 25.02
111/19V-1/1 cw t? 0 dy`'-f--r Pl -it-r Ejectors/sump 25.02
0 JROPERTY O% 'IER d"T}'•'Ni,isr`.:, Expansion tank
� `t 12.51
Name: Fixture/sewer cap c6 25.02 .,2_0 , I 1
Address: Floor drain/floor sink/hub 25.02
Garbage disposal 25.02
City/State/ZIP:
Hose bib 25.02
Phone:( ) Fax:( ) Ice maker
12.51
0 APPLIC it C]="cONTAcr PERSON Interceptor/grease trap 25.02
Business name: Medical gas(value:$ ) Page 2
Contact name: Primer 12.51
Roof drain(commercial) 12.51
Address:
Sink/basin/lavatory { 25.02 25,-0 ,.
City/State/ZIP: Solar units(potable water) 62.54
Phone:( ) fax::( ) Tub/shower/shower pan 12.51
E-mail: Urinal 25.02
CONT CTult Water closet 25.02
�� "w' i Water heater ' ' r
y t 37.52
Business name: i.05, ( P/(� ./0i n) ! J•�-
P Water piping/DW V 56.29
Address: t 0(0 0 $(J Ey , t f,/! t Of. Other: 25.02
f/`� i
City/State/ZIP: C 5,0-7,/rev!it f„.. OU` 9.-7 �( (9 Subtotal `2. �2,, 4,•Phone:60-5) 9$ /-c¢6"5 :2 Fax: i l vv_.- `3/ Minimum permit fee: $72.50
CCB Lie.: je. 5-1 3 Plumbing Lie.no.: (6/5- PIan review (25%of permit fee)
State surcharge(12%ofpermit fee) 3/, Sc?_
Authorized signature: i� sem.-
�f G'" jJJJ TOTAL PERMIT FEE ,29r; e2
Print name: fhb,f Date: $ /fj!//C/® This permit application expires if a permit is not obtained within 180 days
;,,7` Y after it has been acceptedas complete.
*Fee methodology set by Tri-County:Building Industry Service Board.
I.\Building\Permits\PLMU-PermitApp.dcw 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:
bite I1 bes .' x .isa)p rel ': Squaw T ootage: Per it , ee�
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
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
t
aluatl<p1ri . .<', 'ermrlle: _ ` ,
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
P 2a TSU each additional$100.00 or fraction thereof;to
Other Ilnspect>ttlnks o l"� . 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
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*.
Quantityby Fixture Type 'Plan ieview:for Piun bing Installations
Flactarc TY�rr forRap�ccl Plan review is required for any of the following.
Work Performed: Capped; Added Relocate Please check all that apply.
Baptistry/Font
Bath. -Tub/Shower 0 Any new commercial building with water service 2"and
greater,except systems designed and stamped by licensed
-Jaeuzzi/Whirlpool
engineer.
Car Wash -Each Stall
-Drive Thru ❑ 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 0 Any complex structure as defined in OAR918-780-0040.
Eye Wash
Floor Drain/sink -2" Submit 2 sets of plans with any of the above.
3"
Iso.>�ne r r R``ser�l>iagram ,
Car Wash Drain 0 Isometric or riser diagram is required for new buildings"
Garbage Domestic-non-food
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
-Stall
Sink/Lav -Non-food related 1 0
-Bradley
-Commercial-food related
-Service
Swimming Pool Filter *Note: If the fixture work under this permit results in an
Washer-Clothes increase of sewer EDUs,a sewer permit will be issued and
Water Extractor
Water Closet-Toilet fees assessed for the sewer increase must be paid before the
Urinal plumbing permit can be issued.
Other Fixtures:
2
IIIAccumulative Sewer Tally
= Tenant Name: Spec Space SWR# N/A
TIGARD Site Address: 14300 SW Pacific Hwy PLM# 2018-00237
Parcel#: 2S1 1 OAA01200
Fixture Value Previous Previous Credits Capped Fixture Fixture New New
# value count capped#s value count added# added value total#s total values
Baptisery/Font 4 0 0 0 0 0
Bath: -Tub/Shower 4 0 0 0 0 0
-Jacuzzi/Whirlpool 4 0 0 0 0 0
Car Wash: -Each Stall 6 0 0 0 0 0
-Drive through 16 0 0 0 0 0
Cuspidor/Water Aspirator 1 0 0 0 0 0
Dishwasher: -Commercial 4 0 0 0 0 0
-Domestic 2 0 0 0 0 0
Drinking Fountain 1 0 0 0 0 0
Eye Wash 1 0 0 0 0 0
Floor Drain/Sink: -2 inch 2 0 0 0 0 0
-3 inch 5 0 0 0 0 0
-4inch 6 0 0 0 0 0
-Car Wash 6 0 0 0 0 0
Garbage Disposal:
-Domestic(to 3/4 HP) 16 0 0 0 0 0
-Commercial(to 5 HP) 32 0 0 0 0 0
-Industrial(over 5 HP) 42 0 0 0 0 0
Ice Machine/Refrigerator Drain 1 0 0 0 0 0
Living Unit 16 0 0 0 0 0
Oil Sep(Gas Station) 6 0 0 0 0 0
Rec.Vehicle Dump station 16 0 0 0 0 0
Shower: -Gang(per head) 1 0 0 0 0 0
-Stall 2 0 0 0 0 0
Sink:
-Lay/Bar-Non-Food Related 2 0 8 16 1 2 -7 -14
-Bradley 5 0 0 0 0 0
-Com/Sery/Util-Food Related 3 0 0 0 0 0
Swimming Pool Filter 1 0 0 0 0 0
Washer-Clothes 6 0 0 0 0 0
Water Extractor 6 0 0 0 0 0
Water Closet-Toilet 6 0 0 0 0 0
Urinal 6 0 0 0 0 0
Previous EDU Count 0 0
Capped EDU Credit 0
TOTALS 0 0 8 16 1 2 -7 -14
Current Fixture Value -14 divided by 16= -0.875 Current EDU 1 EDU= $5,500.00
Previous Fixture Value 0 divided by 16= 0.000 Previous EDU
Change -14 divided by 16= -0.875 over (under) $ (4,840.00)
Enter EDU Change Here -0.880 *
*Round EDUs to the nearest 1/100th: a count ending in.005 shall be rounded up to.01,and a count ending in.014 or less shall be rounded down to.01.
Notes: ***EDU Credits of.88***
Authorized Name/Signature: Dianna Howse Date: 5/16/2018
Building Division
'Note: The property owner shall retain the ORIGINAL sewer tally record. If credits exist,this document will serve as a voucher which must be
submitted to the City of Tigard Building Division to redeem credits towards future system development charges.
I:\Building\Sewer Tally\SewerTallySheet_5500_070117.xlsx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
14300 SW PACIFIC HWY, TIGARD, OR, 97224 July 18, 2018 at 8:24:54 AM
Record Type: Record ID:
Commercial - Plumbing PLM2018-00237
Inspection Type: Inspector:
399 Plumbing final Aaron Cillo-Gobel
Result:
PASS - NoCofO
Comments:
Corrections completed.
Violation Summary:
Inspector Contractor