Permit (200) v. CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2018-00290
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/23/2018
Parcel: 2S 101 AB03100
Jurisdiction: Tigard
Site address: 12115 SW 70TH AVE 101
Project: Oregon Reproductive Medicine Subdivision: 2012-009 PARTITION PLAT Lot: 3
Project Description: Plumbing fixtures for new tenant: ADD(1)eye wash,(4)hand sinks, (4)lays, (1)mop sink,(1)break room sink,(1)
utility sink, (2)lab sinks, (1)coffee water supply line, (4)water closets, (1)expansion tank and(1)water heater.
Contractor: POWER PLUMBING CO Owner: TIGARD TRIANGLE PARTNERS LLC
PO BOX 19418 18187 SIERA DR
PORTLAND, OR 97280 LAKE OSWEGO, OR 97034
PHONE: 503-244-1900 PHONE:
FAX: 503-244-8825
FEES
Quantity Description Date Amount
1 ea Expansion Tank 06/13/2018 $12.51
Specifics: 9 ea Sink 06/13/2018 $225.18
4 ea Lavatories 06/13/2018 $100.08
Type of Use: COM 4 ea Water Closet 06/13/2018 $100.08
Class of Work: ALT 1 ea Water Heater 06/13/2018 $37.52
Type of Const:
50 Misc Other Fee 06/13/2018 $50.04
Occupancy Grp: 1 12%State Surcharge- 06/13/2018 $63.05
Stories: Plumbing
Total $588.46
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: ery 67-70,6.1 /
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.
Plumbing Permit App •lica *
t4tCEIVE[)
.
Building Fixtures FOR (*FIC,. USE ()NEN
City of Tigard JUN 1 1 2018 Date/By: 4 ier.. 11A
Permit 1,04/1„2111::::f-OCZ.,Z tie
114 ' 13125 SW Hall Blvd.,Tigard,OR 97223
Plan Review
aigtt ,,2e
: II Phone: 503.7182439 Fax: 50011-3rOF TIGARD DaterByOther Perm ' / - e/E,,2_,
Inspection Line: 503.639.4175- ' Ed See Page 2 for .
1 RiA R" • bUILDING DIVISIOi\J Notified/MeijiDeeadY50':(4/3// 45,19"4-juri''
Internet: www.ttgani-or.gov
Suppiementat Information
'0W 040,: '014_ .0 1:ii,,ii-i„:4 14,0tx -?,,a, a`,I.. 0 a"' 40414_r '.;;;;; --,-:,;.,:•': --A*1-4'S-°:14141.11.,-
40' -..qa'40- --',i,INt',-- 'tar 000 0:,F,,,- -^20,' -'0,! =- 0'0,t0-- 70."'' '0- ° " -- -0,,fl•-0- 0:0,
For special information use checklist.
D New construction 0 Demolition
Description I Qty. I Ea. I Total
1.1 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) tt:,
00!, 0100 "2004111E° 404°'"*"‘O#F6* 66" i.11"`
SFR(1)bath 312.70
4 4 44 E. A,' .
'IS
0 I-and 2-family dwelling 114 Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 500.32 CV)
Ej Accessory building 0 Multi-family
Each additional bath/kitchen 25.02
0 Master builder 0 Other:
Fire sprinkler( sq.ft.) `...
Page 2 0\-)
Of * iikit,k0Aill Or'41*-fOO'-Aii5AL -'ii-",1 ''ea% Site utilities:
.....,-, - b, ,- , ,,... a
Job site address:12115 SW 701."ST Catch basin or area drain 18.76
qt‘
Drywall,leach line,or trench drain 18.76
City/StaterLIP:TIGARD,OR 97223
N.
Suite/bldg./apt.no.:101 Project name:18-901 c9/26--G.0 A) Footing drain(no.linear ft.: ) Page 2 (AI
Manufactured home utilities 50.03
Cross street/directions to job site: /2-Ei--)/2 ci 6 cz cj7 ac i'l'es ie,,,,„;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:
Backflow nirvana 31.27
Tax map/parcel no.:
Backwater valve
12.51
00a, `4410,',-„, ',0:,-, •'0a--- .4,,,:,,,-- 0,.•1',- :-,,'4- -' ''' "- ''''' "‘-'''''' 1'---' - ' ' Clothes washer 25.02
TENANT IMPROVEMENT,OREGON REPRODUCTIVE MEDICINE
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
i 4,,,,,, ,.....,,,1 -- -f A,IP, Expansion tank 1 12.51 /2. . .5)
J. litrif,- , ,,,4 4". ;:, , ,,
Fixture/sewer cap 25.02
Name:
Floor drain/floor sink/hub 25.02
Address:
Garbage disposal 25.02
City/State/ZIP:
1-lose bib 25.02
Phone:( ) Fax:( ) Ice maker 12.51
.'"1-'Prim 0'1/4.s.;, ,0 Vr,,o,,-'':','raT;sc,-y,:7''% ;;rtaitir--i-,..--:---74. ''' ' 7..,3-1:-117 interceptor/grease trap 25.02
',V,:i- ''!-!1'.;, tHN:;,,,:- .. At--,',....-
Business name:POWER PLUMBING CO Medical gas(value:S ) Page 2
...
Primer 12.51
Contact name:MIKE WARREN
Roof drain(commercial) 12.51
Address:P.O.BOX 19418
Sink/basin/lavatory 13 25.02 3,2s:3..dra
City/State/Z1P:PORTLAND,OR 97280 Solar units(potable water) 62.54
Phone:(503)244-1900 I Fax::(503)244-8825 Tub/shower/shower pan 12.51
' Urinal 25.02
E-mail:SERVICE@POWERPLUMBINGCO.COM 1-
,.2......'1"..,Aks.-.----,,,'Ii;-,-,- :sire, 1,i,ci,-,---,'1, -.'``,4'. - .q1i64:.-:346',4,-. ',,-J 1.:',.iiii-::...-,:i44,-.- ;ZI11°---,,-- Watercloset 4 25.02 /pe elot
-.1w---,,,-0116, ,...,,,,r---,-„-",i'- 6,',..!, 411-0 :,v,',,,,----- '',, Water heater 1 37.52 37,5;4
Business name:POWER PLUMBING CO
Water piping/DWV 56.29
Address:6611 SW MULTNOMAH BLVD, Other:EYE WASH,COFFE 2 25.02 Si .09
City/State/ZIP:PORTLAND,OR 97223 Subtotal 3,Z5-,.4/1/./
Phone:(503)244-1900 Fax:(503)244-8825 Minimum permit fee: $72.50
Plan review (25%of permit fee)
CCB Lie.:52378 Plumbing Lie.no.:34-150PB
Authorized signature: ' Vt
Print name:KRISTIE RAMVVELL
i
Date:6-11-18 State surchargeToT(1A2L%PoERf pe:nitF7E) Fgj....... 9,...4'.‘2
This permit application expires ifs permit is not obtained within 180 aa a
after it has been accepted as complete.
*Fee,methodology set by Tri-County Building Industry Service Bo .
I ABu ildINAPermits 1 PL141J-PerrnitApp.doc I WO I A)9 440-4616T(1002CONWES)
Plumbing Permit Application - City of Tigard
Page 2 -Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
S.,k i litill .4,ilrit. ,,,,,-,-"-- ,, ,,,,o,„ito- ',irAtt-4,4'6 17,.4! 'IC '': Fog';tii,
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 7."‘Tgr!ratThiii .47,
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
each additional$100.00 or fraction thereof,to
' 4-,,14,.., 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 SI.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*. _ ,,,,, ,,,,„, .7 I
Quant*by Flatur Type '
_ - ''''flag;Review filiPlutnbing nstallations,-;,
Fixture'TypeRV**,
Work Performed: , Capped Added, Reweetql Plan review is required for any of the following.
Please check all that apply.
Baptistry/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
0 New exterior plumbing site utilities for any complex structure
Thru
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.
thinking Fountain 0 Any complex structure as defined in OAR918-780-0040.
Eye Wash 1 ,
Floor Drain/sink -2" Submit 2 sets of plans with any of the above.
11Miti*1...tl.L'4'' 'r
Car Wash Drain
Garbage -Domestic-non-food _ • 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 MachiRefrig.Drains
Oil Separator(Gas Station) Comments regarding fixture work:
Rec.Vehicle Dump Station Sinks-4 hand wash,4 lavatories, 1 mop
Shower -Gang I break room, 1 utility,2 lab sinks.
-Stall
Sink/Lav -Non-food related 13 1 eye wash, 1 coffee water supply.
-Bradley pio-st uak. 01,:itt c4A,4-44,-,.. ,....)16)1/eSt7r41)3
-Commercial-food related Co'5- 43 3i'- '54/2"/
-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 4 fees assessed for the sewer increase must be paid before the
Urinal plumbing permit can be issued,
Other Fixtures: 1
C:\Users\Laura\Desktop\Permit Applications\TIGARD PERMIT APP.doc2
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12115 SW 70TH AVE 101 , TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Plumbing PLM2018-00290
Inspection Type: Inspector:
399 Plumbing final Aaron Cillo-Gobel
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor