Permit CITY OF TIGARD111
PLUMBING PERMIT
1 COMMUNITY DEVELOPMENT Permit#: PLM2018-00361
Date Issued: 07/25/2018
T I ..A I'.« 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 2S 25/201 0500
Jurisdiction: Tigard
Site address: 13707 SW PACIFIC HWY 200
Project: Buster and Lilly's Doggie Daycare Subdivision: MELROSE Lot: 8
Project Description: Relocating(1)sink for TI.
Contractor: POWER PLUMBING CO Owner: VPT LLC
PO BOX 19418 610 SW ALDER ST STE 1221
PORTLAND, OR 97280 PORTLAND, OR 97205
PHONE: 503-244-1900 PHONE: 503-244-1900
FAX: 503-244-8825
FEES
Quantity Description Date Amount
1 ea Sink 07/25/2018 $25.02
Specifics: 1 12%State Surcharge- 07/25/2018 $8.70
Plumbing
Type of Use: COM 47 ea Minimum Fee Adjustment- 07/25/2018 $47.48
Plumbing
Class of Work: ALT
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 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:
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 Applicatfif]CEIVED
Building Fixtures 1()R OFFICE USE ONLY
City of Tigard JUL 1 8 2018 Received
7(0Z"ifi Permit
r 13125 SW Hall Blvd.,Tigard,OR 97 ,, -
'4' I Phone: 503.718.2439 Fax: 5036 . 9
Of fIGARD Date/By:
Plan Review
Date/By: Other Perniit No.:
Inspection Line: 503.639.4175
T I ti AR I) BIJILDING DIVISION
T Date Ready/By: r.4....s1:8- _* ri:i See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OFf,WoHic " ''',,: , , ',., , ,, '.;',,1,!,,,,„..,;,,iiErr SCHEDULE
'„ ',',,
0 New construction 0 Demolition For special information use checklist.
Description 1 Qty. 1 Ea. 1 Total
Addition/alteration/replacement 0 Other: New I-2-family dwellings(includes 100 ft.for each utility connection)
o
AT
CEGky OF e&NsTIttx-iiiori , it '. '' ' ' , „ SFR(1)bath 312.70 ,
" '''
0 1-and 2-family dwelling 1 Commerciallindustrial SFR(2)bath 437.78
SFR(3)bath 500.32
0 Accessory building 0 Multi-family
Each additional bath/kitchen 25.02
0 Master builder 0 Other:
Fire sprinkler( sq.ft.) Page 2
JPB SITE-INIFP04110N AND LOCATION'1,'''''''"' Site utilities:
Catch basin or area drain 18.76
Job site address:13707 SW PACIFIC HWY
' Drywell,leach line,or trench drain 18.76
City/State/ZIP:'TIGARD,OR 97223
Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: Project Project name:.144-92/* 1614.-,--1-- - /i Pr 4bt,( Manufactured home utilities . 50.03
Cross street/directions to job site:t_i'fly(s 1005,..a.,-,.. 0247_ea/C.- 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 map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK : ;11A1111 - '' - ' Backwater valve 12.51
Clothes washer 25.02
Dishwasher 25.02
-_____
RELOCATE MOP SINK Thinking fountain 25.02
Ejectors/sump 25.02
5
0 PROPERTY,OWNER , I',, ,,,,,',,..: n TENANT ,, ,, ,,,,,,, Expansion tank 12.51
',k,, ' ' ' ...... *' - ', ;','.,,,,'''',,,,-,
Fixture/sewer cap 25.02
Name:
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
0 APPII:CANT .' 4' '' '0 CONTACT i'liBBON - Interceptor/grease trap 25.02
' '.p,'' ..,
Business name:POWER PLUMBING CO Medical gas(value:$ ) Page 2
Primer 12.51
Contact name:CHARLIE HALL -
Roof drain(commercial) 12.51
Address:P.O.BOX 19418
Sink/basin/lavatory 1 25.02
City/State/ZIP:PORTLAND,OR 97280 Solar units(potable water) 62.54
Phone:(503)244-1900 Fax::(503)244-8825 Tub/shower/shower pan . 12.51
Urinal 25.02
E-mail:SERVICE@POWERPLUNIBINGCO.COM
..._ Water closet 25,02
CONTRACTORTI'l,
Water heater 37.52
Business name:POWER PLUMBING CO
Water piping/DWV 56.29
Address:6611 SW MULTNOMAH BLVD. Other: 25.02
City/State/ZIP:PORTLANI),OR 97223 Subtotal
Phone:(503)244-1900 Fax:-(503)244-8825 Minimum permit fee: 572.50
Plan review (25%of permit fee)
CCB Lie.:52378 Plumbing Lie.no.:34-150PB
State surcharge(12%of permit fee)
AtAtithorized signature: ,a'irk -'" ^C 11,CW
TOTAL PERMIT FEE
Print name:KRISTI',,,B.AM%VELL Date:7-18-18 This permit application expires if a permit is not obtained within 180 days
after it has been accepted as complete.
*Fee methodology set by Tri-County Building industry Service Board,
IABuileling\l'ermits1I'LMli-l'erninApp.doc 10,01/09 4404616T(litMICOMME13)
Plumbing Permit Application - City of Tigard
Page 2 -Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Site Dtllities - Qty. Fee(ea) Total Permit Fee:
Footing drain-1i 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
Valuation: - Permit Fee:
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
F Qty Fee(ea) Total. each additional$100.00 or fraction thereof.to
Other Inspections or ees 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"yee',
please indicate work performed by fixture. Failure to
accurately report fixtures could result in increased sewer fees*.
Quantity by Fixture Type Plan Review for Plumbing Installations
Fixture Type roe Replace/
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
-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 0 Any multipurpose fire sprinkler system.
Drinking Fountain 0 Any complex structure as defined in OAR918-780-0040.
Eye Wash
Floor Drain/sink Submit 2 sets of plans with any of the above.
- . Isometric or Riser Diagram
Car Wash Drain
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 MachiRefrig.Drains
Oil Separator(Gas Station) Comments regarding fixture work:
Rec.Vehicle Dump Station PLEASE CALL CHARLIE HALL WITH QUESTIONS
Shower -Gang 503-936-0610
-Stall
Sink/Lav -Non-food related 1
-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:
C:Wsers\Laura\DesktopTermit Applications1T1GARD PERMIT APP.doc2
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13707 SW PACIFIC HWY 200, TIGARD,
OR, 97223
Record Type: Record ID:
Commercial - Plumbing PLM2018-00361
Inspection Type: Inspector:
399 Plumbing final Don Sylvester
Result:
PASS - NoCofO
Comments:
1 . Plumbing final for new mop sink.-approved
Violation Summary:
Inspector Contractor