Permit (177) t CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2018-00383
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/09/2018
t '"� ' g Parcel: 2S 102BA00304
Jurisdiction: Tigard
Site address: 9826 SW TIGARD ST
Project: Tigard Industrial LLC Subdivision:RTH TIGARDVILLE ADDITION,AMENC Lot: 22
Project Description: CAP fixtures for tenant improvement: (3)water heaters,(9)non-food related sinks and(7)water closets.
Contractor: POWER PLUMBING CO Owner: TIGARD INDUSTRIAL LLC
PO BOX 19418 5845 JEAN RD
PORTLAND, OR 97280 LAKE OSWEGO,OR 97035
PHONE: 503-244-1900 PHONE:
FAX: 503-244-8825
FEES
Quantity Description Date Amount
19 ea Fixture/Sewer Cap 08/09/2018 $475.38
Specifics: 1 12%State Surcharge- 08/09/2018 $57.05
Plumbing
Type of Use: COM
Class of Work: ALT
Type of Const:
Occupancy Grp:
Stories:
Total $532.43
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.,071,4426""
\�f /��
Issued By: i 4 "" , Permittee Signature: &A/ / .4-7711
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 Ap _licatior' I .
Building Fixtures FOR OFFICE USE OyLV
City of Tigard J U L 31 2018 eceiveddate/By:
$/9 I,,F--- Pe-it ' . 4,e0.3,3
Illh 411 13125 SW Hall Blvd.,Tigard,OR 97223
Phone: 503.718.2439 Fax: 503.59 . Plan Review
9t q `, TIGARD
Other Permit No.:
503.59V16FY OF'T��f9�11 Ante/tiy;
Inspection Line: 503.639.4175 g7{ `/ Date Ready/By: Juris: See Page 2 for
Ttta1RI� Internet: wwwti ard-or ov i LILI}INGDIY 1
g $ �t ,� ��Notified/Method: Supplemental Information
:all�pliN- 0 �'All . .� � , >.it dlwlu�6�r���r.al�b � kib.m u.�.��iw��,,,1.-- ,�° ,. � � ,� , n����ti i u ,`:,h1-‘,.-4,
❑New construction 0 Demolition For special information use checklist.
Description I Qty. I Ea. I Total
2 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
❑ 1-and 2-family dwelling ►Z4 Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 500.32
❑Accessory building 0 Multi-family
Each additional bath/kitchen 25.02
❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2
I� ," 1 7' gal, I O-rA.l � idtai 1O i d 1,1041 ozm v , Site utilities:
Job site addres9821SW TIGARD ST Catch basin or area drain 18.76
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.: I Project name:18-924 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
DESCRIPTION.OF WORK __. Backwater valve 12.51
Clothes washer 25.02
TENANT IMPROVEMENT,TIGARD INDUSTRIAL
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
0 �f ' ' epi i' '� ( `F 'P i ,7 �;P.s �a 12.51
PROrER ' , M��I ��a"I 4 r1 ,,,Ofr ,p � �4 ��r Expansion tank
Name: Fixture/sewer cap 19 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
0 APPLICANT :--- Q CONTACT' PERSONInterceptor/grease trap 25.02
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 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
E-mail:SERVICE@POWERPLUMBINGCO.COM Urinal 25.02
Water closet 25.02
f ,.,,c- 3 , Water heater 37.52
Business name:POWER PLUMBING CO
WaterpiP P�1 in WV 56.29
Address:6611 SW MULTNOMAH BLVD. Other: 25.02
City/State/ZIP:PORTLAND,OR 97223 Subtotal Ijs. 3t
Phone:(503)244-1900 Fax:(503)244-8825 Minimum permit fee: $72.50
Plan review (25%of permit fee)
CCB Lic.:52378 Plumbing Lie.no.:34-150PB State surcharge(12%of permit fee) s7 0_5Authorized signature: ,+ TOTAL PERMIT FEE J 9v2, Y3
Print name:KRISTIE BRAMWELL Date:7-31-18 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.
I:\BuildingWermits'PLMU-PeimitApp.doc IO/OI9 440-4616T(10/02/COMAVEB)
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: }� Residential Fire Suppression Systems:
•Site a 1 „a,�Gol :: %�, H,�. Sq>ial tag . :� , ...- F 47 0
ill.
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 S stems:
Water Service-each additional 100' 37.52 ,, .- � �u. qa ,,,sa '' u m-
Storm&Rain Drain-1st 100' 62.54 oath u* I Ke `#1 1 . , mf �,il
$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
( th�r.Insp ions $ees Qt , , "� ' Tom m each additional$100.00 or fraction thereof,to
�'' , """ I I �', R : `� 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
(minimum charge-1/2 hour) each additional$100.00 or fraction thereof,to
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*.
, ,,,, Quantity by Fixture Type'6- ";1" HI wiry a .<<„ �i�o i u
Fixture Type for I ���P'I a = ReQla ,
_...., for P ul xbul<g Int l aitaons
Work iiertortned.- a,, '' "':Capped Added R ",, Plan review is required for any of the following.
Baptistry/Font Please check all that apply.
Bath -Tub/Shower ❑ Any new commercial building with water service 2"and
-Jacuzzi/Whiripool 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 ❑ 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 -2" Submit 2 sets of plans with any of the above.
-3"
-4>, „4'� sometrsernitroAp,l u or, ,ll
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 MachJRefrig.Drains
Oil Separator(Gas Station) Comments regarding fixture work:
Rec.Vehicle Dump Station ALL FIXTURES DEMO AND CAP
Shower -Gang 3 WATER HEATERS PLUS SINKS AND TOILETS
-Stall
• Sink/Lav -Non-food related 9
-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 7 fees assessed for the sewer increase must be paid before the
Urinal plumbing permit can be issued.
Other Fixtures:
C:\Users\Laura\Desktop\Permit Applications\TIGARD PERMIT APP.doc2
IIIAccumulative Sewer Tally
S Tenant Name: Tigard Industrial SWR# N/A
T 1 G n K D Site Address: 9826 SW Tigard St PLM# 2018-00383
Parcel#: 2SI02BA00304
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:
-Lav/Bar-Non-Food Related 2 0 9 18 0 -9 -18
-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 7 42 0 -7 -42
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 16 60 0 0 -16 -60
Current Fixture Value -60 divided by 16= -3.750 Current EDU 1 EDU= $5,650.00
Previous Fixture Value 0 divided by 16= 0.000 Previous EDU
Change -60 divided by 16= -3.750 over (under) $ (21,187.50)
Enter EDU Change Here -3.750 *
*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: Cap existing fixtures for credit towards future tenant improvement.
Authorized Name/Signature: Dianna Howse Date: 8/9/2018
Building Division
rIIrote: 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:
9826 SW TIGARD ST, TIGARD, OR, 97223 December 14, 2018 at
8:50:18 AM
Record Type: Record ID:
Commercial - Plumbing PLM2018-00383
Inspection Type: Inspector:
399 Plumbing final Aaron Cillo-Gobel
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor