Permit (171) CITY OF TIGARD PLUMBING PERMIT
Ire
COMMUNITY DEVELOPMENT Permit#: PLM2018-00351
Date Issued: 08/13/2018
T[G ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9724 SW WASHINGTON SQUARE RD F06
Project: Din Tai Fung Subdivision: None Lot: None
Project Description: Interior plumbing for new restaurant:Capping(2)non-food related sinks and(2)water closets;Adding(3)
commercial dishwashers,(42)3"floor drains,(4)ice machines,(7)non-food related sinks,(21)commercial
food-related sinks,(1)service sink,(7)water closets,and(3)urinals; Installing(3)backflow preventers,(1)
Contractor: DEVCO MECHANICAL INC Owner: PPR WASHINGTON SQUARE LLC
PO BOX 966 PO BOX 847
THE DALLES, OR 97058 CARLSBAD, CA 92018
PHONE: 541-298-8889 PHONE:
FAX:
FEES
Quantity Description Date Amount
3 ea Backflow Preventer 08/08/2018 $93.81
Specifics: 3 ea Dishwasher 08/08/2018 $75.06
1 ea Expansion Tank 08/08/2018 $12.51
Type of Use: COM 4 ea Fixture/Sewer Cap 08/08/2018 $100.08
Class of Work: ALT 42 ea Floor Drain/Floor Sink/Hub 08/08/2018 $1,050.84
Type of Const: 4 ea Ice Maker 08/08/2018 $50.04
Occupancy Grp: 6 ea Primer 08/08/2018 $75.06
Stories: 22 ea Sink 08/08/2018 $550.44
7 ea Lavatories 08/08/2018 $175.14
3 ea Urinal 08/08/2018 $75.06
7 ea Water Closet 08/08/2018 $175.14
1 ea Water Heater 08/08/2018 $37.52
525 Misc Other Fee 08/08/2018 $525.42
1 Plan Review 08/08/2018 $749.03
1 12%State Surcharge- 08/08/2018 $359.53
Plumbing
Total $4,104.68
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 • '!l.-. . _
Issued By: •• mittee Signature:
/..41r.a'/.v/iso
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.
Dumbing Permit Application -� ' i -I ,�, f,� r-r
, 4 `4
Building Fixtures FOR QEFIC E LSE ONLY
City of Tigard Received
g e f Date By: �,U /g Permit No.:/24,71....;?()).i L�L` �
Is 13125 SW Hall Blvd.,Tigard,OR 97223 'i.I .,0/1"--
"
CPlan Review
Phone: 503,718.2439 Fax: 503.598.1960 ateBy: v /� - Other Permit No.:�i,f jrr e)di
Inspection Line: 503 639 4175 -r1( R `"'i�� G
f I( ARL? t I OF A 9 a _. ate Ready'By: Juris I� See Page 2.for
Internet: www.tigard-or.gov Notified/Method:if 7 11 Supplemental Information
7i 'T a ---M n! ttiii� p..,. .. "` iii 9� 1 iE 'i illy mii3, i'N 9 a y -.
u -, TYPoF Wo .
�� ��� 4��� ° ���•FEE�+�� CaED>�r � ���iii� � ���
❑New construction 0 Demolition For special information use checklist
Description I Qty. I Ea. j Total
ri Addition/alteration/replacement 0 Other: New I-2-family dwellings(includes 100 ft.for each utility connection)
M0ij11111',1 rrATEGORiOI+ CO?4TRUCTION .., ,T,,,'''' - SFR(1)bath 312.70
❑ 1-and 2-family dwelling ®Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 500.32
0 Accessory building 0 Multi-fa I '.<
-- . - Each additional bath/kitchen 25.02
❑Master builder ❑Other a Fire sprinkler( sq.ft.) Page 2
' P JO>t'SPCE INFOR IArioN/.,i1;ND LOC ®• / ,,if i„iii' Site utilities:
+� Jam- .
Job site addres�SW Washington Square Rd kt)5:j N`" Catch basin or area drain 18.76
City/State/ZIP:Tigard,OR 97223
Drywell,leach line,or trench drain 18.76
Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: I Project name:Din Tal Fung 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.: I31.�oc tk /3cJ3 Backflow preventer 3 31.27 93.81
,,,,- , , � 'Nr- Backwater valve 12.51
DESCRIPTION OF,'WORK ; .
Clothes washer 25.02
Tenant Improvenment in an existing space.Plumbing for a new restaurant Dishwasher 3. . i 25.02 -2562-,
Drinking fountain 25.02
and restrooms. Ejectors/sump 25.02
a 6',IiPROPER,'Y OWNER 1.1, II,',',_ ❑`TENANT; 1,1,l--- Expansion tank 1 12.51 12.51
Name:PPR Washington Square LLC Fixture/sewer cap 4 25.02
Floor drain/floor sink/hub !.p'j„ ,i '
25.02 9&8 "
Address:PO Box 847
Garbage disposal 2 25.02 50.04
City/State/ZIP:Carlsbad,CA 92018 Hose bib 25.02
Phone:( ) Fax:( ) Ice maker 4 .4.. 12,51 -4'211
;i` f® APPUCAI T` 6i 4_; 0 CONTACT�PERSON '-w!. Interceptor grease trap 25.02
Business name:Devco Mechanical Medical gas(value:$ ) Page 2
Primer 6 12.51 75.06
Contact name:Todd Bradford
Roof drain(commercial) 12.51
Address:PO Box 966 Sink/basin/lavatory a q .i8. 25.02 -494+:40
City/State/ZIP:The Dalles,OR 97058 Solar units(potable water) 62.54
Phone:(541)298-8889 Fax::(541)298-8111 Tub/shower/shower pan I2.51
E-mail:Office@devcomechanical.com Urinal ' 25.02 50.04
,:, ' COhTRAGORn' 4, .ilA 4' -, Water closet 7 25.02 175.14
,. "v001aP. -� ,, h,h - i3
Water heater t 37.52 37.52
Business name:Devco Mechanical Water piping/DWV 56.29
Address:PO Box 966 Other: 1,*c . T...L 2,I 4_ 25.02
City/State/ZIP:The Dalles,OR 97058 Subtotal 1982.81
Phone:(541)298-8889 Fax:(541)298-8111 Minimum permit fee: $72.50
^CCB Lic.:94244 01 ),,,VITPlumbing Lic.no.:33-25PB f�/ Plan review (25%of permit fee) 495.70
/ State surcharge(12%of permit fee) 237.94
Authorized signature: A, Amii TOTAL PERMIT FEE 2716.45
A This permit application expires if a permit is not obtained within 180 days
Print name:Todd Bradford ��
after It has been accepted as complete.
7/2 41/jri *Fee methodology set by Tri-County Building Industry Service Board.
P
If Building\ermita4PLMU-PermitApp.doc.10,01/09 440-4616T(i 010/2COM/WEB)
Plumbing Permit Application - City of Tigard
Page 2 -Supplemental Information
Fee Schedule: Residential Fire SuppressionSystems:
bA P y
Site Ut>l ties Qts'•- dee�p�� =Tot#!,, , Sgaare 'dotage ` P lr i><t Fee• wi m
Footing drain-I"100' 50.03 0 to 2,000 $121.90
Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69
Sewer-1st 100' 62.54 3,601 to 7,200 $233.20
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 "s «fl $ _ �
Valu tion PermltFee , i�
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
Other I1nspWe�tions or#,,,,17 i' Qty. Fee(ea) 1 Taal 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
(minimum charge-1/2 hour) each
nclu additional5,$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 Plan Rev ew forPlu�inbin f tnstallahons µ .
Fixture Type for Replace/
Work Performed: Capped Added Relocate Plan review is required for any of the following.
Please check all that apply.
Baptistry/Font C'S Any new commercial building with water service 2"and
Bath -Tub/Shower
Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed
Car Wash -Each Stall engineer.
-Drive Thu 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 -2" Submit 2 sets of plans with any of the above.
3" #
I', etrllGor Ill er s ramIIIIiGi
Car Wash Drain l i �s.W. ia �," .
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 Mach./Refrig.Drains
Oil Separator(Gas Station) Comments regarding fixture work:
Rec.Vehicle Dump Station
Shower -Gang
-Stall
Sink/Lav -Non-food related 2 `7
-Bradley
-Commercial-food related i"1-
-Service f
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 2 -7 fees assessed for the sewer increase must be paid before the
Urinal ,, plumbing permit can be issued.
Other Fixtures:
C:\Users\Todd\Documents\DTF Plumbing Permit App..doc 2
• Plumbin2 Permit Application
Building Fixtures .. �_ roil orrlcr rsr oyl,l
� ' Received �^� / �`
City of Tigard / 7 �� Permit No.://`6 " f l��J�✓
Date/By: /
ill 13125 SW Hall Blvd.,Tigard,OR 97223 A1U
2 l f
1NIt Plan Review
® Phone: 503.718.2439 Fax: 503.598.19,,, Date/By: Other Permit No. 14/21)`r_Doi yo
T I(i A R D Inspection Line: 503.639.4175 1 J 1,;'4,.<, Date Ready/By: Juris: ® See Page 2 for l
Internet: www.tigard-or.gov (- - r a'(:A:. t
Date
/By. /p`, SupplementalePage2 Information
by 7 _.s r I.' '-if'') '; .41` ,„.,,� Zt
❑New construction ❑Demolition For special information use checklist
Description I Qty. I Ea. I Total
®Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft for each utility connection)
s :.r„„ ----:-. SFR 1 bath 312.70
❑ 1-and 2-family dwelling ®Commercial/industrial 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
s _ 7 , 4.6A
Site utilities:
Job site address:9677 SW Washington Square Rd Catch basin or area drain 18.76
City/State/ZIP:Tigard,OR 97223 Drywell,leach line,or trench drain 18.76
Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: 1 Project name:Din Tai Fung Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
, / _ _�c � rl 1wisi 7/0-A,^ 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: 1 Lot no.: Fixture or item:
Tax map/parcel no.: Backflow preventer 3 31.27 93.81
., , , ' .4, Backwater valve 12.51
�� ."' x 1,. b s . Clothes washer 25.02
Tenant Improvenment in an existing space.Plumbing for a new restaurant
Dishwasher 1 25.02 25.02
Drinking fountain 25.02
and restrooms. Ejectors/sump 25.02
Y� '-E- • a - Y, .. 7 5 Expansion tank 1 12.51 12.51
Name:PPR Washington Square LLC Fixture/sewer cap 25.02
Floor drain/floor sink/hub 38 25.02 950.76
Address:PO Box 847
Garbage disposal 2 25.02 50.04
City/State/ZIP:Carlsbad,CA 92018 Hose bib 25.02
Phone:( ) Fax:( ) Ice maker 1 12.51 12.51
? . , :,e _ Interceptor/grease trap 25.02
Business name:Devco Mechanical Medical gas(value:$ ) Page 2
Primer 6 12.51 75.06
Contact name:Todd Bradford
Roof drain(commercial) 12.51
Address:PO Box 966 Sink/basin/lavatory 20 25.02 500.40
City/State/ZIP:The Dalles,OR 97058 Solar units(potable water) 62.54
Phone:(541)298-8889 Fax::(541)298-8111 Tub/shower/shower pan 12.51
E-mail:Office@devcomechanical.com Urinal 2 25.02 50.04
7a t • „, „n .) Water closet 7 25.02 175.14
'.;A',*- '' '51;:t S -t 1 Water heater 1 37.52 37.52
Business name:Devco Mechanical Water piping/DWV 56.29
Address:PO Box 966 Other: 25.02
City/State/ZIP:The Dalles,OR 97058 Subtotal 1982.81
Phone:(541)298-8889 Fax:(541)298-8111 Minimum permit fee: $72.50
Plan review (25%of permit fee) 495.70
CCB Lic.:94244 Plumbing Lic.no.:33-25PB
State surcharge(12%of permit fee) 237.94
Authorized signature: � ���� TOTAL PERMIT FEE 2716.45
--,,,,v ,
Print name:Todd Bradford Date:7-9-18 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.
1:\Building\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 Su s s ression S stems:
fso
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 i eater $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
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
y �z ` . each additional$100.00 or fraction thereof,to
t# and includin• $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 char:e-1/2 hour and includin_$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 char:e-2 hours each additional$100.00 or fraction thereof,to
Reinspection Fees 90.00/hr and includin:$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 charle 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*.
�4at't1. by lYtttreTy , k . ... '` --,
Flxtur � R ace/ Plan review is required for any of the following.
Work 'erfii `, .. .... ....r . >.. Relocate Please check all that apply.
Baptistry/Font
Bath Tub/Shower ® 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 ❑ 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.
Car Wash Drain
Garbage Domestic-non-food
0 Isometric or riser diagram is required for new buildings
Disposal -Domestic-food related that meet the •ualifications 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 2
-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 2 fees assessed for the sewer increase must be paid before the
Urinal plumbing permit can be issued.
Other Fixtures:
C:\Users\Todd\Documents\DTF Plumbing Permit App..doc 2
Plumbing Permit Application
Building Fixtures FOR OFFICE USE ONLY
City of Tigard Received Jpermit No.:
114
al 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: 7��i'!fl /57--- L ar ...00`35
�� �'
1 11 Plan Review GPhone: 503.718.2439 Fax: 503.598.1960 Date/By: l j
Other Permit No.:
Inspection Line: 503.639.4175 Date Read/B
TIGARD Ready/By: / , la See Page 2for
Internet: www.tigard-or.gov Notified/Method: 0 //,111�C�e�"S` Supplemental Information
TYPE T,' WORK 1 }f FEE*SCI1EDIIE
El New construction ['DemolitionFor special information use checklist.
Description Qty. Ea. I Total
❑Addition/alteration/replacement El Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
#.i, CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
El1-and 2-family dwelling 'Commercial/industrial SFR(2)bath 437.78
ID Accessory buildingSFR(3)bath 500.32
El Multi-family
Each additional bath/kitchen 25.02
El Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2
tIOIli; ITE INF Ol T.ION AND LOCATION 'x Site utilities:
�1 A ► Catch basin or area drain 18.76
Job site address:
qbr] ` s.tc.-lal,cslltrt 1J. Drywell,leach line,or trench drain 18.76
City/State/ZIP: `_-, &Ir.ok C>ik 9f 1�YF � at).
Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: Project name: D:in r1i FrArk.4 Manufactured home utilities 50.03
Cross street/directions to job site: r 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 / 3 31.27 q ,i#'I
, I,r , l ION OF WORK Backwater valve 12.51
' " - }. "` Clothes washerf25.02
�
Dishwasher ,/ 3 25.02 95,06
Drinking fountain 25.02
Ejectors/sump 25.02
r 4 0 TENANT Expansion tank /) 12.51 (a.51
Name: Fixture/sewer cap ,if 25.02 100.0
Address: Floor drain/floorsink/hub, :3a+z.*-Sy t/ 4-22 25.02 1,QS0,84
Garbage disposal 25.02
City/State/ZIP: Hose bib 25.02
Phone:( ) Fax ( ) Ice maker ,/4 12.51 50.01
O ` ON Interceptor/grease trap 25.02
Medical gas(value:$ ) Page 2
Business name:
Contact name: Primer ;/6 12.51 75 66
Roof drain(commercial) 12.51
Address:
Sink/basin/lavatory .;q 25.02 9.25.58
City/State/ZIP: Solar units(potable water) 62.54
Phone:( ) I Fax::( ) Tub/shower/shower pan 12.51
E-mail: Urinal / 25.02 06
Water closet ✓/ 25.02 i 95,
CONTRACTOR •
u r' ` Water heater / 37.52 317,52.
Business name: Water piping/DWV 56.29
Address: Other: Set 1; 2, 25.02 5)5,4,2
City/State/ZIP: Subtotal ziel6,1a
Phone:( ) Fax:( ) Minimum permit fee: $72.50
Plan review (25%of permit fee) f140;C:5
CCB Lic.: Plumbing Lic.no.:
State surcharge(12%of permit fee) 359,S 3
Authorized signature: TOTAL PERMIT FEE 41 L 4,C8
Print name: Date: This permit application expires if a permit is not obtained within1180 days
after it has been accepted as complete.
*Fee methodology sent,by Tri-County Building Industry Service Board.
I:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) SAYS
- s;..k _ as
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information •
Fee Schedule: Residential Fire Suppression Systems:
Site Utilities ;QtY' f� .r e"a) Total a ire "o t ge: Permit Fee:,
Footing drain-l'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: p trait Fe:. ,
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
O nspection sir Fees Qts Fee(ea)
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*. laReview fol' ' tip a ( o ption
Quantity by Fixture ype Plan review is required for any of the following.
Fixture Type for Ric- Please check all that apply.
Work Performed: Capped Added -1040000
Baptistry/Font ❑ Any new commercial building with water service 2"and
greater,except systems designed and stamped by licensed
Bath: -Tub/Shower
engineer.
-Jacuzzi/Whirlpool
Car Wash: Each Stall
0 New exterior plumbing site utilities for any complex structure
Drive tall as defined in OAR918-780-0040.
Cuspidor/Water Aspirator 0 Medical gas and vacuum systems for health care facilities.
Dishwasher: -Commercial 3 ❑ Any multipurpose fire sprinkler system.
Domestic ❑ 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"
Iso s •.c or Rise* pagra a
0 Isometric or riser diagram is required for new buildings
-Car Wash Drain
Garbage Domestic non-food that meet the qualifications above.
Disposal: -Domestic food related
-Commercial food related
-Industrial food related
Ice Mach./Refrig.Drains 4 Comments regarding fixture work:
Oil Separator(Gas Station)
Rec.Vehicle Dump Station
Shower: -Gang
-Stall
Sink: -Lav/Bar non-food related ►7
-Bradley
-Com/Serv/Util food related -
-Service I *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 rj plumbing permit can be issued.
Urinal
Other Fixtures:
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City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9724 SW WASHINGTON SQUARE RD F06, December 10, 2018 at
TIGARD, OR, 97223 11 :33:24 AM
Record Type: Record ID:
Commercial - Plumbing PLM2018-00351
Inspection Type: Inspector:
399 Plumbing final Aaron Cillo-Gobel
Result:
PASS - NoCofO
Comments:
Previous corrections completed.
All final plumbing appears ok.
Violation Summary:
Inspector Contractor