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Permit (190)
CITY OF TIGARD PLUMBING PERMIT IN.,-- "14 COMMUNITY DEVELOPMENT Permit#: PLM2018-00386 -fa. ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/18/2018 Parcel: 1S136DA02400 Jurisdiction: Tigard Site address: 11123 SW 68TH PKWY Project: RPC Tigard Storage Subdivision: WAY LEE Lot: 1 Project Description: Plumbing fixtures for new building: ADD(8)rain drain connectors,(2)ejector/sump pumps,(2)expansion tanks, (4)2"floor drains,(1)4"floor drain,(1)garbage disposal,(1)service sink,(1)break room sink,(4)lays,(4)water closets and(2)water heaters. Contractor: PMSI LLC Owner: RPC TIGARD 68 LLC 21195 NW EVERGREEN PKWY#204 2101 CEDAR SPRINGS RD STE 1600 HILLSBORO, OR 97124 DALLAS, TX 75201 PHONE: 503-466-2222 PHONE: FAX: 503-466-2211 FEES Quantity Description Date Amount 8 ea Rain Drain Connector 09/18/2018 $150.08 Specifics: 2 ea Ejectors/Sump 09/18/2018 $50.04 2 ea Expansion Tank 09/18/2018 $25.02 Type of Use: COM 5 ea Floor Drain/Floor Sink/Hub 09/18/2018 $125.10 Class of Work: ALT 1 ea Garbage Disposal 09/18/2018 $25.02 Type of Const: 2 ea Sink 09/18/2018 $50.04 Occupancy Grp: 4 ea Lavatories 09/18/2018 $100.08 Stories: 4 ea Water Closet 09/18/2018 $100.08 2 ea Water Heater 09/18/2018 $75.04 1 12%State Surcharge- 09/18/2018 $84.06 Plumbing Total $784.56 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. Issued By: !;/ Signature: S•6(CD.1.4oLi._,iCO 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 Application-,‘r;I'f� „i r �i % Building Fixtures FOR OFFICE Ii SE ONLv City of Tigard A UG 1 Q Received ateB !� ���� Pe 01X-12O EC III13125 SW Hall Blvd.,Tigard,OR 97� Plan Review 7q S Phone: 503.718.2439 Fax: 503 59 ft1 V) + -', s ' Other Permit Nd! � © 7 Inspection Line: 503.639.4175 l a l 1 31 ''` q • Date/By: -rj-� �1 �oY/r✓�� ���� T I G A R D p ?'-^ Date Ready By: ,,lira Juris: H See Page 2 for Internet: www.tigard-or.gov Notified/Method: o �j Supplemental Information �i \,\\ TYPE OF WORK =' l�� � � � i 1 I �� ` ®New construction ❑Demolition For special information use checklist. Description I Qty. I Ea. I Total ❑Addition/alteration/replacement El 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 El Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 El Accessory building ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: sq.(Fires sprinkler Page 2 Pft.) TOB SITE INFORMATION A €fir£ 1 ,o V,. Site utilities: Job site address:11123 SW 68th Parkway Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR ((�� Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project rf e"I'igard Storage Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 8 18.76 150.08 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 s.. ,. Backwater valve 12.51 DESCRIPTION OFW()R i ' rvh Clothes washer 25.02 Plumbing fixtures within the building Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 2 25.02 50.04 I4' RTY"OWNER 1 .li t "....<'A Expansion tank 2 12.51 25.02 Name:Rosewood Property Co.,Marco Storage,LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 5 25.02 125.10 Address:2101 Cedar Springs Rd.,Ste.230 Garbage disposal 1 25.02 25.02 City/State/ZIP: Dallas,TX 75201 Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 i4 ,APPLICANT • 0 C d8 ' Interceptor/grease trap 25.02 Business name:PMSI LLC Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Brandy Solano Roofofdrain(commercial) 12.51 Address:21195 NW Evergreen Pkwy.,Ste.204 i tnk/bassisin/lavatory CV)Ci) %or] 6 25.02 150.12 City/State/ZIP:Hillsboro,OR 97124 Solar units(potable water) 62.54 Phone:(503)466-2222 Fax: :(503)466-2211 Tub/shower/shower pan 12.51 E-mail:bsolano@msi-systems.com Urinal 25.02 Water closet 4 25.02 100.00 . COI1'TTi CiOIt` • ..' . • . z'.. • Water heater 2 37.52 75.04 Business name:PMSI LLC Water piping/DWV 56.29 Address:21195 NW Evergreen Pkwy.,Ste.204 Other: 25.02 City/State/ZIP:Hillsboro,OR 97124 Subtotal 700.50 Phone:(503)466-2222 Fax:(503)466-2211 Minimum permit fee: $72.50 Plan review (25%of permit fee) 4f CCB Lic.: 158286 Plumbing Lic.no.:34-434PB State surcharge(12%of permit fee) 84.06 Authorized signature: - ,, � ,, J... y TOTAL PERMIT FEE 784.56(e,' Print name:Brandy Solano Date:8/9/18 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 Suppression Systems: Qty. Fee Oa) t►taf .: w 'rIE� �Iltl fi .' ', ' tage, ;v �11t xt . .ii , _ a� Footing drain-Is'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 W ' ' A 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 Insppections or Fees )Fee{e ) L 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*. Quantity by Fixture Type 1tAki e° t ' r:'t a '€ 1 1 Fixture Type for R Plan review is required for anyof the following. Work Performed: Capped Added .. ...Retneate „ 9 Baptistry/Font W Please check all that apply. Bath Tub/Shower 111 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 0 Medical gas and vacuum systems for health care facilities. -Domestic ❑ Any multipurpose fire sprinkler system. Drinking Fountain ❑ Any complex structure as defined in OAR918-780-0040. Eye Wash Floor Drain/sink -2" 4 ✓ Submit 2 sets of plans with any of the above. -3" _4>, 1 V �,1./ ,,,,,,,,,,,,,,,,,,,,;.,,==,,,,,,,„iso t' ~ i D g1wn ........ cor Wash Drain 0 /[�j�' ❑ Isometric or riser diagram is required for new buildings Garbage -Domestic-non-food Disposal -Domestic-food related ,1-• 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 Z3,2-679i--A---4-e76,-7 ..‘/A7/ 7- £ 4j / 9,/./"' Shower -Gang -Stall Sink/Lav -Non-food related /' Vit/ -Bradley -Commercial-food related -Service 1 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: M:\Job Files\PMSI Jobs\Waiting on Contracts\Extra Space Storage-Tigal\City of Tigard Plumbing Permit App.doc