Permit (208) CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2018-00445
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/24/2018
T f�.; I Dg Parcel: 2S102BA00501
Jurisdiction: Tigard
Site address: 9744 SW TIGARD ST 500
Project: BAS properties Subdivision: None Lot: None
Project Description: (100)ft of sewer and(100)ft water service to new 2100 sf steel building.
Contractor: PIPELINE PLUMBING Owner: BAS PROPERTIES LLC
333 S STATE ST SUITE V-108 9740 SW TIGARD ST
LAKE OSWEGO, OR 97034 TIGARD, OR 97223
PHONE: 503-730-4050
503-624-1906
FAX: 503-624-1926
FEES
Quantity Description Date Amount
100 If Sanitary Sewer 09/24/2018 $62.54
Specifics: 100 If Water Service 09/24/2018 $62.54
1 12%State Surcharge- 09/24/2018 $15.01
Type of Use: COM Plumbing
Class of Work: ALT
Type of Const:
Occupancy Grp:
Stories:
Total $140.09
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: ee 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 Application
Building Fixtures FOR OFFICE LSE ONLY
City of Tigard Received b/
Q(A ct/(6/ Permit/it/piA �/O j 114,e-
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!{
13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: '7
Phone: 503.718.2439 Fax: 503.598.1960 Plan Review
Date/By: Other Permit No.:
T I G A R D Inspection Line: 503.639.4175 Date Ready/By: Juris: Ei See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
ie-,-'tt J TYPE OF WORK FEE* SCHEDUL
1New construction ❑Demolition For special information use checklist.
Descri.tion it . Ea. Total
iJ Addition/alteratio r, eplaceme 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CA"'�EOOkY OF'
1 CONS'T'MC7'��N '`'' SFR(1)bath 312.70
"
❑ 1-and 2-family dwelling 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 0 Other:
Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND".LOCATION-'i Site utilities:
Job site address: 0\-igt 4)W t-3e-4-1,k Catch basin or area drain 18.76
City/State/ZIP: ' `"� ��Ira Drywell,leach line,or trench drain 18.76
Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: .5-45) Project name: Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.: - `) ,I Page 2 .''Zl
Storm sewer(no.linear ft.:_) Page 2
Water service(no.linear ft.:O. ) I Page 2 6,).'Zf
Subdivision: Lot no.: Fixture or item:
Backflow preventer 31.27
Tax map/parcel no.:
ZS hoZB 'as-CP
k. Backwater valve 12.51
' , DESCRiPTI(N
� � "" `1.1''" `"' ' ` ' ,t Clothes washer 25.02
r
66,,,e-/ - : 44-441'X-3e- le.e-et c-o- Tr. Dishwasher 25.02
/40'O � �j-Fti'EL 13✓t L•1 r..-.4.7 Drinking fountain 25.02
Ejectors/sump 25.02
(PROPERTY OWNERj-litekAl TETNT Expansion tank 12.51
Name: S Fixture/sewer cap 25.02
3 As p,24,pa-'t�T1 44-c-
Floor drain/floor sink/hub 25.02
Address: /I T 3 e ,t).‘ /1A,,SA-yc• IT-
Garbage disposal 25.02
City/State/ZIP: Ror -,41r,,,b I 7Z- 91 74 a Hose bib 25.02
Phone:(q,3) 39- p;0 Fax:( ) Ice maker 12.51
PL ICANT CONTACT PERSON - Interceptor/grease trap 25.02
Medical gas(value:$ ) Page 2
Business name: /5A-5 7/2apprgT/C-S LLL
Primer 12.51
Contact name:
5 �'A � �c-bi Roof drain(commercial) 12.51
Address: X 9930 /4)&"*"" ,41.4-s54 c o f Sink/basin/lavatory 25.02
City/State/ZIP: 4e4I r O Solar units(potable water) 62.54
Phone:( 5,')) 73 0 S-0 Fax::( ) Tub/shower/shower pan 12.51
UrE-mail: Waternal ■ 25.02 -
.>= CONTR�4C Water closet 25.02
" ;, � ;` Water heater 37.52
Business name: Pi Pe1111_ DI U m h i n Water piping/DW 56.29
Address: 333 S 5i-4A-A, Sf-YQ�' ifi V/1 d 9) Other: 25.02
City/State/ZIP: L'ei kQQq 0 0 Kq 703 C j Subtotal
�W (f
Minimum permit fee: $72.50
Phone:(603 ) &D./, 1010(p Fax:(603) wq. 1yZ&
CCB Lic.: I62(00Plumbing ic.no.: tlr- Plan review (25%of permit fee)
^S'OI b State surcharge(12%of permit fee)
Authorized signature] TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180 days
' I i f li I Date:Oq•2 2 Ut;
after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
I:\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:
Site Utilities gty. Fee(ea) Total Square Footage: rt
Footing drain 1s'100' 50.03 0 to 2,000 $121.90
Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69
S 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
Storm&Rain Drain-1st 100' 62.54
V*� tli . .. =Permit Fee:
$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
Qtbl„ lis ,tions or Fees Qty. Fee(ea) 'Total
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
,�, r .M;win
accurately report fixtures could result in increased sewer fees*. ' :1(Plan Revievar'1'lumbing Installati,
;Quantity by Fixture Type Plan review is required for any of the following.
Fixture Type for Replace/ Please check all that apply.
Work Performed: Capped Added Relocate
Baptistry/Font 0 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 healthcare facilities.
Dishwasher: Commercial ❑ Any multipurpose fire sprinkler system.
-Domestic 0 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"
Isom g . ,or Risers Diagram
4„
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 Comments regarding fixture work:
Oil Separator(Gas Station)
Rec.Vehicle Dump Station
Shower: -Gang
-Stall
Sink: -lav/Bar non-food related
-Bradley
-Com/Sery/Util food related
-Service *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
Water Extractor fees assessed for the sewer increase must be paid before the
Water Closet-Toilet plumbing permit can be issued.
Urinal
Other Fixtures:
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