Permit (117) CITY OF TIGARD PLUMBING PERMIT
111 COMMUNITY DEVELOPMENT Permit#: PLM2018-00516
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/05/2018
T IGARD Parcel: 2S 101 DB00100
Jurisdiction: Tigard
Site address: 7320 SW HUNZIKER RD 202
Project: Keyssa Subdivision: None Lot: None
Project Description: Interior plumbing: Replacing(1)dishwasher and(2)sinks.
Contractor: WESTERN PLUMBING Owner: HILLTOP BUSINESS CENTER LLC
9460 SW TIGARD AVE SUITE 101 9430 NW KAISER RD
TIGARD, OR 97223 PORTLAND, OR 97231
PHONE:
PHONE: 503-639-5296
FAX: 503-684-9015
FEES
Quantity Description Date Amount
1 ea Dishwasher 11/05/2018 $25.02
Specifics: 2 ea Sink 11/05/2018 $50.04
1 12%State Surcharge- 11/05/2018 $9.01
Type of Use: COM Plumbing
Class of Work: ALT
Type of Const:
Occupancy Grp:
Stories:
Total $84.07
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: ttee 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 Aoolicat• � i
Building Fixtures EI @.. 1 11It (t1 1 It I 1 ,1 1)�1
City of Tigard U C T 2 9 2018 Rdeeivsd /j 409,--- Permit No.: /41l711l?", 15 i k
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Other Permit Na: P� o � ,
Phone: 503.718.2439 Fax: 503,9 :' t0o F. !i PP[) raneiby. �y.
Inspection Line: 503.639.4175 t i i i i 111°° DIVISION t ' Date Ready/By Jura I Sift see sae 2 i'or
I I''`I'I' Notified/Method: 'v PP
Internet: www.tigerditr.gov r t � v-t •�°�� Supplemental information
TYPE OF WORK - Fat` FI LE - '
Demolition Pot special in onnation use checklist.
0 Nt�t construction Description i Qty. I Ea. i Total
,Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CANSI°f!l)t`['I01«t , .
SFR(1)hath 312.70 1
.., 437,78
Commercial/industrial SFR(2)bath
0 I•and 2-family dwelling SFR(31 bath 500.32
❑Accessory building ❑Multi-family Each additional bath/kitchen 25.02
0 Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2
JOB SITE'INFORMATION AND;LOCATION Site utilities:
Catch basin or arca drain 18.76
Job site address: iv`�3i)(\asDrywall,leach line,or trench drain 18.76
1r
City/State/ZI P: . , C� ck-1)�� Footing drain(no.linear ft.: _,,.,) Page 2
Suite/bldg./apt.no.:c26Project name:Vx v,,� Manufactured home utilities 50.03
i 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.: -01xlure or item:
Backflow premier 31.27 Tax map/parcel no.: t2.31
Backwater valve
lblE9Gitt1' 'i<bi•I bF'V1/OYtK Clothes washer 25.02
�IC 0��� S1Y14 G d‘SstAa ' I Dishwasher k 25.02 , ,0 0,,,,
Y\� \( � � „�„^ Drinking fountain 25.02
n_ - �- n�sntS- Ejectors/sump 25.02
Vi VL T 1. Expansion tank 12.51
0 PROPERTY OWNER . ,)� TENANT 25.02
+Fixture/sewer cap
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
if APP1 cANT, t3 Comma, p SON Interceptor/grease trap 25.02
tMedicai gas(value:S ) Page 2
Business namo:�QS >ml ,mb\ro6:1�nC Primer 12.51
i
Contact name: Ann:in Roof drain(commercial) 12.51
Address: (i AU° &31\ (kCt . hiQ 1 ♦tLLt' IC)) Sink/basin/lavatory 25.02 ,04,
City/Stato/LIP: jCt, a`f... c►aa3 Solar units(potable water) 62.54
Tub/shower/shower pan 12.51
Phone:( )kpr 5 q LP Fax::( ) i 25.02
Urinal
I',-Huai!: @ u;n1t)mc•.r rnNdk (2SYI )• Water closet 25.02
GONIE�ACif2R u Water heater 37.52
L Business name:Western Plumbing,Inc. Water piping/DWV 56.29
Address:9460 SW Tigard Street,Suite 101 Other: 25.02
City/State/ZIP:Tigard,OR 97223 Subtotal "Acz
Ow
Minimum permit fee: $72.50
Phone:(S03)639.5296 Fax:( )
Plan review (25%of permit fee) �{
CCB Lie.:2439 Plumbing Lic,no.:34291'13 State surcharge(12%of permit fee) Q QI . +
Authorized signature: s .t 11r1.S9rV , TOTAL PERMIT FEE Q
+ �n ��.� y"' 1 Date: 'Ol I 1 This permit application expires if a permit is not obtained within ILIO days
I.I'rlttt name:Amt t\l ley ``+ after it has been accepted as complete.
•Fee methodology set by Tri-County Building Industry Service Board.
I'nuildifl crmits\PLMU•PermitApp.doc 16/ot/oe 440.461GTiIaOVCOMIVEB)
Plumbing Permit Apniicatioa - City of Tigard
Page 2 -Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Site Utilities. : Qty Feu)' Total ,Situ re "off: <-' Peic It:teei ;
Footing drain-1"100' 50.03 0 to 2,000 $121.90
rooting 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:
ms:
Water Service-each additional 100' 37.52 V*EUt;ti0n. :
"efl'fli 'ee.
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 Inspections or Pees ' - A Fee teal:; , Total each additional$100.00 or tiaetion 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 510.000.00 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 hours 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
Reinspeetion Fees 90.00/hr and including$50,000.00.
Additional plan review for revisions 90.00/hr $50.001.00 and up $742.00 Ibr the first$50.000.00 and$1.20 for
(minimum charge-I/2 hour) each additional$100.00 or traction thereof.
Subtotal:
Comit>2ercial 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*.
r (Nudity by Fixture be-,. .74
Fixture Type for Atpla refoil' Iiil'�st iiill #IOns„
IWork Performed:. Capped Added Plan view is required for any of the following.
Baptistry/Font _ Please check all that apply.
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 1 0 Any multipurpose fire sprinkler system.
Drinking Fountain 0 Any complex structure as defined in OAR918-780-0040.
live Wash
Floor Drain/sink -2" Submit a sets of plans with any of the above.
•3"
Car Wash Drain ls¢111fC`;tf3' tHst
Garbage -Domestic-non-food O-Isometric or riser diagram is required for new buildings
Disposal -Domestic-food related that meet the qualifications above.
-Commercial-food related
-Industrial-food related
lee Mach./Refrig.Drains
Oil Separator(Gas Station) Comments regarding fixture work:
Ree.Vehicle Dump Station
Shower -Gang .
-Stall
Sink/Lav -Non-food related " c2
-Bradley
-Commercial-food related
-Service
Swimming Pool Filter *Note: If the fixture work under thispermit results in an
Water x r-Clothes
increase of sewer EDUs,a sewerpermitill be issued and
Water Extractor
Water Closet-Toilet fees assessed for the sewer increase must be paid before the
Urinal plumbing permit can be issued.
Other Fixtures:
http://www.tigard-or.gov/document center/Building/PLMF_PetmitApp.dt :
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
7320 SW HUNZIKER RD 202, TIGARD, December 14, 2018 at
OR, 97223 11 :47:59 AM
Record Type: Record ID:
Commercial - Plumbing PLM2018-00516
Inspection Type: Inspector:
399 Plumbing final Aaron Cillo-Gobel
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor