Permit (52) CITY OF TIGARD PLUMBING PERMIT
1 COMMUNITY DEVELOPMENT """"1" 1".7 Permit#: PLM2019-00024
1111 A, ' Date Issued: 01/16/2019
T I G Fti I=`.t) 13125 SW Hall Blvd.,Tigard OR 97223 503.718Parcel: 1S135DA03500
Ar"
�// Jurisdiction: Tigard
Site address: 11481 SW HALL BLVD 102
Project: Seller Active Subdivision: METZGER ACRE TRACTS Lot: 19
Project Description: Interior plumbing for TI:Adding(1)dishwasher and(1)sink;Installing(1)ejector/sump and(1)water heater.
2/13/19:REPRINT to change project name.
Contractor: MLP PLUMBING COMPANY Owner: BECKAL LLC
4505 SW 194TH CT 7100 SW GABLE PKWY
ALOHA, OR 97007 PORTLAND, OR 97225
PHONE: 503-686-4915 PHONE:
FAX: 503-641-2407
FEES
Quantity Description Date Amount
1 ea Dishwasher 01/16/2019 $25.02
Specifics: 1 ea Ejectors/Sump 01/16/2019 $25.02
1 ea Sink 01/16/2019 $25.02
Type of Use: COM 1 ea Water Heater 01/16/2019 $37.52
Class of Work: ALT 1 12%State Surcharge- 01/16/2019 $13.51
Type of Const: Plumbing
Occupancy Grp:
Stories:
Total $126.09
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: / / Permittee Signature: �,
.4ite- .40-....‘ LAr' ' °' crifr-_ 1/1,
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.
CITY OF TIGARD PLUMBING PERMIT
.11114 s • COMMUNITY DEVELOPMENT Permit#: PLM2019-00024
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/16/2019
T t t;A r D9 Parcel: 1S135DA03500
Jurisdiction: Tigard
Site address: 11481 SW HALL BLVD 102
Project: Spec Space Subdivision: METZGER ACRE TRACTS Lot: 19
Project Description: Interior plumbing for TI:Adding(1)dishwasher and(1)sink;Installing(1)ejector/sump and(1)water heater.
Contractor: MLP PLUMBING COMPANY Owner: BECKAL LLC
4505 SW 194TH CT 7100 SW GABLE PKWY
ALOHA, OR 97007 PORTLAND, OR 97225
PHONE: 503-686-4915 PHONE:
FAX: 503-641-2407
FEES
Quantity Description Date Amount
1 ea Dishwasher 01/16/2019 $25.02
Specifics: 1 ea Ejectors/Sump 01/16/2019 $25.02
1 ea Sink 01/16/2019 $25.02
Type of Use: COM 1 ea Water Heater 01/16/2019 $37.52
Class of Work: ALT 1 12%State Surcharge- 01/16/2019 $13.51
Type of Const: Plumbing
Occupancy Grp:
Stories:
Total $126.09
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 .. in a copy of the rules
or direct questions to OUNC by callin 503.232.1987 or 1.800.332.2344. r,
Issued By: '��� Permittee Signature:
.r r
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 Applications -•..'
Building Fixtures FOR OF LICL LSE ()NIA
City TigardIVE / /
Cl of Date/By: �//4., 1 t - Permit No.. �44 1/!/- , I,
1111 q 13125 SW Hall Blvd.,Tigard,OR 97223 ((( z
Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By:
Other Permit No�f•e�
l
/t'a}335
Inspection Line: 503.639.4175
TIGARD JA� 1 ii 1JDate Read/BY Juns: ® See Page 2 for
Internet: www.tigard-or.gov y uAt ) Notified/Method: ( Supplemental Information
TYPE OF iIVO it 1 1 i �+
�11L TING DIVISION , FE * SCHEDULE
0 New construction 0 Demolition For special information use checklist.
Description Qty. Ea. Total
0.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 dwellingCommercial/indusMal 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
JCR SITE INF t.. ;TION AND A TION Site utilities:
/<- Catch basin or area drain 18.76
Job site address. J I� C w U
f ,,,r,l cJ Drywell,leach line,or trench drain 18.76
City/State/ZIP:
L , a i' � 0 Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.:5G Project name: t ,Q 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.: /5 / - ) Backflow preventer 31.27
D> '.t ;, aimp ,' Backwater valve 12.51
s,.., , ''';'"-f":' ' y ' Clothes washer 25.02
Dishwasher ` 25.02G,1„
Drinking fountain 25.02
Ejectors/sump r 25.02 p ,x
PROPERTY ()INNER ) ❑ 'i`EN�:. Expansion tank 12.51
Name: Fixture/sewer cap 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
] APPLICANT CONTACT PERM Interceptor/grease trap 25.02
n L p pG{ Medical gas(value:$ ) Page 2
Business name: fU1 a_ J vt�� ,;,..7 ,)
�``
Contact name: /1,1d�,t, q 1^e tit- C (t1 i.e., Primer 12.51
5 ���`��� Roof drain(commercial) 12.51
Address: a{,_,, < 5 11 j ( ) C2 j, 1" Sink/basin/lavatory ' 25.02 0257.C.V-
City/State/ZIP: 6 I b tAi_ (X q i 6 7 C� Solar units(potable water) 62.54
Phone:((d;) G vG v!j q `c5`� Fax::(5v) (�,6 j� 2 ,i, l( Tub/shower/shower pan 12.51
E-mail: K ` L "[ Urinal 25.02
CONTRACTOR Water closet 25.02
Water heater 1 37.52 7 7 ljr2.
Business name: f7A , /3 / Le, 1,y CL) Water piping/DWV 56.29
/.j l
Address: <' c 1
4 j 9 /o[ ---� i Other: 25.02
City/State/ZIP: /4_,G o /,i d / y A tom/ 70 7 Q Subtotal //) .5r
Phone:(S:03) 6. ,( 4 q j(/ Fax:(jo 9 6!a 1 - ,i,Li /7 Minimum permit fee: $72.50
CCB Lic.: / 7 63 /J 1 1 Plumbing Lic.no.: 8 q'(,-'- Plan review (25%of permit fee)
` `� State surcharge(12%of permit fee) /�.
Authorized signature:/4/44A ��/� ��/ TOTAL PERMIT FEE /d.,-.)1
t �i�P'`�" G LZJ" / This permit application expires if a permit is not obtained within 180 days
Print nameg /,� Date: 1 11�-�� after it has been accepted as complete.
r t !�-.- AL"'5 t! /iO *Fee methodology set by Tri-County Building Industry Service Board.
I: wilding\Permits\PLMU-PermitApp.doc t7 1/09 (/ //�1`" 440-46 16T(1 0/02/COM/WEB)
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Site LTt l ties
Qty• ire Oa) mal 'Squa e Footage: Per snit Fee:
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 Systems:
Water Service-each additional 100' 37.52 Iuat ll> t: Permit
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
Fee ea each additional$100.00 or fraction thereof,to
Other Inspel ins Or ' Qty. 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*. Plan Review for Pirrie lug w' ins
Quantity by Fixture Type Plan review is required for any of the following.
littore:Tve for Replace/ Please check all that apply.
Work'Performed: Capped Added Relocate
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 Thras defined in OAR918-780-0040.
Cuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities.
Dishwasher: Commercial
0 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"
3„
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) 7 (1`,nk",-, .e
Rec.Vehicle Dump Station
Shower: -Gang
-Stall
Sink: -Lav/Bar non-food related
-Bradley
-Com/Serv/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 fees assessed for the sewer increase must be paid before the
Water Extractor
Water Closet-Toilet plumbing permit can be issued.
Urinal
Other Fixtures:
I:\Building\Permits\PLMF PermitApp.doc 08/04/2011 2
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
11481 SW HALL BLVD 102, TIGARD, OR, 97223 February 14, 2019 at
8:58:18 AM
Record Type: Record ID:
Commercial - Plumbing PLM2019-00024
Inspection Type: Inspector:
399 Plumbing final Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor