Permit (34) CITY OF TIGARD PLUMBING PERMIT
II . • , COMMUNITY DEVELOPMENT Permit#: PLM2019-00048
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/05/2019
T I�;a u C� g Parcel: 1S126DC04700
Jurisdiction: Tigard
Site address: 9575 SW LOCUST ST
Project: Double Tree by Hilton Subdivision: LEHMANN ACRE TRACT Lot: 5
Project Description: Converting(82)tub/showers to shower pans,replacing(19)tub/showers,and replacing tub and shower valves.
Contractor: CRAFTWORK PLUMBING INC Owner: NHT TIGARD LLC
7939 SW CIRRUS DR BLDG 23 BY HIGHLAND CAPITAL MANAGEMENT
BEAVERTON,OR 97008 300 CRESCENT CT#700
DALLAS,TX 75201
PHONE: 503-644-8698 PHONE:
FAX: 503-644-5989
FEES
Quantity Description Date Amount
101 ea Tub/Shower/Shower Pan 02/05/2019 $1,263.51
Specifics: 1 12%State Surcharge- 02/05/2019 $151.62
Plumbing
Type of Use: COM
Class of Work: ALT
Type of Const:
Occupancy Grp:
Stories:
Total $1,415.13
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 1.80113_32.2344.
Issued By: rmittee Signature: C' r4- r�
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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: 1'SE ONE
City Of Tigard ., Received j
<,. Date/By: "Al// Permit No.. fo/ jl y- .y)-1/,1 f�
11114 13125 SW Hall Blvd.,Tigard,OR 97ar-i,
Plan Review
/N 'v (xXJ u
■ ' Phone: 503.718.2439 Fax: 503.598.1960 I ' '� \(3 Date/By: Other Permit No.:
-. Inspection Line: 503.639.4175 '1 Date Read B Juris: 0 See Page 2 for
1 1 t'A 1t D Internet: www.tigard-or.gov �i s Ready/By:
B
w a�1 otified/Method: ' Supplemental Information
.
For special information use checklist
❑New construction I I 1 emolition
Description �ty. Ea. Total
®Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utilityconnection)
/; "4� t r SFR(1)bath 312.704' ff ' f xt, 4t ; t t4 . d „
0 1-and 2-family dwelling ®Commercial/industrial SFR(2)bath 437.78
❑Accessory building ❑Multi-family SFR(3)bath 500.32
Each additional bath/kitchen 25.02
❑Master builder ❑Other:
u Fire sprinkler( sq.ft.) Page 2
fr LsiV t .1'..Y.'.1!.'.'-'!,7,?.:'. €t 1 t t f07 2 Site utilities:
/Gnv .✓'452 , ei,/f a... , ...�.. ..4,.,,.,,,,m, . ......... .. .„..,,m sCT P,�Fd, .... .:o �. %1i
Job site address:9575 LOCUST ST Catch basin or area drain 18.76
Drywell,leach line,or trench drain 18.76
City/State/ZIP:TIGARD OR 97223
Footing drain(no.linear ft.: Page 2
Suite/bldg./apt.no.: Project name:DOUBLE TREE BY HILTON Manufactured home utilities 50.03
Cross street/directions to job site:HWY 217 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: 1 Lot no.: Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
Backwater valve 12.51
` Clothes washer 25.02
Convert 82 tub/showers to shower pans
Dishwasher 25.02
Replace 19 tub/showers Drinking fountain 25.02
replace tub and shower valves Ejectors/sump 25.02
2 ,''''-1.1;4a:
4 ': 7, q tiEgY Expansion tank 12.51
.6. ,r 014: 1.0." ._� ...._,. - _...._ ''"''''-'7''''''4
.__:.. .:�_.6 k,✓i
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
7 `a ' Interceptor/grease trap. ( t , y25.02u
Medical gas(value:$ ) Page 2
Business name:
Primer 12.51
Contact name:
Roof drain(commercial) 12.51
Address: Sink/basin/lavatory 25.02
City/State/ZIP: Solar units(potable water) 62.54
Phone:( ) Fax::( ) Tub/shower/shower pan '01 12.51 1263.51
E-mail: Urinal 25.02
oy ili aG'� r /. t.,,,,,,,,,5,4V,,,r Water closet 25.02
. � ;; .e „ � ' Water heater 37.52
Business name:Craftwork plumbing Water piping/DWV 56.29
Address:7939 sw cirrus drive Other: 25.02
City/State/ZIP:Beaverton Or 97008 Subtotal
Minimum permit fee: $72.50 -Phone: So 3 ()Li Fax:(503)644-5989
`LAAQ4„v
Plan review (25%of permit fee) -
CCB Lic.:79666 Plumbing Lic.no.:20-148pB
r ilii
State surcharge(12%of permit fee) 151.62
Authorized sl atur . prIa-,-(147)-s/(i-Ls TOTAL PERMIT FE r
Print name:Mary Kruchoski Date:2/4/19 This permit application expires if a permit is not obtained w bin 180 days
after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
440-4616T(l0/02/COM/WEB)
I:\Building\Permits\PLMU-PermitApp.doc 10/01/09
Plumbing Permit Application - City Tigard
Ti and
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
-, ' ;, re.v- i^� i `` ,;.
b 3 4, 4 ?%� s �Q/ � k•
,.
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 S stems:
Water Service-each additional 100' 37.52
Storm&Rain Drain-1st 100' 62.54 1 a t b" jy"yj
$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
; � '"".' f 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 char:e-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 char:e-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 chaz:e-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 is required for anyof the following.
Please check all that apply.
Baptistry/Font
Bath Tub/Shower to ❑ 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 0 My multipurpose fire sprinkler system.
Drinking Fountain ❑ 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 *O� .,,aaia �
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
-Bradley
-Commercial-food related
-Service
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 fees assessed for the sewer increase must be paid before the
Urinal plumbing permit can be issued.
Other Fixtures:
C:\Users\mary.CPI\Documents\Downloads\PLMF_PermitApp.doc 2
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9575 SW LOCUST ST, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Plumbing PLM2019-00048
Inspection Type: Inspector:
399 Plumbing final Don Sylvester
Result:
PASS - NoCofO
Comments:
1 . Corrections are complete for units # 234, 233, 236, 235, and 238.
2. Inspection for units # 237, 239, 242, 241 , 244, 243, 245, 316, 327, 328, 310, and 303 -
Approved ( all other units were occupied)
3. Plumbing final - Approved
Violation Summary:
Inspector Contractor