Permit (198) CITY OF TIGARD PLU:1:79-07207 IT
'g COMMUNITY DEVELOPMENT Permit#:
�" Date Issued: 05/16/2019
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 ,„ .,"i„ i''' 7"
Parcel:
03.718.2439Parcel: 2S101DC03900
i'
' I' Cly ''
\\C\ Jurisdiction: Tigard
Site address: 7150 SW SANDBURG ST
Project: Immunology Consultants Laboratory(ICL) Subdivision: SALEM FREEWAY SUBDIVISION Lot: 4
Project Description: Interior alteration only for new tenant. Exterior work for parking will be submitted under separate site work permit
after receiving approval for land use(see MMD2019-00009).9/19/2019:REPRINT to add(8)lines of CO2.
Contractor: NORTHWEST CENTRAL PLUMBING CO INC Owner: LESLIE SANDBURG LLC
2870 SE 75TH AVE#206 ATTN:JOHN G LESLIE
HILLSBORO, OR 97123 14056 GOODALL RD
LAKE OSWEGO, OR 97034
PHONE: 503-642-2067 PHONE:
FAX: 503-642-5954
FEES
Quantity Description Date Amount
1 ea Drinking Fountain 05/16/2019 $25.02
Specifics: 31 ea Sink 05/16/2019 $775.62
5 ea Lavatories 05/16/2019 $125.10
Type of Use: COM 2 ea Urinal 05/16/2019 $50.04
Class of Work: ALT 5 ea Water Closet 05/16/2019 $125.10
Type of Const: 17 ea Fixture/Sewer Cap 05/16/2019 $425.34
Occupancy Grp: 1 ea Water Heater 05/16/2019 $37.52
Stories: 1 12%State Surcharge- 05/16/2019 $187.65
Plumbing
25 Misc Other Fee 09/19/2019 $25.02
0 12%State Surcharge- 09/19/2019 $3.00
Plumbing
Total $1,779.41
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.
t,
Issued By: ^ Permittee Signature: C��. ��
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 ' --M Zo19r bc)ae7"--i
Building Fixtures EGEIVED
FOR OFFICE: USE ONLY
City of Tigard .pC
Permit No.: 1 el ,i
III ■ 13125 SW Hall Blvd.,Tigard,OR 97223E P 1 8 2019 Plan Review `�
■ Phone: 503.718 2439 Fax: 503.598.1960 Date/By: Other Permit No.:
Inspection Line: 503.639.4175
T I G A R tCITY OF TIG CRD Date Ready/By: lulls: ® See Page 2 for
Internet: www.tigard-or.gov
NotifiediMethod: Supplemental Information
TYPE OF -., _,. FEE*SCHEDULE
❑New construction ❑Demolition For special information use checklist.
Description I Qty. I Ea. I Total
®Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
• SFR(1)bath
CATEGORY OF CONSTRUCTION tw` 's f'V SFR(2)bath 312.70
I=11-and 2-family dwelling ®Commercial/' dyrst' rt
� ,. '1 1111111=1
11 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 Site utilities:
Job site address:7150 SW Sandburg 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.: I Project name:Immunology Lab 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.: Backflow preventer 31.27
Backwater valve 12.51
DESCRIPTION OF WORK
' Clothes washer 25.02
Demo for the project consists of all bathrooms and drinking fountains,capping Dishwasher 25.02
lines where plumbing is removed both on lowere level and first floor levels. Drinking fountain 25.02
Ejectors/sump 25.02
0 PROPERTY OWNER 1 0 TENANT Expansion tank 12.51
Fixture/sewer cap 25.02
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
® APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02
Business name:Northwest Central Plumbing dba Local Plumbing Co Medical gas(value:$ ) Page 2
Primer 12.51
Contact name:Haley Shannon
Roof dram(commercial) 12.51
Address:2870 SE 75'Ave Ste.206 Sink/basin/lavatory 25.02
City/State/ZIP:Hillsboro,OR 97123 Solar units(potable water) 62.54
Phone:(503)601-3717 Fax::( ) Tub/shower/shower pan 12.51
E-mail:haleysCulocalplumbingco.com Urinal 25.02
Water closet 25.02
CONTRACTOR
Water heater 37.52
Business name:Northwest Central Plumbing Co dba Local Plumbing C Water piping/DW V 56.29
Address:2870 SE 75th ave Ste.206 Other:CO2 Lines 8 25.02
City/State/ZIP:Hillsboro,OR 97123 Subtotal
Phone:(503)601-3717 Fax:( ) Minimum permit fee: $72.50
CCB Lic.:72253 Plumbing Lic.no.:34-197PB Plan review (25%of permit fee)
State surcharge(12%of permit fee)
Authorized signature: TOTAL PERMIT FEE
Print name:Haleyon Date:9/18/19 This permit application expires if a permit is not obtained within 180 days
anafter it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
l:\Building`Permits\PLMU-PermitApp.doc 10i0Ii09 440-46161(10;02!COM•'WEB)
Julie Drinkwater
From: Haley Shannon <HaleyS@LocalPlumbingCo.com>
Sent: Wednesday, September 18, 2019 10:06 AM
To: #Building Permit Technicians
Subject: Plumbing Permit# PLM2019-00207
Attachments: SKM_C25819091809090.pdf
Caution! This message was sent from outside your organization.
Good morning,
Attached is Local Plumbings addition to existing permit# PLM2019-00207. 8 CO2 lines added.
Please let me know if you have any questions.
Thank you
Haley Shannon
Project Coordinator
503.619.9319 cell 503.601.3717 office
haleys@localplumbingco.com www.localplumbingco.com
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CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2019-00207
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/16/2019
Parcel: 25101 DC03900
Jurisdiction: Tigard
Site address: 7150 SW SANDBURG ST
Project: Immunology Consultants Laboratory(ICL) Subdivision: SALEM FREEWAY SUBDIVISION Lot: 4
Project Description: Interior alteration only for new tenant. Exterior work for parking will be submitted under separate site work permit
after receiving approval for land use(see MMD2019-00009).
Contractor: NORTHWEST CENTRAL PLUMBING CO INC Owner: LESLIE SANDBURG LLC
2870 SE 75TH AVE#206 ATTN: JOHN G LESLIE
HILLSBORO, OR 97123 14056 GOODALL RD
LAKE OSWEGO, OR 97034
PHONE: 503-642-2067 PHONE:
FAX: 503-642-5954
FEES
Quantity Description Date Amount
1 ea Drinking Fountain 05/16/2019 $25.02
Specifics: 31 ea Sink 05/16/2019 $775.62
5 ea Lavatories 05/16/2019 $125.10
Type of Use: COM 2 ea Urinal 05/16/2019 $50.04
Class of Work: ALT 5 ea Water Closet 05/16/2019 $125.10
Type of Const: 17 ea Fixture/Sewer Cap 05/16/2019 $425.34
Occupancy Grp: 1 ea Water Heater 05/16/2019 $37.52
Stories: 1 12%State Surcharge- 05/16/2019 $187.65
Plumbing
Total $1,751.39
Required Items and Reports(Conditions)
Thispermit is issued to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
subject9 9 pp Y
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: 'r • ' _. • . ire: n
,rte 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 ApplicatiB 1 ; G ',a Y-
Building Fixtures MAY 9 2019 I'Olz OFFICE GSE ONLY
IIICity of Tigard `'TY o ria .D Date/BY cli j//2 / -- Permit No.: �4/1'I JL I ,...<-4;207
q 13125 SW Hall Blvd.,Tigard,O:„'
2 Phone: 503.718.2439 Fax: 503: '+ ^,I G DIVISION DPlaatne/RB view Other Permit No.:��
Inspection Line: 503.639.4175 ti�( � l
7i
TiuAtll
Date Ready/By: Jure: la See rage 2 for
Internet: www.tigard-or.gov Notified/Method: ' , Su•elemental Information
`4^.:',-{ -• R'aa alv u• J,a t t 2;t,.3»4-.,-.:41,i:.. 6 ," gs.a, °w �°�'1sz4,c .saf§4, �t 5.`,,,F, x a,,, ram wx t .., .yrs' , r,.t'. r*, r r 47,,'7 ,4
',47e4„15'dtdyit:44eAir'agk44tait4'
❑New construction 0 Demolition For special information use checklist
Description I Qty. I Ea. 1 Total
®Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
: a s s. a SFR(I)bath 312.70
❑ I-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
❑Accessory building 0 Multi-family SFR(3)bath 500.32
Each additional bath/kitchen 25.02
❑Master builder 0 Other:
Fire sprinkler( sq.ft.) Page 2
. s , t ® 0 1 , ' a � Site utilities:
Job site address:7150 SW Sandburg St
Catch basin or area drain 18.76
City/State/ZIP:Tigard OR 97223 Drywetl,leach line,or trench drain 18.76
Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: 1 Project name:Immunology Lab 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.:_) I Page 2
Subdivision: l Lot no.: Fixture or item:
Tax map/parcel no.: ?.- . - a 0-1, t' , .,„ Backflow preventer 31.27
1,3 ', ' '"" a ,a. "' ra,t %' Backwater valve 12.51
�:�..,^6,..loa.�..�.. .#^ w •a.=.q ke ,,w.. ,�e3�' < .w�. <a ; x,rwn,..a'�`xe-'�' z�r-8va"P's clothes wash,. 25 1
`'"''t'i i'l'C r "VII 2.t#.9Dishwasher 25 02
Drinking fountain I 25.02 ars-"L,
Ejectors/sump 25.02
4 ,„,,�'>s, 14,t ® tir t Va ,A47:.3174:* Expansion tank
Name: Fixture/sewer cap 1 25.02 425.34
Address: Floor drain/floor sink/hub 25.02
Garbage disposal 25+
City/State/ZIP: Hose bib 25.02
Phone:( ) Fax:( ) Ice maker 12.51
v ' r m em '.
� Interceptor/grease trap +l , w
Business name:Northwest Central Plmbing Co dba Local Plumbing Co Medical gas(value:$ ) Page 2
Primer 12.51
Contact name:Haley Shannon
Roof drain(commercial) 12.51
Address:2870 SE 75th Ave Ste.206 Sink/basin/lavatory 25.02 (,)0,7r
City/State/ZIP:Hillsboro,OR 97123 Solar units(potable water) 62.54
Phone:(503)6013717 l Fax::( ) Tub/shower/shower pan 12.51
E-mail:haleys@localplumbingco.com Urinal2 +� + ,C)/
-, a��zre I ,5W s,l ,.v-1 "ry."`'a F; t. :004k 4. ';x ,, water closet 1 : 4)
� �k �;. K4t.,1,,t, . `. . r,�: 0i �� , .,4- Water heater 1 37.52 3-7
Business name:Northwest Central Plumbing Co dba Local Plumbing C Water piping/DWV 56.29
Address:2870 SE 75th Ave Ste.206 Other: 25.02
City/State/ZIP:Hillsboro,OR 97123 Subtotal -3:74
Phone:(503)6013717 Fax:( ) Minimum permit fee: $72.50
Plan review (25%of permit fee)
CCB Lic.:72253 Plumbing Lic.no.:34-197PB
Authorized Signa • - j
/ State surcharge(12%of permit fee) /7 7..
i TOTAL PERMIT FE 7S�/ ?
Print name:Haley Shannon Date:5/9/19 This permit application expires if a permit is not obtained hid 180 days
after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
I:\Building\Pennits\PLMU-PermitApp.doe 10/01/09------___-- 440.4616T(10/02/COM/WBB) -_.-
r Plumbing Permit Application - City of Tigard
Page 2-Supplemental Information
Fee Schedule: Residential Fire Su !ression S stems:
�, �,_ ��`� :- '� Tel a rz. '" �9'; �,.... "; s ! f ` . 1 ! 6' Y t ,. I f '� S`Yr -'':walk ., .
Footing drain-1°100' 50.03 0 to 2,000 $121.90% } a
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
tve Water Service-each additional 100' 37.52xr a 1- _,,,,,r y
Storm&Rain Drain-1st 100' 62.54 11 �. _.e vom ��
$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
7 t . f 1 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
(minimum charge-1/2 hour) each additional$100.00 or fraction thereof,to
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*.
a Qaio-t5 by fixture y�pe ' ,. i .
Fl hue lypefar `' ,t �. ,fa $,; 7 i!lf� }! ##1<" 1� � s.., .
` r ''r Plan review is required for anyof the following.
,�1!ork,Eer`fortned. * . : ,. ` :carr�t, ��,� V' �,�u� ,lf� eq g•
Baptistry/Font Please check all that apply.
Bath -Tub/Shower 0 Any new commercial building with water service 2"and
-Jacuzzi/Whiripool greater,except systems designed and stamped by licensed
CarWash -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 0 Any multipurpose fire sprinkler system.
Drinking Fountain 1 0 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.
3„
Car Wash Drain ,.*44A I. h i l e..4 i d 1 1` 7 1 a is t 7 '- t s�,'
Garbage Domestic-non-food ❑ 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 MachlRefrig.Drains
Oil Separator(Gas Station) Comments regarding fixture work:
Rec.Vehicle Dump Station
Shower -Gang
-Stall 4 "
Sink/Lav -Non-food related 5 36 _ [ 5) t' .r4 >'' L ' J
-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 5 5 fees assessed for the sewer increase must be paid before the
Urinal 3 2 plumbing permit can be issued.
Other Fixtures:
C:\Users\haleys\Downloads\PLMF_PermitApp(2).doc 2