Permit CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2020 00028
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/21/2020
TIC'"tRL� Parcel: 2S101DB00100
Jurisdiction: Tigard
Site address: 7320 SW HUNZIKER RD 207
Project: TKG Brokerage Subdivision: None Lot: None
Project Description: Interior plumbing for TI: Replacing(1)dishwasher and (1)sink.
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: 503-639-5296 PHONE:
FAX: 503-684-9015
FEES
Quantity Description Date Amount
1 ea Dishwasher 01/21/2020 $25.02
Specifics: 1 ea Sink 01/21/2020 $25.02
1 12%State Surcharge- 01/21/2020 $8.70
Type of Use: COM Plumbing
Class of Work: ALT 22 ea Minimum Fee Adjustment- 01/21/2020 $22.46
Plumbing
Type of Const:
Occupancy Grp:
Stories:
Total $81.20
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 Qr 180Z_132.2344.
Issued By: Permittee Signature: C ':
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Flumbina Permit Application,
Building Fixtures
IIII Ci11y Af TigIt� / / FannieNu.: f) 7�r 1312$SW Hall Blvd.,Tigard:OR 97223 lana �1 rat "(�'rPlan ftaview
Phnne: 503,718,2439 Fax 503.598,19+50 Dnte/BY. Other Permit No.: � 14) -Ik_( 1Inspection Line: 503,639,4175Date Read /B lefts 0 See Pa z for
I , . . r Y y geInternet; www.tigsrd-or,gov Notified/Method'IIIIIIIIIIIIIIII7111MllillIllu.'"cqw'riv)",
"fv, Supplemental Information
tYPI C r wo*ti 4 , .. $r$ Dl'1LE.,
M �[3 New construction � Q Demolition Por special Information use checklist.
Description 1 Qty. I Ea. I "Foul
Addition/alteration/replacement EI Other, New I-2-famil dwellin_s includes 100 ft.for each utilit connection)
CAT GOKY pr tatIP314 SFR(1)bath 312,70
0 I-and 2-family dwelling Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 500.32
0]Accessory building 0 Multi-family
Each additional bath/kitchen 25.02
0 Master builder 0 Other: Fire sprinkler( sq.It) Page 2
JOB t �_ l +'11ON'tl1@ {• ; • '1`1bgi_ _ Re utilities:
F.)"site addrees:`IZQC) Ste) �K W1-1�� i t� Catch basin or area drain 18.76
City/State/ZIP\\ 'LKC. e.1� g1.aa6 � Drywcll,leach line,or trench drain I8.76
�-�,^ k , je)YGys_.ye_ Footing drain(no.linear ft.:__,) Page 2
Suite/bldg./apt,no.: Project name: iJ
(�� J1 l� •��. 1 {lC . Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear It: ) Page 2
r---- - Storm sewer(no.linear ft.:, ) Page 2
Water service(no.linear ft.: ) Page 2
Subdivision: Lot no.: Fixture or Item;
Tax map/parcel no:; tiacktlow preventer 31.27
"""""` Backwater valve 12.51
f1 " �IIV OF.1+Qlglit.'. h.a . _ ._.
Clothes washer 25.02
Dishwasher \\ 25.02 "j{y7
, �,�1Ct�Y..Q0 l\O Drinking fountain 25,02
,ectorslsum, 25,02
;;. Es,ansi6n tank" . _ 12.5I
Name: _Fixture/sewer eap.__._.�_—,....._ .,__ __. .-_25,)2 _ —
Floor drain/floor,. ln si__ 25.02
.. . _
I
Address: Cathage disposal _ 25.02
I ('Ity/State/Z1P: u Hose bib 25.02
t
Phone:( ) Fax:( ) Ice maker 12.51
4 Appu _ `towtAo Interceptor/grease trap 25.02
Business name: k 1 ;v \ ` "\i } 1 \,�� • Medical gas(value:S—) Page 2
` Primer 12.51
C'onteet name: . (_�.X\a s ��U J
Roof drain(commercial) 12.51
7-
Address: Q �Pi� �} „rl �� Sink/basin/lavatory \ 25.02 .0'�
d
City/State/Y,11gt y f'), Solar units(potable water) 62.54
Phone:( ) Fax::( ) Tub/shower/shower pan 12.51
!1 " Urinal 25.02
E-mail:
(1,a,il .,4�ctii ck rn Li,LYI'P l Yt. tAC ,C s``M Water closet 25.02
tt9 [�1lAC
- - --- - • Water heater 37.52_
Business name:Western Plumbing,Inc. Water r in DWV 56,29
Address;9460 SW Tigard Street,Suite 101 _ Other 25.02
City/State/ZIP:Tigard,OR 97223 _ Subtotal f4".04
Phone:(503)639-5296 Fax:( ) Minimum permit fee: $72.50 D.S0
CB Tic.:2439 Plumbing Li .no.:3429PB Plan review (25%of permit fee)
C'
State surcharge(12%of permit fee) IA b
•
Authorized signature: /ti� f(, ) TOTAL PERMIT FEE �` U
Print name: r"' ! Date: \1`A,QD This permit application expires if a permit is not obtained within ISO days
after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
I\Building\Permits\PLMU-PermitApp.doc I0/01/09 440-4616T(I0/021COM1WEB)
riu ib.LnLPerm t ADpli cs1 nn - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
T Site Utifli* . Fee(tull: toad al* etit+ Pennit fe: ..
tooting drain-1'"100' 50.03 0 to 2.090 , $121.90
rooting drain-each additional 100' 37.52 ,2,001 to 3,600 , S169,69
3,601 to 7 09_ ... $23320 _ ,.__
Sewer•i st 100' 62.54 7.201,and RreateL $327,54
!fewer=each additional 100` 37.52
Water Service-1st 100' .. 62.54 Medical Gas S stems:
Water Service-each additional 100' 3/.52 ,'z
Storm&Rain Drain-1st 100' 62,54
$1.00 to$5.000.00 Minimum fee$72,50
Storm&Rain brain-each additional 100' 37.52 I S5,001.00 to$10,000.00 $72.50 for the first$5.000.00 and$1.52 for
Other 1. . , iT . (l , 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 Mr the first S 10,000.00 and$1.54 for
wwhicl,no fee is specifically indicated 't each additional S100.00 or fraction thereof,to
liialiltJallistillat .iL2,.Ztoufl . ; pnd including$23900,90,
litiitecfions outside of normal business t + $25,001,00 to$50,000.00 i $379.50 for the first S25,000,00 and 51.45 for
hotilI.tt lirtinttnt ebtrxe-2 hours). _ each additional S 100.00 or fraction thereof,to
l.einspectinn Fee4 ., and including$50,000.00.
Additional plan review for revisions e $50,001,00 and up $742.00 for the first$50,000.00 and$1.20 for
_lnainintartl charg V I12 hourl each additional 1100.00 or fraction thereof
Subtotal:
Commercialfixture Worli:
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*.
t3gttu 0 br fistorrhar ' 1 Ci 'g
Fixture Type for Repine/
r.rfo th Capps Added Rite Plan review is required for any of the following.
Ctnotistryl,F nt MOMcheck all that apply.
0
Bath, 1 ubl5nower Any new commercial building with water service 2'"and
,1acu zi/Whirl>xsol greater,except systems designed and stamped by licensed
Car Wash -Each Stall engineer.
_•13nve T'hru 0 New exterior plumbing site utilities for any complex structure
Cuspidor/Water Aspirator as defined in OAR918.780-0040,
v
Dishwasher -Commercial 0 Medical gas and vacuum systems for health care facilities,
-iomestic _ i 0 Any multipurpose fire sprinkler system,
Prinking Fountain 0 Any complex structure as defined in OAR918-780-0040.
_I;ys Wash __ _
Floor Drain/sink •2" Submit I sets of plans with any of the above.
-3
. .- . i s or er m
Car wash Drain --
tiathnue -Domestic-non-food o d Isometric or riser diagram is required for new buildings
Disposal -Domestic-fbod related that meet the qualifications above.
-Commercial-food related
-.111.dastriall0Q0 related
Ice Mach./Refit,Oftiins
0'I SVPIt atOrtailittitiuttt ". . . Comments regarding fixture work:
. t3sLatijcl> C1}tmStag
Shower Can6
-Stall.
Sink/I.av -Non-food related , $ - - .- - -
-Bradley ,. ..,
-Commercial-food related
-Service
RSwimming PoolFiitet *Note: If the fixture work under this permit results in an
washer-Clothesctorincrease of sewer EDUs a sewer permit will be issued and
Water Extractor +
Water Closet-.Toilet fees assessed for the sewer increase must be paid before the
tlrinai _ . plumbing permit can be issued.
., Other Fixtures:.,. .,,. .. .. . . , .- -
h ttp://www.t igard-or,gov/document,-center/Bu ilding/P LMF_Pertn itApp,dt