Permit II CITY OF TIGARD00497~ PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2020-00087
Date Issued: 02/27/2020
TIGARD) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 2S101 BD00200
Jurisdiction: Tigard
Site address: 8009 SW HUNZIKER RD
Project: Tigard Distribution Center Subdivision: None Lot: None
Project Description: Site utilities: 120 ft.of sanitary sewer. 3/4/20: REPRINT to correct address from 8005 to 8009 SW Hunziker.
Contractor: GRIDLINE PLUMBING Owner: TIGARD DISTRIBUTION CENTER LLC
14844 SW 109TH AVE 4800 SW MACADAM, STE 120
TIGARD, OR 97224 PORTLAND, OR 97239
PHONE: 971-275-6167 PHONE.
FAX:
FEES
Quantity Description Date Amount
120 If Sanitary Sewer 02/27/2020 $100.06
Specifics: 1 12%State Surcharge- 02/27/2020 $12.01
Plumbing
Type of Use: COM
Class of Work: ALT
Type of Const:
Occupancy Grp:
Stories:
Total $112.07
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 32.1987 oror 1.800.332.2344. // p�Issued By: yofSe�'- .^�1E4 Permittee Signature: (�G C��
L �/ L
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
City of Tigard ecrived
Permit No.: p
I3125 SW Hall Blvd.,Tigard,OR 97223 Plan Review /�+�`5 .�0-C)Cx3 j
• Phone: 503.718.2439 Fax: 503.598.1960 FEB 2 6 2020 DateBy_ Other Permit No. 1, _vitt
7 I t,A It I I Inspection Line: 503.639.4175 Date Ready/By: kris: B See Page 2 t«r �1_.
Internet www.ligard-or.gov CITY y�i OF r1/�P'P Notified/Method. g
TYPE OF WOI� ^ nppleneatat InformationInformationUILDING DIVISION
FEE* SCHEDULE
❑New constmction ❑Demolition For special information use checklist.
AdditiddalteratioNreplacemrnl ❑Other: - won 1 Qty• I Ea. j Total
New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
❑ 1-and 2-family dwelling _ .Commercial/industrial SFR(2)bath 437.78
❑Accessory building El Multi-family SFR(3)bath 500.32
❑Master builderEach additional bath/kitchen 25.02
0 Other: Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATIONi.AND LOCATION Site utilities:
Job site address: pn
ye
eS' ` Catch basin or area dram 18.76
City/State/ZIP: / b Drywell,leach line,or trench drain 18.76
Suite Bldg./apt.no.: 7Z)Project name:
Footing drain(no.linear ft.: ) Page 2
The�' i4 la Mamdactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.:j. ) a Page 2 i ocj.t ti,.
Storm sewer(no.linear ft.: 1 Page 2
Water service(no.linear ft.:- ) Page 2
Subdivision:
Lot no.: Fixture or item: �
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF WO Backwater valve ]2.51
/4114411'
l�r "new ‘i fAi /C `0�� Clothes hasher25.02
CE f/�� 7 /u( Dishwasher 25.02
/' 114f'I1 Drinking fountain 25.02
AA-)14-,
r Ejectors/sump 25.02
❑ PROPERTY OWNER 0 TENANT Expansion tank
12.51
Name: Fixture/sewer cap 25.02
Address: Floor ink drain/floor s /hub 25.02
City/State/ZIP: Garbage disposal 25.02
Hose bib 25.02
Phone:( ) Fax:( ) Ice maker 12.51
0 APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02
Business name: Medical gas(value:S_) Page 2
Contact name: 12.51
Roof drain(commercial) 12.51
Address:
Sink/basin/lavatory 25.02
City/State/ZIP: -
Solar units(potable water) 62.54
Phone:( ) r Fax: :( ) Tub/shower/shower pan 12.51
c rnaft: Urinal 25.02
. _ r (�// Water closet t - . 25.02
Business rlam j D/j.CO�� :24,....7f hi i( Water heater 37.52
Address: 5k f / Water piping/DWVl56.29
I t�� Other: 25.02
City/State/ZIP: �� t-di., �4' 97/Z 1 T Subtotal /410,cke
Phone:(VI ) j?7 - 47 Fax:( ) Minimum permit fee: S72.50
CCB Lic.: 7 4' I Plumbing Lie.no.:4 D4 Plan review (25%of permit fee)
State surcharge(12%of permit fee)4 /1-_ p/
Authorized signature: TOTAL PERMIT FE
Print p (%"name\A 4 Ce A _. I Dateyly1�{j I Tah permit application expires If a permit is not obtained within NO days
1 / �4f�1 after it has been accepted as complete.
*Fee methodology set by lri-County Building Industry Service Board.
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4404616Tt IO0O2/COM/WEB)
CITY OF TIGARD PLUMBING PERMIT
111
COMMUNITY DEVELOPMENT Permit#: PLM2020-00087
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/27/2020
T I G A I.F..) 9 Parcel: 25101 BD00200
Jurisdiction: Tigard
Site address: 8005 SW HUNZIKER RD
Project: Tigard Distribution Center Subdivision: None Lot: None
Project Description: Site utilities: 120 ft.of sanitary sewer.
Contractor: GRIDLINE PLUMBING Owner: TIGARD DISTRIBUTION CENTER LLC
14844 SW 109TH AVE 4800 SW MACADAM, STE 120
TIGARD, OR 97224 PORTLAND, OR 97239
PHONE: 971-275-6167 PHONE:
FAX:
FEES
Quantity Description Date Amount
120 If Sanitary Sewer 02/27/2020 $100.06
Specifics: 1 12%State Surcharge- 02/27/2020 $12.01
Plumbing
Type of Use: COM
Class of Work: ALT
Type of Const:
Occupancy Grp:
Stories:
Total $112.07
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 a pled by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. u may obtain a copy of the rules
or direct questions to OUNC by •:Ilin. 503.23 /:87 or 1. 0.3 .2344.
r
Issued By: ,/ /. Permittee Signature:
/ Call 503.639.4175 by 7:00 a.m.for the next available insp o da .
This permit card shall be kept in a conspicuous place on the job site un completion of the project.
Approved plans are required on the job site at the time of each inspection.
Plumbing Permit Application
. City of Tigard riiiieceived M,
• I3125 SW Hall Blvd.,Tigard,OR 97223 Date/By: 2/ i v ,�T_ Permit No.:A/ art Z s Is 7
i Phone: 503.718.2439 Fax: 503.598.1960 FEB 2 6 2020 Plan Review W V
Date/By: Other Permit No.: q �q"��>�i7� :
1 i t, ,4 R n Inspection Line: 503.639.4175 �/ r/(( ! t]+
Internet: www.tigard-or.gov CITY OF Tar PtRI. Date Ready/By: kris: H See Page 2 for
f f(Ltl� fll attN'otifed/Method: -� Supplemental Information
TYPE OF WOIIUILDING DIVISION FEE* SCHEDULE
❑New construction ❑Demolition For special information use checklist.
Description -
Addition/alteration/replacement ElOther: Q1 Ea. f Total
New 1-2-family dwellings(includes 100 ft..for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
El1-and 2-family dwelling ommercialJindustrial SFR(2)bath 437.78
❑Accessory building 0 Multi-family SFR(3)bath 500.32
El Master builder Each additional bath/kitchen 25.02
❑Other sprinklerFire q( s .R) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: C�vDS C. A z4`` `.7------- Catch basin or area drain
/Gti}_ 18.76
City/State/ZIP: 7 4 e J / Drywall,leach line,or trench drain 18.76
Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: Project name: The /�/� µA
r✓! 'I Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear IL:J' ) a Page 2 i p j Alf.
Storm sewer(no.linear ft.: ) i Page 2
Subdivision:
Water service(no.linear ft.:_ ) Page 2
Lot no.: Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF WO�1rtf� Backwater valve 12.51
r l I7eid ,el f A� ie" Clothes hewasher 25.02
���$� /���� "/j4� Ga+ /f// Dishwasher
Si ii,� �O.ek L�it 25.02
Drinking fountain 25.02
Q Ejectors/sump 25.02
❑ PROPERTY OWNER /J J ❑ TENANT Expansion tank 12.51
Name: Fixture/sewer cap 25.02
Address: Floor drain/floor sink/hub 25.02
City/State/ZIP: Garbage disposal 25.02
Hose bib 25.02
Phone:( ) Fax:( ) Ice maker 12.51
0 APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02
Business name: Medical gas(value:$_) Page 2
Contact name: Primer 12.51
Address:
Roof drain(commercial) 12.51
Sink/basin/lavatory 25.02
CiTy/State/ZlP: Solar units(potable water) 62.54
Phone:( ) Fax::( ) Tub/shower/shower pan 12.51
rs-man: Urinal 25.02
- r CONT CI17L
Water closet } . 25.02
� {
Business nam Z V/,/ / f 1i 7{4 _ Water heater 56.29
Address:` 5 /07/ r�leJ Waterpiping/DWV I 56.29
: 25.02
City/State/ZIP: ,/,q Qed/&f 97z Z `/ Other ' - Subtotal l OVA
Phone:(V/ ) 2T� S7 Fax:( ) Minimum permit fee: $72.50
CCB Lic.: ^7ff��� Plumbing Lic.no.:CO2�, ,04# Plan review (25%of permit fee)
Authorized signature:
State surcharge(12%of pemtit fee) /yL, /..)/
TOTAL PERMIT FE)1(O._C)
Print name`y��� �•l'
4�A -_ Date This permit application expires if a permit is not obtained within 180 days
1 � ;,.?.g;, after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
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