Permit CITY OF TIGARD BUILDING PERMIT
lig _ • COMMUNITY DEVELOPMENT Jz"`,lA+� Permit#: PLM2020-00085
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Ti 1pwt Date Issued: 03/24/2020
Parcel: 2S101 BD00200
Jurisdiction: Tigard
Site address: 8005 SW HUNZIKER RD
Project: Tigard Distribution Center Subdivision: None Lot: None
Project Description: Interior plumbing for TI:Adding(1)2"floor drain,(4)sinks,(2)water closets,and(1)urinal.
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:
Specifics: FEES
Description Date Amount
Type of Use: COM Expansion Tank 02/27/2020 $12.51
Class of Work: ALT Type of Const:
Occupancy Grp: Occupancy Load: Floor Drain/Floor Sink/Hub 02/27/2020 $25.02
Primer 02/27/2020 $12.51
Dwelling Units: Sink 02/27/2020 $100.08
Stories: Height: ft Urinal 02/27/2020 $25.02
Bedrooms: Bathrooms: Water Closet 02/27/2020 $50.04
Value: $0 Water Heater 02/27/2020 $37.52
12%State Surcharge-Plumbing 02/27/2020 $31.52
Floor Areas:
Total Area:
Accessory Struct:
Basement:
Carport:
Covered Porch:
Deck:
Garage:
Mezzanine:
Total $294.22
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking:
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: i • Permittee Signature: '6" "-"---",.‘
all 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.
t, CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2020-00085
T GAta D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/24/2020
Parcel: 2S101 BD00200
Jurisdiction: Tigard
Site address: 8009 SW HUNZIKER RD
Project: Tigard Distribution Center Subdivision: None Lot: None
Project Description: Interior plumbing for TI:Adding(1)2"floor drain,(4)sinks,(2)water closets,and(1)urinal.
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
1 ea Expansion Tank 02/27/2020 $12.51
Specifics: 1 ea Floor Drain/Floor Sink/Hub 02/27/2020 $25.02
1 ea Primer 02/27/2020 $12.51
Type of Use: COM 4 ea Sink 02/27/2020 $100.08
Class of Work: ALT 1 ea Urinal 02/27/2020 $25.02
Type of Const: 2 ea Water Closet 02/27/2020 $50.04
Occupancy Grp: 1 ea Water Heater 02/27/2020 $37.52
Stories: 1 12%State Surcharge- 02/27/2020 $31.52
Plumbing
Total $294.22
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:
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.
i` Plumbing Permit Application
.-✓i - S-
� Building Fixtures �I��y���� � FOR�FICE USE ONLY �
ii��!!'' eceived
City of Tigard Date By. �/,,, / Permit No.:
,1 _ ■ 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review" �tp/at) � ~
n Phone: 503.718.2439 Fax: 503.598.1960 FEB 2 6 2020 Date/By: Other Permit No.: /J
` . T I G A R D Inspection Line: 503.639.4175 Date Ready/By: _kris: lid See Page 2 for
t Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: Supplemental Information
. TYPE OF WOIEUIWING DIVISION FEE* SCHEDULE
El New construction ❑Demolition For special information use checklist
1 Description Qry. Ea. Total
SI Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
.*I " CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
❑ 1-and 2-family dwelling , m omercial/industrial SFR(2)bath 437.78
SFR(3)bath 500.32
0 Accessory building 0 Multi-family
- Each additional bath/kitchen 25.02
■ Master builder ❑Other:
�Q�(� Fire sprinkler(_sq.ft.) Page 2
4* r.�C t
JOB SITE INFORMATION AND LOCATION _Site utilities:
Job site address: , of'5 +�/h•/,1 Zi`6� - 51� Catch basin or area drain 18.76
""� Drywell,leach line,or trench drain 18.76
City/State/ZIP: 7745.9011-il i'‹
Footing drain(no.linear ft.:_) Page 2
✓✓
Suite/bldg./apt.no.: Project name: r Manufactured home utilities 50.03
t Cross street/directions to job site: ` v+ 21)L.d 1afze)illanholes 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.: (A)/0l6.00L 1 ,1 Backflow preventer 31.27
V ' Backwater valve 12.51
DESCRIPTION OF WO
/�� •
�/ Clothes washer 12.51
�L ?f /°1� /'/e(tJ/ �i�� /r II� h C Dishwasher 25.02
CSi iiA - iiW L/ii / Drinking fountain 25.02
rC <7 /p, Ejectors/sump 25.02
El PROPERTY OWNER / ❑ TENANT Expansion tank X / 12.51 h(,
‘.. Fixture/sewer cap 25.02
Name:
Floor drain/floor sink/hub k / 25.02 -,)a
Address:
Garbage disposal 25.02
City/State/ZIP: Hose bib 25.02
Phone:( ) Fax:( ) Ice maker 12.51
0 APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02
Business name: Medical gas(value:$_) Page 2
Contact name: Primer 1 / 12.51 a,s'
Roof drain(commercial) 12.51
Address: /�,
Sink *-/
Sink/basin/lavatory x 25.02 j00.1211
City/State/ZIP: Solar units(potable water) 62.54
Phone:( ) Fax::( ) Tub/shower/shower pan 12.51
E ' : Urinal x / 25.02 O a
-m
CONT CTO Water closet X 7. 25.02 �,t)H
( t Water heater / 37.527 S�
J Business nam -/Dee, di / j�p Water piping DW V 56.29
Address:t y B€y 5� io f Other: 25.02
City/State/ZIP: //�' Lar/d D� 97/z � _ r Subtotal .2&? 74)
p i
Phone:(V/ ) 27 (G� Fax:( ) Minimum permit fee: $72.50
�j��Q Plan review (25%of permit fee)
CCB Lic.: 7,L�L/� Plumbing Lic.no.:4,14,0 / State surcharge(12%ofpermit fee) 31 ��
Authorized signature: TOTAL PERMIT FEE ?v./,...2.2.
Print name / 4 Dater;�1 This permit application expires if a permit is not obtained within 190 days
A .jil- after It has been accepted as complete.
`4 *Fee methodology set by Tri-County Building Industry Service Board.
1:'Ba0divg\Permits\PLMU-PermitApp.doe 10/01/09 440-4616T(10/02JCOM/VFiliL. 1, 7)/g /
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Site Utilities Qty. Fee(ea) Total Square Footage: Permit Fee:
Footing drain- I"100' 50.03 0 to 2,000 $121.90
Footing drain-each additional 100' 37.52 2001 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 Valuation: Permit Fee:
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
each additional$100.00 or fraction thereof,to
Other Inspections or Fees Qty. Fee(ea) Total
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/lu 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
jminimum charge-1/2 hour) each additional S 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 Plumbing Installations
Quantity by Fixture Type Plan review is required for any of the following.
Fixture Type for Replace/ Please check all that apply.
Work Performed: Capped Added Relocate
❑ Any new commercial building with water service 2"and
Baptistry/Font
Bai -Tub/Shower greater,except systems designed and stamped by licensed
engineer.
-Jacuzzi/Whirlpool
Car Wash: Each Stall El New exterior plumbing site utilities for any complex structure
Drive as defined in OAR918-780-0040.
Cuspidor Water Aspirator ❑ Medical gas and vacuum systems for health care facilities.
Dishwasher: Commercial El 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" Isometric or Riser Diagram
4,. 0 Isometric or riser diagram is required for new buildings
-Car Wash Drain that meet the qualifications above.
Garbage -Domestic non-food
Disposal: -Domestic food related
-Commercial food related
-Industrial food related
Ice MaehJRefrlg.Drains Comments regarding fixture work:
Oil Separator(Gas Station)
Rec.Vehicle Dump Station
Shower: -Gang
-Stall �j
Sink: -lav/Bar non-food related X /
-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 lumbin ermit can be issued.
Water Closet-Toilet q P g P
Urinal (�
Other Fixtures:
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