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Permit
„ CITY OF TIGARD PLUMBING PERMIT ''''` COMMUNITY DEVELOPMENT Permit #: PLM2010 -00397 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/05/2011 Parcel: 1 S 126CA01100 Jurisdiction: Tigard Site address: 9009 SW HALL BLVD 100 Project: Target Subdivision: Lot: 0 Project Description: TI - Adding (1) 2” & (1) 4" floor drain, (1) hand sink, (1) break room sink, (1) mop sink, (1) water heater & (1) eye wash. 2/17/11, reprint to add replacement fixtures for (2) backflow preventers, (1) dishwasher, (2) sinks and (2) 1/2" pN Contractor: RAY'S PLUMBING Owner: DAYTON HUDSON CORPORATION P.O. BOX 685 BY TARGET CORP T -0345 BRUSH PRAIRIE, WA 98606 PROPERTY TAX DEPT /TPN -0950 PO BOX 9456 MINNEAPOLIS, MN 55440 PHONE: 360- 892 -8700 PHONE: 612- 761 1588 FAX: 360- 892 -9644 FEES Quantity Description Date Amount 2 ea Floor Drain /Floor Sink /Hub 12/29/2010 $50.04 Specifics: 3 ea Sink 12/29/2010 $75.06 1 ea Water Heater 12/29/2010 $37.52 Type of Use: COM 25 Misc Other Fee 12/29/2010 $25.02 Class of Work: ALT 1 12% State Surcharge - 12/29/2010 $22.52 Type of Const: Plumbing Occupancy Grp: 0 12% State Surcharge - 02/18/2011 $22.51 Stories: Plumbing 2 ea Backflow Preventer 02/18/2011 $62.54 1 ea Dishwasher 02/18/2011 $25.02 2 ea Sink 02/18/2011 $50.04 50 Misc Other Fee 02/18/2011 $50.04 0 12% State Surcharge - 02/18/2011 $22.51 Plumbing Total $442.82 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. IN CITY OF TIGARD PLUMBING PERMIT I: ' - COMMUNITY DEVELOPMENT Permit #: PLM2010 -00397 'TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/05/2011 'T Parcel: 1 S126CA01100 Jurisdiction: Tigard Site address: 9009 SW HALL BLVD 100 Project: Target Subdivision: Lot: 0 Project Description: TI - Adding (1) 2" & (1) 4" floor drain, (1) hand sink, (1) break room sink, (1) mop sink, (1) water heater & (1) eye wash. Contractor: RAY'S PLUMBING Owner: DAYTON HUDSON CORPORATION P.O. BOX 685 BY TARGET CORP T -0345 BRUSH PRAIRIE, WA 98606 PROPERTY TAX DEPT/TPN -0950 PO BOX 9456 MINNEAPOLIS, MN 55440 PHONE: 612- 761 -1588 HONE: 360- 892 -8700 FAX: 360 - 892 -9644 FEES Quantity Description Date Amount 2 ea Floor Drain/Floor Sink/Hub 12/29/2010 $50.04 Specifics: 3 ea Sink 12/29/2010 $75.06 1 ea Water Heater 12/29/2010 $37.52 Type of Use: COM 25 Misc Other Fee 12/29/2010 $25.02 Class of Work: ALT 1 12% State Surcharge - 12/29/2010 $22.52 Type of Const: Plumbing Occupancy Grp: Stories: Total $210.16 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 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 dig ct questions to UNC by calling 503.232.1987 or 1.800.332.2344. s. Issu d By: Cid Permittee Signature: d' / if i Call 503.639.4175 by 7:00 a.m. for the next available inspection da/ This permit card shall be kept in a conspicuous place on the job site until comple ion of the project. Approved plans are required on the job site at the time of each inspection. 2/17/2011 10:06 AM FROM: Piper Mech. R R a umbing TO: +1 (503) 598 -1960 PAGE: 002 OF 003 - Plumbing Permit Application �0 )\\ Building Fixtures � � \ I City of Tigard ' FOR OFFICE USE ONLY ( o t-, J� �1 ^ 1 Date/B q / / Permit N n.: � RJn 0 /10 ( 7 � O( / II a 13125 SW Hall Blvd., Tigard, OR 97223 �I . � �'. Pla , • view Phone: 503.639.4171 Fax: 503. 598.1960 \ \ �p� DateB n Ree Other Permit No.: Inspection Line 503.639,4175 Y ° y TIGARD `' ; a s j Date Ready /By: .runs: See Page - for Internet: www.tigard- or.gov Notified/Method: Supplemental Information .' TYPE OF „WORK FEE " ' SCHEDULE ❑ New construction ❑ Demolition For speciel 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) - : CATEGORY - OF CONSTRUCTION•.'" ' " " •`'•: SFR (1) bath 312.70 S ❑ 1- and 2- family dwelling ® Commercial /ind ustiial SFR (2) bath , 437.78 SFR (3) bath 500.32 ❑ Accessory building ❑ Multi -family Each additional bath/kitchen 25.02 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft) Page 2 -, ' JOB SITE,'INFORIVIATION" AND LOCATION Site utilities: Job site address: 9009 SW Hall Blvd 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: Target 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 Stone 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 2 31.27 65.24 DESCR O " WOR K ac tivater valve Clothes washer 25.02 Adding fixtures to Permit # PLM2010 -00397 (01PLt t1 Ljr Dishwasher 1 25.02 25.02 F y ruiteo) Drinking fountain 25.02 Ejectors /sump 25.02 .❑ PROPERTY OWNER .. -.. " ❑ TENANT .. .,, Expansion tank _. ,.._ k 1� 51 Name: Fixture /sewer cap 25.02 Floor train /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 n Interceptor/grease trap 25.02 I t Business name: Medical gas (value: $ ) Page 2 Primer 12.51 Contact name: Roof drain (commercial) 12.51 Address: Sink/basin /lavatory 2 25.02 50.04 City /State /ZIP: Solar units (potable water) 62.54 Phone: ( ) I Fax: : ( ) Tub /shower /shower pan 12.51 E -mail: Urinal 25.02 Water closet 25 02 ;'....: -..:.. _ . :CONTRACTOR .' . Water heater 37.52 Business Warne: Rays Plumbing Water piping/DWV 5629 Address: PO Box 685 Other: 1/2" pry 2 25.02 50,04 �[ City /State /ZIP: Brush Prairie, WA 98606 Subtotal C -, 5 7 Phone: (360) 892 -8700 Fax: (360) 892 -9644 Minimum permit fee: $72.50 0 I I CCB Lie.: 33217 Phunbing Lie. no.: 37 -491PB Plan review (25% of permit fee) �j /� ✓ - State surcharge (12% of permit fee) 22.8 6V / Authorized signature: ..- "sv� TOTAL PERMIT FEE 2] t Print Warne: Peter Levanen I Date: 2/17/11 This permit application expires if a permit is not obtained within 180 days eO after it has been accepted as complete. 0( *Fee methodology set by Tni -County Building liutustry Service Board. 1 \Bwld mg\Perrms \PLMu- PermitApp doc 10/01/09 410- 4616T(10/02 /COM/WER) 131d5 t�ev', CO PZ.IQ - 6Oi Plumbing Pe Application Building Fixtures }(� FOR OFFICE USE ONLY R City of Tigard RECEIVED � Date/By: /c, At /o . ( Permit No.:. ale0 -e5.0397 a 13125 SW _Hall Blvd., Tigard, OR 97223 n .� Phone: 503.639:4171 Fax: 503.598.1 1 C 2 9 Plan Review Date/By: r--.6../9 g Other Permit No.' 2120/0 1608 Inspection Line: 503.639.4175 T I G A RD /B y y Date Read / luris: EI See Page 2 for Internet: www.ti and -or. ov CMC OF TI d ( / g g GARD Notified/Method: / 1 Supplemental Information TYPE OF D ING DIVISION 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) CATEGORY OF CONSTRUCTION SFR (1) bath 312.70 ❑ 1- and 2- family dwelling ® Commercial/industrial SFR (2) bath 437.78 building SFR (3) bbath 500.32 - ❑ Accessory g ❑ Multi - family. Each additional bath/kitchen 25.02 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: ' Job site address: 9009 SW Hall Blvd • Catch basin or area drain 18.76 City/State/ZIP: Tigard, OR 97223 Drywell, leach line, or trench drain • 18.76 Footing drain (no. linear ft.: ) Page 2 Suite/bldg. /apt. no.: MO Project name: Target 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.: L p ae,, e, ) //OC Backflow preventer I 31.27 - DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 Vacuum condensate removal system and a few new plumbing fixtures Dishwasher 25.02 Drinking fountain 25.02 ' Ejectors /sump - 25.02 ❑ PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name: Fixture /sewer cap 25.02 Floor drain/floor sink/hub 2 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: Medical gas (value: $ • ) - Page 2 Primer 12.51 Contact name: . , Roof drain (commercial) 12.51 Address: Sink/basin/lavatory 3 25.02 . City/State /ZIP: Solar units (potable water) 62.54 Phone: (' ) I Fax: : ( ) Tub /shower /shower pan 12.51 E -mail: Urinal - 25.02 Water closet 25.02 • _ CONTRACTOR • Water heater - 1 37.52 • Business name: Rays Plumbing Water piping/DWV 56.29 Address: PO Box 685 • Other: Eyewash • 1 25.02 City/State/ZIP: Brush Prairie, WA 98606 Subtotal Phone: (360)892 -8700 Fax: (360) 892 -9644 Minimum permit fee: $72.50 / f 7 • ( ( 1 . Plan review (25% of permit fee) r CCB Lic.: 33217 Plumbing Lic. no.: 37 -149PB O'Ia -5 State surcharge (12% of permit fee) Authorized signature: )( / • v` . _ TOTAL PERMIT FEE A , Print name: Peter Levanen • Date: 12/22 /10 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete.. _ - •Fee methodology set by Tri -County Building Industry Service Board. 1 :1Building\Permits'PLMU- PermitApp.doc 10/01/09 440- 4616T(10 /02/COM/WE13) • Plumbing Permit Application - City of Tigard tY g Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee (ea) Total Square Footage: Permit Fee: 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 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 Other Inspections or Fees Qty. Fee (ea ) Total each additional $100.00 or fraction thereof, to p 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/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 ", Plan Review for Plumbing Installations please indicate work performed by fixture. Failure to Plan review is required for any of the following. accurately report fixtures could result in increased sewer fees *. Please check all that apply. Quantity_ by (Fixture) Work Performed ❑ Any new commercial building with water service 2" and Fixture Type: Replace greater, except systems designed and stamped by licensed Previous Capped Added Existing engineer. Baptistry/Font Bath - Tub /Shower ❑ New exterior plumbing site utilities for any complex structure as defined in OAR918- 780 -0040. - Jacuzzi/Whirlpool Car Wash - Each Stall ❑ Medical gas and vacuum systems for health care facilities. Drive Stall ❑ Any multipurpose fire sprinkler system. Cuspidor/Water Aspirator ❑ Any complex structure as defined in OAR918- 780 -0040. Dishwasher - Commercial Domestic Submit 2 sets of plans with any of the above. Drinking Fountain Eye Wash I Isometric or Riser Diagram Floor Drain/sink - 2" 1 ❑ Isometric or riser diagram is required for new buildings that meet the qualifications above. _4„ I Car Wash Drain . Garbage - Domestic Disposal - Commercial Industrial Comments regarding fixture work: Ice Mach./Refrig. Drains Oil Separator (Gas Station) Rec. Vehicle Dump Station Shower -Gang -Stall Sink - Bar/Lavatory 6 - Bradley - Commercial *Note: If the fixture work under this permit results in an - Service / increase of sewer EDUs, a sewer permit will be issued and Swimming Pool Filter fees assessed for the sewer increase must be paid before the Washer - Clothes Water Extractor plumbing permit can be issued. Water Closet - Toilet Urinal Other Fixtures: • \\Pe840\rays plumbing\Project Managing\Active Jobs \Target Washington Square \Permits\PLMF - PermitApp.doc