Permit CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit #: PLM2011 00248
T t GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/13/2012
Parcel: 25101 BD00200
Jurisdiction: Tigard
Site address: 8001 SW HUNZIKER RD
Project: Tigard Distribution Center Subdivision: Lot:
Project Description: Site utility work for parking lot expansion.
Contractor: CASCADE PLUMBING CO Owner: TIGARD DISTRIBUTION CENTER
2416 N HAYDEN ISLAND DR 8001 SW HUNZIKER
PORTLAND, OR 97217 TIGARD, OR 97223
PHONE: 503 - 289 -7095 PHONE:
FAX: 503 - 283 -9514
FEES
Quantity Description • Date Amount
3 ea Catch Basin or Area Drain 06/13/2012 $56.28
Specifics: 6 ea Manholes 06/13/2012 $112.56
500 If Storm and Rain Drain 06/13/2012 $212.62
Type of Use: COM 400 If Water Service 06/13/2012 $175.10
Class of Work: ALT 25 Misc Other Fee 06/13/2012 $25.02
Type of Const: 1 12% State Surcharge - 06/13/2012 $69.79
Occupancy Grp: Plumbing
Stories:
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Total $651.37
Required Items and Reports (Conditions)
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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 quest' UNC 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.
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06/13/2012 16:35 5035981960 CITY OF TIGARD PAGE 01/01 • J 1umbiiiie Permit Apnlcati011 a • ,, ? , ; r •
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Site Utilities °� � • r (!ii (11 �]• (t\l,)
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City Of Tigard
nub er nil! ' wed * pi pemtit A a /_,,
.� 13173 SW Hall Blvd., Tigard, OR 97123 man Review
_ phone: 503.7183439 Pax 503.598, ,/ of i : Nei'' i Date/Br. • ' ,, iiI
Tii.:!.t.l? Interne 503.639.4175 I75 RP ll t P ntr` r.•� ..,�, 4 � -,,, t7o�m
Rdy/e1r, rtvie; H sae Payo2for
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❑ New nonahuadpn ❑ Demolition Forspcaral inlortnttii0n Dire es eeldl a:
azrodrepinccmrnt iiJ Other: N 3 - 2 - r i Qry• ( Fa i Total O Addition /ellcr
• Nov 1- �ramH,v_ dvrellings (uxhs 100 ft, for each u tililY =Ileum
1 S1rR(1)betb 312.70
❑ 1- and 2- 0tmily dwelling ® Commercial /indusuiol tirr (2) 1 ih 437.78
ID Acetaaery building ❑ Multi - family 81:R (3) both 500.32
❑ Master builder ❑ Other: Fae11 additional hedirtcltolan Xt25••..�02
.. -,-� ---7-7-7::- . -. -. - _ ) •nge
Fire R 2
� ;i _ , ' 4 j l 1 ." , Site a6 •
lob a adrfres 1 6001 -6005 SW Hunxileer Catc basin er area dram 3 18.76 ` r .:1:9
Dryvucll, tench lino, or mooch drain 18.76
City/State/ZIP: T• and Ore • on Footing drain (no. linear Il:. _ _) Page 2
Suetrt/bldgieptno.: Project name;
Manviketared htnneudihles 50.D3
Cross streat/davtxioav to jnbttite: Manhol 6 18 .76 / •
Rain drain connector 18.76
- Sanitary sea: (no, linear IL; ...•,•) Page 2
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Storm sewer (on. linty fi: 500 Page 2 61-11-(01
Subdivision I Lot no.: Future service . linear ft: Page 2 //6-.10.„
b
Tax map/pltrxl no.: 13ukf1otvptcvtatta 31.27
-- � ( ' G ; Bad water v 12.51
:' Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25,02
Eguelort/annsp 25.02 • T 2.51
f. . . .:�•.. _ l._ ` . -• „ i' A . f - � ? A,.(.' drpal6 tank 1
Nome: TDC Fitttt111 fsewef cop 25.02
Address: 8001 SW Hunz•Iker Floor dminiRoor ainkftttth 25.02 .
Cior6nge disposal 25.02
City/Sink/ZIP: Tigard, Oregon 97223 - Have bib 25.02
Ph01te: ( ) leatnnka 12.51
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sV�:d a. , ..._.. -r_ r l..1. �.c.. ....� . ; t ■ r r r ., ` i I ,, 1n�ieCtflai /�CaSC aLp 25.02
Business name: VLMK
Modica gas (value $ _) Page 2
ColitaCtname: Jennifer Kimura Printer 12,51
Reof drain (commercial) 1251
Address: 3933 SW Kelly Ave Sinklbattirtaavotory 25.02
Clry/Stato/ZIP: Portland, Oregon 97239 soktr unite (potable water) 62.54
Phone ;.( 5 503) 222,4453 Fax:: ( 503) 248.92 TubrshDwerfshower pan r 12.51
E-mail: . jenniferk@vlmk•com Urinal _ 25.02
w ' , 25.02
. ::L,. -:c,G , 7cI a ..... 1 4i: ...,. ' _ '. ',. Ja r :1
BItSiMSfi name; o L , �. f _ . __. . . F '. .. . i water ter maw ^ 37.52
T 4 - , � - � • water piping/DWV 56.29
Ate:: , )J. Da -:+ • e 15.m)-l) DA- osier. othm: 2, 800 gpm duplex 1 25.02 ��.o%
City/State/VP: P#-' Q - . stormwater pump station . south)
Phono :;(! ) .t a95 Fax: (t) , .. �r_ Minimum PQmit 672.50
CCB Lie.: ,S Plumbing Lie. na. •, .tom/ p Pion review (25% of permit fee)
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Authorized signature; � iA . •IXTAL PERMIT FEE • 37
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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 - 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' 1 62.54 Medical Gas Systems:
Water Service - each additional 100' 3 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' 4 37.52 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for
Other ec
Ins tions 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 ",
please indicate work performed by fixture. Failure to
accurately report fixtures could result in increased sewer fees * .
Quantity by Fixture Type Plan Review for Plumbing Installations - •
Fixture Type for Replace/ Plan review required an i i uired for of the following.
Work - Performed: Capped Added Relocate q y ow g'
Baptistry/Font Please check all that apply.
Bath Tub /Shower ❑ Any new commercial building with water service 2" and
Jacuzzi/Whirlpool greater, except systems designed and stamped by licensed
Car Wash - Each Stall engineer.
- Drive Thru ❑ New exterior plumbing site utilities for any complex structure
Cuspidor/Water Aspirator as defined in OAR918- 780 -0040.
Dishwasher - Commercial ❑ Medical gas and vacuum systems for health care facilities.
- Domestic ❑ Any multipurpose fire sprinkler system.
Drinking Fountain ,❑ 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"
Isometric or Riser Diagram
Car Wash Drain •
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 Mach. /Refrig. Drains
Oil Separator (Gas Station) Comments regarding fixture work:
Rec. Vehicle Dump Station
Shower -Gang
-Stall
Sink/Lav - Non -food related
- 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 fees assessed for the sewer increase must be paid before the
Urinal plumbing permit can be issued.
Other Fixtures:
http: / /www.tigard- or.gov /city_hall/ departments /cd/docs/PLMU - PermitAp . doc
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