Permit CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit #: PLM2012 -00118
T I G AR D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/2112012
Parcel: 1 S136CD00100
Jurisdiction: Tigard
Site address: 11705 SW PACIFIC HWY Z
Project: Petco Subdivision: 2006 -016 PARTITION PLAT Lot: 3
Project Description: Remodel and expansion of exisiting Petco store. Capping (2) 2" floor drains and (1) water closet. Adding (3)
tubs /showers, (1) drinking fountain, (8) 2" floor drains, (6) lays, (1) clothes washer & (2) water closets.
Contractor: TAPANI PLUMBING Owner: PACIFIC CROSSROADS PROPERTIES IN
PO BOX 2350 BY WYSE INVESTMENT SERVICES CO
BATTLE GROUND, WA 98604 1501 SW TAYLOR ST STE 100
PORTLAND, OR 97205
PHONE: 360 - 687 -3983 PHONE:
FAX: 360 - 687 -4494
FEES
Quantity Description Date Amount
1 ea Clothes Washer 06/21/2012 $25.02
Specifics: 1 ea Drinking Fountain 06/21/2012 $25.02
1 ea Expansion Tank 06/21/2012 $12.51
Type of Use: COM 3 ea Fixture /Sewer Cap 06/21/2012 $75.06
Class of Work: ALT 8 ea Floor Drain/Floor Sink/Hub 06/21/2012 $200.16
Type of Const: 3 ea Primer 06/21/2012 $37.53
Occupancy Grp: 8 ea Lavatories 06/21/2012 $150.12
Stories: 3 ea Tub /Shower /Shower Pan 06/21/2012 $37.53
2 ea Water Closet 06/21/2012 $50.04
1 ea Water Heater 06/21/2012 $37.52
1 12% State Surcharge - 06/21/2012 $78.06
Plumbing
Total $728.57
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 iLwork is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility • . ification Ce . Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or ' rect questions to OUN b. = • .. ling 503.232.1987 or 1.800.332.2344.
ssued By:
410/1 Permitter Signature:
Call 503.639.4175 by 7:00 a.m. for the next available ins r - ion 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.
From: (1 06/15/2012 15:18 #143 P.001/002
RECEIVED
Plumbing Permit Application! 1 r �
Building Fixtures FOR OFFICE USE ONLY
City Of Tigard C1TY OFTIGARD Recei „ed
• 1312: SW Hall Blvd., Tigard. W1 sir j� 1 \PIS ION >atel Pemli! No.: I. , ('�•• 040//
111 11 _ Phone: 507.7182439 Fax: 503.598.1960 Plan Review
D M Other Permit N•� 49,042.-1,4011
Inspection Line: 503.639.4175
T t G /. It D Date ReadY'By r, See Pa e 2 for
Internet: www.tigard -or.gov 6
Nollfied:Afethod: .� � Supplemental information
TYPE'OP WOR a FEEi,,6C
❑ New construction ❑ Demolition For ecia nj or nario checklist
Description f' 1 Qty. 1 Total
® Addition /altcrationheplaccment ❑ Other: New I- 2- family dw•gllings (includes 100 ft. for each utility conmxlion)
CATEGORY O F, CONSTRUCTION ' / " SFR (I) bath 7 312.70
❑ I - and 2-family dwelling ® Commerclal/industnal SFR (2) bath, / 437.78
A ccessory building SFR (3) batfi 500.32
❑ g ❑ Multi - family '�
Each p ditioualbath/kitchen 25.02
❑ Master builder ❑ Other: F
sprinkler( sq.ft.) Page 2
JOB SITE• INFORMATION AND LOCATION ; .•r..` :•Site utilities:
Job site address 11705 SW Pacific Highway / 1 Catch basin or area drain 18.76
City /State/ZIP: Tigard, Oregon 97223 f' Drywall, leach line. or trench dram 18.76
�. j / Footing drain (no. linear ft.: _ Page 2
Suite'bldg /apt. no.: J Project name: Petro Manufactured home utilities
Cross street/directions to job site: /� Manhole 50.03
18.76
Rain drain connector 18.76
Sanitary sewer (no. linear ft.: _ ) Page 2
Storrs sewer (no. linear ft.: ) Page 2
Water service (no. linear ft.: ) Page 2
Subdivision: Lot no.: Fixture or item:
r
Tax map /parcel no.: Backflow preventer 31.27
, DESC' ...a '•�yn Backwater valve 12.51
r■ \ - Clothes washer 1 25.02 25.02 ■
Remodel and expansion of exi �� : ' etco st L,
/ . Drinkin fr 25.02
l Drinking her fountain 1 25.02 25.02
`� Ejectors /sump v 25.02
❑ Pt PE RTY,0 , � ®' ;TENANT Expansion tank I _ 12.51 1151
Name: Petro Animal Supplies Stor • .� ne. Fixture/sewercap 3 I 25 02 1. /6
Floor diain/floor sink/hub a J 25. 02 3 tb
Address: 9125 Rehco Road Y •
Garbage disposal 25.02
City/State/ZIP: San Diego, CA 9 121 . Hose bib 25.02
Phone: (858)909.4612 Fox: (858)909 -2738 Ice maker 12.51 •
®rAPPLI, CONTACT' PERSON Interceptorrgrease trap 25.02
Business name: Tapani ' lumbing Inc Medical gas (value: S _ ) Page 2
Contact name: Kurt - chmeusscr
- Primer 3 12.51 37.53
Roof drain (commercial) 12.51
Address: PO Box 4 50 � 1�'
Sink/basin/lavatory 6 p / 25.02 MOM' (50•
City / State/ZIP: • . tUe Ground Wa 98604 Solar units (potable water) 62.54
Phone: (360 72 -2032 I Fax:: (360) 687 -8147 Tub /shower /shower pan 3 12.51 37.53 '
E -mail: • rts�¢•tapaniplumbing.com Urinal 25.02 1- •
. . ".. CONTRACTOR:: '? 50.04
Water closet 2 25.02 '
f.r` ;r;.': :;, _. ' Water heater 1 37.52 37.52
Business name: Tapani Plumbing Inc.
Water pipingmWV 56.29
Address: PO Box 2350
Other: 25.02 !
City/ State/ZIP: Battle Ground WA 98604 Subtotal 11416,64-4 c
Phone: (360) 687 -3983 Fax (360) 687 -8147 Minimum permit fee: 572.50 -
s B of Plan review (25% Lic.: 60958 ' umbing Lic, no.: 8581JP permit fee) O ( P
����.
,,! State surcharge (12% of permit feu) 95.411- �
Authorized signature: �1✓� TOTAL PERMIT FEE .804.4.•
Print name: Kurt Sehmeusser Date: 6 -14 -12 Tab permit application expires If a permit is not obtained within IRO days Q
after It has been accepted is complete. D J`
1 •Fee reethodotogy set by Tri-Col.nty Bu ilding Industry Service Board.
• ■ I: BmWtrg P :m,nr PLVU- reuitApp.doc 1001.09 - uo- 1516r(Io 02 CUM WEB)
From: 06/15/2012 15:18 #143 P.002/002
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Si a : ;.. ,QPr.:.ee:(m)':: ;i :To ta t5-
t ,Utilitte , . ...... ... ' - <SquareFtiofagec' '•s' . °sPerinit Fe e l - `= : ; ;_
Footing drain - I" 100' 50.03 0 to 2,000 $121.90
Footing drain -each additional 100' 37.52 2 001 to 3,600 $169.69
62.54 3,601 to 7,200 $233.20
62
Sewer - 1st 100' 7,201 and g eater $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: <;: PermitFee
Storm &Ram Drain - 1st 100' 62.54 S1.00 to $5,000.00 Minimum fee $72.50
Storm & Rain Drain - each additional 10O' 37.52 55,001.00 to $10.000.00 572.50 for the first $5,000.00 and $1.52 for
Fee m each additional S100.00 m fraction thereof, to
. s, . �.) : ;:Total: and including S 10,000.00.
Otl e %s o ;Pees , ' ' ,. .. , .
Inspection of misting pl or for $10.001.00 to S25,000.00 S 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 I 90.00/hr S25,001.00 to $50,000.00 $379.50 for the fast $25,000.00 and $1.43 for
hours (minimum charge- 2 hours) I each additional $100.00 or fraction thereof, to
Reinspection Fees 90.O0/hr and including $50,000.00.
Additional plan review f o r revisions 90.00.4tr $50,001.00 and up $742.00 f o r the first $50, t a, tr and $1.20 for
(minimum charge - I2 hour) each additional $ 100.00. 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 *.
Qua ntity by Ftxture Type ' :r "A; Plan'- Review • for Plunmbing ;Installations' : : :: :
Flxturo Tvpefor •- - = . '.- s Rfplaed ; `� -� "`
*Oik Performed, : • Capped Addeo„ , Reht:aro; Plan review is required for any of the following
Baptistry Font Please check all that apply.
Bath TuNShower 3 ❑ Any new commercial building with water service 2" and
- Jacuzzi /Whirlpool greater, except systems designed and stamped by licensed
Car Wash -Each Stal! 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.
- Dominic ❑ Any multipurpose fire sprinkler system.
Drinking Fountain l ❑ Any complex structure as defined in OAR918 - 780 - 0040.
Eye Wash
Floor Drain /sink - 2" 2 iii•S Submit 2 sets of plans with any of the above.
-3"
Car Wash Drain ( Isome 'ii' r "lei. ,. ? =. ...... .
Garbage Domestic El Isometric or riser diagram is required for new buildings
Disposal Domestic - food related that meet the qualifications above.
- Commercial -food related
- Industrial -food related
Ica Mach_ Refrig. Drains
Oil Separator (Gas Station) Comments regarding fixture work:
Rec. Vehicle Dwnp Station
Shower -Gang
-Stall
SinkLav -Non-food related )6 f(,
- Bradley
-Commercial-food related
- Service
Was Pool Filter
*Note: If the fixture work under this rmit results in an
Washer - Clothes 1 (�
Water Extractor increase of sewer EDUs, a sewer permit will be issued and
Water Closet - Toilet 2
- fees assessed for the sewer increase must be paid before the ,
•
Urinal plumbing permit can be issued.
Other Fixtures:
T:1Projects \Active lobs \Petco Tigard OR \Project Managing \Permits \PLM12.PermitApp.doc
Plumbing Permit ApplicatioRECEIV
Building Fixtures FOR oFiicl•: USE ONLY
Receive
dC A 0/(2 , 0°11 /
City of Tigard MAY 1 4 ZO f 2 DateBy:ls I � S T Permit No.:
:�
q 13 125 SW Hall Blvd., Tigard, OR Plan Review
C Phone: 503.718.2439 Fax: 503. 9 `dJF TIGARD Date/By: Other Permit No�',1R,'012�dO
Inspection Line: 503.639.4175 B UILDING DIVISI ®N Date Ready/By: S /� 7 /� )u ' ® See Page 2 for
Internet: www.ti
Ti G n R D ardor. ov / 1 : ��
g g Notified/Method: �+ {p Supplemental Information
TYPE OF WORK Ef*1Z- T*'IESFEE• SCHEDULE
❑ New construction ❑ Demolition For special information use checklist
Description I Qty. I ' otal
❑ Addition/alteration/replacement ® Other: INTERIOR TI New 1- 2- family dwellings (includes 100 ft. for - u nnect•on
CATEGORY OF CONSTRUCTION SFR (1) bath ttV//
❑ 1- and 2- family dwelling ® Commercial /industrial SFR (2) bath ,OMPAIIIMIk
SFR (3) bath 500.32
❑ Accessory building • ❑ Multi - family b
Each additional bath/kitchen 25.02
O Master builder 0 Other: Fire sprinkler ( sq. ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 11705 SW PACIFIC HIGHWAY Ca h basi or area • An 18.76
I ���� - � : iret 18.76
City/State/ZIP: ITGARD OR 97223 �,
iK og drain o. line: IWAIIIVIr4' Page 2
Suite/bldg. /apt. no.: z Project name: PETCO ANIMAL Manufa -d hr'o e utilities . 1 11, • 50.03
Cross street/directions to job site: SW DARTSMOUTH ST anhr ' s 18.76
Ra' d ect r 18.76
: anitary e r (no. linear ft.: ) Page 2
Storm se r (no. linear ft.: ) Page 2
-7-N - 7 - Nr service (no. linear ft_: ) Page 2
Subdivision: Lot no.: r ure or item:
Tax map /parcel no.: , Backflow preventer 2 ✓ 31.27
"Gael 6/ArQ" DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 1 ✓ 25.02
4 LCAL -WORK FOR NEW MEN'S AND WOM . " 's S ' O S, Dishwasher 25.02
BREAK ROOM, TUB ROOM AND WELLNESS ROO Drinking fountain 1 ✓ 25.02
/ Ejectors /sump 25.02
❑ PROPERTY OWNER .I N Expansion tank 1 ✓ 12.51
Name: PETCO "TIGARD, OR / Fixture /sewer cap 25.02
Floor drain/floor sink/hub r' 25.02
Address: 11705 SW PACIFIC HWY
Garbage disposal 25.02
City/State/ZIP: TIGARD OR 97223 Hose bib 1 ✓ 25.02
Phone: ( ) F. : ( ) Ice maker 12.51
❑ APPLICANT ® CONTACT PERSON Interceptor /grease trap 25.02
Business name: PERMIT PLACE Medical gas (value: $ ) Page 2
Primer 12.51
Contact name: JAMES MAITHEWS
Roof drain (commercial) 12.51
Address: 13400 RIVERSIDE DR., S ' 202 Sink/basin/lavatory 7 ' 25.02
City/State /ZIP: SHERMAN OAKS A 91423 Solar units (potable water) 62.54
Phone: ( ) 818.786.8960 Fax: : ( ) 818.230.90 Tub /shower /shower pan 12.51
E -mail: jmatthews @permit s : ce.com Urinal 25.02
Water closet 2 ,/ 25.02
CONTRACTOR
- Water heater 1 ✓ 37.52
Business name:
Water piping/DWV 1 ✓ 56.29
Address: Other: 25.02
City /State /ZIP: Subtotal
Phone: ( ) Fax: ( ) Minimum permit fee: $72.50
CCB Lic.: Plumbing Lic. no.: Plan review (25% of permit fee)
State surcharge (12% of permit fee)
Authorized signature: TOTAL PERMIT FEE
Print name: I Date: This permit application expires if a permit is not obtained within 180 days
after it has been accepted as complete.
j /-49"/ /-E77/ ` n J Ater Az 4..F-4 /0 ex . �, : Fee methodology set by Tri-County Building Industry Service Board.
1:\ Building \Permits\PPLMO- PPermitAppp 10/01/09 s ' /f / . 7 . 4t0- 4616T(10 /02/COM/WEB
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' 62.54 Medical Gas Systems:
Water Service - each additional 100' 37.52
Storm & Rain Drain - 1st 100' 62.54 Valuation: Permit Fe
$1.00 to $5,000.00 Minimum f " 2.50
Storm & Rain Drain - each additional 100' 37.52 $5,001.00 to $10,000.00 $72.50 . • e first $5,000.00 and $1.52 for
Other Inspections or Fees Qty. Fee (ea) Total ea - add onal $100.00 or fraction thereof, to
P I . d in. uding $10,000.00.
Inspection of existing plumbing or for $10,001.00 to $25, 11.11 $14:.50 for the first $10,000.00 and $1.54 for
which no fee is specifically indicated 90.00/hr e• h additional $100.00 or fraction thereof, to
(minimum charge - 1/2 hour) . d including $25,000.00.
Inspections outside of normal business 90.00/hr $25,001.00 t 1 11 %.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 $50,01 .00' up $742.00 for the first $50,000.00 and $1.20 for
(minimum charge - 1/2 hour) e. h addition 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 se er fees
Quantity by Fixture ' pe Plan Review for Plumbing Installations
Fixture Type for A' lac :
Work Performed: Capped Added • a: e Plan review is required for any of the following.
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" 9
Isometric or Riser Diagram
Car Wash Drain ❑ Isometric or riser diagram is required for new buildings
Garbage - Domestic -non -food q g
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 6
- Bradley
- Commercial -food related
- Service I ✓
Swimming Pool Filter *Note: If the fixture work under this permit results in an •
Washer - Clothes l ✓
Water Extractor increase of sewer EDUs, a sewer permit will be issued and
Water Closet - Toilet 2 t` fees assessed for the sewer increase must be paid before the
Urinal plumbing permit can be issued.
Other Fixtures:
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