Permit CITY OF TIGARD PLUMBING PERMIT
111- a , - COMMUNITY DEVELOPMENT Permit #: PLM2012 -00238
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 10/30/2012
Parcel: 1 S127DD01200
Jurisdiction: TIGARD
Site address: 10031 SW CASCADE AVE
Project: Orchard Supply Hardware Subdivision: CORAL COMMONS CONDO Lot: 14
Project Description: Site utilities
Contractor: ENGINEERED STRUCTURES INC A CORP OF IDAHO Owner: KRAUSZ PUENTE LLC
3330 E LOUISE DR STE 300 BY THE KRUASZ COMPANIES INC
MERIDIAN, ID 83642 44 MONTGOMERY ST STE 3300
SAN FRANCISCO, CA 94104
PHONE: 208 - 362 - 3040 PHONE:
FAX: 208 - 362 -3113
FEES
Quantity Description Date Amount
6 ea Catch Basin or Area Drain 10/30/2012 $112.56
Specifics: 300 If Storm and Rain Drain 10/30/2012 $137.58
1 ea Backflow Preventer 10/30/2012 $31.27
Type of Use: COM 1 12% State Surcharge - 10/30/2012 $33.77
Class of Work: ALT Plumbing
Type of Const:
Occupancy Grp:
Stories:
Total $315.18
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
issuan r if work I uspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utilit otification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952- 001 -009 You may obtain a copy of the rules
or erect questions to OUNC b c- g • 232.1987 or 1.800.332.2344.
I ued By: k 1 , I / 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.
Plumbing Permit Application
B j tur s td l 're itii-i FOR OFFICE USE ONLY
I n City of Tigard D Date By: Received /P• Permit No.: 7 ) / Q.23 8
13125 SW Hall Blvd., Tigard, C 3 E r R �jIV E Plan Review
- ��
Phone: 503.718.2439 Fax: 503.598.1960 Date By: Other Permit No.: J ?�l� /V e j
Inspection Line: 503.639.4175 Date R ead B ® See Page 2 for
TIGARD AUG 2 0 Notified, Ready ,By: l0 I g
Internet: www.tigard or.gov 201 Read Method: f �( (�- Juris: Supplemental Information
TYPE OF '' ` " . TIGARD `jm I-. FEE* SCHEDULE
BU � hyIVISION For special in ormation use ch ecklist.
El New construction lJ , x, D ll
Description Qty. Ea. Total
® Addition/alteration/replacement ® Other: Tenant Impry New I - 2 - family dwellings (includes 100 ft. for each utility connection)
CATEGORY OF CONSTRUCTION SFR (1) bath 312.70
❑ I- and 2- family dwelling ® Commercial /industrial SFR (2) bath 437.78
❑ Accessory building ❑ Multi- family SFR (3) bath 500.32
Each additional bath/kitchen 25.02 ( •
❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities: VP
Job site address: 10031 SW Cascade Avenue Catch basin or area drain (.1; 1 8.76
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.: I Project name: Orchard Supply Hardware Manufactured home utilities 50.03
Cross street /directions to job site: Cnr SW Scholls Ferry Road and SW Cascade Manholes 18.76
South side of street Rain drain connector 18.76
1
Sanitary sewer (no. linear ft.: _ ) Page 2
Storm sewer (no. linear ft. Page 2
Water service (no. linear ft.: _ ) Page 2
Subdivision: TIS, RI W, Willamette Meridian Lot no.: Fixture or item:
Tax map /parcel no.: 1S127DD01200 Backflow preventer I 31.27 31CIP
Backwater valve 12.51
DESCRIPTION OF WORK \
Clothes washer 25.02 l
Tenant Improvement to existing 40,000SF single story building. New 5,000SF open Dishwasher 25.02
air nursery addition. New hardscape areas, minor modification to parking lot. Drinking fountain 25.02
rr 1A Ll ric___3 Ejectors /sump 25.02
❑ PROPERTY OWNER ® TENANT Expansion tank 12.51
Name: Orchard Supply Hardware Fixture /sewer cap 25.02 �` ,
Floor drain/floor sink/hub 25.02
Address: 6450 Via Del Oro
Garbage disposal 25.02
City /State /ZIP: San Jose CA 95119 Hose bib 25.02
1
Phone: (408)281 - 3500 Fax: (408)365 - 2425 Ice maker 12.51 ,
❑ APPLICANT ® CONTACT PERSON Interceptor /grease trap 25.02
Business name: Ware Malcomb Medical gas (value: S ) Page 2 \
Primer 12.51 1h,,
Contact name: Neville Willsmore
Roof drain (commercial) 12.51
Address: 6363 Greenwich Drive, Suite 175 Sink/basin/lavatory X 25.02 25.02
City /State /ZIP: San Diego CA 92122 Solar units (potable water) 62.54 Ili\
Phone: (858) 638 - 7277 Fax: : (949) 788 - 4143 Tub /shower /shower pan 12.51
E - mail: nwillsmore @waremalcomb.com Urinal 25 L.
Water closet 25.02 t
CONTRACTOR
t, Water heater 37.52
Business name. [,'J /it elf D ,y 5 / /iC /4 Water piping/DWV 56.29
Address: 3536 t L.pl.tt `� J/ 3c do' -P O r /7,4 -/1-Q Other: 25.02
City /State /ZIP: I /If ,.../ n / ,,9_,j /1D $ 31,q 2 Subtotal k
Phone: (5®3) Ap 3362. 30 y0 Fax: (F63' .9,0g -36,A- a 3 Minimum permit fee: S72.50
Plan review (25% of permit fee)
CCB Lie.: .1 1/ ie A ‘ Plumbing Lic. no.: State surcharge (12% of permit fee)
Authorized signature: ',Ili TOTAL PERMIT FEE
Print name: V IAA/ ii W � sr b� Date: e , `� I 1.1_, This permit application expires if a permit is not obtained within 180 days
i after it has been accepted as complete.
• *Fee methodology set by Tri- County Building Industry Service Board.
I: Building Permits PLMU- PermitApp.doc 10 01 09 440- 4616T(10 02 COM WEB)
Inspections Required for Permit No.: �- �'( Pen 1
IVR Permit Permit Permit Description IVR Permit Permit permit Description
Code Type Code Type
01 BUP Building — structural 07 SIT Site Work
02 ELC Electrical 08 SWR Sewer Connection
03 ELR Restricted Energy 09 FPS Fire Protection
04 MEC Mechanical 10 RER Re -Roof
05 MST Master — residential combination 11 CMS Commercial Manufact. Structure
06 PLM Plumbing 12 SFM Single- Family Manufact. Structure
J Reg Insp n Code
Inspection Description ✓ Re n Code Insp Inspection Description
Inspection p p Inspection p p
Building (structural) inspections - Electrical inspections
205 Footing 105 Underground/slab cover
210 Foundation walls 110 Temporary electrical service
215 Footing drain 115 Electrical service
220 Slab 120 Electrical rough -in
225 Post/beam structural 125 Wall cover
230 Underfloor insulation 130 Ceiling cover
235 Shear walls /anchors 135 Low voltage
240 Exterior sheathing 140 Sign installation
242 Interior shear walls 145 A/C or heating unit circuit
245 Firewall 150 Hot tub /spa/pool
250 Roof nailing 195 Misc. inspection
255 Wtr proofing basement walls 199 Electrical final
260 Tilt -up panel
265 Masonry Mechanical inspections
270 Reinforcing steel (rebar) 605 Post/beam mechanical
275 Framing 610 Gas line
280 Insulation 615 Mechanical rough -in
285 Drywall nailing 620 Hydronic piping
287 Suspended ceiling 625 Duct work
289 Approach/sidewalk 630 Fire damper
295 Misc. inspection: 635 Smoke detector shutdown
299 Final inspection 640 Exhaust hood
695 Misc. inspection
Fire Protection System inspections 699 Mechanical final
905 Sprinkler underfloor /slab
907 Sprinkler hydro test Plumbing inspections
910 Sprinkler rough - in/test 305 Plumbing underslab
915 Fire alarm rough -in 310 Crawl drain
920 Suppression trip test 315 Post/beam plumbing
995 Misc. inspection 320 Plumbing rough -in
998 Alarm final 322 Shower pan
999 Sprinkler final 330 Water service
335 Rain drain
Site Work inspections �C 340 Storm drain
405 Excavation \ 345 Culvert/catch basin
410 Fill 350 Septic tank
415 Grading 395 Misc. inspection
420 Sprinkler supply lines ?C 399 Plumbing final
495 Misc. inspection
498 Grading final Sewer inspections
499 Final inspection 505 Sanitary sewer
585 Misc. inspection
Erosion Control inspections 599 Final inspection
750 Initial erosion control
755 Regular erosion control Manufactured Structure inspections
798 Final erosion control 805 MFG - Structure grading/footing
810 MFG - Structure set -up
I: \Building \Inspection Cards \AOP Insp Card By Case\ InspCard_AII070112 899 MFG - Structure final
FOR OFFICE USE ONLY — SITE ADDRESS:
This form is recognized by most building departments in the Tri -County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
1 14 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
a Transmittal Letter
T I G A R f) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard- or.gov
I
TO: DATE r I , t r! I;.i ED •
DEPT: BUILDING DIV ION �J
B 42013
FROM:, CITY OF TIGARD
BUILDING DIVISION
COMPANY: CA (1,/ D
PHONE: SfXT' u
RE: l O3/ 7 Pay AT o l a ,0 5s7
(Site Address) • (Permit Num er
4 / I 0
•roject name or su '1T'ani, o num, ir
ATTACHED ARE THE FOLL I ING ITEMS:
Copies: I Description: f pies: Description:
Additional set(s) o' plans. Revisions:
Cross section(s) , d details. Wall bracing and/or lateral analysis.
Floor /roof fram g. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other (explain):
REMARKS: (5) '%� 1..Q� i1 p • ;l 0 0 5L
FOR OFFICE USE ONLY
Routed to Permit Techni ' : Date: Initials:
Fees Due: 111 Yes No Fee Description: Amount Due:
Special
Instructions:
Reprint Permit (per PE): ❑ Yes o ❑ Done
Applicant Notified: Date: Initials:
1: \Building\ Forms \TransmittalLetter - Revisions.doc 05/25/2012
•
•
•
•
RECEVED PL,
DELIVER? SERVICE. INC. FEB 4 2013
CITY.OF•TIGA•
TRANSMITTAL BUILDING DIV(''.!N Cardna
Shaping the Future'
•
To: George Heimos • Date: 02/04/13
Orchard Supply
Hardware - 10031 SW 5415 SW Westgate Drive
•
City of Tigard Building Division Project: Cascade Avenue suite 100
Portland, Oregon 97221
13125 SW Hall Blvd • Project #: 2129973000 USA
. Tigard, OR 97223 • Case /File #: MMD 2012 -00008 Phone (503) 419 -2500
• Fax (503) 419-2600
Fax #: Total Pages:
From: Kevin Russell www.cardno.com
•
Transmitting Via: Purpose:
Messenger ® For your information /file
• ❑ Other: • ❑ Other:
•
Quantity Description
3 /EA Additional Copies of Civil Engineering Sheet C3.0 •
•
•
•
•
Comments:
George, ESI contacted me and indicated that you were missing sheet C3.0 from the
Permit Set so I am providing you here with additional copies for your approval /files. I.
• wasn't sure how many extra copies the City needs so I have provided 3. If you need
anything more please just contact me directly as I want to be sure you have everything
you need on your end. 503 - 419 -2500
Thanks George,
Signature:
C: ,
Australia • Belgium • Indonesia • Kenya • New Zealand • Papua New Guinea
United Arab Emirates • United Kingdom • United States • Operations in 60 Countries
•
FOR OFFICE USE ONLY — SITE ADDRESS: /0 03/ Su' Gffse 9,j c /9-{/&
This form is recognized by most building departments in the Tri -County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
q Transmittal Letter
T I G A R D , 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard- or.gov
TO: G & U / / ii' ors DA ,c. „ VED:
DEPT: BUILDING DIVISION
IV ED
JAN 0 3 2013
FROM: C-__ CITY OF TIGARD
COMPANY: C BUILDING DIVISION
PHONE: -1 3 - `I/ 9 - R -5 d
RE: /t' S) e , g-sS C`-.52-.6 E ,9l/e- ,G , ze/cz - DO A sef-
(Site Address) (Permit Number)
07Z Cff/, Su-/DPL-
y
(Project name or subdivision name and lot numbeff
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. i/ Revisions: /J La A / 6-
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor /roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other (explain):
REMARKS:
FOR OFFICE USE ONLY
Routed to Permit Technician: Date: Initials:
Fees Due: ❑ Yes ❑ No Fee Description: Amount Due:
Special
Instructions:
Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done
Applicant Notified: Date: Initials:
I: \Building\ Forms \TransmittalLetter- Revisions.doc 05/25/2012
TRANSMITTAL () Cardnoe
Shaping the Future
To: City of Tigard Date: 01/03/13
Orchard Supply
Hardware - Cascade 5415 SW Westgate Drive
Building Division Project: Avenue Suite 100
Portland, Oregon 97221
13125 SW Hall Blvd Project #: 2129973000 USA
Tigard, OR 97223 Case /File #: MMD 2012 -00008 Phone (503) 419 -2500
Fax (503) 419 -2600
Fax #: Total Pages:
From: Kevin Russell www.cardno.com
Transmitting Via: Purpose:
• Messenger ® For your approval
❑ Other: ❑ Other:
Quantity Description
3 /EA Civil Engineering Sheets C3.1 and C4.4
Comments:
Please accept the attached Civil Sheets C3.1 and C4.4 for your review and approval.
Orchard Supply Hardware is proposing a new Sanitary Sewer service to the rear of the
building to serve the new restroom proposed in the back of the building. We request that
you review (and /or comment) for approval to ammend the current the building permit with
this additional service. The additional sanitary sewer service is clouded and noted as
delta 6 on the attached sheets.
Please call with any questions at 503 - 419 -2500
Thank you.
Signature:
Australia • Belgium • Indonesia • Kenya • New Zealand • Papua New Guinea
United Arab Emirates • United Kingdom • United States • Operations in 60 Countries t(,
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
10031 SW CASCADE AVE, TIGARD, OR, 97223
Commercial - Plumbing
399 Plumbing final
03/29/2013 00:00
PLM2012-00238
FAIL
1. Provide c/b pump receipt
2. Provide 8-ea cleanout caps with plugs (use approved thread sealant ) on storm clean
outs.
3. Hard cap unused 4" rain drain riser at garden area.
All else ok
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
10031 SW CASCADE AVE, TIGARD, OR, 97223
Commercial - Plumbing
399 Plumbing final
04/12/2013 00:00
PLM2012-00238
FAIL
1. Provide cleanout caps and plugs northwest corner 2-ea
Violation Summary:
Inspector Contractor