Permit n CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2013-00421
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/26/2013
Parcel: 1 S135BA00102
Jurisdiction: TIGARD
Site address: 10164 SW WASHINGTON SQUARE RD
Project: Hannah Pet Clinic Subdivision: MYERS ESTATES Lot: 5
Project Description: Interior plumbing for pet care facilitiy,capping(4)sinks and(1)water closet,installing(2)clothes washers,(1)
drinking fountain,(6)floor drains,(16)sink/lays&(4)service sinks,(2)tub/showers,(3)water closets&(1)water
heater.
Contractor: PORTLAND PLUMBING CO Owner: PPR SQUARE TOO LLC
16260 SW HILLTOP RD PO BOX 847
OREGON CITY,OR 97045 CARLSBAD,CA 92018
PHONE: 503-723-8800 PHONE:
FAX: 503-723-8801
FEES
Quantity Description Date Amount
2 ea Clothes Washer 11/26/2013 $50.04
Specifics:, 1 ea Drinking Fountain 11/26/2013 $25.02
5 ea Fixture/Sewer Cap 11/26/2013 $125.10
Type of Use: COM 6 ea Floor Drain/Floor Sink/Hub 11/26/2013 $150.12
Class of Work: ALT 17 ea Sink 11/26/2013 $425.34
Type of Const: 3 ea Lavatories 11/26/2013 $75.06
Occupancy Grp: 2 ea Tub/Shower/Shower Pan 11/26/2013 $25.02
Stories: 3 ea Water Closet 11/26/2013 $75.06
1 ea Water Heater 11/26/2013 $37.52
1 12%State Surcharge- 11/26/2013 $118.59
Plumbing
Total .$1,106.87
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
applic-• - 'II work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
is •ante, or if work ' suspended for more the 180 days. ATTENTION: Oregon law requires you ollow the rules adopted by the Oregon
4tility Notification Cente. Those rules are set forth in OAR 952-001-0010 through OAR 1-0090. You may obtain a copy of the rules
or direct questions to OUNC •. •.fling 503.232.1987 or 1.800.332.2344.
Issued By: O Permittee Si. ature: 077
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
Building Fixtures `�, FOR OFFICE USE ONLY
-N- ` Received q �.///�, ��
City of Tigard C. Date/By: I/ 01(J /2, . ,I Permit No.: L//O1/l3` pV
to 13125 SW Hall Blvd.,Tigard,OR 9 c•;
Phone: 503.718.2439 Fax: 503.59:1''• Q13 Date/By:
Review her Permit No.: ;Q.,�e�(3 moo- 6"
T l G n R D Inspection Line: 503.639.4175 ` 6�' Date Ready/By: Juris: 65 See Page 2 for
Internet: www.tigard-or.gov A`Ov .t ` Notified/Method: Supplemental Information
TYPE OF WORK \l OkrS'k ��10 FEE* SCHEDULE
❑New construction ❑Dem I r �cj0 For special information use checklist
�l Description I Qty. I Ea. I Total
11 Addition/alteration/replacement El ��
Oth
New 1-2-family dwellings(includes 100 ft.for each utility connection)
' CATEGORY OF CONSTRUCTION - SFR(1)bath 312.70
ID I-and 2-family dwelling CI Commercial/industrial 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 INFORMATION AND LOCATION Site utilities:
Job site address: atch basin. r area drain, _ 18.76
col SW co coSc� RD ;o
City/State/ZIP: t�K �� '"" �sb Fin�ertrench +a' � .-
CFooting drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.:BL06 l' I Project name: I ,Ato --5 ?FT-600Q]. - Manufactured home utilities 50.03
Cross street/directions to job site:(o ff • i4 gc 1 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.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 2 25.02 5'a.V`I
S t /.M4.2 PST Clef F X I TS l 1< I L/7Y Dishwasher 25.02
. Drinking fountain ( 25.02 15-c.)
Ejectors/sump 25.02
❑ PROPERTY OWNER I ❑ TENANT Expansion tank 12.51-Name: M/ACL.,c_2.1 c 1.--1- Fixture/sewer cap C 25.02 /�s,/O
Floor drain/floor sink/hub r 25.02 / o. e:l,
Address: t" -
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,gbs(value:$.- ) Page 2
Primer 12.51
Contact name:
Roof drain(commercial) 12.51
Address: Sink/basin/lavatory 25.02 Soo iv
City/State/ZIP: Solar units(potable water) 62.54
Phone:( ) Fax: :( ) Tub/shower/shower pan 12.51 AS' U a,
E-mail: Urinal 25.02
CONTRACTOR Water closet 3 25.02 75:O
tQ._
Water heater ' 37.52 . 375; ..
Business name:t oil:Tx 1 ,0 ?Lu u a i)JL, Water piping/DWV • 56.29
Address: 1 b.D4 o $ I4 i cue tZ o a92. C h t1 q 70t.,f Other: 25.02 9:1:42:;
City/State/ZIP: Ur �(�10 CATS/ !�� 9 415" Subtotal
72 C_g / y I Minimum permit fee: $72.50
Phone:( ) Tj-' 2f � Fax:( )
3 c 3o .ID7 Plan review (25%of permit fee)
CCB Lie.: /67439 ////lo//y Plumbing Lic.no.12ppiips÷,
• •State surcharge(12%of permit fee)
Authorized sign 71j- a..T. L 1 4-i 0 TOTAL PERMIT FEE
Print nam 04-4c,1/4...._,, ,1 Date:1 V2-6// This permit application ehairbs in a permit is nco obtained within t8U days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
.
1:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(I0/02/COM/WEB) ^ /l /a"` ��
Plumbing Permit Application - City of Tigard ,e2,144 `-i r-)--
Page 2 - Supplemental Information
/0/ .- ' 4J
Fee Schedule: Residential Fire Suppression Systems:
Site Utilities Qty. - Fee(ea) Total Square Footage: Permit Fee:
Footing drain-l'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' Aar 62.54 Medical Gas Systems:
Water Service-each additional 100' 37.52
Storm&Rain Drain-1st 100' 62.54 Valuation: Permit Fee:
$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",
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
Baptistry/Font
El Any new commercial building with water service 2"and
2.. greater,except systems designed and stamped by licensed
Bath: -Tub/Shower
-Jacuzzi/Whirlpool engineer.
El CCar Wash: Each Stall New exterior plumbing site utilities for any complex structure
Drive tall as defined in OAR918-780-0040.
Cuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities.
Dishwasher: Commercial ❑ Any multipurpose fire sprinkler system.
Domestic ❑ Any complex structure as defined in OAR918-780-0040.
Drinking Fountain
Eye Wash 4 itt Submit 2 sets of plans with any of the above.
Floor Drain/sink: -2" 01
3" Isometric or Riser Diagram _
❑ 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 Mach./Refrig.Drains Comments regarding fixture work:
Oil Separator(Gas Station)
Rec.Vehicle Dump Station
Shower: -Gang
-Stall
Sink: -LavBar non-food related LI ill°
-Bradley
-Com/Serv/Util food related
-Service A/ _ *Note: If the fixture work under this permit results in an
Swimming Pool Fiber 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
Water Closet-Toilet 0 i J plumbing permit can be issued.
Urinal
Other Fixtures:
l:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2
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
10164 SW WASHINGTON SQUARE RD,
TIGARD, OR, 97223
Commercial - Plumbing
399 Plumbing final
2014-02-12 00:00:00
PLM2013-00421
FAIL
1. Provide hard caps for 4-ea sinks in treatment room. If these sinks are needed after
final plumbing is approved, a new plumbing permit will have to be applied for. 101.4.1.1.3
2. Provide/locate trap primers for inspection. 102.2.2/1035.4
3. Provide hose and spray at dog wash up sink.
4. Provide access and drainage to floor drain in laundry area. 102.2.2/1035.4
5. earthquake straps for water heaters (Plbg Code Interp 08/12/05) 1 ½”penetration, #12
wood screws with washers 508.212
6. re-inspection required when correction(s) have been completed. 103.5.6.2
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
10164 SW WASHINGTON SQUARE RD,
TIGARD, OR, 97223
Commercial - Plumbing
399 Plumbing final
2014-02-13 00:00:00
PLM2013-00421
PASS - No C of O
Violation Summary:
Inspector Contractor