Permit CITY OF TIGARD ;. PLUMBING PERMIT
111111 = COMMUNITY DEVELOPMENT /9747/ Permit#: PLM2014-00103
T(GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 �� Date Issued: 06/17/2014
Parcel: 2S1 01 AB03000
Jurisdiction: TIG
Site address: 7150 SW DARTMOUTH ST
Project: RED ROCK CENTER Subdivision: 2012-009 PARTITION PLAT Lot: 2
Project Description: Building B-Site utilities:(4)catch basins,(3)manholes,232'of sanitary sewer line,82'of storm line&80'of water
line.2/12/15,revised to add(1)RP backflow.
Contractor: BRIAN CLOPTON EXCAVATION INC Owner: FRY, DOUGLAS
P 0 BOX 509 23077 SW NEWLAND RD
WILSONVILLE, OR 97070 WILSONVILLE,OR 97070
PHONE: 503-682-0420 PHONE:
FAX:
FEES
Quantity Description Date Amount
4 ea Catch Basin or Area Drain 06/17/2014 $75.04
Specifics: 3 ea Manholes 06/17/2014 $56.28
232 If Sewer Service 06/17/2014 $137.58
Type of Use: COM 82 If Storm and Rain Drain 06/17/2014 $62.54
Class of Work: NEW 80 If Water Service 06/17/2014 $62.54
Type of Const: 1 Plan Review 06/17/2014 $98.50
Occupancy Grp: 17 ea Info Process/Archiving-Lg 06/17/2014 $34.00
Stories: $2.00(over 11x17)
1 12%State Surcharge- 06/17/2014 $47.28
Plumbing
1 ea Backflow Preventer 02/12/2015 $31.27
0 Plan Review 02/12/2015 $7.81
0 12%State Surcharge- 02/12/2015 $3.75
Plumbing
Total $616.59
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: M OVr
/ �<<�►�L +sue_
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.
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.
ill City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Transmittal Letter
T i G A R D 13125 S Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: t •
4 • DATE:11 1I A.: •
DEPT: BUILDING DIVIS 6
JAN 2 7 2015
FROM; f �( CITY OFTIGARD
l BUILDING DIVISION
COMPANY: "2
PHONE:
RE: !�� 5,15 ,c r-•1-r c —►1 �PC� e cc 1� PZ Li-t ?-074./.- an/O3
(Site Address) (Permit Number)
el-iN CI(0-rut
mj t name or subdivision name and lot number) ^4� �K
ATTACHED ARE THE FOLLOWING ITEMS: �'1
Copies: Description: Copies: Description:
Additional set(s) of plans. Revisions:
Cross section(s)and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(expl.'• .
REMARKS: . 1 — ,/ _ .—
ie '!""
FOR OFFICE USE ONLY _
Routed is it ec 'cian: Date: Initials:
Fees D - M Yes • No Fee Description: Amour Due:
$
$
$
Special
Instructions:
Reprint Permit(per PE): I�1 ❑ N Do
Applicant Notified: Date: it Initial J�`�
1:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012
CITY OF TIGARD PLUMBING PERMIT
:11111 a. COMMUNITY DEVELOPMENT Permit#: PLM2014-00103
T t GA R p 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/17/2014
Parcel: 2S 101 AB03000
Jurisdiction: TIG
Site address: 7150 SW DARTMOUTH ST
Project: RED ROCK CENTER Subdivision: 2012-009 PARTITION PLAT Lot: 2
Project Description: Building B-Site utilities:(4)catch basins,(3)manholes,232'of sanitary sewer line,82'of storm line&80'of water
line.
Contractor: BRIAN CLOPTON EXCAVATION INC Owner: FRY, DOUGLAS
P 0 BOX 509 23077 SW NEWLAND RD
WILSONVILLE, OR 97070 WILSONVILLE,OR 97070
PHONE: 503-682-0420 PHONE:
FAX:
FEES
Quantity Description Date Amount
4 ea Catch Basin or Area Drain 06/17/2014 $75.04
Specifics: 3 ea Manholes 06/17/2014 $56.28
232 If Sewer Service 06/17/2014 $137.58
Type of Use: COM 82 If Storm and Rain Drain 06/17/2014 $62.54
Class of Work: NEW 80 If Water Service 06/17/2014 $62.54
Type of Const: 1 Plan Review 06/17/2014 $98.50
Occupancy Grp: 17 ea Info Process/Archiving-Lg 06/17/2014 $34.00
Stories: $2.00(over 11x17)
1 12%State Surcharge- 06/17/2014 $47.28
Plumbing
Total $573.76
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 yo to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 95 1101-4'90. You may obtain a copy of t rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.3 • 34..
Issued By: Permittee Sig . re:
Call 503.639.4175 by 7:00 a.m.for the next available i spection 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.
7Plumbin2 Permit Application
Site Utilities City of Tigard RECEIVED R ""d I Permit No.:
• 13125 SW Hall Blvd.,Tigard,OR 9722.4 PlatdBy: y L1��0! UO lU3
III 0 8 2014 Plan Review
Phone: 503.718.2439 Fax: 503.598.1 R 4-17 p� Other Permit No.:
Inspection Line: 503.639.4175 Date/By: _/� ✓,
T f(i,A R l) GtN OF TIGAAD Date Ready/By: / /.4(,, ,,,9 Juns. 0 See Page 2 for
Internet: www.tigard-or.gov rl Notified/Method:�l// Supplemental Information
TYPE OF WfltliLDINGOIVISION fJ i--_, 4.,..A FEE' SCHEDULE
0 New construction ❑Demolition [l
For special information use checklist
Description I OW. I Ea. I Total
❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 It.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
❑ 1-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
716 JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: `� S(�fJ f Catch basin or area drain 18.76 7 •t)
�°°� w�ti Drywell,leach line,or trench drain 18.76
City/State/ZIP: / c,. / 1)`
Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: f Project name: AQ I i, ,lir Manufactured home utilities 50.03
Cross street/directions to job site: /"� Manholes 18.76 6b.-2,s
S W 72-'9 S c-I, be4,/-4 t 1/1---c.- Rain drain connector 18.76
Sanitary sewer(no.linear 11.23 2) Page 2 (?'7'>
Storm sewer(no.linear ft.`a ) Page 2 62,c 1
Subdivision: I Lot no.: Water service(no.linear ft.:SIP) Page 2 bat.�y
Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
■
Clothes washer 25.02
CO `S r L" c R � w Dishwasher 25.02
G S4 o c- t Ce 4c/( s I 124-, t,vt-rt--kC� Drinking fountain 25.02
!
r - Lt.-r-/ Li 77f S Ejectors/sump 25.02
fit PROPERTY OWNER I ❑ TENANT Expansion tank 12.51
Name:A j R . 1 ��/,,c i)..i-S s ,S p Gfu 4�) t!4 Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address: )g/g 7 i.e. J�& J�y
City/State/ZIP: /� /7 lr /, Garbage disposal 25.02
Cor Y Gi � vV V Hose bib 25.02
Phone:(tj p ,) 7 tr Q - 7;13 7 Fax:( ) Ice maker 12.51
,Q] APPLICANT ja CONTACT PERSON Interceptor/grease trap 25.02
- Business name: Medical gas(value:$ ) Page 2
Contact name: /3 y/ Q 4, /Cvt/(,�--e l/ Primer 12.51
Address: / Roof drain(commercial) .1'1.'51
/ a a / S i u.zo f� 11_ I Sink/basin/lavatory 25.02
City/State/ZIP- P ate./ �'- C? 7 Z/ L/' Solar units(potable water) 62.54
Phone:6503) 7 y0-1 5670 Fax::( ) Tub/shower/shower pan 12.51
E-mail: �U 51‹� %c-/- e 6,.... 6. &,t• . 76- Urinal 25.02
CONTRACTOR Water closet 25.02
Water heater 37.52
Business name: 13/„.71,-
r/ (ii in C le 5}` � _ Water piping/DWV 56.29
-Address: /2 _ 6v O / J' Other: 25.02
City/State/ZIP: /, zr '4-�� ✓l t i 1 0`_ 4 _, Subtotal
(�j-5 ((/, Minimum permit fee: $72.50
Phone: ) . Ott'� 0 Fax:( ) n
CCB Lic.: 3 lambing Lic o.: -$l7 P6 Plan review (25%of permit fee)
/ State surcharge(12%of permit fee)
Authorized signature: f / TOTAL PERMIT FEE
Print name: (� // ( Date: This permit application expires if a permit is not obtained within 180 days
1�lr t�' i^ !ti'F��� /��l/ r after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
r:l Building\Permits\PLMU-PermitApp.doe 10/01/09 440-4616T(10/02ICOM/WEB)
9 S
Plumbing Permit Application - City of Tigard r�
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",
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 is required for any of the following.Performed: Capped Added Relocate 9 y g'
Baptistry/Font Ple a 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 El 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 ❑ Isometric or riser diagram is required for new buildings
Garbage -Domestic-non-food
Disposal -Domestic-food related that meet the qualifications above.
-Commercial-food related
-Industrial-food related
Ice MachAtefrig.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:
I:\Building\Permits\PLMU_PermitApp.doc 2
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
7150 SW DARTMOUTH ST, TIGARD, OR, 97223
Commercial - Plumbing
399 Plumbing final
PASS - No C of O
November 6, 2015 at 10:12:32
AM
PLM2014-00103
Don Sylvester
Violation Summary:
Inspector Contractor
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.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
711 a Transmittal Letter
I , , \i. I) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: b-e- DATE ' EIVED:
DEPT: BUILDING D ISIA • r
IN 4 . 7
OCT 2
FROM: Ail"- /Fa Z�/
CITY s, RAW
COMPANY: /7 /= F.'q/h '6v f' gui 1. '.,4'? 1!g1nR;
PHONE: .I B�
X03 ,�97 .3 22 2
(Site A ress) • .4,-,
'e umber)
7/5?) -D' 42 HccvTi� '
(Project name or subdivision name and lot number
ATTACHED ARE THE FOI W NG ITEMS:
Copies: Description: 1 pies: Description:
Additional t(s)of plans. Revisions:
Cross sect' n(s) d details. Wall bracing and/or lateral analysis.
Floor/ro framin . Basement and retaining walls.
Beam c culations. Engineer's calculations.
Other( xplain):
l(�
REMARKS:
FOR OF CE USE ONLY
Routed to Permit Technician: Date Initials:
Fees Due: El Yes po Fee script' n: Amount Due:
$ --6-
Special
Instructions:
Reprint Permit(per PE): ❑ Yes o Done
Applicant Notified: Date: /0/9//q - ti Initials: (PIO ,
I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012
I
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.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
r Transmittal Letter
T I(J n R l) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: ,4110 , , .• • 4----/, - DATE
'
i �VFril
DEPT: BUILDING DIVI ON r
el
(mil--v� AUG 7 20:4 FROM: GOOF WAN)
COMPANY: • MOW ntifMnf
PHONE: d�j _57 -2- 3gv-2-- ri C
RE: 7/ c..)-- I .d-1 ►'trt -! i, - A-Hr?-10 l QDID 3
(Site Address) (Permit Numr)
(Pr 'ect name or 'division name and lot number)
ATTACHED ARE THE 'OLLOWING ITEMS:_
Copies: I Description: CI lies: Description:
Additional s: (s)of pl s. Revisions:
Cross secti. (s) and deta' s. Wall bracing and/or lateral analysis.
Floor/roof ' .ming. 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 01°4 o Fee Description: Amount Due:
$
$ --(0---
Special
Instructions:
Reprint Permit (per PE): ❑ Yes ) I ,nib s ❑ Done
Applicant Notified: Date: 'i q/ ill Q0-I�i.P icy a'it,(1, Initials:40 .,
r r )
I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012