Permit ` y n
CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2015-00062
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/10/2015
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: Interior plumbing shell: 165 of sanitary sewer, 10'of water service and(4)roof drains.
Contractor: PMSI LLC Owner: FRY, DOUGLAS
21195 NW EVERGREEN PKWY#204 23077 SW NEWLAND RD
HILLSBORO,OR 97124 WILSONVILLE,OR 97070
PHONE: 503-466-2222 PHONE:
FAX: 503-466-2211
FEES
Quantity Description Date Amount
165 If Sewer Service 03/10/2015 $100.06
Specifics: 10 If Water Service 03/10/2015 $62.54
2 ea Roof Drain(Commercial) 03/10/2015 $25.02
Type of Use: COM 1 12%State Surcharge- 03/10/2015 $22.51
Class of Work: NEW Plumbing
Type of Const: 1 Plan Review 03/10/2015 $46.91
Occupancy Grp: 2 ea Roof Drain(Commercial) 03/10/2015 $25.02
Stories: 0 12%State Surcharge- 03/10/2015 $3.01
Plumbing
0 Plan Review 03/10/2015 $6.25
Total $291.32
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
Ulf ,• I'cation - • -r. Those rules are set forth in OAR 952-001-0010 through OAR 952-1! -I.!0. You may obtain a copy of the rules
• direct questions to OU • •y c • ,5033.232.1987 or 1.800.332.2344. ;_
Issued By: '�///�/ Permittee ' nature:
��CiC /
Call 503.639.4175 by 7:00 a.m.for the next available insp' ion date.
This permit card shall be kept in a conspicuous place on the job site •ntil completion of the project.
Approved plans are required on the job site at the time of each inspection.
From 03/03/2015 16:47 #286 P.001/002
Plumbing Permit ApplicafiECEIVED
Building Fixtures
111 City f Tigard MAR 3 2015 Received 3 3 /
_ ll Date,By: Permit No.: Z���5WD(1%�
• 13125 SW Hall Blvd.,Tigard,O Plan Review �)
Phone: 503.718.2439 Fax: 503.x6 6OF TIGARD Date'By: �1t' 3- - O(�OtherPenni(No.:
Inspection Line: 503.639.4I7BUILDING DIVISION -TIGARD
Date Ready By kris' ® See Page 2 fur
Internet- wwtv.tigard-or.gov 'fiedMethod: �D
Supplemental Information
TYPE OF WORK e11Rz «G.G FEE"SCfIFAULE
❑New construction I ❑Demolition For special information use checklist
- Description l Qty. I Ea. I Total
®Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
❑ I-and 2-family dwelling ®Commercial/industrial SIR(2)bath 437.78
building SFR(3)bath 500.32
❑Accesso ry g ❑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:7150 SW Dartmouth Rd Catch basin or area drain 18.76
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.: Project name:Red Rock Center Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.: 165) 2 Page 2 100.06
i • .
Water service(no.linear ft.:1Q) 1 Page 2 62.54 ikS
Subdivision: Lot no.: Fixture or item: _
Tax map parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater aloe 12.51
Clothes washer 25.02
Interior shell plumbing Dishwasher 25.02
Drinking fountain 25.02
Ejectors sump 25.02
❑ PROPERTY OWNER ❑ TENANT Expansion tank 12.51
Name:
Fixture/sewer cap 25.02
- - ---- Floor drain/floor sink/hub 25.02 T,
Address:
Garbage disposal 25.02
City/State/ZIP:
Hose bib 25.02
Phone:( ) Fax:( ) Ice maker 12.51 �i
E1 APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 `*
Business name:
Medical gas(value:S_) Page 2
Primer 12.51 t.7
Contact name:
Roof drain(commercial) Y 12.51
Address: Sink/basin/lavatory 25.02
City/State/ZIP: Solar units(potable water) 62.54
Phone:( ) Fax::( ) Tub/shower/shower pan 12.51
E-mail: Urinal 25.02
Water closet 25.02 (1)
CONTRACTOR
Water heater 37.52
Business name:PMSI LLC Water piping/DWV 56.29
Address:21195 NW Evergreen Pkwy Suite 204 Other: 25.02 /
City/State/ZIP:Hillsboro,OR 97124 Subtotal 1F2 .tb
Phone:(503)466-2222 Fax:(503)466-2211 Minimum permit fee: 572.50
CCB Lic.:158286 Plumbing Lic.no.:34-434P6 Plan review (25%of permit fee) h 3' ���
gn r� �7 r �� u ` State surcharge(12%of permit fee)
Authorized si atu'�11 r L; TOTAL PERMIT FEE
Print name:Laneli`Itobiuson Date:3/3/15 This permit application expires if a permit is not obtained within t80 days
after it has been accepted as complete. 3�
'Fee methodology set by Tri-County Building industry Service Boat
9_1 1 it
I Suildint.Permits PLNU-PermsApp.doc 10 0109 440.4616TI 10.02•COM WEB)
From: 03/03/2015 16:48 *286 P.002/002
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-I' 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' I 62.54 62.54 7201 and greater ~, $327.54
-
Sewer-each additional 100' 1 37.52 37.52
Water Service-1st 100' 1 62.54 62.54 Medical Gas Systems:
Water Service-each additional 100' 37.52
Valuation: Permit Fee,
Storm&Rain Drain-1st 100' 1 62.54 62.54 $1.00 to$5,000.00 Minimum fee S72.50
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
Qlfefr` rtspeiirtiQaaorFees+ rIa) '. 00ta
each additional$100.00 or fraction thereof,to
and including$10,000.00.
Inspection of existing plumbing or for $10,001.00 to$25,000.00 1148.50 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 525,000.00.
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 550.000.00.
Additional plan review tier 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
Please check all that apply.
y g
Baptistry/Font
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"
4..
Car Wash Drain Isometric or Riser Diagram
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./Relrig.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/document_center'Building/PLM F_PermitApp.dt
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 13, 2015 at
12:10:15 PM
PLM2015-00062
Don Sylvester
Violation Summary:
Inspector Contractor