Permit CITY OF TIGARD PLUMBING PERMIT
4 l 4
I COMMUNITY DEVELOPMENT Permit#: PLM2015-00072
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/16/2015
Parcel: 2S112DA00700
Jurisdiction: TIGARD
Site address: 15353 SW SEQUOIA PKWY 140
Project: Motosport Subdivision: PACIFIC CORPORATE CENTER Lot: 3
Project Description: Capping(19)tub/showers,(8)drinking fountains,(1)lay,(1)service sink&(2)saunas. Adding(2)commercial
dishwashers,(1)ice machine drain,(5)water closets&(1)urinal. Relocating/replacing(1)tub/shower,(1)drinking
fountain,(6)floor drains,(12)sink.lays,(8)water closets&(3)urinals. (1)hour of inspection time for review of
Contractor: WESTERN PLUMBING Owner: PACIFIC REALTY ASSOCIATES LP
9460 SW TIGARD AVE SUITE 101 ATTN: N PIVEN
TIGARD, OR 97223 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-639-5296 PHONE:
FAX: 503-684-9015
FEES
Quantity Description Date Amount
2 ea Dishwasher 03/16/2015 $50.04
Specifics: 1 ea Drinking Fountain 03/16/2015 $25.02
6 ea Floor Drain/Floor Sink/Hub 03/16/2015 $150.12
Type of Use: COM 1 ea Ice Maker 03/16/2015 $12.51
Class of Work: ALT 12 ea Sink 03/16/2015 $300.24
Type of Const: 1 ea Tub/Shower/Shower Pan 03/16/2015 $12.51
Occupancy Grp: 4 ea Urinal 03/16/2015 $100.08
Stories: 13 ea Water Closet 03/16/2015 $325.26
2 ea Water Heater 03/16/2015 $75.04
1 hr Inspections-Existing 03/16/2015 $90.00
Plumbing or Requested
1 12%State Surcharge- 03/16/2015 $136.90
Plumbing
Total $1,277.72
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 stions'o�OUNC by calling 503.232.1987 or 1.800.332.2344.
Issuad By: Permittee Signature: _
Call 503.639.4175 by 7:00 a.m.for the next available ins.. tion 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.
lig Accumulative Sewer Tally
rit Tenant Name: Moto Sport "'(:121:DITS"` SWR#
TIGARD Site Address: 15353 S\\ S"yuoia Pkwy i'1 PL1\1 # 2015-00072
Parcel#: 2S 112DA00700
Fixture A aluc Previous Previous (.rudtts (:upped I•ixture Fixture New
# value count capped#s value count added# added valor ■tal ::- total valor.
Baptistry/Font 4 0 0 0 0 0
Bath: -Tub/Shower 4 0 19 76 0 -19 -76
-Jacuzzi/Whirlpool 4 0 0 0 0 0
Car Wash: -Each Stall 6 0 0 0 0 0
-Drive through 16 0 0 0 0 0
Cuspidor/Water Aspirator 1 0 0 0 0 0
Dishwasher: -Commercial 4 0 0 2 8 2 8
-Domestic 2 0 0 0 0 0
Drinking Fountain 1 0 8 8 0 -8 -8
1■ye Wash 1 0 0 0 0 0
Floor Drain/Sink: -2 inch 2 0 2 4 0 -2 -4
-3 inch 5 0 0 0 0 0
-4 inch 6 0 0 0 0 0
-Car Wash 6 0 0 0 0 0
Garbage Disposal:
-Domestic(to 3/4 FIP) 16 0 0 0 0 0
-Commercial(to 5 11P) 32 0 11 0 0 0
-Industrial(over 5 HP) 42 0 0 0 0 0
Ice Machine/Refrigerator Drain 1 0 0 1 1 1 1
Living Unit 16 0 0 0 0 0
Oil Sep(Gas Station) 6 0 0 0 0 0
Rec.Vehicle Dump station 16 0 0 0 0 0
Shower. -Gang(per head) 1 0 0 0 0 0
-Stall 2 0 0 0 0 0
Sink:
-Lav/Bar-Non-Food Related 2 n 1 2 0 -1 -2
-Bradley 5 0 0 0 0 II
-Com/Serv/Util-Food Related 3 0 I 3 0 -1 -3
Swimming Pool Filter 1 0 0 0 0 0
Washer-Clothes 6 0 0 0 0 0
Water Extractor 6 0 0 0 0 0
Water Closet-Toilet 6 0 0 5 30 5 30
Urinal 6 0 0 I 6 1 6
Previous EDU Count 0 0
Capped EDU Credit 0
'I.(Y1'.11.S 0 0 31 93 9 _ 45 -22 --1S
Current Fixture Value -48 divided by 16= -3.000 Current I:DU 1 EDU= 84,900.00
Previous Fixture Value 0 divided by 16= 0.000 Previous EDU
Change -48 divided by 16= -3.000 over (under) $ (14,700.00)
Enter EDU Change Here -3.000
Notes:;***CREDITS**
Authorized Name/Signature: Debbie Adamski Date: 3/16/2015
Building Division
Note: The property owner shall retain the ORIGINAL.sewer tally record. If credits exist,this document will serve as a voucher which must be
submitted to the City of Tigard Building Division to redeem credits towards future system development charges.
I:\Building\Sewer Tally\Sewer 1'allySheet_49(0._070114.xlsx
03/10/2015 07:16 5036849015 WESTERN PLUMBING INC PAGE 01/02
Plumbinj Permit AppliREIVEI)
Building Fixtures i , ,I,... t t i ;t _ ,i ' ,•: L.
MAR 112015 DR d /�a
City of Tigard R«oYaa, J / Permit No.: L 17/, -0/5 4 4 gi 7 -,
13125 SW Hall Blvd. Tigard,OF a ',a d 0111
■ Phone: 503.718.2439, Fax: L5 1900 1 ItlIfi " Plan Review
Other Permit No.:
a
I t.: , t_ Inspection Line 503.639.417i pNiS10N
Due Ready/By: 9./ kris El Hee,Page 2 for
Internet www-tigerd-or. IILDiN ,��, lliod ' MI Information
�q� b�rI :-. i :,,: cy Vi
❑New construction El Detnolition .alp f-* -1�i For special iitform lion rotr eheekCpt I Total "
Description
O Addition/alteration/replacement ❑Other New 1-2-family dwellings(includes 100 ft.for each utility connection)
3,; ° , ,a . i, SFR(I)bath 312.70
0 1-and 2-family dwelling lid Commercial/industrial SFR(2)bath 437.78 lg...?
SFR(3)bath 500.32
0 Accessory building Q Multi-family '
Each additional bath/kitchen 25.02
❑Master pbu�illder 0 other Fire sprinkler( sq,ft.) Page 2 J I
., ,,..F,,l� 14/. �w.. rit' " �- •r 1.:1 Site Utilkt.. - _ O
lob site address: Catch basin or area drain 18.76 v
h1` - O. ,. `.- 1► a . . D ywelf,leach line,or trench drain 18.76 �%
.[ `].� .�-�•'� Footing dram(no.linter ft.:^) Page 2 'J
Suite/bldg./apt.no.: • 1' Project name:)(NR ) c1c Manufactured have utilities 50.03 W
Cross street/directions to job site: Manholes 18.76
x,((,, Rain drain connector 18.76 R
1dJ 1iF1i^ Sanitary sewer(no.linear .:. ) Page 2
Storm sewer(no.linear ft.: ) Page 2
_ Water service(no.linear ft.: ) Page 2
Subdivision: 1 Lot no.: Fixture or item;
Tax map/parcel no.: S \la*L
. ' ,,.+,".:,, Backflo w preve n te r 31.27
e ','� (, .r« .; ` + *.i•a i T 1 K!"+ � - Backwater v 12.51•
w :tp, 4,w:.3{1'..j. ...v._ -.. r, � r., t -.. 44:,,.a l v. .•s 5.:1 Z 1:4,4- clothes washer h 25.02
( Dishwasher eQ i 25.02
\`C°e'Q_IC1 r K )c Drinkingfotmtainel t/ 25.02 a).(■•:)
Ejectors/sump 25.02
v
4V�1. l K r^` .. ... .. r. t r ... Expansion tank ^ 12.51
Fixture/sewer cap 25.02
Name: -
drain/floor sink/hub _ Vo �
/ 25.02 \t ,\
Address: Garbage disposal 25.02
City/State/ZIP: - Hose bib 25.02
Phone:( Fax Fax:( ) lee maker % / 12.51 ‘Q5‘
'?1 , ;;:' ,5 l""" r , �.
' �n„, T ,. ., ... Interceptor/grease trap 25.02
Business name: Medial gas(value.S ) Page 2
_ - Primer 12.51
Contact name: Roof drain(commercial) 12.51
Address: SinklbasiMava[ory1 ,\ l,9 4 25.02
City/State/ZIP: Solar units(potable water) 62.54
Phone:( ) Fax::( )
Tub/shower/shower panes, / 12.51 ‘),s\
E-mail: Urinal 3, 4 i 25.02 ,
t ' ... . _ ',:.:44:,'''''1*:' ; Water closets 1'33 i 25.02 .'7�
� D
g� P,�T r.rrw:_L. . .. , . .. . . .:::.. < r, ,..• .,:•s ,.. ' Water heater 0 3 7-52 �3N
Business name:Western Plumbing,Inc. Water piping/DWV 36'.`19'
Address:9460 SW Tigard Street,Suite 101 Other: (l I- y Qf)i t_- ye.4 as-e2. `/o."'`' ad 5'
City/State/ZIP:Tigard,OR 97223 pct of PPtl Dri - Subtotal jj�(i
Phone:(303)639-5296
Fax:(503)6349015 Minimum permit fee: $72.50 1,
Plan review (25%of permit fee) .,1 `j C
CCB Lic.:2439 s Plumbing Lic.no.:3429PB State surcharge(12%of 1t fee) 17"
Authorized signature: : .l `C 1 l l �" TOTAL PERMIT FEE 1�
{ Date: This permit application expires if a permit is not obraised within days
Print name: - , 3J J lQ atteItkasbeen accepted ascomple .
'Fee methodology set by Tri-County Building Industry Service hoard. 7
41' 9-/i.
t:\autl dins∎Pern,its1Pt,MU-PermNAppdom 10/01/09 440-46i6T(I0102/COM/WEB) t G.W
03/10/2015 07:16 5036849015 WESTERN PLUMBING INC PAGE 02/02
Plumbing Permit Anulication - City of Tigard
Page 2 -Supplemental Information
Fee Schedule: Residential Fire Su r r ression S stems:
Footing drain-1"100' 50.03 - 0 to 2000 $121.90
Footing drain-each additional 100' Mil 37.52 2 001 to 3 600 $169.69
Sewer-1st 100' 62.54 En 7'01 and Zoo,er $327.54
Sewer-each additional 100' - 37.52
water Service-1st 100' 1111111 Medical Gas S stems:
Water Service-each additional 100' 37.52
Storm&Rain Drain-1 at i additional 62.54 $5,001.00 to$10,000.00 $72.50 for the first$5,000,00 and$1.52&Ram Drain-tech additional I00'
��
$5,001.00 to 0 to$1 ,0 Minimum foe$72 SO
1.52 for
each additional$100.00 or fraction thereof,to
and including 510,000.00.
Inspection of existing plumbing or for $10,001-00 to$25,000.00 $148.50 for the first$10,000.00 and S1.54 for
which no foe is specifically indicated 90.00/hr ■ each additional$100.00 or*action thereof,to
minimum char:c-I/2 hour) and including$25,000.00.
Inspections outside of normal business 90.00/hr Mill $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for
hours minimum char -2 hours
each additional$100.00 or fraction thereof,to
Reinspection Fees 90.00/hr ME and including$50,000.00.
Additional plan review for revisions 11.1 90.00/hr _$50,001.00 and up 5742.00 for the first$50,000.00 and$1.20 for
minimum char_'-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
accuratel re a rt fixtures could result in increased sewer fees*.
A r 1'� � . t,:,,,,., .
; q ty + 4 , , _ w ^ a;i 7
e, i,.,r c
"
:,.t 9■r ` + T f 75::,.'...11L7.1.41!P �> tic2,.a ./ N $ F£ t " V : N} Plan review is required for any of the following.
.-a..:v ! > •vM Z A rAt
a /Font Please check all that apply.
B ath -Tub/Showcr •I: . ❑ Any new commercial building with water service 2"and
-Jacuzzi/Whirl,•.1 -
greater,except systems designed and stamped by licensed
Car Wash -Each Stall engineer.
_Drive Thru == ❑ New exterior plumbing she utilities for any complex structure
Cu •idor/Water . teeter• as defined in OAR918-780-0040.
Dishwasher -Commercial -EiZ- ❑ Medical gas and vacuum systems for health care facilities.
-Domestic ❑ Any multipurpose fire sprinkler system.
Dr'inkin• Fountain WAMMI-.0 ❑ Any complex structure as defined in OAR918-780-0040.
IIJZIZMIIINIIIIIIINIMIIIINIIIIIIIMIIIIIIIIIIIIIIIIMIII
r,Floor Drain/sink -2" MUM 111111M1111011121111 Submit Z sets of plans with any of the above.
M
":
Car Wash Drain -IMINE111111•1111 ,fiti i
Garbage -Domestic-ton-food ��� Isometric or riser diagram is required for new buildings
Disposal -Domestic-food related -- that meet the .ualifications above.
-Commercial-food related Mill.-r
-Industrial-food related =
Ice Mach jRef is Drains MIMI
Oil 5e.arator Gas Station Comments regarding fixture work:
Rec.Vehicle Du .Station M__
Shower -Gang -MIMIr
-Stall rWWI�
ink/Lav -Non-••.tt aced N_ 1 0
-Bradley MIN
-- -
-Commercial-food related __
-Service
Swimmin: Pool Filter NM- *Note: If the fixture work under this permit results in an
NMI Washer-Clothes =� increase of sewer EDUs,a sewer permit will be issued and
Water F,xtractor
Water Closet-Toilet _KAMWI= fees assessed for the sewer increase must be paid before the
Urinal • 111141i+ININI plumbing permit can be issued.
Other Fixtures: _- _ WAIIIII•111111�
http://www.tigard-or.gov/city_hall/departments/cd/docs/PLMF-PemrtitApIQdoc
L
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
15353 SW SEQUOIA PKWY 140, TIGARD, OR,
97224
Commercial - Plumbing
399 Plumbing final
FAIL
PLM2015-00072
George Heimos
1. Correct both Dishwasher hoses being securely anchored to underside of cabinet top.
807.4
2. Recall inspection when corrections have been completed. Re-inspection required.
103.5.6.1
Violation Summary:
Inspector Contractor
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
15353 SW SEQUOIA PKWY 140, TIGARD, OR,
97224
Commercial - Plumbing
399 Plumbing final
PASS - No C of O
PLM2015-00072
George Heimos
Violation Summary:
Inspector Contractor