Permit CITY OF TIGARD PLUMBING PERMIT
If
1,1
= COMMUNITY DEVELOPMENT Permit#: PLM2015-00174
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/01/2015
Parcel: 2S110DB00200
Jurisdiction: Tigard
Site address: 15199 SW ROYALTY PKWY
Project: Arbor Heights Apartments Subdivision: WILLOW-BROOK-FARM Lot: 8
Project Description: Replace kitchen sink
Contractor: RELIANT PLUMBING&MECHANICAL Owner: SPUS7 ARBOR HEIGHTS LP
11575 SW PACIFIC HWY SUITE 219 BY CBRE GLOBAL INVESTORS LLC
TIGARD, OR 97223 800 BOYLSTON ST#2800
BOSTON, MA 02199
PHONE: 503-246-1201 PHONE:
FAX: 503-246-1205
FEES
Quantity Description Date Amount
1 ea Sink 06/01/2015 $25.02
Specifics: 1 12%State Surcharge- 06/01/2015 $8.70
Plumbing
Type of Use COM 47 ea Minimum Fee Adjustment- 06/01/2015 $47.48
Plumbing
Class of Work: ALT
Type of Const:
Occupancy Grp:
Stories:
Total $81.20
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:
OA.
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.
May. 29. 2015 3: 08PM Reliant Plumbing and Mechanical No. 4413 P. 1
Plumbing Permit Application
Building Fixtures VON orFwr. list. ONI,1
City of Tigard ��j�lN� Date/By:Received J I f� PermitNo.: AL 1'*5 OO/7?
114
• Ph125 SW Hall Blvd.,Tigard,OR 0 PlanRevim- Other Phone; 503,718.2439 Fax: 503.598.1960
may. tau P f� fob
1.1 c.A x ll Inspection Line: 503.639.4175 u^, . %015 Dale Ready/9y: �j runs: H See Page 2 for
Internet: www.tigard-or.gov i 1V Noti&dlMcthod:CL� /(/5"-_ Supplemental Information
TYPE OF WORK O N W I ���1 �' 10/c FEE* SCHEDULE
❑New construction [Q Deltic,��Vrh�l For special ittformarion use checklist
Description ( Qty. 1 Ea, I Total
Addition/alteration/replacement ❑Other: New I-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION . • • SFR(1)bath 31230
❑ l-and 2-family dwelling C]Commercial/industrial SFR(2)bath 437.78
SIR(3)bath
0 Accessory building 4 Multi-family 500.32
additional bath/kitchcn 25.02
2
❑Master builder 0 Other: Fire sprinkler( sq,ft.) Page 2
,FC.er::e7' JOB SITE INFORMATION AND LOCATION Site utilities:
151 CPI ,` f 048 Pk Catch basin or area drain 18.76
Job site address: l �UIJ (J Ormell,leach line,or trench drain 18.76
City/State/ZIP: 't a(- Og- 17 2 L!
[ Pooling drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: v Project name: -roc i .e�q Manufactured home utilities 50.03
Cross street/directions to job site: �JJ 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: + Lot no.: Fixture or Item:
Tax map/poreel n0 Bacldlow prcvcntcr 31.27
n. C'` T Vens�,jz�ifi Sr.,q�._�Y-y�,�^.Q��v`ev�:� ` o„ t^ ..... Backwater valve T 12.51
'rn,,•.;t.::F,G1> .� .w �i?,1' .�L GJIKII�I�'Ul' W�1ZlC. �t2 ��N.<.
�� 1\ r` sin n Clothes washer 25.02
-Si 4 (1 Dishwasher 25.02
Drinking fountain 25.02
Bjectors/sump
' r 7r a r J, `i' ,1z"t�y y 'rw 1 4P$ ar t e- N j c r N
• Expansion tank 1 U w<.q il.a.jtU!:,..LgS,m'i;;;i4.1,rg.:, iY + i `d:4N> . M. s1 . '? y r;y. 25.02
12.51
Name: Fixture/sewer cap 25,02
Floor drain/floor sink/hub 25,02
Address: Garbage disposal 25.02
City/State/ZIP: Hose bib 25.02_
Phone:( ) Pax:( ) Ice maker 12.51
■ (M APPLICANT ❑ CONTACT PER$QN Interceptor/grease trap 25.02
Business name: 'Oe 1 kon4, Rua 'Yl1 d- �-�terj in tat Medical gas(value:$ ) Page 2
'S �J�� Primer 12,51
Contact name: vie O!:l '38 n Roof drain(commercial) 12.51
t Address:1♦1 S PdC 1(1(_, tt -) .t„ 2'1 Sink/basin/avatory l 25.02 Zs,t7.-2-
.- City/State/ZIP: �1/��.rr�il i . ,g 41-7T2-3 Solar units(potable water) 62.54
Phone:(b3)2 u(, l'l Fax::(g3 )2 1-i&,- l2C5r
Tub/shower/shower pan 12.51
E-mail: a e.-Q r,(I d✓�'�' T l h� I- 4..c)(1)
Urinal 25.02
CONTRACTOR JiACTOR Water closet 25.02
Mahan heater 37.52
Business name; ���,�fy} Ut �i � ,r �}['1[CQ I Other; iping/DWV 56.29
ddress: '`1 Other; 25.02
City/State/ZIP: Subtotal
Phone:( ) Fax:( ) Minimum permit fcc; $72,50 SC,
CCB Lic.: W 6 L4 t,r4 Plumbing Lic.no.: pi3 1 13 Plan review (25%of permit fcc) __
State surcharge(12%of permit fee) I•1C)
Authorized signature: TOTAL PERMIT FEE ! ►+�
Print name: J Date: This permit application expires if a permit is not obtained within 180 days
/(`� }�s `tom S/7�// after It has been accepted as complete.
"Fee methodology set by Tri-County Building Industry Service Board.
I:I Building\Permits\PLMU.PermiiApp•,doc 10/01/09 440-4616T(1W02/COMAVEB) X/ •aO
May. 29. 2015 3: 09PM Reliant Plumbing and Mechanical No. 4413 P. 2
Plumbing Permit Application - City of Tigard
Page 2-Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Niff Utilities f#es Qt)'`'' Fe a -TOW ,l
Auare Footage: Permit Feet
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
Sewer 1st 100' 62.54 3,601 to 7,200 $233,20
7,201 and greater $327.54
Sewer-each additional 100' 37.52
Water Service-1st 100' 62.54 Medical Gas Syste_ms:
Water Service-each additional 100' 37.52
Storm 8t Rein Drain•1st 100' 62,54 ylu, t� p: Permit Fee:
$1.00 to$5,000.00 Minimum fee$72.50
Stoma&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
x,i Qty each additional$100.00 or fraction thereof,to
1SpeetlOnS or Fees Fee(ea) Total 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*.
u Quanta 6fFfxlure7lyPo rlltl
'to .1zr "i xtt t.1 ft 9 S
)~i3tOre IY�Se or f Re#ilsoa Plan review is required for any of the following,
` Qf tfPrfttZdS_= .. rnx. 'Tapped .. A Eg _ 816e�te eq Y &
Baptistry/Pont Please check all that apply.
Bath Tub/Shower ❑ Any new commercial building with water service 2"and
-Jacuzzi/Whirlpool y
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/Watcr Aspirator- as defined in OA1t918-780-0040.
Dishwasher -Commercial [1 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.
Bye Wash
Floor Drain/sink -2" Submit 2 sets of plans with any of the above.
-3»
grRr�.� j7ri,•(��.sn�y■.s Si p'1:11.43
rzv aKY ✓ -
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 Mach./Rcfrig.Drains
Oil Separator(Gas Station) - Comments regarding fixture work:
Rec.Vehicle Dump Station -
Shower -Gang
-Stall
-
Sink/Lav -Non-food related _ X
-Cry , 1-}t�
-Commercial-food ercial-food related \ �,J
-Service
Washer Clothes ool 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/PLMF_PermitApp.de