Permit (40) CITY OF TIGARD PLUMBING PERMIT
2 ` COMMUNITY DEVELOPMENT Permit#: PLM2016-00413
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/16/2016
Parcel: 2S112DA01400
Site address: 6650 SW REDWOOD LN 215 Jurisdiction: Tigard
Project: Home Mortgage Alliance Subdivision: 1996-048 PARTITION PLAT
Project Description: (1)new break room sink Lot: 2
Contractor: COLUMBIA MECHANICAL INC
Owner: PACIFIC REALTY ASSOCIATES
PO BOX 2164
WOODLAND,WA 98674 ATTN: N PIVEN
15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 360-225-1600 PHONE: 503 624-6300
FAX: 360-225-8755
FEES
Quantity Description
Date Amount
1 ea Sink 08/08/2016
Specifics: $25.02
1 12%State Surcharge- 08/08/2016 $8.70
Plumbing
Type of Use: COM
Class of Work: ALT Plumbing 47 ea Minimum Fee Adjustment- 08/08/2016
$47.48
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 Notifi enter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or dire -•uestions to Ob C b calling 503.232.1987 or 1.800.332.2344.
Iss ed By: k .
Permittee Signal
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
RECIVr FOR OFFICE I SF ON Ll
City of Tigard C Received
13125 SW Hall Blvd.,Tigard,OR 97223 ��,
y: .✓r'
Date/B Permit No.: 'L114616'60 3/43
. II1 Phone: 503.718.2439 Fax: 503.598.19 r 8 c 1114
Plan Review
Inspection Line: 503.639.4175 ��G 0 U Date/By: Other Permit No.:
T1C AR[) p 2for o dDa
Internet: www.tigard-or.gov I S D Date Ready/By:
� Juris: 0 See Page fo
�/ Notified/Method:
TYPE Q mi�'i DINS.DIVISION Supplemental Information
0 New construction �' 'SCHEDULE
0 Demolition For special information use checklist y
}Addition/alteration/replacementDescri.tion
0 Other: Q Ea. Total v.
New 1-2-family dwellings(includes 100 ft.for each utility connection)
" CATEG9RY"OF CONSTRUCTION SFR(1)bath _
312.70
El1-and 2-family dwelling -
®Commercial/industrial SFR(2)bath 437.78 -
Accessory building 0 Multi-family SFR(3)bath 1`
500.32 - !
❑
ID Master builder Each additional bath/kitchen 25.02
0 Other:
JOB< SITE INFOFire sprinkler( sq.ft.) Page 2
- ' RMA"TIQPI AND LOCATION" "
•
Job site address: 4 6.)^6.)-e, .v ` /2 • ��U / 6,,_....„
Catch basin or area drain
_ 18.76
City/State/ZIP: G �� 2 -7 2 2 r Drywell,leach line,or trench drain _
18.76
Suite/bldg./apt.no.:a/ Project name: ,�n Footing dra40 in(no.linear ft.:_) Page 2
�� '- ` x' 50.03
Manufactured home utilities
Cross street/directions to job site: K Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.: ) Page 2 -
Storm sewer(no.linear ft.: ) _ Page 2
Subdivision: Fixture i (no.linearft.:_) Page 2
ort
Lot no.: Fixture item:
Tax map/parcel no.: X 5(1 T,/} o / OCA
.ry , _ Backflow preventer
DESCRJPTlO r 31.27'.WQIII` Backwater valve 12.51 -
Clothes washer 25.02 Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
` ❑ Opiptit ovit'NEit8 t
" - "". _ Expansion tank 12.51
Fixture/sewer cap _
25.02
Address: Floor drain/floor sink/hub
25.02
- Garbage disposal 25.02
Hose bib 25.02
Phone:( )
Fax:( ) -
Ice maker 12.51
APPLLCANr " J CONTACT
' RSON Interceptor/grease trap 25.02 -
Business name: Medical gas(value:$
_ Page 2
Contact name: Primer -
12.51
Address: Roof drain(commercial) 12.51
VIM•asin/lavatory
25.02
Phone:( ) Fax: -
Solar units(potable water) 62.54
( ) Tub/shower/shower pan 12.51
Emirso- Urinal
1
U 1 25.02
CONTRACTOR Water closet 25.02
Business name: O C ,,„...h`i I � Water heater 37.52 -
PI
-{ "r �' Water piping/DWV
Address: 4. �
, .2,11.
56.29 -
City/State/ZIP: C Other: 25.02
Phone: a i) ., , , r Subtotal
rinfin2MairesamSubtotal
��� Minimum permit fee: $72.50 -
PI bing Lic.no.: 37-;
j1/4/ . 1, Plan review (25%of permit fee)
Authorized signature: ��� State surcharge(12%of permit fee)
TOTAL PERMIT FEE ->.>
Date: v This permit application expires if a permit is not obtained within 180 days
after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
I:\Buildmg\PermitsTLMU-PermitApp.doc 10/01/09
440-4616T(10/02/COM/WEB) 1,68,.. .c.,C( � ;p
I gI411�D
PlumbinPe
¢ Permit Application - City of Tigard
Page 2 - Supplemental Information
Residential Fire Suppression Systems:
Fee Schedule: n "
qty: Square Footage: Permit Fee:
�ee(ea) Totat
SitetUtilities t 0 to 2,000 $121.90
50.03 $169.69
Footing drain 151 100' 2,001 to 3,600
$233.20 3,601 to 7,200
Footing drain-each additional 100' 37.52 $327.54
each
Sewer-1st 100'
_ 62.54 7,201 and greater
37.52
Water- additional 100'
Water Service-1st 100' 62.54 Medical Gas S stems:
ValuatlOrn' µ. Permit Fee: ,
Worm Service
-each1st additional 100' 37.52 Minimum fee$72.50
62.54 $1.00 to$5,000.00
Storm&Rain Drain- 100'
37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for
Storm&Rain Drain each
ach additional 100' each additional$100.00 or fraction thereof,to
Other Ins•c
Qty. Fae(ea) 'Total and including$10,000.00.
g plumbing
s or Fees
Inspection of existing pluor for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for
90.00/hr ■ each additional$100.00 or fraction thereof,to
(minimumwh
infee is se-1//2 hour)indicated ■ and including$25,000.00.
npchar e outside of normal - 90.00/hr - $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for
hours(minimum ar business each additional$100.00 or fraction thereof,to
hours charle 2 hours) 90.00/hr _ and including$50,000.00.
Reinspection Fees $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for
Additional plan review for revisions
90.00/hr - each additional$100.00 or fraction thereof.
(minimum char.e-1/2 hour)
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:Sailreview is required bfornyP1u hebflllll g`Ins llat, 14S
I uanti t, b Fixture
V's", Please check all that apply.
Fixture
Type for 1<Capped Added . Relocate 0 Any new commercial building with water service 2"and
Work Performed: --- greater,except systems designed and stamped by licensed
Ba.tis. /Font -
Bath: -Tub/Shower -- engineer.
-Jacuzzi/Whirl.00l -- 0 New exterior plumbing site utilities for any complex structure
Car Wash: -Each Stall - as defined in OAR918-780-0040.
-Drive Thru =-- 0 Medical gas and vacuum systems for health care facilities.
Cus.idor/Water As.irator -- 0 Any multipurpose fire sprinkler system.
Dishwasher: -Commercial === 0 Any complex structure as defined in OAR918-780-0040.
-Domestic ---
Drinkin_Fountain --- Submit 2 sets of plans with any of the above.
E e Wash .,.
Floor Drain/sink: -2"
-3" --- isometric or R13elC�1 ,*11'aill
-- i .. �".
-4„ -_- ❑ 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 === Comments regarding fixture work:
Ice Mach./Refril.Drains ---
Oil s-.arator(Gas Station) --_
Rec.Vehicle Dum.Station ---
Shower: -Gang
-Stall -�
Sink: -Lav/Bar non-food related =imam=
-Bradley
- /Util food related
Service === *Note: If the fixture work under this permit results in an
Service ---
swimmin l Pool Filter 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 plumbing permit can be issued.
Water Closet Toilet =-
Urinal -_-
Other Fixtures:
I:\Building\Permits\PLMF_PermitApp.doe 08/04/2011 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
6650 SW REDWOOD LN 215, TIGARD, OR,
97224
Commercial - Plumbing
399 Plumbing final
PASS - No C of O
PLM2016-00413
Chip Barnett
Violation Summary:
Inspector Contractor