Permit (167) CITY OF TIGARD PLUMBING PERMIT
2 . COMMUNITY DEVELOPMENT Permit#: PLM2016-00560
T f Oar,,R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/16/2016
Parcel: 2S 112 DA00300
Jurisdiction: Tigard
Site address: 15230 SW SEQUOIA PKWY 150
Project: Flyboy Brewing Subdivision: PACIFIC CORPORATE CENTER Lot: PTS 6-7
Project Description: Adding(2)dishwashers,(2)2"floor sinks,(1)3"hub drain,(1)interceptor,(1)primer,(1)lay,(3)food related sinks,
(1)water heaterl&(1)water closet.
Contractor: COLUMBIA MECHANICAL INC Owner: PACIFIC REALTY ASSOCIATES
PO BOX 2164 ATTN: N PIVEN
WOODLAND,WA 98674 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 360-225-1600 PHONE:
FAX: 360-225-8755
FEES
Quantity Description Date Amount
2 ea Dishwasher 11/15/2016 $50.04
Specifics: 3 ea Floor Drain/Floor Sink/Hub 11/15/2016 $75.06
1 ea Interceptor/Grease Trap 11/15/2016 $25.02
Type of Use: COM 1 ea Primer 11/15/2016 $12.51
Class of Work: ALT 3 ea Sink 11/15/2016 $75.06
Type of Const: 1 ea Lavatories 11/15/2016 $25.02
Occupancy Grp: 1 ea Water Closet 11/15/2016 $25.02
Stories: 1 ea Water Heater 11/16/2016 $37.52
1 12%State Surcharge- 11/16/2016 $39.03
Plumbing
Total $364.28
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 Noti 't• 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 dir- questions to NC by calling 503.232.1987 or 1.800.332.2344.
Is ued By: 4. 40 / Permittee Signature:
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 RECEIVE
Cityof Tigard Received j r1n �" 60
g Date/By: // /S/(p Permit No.:P0.190/tp CZ.D
lii No 13125 SW Hall Blvd.,Tigard,OR 97223
_ 2 n 1 6 Plan Review
Phone: 503.718.2439 Fax: 503.598.19 V lJ Other Permit No. /k. 1
Date/By: � 39
Inspection Line: 503.639.4175
T 1 G A R D (� Date Ready/By: Avis: See Page 2 for
Internet: www.tigard-or.gov I� 'L a p j) Notified/Method: Supplemental Information
13111
$��iir DIVISION
TYPE OF WDl11LD1 C DIVISrO FEE* SCHEDULE,
❑New construction ❑Demolition For special information use checklist.
Description I Qty. I Ea. I Total QQQ
g Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) 1
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
l
❑ 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 8
❑Accessory building 0 Multi-family SFR(3)bath 500.32
Each additional bath/kitchen 25.02 O
❑Master builder 0 Other:
Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: f 5-'2_ .� S,1.-► ('LuJ- 5C.1 00•/� 64,4;y
Catch basin or area drain 18.76
City/State/ZIP: L 4.1,9 ;Z / Drywell,leach line,or trench drain 18.76
Suite/bld /a t.no.: / Footing drain(no.linear ft.:_) Page 2
g. p l d I Project name: FL) 7 gv�� Manufactured home utilities 50.03
Cross street/directions to job site: 1 l.�
Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.:_) Page 2
Storm sewer(no.linear ft.:_) Page 2
Water service(no.linear ft.:_) Page 2
Subdivision: I Lot no.: Fixture or item:
Tax map/parcel no.: 5/ /a Dr* c=r0-5L-Z5 Backflow preventer 31.27
• DESCRIPTION OF-WORT{ Backwater valve 12.51
- "t Clothes washer 25.02
T..t', >,l�.n ,_,_,4. ,0,,/
Dishwasher Z 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
❑y PROPERTY Q# R I El TENANT " , Expansion tank 12.51
Name: Fixture/sewer cap 25.02
Floor drain/floor sink/hub 3 25.02
Address:
Garbage disposal 25.02
City/State/ZIP: Hose bib 25.02
Phone:( ) Fax:( ) Ice maker 12.51
IJ APPLICANT 0 CONTACT PERSON Interceptor/grease trap i 25.02
Business name: Medical gas(value:$ ) Page 2
Primer 1 12.51
Contact name:
Roof drain(commercial) 12.51
Address: Sink/basin/lavatory 14 25.02
City/State/ZIP: Solar units(potable water) 62.54
Phone:( ) Fax::( ) Tub/shower/shower pan 12.51
E-mail: C m T i] r�( Co^,' Urinals 25.02
A141 I'l ;:; Water closet i 25.02
CONTRACTOR Water heater ) 37.52
Business name: C J i V-.Al2....A M
_P,..-1-..7- Water piping/DWV 56.29
Address: P a. /c 2 l fi Other: 25.02
/ City/State/ZIP: 1,„." C O)L ,)-i vt 1,52 7 y` Subtotal 3/a.77/
( Phone:(3biy) .-/f 4/z Yy Fax:(rj'�je) ZZ5 F75�. Minimum permit fee: $72.50
CCB Lic.: j �"j`j/2 'Z Plumbing Lic.no.:37-,t5-1 P6
Plan review (25%of permit fee)
State surcharge(12%of permit fee) 37.5 3
Authorized signature: 2l6 /�` � 55-0TOTAL PERMIT FEE ,A$
Print name: (tZ . i 2 i3 r (,L <<� Date:j 1-j j -14. This permit application expires if a permit is not obtained within 180 days
(� 6 after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
1:\Buildng\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB)
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-1s`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 Q' Fee(ea) Total each additional$100.00 or fraction thereof,to
h 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*. Plan Review for Plumbing stailationt
Quantity by Fixture Type Plan review is required for any of the following.
Fixture Type for ' Replace/ Please check all that apply.
Work Performed: Capped' Added Relocate
❑ Any new commercial building with water service 2"and
Baptistry/Font greater,except systems designed and stamped by licensed
Bath: -Tub/Shower
engineer.
-Jacuzzi/Whirlpool
Car Wash: -Each Stall 0 New exterior plumbing site utilities for any complex structure
as defined in OAR918-780-0040.
-Drive Thru
Cuspidor/Water Aspirator 0 Medical gas and vacuum systems for health care facilities.
Dishwasher: -Commercial 0 Any multipurpose fire sprinkler system.
Domestic ❑ Any complex structure as defined in OAR918-780-0040.
Drinking Fountain
Eye Wash Submit 2 sets of plans with any of the above.
Floor Drain/sink: -2"
3" 1 ,.N ;�. Isometric or Riser Diagram
4"
0 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
Ice Mach./Refrig.Drains Comments regarding fixture_work:
Oil Separator(Gas Station) -1-n�t J2 0.A.¢10
Rec.Vehicle Dump Station - (LI r t ..--(11.4.
. •
Shower: -Gang
-Stall
Sink: -Lav/Bar non-food related I
-Bradley
-Com/Serv/Util food related 3
-Service *Note: If the fixture work under this permit results in an
Swimming 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
Water Closet-Toilet ( plumbing permit can be issued.
Urinal
Other Fixtures:
I:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2
Accumulative Sewer Tally
C Tenant Name: Flyboy Brewing SWR# 2016-00392(Voided)
TI G n K D Site Address: 15230 SW Sequoia Pkwy#150 PLM# 2016-00560
Parcel#: 2S 112 DA00300
Fixture Value Previous Previous Credits Capped Fixture Fixture New New
# value count capped#s value count added# added value total#s total values
Baptisery/Font 4 0 0 0 0 0
Bath: -Tub/Shower 4 0 0 0 0 0
-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 0 0 0 0
Eye Wash 1 0 0 0 0 0
Floor Drain/Sink: -2 inch 2 0 0 0 0 0
-3 inch 5 0 0 1 5 1 5
-4inch 6 0 0 0 0 0
-Car Wash 6 0 0 0 0 0
Garbage Disposal:
-Domestic(to 3/4 HP) 16 0 0 0 0 0
-Commercial(to 5 HP) 32 0 0 0 0 0
-Industrial(over 5 HP) 42 0 0 0 0 0
Ice Machine/Refrigerator Drain 1 0 0 0 0 0
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:
-Lay/Bar-Non-Food Related 2 0 0 1 2 1 2
-Bradley 5 0 0 0
0 0
-Com/Sery/Util-Food Related 3 0 0 3 9 3 9
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 1 6 1 6
Urinal 6 0 0 0 0 0
Previous EDU Count 0 0
Capped EDU Credit 3.4 54.4
TOTALS 0 0 0 0 8 30 8 -24.4
Current Fixture Value -24.4 divided by 16= -1.525 Current EDU 1 EDU= $5,300.00
Previous Fixture Value 0 divided by 16= 0.000 Previous EDU
Change -24.4 divided by 16= -1.525 over (under) $ (8,109.00)
Enter EDU Change Here -1.530 *
*Round EDUs to the nearest 1/100th: a count ending in.005 shall be rounded up to.01,and a count ending in.014 or less shall be rounded down to.01.
Notes: (2)2"floor sinks not included in tally as the food related sinks drain into them.
11/16/16,3.4 EDU credits from PLM2004-00335 applied to this permit.
Authorized Name/Signature: Debbie Adamski Date: 11/16/2016
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\SewerTallySheet_5300_070116.xlsx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
15230 SW SEQUOIA PKWY 150, TIGARD, OR,
97224
Record Type: Record ID:
Commercial - Plumbing PLM2016-00560
Inspection Type: Inspector:
399 Plumbing final Don Sylvester
Result:
PASS - NoCofO
Comments:
1 . Corrections are complete, plumbing final approved.
Violation Summary:
Inspector Contractor