Permit (244) CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2017-00004
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/04/2017
Tf =t Parcel: 1S134AA01800
Jurisdiction: Tigard
Site address: 10110 SW NIMBUS AVE B7
Project: Johnson Home Improvement Subdivision: (KOLL BUSINESS CENTER,TIGARD Lot: 2
Project Description: Add(1)new laundry sink,cap(1)breakroom sink&relocate(1)lay.
Contractor: BEAVERTON PLUMBING INC Owner: ROBINSON,JERRY CHRISTOPHER TRUS
13980 SW TV HWY ROBINSON, MICHAEL WILLIAM
BEAVERTON, OR 97005 HANSON, RONALD D ET AL
203604 EAST FINLEY RD
KENNEWICK,WA 99331
PHONE: 503-643-7619 PHONE:
FAX: 503-643-7620
FEES
Quantity Description Date Amount
1 ea Fixture/Sewer Cap 01/04/2017 $25.02
Specifics: 1 ea Sink 01/04/2017 $25.02
1 ea Lavatories 01/04/2017 $25.02
Type of Use: COM 1 12%State Surcharge- 01/04/2017 $9.01
Class of Work: ALT Plumbing
Type of Const:
Occupancy Grp:
Stories:
Total $84.07
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 . -nter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or d -ct questions to 0 . • •Iling 503.232.1987 or 1.800.332.2344.
I sued By:
1111r%� ,� / Permittee Sig ature: 411111k� ,r
Call 503.639.4175 by 7:00 a.m.for the next available i -pection 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.
From:Beaver ton Plumbing 5036437620 01/04/2017 10:15 #284 P.002/003
Plumbing Permit App1 + oil ,', ,. " )
Building Fixtures FOR OFFICE L'SE ONLY
Cit of Tigard r,t t`� ,_ l
y g �.� Received
Date/By: / y /7 Permit No.: Gl10 Jt7-*ev�T
111 • 13125 SW Hall Blvd.,Tigard,OR 47223 y'
Plan Review
C Phone: 503.718.2439 Fax 503.598.(96Q Other Permit No.:: ) �j17_0
x Date/By: DaZ
Inspection Line 503.639 4175
T 1 t,ARD Date Ready/By: Jails: See Page 2 for
Internet: wWw dgard-O�t3v Nolified'Methohod Supplemental
upplemental information i(`IJ,A"Il
� Sa Sid b' 3 ,3
TYPE Iii.t�VOR}t 5 FEE*%kilt DULE
❑New construction 0 Demolition For special information use checklist.
Description ' Qty. I Ea. I Total
®Additton/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION .-: SFR(1)bath 312.70 r`l:
❑ 1-and 2-family dwelling ®Commercial/industrial
SFR(2)bath 437.78
ID Accessory building 0 Multi-family SFR(3)bath 500.32
1
Each additional bath/kitchen 25.02
❑Master builder 0 OtherFire sprinkler(�sq.ft.) Page 2 Q
..JO$SITE INFORMATION A1ND,LOCATION Site utilities:
Job site address:10110 SW NIMBUS AVENUE STE 8-7 Catch basin or area drain 18.76 ,(W
Drywell,leach line,or trench drain 18.76 \
City/State/ZIP:97223 Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.:B-7 Project name: Manufactured home utilities 50.03
Cross street/directions to job site: Ckt: SOZ )-1r)H i. 1 HP4oJeh/t anholes 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.: /b 1(.3,14 4 0/?QQ Backflow preventer 31.27
DESCRI TION OF WORIs Backwater valve 12.51
Clothes washer2
INSTALL COUNTER MOUNT LAUNDRY SINK AT LOCATION BEHIND _5.0
Cv1 ems Nln 0 L"Cirri nw14 Dishwasher 25.02
INSTALL NEW ADA LAVATORY Drinking fountain 25.02
Ejectors/sump 25.02
1J PROPERTY OWNER .-,,.'.'.' .• .:,.....''.-1..',..-1.:El TENAN'1"':f Expansion tank 12.51
Name: Fixture/sewer cap ' 25.02 6;75:61;._
Floor drain/floor sink/hub 25.02
Address:
Garbage disposal 25.02
City/State/ZIP: Hose bib
25.02
Phone:( ) Fax:( ) Ice maker 12.51
APPLICANT Ia.-CON-FACT PERSON. Interceptor/grease trap 25.02
Business name:BEAVERTON PLUMBING Medical gas(value:$ ) Page 2
Primer 12.51
Contact name:JACKIE STEWART
Roof drain(commercial) 12.51
Address:13980 SW TUALATIN VALLEY HWY
Sink/basin/lavatory 2 25.02 50.04
City/State/ZIP:97005 Solar units(potable water) 62.54
Phone:(503)643-7619 X 106 Fax::(503)643-7620 Tub/shower/shower pan 12.51
E-mail:jackie@beavertonplumbing.com Urinal 25.02
ater c ose t
••• ' 25.02
COIVTRACTO1t 37.52
Water heater
Business name:BEAVERTON PLUMBING Water piping/DWV 56.29
Address:13980 SW TUALATIN VALLEY HWY Other: 25,02 DO
City/State/ZIP:97005 Subtotal 1;8764"'
Phone:(503)643-7619 X106 Fax:(503)643-7620 Minimum permit fee: $72.50 u'st'?,
Plan review (25%of permit fee)CCB Lic.:12889 Plumbing Lic.no.:34-4PB
0 t
State surcharge(12%of permit fee) -err `
Authorized signature9Q�jathj� TOTAL PERMIT FEE --_
Print name:JACQUELINE STEWART Date:01/04/2017 This permit application expires if a permit is not obtained within 180 days 1
after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board ,Il
1.':Building',Pennits'PLM1J-PcrmitApp,doc 10'01.09 440.46161(10.02.COM WEB)
From:Beaverton Plumbing 6036437620 01/04/2017 10:16 #284 P.003/003
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire ite Utilities Suppression Systems:
"Qt3 Fee(ea) Totat
.SquI!are ootago:- Permit F te:
Footing drain-1 s'100' 50.03 0 to 2,000 $121.90
Footing dram-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 - -J
Water Service-1st 100' 62.54 Medical Gas Systems:
Water Service-each additional 100' 37.52
Valuation;; Permit F'ee:
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
Q tom): 7igt8t each additional$100.00 or fraction thereof,to
Other Inspections or.Feees 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'nonnal 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*.
Quantity by Fixture Type PII Review-foie Pleimbi><tg'Installations
Fixture Type for R 'ce/ Plan review is required for anyof the following.
Work Performed: CaPPed ' Added Relocate R
Baptistry/Font Please check all that apply.
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 77tru 0 New exterior plumbing site utilities for any complex structure
Cuspidor/Water Aspirator as defined in OAR918-780-0040.
Dishwasher -Commercial 0 Medical gas and vacuum systems for health care facilities.
-Domestic 0 Any multipurpose fire sprinkler system.
Drinking Fountain 0 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,,
Isomeltnc or Riser:Diagram
Car Wash Drain
Garbage Domestic-non-food
0 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./Refrig.Drains
Oil Separator(Gas Station) Comments regarding fixture work:
Rec.Vehicle Dump Station Capping services at existing breakroom
Shower -Gang sink,waste water and vent connected to
-Stall
Sink/Lav -Non-food related 1 1 1 existing service in wall.Move location
-Bradley of existing lay and install new ADA lay.
-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,tigand-or.gov/document_center/Bu i I ding/p LM F_Petm itApp.del
From:B eaverton Plumbing 5036437620 01/04/2017 1015 44284 P.001/003
BEAVERTON PLUMBING
FAX TRANSMITTAL
DATE: January 4, 2017
CITY OF TIGARD- JACKIE STEWART
TO: PLUMBING PERMIT FROM: COMMERCIAL
APPLICATON OPERATIONS
FAX: 503-598-1960 FAX: 503-643-7620
TEL: 503-718-2439 TEL: 503-643-7619 X 106
CC: PAGES: 3 INCLUDING COVER
COMMENTS:
ATTACHED, PLEASE FIND OUR PLUMBING PERMIT APPLICATION FOR SCHOLLS
BUSINESS CENTER UNIT B-7 LOCATED AT 10110 SW NIMBUS AVENUE-UNIT B-7
WE ARE SCHEDULED TO INSTALL A COUNTER MOUNT LAUNDRY SINK BEHIND AN
EXISTING RESTROOM, CONNECT WASTE, WATER AND VENT TO EXISTING SERVICES IN
THE WALL, CAP ALL SERVICES AT EXISTING BREAKROOM SINK, MOVE LOCATION OF
EXISTING LAVATORY AND INSTALL A NEW ADA LAVATORY.
WE HAVE RECEIVED NOTIFICATION THIS MORNING THAT WE ARE REQUIRED TO START
THIS PROJECT TOMORROW MORNING.
I APPRECIATE YOUR ASSISTANCE IN GETTING THIS PERMIT PROCESSED.
RESPECTFULLY
JACKIE STEWART
COMMERCIAL OPERATIONS
BEAVERTON PLUMBING
13125 SW Hall Blvd.
Tigard, OR 97223
City of Tigard
Location:
10110 SW NIMBUS AVE B7, TIGARD, OR, 97223
Record Type:
Commercial - Plumbing
Inspection Type:
399 Plumbing final
Result:
PASS- NoCofO
Comments:
Violation Summary:
Inspector
Tel: 503.718.2439
Inspection Date:
February 17, 2017 at 9:37:30
AM
Record ID:
PLM2017-00004
Inspector:
Chip Barnett
Contractor