Permit 11,1It' CITY OF TIGARD PLUMBING PERMIT
• . a COMMUNITY DEVELOPMENT Permit#: PLM2017-00096
Date Issued: 03/24/2017
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 25101 DC04500
Jurisdiction: Tigard
Site address: 7555 SW TECH CENTER DR A
Project: Apollo Mechanical Subdivision: TECH CENTER BUSINESS PARK Lot 1
Project Description: Add(1)utility sink(non-food related)
Contractor: APOLLO SHEET METAL INC Owner: SUMMIT PROPERTIES INC
2300 SW 1ST AVE#104 4380 SW MACADAM BLVD STE 330
PORTLAND, OR 97201 PORTLAND, OR 97239
PHONE: 503-222-6343 PHONE:
FAX: 503-222-2935
FEES
Quantity Description Date Amount
1 ea Sink 03/24/2017 $25.02
Specifics: 1 12%State Surcharge- 03/24/2017 $8.70
Plumbing
47 ea Minimum Fee Adjustment- 03/24/2017 $47.48
Type of Use: COM Plumbing
Class of Work: ALT
Type of Const:
Occupancy Grp:
Stories:
Total $81.20
Required Items and Reports(Conditions)
Thispermit is issued to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
subject9 9
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: f,► r, Permittee Signature: 4/A/
Call 503.839.4175 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- ''''','-';k ''T''-4-1,
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Building Fixtures FOR OFFICE USE ONLY
[YI ii-k\R 2 2 2.017
City of Tigard Received -,/,;7%,„,/,„7
49—remit No./1/12,0/7...,0,e7697 ,
u 13125 SW Hall Blvd.,Tigard,OR 9723.. ,. , . . --,,r-1
11 Phone: 503.718.2439 Fax: 503.M.'i§& '-, '! .',',,..,': ., ,, ,,,.1.
Ph
Plan Review
Date/By: Other Permit Nortcypai,7-e;/0/711
Inspection Line: 503.639.4175 :7-.1 '.'', ' ':, ;' • '
TIGARD -, ,,,, -.., , , • -,,, Date Ready/By. Awls: Ed See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
0 New construction 0 Demolition For special information use checklist.
Description Qt . Ea. Total
El Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
0 1-and 2-family dwelling r Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 500.32
ID Accessory building 0 Multi-family
Each additional bath/kitchen 25.02
0 Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION ANI) LOCATION Site utilities:—
Catch basin or area drain 18.76
Job site address:7555 SW Tech Center Drive
Drywell,leach line,or trench drain 18.76
City/State/ZIP:Tigard,OR 97233
Footing drain(no,linear ft.:_) Page 2
Suite/bldg./apt.no.: /ei Project name:Apollo Main Office Upgrad Manufactured home utilities 50.03
Cross street/directions to job site:72d Ave 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: ___
Backflow preventer
Tax map/parcel no.: 3112,271
DESCRIPTION OF WORK
Backwater valve
Clothes washer 25.02
Install utility sink on opposite side of existing restrooms,
Dishwasher 25.02
sink to tie into existing plumbing. __ Drinking fountain IIIIII 25.02
Ejectors/sump 25.02
0 PROPERTY OWNERTENANT
Expansion tank 111111---ET
Fixture/sewer cap 5.02
Name:Apollo Mechanical Contractors
Floor drain/floor sink/hub
Address:7555 SW Tech Center Drive
Garbage disposal 25.02
City/State/ZIP;'Tigard,OR 97233 Hose bib 2 .02
Phone:( ) Fax:( ) Ice maker 2. 1
0 APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02
I
Medical gas(value:$
Business
Primer
name: III 12,51
Contact name:
Roof drain(commercial) 2.51
Address: Sink/basin/lavatory 11 25.02
City/State/Z1P: Solar units(potable water) 6 .54
Phone:( ) Fax::( ) Tub/sliower/shoNver pan 12.51
E-mail: Urinal 25.02
Water closet 25.02
CONTRACTOR
- Water heater 37.52
Business name:Apollo Mechanical Contractors
Water piping/DWV 5629
Address:7555 SW Tech Center Drive Other: 25.02
City/State/ZIP:Tigard,OR 97233 _ Subtotal
Phone:( ) Fax:( ) Minimum permit fee: $72.50
Plan review (25%of permit fee)
CCB Lie.:56241 Plumbing Lie.no.:37-413PB —0//
i State surcharge(12%of permit fee)
— ''',) ,,,,,, .
Authmized signature. .., , 11/,'//'iiii.," '''''"' , "-re'r ) 7( ',/ i
— (--I-/ -e-,t.-.4- (-, TOTAL PERMIT FEE ef, 020
'This permit application expires if a permit is not obtained within ISO(lays
[-Print name:Matto'',Hamann ' Date:3/22/2017
after it has been accepted as complete.
'Fee methodology set by'Fri-County Building Industry Service Board,
1.\BuildingTermits\PLMU-PermilApp.doc 10/01/09 d40-1616T(10/021COM/WEB)
Plumbing Permit Application - City of Tigard
Page 2 -Supplemental Information
Fee Schedule: Residential Fire Supp,ression Sntems:
Qty. Fee(ea) Total
Site Utilities Square Footage: Permit Fee:
Footing drain-1"100' 50.03 Oto 2,000 $121.90
2, to 3,600
Footing drain-each additional 100' 37 001.52 $169.69
3,601 to 7,200 $233.20
Sewer-1st 100' 62.54 _7201, 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
Fee.
Valuation: Permit
.
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
Qty. Fee(ea) Total
Other Inspections or Fees . each additional$100.00 or fraction thereof,to
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
Reinspeetion 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 Plan Review for Plumbing Installations
Fixture Type for Replace!
Plan review is required for any of the following.
Work Performed: Capped Added Relocate
Please check all that apply.
Baptistry/Font
Bath -Tub/Shower 0 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'Thru a 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()AR918-780-0040.
Eye Wash
Floor Drain/sink Submit 2 sets of plans with any of the above,
-3,'
Isometric or Riser Diagram
Car Wash Drain
0 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 lvlach./Refrig.Drains
Oil Separator(Gas Station) Comments regarding fixture work:
Rec.Vehicle Dump Station
Shower -Gang
-Stall
Sink/Lav -Non-food related
Cl Y
-Bradley
-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:
C:\Users\mallory.liatnann\Desktop\Apollo Tigard Office Upgrade\PLMFIermitApp.doc
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
7555 SW TECH CENTER DR A, TIGARD,
OR, 97223
Record Type: Record ID:
Commercial - Plumbing PLM2017-00096
Inspection Type: Inspector:
399 Plumbing final Don Sylvester
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor