Permit (88) CITY OF TIGARD PLUMBING PERMIT
" . ' COMMUNITY DEVELOPMENT Permit#: PLM2017-00105
T[GAR 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/04/2017
Parcel: 25101 DC04201
Jurisdiction: Tigard
Site address: 7190 SW FIR LP
Project: Maher&Tolleson LLC Subdivision: 72ND BUSINESS CENTER Lot: 2
Project Description: Adding(3)2"floor drains,(1)lay&(1)water closet. Replace/relocate(2)lays,(3)water closets&(1)urinal.
Contractor: CASCADE PLUMBING CO Owner: T/W ASSOCIATES, LLC
2304 NW SHADDEN DR 7190 SW FIR LOOP
MCMINNVILLE, OR 97128 TIGARD, OR 97223
PHONE: 503-927-0299 PHONE:
FAX:
FEES
Quantity Description Date Amount
3 ea Floor Drain/Floor Sink/Hub 04/03/2017 $75.06
Specifics: 3 ea Lavatories 04/03/2017 $75.06
1 ea Urinal 04/03/2017 $25.02
Type of Use: COM 4 ea Water Closet 04/03/2017 $100.08
Class of Work: ALT 1 12%State Surcharge- 04/03/2017 $33.03
Type of Const: Plumbing
Occupancy Grp:
Stories:
Total $308.25
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 / , Ai/ I Permittee Signature:
___02/72/1/(7 .
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 Applies A- t ,�1'•11 t
BuildingFixturesT. FOR L'SE.
s7�r.�lce>i: illi ()ilL1
CitIIIy of Tigard Received
t ,/ Date/By: 8 17 1 Permit No.:
131.25 SW Hail Blvd.,Tigard,OR 978~.R2 y LNO�O�T-Dolor
Phone: 503.718.2439 Fax 503.598.1960 Plan Review 12d0l7-Q')ll4/
Date/By: Other Permit No.
Inspection Line: 503.639.4175 4 ;` Date Ready/By: �/�, 3urs (�
T i G A it') . x a Y y: / 1i 7 ® See Page 2 for KJ
Internet: www.tigard-or.gov Notified/Method: Supplemental Information KK(-
1 . E ,-TYPE O FEE* SCUO ° b
❑New construction
❑Demolition For specsl information use checklist.
- Description I Qty. ] Ea. 1 Total
Addition/alteration/replacement ❑Other: New l-2-family dwellings(includes 100 ft.for each utility connection) '..,
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 'I
❑ 1-and 2-family dwelling ,4Comrnercial/industrial SFR(2)bath 437.78 I
❑Accessory building 0 Multi-family
SFR(3)bath 500.32 d
❑Master builderEach additional bath/kitchen 25.02 `Q
0Other: Fire sprinkler( sq.II.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: •'•-t t15i0 Sw cix- e Catch basin or area drain 18.76
q�^ Drywelt,leach line,or trench drain 18.76
't"
City/State/ZIP: • Z.
n Footing drain(no.linear It.:__•„) Page 2
Suite/bldg./apt.no.: Project name: H ftH lam`°► !O'-L£-5 2A) Manufactured home utilities 50.03
Cross street/directions to job site: ,/,_,/,...C... 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/parcel no.: a s/15i -be C9 4,P-d I Backflow preventer 31.27
/ Backwater valve 12.51
DESCRIPTION OF WORK
25.02k/kS-t n^^ Dishwasher 25.02 uv .->Y\oat ... f-tftt `(ti iJS Drinking
fountain 25.02
Ejectors/sump 25.02
❑'PROPERTY OWNER J"TENANT Expansion tank 12.51
Name: Fixture/sewer cap 25.02
Address: Floor drain/floorsink/Itub 3 25.02 75.04'
Garbage disposal 25.02
City/State/ZiP: _ Hose bib 25.02
Phone:( ) Fax:( ) Ice maker 12.51
,APPLICANT 0 CONTACT PERSON
Interceptor/grease trap 25.02
Business name ( \.),03,...:(k-1...3 y Ota*. ('t/t • Medical gas(value:$ ) Page 2
^ Primer 12.51
Contact name: C.1. C,,te'"
t 1!'t Roof drain(commercial)) s
^t e`J ` 12.51
Address: I J 5. ^ \\.
Sinkasin/lavatory 25.02 75..v4
City/State/ZIPI' & "•iil„t. , Solar units(potable water) 62.54
Phone:((5t?)) 27,51-...4tA5 Fax::( CS) A.Z�5-61151( Tub/'shower/shower pan 12.51
E-mail: C,,,Q t..., 1-•y.., t i Urinal 1 25,02 026%��
CONTRACTt _Water closet 4 25.02 !oo•0g
52
Business name: t Ll a`�� PLL Mgt PJ Water heater ` 37.29
-a Water piping/OW V 56.29
Address: i�. ! W "" i► t , I
L, Other: 25.02
.
City/State/ZiP: �� Subtotal�A7aj i
Phone:( ) Fax:( ) Minimum permit fee: $72.50
CCB Lic.: G .T\`C?, Plumbing Lic.no.: ‘''''.:)(2-8
�.. Plan review (25%of permit fee) ��
Authorized signature: 1,.Q--(L- ' _ State surcharge(12°loofpermitfee) 33,63
TOTAL PERMIT FEE 303.25.
Print name: G� Date: 2 /(� This permit application expires if a permit is not obtained within 18t)days
l l after it has been accepted as complete.
*Pee methodology set by Tri-County l3uilding Industry Service Board.
I:nuildin_ee PermitsPI.:AU-Ponni6App.doc 1001;09 440-46161'11002(OM Wl.8)
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Site Utilities Qty. Fee(ea) Total Square Foota
Footage;
Permit Fee:
Footing drain-I"100' 50.03 0 to 2,000 $121.90
Footing drain-each additional 100' 37.52 2,001 to 3,600 S169.69
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
Water Service•each additional 100' 37.52 Medical Gas Systems:
Storm Rain Drain-1st 100' 62.54 Valuation: Permit `ee:
$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 tea) Total
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}tr 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 $25,00 1.00 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*.
OU aridly by Fixture Type Plan Review for'Plumbing Installations
Fixture Type for Replace/
Plan review is required for anyof the following.
Work Performed: Capped Added Actoeate 9
Baptisuy/Font Please check all that apply.
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 ShillNew
-Drive ThruN 0 New exterior plumbing site utilities for any complex structure
Cuspidor/Water Aspirator as defined in OAR918-780-0040.
Dishwasher -Commercial N 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 .....-..r" ,....-... '.........
Floor Drain/sink -2" Submit 2 sets of plans with any of the above,
4„ \\
Isometric or Riser Diagram
Car Wash Drain
Garbage -Domestic-non-fond \\, 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 --�^.0-►
Shower -GangA.
-Stall
Sink/Lay -Non-food related I. a-
-Bradley
-Commercial-food related
-Service
Swimming Pool Filter
Washer-Clothes *Note: If the fixture work under this permit results in an
Water Extractor _ -- increase of sewer EDUs,a sewer permit will be issued and
Water Closet-Toilet i 'FS fees assessed for the sewer increase must be paid before the
Urinal t plumbing permit can be issued.
Other Fixtures:
C:AUsers\Cascade Main\Downloads\PLMF_PernitApp(2).doc 2
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
7190 SW FIR LOOP, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Plumbing PLM2017-00105
Inspection Type: Inspector:
399 Plumbing final Don Sylvester
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor