Permit (88) CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2017-00408
TiClARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/09/2017
Parcel: 2S101DB00104
Jurisdiction: Tigard
Site address: 7300 SW HUNZIKER RD 102
Project: Erickson&Carnegie Subdivision: None Lot: None
Project Description: Replace(1)existing sink.
Contractor: WESTERN PLUMBING Owner: HILLTOP BUSINESS CENTER LLC
9460 SW TIGARD AVE SUITE 101 9430 NW KAISER RD
TIGARD, OR 97223 PORTLAND, OR 97231
PHONE: 503-639-5296 PHONE:
FAX: 503-684-9015
FEES
Quantity Description Date Amount
1 ea Sink 10/09/2017 $25.02
Specifics: 1 12%State Surcharge- 10/09/2017 $8.70
Plumbing
Type of Use: COM 47 ea Minimum Fee Adjustment- 10/09/2017 $47.48
Class of Work: ALT Plumbing
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 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: ermittee 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, :i
Building Fixtures
RC)C 1 5 2017 Received
City of Tigard t>.te/By: (/9/7 . i,nitNo/�'L� 0/7-ble, e,
13123 SW Hall Blvd.,Tigard,OR 97223
Phone: 503.718.2439 Fax 503.59 i I t _ t's ':I,' DN Review other Permit c
Inspection Line: 503.639.4175 I_� C.r c k l ;C. ,` Ready/By: Durk: fa see Page 2 for
`.� � Internet: www.tigard.or.gov .t kk Notified/Method(e 9�7 Y Su, salol Intervention
0 New construction 0 Demolition 1:,--711.51-//. 9-N " For apedel information we checklist
Description T Qty. ( Ea. I Total
Addition/alteration/replacement 0 Other. New I-2dbmily dwellings(includes 100 ft.for each utility connection)r
'•4 SFR(1)bath 312.70
❑i•and 2-family dwelling Cit Commercial/industrial SFR(2)bath 437.78
❑Accessory building 0 Multi-family SFR(3)bath 500.32
Each additional bath/kitchen 25.02
❑Master builder 0 Other: Fire sprinkler( sq.ft) Page 2
:''';, :;-,k'5;i:;;41,12::::,s, c _ . . . _ F ' Site utilities:
Job site address: i `). s' Catch basin or area drain 18.76
Drywell,leach line,or trench drain 18.76
City/State/ZIP:---\\(vstsx.c., Footing drain(no.linear ft.:,_,_) Page 2
Suite/bldg./apt.no.: \\]/1 I Ned ntmteE r 1 C Lsoc4 Cajfla_0 \ Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear it.:,,,,__) Page 2
Storm sewer(no.linear ft.: ) Page 2
Water service(no.linear ft.:___,,,) Page 2
Subdivision: I Lot no.: Fixture or item:
Tax m
a
p/parcel no.: Backflow preventer 31.27
'4;114,,i , , , •_,-.' Back Ater valve
12.51
4
:». Clothes washer 25.02
Dishwasher 25.02frpf( Wn,) E)11 9 ,57 K. Drinking fountain 25.02
Ejectors/sump 25.02
,,,:44." , s Expansion tank 12.51
Name: 4\0\ �� Fixture/sewer cap 25.02
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
., .4�`:3` Interceptor/grease trap 25.02
Business name: M 1 • n \ Medical gas(value:S ) Page 2
Primer 12.51
Contact name: kX \...11i Na iTh
Roof drain(commercial) 12.51
Address: Sink/basin/lavatory \ 25.02 ,p2
City/State/ZIP: Solar units(potable water) 62.54
Phone:( ) I Fax::( ) Tub/shower/shower pan 12.51
E-mail: e' 0 ./ 2j i ;t'. A . . 131. .,I n i] Urinal 25.02
water closet V 25.02
m� ;. Water heater 37.52
Business name:Western Plumbing,Inc. Water piping/DWV 56.29
Address:9460 SW Tigard Street,Suite 101 Other: 25.02
City/State/ZIP:Tigard,OR 97223 Subtotal 5n1
Phone:(503)639-5296 Fax:(503)684-9015 Minimum permit fee: S72.50 1
review
CCB Lie.:2439 Plumbing Lic.no.:3429P8 Plan (25°x6 of permit fee)
State surcharge(12%of pemtit fee) �,
Authorized signal .4 11) I t.1 TOTAL PERMIT FEE •all
Print name: £ •:.lath N Date:r t / This permit application expires if s permit is not obtained within 1 days
S 11after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
I:\BuildingWermitr\PLMU-PermitApp.doc 10/0i/09 4404616T(lO/O2/COMAVEB)
Plumbing Permit Application = City of Tigard
Page 2-Supplemental Information
Fee Schedule:
Residential Fire Su+ •session stems:
-1 100 ' 50.03 oto 2000 $121.90 H
Footing drainJ
�; ` � �
Footing drain-each additional 100' 1111111111 � 2001 to 3 600 $169.69 3 601 to 7 00 $233.20
Sewer-1st 100' 5 62.54 7 01 and -:• $327.54
Sewer-each additional 100' 37.52 Mil
Water Service-1st 100' _�� Medical Gas S stems:
e
Water Service-each additional 100'
Storm&Rain Drain-1st 100' 11=11111111 81.00 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 , $5,000.00 and$1.52 for
each additional$100.00 or fraction thereof,to
" and inciudin:$10 000.00.
inspection of existing plumbing or far $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 III 90.00/hr IIII each additional$100.00 or fraction thereof,to
minim, - -1/2 hour and inclu'' :$25 000.00.
Inspections outside of normal business ® 90.00/hr IIII $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for
hours minimum- • -2 hours each additional$100.00 or fraction thereof,to
Reinspection Sees Mill 90.00/hr 111111 and includi •$50,000.00.
Additional plan review for revisions 90.00/lir $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for
each additional$100.00 or fraction thereof.
minimum- -1/2 hour each a
Subtotal: 111.1.11111111111
Comm reial Fixture Work:
Are you capping,adding or replacing fixtures? If"yes",
please indicate work performed by fixture. Failure to
accurate! re. 'II fixtures could result in increased sewer fees*.
r.4!,'.:- u .n.-‘`..''''''''';'; s '''- ,- A Plan review is required for any of the following.
'tea.. .
-. `;.ir:.,.� „ ., .b., x_ .' ' Please check all that apply.
Baptistry' /Font 0 Any new commercial building with water service 2”and
Bath -Tub/Shower greater,except systems designed and stamped by licensed
-Jacuzzi/Whirlpool
Car Wash -Each Stall engineer.
-Drive, -ai 0 New exterior plumbing site utilities for any complex structure
Cuspidor/Water A pirator 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 ❑ Any complex structure as defined in OAR918-780-0040.
Eye Wash
Floor Drain/sink -2" Submit I sets of plans with any of the above.
-3"
-4" x ' z
Car Wash Drain ■ Isometric or riser diagram is required for new buildings
Garbage -Domestic-nond rola that meet the .ualifications above.
Disposal -Domestic-food related
-Commercial-food related
-industrial-food related
Ice Mach./Refrig.Drains
Oil Separator(Gas Station) Comments regarding fixture work:
Rec.Vehicle Dump Station
Shower -Gang
-Stall
Sink/Lav Non-food related
-Bradley
-Commercial-food related
-Service
Swimming Pool Filter *Note; If the fixture work under this permit results in an
Washer-Clothes increase of sewer EDUs,a sewer permit will be issued and
Water Closet-Toilet
Water Closet- fees assessed for the sewer increase must be paid before the
Urinal plumbing permit can be issued.
Other Fixtures:
httpJ/www.tigard-or.gov/city hall/departmentsfed/docs/PLMF-PermitApedoc
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
7300 SW HUNZIKER RD 102, TIGARD,
OR, 97223
Record Type: Record ID:
Commercial - Plumbing PLM2017-00408
Inspection Type: Inspector:
399 Plumbing final Don Sylvester
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor