Permit CITY OF TIGARD PLUMBING PERMIT
11. COMMUNITY DEVELOPMENT Permit#: PLM2017-00427
T t GAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/18/2017
Parcel: 25101 CB00400
Jurisdiction: Tigard
Site address: 12700 SW HALL BLVD E
Project: Wood Trade International Subdivision: None Lot: None
Project Description: Site utilities:5 ft.of sanitary sewer and 5 ft.of water service for temporary modular trailer.
Contractor: CASCADE PLUMBING CO Owner: MCLELLAN ESTATE CO
15765 SW 74TH AVE BY CHRISTOPHER M CAVE ESQ
TIGARD, OR 97224 707 OLD COUNTY ROAD
BELMONT, CA 94002
PHONE: 503-289-7095 PHONE:
FAX:
FEES
Quantity Description Date Amount
5 If Sanitary Sewer 10/18/2017 $62.54
Specifics: 5 If Water Service 10/18/2017 $62.54
1 12%State Surcharge- 10/18/2017 $15.01
Type of Use: COM Plumbing
Class of Work: ALT
Type of Const:
Occupancy Grp:
Stories:
Total $140.09
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: i/` 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 AppjleaticitECEIVEC)
Site Utilities FOR OFFICE USE ONLY
OCT 1 7 2017 ' '
ilii city orfigard Reeemed
, thileliv, ip 7 17 dr-- , Nrmil No_Aeop)A)), 7-0241,-427
4 13125 SW Hall Blvd.,11igard,OR 97 -
OF -FIGARO , Plan Ra7vic; -- '-----
i. .. Ottio Permit Netis.201 7,e0001
. Phone: 503.718,2430 Fax: 503 A... (4.,„,-
_, ING DIVISION D'ile'l'Y
1,,,,, -col Line; 503 630 4175 CR 1 '1-7
TIGARD ,"'i 1 -- - - Date Ready By- Jun:, PI See Page 2 for
Internet.: wavw.tigard-or.gov Noritird Ai'llhod, 70e Supplemenoti Information
„ ,..
TYPE OF WORK I FEE* SCHEDULE
0 be construction 0 Demolition For.sEecial itifiwination ttNe checklist
' -----------,, , Pesc r ip 0 ol, L,Qty. 1 _ Ea, ‘,__j___ TotaT11:
' 0 Additioikalterationrreplacement 0 Other: ' :' New 1 2-fantily dwellings(includes 1000 for each utility connection)
:,
CATEGORY OF CONSTRUCTION l SFR(I)bath 312 70 1 01-and 2-family dwelling 4 Commercial/industrialSFR(2)bath
_ . 437.78
--- — “ ----- I SFR(3)bath 500.32 ;
0 Accessory building 0 Multi-family 1
Each additional bath:krichen 25.02 ' 1
0 Master builder 0 Other:
: Fire spi inkier( sq ita Page 2
JOB SITE INFORMATION AND LOCATION I I Site utilities:
Job site address: 12700 SW Flail Blvd E
____. - ; Catch basin or arca drain
Drywell,leach line.itr trench drain 18,76 1
t876
CityState/ZIP:Tigard Or 97223
I--; = .-.I Footing drain too linear ft: ) Page 2
---- ----, , ........_ :
Suite bldg.;apt.no.: i Project name: 44/4.44,4_,,,,, ,....
.-''' ': __AK..1 . ''' - Manufrictured home utilities 50.03
I —
Cross Street directions to lob site: Manholes 18,7o
Rain drain connector
1 " Sanitary sewer(no.linerir fa:5i I Page 2 ,102„Slit .i
-1 Storm sewer(no,linear 0.- i
i
Page 2
wrgor service(no.linear:6,,5: Page 2 1 44„sii,
Subdivision: --1 I-01 no1 r Fixture 64 item:
lax map parcel no.: i : Backflou presenter
I
----- 71 Backwater valve
DESCRIPTION OF WORK ,
_...... ,. _ ... , ...... , . clothes washer f
1 r '1.27
12.51
_ _
i 2.a.1.12
).- 4--
Hook up waste and water to temporary modular trailer
„......._ .......... _________ __....... Disbaashci :.. 2. 02 i
- - -- Drink ing fountain 25,02
_
1
' Ejectorstillinp 25 02
0 PROPERTY OWNER 0 TENANT '---1 Expansion tank 1 12,51 ' 1
i
i 1 Fixture sewer cap 1 1 25.02 i
I Name:
r t
I. ..
--1 v loor drain:floor sink hub ----T i 75.02
Address:
____ — -I Garbage disposal 25.02 ' i
CityStatelZAP:
_ Hose bib
1- 25,02 i 1
___________
H
I
' Phone:( 1 i Fax:( ) 1 Ice maker 12.51 i
4
I , _ 112 APPLICANT ;_--0 CONTACT PERSO-N Int5415t"ar 7i ‘"t trap
25-02______
— 1 S 1 ii,_ a \ . r: 1 i Page BusinW
ess name:Quality est Plumbing DBA Cascade Mrbeal gas( illus.
..: ,
Prime- I 1 12.51' '
Contact name:Bekka Greer
Roof diam(commere'all 1 12,51
Address: 15765 SW 74°4e 0110A
±1Sink In 15111 is ibis 23 02
- .......,_ ...,......____ __ , ........_..._..____......„......4
Citxr/State/ZIP:Tigard Or 97224 I Skit units(potable:rx am i
62.54 ;
Phone:(503)283-7095 1, raN::15031 283-9514 i I ub slips(er shotker pan 11.51 1
_ j
, . Urinal
! L nrul:(:a eadeplumt”ahoo.sorn " IA 4 )7 a...)--
_ , . s
....,„.
__, -- ,, Water closer
CON RACTOR ___25.02 I
I Water heater 37 5' 1
1 Business name:()Inalit) West Plumbing DBA Cascade Plumbing t;“
I
\Mae: plait g DWV
ifid 1 56 29
Address: 15765 SW:7410 Ave#110A Othel. 1 2543 1
(us Sin Statc"ZIP:Tigard Or 97224 , Subtotal T,),.5 Q7 i : . :
Phone:(503)289 7095 Fax:(503)283-9514 Minimum permit feeS7250 —
---1
r B lie:204392 I Plumbing 1:ic.no.: P131528 1 L„
Vi Plan ri,"%leks (25°k of permit feet ; ---- :
_,,,
Sue soli:barge(12110 II permit fee)
ri
Authozed signature: x t, ,. 1„f2,,,A,...,.--i
----12 .6. i
101 AL PERM IT FFF
rPrint n;-riaerBekkaCI-reer'i-• --- ---- i Date: 10/16/2017 fhb.permit apptioation etpires if a permit is not obtained%titian 150 cla,,,.
_L. after it has been aceeptod to con-wick!.
"t 5,. 1110110(1,,I0V.,,ata Sm Ili-count:, Buddioe ii-damn)*ter,toe Board
i. B,:tIchtp,,l'omq,11 lit ii. \fr 1o„ '','0:. ,.'.) '4*',, P>li',4,2 1 ,51101 b,
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential�pFire Suppression'ems
+����� srb. -.-<�t �
Footing drain-1'100' 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' 1 62.54 (o),;5-9 7,201 and greater $327.54
Sewer-each additional 100' 37.52
Water Service-1st 100' 1 62.54 .S h Medical Gas Systems:
Water Service-each additional 100' 37.52 _
Storm&Rain Drain-1st 100' 62.54 "". Fg ''_
$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
each additional$100.00 or fraction thereof,to
b -*'. � .�.�E�� �_�-� 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*.
r,. g�ts Si g ..,*t �� "' `� ";;a ® .y a t' `
P ® X 8 e,. f 4 1 :V-0
. k; a�� ...��"r -r-.�ss ,_..ter_.,e
14,
a Plan review is required for any of the following.
ast'/Fo t �� Please check all that apply.
Ba ti
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'rhru 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"
Car Wash Drain ,. r� } ,� . :?
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
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
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:
I:\Building\Permits\PLMU PermitApp.doc 2
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12700 SW HALL BLVD E, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Plumbing PLM2017-00427
Inspection Type: Inspector:
399 Plumbing final Don Sylvester
Result:
PASS - NoCofO
Comments:
1 . Connect sewer and water to temp modules trailer- approved
2. Protect water line located on outside of trailer from freezing.
Violation Summary:
Inspector Contractor