Permit CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2017-00451
E GA
KL-) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/02/2017
Parcel: 2S112DD01600
Jurisdiction: Tigard
Site address: 15575 SW SEQUOIA PKWY 100
Project: Compunet Subdivision: PACIFIC CORPORATE CENTER Lot: 4
Project Description: Interior plumbing for TI:Capping(1)dishwasher,(1)2"floor drain,and(1)sink;Replacing(1)dishwasher and(1)
sink;Installing(1)ice maker.
Contractor: POWER PLUMBING CO Owner: PACIFIC REALTY ASSOCIATES
PO BOX 19418 ATTN: N PIVEN
PORTLAND, OR 97280 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-244-1900 PHONE:
FAX: 503-244-8825
FEES
Quantity Description Date Amount
1 ea Dishwasher 11/02/2017 $25.02
Specifics: 3 ea Fixture/Sewer Cap 11/02/2017 $75.06
1 ea Garbage Disposal 11/02/2017 $25.02
Type of Use: COM 1 ea Ice Maker 11/02/2017 $12.51
Class of Work: ALT
1 ea Sink 11/02/2017 $25.02
Type of Const:
1 12%State Surcharge- 11/02/2017 $19.52
Occupancy Grp: Plumbing
Stories:
Total $182.15
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: J 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.
th CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PL00451
Date Issued: 11/02/20102/2017
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S112DD01600
Jurisdiction: Tigard
Site address: 15575 SW SEQUOIA PKWY 100
Project: Compunet Subdivision: PACIFIC CORPORATE CENTER Lot: 4
Project Description: Interior plumbing for TI:
Contractor: POWER PLUMBING CO Owner: PACIFIC REALTY ASSOCIATES
PO BOX 19418 ATTN: N PIVEN
PORTLAND, OR 97280 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE:
PHONE: 503-244-1900
FAX: 503-244-8825
FEES
Quantity Description Date Amount
1 ea Dishwasher 11/02/2017 $25.02
Specifics:
3 ea Fixture/Sewer Cap 11/02/2017 $75.06
1 ea Garbage Disposal 11/02/2017 $25.02
Type of Use: COM 1 ea Ice Maker 11/02/2017 $12.51
Class of Work: ALT 1 ea Sink 11/02/2017 $25.02
Type of Const: 1 12%State Surcharge- 11/02/2017 $19.52
Plumbing
Occupancy Grp:
Stories:
Total $182.15
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.
ii `
Issued By: � 141%� Permittee Signaturer
i<9 : (7/ /GPC ' 170A/
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.
CEIVT
) r I 0 # -.. '
Plumbing Permit Applic ,...
Building Fixtures FOR OFFICE USE ONLY
OCT3 0 2 01 l Received Permit No.:
City of Tigard Date/By: [� err 7 1177"-- f'4 1 17 (.i.%"'is`/
• 13125 SW Hall Blvd.,Tigard, Plan Review
i C Phone: 503.718.2439 Fax: :19 ¢' ryH1„AD Date/By: Other Permit No.:5t1p O i 7-1,0 7c
T I G A R ll Inspection Line: 503.639.�j aa TT �gg T Date Ready/By: 1,14> I6
c H See Page 2 or
Internet: www.tigard-or.gdhi fit L;I3IN G DIVISION Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
0 New construction 0 Demolition For special information use checklist.
Description I Qty. I Ea. I Total
g 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
❑ 1-and 2-family dwelling g Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 500.32
❑Accessory building 0 Multi-family
Each additional bath/kitchen 25.02
❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address:15575 SW SEQUOIA PKWY Catch basin or area drain 18.76
Drywell,leach line,or trench drain 18.76
City/State/ZIP:PORTLAND,OR 97224
Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.:100 I Project name:17-792 PCC COMPUNET Manufactured home utilities 50.03
Cross street/directions to job site: 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: I Lot no.: Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
Backwater valve 12.51
DESCRIPTION OF WORK
Clothes washer 25.02
/
Dishwasher ,/ 1 25.02 25.02
TENANT IMPROVEMENT Drinking fountain 25.02
Ejectors/sump 25.02
0 PROPERTY OWNER I 0 TENANT Expansion tank 12.51
Name: Fixture/sewer cap 4.,/- 3 25.02 75.06
Floor drain/floor sink/hub 25.02
Address: Garbage disposal c/ 1 25.02 25.02
City/State/ZIP: Hose bib 25.02
Phone:( ) Fax:( ) Ice maker 1 12.51 12.51
0 APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02
Business name:POWER PLUMBING CO Medical gas(value:$ ) Page 2
Primer 12.51
Contact name:MIKE WARREN
Roof drain(commercial) / 12.51
Address:P.O.BOX 19418 Sink/basin/lavatory w 1 25.02 25.02
City/State/ZIP:PORTLAND,OR 97280 Solar units(potable water) 62.54
Phone:(503)244-1900 Fax::(503)244-8825 Tub/shower/shower pan 12.51
E-mail:SERVICE@POWERPLUMBINGCO.COM Urinal 25.02
Water closet 25.02
CONTRACTOR
Water heater 37.52
Business name:POWER PLUMBING CO Water piping/DWV 56.29
Address:6611 SW MULTNOMAH BLVD Other: 25.02
City/State/ZIP:PORTLAND,OR 97223 Subtotal 162.63
Phone:(503)244-1900 Fax:(503)244-8825 Minimum permit fee: $72.50
CCB Lic.:52378 Plumbing Lic.no.:34-150PB Plan review (25%of permit fee)
State surcharge(12%of permit fee) --1 r-i 41 .5d,
Authorized signature: /' st `r .- �((�tL � TOTAL PERMIT FEE }u�r.14 111J1,.�
Print name:KRISTI BRAMWELL �' Date.10-30-17 This permit application expires if a permit is not obtained within 180 days
after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
1:18uitdingWerrnitsWLMU-PenaitApp.doc to/o1/S9 44.4616T(Ie/n1/COMAVEB)
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Site Utilities Qty. Fee(ea) Total Square Footage: Permit Fee:
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' 62.54 7,201 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
Storm&Rain Drain-1st 100' 62.54 Valuation: Permit Fee:
$1.0010$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 Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to
Pand 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*.
Quantity by Fixture Type Plan Review for Plumbing Installations
Fixture Type for Replace/ Plan review is required for anyof the following.
Performed: Capped Added Relocate9
Baptistry/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 Stall engineer.
-Drive mm 0 New exterior plumbing site utilities for any complex structure
Cuspidor/Water Aspirator - as defined in OAR918-780-0040.
Dishwasher -Commercial ❑ Medical gas and vacuum systems for health care facilities.
-Domestic I 1 0 Any multipurpose fire sprinkler system.
Drinking Fountain 0 Any complex structure as defined in OAR918-780-0040.
Eye Wash
Floor Drain/sink -2" I 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 gam q g
Disposal -Domestic-food related I 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 C +4(✓2-3.tW�v'rrje,�t+J
-Stall P er a4 .1 �fZiAC ,- 7Lej yta.ic4'.lil/vej
Sink/Lav -Non-food related 1 1 t%
-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 Laura\Downloads\PLMF_PermitApp(7).doc 2
Accumulative Sewer Tally
i = Tenant Name: COMPUNET SWR# N/A
TIGARD Site Address: 15575 SW SEQUOIA PKWY SUITE 100
Parcel#: 2S112DD01600 PLM# PLM2017-00451
Fixture Value Previous Previous Credits Capped Fixture Fixture New
New
# value count capped#s value count added# added value total#s total values
Baptisery/Font 4 0 0
0 0 0
Bath: -Tub/Shower 4 0 0
0 0 0
-Jacuzzi/Whirlpool 4 0 0 0
0 0
Car Wash: -Each Stall 6 0 0
0 0 0
-Drive through 16 0 0 0
0 0
Cuspidor/Water Aspirator 1 0 0
0 0 0
Dishwasher: -Commercial 4 0 0
0 0 0
-Domestic 2 0 1 2 0
-1 -2
Drinking Fountain 1 0 0
0 0 0
Eye Wash 1 0 0
0 0 0
Floor Drain/Sink: -2 inch 2 0 1 2
-3 inch 5 0 -1 -2
0 0 0 0 0
-4inch 6 0 0 0 0
0
-Car Wash 6 0 0 0
0 0
Garbage Disposal:
-Domestic(to 3/4 HP) 16 0 0
0 0 0
-Commercial(to 5 HP) 32 0 0
0 0 0
-Industrial(over 5 HP) 42 0 0
0 0 0
Ice Machine/Refrigerator Drain 1 0 0
0 0 0
Living Unit 16 0 0
0 0 0
Oil Sep(Gas Station) 6 0 0
0 0 0
Rec.Vehicle Dump station 16 0 0
0 0 0
Shower: -Gang(per head) 1 0 0
-Stall 0 0 0
2 0 0 0 0
0
Sink:
-Lay/Bar-Non-Food Related 2 0 1 2
0 -1 -2
-Bradley 5 0 0
0 0 0
-Com/Sery/Util-Food Related 3 0 0
0 0 0
Swimming Pool Filter 1 0 0
0 0 0
Washer-Clothes 6 0 0
0 0 0
Water Extractor 6 0 0
0 0 0
Water Closet-Toilet 6 0 0
0 0 0
Urinal 6 0 0
0 0 0
Previous EDU Count 0
Capped EDU Credit
0
TOTALS 0 0 3 6 0
0 0 -3 -6
Current Fixture Value -6 divided by 16= -0.375 Current EDU
1 EDU= $5,500.00
Previous Fixture Value 0
divided by 16= 0.000 Previous EDU
Change -6 divided by 16= -0.375 over (under) $ (2,090.00)
Enter EDU Change Here -0.380 *
*Round EDUs to the nearest 1/100th: a count ending in.005 shall be rounded up to.01,and a count ending in.014 or less shall be rounded down to.01.
Notes: ***CREDIT*** NO CHARGE FOR GARBAGE DISPOSAL PER CLEAN WATER SERVICES GUIDELINES.
Authorized Name/Signature: BRANDEN TAGGART X2449
Date: 11/1/2017
Building Division
'Note: The property owner shall retain the ORIGINAL sewer tally record. If credits exist,this document will serve as a voucher which must be
submitted to the City of Tigard Building Division to redeem credits towards future system development charges.
I:\Building\Sewer Tally\SewerTallySheet_5500_070117.xlsx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
15575 SW SEQUOIA PKWY 100, TIGARD,
OR, 97224
Record Type: Record ID:
Commercial - Plumbing PLM2017-00451
Inspection Type: Inspector:
399 Plumbing final Don Sylvester
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor