Permit (72) Oh
CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT ';.,:.77,
'i Permit#: PLM2017-00259
i ', �'* " Date Issued: 01/04/2018
T l(,A ldi7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 9 ,, parcel: 2S102C600200
[' Jurisdiction: Tigard
Site address: 13115 SW PACIFIC HWY
Project: Specialty Retail Subdivision: None Lot: None
Project Description: Plumbing fixtures for new 15,085 SF commercial building. 9/11/2018: REPRINT permit to correct site address.
Contractor: EK PLUMBING Owner: TIGARD PACIFIC RE LLC
PO BOX 1898 C/O LEADERSHIP CIRCLE LLC
BATTLEGROUND,WA 98604 1521 OXBOW DR STE 210
MONTROSE, CO 81401
PHONE: 360-687-4648 PHONE:
FAX: 360-687-6473
FEES
Quantity Description Date Amount
2 ea Rain Drain Connector 12/19/2017 $37.52
Specifics: 2 ea Backflow Preventer 12/19/2017 $62.54
1 ea Drinking Fountain 12/19/2017 $25.02
Type of Use: COM 1 ea Expansion Tank 12/19/2017 $12.51
Class of Work: NEW 19 ea Floor Drain/Floor Sink/Hub 12/19/2017 $475.38
Type of Const: 5 ea Hose Bib 12/19/2017 $125.10
Occupancy Grp: 1 ea Ice Maker 12/19/2017 $12.51
Stories: 4 ea Primer 12/19/2017 $50.04
2 ea Roof Drain(Commercial) 12/19/2017 $25.02
12 ea Sink 12/19/2017 $300.24
1 ea Tub/Shower/Shower Pan 12/19/2017 $12.51
1 ea Urinal 12/19/2017 $25.02
1 ea Water Piping/DWV 12/19/2017 $56.29
3 ea Water Closet 12/19/2017 $75.06
2 ea Water Heater 12/19/2017 $75.04
25 Misc Other Fee 12/19/2017 $25.02
Total $1,910.91
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: G�`� 17/ _. Permittee Signature: /V /74./t `/
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.
CITY OF TIGARD PLUMBING PERMIT
F :
COMMUNITY DEVELOPMENT Permit#: PLM2017-00259
T[ RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/04/2018
Parcel: 2S102CB00200
Jurisdiction: Tigard
Site address: 13125 SW PACIFIC HWY
Project: Specialty Retail Subdivision: None
Project Description: Plumbing fixtures for new 15,085 SF commercial building. Lot: None
Contractor: EK PLUMBING Owner: TIGARD-TUALATIN SCHOOL
PO BOX 1898 DISTRICT 23J
BATTLEGROUND, WA 98604 6960 SW SANDBURG ST
TIGARD, OR 97223
PHONE: 360-687-4648 PHONE:
FAX: 360-687-6473
FEES
Quantity Description Date Amount
2 ea Rain Drain Connector 12/19/2017 $37.52
Specifics: 2 ea Backflow Preventer 12/19/2017
$62.54
1 ea Drinking Fountain 12/19/2017 $25.02
Type of Use: COM
Class of Work: NEW 1 ea Expansion Tank 12/19/2017 $12.51
19 ea Floor Drain/Floor Sink/Hub 12/19/2017 $475.38
Type of Const:
5 ea Hose Bib 12/19/2017 $125.10
Occupancy Grp:
1 ea Ice Maker 12/19/2017 $12.51
Stories:
4 ea Primer 12/19/2017 $50.04
2 ea Roof Drain(Commercial) 12/19/2017 $25.02
12 ea Sink 12/19/2017 $300.24
1 ea Tub/Shower/Shower Pan 12/19/2017 $12.51
1 ea Urinal 12/19/2017 $25.02
1 ea Water Piping/DWV 12/19/2017 $56.29
3 ea Water Closet 12/19/2017 $75.06
2 ea Water Heater 12/19/2017 $75.04
25 Misc Other Fee 12/19/2017 $25.02
Total $1,910.91
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800. 44.
Issued By: / _ J ••rmittee Signature:
_ ;ice
•
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
x
Pl mba.'ng_Permit Application
Building FixturesR S i f ri� i 0 ' ' .. , ' _ —
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R City of Tigard446.413125 SW Hall Blvd.,Tigard,OR 97223 . Datolft. °JI�i/flr PermitNo.: `
' ? Phone: 503.718.2439 Fax: 503.598.1960 (A.A.,
�9 q Plao Jtaviow ; `.► ',
1) T$ Inspection Line. 503.639.4175 49} Date/B +
www.tigardor.g G Other P01n1it N0: "(✓
Internet: ov ,, ,. � Hato itEsdY s . '� �'"�'
a p a .. ,,Te 1 / to Bee Pere 2 tor
TYPE OF W(} '.' / Bu, Imneahllafornation
1 s# > ' 11�I. s '' 'i1t{ E. SCI3EDULJI
®New construction r `fr" r teiri
iimio�ldditipttlalicratonfrcplac»nit on
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i o Total
'"1< New 1-2»t ., dwell w. includes]00 ft,for 2.7
CATEGORY OF CONSTRUC ,v'�� 1 5FR(1)bath alai connection
❑1-and 2-family dwelling 312.70 NMI
®Commercial/industrial
❑Accessory building
0 Multi-fermi 201 . 3)balitaMMEMIIIIMMIlmui...111111111 5C4.32
Each additional bath/kitchen25.02
umein
0 Master builder 0 Other:
JOB SITE INFORMATION AND LO c N ''� . '"
Job cite address:13125 SW Pacifictt
,Highway s . 81�otilJtits;
a> !' i T 1 I ' 1 �:1 I tch basin or area drain
t City/State/Z1P:Tigard,OR 97223
r Drywall,leach line,or trench drain
Suite/bldg./apt./apt.no.e . '' "./e- re t;-C.
Project name:Specialty Re• ler 7
Forting thein(tq,linear ft•:��
.1111111111111
Cross street/directions to job site:SW School St&SW Pacific Highway ManutTactuted home utilidea 50.03
Manholes � .
.. 11111111.
37. 5•a
Sammy sewer(no.linear It:
11.111111111.111011111111111111111111111111 Storm sewer(no.linear ft.:
Wates service(no.linear ft.: )
Lot no.:
Tax map/parcel no.:
DESCRIPTION OF WORK 42.5.`{
New single story specialty retail store;aseocalted site work indudeing parking Clothes washer
25 02
UM
lot,site fitrniahingaand landscaping Dishwasher
2502MIN
r Orinktng,fOuafelD
25.02 25.02
❑ PROPERTY OWNER w aa�°;i' . �� 25.02 M
® TENANT
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Address:12612 W Alameda Parkway 25.02 '
Floor drain/floor sink/hub 19 25.02
City/State/Ztp:Lakewood,CO 80228 1��
MMININ25,02NM
'
Phone:(303)986-46049Hose bib 11011 25.m
m
I�S r
0 APPLICANT ® CONTACT PERSON Ja nlesidm/
Business name:Vega p 25.02
eg Architecture 111.1.111.
Contact name:Corey Fisher 112=� •: .
Primer F
aariAddress:25107 Genesee Trail Rd Roof drains avatwyrciap) 0
City/State/zip:Genesee,CO 80401 Sink/basio/levatory gni 25.02 300.as
Phone:(720)390-3891 Solar units(potable water) enzsegamom
E-mail:cftshergvegaarchitecgtn.com '' IIIIIIEIIIIEEWEIIIi
25,02 25.02
CONTRACTOR Water closet"flaaillil25.02
Business name:TBDCie ,�'w .,,, 75.06
FMIOIMMIIMFM
Address: 111111103
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YJ14
r Water pip ing?C1t,YV 7
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City/State/ZIP: Other '
/ii. �yy ` vim! 25.02 doud .111!E=3�✓'rT73
Phone:( ) 0(
, , z ,`1 Minimum
permit fee: $72.50
isi
Al11 SIIIIIM iim, Plumbing Lic.no.: 4 q
Authorised signature: Statesurc (12%of ate+ 1 �v'��Q,
., permit fee) ►,Q I(D ,g0
Print name:Corey F. ,er TOTAL PERMIT FEE 1 .l L�
Date:6.22.17 This permit aDPticadon expires Its permit is not within tl6 f)G -9
after It bat been accepted as template. . "1 11 v f Gi' '
Fee methodology act by Tri-County Building Industry Service Board,
t:tB911010g1PermitA .MU-PernutApp ciao 10/01/09
440-4616T(10/02/COM/WED)
V
yPlumbing Permit Application - City of Tigard
A Page 2 - Supplemental Information
NOTED ON SITE UTILITIES PERMIT
Fee Schedule: APPLICATION Residential Fire Suppression Systems:
Site Utilities Qty. Fee(ea) Total Square Footage: Permit Fee:
Footing drain-1'100' 1 50.03 50.03 0 to 2,000 $121.90
Footing drain-each additional 100' 4 37.52 150.08 2,001 to 2.,600 $169.69
3,601 to 7,200 $233.20
Sewer-1st 100' 1 62.54 62.54 7,201 and greater $327.54
Sewer-each additional 100' 4 37.52 112.56
Water Service-1st 100' 1 62.54 62.52. Medical Gas Systems:
Water Service-each additional 100' 37.52
Valuation: Permit Fee:
Storm&Rain Drain-1st 100' 1 62.54 62.54 $1.00 to$5,000.00 Minimum fee$72.50
Storm&Rain Drain-each additional 100' 7 37.52 262.54 $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
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*.
Quantiy by Fixture Type Plan Review for Plumbing Installations
Fixture Type for Replace/
Work Performed: Capped Added Relocate Plan review is required for any of the following.
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 Thm 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 i 0 Any complex structure as defined in OAR918-780-0040.
ye Wash
Floor Drain/sink lif Submit 2 sets of plans with any of the above.
-3"
1 Isometric or Riser Diagram
- Car Wash Drain
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 ‘,/rd $ uS
Ice Mach./Refrig.Drains t
Oil Separator(Gas Station) Commejits regarding fixtur work:
Rec.Vehicle Dump Station /b 7 }/ -f
e - cry; r7 a Ci] /i b d' j�
Shower -Gang C 1 L
-Stall
Sink/Lav -Non-food related } sr-,� -_- Jf (?)
3c 1,-71 1"' �lilY'f?/v` i'�- c4
-Bradley �y,, �_�x
.� eN.J� G��,Wj AI.S /`� tYJ"�- �-Ly^�Q "C.✓rvvJrd✓�rye�
-Commercial-food related 3, �t j t.
ILC .-4 tra,�.l _It -r) 4-icor rtrz,,ws
-Service )
Swimming Pool Filter (ii)ti's f jDo7� se Y ;� 16.....-470,6, (if f� (vt�.
Washer-Clothes *Note: f the fixture work iznd�r this permit resultin an a:9l.
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:
Macintosh HD:Users:cfisher:Desktop:TIGARD APPLICATIONS:TO BEZEOMPLETED:PLMF_PermitApp.doc
Branden Taggart
From: Branden Taggart
Sent: Wednesday, August 30, 2017 3:13 PM
To: 'Corey Fisher'
Cc: #Building Permit Technicians
Subject: Specialty Retail Plumbing & Sewer Permit Fees: PLM2017-00259, SWR2017-00285
Attachments: Branden Taggart.vcf; PLM2017-00259_Specialty Retailer Permit Fees.pdf
Hello Corey,
Your permits for Specialty Retail are ready to issue. The fees due are as follows:
PLM2017-00259 = $1,910.91
5WR2017-00285 =$21,245.00
You can pay the permit fees online at https://aca.accela.com/tigard/or in person when you pick up the permit between
the hours of 8:00 a.m. and 4:30 p.m., Monday through Thursday. We are closed on Fridays, and this following Monday
for the holiday.
Furthermore, I have attached a breakdown of fees for the Specialty Retail plumbing and sewer permits above for
you. The plumbing and sewer permit fees will need to be paid before we can issue either permit. Also, we will need the
plumbing contractor's license information before we can issue these permits. When you have selected your contractor,
please have them confirm the number of sewer fixtures that will be impacting the sewer. According to the plans, we
counted (3) commercial sinks with floor sinks below them. In this case we omitted (3) floor sinks from the sewer tally as
the commercial sinks drain into the floor drains. If you have any questions about this, please let me know.
Thank you,
Branden Taggart
n City of Tigard
M Permit Technician
Community Development
TIGARD
13125 SW Hall Blvd
Tigard,OR 97223
(503}718-2449
brandent@tigard-or.gov
1
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13115 SW PACIFIC HWY, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Plumbing PLM2017-00259
Inspection Type: Inspector:
399 Plumbing final Don Sylvester
Result:
PASS - NoCofO
Comments:
1 . Correction's are complete, plumbing final approved
Violation Summary:
Inspector Contractor