Permit (115) CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2018-00007
T GAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/03/2018
Parcel: 1S136CD01401
Jurisdiction: Tigard
Site address: 11646 SW PACIFIC HWY
Project: Tigard Transmission Subdivision: None Lot: None
Project Description: 282 ft.of sanitary sewer for a new 4"gravity sewer line.
Contractor: FLYING H CONSTRUCTION CO Owner: PACIFIC REALTY ASSOCIATES LP
PO BOX 2533 ATTN:ACCOUNTING DEPARTMENT
WILSONVILLE, OR 97070 15350 SW SEQUOIA PKWY
STE 300
PORTLAND, OR 97224
PHONE: 503-925-1280 PHONE:
FAX: 503-678-4221
FEES
Quantity Description Date Amount
282 If Sanitary Sewer 01/03/2018 $137.58
Specifics: 1 12%State Surcharge- 01/03/2018 $16.51
Plumbing
Type of Use: COM
Class of Work: ALT
Type of Const:
Occupancy Grp:
Stories:
Total $154.09
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 1.811 4.
Issued By: •.- / /V:
Call 503.639.4175 by 7:00 a.m.for the next available i pection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the projec.
Approved plans are required on the job site at the time of each inspection.
.., ,Plumbin Permit A licati
Site UtilitiesQ ':
City of Tigard FOR OFFICE USE ONLY
= '� ll Received
13125 S W gall Blvd.,Tigard OR 972231 IAN
a 2013 /
Phone 503.715.2439 Fax: �0�SOy elf Date/Byig Permit No.: ,/'Nit
PhInspection Line: X03.639.4175 .5 t ' 9 t ?a 1111
Plan Review
.-
L-,'I
TIGARD NA € .t Date/B ` l
Internet totin h=ard or .41ov
e tr fc a Other Permit No.: s ,
Dale Ready/By.
G 1 tL
Notified/Method:
l O1k�W8RK
��yy H See Page 2 for
F.
re., Supplemental Information
❑New construction r F 9 u
I EE* II?IE a
❑Demolition 'o" eche :;
®Addition/alteration/replacement
For special information use checklist.
❑Other: Desert non h?
tal
x nNew 1-2-family dwellings(includes 100�ftt for each utility
GAt}sGORY
O CC)NS i RucT1t)7 g
0 1-and 2-family dwelling ' "' SFR(1)bath _
Commercial/industrial SFR(2)bath 312.70 -
❑Accessory building 437.78 _
❑Multi-family SFR(3)bath _
❑Master builder Each additional bath/kitchen 500.32 _
0 Other:
Fire sprinkler( s 11111 25.02 _
. i2 '::,,:i��- r � ., Paget _
Job site address:11646 SW Pacific Hwy
Catch basin or area drain _
MI
City/State/ZIP:Tigard,OR 97223 18.76 _
Drywell,leach line,or trench drain _
Suite/bldg./apt.no.: Project name:Tigard Transmission sewer Footing drain(no.linear ft.:_ 18 76
Cross street/directions to job site: Manufactured home utilities ) Page 2 _
NMI
West of the intersection of SW Pacific Highway and SW 74th Avenue Manholes 50.03 _
Rain drain connector 111111 1111111 18.76 -
6 Mill
Sanitary sewer(no.linear ft.:282) IINII Page 2
OM
Storm sewer(no.linear ft.: 2
Subdivision: Water service(no.linear ft.:_) Page 211.111
Tax map/parcel no.: 1S136CD01401 Lot no.: Page 2 MIFixture or item:
liffil - - Backflow preventeralve _®
' i -1 R � '"'-',ell'ti ' 0 _ Backwater valve _
111111111
Construction of new 4"gravity sewer line. Property does notcurrently have _®_
Clothes washer
NM
connection to municipal sewer. HMI 25.02
Dishwasher _
Drinking fountain111111 25 02
grr:� FLI!' t[ �� r Ejectors/sump 25.02 -
� � 111111 25.02 -
Name:Pacific Realty Associates,L.P. °,` ,; • Expansion tank _®_
Address: 15350 SW Sequoia Pkwy,Ste 300 Fixture/sewer cap _
Floor drain/floor sink/hub 25.02 -
City/State/ZIP:Tigard,OR 97224 25.02 _
Garbage disposal 11111
Phone:(503)603 5492 Hose bib 25.02 _
� 1'PLI 111111 25.02 -
��•..� . ��k1�a mss.. itift7 � � ��,11: ® ��"
Business name:Pacific Realty Associates,L.P. k Interceptor/grease trap _
MN
Medical gas(value:$ Page 2
Contact name:Matthew Oyen ) _ 2 _
Primer _®
Address: 15350 SW Sequoia Pkwy,ste 300 __
Roof drain(commercial) _®
City/State/ZIP:Portland,OR 97224
Solar units(potable water)Sink/basin/lavatory 11111Phone:(503)603-5492 1111162.54
25.02 MI
11111111111Tub/shower/shower pan
E-mail:matto@pack est coin _®_
24` ; CONTRA 25.02 11111111
CTO- Y
> I ,rg' � t t' Water closet _
Business name:Flying H Construction 25.02 _
Address:P.O.Box 2533 Waterpiping/DWV _®_
City/State/ZIP:Wilsonville,OR 97070 Other: 111111 56.29 -
_ 25.02 -
Phone:(503)780-4916
Subtotal MU
CCB Lic.: 104699 Minimum permit fee: $72.50 _
Plumbing Lie.no.:3-348PB Plan review (25%of permit fee)
Authorized signature: MI
State surcharge(12%ofpermit fee) wan
gacilt i10,, This permit app licaaftertionit expires ifa permit is not obtained within180
has been accepted as complete.
LVBwldineAPcrmh.U'LntU-Perimi App doe 10i01;09 'Fee methodology set by Tri-County Buildinb g Industr viceda-
s
Industry SerBoard.
440-46 16110/02/COM/N'FB)
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Su• i ression S stems:
;site Z7t•i1itjes V V S4
dee�eaj� � `potat
uare. .u;o ► �®e.
Footing drain- I" l00' P21.90 ree w?.
50 03 0 to 2,000 _ �..
Footing drain-each additional 100' $121.90
37.52 2,001 to 3,600 $169.69
Sewer- 1st 100' 1 62.54 3,601 to 7,200 $233.20
coASewer-each additional 100' 7,201 and greater $327.54
R • 37.52
Water Service- 1st 100' •ai
62.54
Water Service-each additional 100' 37.52 Medical Gas Systems:
Storm&Rain Drain-1st 100' 'oat afi0°"Il t 4 4 6
62.54 A . ; etlll �(` Kt. x owl
Storni&Rain Drain-each additional 100' 37.52 $1.00 to$5,000.00 Minimum fee$72.50
$5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for
�,, t iC z 12 t';,..„„,,Qr1, ,, * 1 � k "POI*
each additional$100.00 or fraction thereof,to
I? 1
Inspection of existing plumbing or for
and including$10,000.00.
which no fee is specifically indicated 90.00/hr $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for
(minimum charge-1/2 hour) each additional$100.00 or fraction thereof,to
Inspections outside of normal business 90.00/hr and including$25,000.00.
hours(minimum charge-2 hours) $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for
each additional$100.00 or fraction thereof,to
Reinspection Fees 90.00/hr
Additional plan review for revisions and includin:$50,000.00.
(minimum charge-1/2 hour) 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for
Subtotal: each additional$100.00 or fraction thereof.
13 itc4'
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*.
41:101,4401: � 0 : `> ifttir
_� � ��� Replac s i ® R t t ° „Au t
m„e t, 1"'„n, ,+7d#1 a S Plan review is required for any of the following.
Baptistry/Font Please check all that apply.
Bath -Tub/Shower pp y'
❑ 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 Thru
0 New exterior plumbing site utilities for any complex structure
Cuspidor/Water Aspirator as defined in OAR918-780-0040.
Dishwasher -Commercial
Domestic 0 Medical gas and vacuum systems for health care facilities.
Drinking Fountain 0 Any multipurpose fire sprinkler system.
Eye Wash 0 Any complex structure as defined in OAR918-780-0040.
Floor Drain/sink -2"
3" Submit 2 sets of plans with any of the above.
grpmemoCar Wash Drain 0 < ,=K ,,
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)
Rec.Vehicle Dump Station Comments regarding fixture work:
Shower -Gang
-Stall
Sink/Lav -Non-food related 2
-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 7.. fees assessed for the sewer increase must be paid before the
Urinal
Other Fixtures: plumbing permit can be issued.
W:AConstruction Management\Tigard Transmission Shop 2015\Site& Shgl\Perniits\PLMU_PermitApp.doc
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
11646 SW PACIFIC HWY, TIGARD, OR, 97223 January 16, 2018 at
11 :06:36 AM
Record Type: Record ID:
Commercial - Plumbing PLM2018-00007
Inspection Type: Inspector:
399 Plumbing final Aaron Cillo-Gobel
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor