Permit (143) CITY OF TIGARD PLUMBING PERMIT
11/ COMMUNITY DEVELOPMENT
Permit#: PLM2018-00068
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/06/2018
Parcel: 2S101AB03100
Jurisdiction: Tigard
Site address: 12115 SW 70TH AVE 200
Project: Dr.Steven Gabel MD PC Subdivision: 2012-009 PARTITION PLAT Lot: 3
Project Description: Plumbing fixtures for new tenant: ADD(1)clothes washer,(1)2"floor drain,(1)eye wash,(2)lays,(3)procedure
room sinks,(2)treatment sinks,(1)hair wash sink,(1)break room sink, (2)janitor sinks,(1)sterile room sink,(2)
dirty room sinks,(2)water closets and(1)water heater.
Contractor: CASCADE PLUMBING CO Owner: TIGARD TRIANGLE PARTNERS LLC
15765 SW 74TH AVE 18187 SIERA DR
TIGARD, OR 97224 LAKE OSWEGO, OR 97034
PHONE: 503-289-7095 PHONE:
FAX:
FEES
Quantity Description Date Amount
1 ea Clothes Washer 03/05/2018 $25.02
Specifics: 1 ea Floor Drain/Floor Sink/Hub 03/05/2018 $25.02
12 ea Sink 03/05/2018 $300.24
Type of Use: COM 2 ea Lavatories 03/05/2018 $50.04
Class of Work: ALT
2 ea Water Closet 03/05/2018 $50.04
Type of Const: 1 ea Water Heater 03/05/2018 $37.52
Occupancy Grp:
Stories: 25 Misc Other Fee 03/05/2018 $25.02
1 12%State Surcharge- 03/05/2018 $61.55
Plumbing
Total $574.45
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: �`% .1z/27.74,
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.
t
Plumbing Permit ApplientioRECEIVED
Building Fixtures FOR OFFICE USE ONLY
FEB 2 0 2018
City of Tigard Date Recurred
77.2 //' 4 4 / 4O ",e., e
II413125 SW Hall Mad Tigard.OR 9? ( (� ( Date tae
8, Ph(ne: 503'718'2459
Fax
` St)3, ()tiler Permit Nn
blR�G aEhiiO i Daickay _ // / 110
Inspection Line: 503.Ci39.4175 y 5tl See Page 2 for
T 1 G A Kp Date kcad�Bs lura
Internet: www.tigard-or.go' I Notified Meth - �� Supplemental lnfurntatton
TYPE OF WORK frit?+97L_�. ire"i4-r49 FEE* SCHEDULE !
For!pedal rnarurationuseel:traA.
vcw construction ❑T�enrolition
__..__., Description , Qty. j Ea. I Total_
❑Addition:alteration,'replacement 0 Other; New 1 2 fanule dsselhtrgs(includes 100 ftfor each tnilits connection)
CATEGORY OF CONSTRUCTION i SFR(1)bath l 312.70 l
❑ 1 and 2-f"arntly dw elling C ontnterciata`induati i al SFR(2)bath
SFR(3)bath 500.32 iN
t 0 Accessorybudding 0 Multi-fattuly
— Eachaddition rl bath l Itchen 25 02
0 Master budder 0 Other: _._
Eire sprinkler( sq.II _Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
1 Job site address:12115 S% 70 Ave Catch basin of alert di<tin I 76
_ 1
� .- pl}�wctf.(tach line,at trench drain Its76
1 City/State/IP: Tigard Or 97224 ---t--
__,_.. e '
_ Foonn a drain(no linear tt: I Pae 7 ,
1 Suite bldg%apt.no.:#200 Project name Dr Stesren Gabe! 'Manufactured
} _".
j. . _ 'bianui actin ed home utilities 50.03
Cross street/directions to job site: Manholes 1 t1 76
Rain Main connector 18.76
i m_J
Sanit l)scovcr(no.lineal 0.: Page 2
--- Storni sewer(no linear tt. __�i Page 2 '
.�._ .... _ _..,..._ Fate tet t let.Dux linear It:
) Page 2
i bd
Subdi inion: Lot no.;
; Fixture or tarn
Tax inap'parcel no.: U ickllow prce eniea 1 31 27
DESCRIPTION OF WORK
t loihes washer 1 / 25.C)2
Rough in and install plumbing fixtures,slater closets,sinks etc _.___
_. ._ Dishwasher 25.02
Blinking Fountain 25 02
I —
I.lectot,sump 25.02
PROPERTY OWNER 0 TENANT ' Expansion tank 1 12.51
Name: Fixture sewer cap , 25tI7
Floor drain floorsank=ltuh 1 25.02
Address:
Garbage:disposal 25.f12
City:StateiLIP;
Hese bib 25 02
Phone:( ) Fax ( ) lee maker 12.51 r
APPLICANT 0 CONTACT PERSON ' Interceptor gaca:.e trip 25.02
Business name:Quality West Plumbing DBA Cascade Plumbing Medical gas icaluc $ ) Page 2
__._
_ Printer 12.51 `
Contact name:Bekka Greer i
-� I Roof diainieontmctciult 1251
Address. 1576x5 SW 74th AVe#1111A
.q
Sink basin Iaxarra) 5E-E-A-d� 14 25.02
City(Staie Z1P:Tigard OR 97224Solar units(pitiable sate!) 62.54 '
Phone (5031289-7095 Fax::( ) - lub.showet showerptn i 12.51
1 hinal 15.01 i
E-mail:Caseadepluniti yahoo.com
_
CONTRACTOR ( Water 1oset 2 2507
---- _. 1 Water heater 1 I 37.52
Boomess name:Quality NN' t Plumbing DBA Cascade Plumbing
.... ...... Wirier piping.O ..d.,1--756-2-9
Address: I5765 SSA"741"Ase#i111.1 C)thcI cscwash t /i 25.02
a f
C uy,State LIP:Tigard Or 97224 Subtotal i
Phone:(503)289-7095 I Flax.( 1 rxlinfinum permit fec S72..()
Plan review 125° M.-permit fee)
C'CR lie.:204392 i Plumbing Lie no PB152t1
_. State'NWchars.c t 1"'b tr1 permit tet) __
Authorized signature 'J I . _ - .
L_ ._.. _ ._ 1{?TAEP1.RMtTFEF 7�j
a
Ibis permit application expires if a permit is not obtained within 1Ru class
1 r int name:Bekka Greer C)at :2/20/21118
after it has been accepted as somidete.
*I ec ntethc do i.,,, ser h} tri-t°may l)arildnie Indira)).lien ice 1)esin.
1 l?i,,Ed i e f ci¢aa[s:€^1 Sit-f'zsiiirn.Sr .I a )(..I Q., .4)-4,06 i I l:i:ti:CY711 wi n)
ii.
A
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Su t ression S stems:
Site Utilities Qty. Fee(ea) Total Square Footage: Permit Fee:
Footing drain-l" 100' 50.03 0 to 2,000 SI21.90
Footing drain-each additional 100' 37.52 2,001 to 3,600
S169.69
3,601 to 7,200 ' S233.20
Sewer- 1st 10(1' 02.54
7 7101 and rreater ' S327.54
_
Sewer-each additional I 00* 37 52
Water Service-1st 100' 02.54 Medical Gas Systems:
Water Service-each additional 100' 37.52 .. . _
Valuation: Permit Fee:
swi,&Rain Drain-I st 100' 02 54
51.00 to 55.000,00 Minimum fee S72.50
Storm&Ran,Drain-each additional IOW 37.51 55,001 MO to S 10.000.00 $72.50 for the first$5.000:60 and S1.52 Mr
Qty Fee(ea) Total
Other Inspections or Fees •• each additional S100.00 or fraction thereof,to
and including 51(1,000.00.
_
Inspection of existing plumbing or for '510,00 1.00 to S2.5,000.00 $1 4 .5U for the first S10,000.00 and$1.54 for
which no fee is specifically indicated 90.001hr each additional S100.00 or fraction thereof,to
min mum charge- 1'2 how) and including S25,000.00.
Inspections outside of normal business 9(1 1)0 , S25,001.00 to S50,000,00 5379.50 Iii'the first 525.060.0t1 and$045 fur
hours(minimum charge-2 hours) each additional SI00,00 in Iiactionthereof'.to
Reinspection Fees 00,00 10 and including 550.000.00.
Additional plan review for revisions 90.0(kii 550,1)0) and up 5742.00 I dr the first S50,000,00 and$1.20 for
(ininninrin charge-- 1,2 hour) each additional S100.00 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*.
Quanti.0,by Fixture Type Plan Review for Plumbing Installations
Fixture Type for Replace/
Work Performed: Capped Added Relocate Plan review is required for any or m
the folliing,
Please check all that apply.
Baptistry:Font „ ' - D Any Ile, u
conncreial building with iuter„ten‘ice 2-and
Bath -TubShower
-JacuzliWhirlpool greater.except systems designed and stamped by licensed
1
Car Wash -Each Stall
. „
-Drivel hru .
0 NOV exterior plumbing site utilities for any complex structure
Cuspidor Winer Aspirator as deli fled in OA R9 I 8-78(1-00410.
Dishwasher -Commercial . 0 Medical gas and vacuum systems for health care facilities,
-Domestic 0 Any multipurpose tire sprinkler system.
Drinking Fountain 0 Any complex structure as defined in OA R918-78(1-0040.
Eye Wash , 1 V
Floor Drain sink - I ‘? . Submit 2 sets of plans with any of the above.
_
Isometric or Riser Diagram
Car Wash Drain
El Isometric or riser diagram is required for new buildings
Garbogi: -Doniestie--niin-lood
Disposal -Domestic-ard related that meet the qualifications above.
-C'onunercial-tnod related
-Industrial-food -elated
Ice Mach.Refrig Drains
Oil Separator(Gas Station) Comments regarding fixture work:
Rec.Vehicle Dump Station 3 (" e_.
-' 0":,(Cd 1,-k_l‘ _xt CN iv\
' '
Shower -Gang
-Stall .
Sink Lay -Non-food related 14 / k A ..c.c.,... .. .. - .
-Bradley
-Cominergial-triod related . ..
-Service
Sri Miming Pool Filter *Note: If the fixture work under this permit results in an
Washer-Clothes I 11
Water ENtraciOr
increase of sewer E•DUs,a sewer permit will be issued and
Water('Inset-Tooct 2 v.," fees assessed for the sewer increase must be paid before the
Urimil plumbing permit can be issued.
Other Fixtures:
C:q'.sers`('ascade Ni aiirl)o‘vit It,ads' LM r ,Penn i tA pp(I(1),(10e 2
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12115 SW 70TH AVE 200, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Plumbing PLM2018-00068
Inspection Type: Inspector:
399 Plumbing final Don Sylvester
Result:
PASS - NoCofO
Comments:
1 . Correction's are complete, plumbing final approved.
Violation Summary:
Inspector Contractor