Permit CITY OF TIGARD PLUMBING PERMIT
IICOMMUNITY DEVELOPMENT Permit#: PLM2018-00126
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/26/2018
TLCr 1Ri) Parcel: 2S101AB03100
Jurisdiction:
Site address: 12115 SW 70TH AVE 102
Project: TVF&R Subdivision: 2012-009 PARTITION PLAT Lot: 3
Project Description: Interior plumbing for TI:Adding(1)2"floor drain, (6)sinks,and(2)water closets; Installing(1)dishwasher,(1)
expansion tank,(1)primer,and(1)water heater.
Contractor: COLUMBIA CONSTRUCTION INC Owner: TIGARD TRIANGLE PARTNERS LLC
28170 BOBERG RD 18187 SIERA DR
WILSONVILLE, OR 97070 LAKE OSWEGO, OR 97034
PHONE: 503-427-0304 PHONE:
FAX:
FEES
Quantity Description Date Amount
1 ea Dishwasher 03/26/2018 $25.02
Specifics: 1 ea Expansion Tank 03/26/2018 $12.51
1 ea Floor Drain/Floor Sink/Hub 03/26/2018 $25.02
Type of Use: COM 1 ea Primer 03/26/2018 $12.51
Class of Work: ALT 6 ea Sink 03/26/2018 $150.12
Type of Const: 2 ea Water Closet 03/26/2018 $50.04
Occupancy Grp: 1 ea Water Heater 03/26/2018 $37.52
Stories: 1 12%State Surcharge- 03/26/2018 $37.53
Plumbing
Total $350.27
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 t rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. ouay obta - copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1 04. 2.2344.
Issued By• ,- Permittee Signature: hhAl
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 Application - City of Tigard
Page 2 - Supplemental Information
9
Fee Schedule: Residential Fire Suppression Systems:
Site Utilities Qty. Fee(ea) Total Square Footage: Permit Fee:
Footing drain-l'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
Valuation: Permit Fee:
Storm&Rain Drain-1st 100' 62.54 $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
Other Inspections or Fees Q 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*.
Quantity by Fixture Type Plan Review for Plumbing Installations
Fixture Type for Replace/ Plan review is required for anyof the following.
Performed: Capped Added Relocate 9
Baptistry/Font Please check all that apply.
Bath Tub/Shower ❑ 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 ❑ 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"
4„ 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
Ice Mach./Refrig.Drains
Oil Separator(Gas Station) Comments regarding fixture work:
Rec.Vehicle Dump Station
Shower -Gang
-Stall
Sink/Lay -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:
C:\Users\Darren\Downloads\PLMF_PermitApp.doe 2
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12115 SW 70TH AVE 102, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Plumbing PLM2018-00126
Inspection Type: Inspector:
399 Plumbing final Don Sylvester
Result:
PASS - NoCofO
Comments:
1 . Plumbing final for TVF&R space- approved
2. Note: provide pressure reducing valve for Bldg supply line, water pressure exceeds 80
P.S.I. ( 102 psi )
Violation Summary:
Inspector Contractor