Permit (39) CITY OF TIGARD PLUMBING PERMIT.114 COMMUNITY DEVELOPMENT Permit#: PLM2018-00207
T[GA J D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/02/2018
Parcel: 1 S 126CA00200
Jurisdiction: Tigard
Site address: 9285 SW GREENBURG RD
Project: Jemma Co Subdivision: None Lot: None
Project Description: Interior plumbing for TI:Adding(5)non-food related sinks and(4)water closets; Installing 225 ft.of sanitary sewer,
and(1)water heater.
Contractor: PETE'S QUALITY PLUMBING Owner: LINDQUIST DEVELOPMENT CO INC
20985 S SWEETBRIAR RD PO BOX 42135
WEST LINN, OR 97068 PORTLAND, OR 97242
PHONE: 503-557-8450 PHONE:
FAX:
FEES
Quantity Description Date Amount
225 If Sanitary Sewer 05/02/2018 $137.58
Specifics: 5 ea Sink 05/02/2018 $125.10
4 ea Water Closet 05/02/2018 $100.08
Type of Use: COM 1 12%State Surcharge- 05/02/2018 $48.03
Class of Work: ALT Plumbing
Type of Const: 1 ea Water Heater 05/02/2018 $37.52
Occupancy Grp:
Stories:
Total $448.31
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: �� 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.
Plumbing Permit Application ;,
Building Fixtures`, -*SAN. . FOR OFFICE I_SE ONLN
City of Tigard
tk Received �
IN oll 13125 SW Hall Blvd.,Tigard,OR 3 Date/By: S'/j /3f+�- Permit No.: ALM�J�f�� :j,w
R, a PI R U�U Wi7�
Phone: 503.718.2439 Fax: 503.598.1960 > 1h Daan te/By:
Other Permit No.:.0
T 1 G A R D Inspection Line: 503.639.4175 �.n A , y' rJ� Cj
Internet: www.tigard-or.gov 1\` F tl �..t 9 \ ate Ready/By: .runs: 1 0 See Page 2 for
04,'
� X -Notified/Method: .d Supplemental Information
TYPE OF WOR' ✓ l+ FEE*SCIEIFDULE
New construction
I For special information use checklist
Description
ElAddition/alteration/replacement ❑i'�ther: � Qty. I Ea. I Total
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 .Commercial/industrial SFR(2)bath 437.78
❑Accessory building 0 Multi-family SFR(3)bath 500.32
ID Master builder Each additional bath/lcitchen 25.02
❑Other:
Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATIONAND"LOCATION Site utilities:
Jobsite address:q s 0--5---;.„,:)-6,4 )_,`� 1�/
DCatch basin or area drain I 18.76
City/State/ZIP: "�'L � F7 Y` ryµell,leach line,or trench drain 18.76
/
e/ 4---- Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: Project name: ]�
i/�sL1 Lf Lt(. Manufactured home utilities 50.03
Cross street/directions to job site: Manholes
18.76
r i c Rain drain connector 18.76
Sanitary sewer(no.linear ft.:).1-4-1. 3 Page 2 /3 7,5-t
Storm sewer(no.linear ft.:_) Page 2
Subdivision: Water service(no.linear ft.:_) Page 2
Lot no.: Fixture or item:
Tax map/parcel no.: 01 W CA U Backflow preventer 31.27
` " Backwater valve 12.51 IERON WORK
n Clothes washer 25.02
P/u L4t L47 i) (6A rem 4A)3/.' , •r -
Dishwasher 25.02
C '5-5,-,,,,,4„,I L��A.�e"1C t1 �c�- 1- L /t-i.'X d it /"..„1,e, Drinking fountain 25.02
'f- iZ+k I /�,�,/S Ejectors/sump
f✓ `� ,77.,./:_,,,,,,,,:: "'v J 25.02
PROPERTY O" Expansion` �"'�� � � � i�ANT E��� .. ��� Ex ansion tank 12.51
Name: t f�� Fixture/sewer cap 25.02
n L rA ..vie-/c90mai, tI.0
Address: 0 ) i
� : -G -y./ 6 -- Floor drain/floor sink/hub 25.02
City/State/ZIP: f - Garbage disposal 25.02
t 4 C - 4 ? 7'� Hose bib
(?��) .7)-2_7 y 25.02
Phone: Fax:(�1�-�)LZ`f-.,�'z.(� Ice maker
' ,su ;`� ainiCAN'f , 12.51
"�ONL"�1C'['�'ERSON Interceptor/grease trap 25.02
Business name: se. es S Medical gas(value:$ ) Page 2
Contact name: Primer 12.51
Address: - Roof drain(commercial) 12.51 ir2 r.l No
_
City/State/ZIP: Solar units(potable water) 62.54_
2.54 Sink/basin/lavatory 25.02
r r,
' T
Phone:( ) I Fax::( ) Tub/shower/shower pan 12.51
d
Urinal 25.02 `a
E-mail:
'l > Water closet r
CONTRATQR s ,1 25.02
Water heater
Business name: �� j /1�ti / 44 je 4 j 56. 9
L41.-Lip Water piping/DW V 56.29
Address: 2 &Z r 4 . S ��±b K,i
� 4 Other:
_ 25.02 �
City/State/ZIP: 1/2/_&--3-f-- . Subtotal /1610
Phone: 5)q 34 7jG�1 Fax:(��J3y1�T� (y� f�, Minimum permit fee: $72.50
CCB Lic. (+�_3 s--e7 Plumbing Lic.no.: `3 31 Plan review (25%of permit fee)
Authorized signature: ,�_[/ /� State surcharge(12%of permit fee)
�' �7`6 vLc. ,_ TOTAL PERMIT FE q%1`
Print name: L p 31
This permit application expires if a permit is not obtained wi in 1, days
Date: ..--/,___/(1)
r t 1 Jafter it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Seg Board -
I:\Building\Permits\PLMU-PermitApp.doe 10/01/09 440-4616T(10/02/COM/WEB)
Plumbing Permit Application - City of Tigard 4 F
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
ite T es Qty k Fee(ea)A T,`total,, q tareFoot gae: w,= Pei n><t Fee:
" � 50.03 0 to 2,000 $121.90
Footing drain-l'100' 2,001 to 3,600 $169.69
Footing drain-each additional 100' 37.52 3,601 to 7,200 $233.20
Sewer-1st 100' / 62.54 . ), Ej`'i 7,201 and greater $327.54
Sewer-each additional 100' 'j 37.52 76' v t(
Water Service-1st 100' X71 62.54 Medical Gas Systems:
Water Service-each additional 100' 37.52 Valuntionr '_- Permit Fee:`' ... t w
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
Fee(ea) Total each additional$100.00 or fraction thereof,to
ether inspections lOIIS Off'Fees_; Q ' ° 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.
$50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for
Additional plan review for revisions 90.00/hr each additional$100.00 or fraction thereof.
(minimum charge-1/2 hour)
Subtotal: j 1,37 5i
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*. _ . " I ,ItevigWWfor Phunhing Inst illaiop�x
Quantity by Fixture Type , Plan review is required for any of the following.
Fixture Type for Rept Please check all that apply.
Work Performed: Capped Added locate
� 0 Any new commercial building with water service 2"and
Baptistry/Font greater,except systems designed and stamped by licensed
Bath: -Tub/Shower engineer.
-Jacuzzi/Whirlpool 0 New exterior plumbing site utilities for any complex structure
Car Wash: -Each Stall as defined in OAR918-780-0040.
-Drive Thni ❑ Medical gas and vacuum systems for health care facilities.
Cuspidor/Water Aspirator 0 Any multipurpose fire sprinkler system.
Dishwasher: -Commercial 0 Any complex structure as defined in OAR918-780-0040.
-Domestic
Drinking Fountain Submit 2 sets of plans with any of the above.
Eye Wash
Floor Drain sink: 2" ,- Isometric"or Riser Diagram
2" :"x ,
4» ❑ Isometric or riser diagram is required for new buildings
-Car Wash Drain that meet the qualifications above.
Garbage -Domestic non-food
Disposal: -Domestic food related
-Commercial food related
-Industrial food related Comments regarding fixture work:
Ice Mach./Refrig.Drains
Oil Separator(Gas Station)
Rec.Vehicle Dump Station
Shower: -Gang
-Stall 7/5
Sink: -Lav/Bar non-food related
-Bradley
-Com/Serv/Util food related
-Service *Note: If the fixture work under this permit results in an
Swimming Pool Filter increase of sewer EDU,,a sewer permit will be issued and
Washer-Clothes fees assessed for the sewer increase must be paid before the
Water Extractor plumbing permit can be issued.
Water Closet-Toilet y
Urinal
Other Fixtures:
I:\Building\Permits\PLMF PermitApp.doc 08/04/2011 2
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9285 SW GREENBURG RD, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Plumbing PLM2018-00207
Inspection Type: Inspector:
399 Plumbing final Don Sylvester
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor