Permit (49) CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2018-00218
Date Issued: 05/07/2018
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1 S 07/201 1506
Jurisdiction: Tigard
Site address: 9020 SW WASHINGTON SQUARE RD
Project: One Embassy Subdivision: None Lot: None
Project Description: Replacing existing plumbing fixtures on the 1st floor men's and women's restrooms. No new fixtures are being
added.
Contractor: REED PLUMBING LLC Owner: TOWMAN ONE EMBASSY CENTRE LLC
PO BOX 2603 BY TOWMAN LLC
OREGON CITY, OR 97045 25425 BASCOM AVE STE 230
CAMPBELL, CA 95008
PHONE: 503-572-3785 PHONE:
FAX:
FEES
Quantity Description Date Amount
4 ea Lavatories 05/07/2018 $100.08
Specifics: 1 ea Urinal 05/07/2018 $25.02
5 ea Water Closet 05/07/2018 $125.10
Type of Use: COM 1 12%State Surcharge- 05/07/2018 $30.02
Class of Work: ALT Plumbing
Type of Const:
Occupancy Grp:
Stories:
Total $280.22
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: �}� �q/Permittee Signature: ,0/DG �z
,
/
6 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.
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Plumbing Permit Applicatio
BuildingFixtures
FOR (}FFI(F: 1. SE (1Nl }.
City of Tigard AY ' Z D�� Recteived-</,7/ Permit 0-2/
+ 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
/� �L ����IO
• Phone: 503.718.2439 Fax: 503.59c1r1 OF IGAR.D Other Permit No.:
1 a 1 Date.Uy:
T 1 c.:A It n Inspection Line. 503.639.4175 Dale Reads By tuns. l3 See Page 2 for
!Memel: www.tigard-or.gov BUILDING DDVISIION Notified/Method: Supplemental Information
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iiiiiir.::,:',1.,,..i,ftti, �. ;!liiiilliiiM li i a L`, �ii
�tiii�i:iii;�,11.,.7f<,•.�.�.::. 11.!ii:.:s.,.. ,,, F) SeF�F ... .. .. .� � '.::..... ,. ...:. � _._:. ' :.... _.s.„,,.��...`... .. .
0 New construction ❑Demolition For special information use checklist
Description Qty. , Ea. Total
1 ®Addition/alteration/replacement ❑Other: New I-2-family dwellings(includes 100 ft.for each utility connection)
1 f ' rili� � a a -a =1 SFR(1)bat�G� C► � e - � , t
❑ I-and 2-family dwelling ®Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 500.32
❑Accessory building ❑Multi-family
Each additional bath/kitchen 25.02
❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2
,. ;,, 3 ..: :. ....:sc�':;'2`=-2" UtllltleS'
... ._......: � ..��:.iii )��'1.idFA!f,";4tC,� S',.`.°.....,, a� �{s�±��ein4�l+•c:::cc;_��:`_-�::.. ..._--
.: :: ::::::::::..•_:�::c:;;-c;<-:::::_:;!�. ,. . Site 18.76
Job site address:9020 SW Washington Square Road / pL.G'Z), ,,,,, Catch basin or area drain
Dryw•ell,leach line.or trench drain 18.76
City/State/LII':Tigard,Or
Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: l Project name: Gt�3�/ Manufactured home utilities _ 50.03
Cross street/directions to job site: e/`t/ x7i2 4,5r - Manholes 18.76
217/Hall blvd. Rain drain connector 18.76
Sanitary sewer(no.linear It.:_) Page 2
Storm sewer(no.linear ft.:_) Page 2
Water service(no.linear ft.: ) Page 2
Subdivision: I Lot no.: Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
"',14,11•„.i„ ,i:•i :;: (tl;- _.. . .. _ . .:...... . .:..:•............. _ -: :: ....,,.,...,.........:.„..t
"::
Backwater valve 12.51
..,:.
:....................z': Clothes washcr 25.02
Replacing plumbing fixtures on the first floor mens/womens bath first floor only Dishwasher 25.02 _
Drinking fountain 25.02
y Ejectors/sump 25.02
PR:QP Ii1'1'_ S,. .e 114rlil+t ,, 1 Expansion tank 12.51
Fixturc/sewer cap 25.02
Name:
Floor drain/floor sink/hub 25.02
Address: Garbage disposal 25.02
City/State/ZIP: Ilose bib 25.02
Phone:( ) Fax:( ) Ice maker 12.51
.... i�� , i i,z. lI'ul `.t Isi : - ,, ,,,'' f O aSC
tote sept tor/ trap 25.02
Business name:Reed Plumbing LLC Medical gas(,value:$ ) Pagc 2
Primer 12,51
Contact name:Julie Reed Roof drain(commercial)
12.51
Address: PO Box 2603 Sink/basin/lavatory 4 25.02 I00.08
City/State/ZIP:Oregon City,OR 97045 Solar units(potable water) 62.54
Phone:(503)572-3785 Fax::( ) Tub/shower/shower pan 12.51
Urinal I 25.02 25.02
E-mail:juliestevenrced@comeast.net
_;.,. � - t`-�-•=:r , � .. � . Water clo
et S 125.10
_.. . 1;:,:�._ . . . .'. _ . > a._-w 1! ""=•=7-'•:•:'-•-•• _: , Water heater 37.52 _
_
Business name:Reed Plumbing LLC Water piping/DWV 5fi.29
Address:PO Box 2603 Other: 25.02
City/State/ZIP:Oregon City,OR 97045 Subtotal 250.20
Phone:(503)572-3785 Fax:(503)656-1538 Minimum permit fee: 872.50
Plan review (25%of permit fee)
CCU Lie.: 186365 Plumbing Lie,no.:PB-871
State surcharge(12%of permit fee) 33 ,e;--
Authorized signature: ill
A Uk,--,�D"'�/J. TOTAL PERMIT FEE 2802A,
Print name:Julie M.Reed `f ?G Date:05/01/2018 This permit application expires if a permit is not obtained within ISO days
after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
1:\Bui!d,ng\Permits\PL.MU-PermitApp.due 10/01f09 440-4616T(10r02iCOM/WEU)
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
•
S1Ite u trill >fel > it . = _.,.:,. Pen
Footing drain-I°' 100' 50.03 0 to 2,000 S121.90
Footing drain-each additional 100' 37.52 2,001 to 3,600 5169.69
3,601 to 7.200 $233.20
Sewer- 1st 100' 62.54 7,201 and greater $327.54
Sewer-each additional IOU' 37.52
Water Service-1st 100' 62.54 Medical Gas Systems:
Water Service-each additional 100' 37.52 =
Storm&Rain Drain-1st 100' 62.54 ' P it Fee.
$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$5,1)00.00 and$1.52
.. . ..............................:........:.. ......::::. , ;;_......,::_;;i,i each additional$100.00 or fraction thereof,to
.....................�:.`.
nspe�.. :'. rP
; , 9R
, ,:.:::;: .......,:::.;�;z s�:-'.,..,;::i and including 510,000.00
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 550,001.00 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*.
amity b i'h tune 3
�11CttrfL"," fflry r , ... ..' Plan review is required for any of the following.
arf+ r'/Fon cit C pN!• Please check all that apply.
Baptistry/Font
Bath :1'0/Shower0 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"I'hru ❑ 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 tire 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.
itt�tcIlr >I+ .:
Car Wash Drain
0 isometric or riser diagram is required for new buildings
Garbage -Domestic--non-food qg
Disposal -Domestic-food related that meet the qualifications above.
-Commercial-Rxtd related J D /fl�L
-Industrial-food related ii f�
Ice Mach./Refrig.Drains
Oil Separator(Gas Station) Comments regarding fixture work:
Rec.Vehicle Dump Station Replacing plumbing fixtures,water and d
Shower -Gang
-Stall drain lines not chancing
Sink/Law -Non-food related
-Bradley
-Commercial-food related
-Service
Swimming Pool Filter *
Washer-ClothesNote: 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 5 fees assessed for the sewer increase must be paid before the
Urinal plumbing permit can be issued.
Other Fixtures:
C:lusersjuliestevenrccd\Downloads\PI MF_PermitApp(2).doc 2
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9020 SW WASHINGTON SQUARE RD, TIGARD,
OR, 97223
Record Type: Record ID:
Commercial - Plumbing PLM2018-00218
Inspection Type: Inspector:
399 Plumbing final Don Sylvester
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor