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Permit (120) CITY OF TIGARD PLUMBING PERMIT ,114 111 COMMUNITY DEVELOPMENT Permit#: PLM2018-00518 Date Issued: 11/06/2018 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S101AD03100 Jurisdiction: Tigard Site address: 6950 SW HAMPTON ST 340 Project: Shapiro and Sutherland Subdivision: WEST PORTLAND HEIGHTS Lot: B Project Description: Interior plumbing for TI:Replacing(1)dishwasher,(1)2"floor drain,(1)break room sink,(1)water heater,and(1) primer. Contractor: BEAVERTON PLUMBING INC Owner: WESTON INVESTMENT COMPANY 13980 SW TV HWY ATTN:JOSEPH E WESTON BEAVERTON, OR 97005 2154 NE BROADWAY ST PORTLAND, OR 97232 PHONE: 503-643-7619 PHONE: FAX: 503-643-7620 FEES Quantity Description Date Amount 1 ea Dishwasher 11/06/2018 $25.02 Specifics: 1 ea Floor Drain/Floor Sink/Hub 11/06/2018 $25.02 1 ea Primer 11/06/2018 $12.51 Type of Use: COM 1 ea Sink 11/06/2018 $25.02 Class of Work: ALT 1 ea Water Heater 11/06/2018 $37.52 Type of Const: 1 12%State Surcharge- 11/06/2018 $15.01 Occupancy Grp: Plumbing Stories: Total $140.10 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: ✓ / ermittee 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. Pl imbing Permit Application C//a/21 of '7 .E.�-- /() 3 0/18 Building Fixtures FOR OFFICE USE ONLY Cityof Tigard r` t r g rved ` 62.7)..._ Permit No.: ,p g t. p~` ic 4 E ry 14/3 0`s i )��G S7� - 13125 SW Hall Blvd.,Tigard,OR 97223 *c,, ,, „A s, ,,.p Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit No.: ,/� �CrAirf TIGARD Inspection Line: 503.639.4175 r ��r 7 eQate Ready/By: orris: 0 See Paged for Internet: www.tigard-or.gov YVotified/Method: r, Supplemental Information TYPE OF WORK (,)i I y J)-, 1 ((4ARDFEE*,SCHEDULE; ❑New construction 0 De aikin r N; ti 11 t i S 1 ,. For special information use checklist Description I Qty. I Ea. I Total ®Addition/alteration/replacement ❑Other: 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 SFR(3)bath 500.32 ❑Accessory building 0 Multi-family 1,.Each additional bath/kitchen 25.02 ❑Master builder 0 Other: 11) Fire sprinkler(_sq.ft.) Page 2 JOB„SITE'INFORMATION AND LOCATIO f% . Site utilities: Job site address:6950 SW HAMPTON STREET Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP:TIGARD OREGON 97223 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.:340 I Project name:HAMPTON SQUARE Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: 1 Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.: 1 Page 2 Subdivision: I Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer / 25.02 Install BR sink,dishwasher connection,1 4 gallon water heater,1 hub drain and Dishwasher ✓ 1 25.02 g..S.l primer,drain connections below 2nd floor breakroom sink in men's restroom Drinking fountain 25.02 Vent abd water connections to be made on 3rd floor hallway outside womens rr Ejectors/sump 25.02 ' 0 PROPERTY'OWNER`, 0 TENANT Expansion tank 12.51 Fixture/sewer cap 25.02 Name: Floor drain/floor sink/hub 1 25.02 ,2-5-1c,. Address: Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 . a APPLICANT, ® CONTACT.PERSON Interceptor/grease trap 25.02 j Business name:BEAVERTON PLUMBING INC Medical gas(value:$ ) Page 2 Primer 1 12.51 /jj ,5 Contact name:JACKIE STEWART Roof drain(commercial) 12.51 Address:13980 SW TUALATIN VALLEY HWY Sink/basin/lavatory 1 25.02 �j;G,� City/State/ZIP:BEAVERTON OREGON 97005 Solar units(potable water) 62.54 Phone:( ) 503-643-7619 Fax: :( )503-643-76 Tub/shower/shower pan 12.51 Urinal 25.02 E-mail:jackie@beavertonplumbing.com Water closet 25.02 CONTRACTOR ),,� Water heater 1 37.52 3 J Business name:BEAVERTON PLUMBING INC Water piping/DWV 56.29 Address:13980 SW TUALATIN VALLEY HWY Other: 25.02 City/State/ZIP:BEAVERTON OREGON 97005 Subtotal 425 (y, Phone:( ) 5036437619 Fax:( ) 5036437620 Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lic.:12889 Plumbing Lic.no.:34-4PB State surcharge(12%of permit fee) f>, L 1/ Authorized signature: C7LL L(1-4-- �Zei„ 'f' TOTAL PERMIT FEE /1-0. (C Print name:JACQ INE STEWART Date:10/30/2018 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I.\Building\Permits\PLMU•PermitApp.doc 10/01/09 440.4616T(10/02/COM/WEB) I 6 ., Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities. Qty Fee(ea) Total Square Footage: Permit Fee: Footing drain-I"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 Qty. :; `Fee(ea) Tota! each additional$100.00 or fraction thereof,to Other Inspections or Feesand 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 each additional$100.00 or fraction thereof. (minimum charge-1/2 hour) 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 any of the following. Work Performed: Capped Added Relocate Please check all that apply. Baptistry/Font Bath -Tub/Shower 0 Any new commercial building with water service 2"and greater,except systems designed and stamped by licensed -Jacuzzi/Whirlpool 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 1 0 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" t Submit 2 sets of plans with any of the above. 3" Isometric or Riser Diagram ,, Car Wash Drain 0 Isometric or riser diagram is required for new buildings Garbage -Domestic-non-food Disposal -Domestic-food related that meet the qualifications above. -Commercial-food related -Industrial-food related Ice Mach./Refrig.Drains Oil Separator(Gas Station) Comment �regarding fixture work: Rec.Vehicle Dump Station Ilubt Qz yi SLper;rne is • Shower -Gang -Stall Sink/Lav -Non-food related 1 -Bradley -Commercial-food related -Service Swimming Pool Filter *Note: If the fixture work under this permit results in an Washer-Clothes increase of sewer EDUs,a sewer permit will be issued and Water Extractor Water Closet-Toilet fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fixtures: 1 http://cros4.revize.com/revize/tigard/document_center/Building/PLMF_P mitApp.doc I From: 10/30/2018 14:07 #008 P.001/002 Plumbing PermitApplicaN :IVIED Building Fixtures FOR OFFICE 1;SE ONLY Cl of Tigard l ' 3 0 U I" Received Permit No.: / . ll DateJBy: /L :) / r Irl j/ j. 13125 SW Hall Blvd.,Tigard,Q 1G n,r i Plan Review C. !t cI"! r Other Permit Phone: 503.718.2439 Fax: SQ ► „� ,i P t �teng : ,�, ', , ,!� TIGARD Inspection Line: 503.639.417 .. ) : «(1 LI:k S(Q �3 DateReady/By: 1u.s: ® See Page 2for Internet: www.tigard-or.gov Notified/Method: Sup temente!Information TYPE OF WORK FEE*•SCHEDULE 0 New construction ❑Demolition Fors. tial in ormalion use checklist Descri.tion IMIIIIIIM Total ®Addition/alteration/replacement ❑Other: New 1-2-famil dwelli :s(includes 100 ft.for each utilit connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ❑ 1-and 2-family dwelling ®Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 0 Accessory building 0 Multi-family Each additional bath/kitchen 25.02 0 Master builder 0 Other: Fire sprinkler L-_sq.ft.) Page 2 JOB SITE INFORMATION AND.LOCATION Site utilities: Job site address:6950 SW HAMPTON STREET Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP:TIGARD OREGON 97223 Footing drain(no.linear ft.:_J Page 2 Suite/bldg./apt.no.:340 Project nam s •, Manufactured home utilities 50.03 Cross street/directions to job site: L , , Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.:__J Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 Install BR sink,dishwasher connection,1 4 gallon water heater,1 hub drain and Dishwasher I 25.02 primer,drain connections below 2nd floor breakroom sink in men's restroom Drinking fountain 25.02 Vent abd water connections to be made on 3rd floor hallway outside womens rr Ejectors/sump 25.02 0 PROPERTY OWNER 0 TENANT Expansion tank 12.51 Fixture/sewer cap 25.02 Name: Floor drain/floor sink/hub 1 25.02 Address: Garbage disposal 25.02 Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 ❑ APPLICANT ' ® CONTACT PERSON Interceptor/grease trap 25.02 Business name:BEAVERTON PLUMBING INC Medical gas(value:S_) Page 2 Primer 1 12.51 Contact name:JACKIE STEWART Roof dram(commercial) 12.51 Address:13980 SW TUALATIN VALLEY HWY Sink/basin/lavatory 1 25.02 City/State/ZIP:BEAVERTON OREGON 97005 Solar units(potable water) 62.54 Phone:( ) 503-643-7619 Fax::( )503-643-76 Tub/shower/shower pan 12.51 E-mail:jackie@beavertonplumbing.com Urinal 25.02 Water closet 25.02 CONTRACTOR Water heater 1 37.52 Business name:BEAVERTON PLUMBING INC Water piping/DWV 56.29 Address:13980 SW TUALATIN VALLEY HWY Other: 25.02 City/State/ZIP:BEAVERTON OREGON 97005 Subtotal Phone:( ) 5036437619 Fax:( ) 5036437620 Minimum permit fee: $72.50 CCB Lie.:12889Plumbing Plan review (25%ofpermit fee) Lic.no.:34-4PB State surcharge(12%of permit fee) Authorized signature: t:e GGLLL,4Lt 1 Illtet,GrIti TOTAL PERMIT FEE 44/Print name:JACO:"INE STEWART Date:10/30/2018 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I.\Building\Perm ts\PLMU-PermstApp dac (0/01/09 440-4616T(10/02/COMM'®) From: 10/30/2018 14:07 #008 P.002/002 Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Fee(ea) Total ` .Square Footage: Permit Fee: Footing drain-I R 100' 50.03 0 to 2,000 $121.90 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 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' 37.52Valuation': 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 Qty..;, Fee(en) Total each additional$100.00 or fraction thereof to Outerri9pections oI''Fees 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 each additional$100.00 or fraction thereof. (minimum charge-1/2 hour) 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 any of the following. Work Performed: • Capped Added.: Relocate Please check all that apply. Baptistry/Font ❑ Any new commercial building with water service 2"and Bath -Tub/Shower greater,except systems designed and stamped by licensed -Jacuzzi/Whirlpool Car Wash -Each Stall engineer. -Drive Thru ❑ New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780-0040. Dishwasher -Commercial I 0 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" Isometric or Riser Diagram Car Wash Drain ❑ Isometric or riser diagram is required for new buildings Garbage -Domestic-non-food 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/Lav -Non-food related 1 -Bradley -Commercial-food related -Service Swimming Pool Filter *Note: If the fixture work under this permit results in an Washer-Clothes increase of sewer EDUs,a sewer permit will be issued and Water Extractor Water Closet-Toilet fees assessed for the sewer increase must be paid before the Urinalplumbing permit can be issued. • Other Fixtures: hitp://cros4.revize.con>/revize/tigard/document_center/Building/PLMF_Pgm itApp.doc Branden Taggart From: Branden Taggart Sent: Monday, November 05, 2018 4:18 PM To: 'Jackie Stewart' Cc: #Building Permit Technicians Subject: Shapiro and Sutherland Permit (Hampton Square): PLM2018-00518 - 6950 SW Hampton St. Attachments: Branden Taggart.vcf Hi Jackie, I am working on your permit for Shapiro and Sutherland located at 6950 SW Hampton St. Suite 340, and the floor drain is not listed in the Commercial Fixture Work section on the second page of the application. We would appreciate it if you can revise the application form and return it to us for processing. Thanks, Branden Taggart City of Tigard 11/ m „ Senior Permit Technician Community Development 13125 SW Hall Blvd Tigard,OR 97223 (5O3).718-2449 bra nde rit©tig and-o r.gov 1 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 6950 SW HAMPTON ST 340, TIGARD, December 3, 2018 at OR, 97223 10:26:04 AM Record Type: Record ID: Commercial - Plumbing PLM2018-00518 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor