Permit (42) CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2019-00019
T[GAR.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/14/2019
Parcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9577 SW WASHINGTON SQUARE RD B07
Project: Morphe Subdivision: None Lot: None
Project Description: Interior plumbing for TI:Relocating(1)2"floor sink, (2)sinks,and(1)water closet; Installing (1)expansion tank and
(1)water heater.
Contractor: PMSI LLC Owner: PPR WASHINGTON SQUARE LLC
21195 NW EVERGREEN PKWY#204 PO BOX 847
HILLSBORO, OR 97124 CARLSBAD, CA 92018
PHONE: 503-466-2222 PHONE:
FAX: 503-466-2211
FEES
Quantity Description Date Amount
1 ea Expansion Tank 01/11/2019 $12.51
Specifics: 1 ea Floor Drain/Floor Sink/Hub 01/11/2019 $25.02
1 ea Sink 01/11/2019 $25.02
Type of Use: COM ea Lavatories 01/11/2019 $25.02
Class of Work: ALT 1 ea Water Closet 01/11/2019 $25.02
Type of Const: 1 ea Water Heater 01/11/2019 $37.52
Occupancy Grp: 1 12%State Surcharge- 01/11/2019 $18.01
Stories: Plumbing
Total $168.12
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: �' `
_X/4.r_t"(t____,.
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 FOR OFFICE USE ONL\
I Received J �j
City of Tigard Date/13y: 1/i / / %�J Permit No.:�f �oajy'rr
IN ® 13125 SW Hall Blvd.,Tigard,OR 97223 jA,I 0 0 Lola /
Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Other Permit No.: i t s
Date/By: B 1
TtGARD
Inspection Line: 503.639.4175
CITV r .F- .� _ t)ateReady/By: f H See Page 2 for
Internet. www.tigard-or.gov ' 7 y 18 -.tified/Method: Supplemental Information
TYPE OF W '" `'
C3FEE*`SCHEDULE
x
❑ New construction 0 Demolition For special information use checklist
Description I Qty. I Ea. I Total
®Addition/alteration/replacement 0 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
Each additional bath/kitchen 25.02
0 Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2
15
- 7 JOB SITE INFORMATION ANI) LOCATION' Site •
utilities:
Job site address: SSV Washington Square Road Catch basin or area drain 18.76
'
Drywell,leach line,or trench drain 18.76
City/State/ZIP:Tigard,OR 97223
Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.:B07 1 Project name:Morphe Manufactured home utilities 50.03
Cross street/directions to_job site: Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.:_) Page 2
Storm sewer(no.linear ft.:_) Page 2
Water service(no.linear ft.: �) Page 2
Subdivision: Lot no.: Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
Backwater valve 12.51
DESCRIPTION OF WORK -
Clothes washer 25.02
Plumbing for TI
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
.e ',PROPERTY OWNER 0 TENANT Expansion tank 1 12.51 12.51
Name: PPR Washington Square LLC Fixture/sewer cap 25.02
Floor drain/floor sink/hub 1 25,02 25.02
Address:PO Box 847
Garbage disposal 25.02
City/State/ZIP:Carlsbad,CA 92018Hose bib 25.02
Phone:( ) Fax:( ) Ice maker 12.51
w$ APPLICANT 0 CONTACF-:PERSON ", interceptor/grease trap 25.02
Business name:PMS1 LIC Medical gas(value:$ ) Page 2
Primer 12.51
Contact name:Brandy Solana
Roof drain(commercial) / 12.51
Address:21195 NW Evergreen Pkwy.,Ste.204 Sink/basin/lavatoty 1 2 25.02 50.04
City/State/ZIP:Hillsboro,OR 97124 Solar units(potable water) 62.54
Phone:(503)466-2222 Fax::(503)466-2211 Tub/shower/shower pan 12.51
1 mail:bsolano(d msi-systems.com Urinal / 25.02
Water closet ✓ 1 25.02 25.02
CONTRACTOR
- Water heater 1 37.52 37.52
Business name:PMSI LLC WaterPm iP� €/D WV 56.29
Address:21195 NW Evergreen Pkwy.,Ste.204 Other: 25.02
City/State/ZIP:Hillsboro,OR 97124 Subtotal 150.11
Phone:(503)466-2222 Fax:(503)466-2211
Minimum permit fee: $72.50
- Plan review (25%of permit fee)
CCB Lie.:158286 Plumbing Lie.no.:34-434PB
,( State surcharge(12%of permit fee) 18.01
Authorized signature: 41
�� ' `C "� �.L4 TOTAL PERMIT FEE
168.12
Print name:BrandySolano Date:1/2/19 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.lBu ildingWermits1PLMU-PenniiApp.doc 10101109 440-4616r(10/02/COM/WEB)
4'
A '- 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-l't 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
Sesser-each additional IOW 37.52
Water Service-1st 100' 62.54 Medical Gas Systems:
Water Service-each additional 100' 37.52
Valuation: ---.'-.: ,,:' .Pentilt-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 ty. 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 Mr 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 The . -J'qPlan Review
Fixture'1)11e for RePluel
Work Performed: Capped Added Rdocate Plan review is required for any of the following.
Please check all that apply.
Baptistry/Font 0 Any new commercial building with water service 2"and
Bath -Tub/Shower
-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 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.
Lye Wash
Floor Drain/sink I Submit 2 sets of plans with any of the above.
-3-
i., ..,c,-.„;..... ,,,,A,,,11111110A!'nitelly
Isometric or Kiser inagrant,Adot,,,
Car Wash Drain
0 Isometric or riser diagram is required for new buildings
Garbage -Domestic-non-4bod
Disposal -Domestic-food related that meet the qualifications above.
-Commercial-thod 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 1
-Bradley
-Commercial-food related
-Service 1
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 i fees assessed for the sewer increase must be paid before the
Urinal plumbing permit can be issued.
Other Fixtures:
M:\Joh Files\PMS1 Jobs\Waiting on Contracts\Morphe Washington SqualCity of Tigard Plumbing Permit App..doe
• Branden Taggart
From: Branden Taggart
Sent: Thursday, January 10, 2019 4:57 PM
To: Brandy Solano
Cc: #Building Permit Technicians
Subject: RE: Morphe Plumbing Permit Application: PLM2019-00019 - 9577 SW Washington
Square Rd.
Hi Brandy,
The plumbing permit for Morphe is ready to issue now. The balance due is$168.12, and you can pay the fees online
through our website: https://aca.accela.com/tigard/. Once you pay online, please notify us at
tigardbuildingpermits@tigard-or.gov, and I will email you the permit paperwork. If you have any questions about this
process, please let me know.
Thank you,
Branden Taggart
„„.,, City of Tigard
Senior Permit Technician
Community Development
TICAPM
13125 SW 14aii Blvd
Tigard,OR 97223
(503)718-2449
brandent@tigard-or,gov
From: Branden Taggart
Sent:Tuesday,January 8, 2019 4:39 PM
To: Brandy Solano<bsolano@msi-systems.com>
Cc:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Subject: RE: Morphe Plumbing Permit Application
HI Brandy,
Thank you for your submittal. Please allow 2-3 business days for processing, and we will contact you when the fees are
ready to be paid online.
Thanks,
1
1 Bram:len Taggart
., IN , City of Tigard
i IS , Senior Permit Technician
Community Development
TL
13125 SW Flail Blvd
Tigard,OR 97223
(503)718-2449
brandent@tigard-or.gov
From: Brandy Solano<bsolano@msi-systems.com>
Sent: Monday,January 7, 2019 3:06 PM
To:#Building Permit Technicians<TigardBuildingPermits@tigard-orgoy>
Subject: Morphe Plumbing Permit Application
Please see attached plumbing permit application, and let me know once fees are ready to be paid.Thank you.
Brandy Solano
Assistant Project Manager
, LLC
FM
Ph: 503.466.2222 Ext. 122
bsolano@msi-systems.com
DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail
may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retained
by the City of Tigard in compliance with the Oregon Administrative Rules "City General Records Retention Schedule."
2
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9577 SW WASHINGTON SQUARE RD B07,
TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Plumbing PLM2019-00019
Inspection Type: Inspector:
399 Plumbing final Don Sylvester
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor