Permit (165) t CITY OF TIGARD PLUMBING PERMIT
' COMMUNITY DEVELOPMENT Permit#: PLM2019-00070
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/27/2019
Parcel: 2S112DC00100
Jurisdiction: Tigard
Site address: 15605 SW 72ND AVE
Project: Consumer Cellular Subdivision:HERN PACIFIC TIGARD INDUSTRIAL Lot: 1-2
Project Description: Interior plumbing for TI:Adding(1)dishwasher, (1)drinking fountain,(2)2"floor drains, (4)sinks,(3)water closets,
and(2)urinals. Installing(1)garbage disposal and(1)water heater.
Contractor: WESTERN PLUMBING Owner: PACIFIC REALTY ASSOCIATES
9460 SW TIGARD AVE SUITE 101 ATTN: N PIVEN
TIGARD, OR 97223 15350 SE SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-639-5296 PHONE: 503-624-6300
FAX: 503-684-9015
FEES
Quantity Description Date Amount
1 ea Dishwasher 02/22/2019 $25.02
Specifics: 1 ea Drinking Fountain 02/22/2019 $25.02
2 ea Floor Drain/Floor Sink/Hub 02/22/2019 $50.04
Type of Use: COM 1 ea Garbage Disposal 02/22/2019 $25.02
Class of Work: ALT 4 ea Sink 02/22/2019 $100.08
Type of Const: 2 ea Urinal 02/22/2019 $50.04
Occupancy Grp: 3 ea Water Closet 02/22/2019 $75.06
Stories: 1 ea Water Heater 02/22/2019 $37.52
1 12%State Surcharge- 02/22/2019 $46.54
Plumbing
Total $434.34
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: 7
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.
/ \
Pinne•ing.Permit Applicati , c _
ihMAILED . `-'
Building Fixtures f.01; 61 1 is i,. i til d)Ni
City of Tigard R\\s\\Q
Received :. „,
13125 SW Hell Blvd..Tigard,OR 97223 .l?ateft_..i.a:'' . i't ,Pe ntft No.:P'[11�dd/T`Lkk)?L)
Phone: 503.718.2439 Fax: 503.598.1960 P ew
a?u inspection Line 503.639A175 ea _ ottu,r Parma N See
e a�� 1�` j�
- :--.L intemet www tigard-or.gov �° � �1"
- , ,- N Suppitm i Information
,��•• may. �
'„4 T:3`4?,* � �tL,','�j: a' : " f, f .N,t iC' .t; yuss x..-} ray
�]New construction 0 Demolition ,. .,` For special i mealifit use diecklin
1-,-.1.-:c71,'�... 1°kscription-- -
- AdditiOn/alteratioNreplaooment j�Other ; �� 1 .- - �. i �, 1_ Totai
* r ,, a ,, 7 -ik;;N ' \lNe+w 1-2-family dwellings(includes 100 ft.fbr each utility connection)
a..._ ..,. _,.._ if . SFR(1)bath 312.70
0 1-and 2 family dwelling Commeraial/i' a) SFR(2)bath _ 437.78
0 Accessory building 0 Multi-family SFR(3)bath 500.32
0 Master builder ❑Other: m Eaoh additional bath/kitchen 25.02
Fire sprinkler( sq.It.), Page 2
Job site address: le.10e6 az 1"'1\15 Catch basin or area drain 18.76
)` _cc D,t . . ii.Mach litre,or tdrain 18.76
City/State/4'P: "\'� `i Drywe .
5uite/bld n-n' Footing drain(no.linear ft.: _ .,) Page 2
g./apt.no.: Project name: q 1 htiv_ i 19 Y� y Manufactured home utilities 50.03
Cross street/directions to job site: of Manholes II,• 18.76
•
.
Rain drain connector 18.76
Sanitary sewer(no,linear ft.:�,„) Page 2
Storm sewer(no.linear R:_) Page 2
_ - - - Water service(no.linear ft.:, ) Page 2
Subdivision: 1 Lot no.: Fixture or item:
Tax map/parcel no.: e23 hiutDc 1c.,'�, )o Backflow preventer 31.27
tf1 ti 444 `2y> h ` r ' >." °` Backwatervalve i2.51
\,rA ,rr T \ QO Clothes washer 25.02
Bio.risher 1 l
25.02 g502
.W.)(VW3 b
QS Drinking fountain\
Ejectors/sump 25.02
,,. ..,xa - ; .;0 ' Expansion tank 12.51
Name:
Fixture/sewer bap 25.02
Address: Floor drain/floor sink/llub\\ 4..--"*.."1.. 25.02 .
_ garbage di
City/State/ZIP: ag .1 X_ 25.02 e i,.(�2
Nose bib 25.02
Phone:( ) Fax:( ) Ice maker _
12.51
', '4 �`_,..- . _-: xD1,4-,2;,7;!'.7;....',1. lnter_ceptor/greese trap 25,02
Business name:k klitj�• C'+(kIkt((iol'1(\C� .o.e . Medical gas(value:$ ) Page 2
Contact name j� nacre () Primer ] 51
Address: { \� Q�, Roof drain(commercial) _ 12.51
`�Q6 R VJ T1 p�(`1104 k)<3lu IC)\ Sink/basin/lavatory\\\\ 25.02 /0(3,n$
City/State/ZI
�ot� Solar units(potable water) 62.54
Phone:(5111)1.1, r.5 (p Fax::( ) Tub/shower/shower pan 12.51
E-mail dGlntLOa - � n n , cm> Urinal \1 2, 25.02
x .., us v 5.::,i;t -f'`t�..T.. .. '.. }.� is ` Water beater ti ✓-- 25.02 T1�
Business name:Western Plumbing,Inc �77R water beater \ 37.52 52
Water piping/DWV 56.29
Address:9460 SW Tigard Street,Suite 101 Other 25.02
•
City/State/ZIP:Tigard,OR 97223 Subtotal ' ,
Phone:(503)639-5296 Fax:( ) ._ Minimum permit fee: $72.50
CCB Lic.:2439 Plumbing Lie,no.:3429PB review (25%of permit fee)
State surcharge(l2%of permit fee)
Authorized signature: 1] D�
• . � 4 TOTAL PERMIT FEE �,'- �y 3/4
Print name: blxvi / Date:a j�l�q.
This permit application expires if a permit is not obtained within ISO ya
^ %w after it has been accepted as complete
*Fee methodology set by Tri-County Building Industry Service Board.
L\BuildbytWermiuPLMU-PermitApp.doe 10/01/09 440-4616T(I0/02/COMAVSB) -- '
PlumbingPermit A►,pialicatjon - City of Tigard
Page 2 -Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
r Sitet> : .... '''''.1..:',,,,,,.r.',.::;41'1-..-...;
g ; �,. 4 stat € `._�''4^`'
Footing drain 1"100 50.03 _ 0 to 2.000 ._ . $131.90
_
Footing drain-each ad _. _ . ._ ._ _ .,, . .. _. . ,ail 0700
Sawa-1st 100' 62,54 .20 `
�. .�. :. .7,20 and greater - $327,54..
Sewer-each additional 100' v 37.52
Water Service-1st 100 62.54 Medical Gas Systems:
Water Service-each additional 100' 37.52
StormRam Drain•1st 100' 62.54 +ox' n -• `,. ,
Storm&Rain Drain•each additional 100' _37.52 4 SIN to$5.000.00 . Minimum fee$72,50
35,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for
etI ! '" 'Fgitfi each additional$100.00 or fraction thereof,to
"' "'r• „nand in(efudina$10,000.00.
inspection oresisting plumbing or for $10.001 AO to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for
which no the is specific lly indicated 90.00/hr catch additional$100.00 or fraction thereof,to
t,ninflntnn Charge-.1/2 hpu �' and lttciudi a$25. 00. _ _
Inspections outside of normal business 90.00/hr $25.001.00 tb$50,000.00 $379.50 for the first$25,000.00 and$1.45 for
hours crnirtlRi chg»?e-2 host each additional$100.00 or fraction thereof,to
Reinspection Fees 40.00/1tr and ineiudi.a$50 00000
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
(nti intim charas- /2 roti t -,__ _--- .. _ _each additional$100.00 or fraction thereof:
Subtotal:
Commertial Fiixture.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*.
>rlature Tytre Etas :' >... _. = �._.,.�!i $
WorkPerforneed: ,., Ada d •l4el4" Plan review is required for any of the following.
Baptistry/Fent Please check all that apply.
Bath . -Tub/Shower -_ . _ - ❑ Any new commercial building with water service 2"and
-lacuszi/Whiripool greater,except systems designed and stamped by licensed
Car Wash -Each Stall engineer.
-Drive Tint ❑ New exterior plumbing site utilities for any complex structure
Cuapidor/Water Aspirator as defined in OAR918-780-0040.
Dishwasher -Commercial 0 Medical gas and vacuum systems for health care facilities.
0 Any multipurpose fire sprinkler system.
p_rinking_F4untaIp �• ., ❑ Any complex structure as defined In OAR918-780-0040.
Fye Wash..
Floor train/sink -2"2" a.. Submit 2 sets of plans with any of the above.
'• X N,• 'kms �n,-�' •
,.. ..,. ... __ . _. : .-4"Wash15ttitn. ia, Et. " ..... iftiV :,
Garbage -Domestic-non-food �_ isometric or riser diagram is requited for new buildings
,
Disposal -Domestic-food related .., . ._.. , ..._. Viet meet the qualifications above.
-Commercial-food related �a .�_
, -Ind al-f...related.
icn MeelliRofrig.Drains ._ ___
Oil '. .: .tor Gas Station i —Comments regarding fixture work:
,Ree Vehiglepump,Station_ .. ._ _ . Gur
. j.e A' s`-e".01-.. y:c>a
`s'f A-rrt- .
fShower -Gang w �__. .. _
-Steil f/v .
Sink/Lay -Non-food related
-Bradley
-Commercial-food related
-Service. __
SwlpiminaFooi Filter „-. _
Washer-Clothes *Note: If the fixture'work under this permit results in an
Water Extractor increase of sewer EDivs,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:k I.c'tt*YbrI:XQ I
hop://www.tigard-or.gov/document center/Buiiding/PLMF PermitApp.dtg
i
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
15605 SW 72ND AVE, TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Plumbing PLM2019-00070
Inspection Type: Inspector:
399 Plumbing final Don Sylvester
Result:
PASS - NoCofO
Comments:
1 . Corrections are complete, plumbing final approved
Violation Summary:
Inspector Contractor