Permit (4) CITY OF TIGARD PLUMBING PERMIT
II
COMMUNITY DEVELOPMENT Permit#: PLM2019-00382
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/27/2019
Parcel: 2S 113BA00400
Jurisdiction: Tigard
Site address: 7632 SW DURHAM RD 300
Project: Banner Bank Subdivision: None Lot: None
Project Description: Interior plumbing for TI:Capping(1)2"hub drain;Adding(1)sink;Relocating(1)dishwasher and(1)sink;Installing
(1)expansion tank and(1)water heater.
Contractor: JAMES ROOD PLUMBING INC Owner: PORTLAND SW CENTER LLC
125 S 1ST AVE#542 BY FELTON PROPERTIES INC
HILLSBORO, OR 97123 ATTN: FELTON, MATT
520 SW 6TH AVE, STE 610
PORTLAND, OR 97204
PHONE: 503-547-0491 PHONE:
FAX: 503-547-0492
FEES
Quantity Description Date Amount
1 ea Dishwasher 09/27/2019 $25.02
Specifics: 1 ea Expansion Tank 09/27/2019 $12.51
1 ea Fixture/Sewer Cap 09/27/2019 $25.02
Type of Use: COM 2 ea Sink 09/27/2019 $50.04
Class of Work: ALT 1 ea Water Heater 09/27/2019 $37.52
Type of Const: 1 12%State Surcharge- 09/27/2019 $18.01
Occupancy Grp: Plumbing
Stories:
Total $168.12
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: _.cicic Permittee Signature: r.
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Plumbint Permit Application 4-. - - ',.- 1-• --,
, ..
. Building Fixtures Eon OFFICE': LSE ONLY
RECEIVED R.,,. , , -
City of Tigard
q 13125 SW Hall Blvd.,Tigard,OR 97223
III
196($EP 1 9 2019 Date 41
Phone: 503.718,2439 Fa71)1/5 /3,,,,, -
Plan Review
Date/By: Permit No.:
1 3 x: 503.598. ( hrPerm No.
at a4, 1 y
Inspection Line: 503.6394175
TIGARD CITY OF TIGARD Date Ready,
lly: /ark ES See Page 2 for
Internet: www.tigard-orgov NotiftedAlethod. ''!..-X, . Supplemental Information
TYPE (W WO ,, ,,,, - ' , , ,,,,,f' ,71,e.,,,,,' *EE KIIED141iE
0 New construction 0 Demolition For special information use checklist.
Description 1 Qty. I Ea. r Total
Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft for each utility connection)
CATEGORY OF CONSTRUCTIONe,'-'' dm' - ,,"' , SFR(I)bath 312.70
0 I-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
SFR(3)bath
, 1
0 Accessory building 0 Multi-family
Each additional bath/kitchen 25.02
0 Master builder 0 Other: Fire sprinkler( sq.ft) Page 2
IOB stitisFonmAnns ANIF;SLOCATION ,„Irf ,:,,, , Site utilities:
Catch basin or area drain 18.76
Joh site address:-26 3 1 s w 0 to Z ea ed
Drywell,leach line,or trench drain 18.76
City/State/71P: 7'ic4 0"-- 9-7 2, 2,,,,, Footing drain(no,linear ft.:_) Page 2 .„--
Suite,..Idg./apt.no.: 3,o , Project name: /3.ast it e 1., Ra#s_e Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
Rain drain connector I 8,76
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:
Backflow preventer 31.27
Tax map/parcel no.: 9,51137,141,,A,),..toc,),
Backwater valve 12.51
OErePi11011OW OF.WORK',., ' -
(,lothes washer 25.02
.11., eyes- ,.. : .
Dishwasher / 25.02
/' / t MOO Cilteftr C Is„) Am. CoPii.e
i Drinking fountain 25.02
.,/, cotimit4 I. Si k 1: Ejectors/sump _ 25.02
01iRopiRiv'iiiwNtli' '-' :,'-: ',.:' Ei Expansion tank I 12.51 ,t, 57
Ixtu .sewer cap 01.,if ii,b I 25.02 a Tv 1
Name: L,-..„- '
Floor drain/floor sink/hub 25.02
Address: Garbage disposal 25.02
City/State/ZIP: Hose bib 25.02
Phone:( ) imFax:( ) Ice maker 12.51
013VAINT Mi':"' ',M, :;M,,, in 4NTAC71° pr,,it,s0, ,;„L Interceptor/grease trap 25.02
Medical gas(value:S ) Page 2
Business name:
Primer 12.51
Contact name: Roof drain(commercial) 12.51 -
Address: Sink/basin/lavatory 25.02
City/State/ZIP: Solar units(potable water) 62.54
Phone:( ) Fax::( ) Tub/shower/shower pan 12.51
Urinal 25.02
E-mail:
Water closet 25.02
Water heater 1 37.52 1) 52,
Business name: ato„,43 - Water piping/DWV 56.29
Address: )41 C ) , 6,,,,,, 0 5-9 2.,.. Other. 25.02
City/State/ZIP: Niti7j bo ie of --i)Ure- Subtotal /5;,',‘ /1
Phone:( ) ...-fi, .„,„, ,4,,i 4/ Fax:(3 ) tJr#
ty I, PM 7 ' Me i i eume Minimum permit fee: 572.50
Plan review (25%of permit fee)
CCB Lie.: it F2,70/ Plumbing Lie.no.: ft.5%-i ,,...
State surcharge(12%of permit fee) [1, (...,,')1
Authorized signatuN"-----,..„.„ 0iVe" TOTAL PERMIT FEE ' c/
_ .,
i This permit application expires if a permit is not obtained within ISO days
L_Print name: / e% 0 ei , , _111 Date:'' /1 . 1 ... after it has been accepted as complete.
*Fee methodology set by TO-County Building Industry Service Board.
i\Ruilding,PernutTLMU•Pennit App dec 10101/09 440.4616T(1.01-02/COMAVER)
Plumbing Permit Application - City of Tigard
4 Page.2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Site Utilities QtY. ' Fee es - Si10:W,i .ijij.:i:t7:f:e!11:':;.;::::
Footing drain- 1.°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-I st 100' 62.547,201 and neater $327.54
.
Sewer-each additional 100' 37.52
Water Service-1st 100' 67,54 Medical Gas S stems:
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
each additional$100.00 or fraction thereof:to
Other Inspections or Fees Oti.,, Fee(ea) Total 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 90,00thr 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
(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*. .
Quant tv by Fixture Type Plan Review feii-0iimi bing):ii.!iailatiou
Fixture Type for IttfOi.., Plan review is required for any of the following.
Work Performed: CaPPrd Added 'Reloa, ..
Please cheek all that apply.
liaptistry/Font
0 Any new commercial building with water service 2-and
Bath -Tub/Shower
-Jacuzzi/Whirlpool greater.except systems designed and stamped by licensed
(Tar Wash Each Stall engineer.
-Drive Thru 0 Ness exterior plumbing site utilities for any complex structure
as defined in OAR918-780-0040.
Cuspidor/Water Aspirator .
Dishwasher -Commercial 0 Medical gas and vacuum systems for health care facilities.
,
-Domestic 0 Any multipurpose lire sprinkler system.
Drinking Fountain 0 Any complex structure as defined in OAR918-780-0040.
l'..ye Wash
Floor Drain/sink 1 Submit 2 sets of plans with any of the above.
)'4 -3-
'1/I:',-/- IsoMetric-or Wier 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./Retirig.Drains
Oil Separator(Gas Station) ., Con ents regarding fixture work: ..
, .., ..1
Res',Vehicle Dump Station
...
Shower -Gang
-Stall
Sinkfl,av -Non-food related i C...41j, il././..41. LN ill ih, ...a.iv
, ..,.' ‘ .. -
-Bradley ,0/4J/Chlk.s 1. -./.:, P1 -7) ,,,,,,s./K1,,,
-Commercial-food related '-
-Sery ice r
Swimming Pool Filter *Note: If the fixture work under this permit results in an
Washer-Clothes
Water Extractor increase of sewer EDUs,a sewer permit will be issued and
Water Closet-'toilet fees assessed for the sewer increase must be paid before the
1,1rinal plumbing permit can be issued.
Other Fixtures.
C:\t Isersjim\Downloads\PLMF,,,PermitApp(38).doc 2