Loading...
Permit CITY OF TIGARD PLUMBING PERMIT r COMMUNITY DEVELOPMENT Permit#: PLM2019-00446 Date Issued: 12/05/2019 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S134BC00200 Jurisdiction: Tigard Site address: 12180 SW SCHOLLS FERRY RD Project: One Medical Group Subdivision: None Lot: None Project Description: Interior plumbing for TI:Adding(1)eye wash, (1)3"floor drain,(19)sinks, and(3)water closets; Installing(1) backflow preventer, (1)expansion tank,(1)water heater,(1)mixing valve,and (1)recirculating pump. Contractor: PMSI LLC Owner: ATLAS GREENWAY LLC 21195 NW EVERGREEN PKWY#204 333 NW NINTH AVE, STE 1009 HILLSBORO, OR 97124 PORTLAND, OR 97209 PHONE: 503-466-2222 PHONE: FAX: 503-466-2211 FEES Quantity Description Date Amount 1 ea Backflow Preventer 12/05/2019 $31.27 Specifics: 1 ea Expansion Tank 12/05/2019 $12.51 1 ea Floor Drain/Floor Sink/Hub 12/05/2019 $25.02 Type of Use: COM 19 ea Sink 12/05/2019 $475.38 Class of Work: ALT 3 ea Water Closet 12/05/2019 $75.06 Type of Const: 1 ea Water Heater 12/05/2019 $37.52 Occupancy Grp: 75 Misc Other Fee 12/05/2019 $75.06 Stories: 1 Plan Review 12/05/2019 $182.96 1 12%State Surcharge- 12/05/2019 $87.82 Plumbing Total $1,002.60 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. / 41110 Issued By: ,`1,/. Permittee Signature: 614/ Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Plumbing Permit Application _ ',,, _ 16 4 Building Fixtures FOR OFFICE USE ONLY d permit No.: City of Tigard RECEIVED DateBReceivey:Iv 3 i/f i a-- ,e l7-Ot>fLeco III0 13125 SW Hall Blvd.,Tigard,OR 9 Plan Review Other Permit No.:�� C Phone: 503.718.2439 Fax: 503.598.1960 Date/By: t_ i 4q 04 delq""V i!>t( TIGARD Inspection Line: 503.639.4175 NOV 6 2019 Date Ready/By: / Juris (il See Page 2 for Internet: www.tigard-or.gov Notified/Method:/I Of 1:R. .7rcr Supplemental Information _ SCHEDULE 0 New construction ■ I emolition For special information use checklist Description Qty. I Ea. Total Addition/alteration/replacement ❑Other: ' New 1-2-family dwellings(includes 100 ft.for each utility connection) ' '-'4'''''''',',6047 # r` O a s " SFR(1)bath 312.70 'A' . i. C SFR(2)bath 437.78 ❑ 1-and 2-family dwelling ►4 Comme Turepro-: • SFR(3)bath 500.32 ❑Accessory building 0 Multi-family ;- Each additional bath/kitchen 25.02 0 Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 - :, . .OB.$--fig t l N y l it r A = ) ! ,.V Site utilities: °` t 7° °' "a ," '�' - °' '� g_ P Catch basin or area drain 18.76 Job site address: 12180 SW Scholls Ferry Rd. 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.: l Project name: eitit ,I' , oely 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 ( ori9,y,.ti/ /iJ 17 /"b,Le'd i°/31111 _Storm sewer(no.linear ft.: ) Page 2 (p;rr-e-f5 V5 y%/_ .4L' d ///`i/f �T Water service(no.linear ft.: ) Page 2 Subdivision: 1 Lot no.: Fixture or item: n C,00 Backflow preventer 31.27 Tax map/parcel no.: /5 3 Ai Backwater valve 12.51 DESCRIP IQ -,14.,,� ®� '' i li 25.02_' Clothes washer Tenant improvement in the first floor within an existing exgterior shopping Dishwasher 25.02 center consisting of non-structural partitions,ceilings, casework,finishes, Drinking fountain 25.02 mechanical,electrical and plumbing work Ejectors/sump 25.02 Expansion tank 12.51 �fQpEliTY OWNER ($ TENANT Fixture/sewer cap 25.02 Name: One Medical Group Floor drain/floor sink/hub 1 25.02 25.02 Address: 1 Embarcadero Center,Floor 19 Garbage disposal 25.02 City/State/ZIP: San Francisco,CA 94111 Hose bib 25.02 Phone:( 415 )233-8272 Fax:( ) Ice maker 12.51 El APPLICANT CS1 CONTACT RSN Interceptor/grease trap 25.02 Medical gas(value:$ ) Page 2 Business name: Permit Advisors 12.51 Primer Contact name: Richard Rizo Roof drain(commercial) 12.51 Address: 8370 Wilshire Blvd.#330 Sink/basin/lavatory 19 25.02 475.38 City/State/ZIP: Beverly Hills,CA 90211 Solar units(potable water) 62.54 Phone:( 818)602-3620Fax: ( ) Tub/shower/shower pan 12.51 Urinal 25.02 E-mail: richard@permitadvisors.com Water closet 3 25.02 75.06 CON1R.ICTOR Water heater 37.52 Business name: TBD pM 5 / LC. Water piping/DWV 56.29 Address: 'Z1(1$ N M/ r �/gd'✓ -e l fc(,+' �/ 74:, 7 Other: ,r ,, 1 25.02 25.02 1 �` 2 i7 7/Z Subtotal 600.48 City/State/ZIP: �P� g ,f),/.2-:9"8" Minimum permit fee: $72.50 Phone:(5,,) 'e ' Z zZ Fax:( ) Plan review (25%of permit fee). °•" CCB Lie.: f a Plumbing Lic.no.:1 V--y3 riee 11.0"...--. State surcharge(12%of permit fee) 76 Authorized signature: 1, TOTAL PERMIT FEE 4 Date: 11/06/2019 This permit application expires if a permit is not obtained within 180 day, Print name: Richard Rizo after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board I:tBuilding\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) ri Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site MIS` h1'- Qty =.� �i �= + :: Square Footage;„: iii,n„���m Footing drain-1 s`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 + Storm&Rain Drain-1st 100' 62.54 alu;� i9A; Perms Pre F:: ° $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 ! i each additional$100.00 or fraction thereof,to ab ,; .�nspc _t ?' deee !, eeS .� 61 m�. .. -., 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 (minimum charge-1/2 hour) each additional$100.00 or fraction thereof. Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. Plan Review-fo " uniI$g Ins at>lo �i, :, Quantity by Fixture Type Plan review is required for any of the following. Fixture Type for Replace/ " Please check all that apply. Work Performed: Capped Added Relocate ❑ Any new commercial building with water service 2"and Baptistry/Font greater,except systems designed and stamped by licensed Bath: -Tub/Shower engineer. -Jacuzzi/Whirlpool Car Wash: -Each Stall El New exterior plumbing site utilities for any complex structure as defined in OAR918-780-0040. -Drive Thru Water Aspirator ❑ Medical gas and vacuum systems for health care facilities. Cuspidor/ Water -Commercialirator El Any multipurpose fire sprinkler system. Domestic 0 Any complex structure as defined in OAR918-780-0040. Drinking Fountain Eye Wash 1 Submit 2 sets of plans with any of the above. Floor Drain/sink: -2" and�i 3>, 1 Ati i e- i r- �, err , graft! 4" 0 Isometric or riser diagram is required for new buildings -Car Wash Drain that meet the qualifications above. Garbage -Domestic non-food Disposal: -Domestic food related -Commercial food related -Industrial food related Ice Mach./Refrig.Drains Comments regarding fixture work: Oil Separator(Gas Station) Rec.Vehicle Dump Station Shower: -Gang -Stall Sink: -Lav/Bar non-food related 18 -Bradley -Com/Serv/Util food related -Service 1 *Note: If the fixture work under this permit results in an Swimming Pool Filter increase of sewer EDUs,a sewer permit will be issued and Washer-Clothes fees assessed for the sewer increase must be paid before the Water Extractor Water Closet-Toilet 3 plumbing permit can be issued. Urinal Other Fixtures: I:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2 Plumbing Permit Application Building Fixtures FOR OFFICE USE ONLY City of Tigard Received / n II - Date/By: id 1 3/ /y 47 Permit No.:aL m Ao[q-00 do44 I 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review ',J / 'L Phone: 503.718.2439 Fax: 503.598.1960DateB y I H3.-i q OsP Other Permit No.: Inspection Line: 503.639.4175 T I G A R D and-or. ov Date Ready/By: / t .runs: H See Page 2 for Internet: wtvw.ti g g Notified/Method: /(f PI/1 t , Supplemental Information TYPE OF WORK / FEE* SCHEDULE 0 New construction ❑ Demolition 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 ❑Accessory building 0 Multi-family SFR(3)bath 500.32 Each additional bath/lcitchen 25.02 ❑Master builder 0 Other: Fire sprinkler(_sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: ar /� 1 p Catch basin or area drain 18.76 1 d Zxr J.(t) h t5 I.S v 1�G\• Drywell,leach line,or trench drain 18.76 City/State/ZIP: "r- 1`jr %©R. qq ,r Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name: 0rte m ck i co,t 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: I Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer #;, 31.27 3 I,ori DESCRIPTION OF WORK Backwater valve 12.51 tClothes washer 25.02 Vt(wi+C'. i vr‘t�lr c).....Q._V�VU 1e'r , .FST� F Dishwasher 25.02 f` Drinking fountain 25.02 Ejectors/sump 25.02 0 PROPERTY OWNER 0 TENANT Expansion tank 12.51 t9,,51 Name: Fixture/sewer cap 25.02 Address: Floor drain/floor sink/hub 1 25.02 15,0a Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 0 APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 0. Medical gas(value:$ ) Page 2 Business name: Primer 12.51 Contact name: Roof drain(commercial) 12.51 Address: .irSink/basin/lavatory IICI 25.02 495,'36 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) I Fax::( ) Tub/shower/shower pan 12.51 E-mail: Urinal 25.02 Water closet 25.02 475 0 b CONTRACTOR Water heater f 37.52 59,5.. Business name: Water piping/DWV 56.29 Address: � 3 25.027 r5 d G other:eW Ue GSN=l l Al iy(in(Uai. 95,06 City/State/ZIP: t() Ro e l r cu.Lk►y p tlt0tP I Subtotal 1131 iota Phone:( ) Fax;( ) d Minimum permit fee: $72.50 Plan review (25%of permit fee) 18'I,CY( CCB Lic.: Plumbing Lic.no.: State surcharge(12%of permit fee) p 9,8 a Authorized signature: TOTAL PERMIT FEE 2OC) .1.0 Print name: Date: 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) \...It`a-L' Ihi(S=PL 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-I5I 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 Other Inspections or Fees Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to p 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 (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*. Plan Review for Plumbing Installations Quantity by Fixture Type Plan review is required for any of the following. Fixture Type for Replace/ Please check all that apply. Work Performed: Capped Added Relocate ❑ Any new commercial building with water service 2"and Baptistry/Font greater,except systems designed and stamped by licensed Bath: -Tub/Shower engineer. -Jacuzzi/Whirlpool Car Wash: -Each Stall 0 New exterior plumbing site utilities for any complex structure as defined in OAR918-780-0040. -Drive Thru Cuspidor/Water Aspirator 111 Medical gas and vacuum systems for health care facilities. CW C -Commercial al ❑ Any multipurpose fire sprinkler system. Dishwasher: Domestic El Any complex structure as defined in OAR918-780-0040. Drinking Fountain Eye Wash Submit 2 sets of plans with any of the above. Floor Drain/sink: -2" Isometric or Riser Diagram 0 Isometric or riser diagram is required for new buildings -Car Wash Drain that meet the qualifications above. Garbage -Domestic non-food Disposal: -Domestic food related -Commercial food related -Industrial food related Ice Mach./Refrig.Drains Comments regarding fixture work: Oil Separator(Gas Station) Rec.Vehicle Dump Station Shower: -Gang -Stall Sink: -Lav/Bar non-food related /8 -Bradley -Com/Serv/Util food related -Service t *Note: If the fixture work under this permit results in an Swimming Pool Filter increase of sewer EDUs,a sewer permit will be issued and Washer-Clothes fees assessed for the sewer increase must be paid before the Water Extractor Water Closet-Toilet 3 plumbing permit can be issued. Urinal Other Fixtures: I:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2 x Plumbing Permit Application Building Fixtures , FOR OFFICE USE ONLY City of Tigard I„ , 'g` Received Permit No.: ) 4 III • 13125 SW Hall Blvd.,Tigard,OR 23 y: X3/3//t 7 - " /` ) f f-!(l � � Plan Review 11Phone: 503.718.2439 Fax: 503.598.194^1 31 2019 1. L. Date/By: Other Permit No.: T I e;,CRD Inspection Line: 503.639.4175 Date Ready/By: to is. ® See Page 2 for Internet: www.tigard-or.gov , i f- "',`I"t Notified/Method: 1.7)---6 Supplemental Information TYPE OF BYO"a'�7 f ^s FEE* SCHEDULE _ r�15 ❑New construction ❑ i e m o 1 i t i o n - For special information use checklist Description Qty. I Ea. I Total V.Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEC,I OF.CONST mo . ry',,,,„f ..,„4 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 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATIONSite utilities: Job site address: V\ l ( . Svv Q,`S ky- C,� ' 0 Catch basin or area drain 18.76 v 1 Drywell,leach line,or trench drain 18.76 City/State/ZIP: \ 9010.(-e� G'2- a'V1 222) j Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: 1 Project name: Qy", tN",....e.c\i C G L 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: 1 Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 - Backwater valve 12.51 DESCRIPTION OF WORK Clothes washer 25.02 \.1/4)(U07\1/)i ‘./AC LX-X--A 1-- A L---;` C_'�V-11-414-1,'.)(1 Y j Dishwasher 25.02 OU I t C J i V Drinking fountain 25.02 Ejectors/sump 25.02 ❑ PROPERTY OWNER TENANT Expansion tank 12.51 Fixture/sewer cap 25.02 Name: fAI 1„„A.e`1,L,-,_ l ( ,y C) ,... p Floor drain/floor sink/hub 25.02 Address: k CO--)1 -DO\-Y Cc e.v c ev v N/,t V, Iv' Garbage disposal 25.02 City/State/ZIP: �(c1vu:.k of Cp.,. 14 (' ( l Hose bib 25.02 Phone:(4I ) g,..3'3-- .2.."72 Fax:( ) Ice maker 12.51 1 ttrApp' 'c:' CONTACT PERSON Interceptor/grease trap 25.02 Business name: C t' I k- IB CAA CA v i C y S Medical gas(value:$ ) Page 2 Primer 12.51 Contact name: 12_4 C1,1O v-C_A_ v.__;\ Z Q ^\ Roof drain(commercial) 12.51 Address: $370 , ` 'In t'(- V31 vcA IN 3-3(1) Sink/basin/lavatory 25.02 City/State/ZIP: '3e ve v, \\S ) (�A. I d 2 l k Solar units(potable water) 62.54 Phone:( 1) to 02 3 6 Fax::( ) Tub/shower/shower pan 12.51 E-mail: Urinal 25.02 i C" ,iG�Y"cA G"�;1 pe y- L A; A u C�L;Y�� ,(.C`3C- Water closet 25.02 CONTRACTOR Water heater 37.52 Business name: --\--'` -D Water piping/DWV 56.29 Address: Other: 25.02 City/State/ZIP: Subtotal Phone:( ) Fax:( ) Minimum permit fee: $72.50 CCB Lic.: Plumbing Lic.no.: Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: __ . > TOTAL PERMIT FEE Print name: ' /. � 7) Date: ..t ,O I'L. This permit application expires if a permit is not obtained within 180 days (� C after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU-PenniiApp.doc 10/01/09 440-4616T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 -Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee(ea) Total 'ft1xotage: •Permit p . 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-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 Storm&Rain Drain-1st 100' 62.54 Valuation: Permit 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$5,000.00 and$1.52 for otltetr`Inspections or Fees Qty. 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 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*. Plan Review for Plumbing Installations Quantity by Fixture Type Plan review is required for any of the following. Fixture Type for Replace/ Please check all that apply. Work Performed: Capped Added Relocate ❑ Any new commercial building with water service 2"and Baptistry/Font greater,except systems designed and stamped by licensed Bath: -Tub/Shower _ -Jacuzzi/Whirlpool engineer. Car Wash: Each Stall 0 New exterior plumbing site utilities for any complex structure Drive tall as defined in OAR918-780-0040. Cuspidor/Water Aspirator 0 Medical gas and vacuum systems for health care facilities. Dishwasher: Commercial 0 Any multipurpose fire sprinkler system. Domestic 0 Any complex structure as defined in OAR918-780-0040. Drinking Fountain Eye Wash 1 Submit 2 sets of plans with any of the above. Floor Drain/sink: -2" 3" 1 Isometric or Riser Diagram 4>, 0 Isometric or riser diagram is required for new buildings -Car Wash Drain Garbage Domestic non-food that meet the qualifications above. Disposal: -Domestic food related -Commercial food related -Industrial food related Ice Mach./Refrig.Drains Comments regarding fixture work: Oil Separator(Gas Station) Rec.Vehicle Dump Station Shower: -Gang -Stall Sink: -Lay/Bar non-food related 18 -Bradley -Com/Serv/Util food related -Service 1 *Note: If the fixture work under this permit results in an Swimming Pool Filter increase of sewer EDUs,a sewer permit will be issued and Washer-Clothes fees assessed for the sewer increase must be paid before the Water Extractor Water Closet-Toilet 3 plumbing permit can be issued. Urinal _ Other Fixtures: I:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2 Accumulative Sewer Tally M. Tenant Name: ONE MEDICAL GROUP SWR# 2019-00306 TIGARD Site Address: 12180 SW SCHOLLS FERRY RD PLM#2019-00446 Parcel#: 1S 134BC00200 Fixture Value Previous Previous Credits Capped Fixture Fixture New New # value count capped#s value count added# added value total#s total values Baptistry/Font 4 0 0 0 0 0 Bath: -Tub/Shower 4 0 0 0 0 0 -Jacuzzi/Whirlpool 4 0 0 0 0 0 Car Wash: -Each Stall 6 0 0 0 0 0 -Drive through 16 0 0 0 0 0 Cuspidor/Water Aspirator 1 0 0 0 0 0 Dishwasher: -Commercial 4 0 0 0 0 0 -Domestic 2 0 0 0 0 0 Drinking Fountain 1 0 0 0 0 0 Eye Wash 1 0 0 1 1 1 1 Floor Drain/Sink: -2 inch 2 0 0 0 0 0 -3 inch 5 0 0 1 5 1 5 -4 inch 6 0 0 0 0 0 -Car Wash 6 0 0 0 0 0 Garbage Disposal: -Domestic(to 3/4 HP) 16 0 0 0 0 0 -Commercial(to 5 IIP) 32 0 0 0 0 0 -Industrial(over 5 HP) 42 0 0 0 0 0 Ice Machine/Refrigerator Drain 1 0 0 0 0 0 Living Unit 16 0 0 0 0 0 Oil Sep(Gas Station) 6 0 0 0 0 0 Rec.Vehicle Dump station 16 0 0 0 0 0 Shower: -Gang(per head) 1 0 0 0 0 0 -Stall 2 0 0 0 0 0 Sink: -Lay/Bar-Non-Food Related 2 0 0 18 36 18 36 -Bradley 5 0 0 0 0 0 -Com/Serv/Util-Food Related 3 0 0 1 3 1 3 Swimming Pool Filter 1 0 0 0 0 0 Washer-Clothes 6 0 0 0 0 0 Water Extractor 6 0 0 0 0 0 Water Closet-Toilet 6 0 0 3 18 3 18 Urinal 6 0 0 0 0 0 Previous EDU Count 0 0 Capped EDU Credit 0 TOTALS 0 0 0 0 24 63 24 63 Current Fixture Value 63 divided by 16= 3.938 Current EDU 1 EDU= $5,800.00 Previous Fixture Value 0 divided by 16= 0.000 Previous EDU Change 63 divided by 16= 3.938 over (under) $ 22,852.00 Enter EDU Change Here 3.940 * *Round EDUs to the nearest 1/100th: a count ending in.005 shall be rounded up to.01,and a count ending in.014 or less shall be rounded down to.01. Notes: Authorized Name/Signature: BRANDEN'TAGGART X2449 Date: 11/14/2019 Building Division rote: The property owner shall retain the ORIGINAL sewer tally record. If credits exist,this document will serve as a voucher which must be submitted to the City of Tigard Building Division to redeem credits towards future system development charges. I:ABuilding\Sewer Tally\SewerTallySheet_5800_070119.xlsx Branden Taggart From: Branden Taggart Sent: Wednesday, November 6, 2019 9:42 AM To: 'richard@permitadvisors.com' Cc: #Building Permit Technicians Subject: RE: One Medical MEP Submittals - 12180 SW Scholls Ferry Rd. Attachments: PLMB_PermitApp.pdf Hi Richard, No problem. I have already routed the electrical permit for review, and with the valuation for the mechanical permit that you provided, I will do the same for it now. However, regarding the Plumbing Permit Application, we will need you to make the following corrections to proceed: • Please sign the Authorized Signature section on the bottom of the application. • Please revise the description of work to reflect the plumbing permit scope of work. 6 Per the Commercial Fixture Work section on the second page of the application, please add the floor ✓ drains/sinks to the fee schedule on the first page. -• Per the Commercial Fixture Work section on the second page of the application,there are a total of(19) sinks. Please confirm the sink quantities, and revise the sink quantity from (18)to (19) on the fee schedule if necessary. ( a+ • Per the Commercial Fixture Work section on the second page of the application, I count (1) "other" fixture not (2). Please list the other fixtures and make the correction to the fee schedule if necessary. Thank you, Branden Taggart City of Tigard Senior Permit Technician Community Development 13125 SW Hall Blvd Tigard, OR 97223 (503)718-2449 brandenttigard-ar;gov From: Richard Rizo <richard@permitadvisors.com> Sent: Wednesday, November 6, 2019 8:33 AM To: Branden Taggart<brandent@tigard-or.gov> Cc:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov> Subject: Re: One Medical MEP Submittals Caution!This message was sent from outside your organization. Allow sender I Block sender Hello Branden! Good morning. Sorry for the late reply. Please recycle plans that are not needed,thank you. Also, please find the attached completed plumbing application for your use and records.The Valuation for the Mechanical work is estimated 1 at $65,000. Please advise if any other information is needed from our end. Also, please advise on the estimated review by date.Thanks again! Best Regards, Richard Rizo Permit Advisors 8370 Wilshire Blvd#330 Los Angeles, CA 90211 c 818-602-3620 t310-275-7774 fax.310-881-1135 www.permitadvisors.com Richard@permitadvisors.com On Mon, Nov 4, 2019 at 4:26 PM Branden Taggart< brandent@tigard-or.gov>wrote: Hello Richard, We received your submittals in the mail for the One Medical mechanical, electrical, and plumbing permits. However, we received (3) sets of plans for each in addition to (2) complete sets of MEP pages combined. So, we have a total of (5) sets of plans that we do not need. Would you like them back, or would you like us to recycle them? Additionally, the Mechanical Permit Application is missing a valuation. We will need a valuation for this scope of work in order to proceed with plan review. What is the mechanical valuation? Regarding the Plumbing Permit Application, the second page is completed, but the fee schedule on the first page is not. We will need to have you complete the first page of the Plumbing Permit Application for us to proceed with plan review as well. I have attached the application above for you to complete and return to us. Please let me know if you have questions. Thanks, 2 • 4. 121'0 sw g . P FT Permit Advisors TRANSMITTAL OH 31 2010 pE F.x` 1 °�xiPtt 1 " !" November 1, 2019 FROM: TO: Richard Rizo City of Tigard BUILDING DIVISION Permit Advisors ATTN: BUILDING DIVISION 8370 Wilshire Blvd Suite 330 13125 SW Hall Blvd. Beverly Hills, CA 90212 Tigard, OR 97223 (310) 275-7774 (503)639-4175 RE: One Medical - Tenant Improvement Project Address: 12180 SW Scholls Ferry Rd. Please find the following in the attached package: • (3) Mechanical plans • (3) Electrical plans • (3) Plumbing plans • (1) Completed Mechanical Application • (1) Completed Electrical Application • (1) Completed Plumbing Application C2) C.4f9prtple7(e SeA-5 hover S1 .tQ- Should you have any questions or concerns, please feel free to contact me at (818) 602-3620 or email me at richard@permifadvisors.com. Regards, Richard Rizo Permit Advisors 18370 Wilshire Blvd Suite 330 I Beverly Hills, CA 90212 1310.275.7774