Permit CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2019-00481
Date Issued: 12/02/2019
1 I ;ti l I) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S101 BD00300
Jurisdiction: Tigard
Site address: 8015 SW HUNZIKER RD
Project: Fred Shearer and Sons Subdivision: None Lot: None
Project Description: Plumbing fixture!relocation/replacement.
Contractor: JH KELLY LLC Owner: 8015 HUNZIKER LLC
2311 E 1ST STREET 8015 SW HUNZIKER RD
VANCOUVER,WA 98661 TIGARD, OR 97223
PHONE: 360-423-5510 PHONE: 503 520-4991
FAX: 503-285-0812
FEES
Quantity Description Date Amount
1 ea Sink 12/02/2019 $25.02
Specifics: 2
ea Lavatories 12/02/2019 $50.04
2 ea Urinal 12/02/2019 $50.04
Type of Use: COM 6
ea Water Closet 12/02/2019 $150.12
Class of Work: ALT 1 12%State Surcharge- 12/02/2019 $33.03
Type of Const: Plumbing
Occupancy Grp: B
Stories:
Total $308.25
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: B.
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.
I
Plumbing Permit Application ,np,1,() _-6032-1
Building Fixtures FOR OFFICE USE ONLY
Cityof Tigard Received
M� ///...
g Date/By:! \1 i),/ahy Permit No.: iW VA',It:4c(-eoli
INI II 13125 SW Hall Blvd.,Tigard,OR 97223Pl
1 j)
_ Phone: 503.718.2439 Fax: 503.598.1960 an Review
Dan
Other Permit No.:
1 Ci A I`1) Inspection Line: 503.639.4175 Date Ready/By: Saris: ®See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental information
, : ` TYPE OF WORK �1
,, ' °� , irf<_ FEE* SCHEDULE
❑Nevi construction ❑Demolition For special infOrnmrion use checklist.
Description I Qty. I Ea. I Total
T Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CO s : = SFR(1)bath 312.70
❑ 1-and 2-family dwelling Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 500.32
El Accessory building ❑Multi-family Each additional bath kitchen 25.02
❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2
1 li ;r ti• - - .
SITE INFORMATION AND LOCA d Site utilities:
Job site address: 8015 SW Hunziker Rd 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.: Project name: Office Move Manufactured home utilities 50.03
Cross street/directions to job site: -Eyeei ,Aeety eiv t SS IN j 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
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 25.02
Reconfigure drain and faucet locations in kitchen, Dishwasher 25.02
downstairs men's restroom and women's restroom Drinking fountain 25.02
Ejectors/sump 25.02
0 PROPERTY OWNER VTENANT Expansion tank 12.51
Name:
Fred Shearer & Sons, Inc. Fixture/sewereap 25.02
Floor drain/floor sink/hub 25.02
Address: 8015 SW Hunziker Rd Garbage disposal 25.02
City/State/ZIP: Tigard, OR 97223 Hose bib - 25.02
Phone:(503)520-9991 Fax:(503)626-9891 Ice maker 12.51
❑ APPLICANT CONTACT PERSON '' Interceptor/grease trap 25.02
Business name: Fred Shearer & Sons, Inc. Medical gas(value:$_) Paget
Primer 12.51
Contact name: Burt Truong Roof drain(commercial) 12.51
Address: 8015 SW Hunziker Rd Sink/basin/lavatory 25.02
City/State/ZIP: Tigard, OR 97223 Solar units(potable water) 62.54
Phone:(714)928-6969 Fax::( ) Tub/shower/showerpan 12.51
E-mail: b.truong@fredshearer.com Urinal 25.02
CONTRACTOR Water closet 25.02
Water heater 37.52
Business name: JH Kelly Water piping/DWV 56.29
Address: 821 3rd Ave Other: 25.02
City/State/ZIP: Longview, WA 98632 Subtotal
Phone:(360)737-6790 Fax:( ) Minimum permit fee: $72.50
CCB Lie.: 117544 Plumbing Lic.no.:
Plan review (25%of permit fee)
State surcharge(12%of permit fee)
Authorized signature: TOTAL PERMIT FEE
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\PLMil-PesmitApp.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; 'til t es to(ea) Total ,f"I (f I'I " I Permit Fee:
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
S 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 S stems:
Water Service-each additional 100' 37.52 � $
UalUaLlOo� ._..?; na�r
Storm&Rain Drain-1st 100' 62.54 $1.00 to S5,000.00 Minimum fee$72.50
Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 S72.50 for the first$5,000.00 and$1.52 for
t, eet1011S or Fees Qt�' 't w `' g each additional$100.00 or fraction thereof,to
pections 3t - - 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*. °ari RC k v fo '' h 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 Relocat.'
Baptistry Font ❑ Any new commercial building with water service 2"and
greater,except systems designed and stamped by licensed
Bath: -Tub/Shower
-Jacuzzi/Whirlpool engineer.
Car Wash: Each Stall ❑ New exterior plumbing site utilities for any complex structure
-Drive as defined in OAR918-780-0040.
Cuspidor Water Aspirator ❑ Medical gas and vacuum systems for health care facilities.
Dishwasher: -Commercial ElAny multipurpose fire sprinkler system.
-Domestic ❑ 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"
3" *91,d?` tric or Riser Dianram 3`
4 ❑ 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 1
-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 3
-Bradley
-Com/Serv/Util food related
-Service *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 plumbing permit can be issued.
Urinal
Other Fixtures:
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