Permit ; CITY OF TIGARD PLUMBING PERMIT
i • COMMUNITY DEVELOPMENT Permit#: PLM2019-00435
T IGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/13/2020
Parcel: 1 S 136DA02500
Jurisdiction: Tigard
Site address: 11090 SW 68TH PKWY
Project: Red Rock Creek Commons Subdivision: RED ROCK CREEK COMMONS Lot: 1
Project Description: Interior plumbing for a new 4-story multifamily building with(48) 1-bedroom apartments and accessory space
including a community room.
Contractor: TAPANI PLUMBING Owner: COMMUNITY PARTNERS FOR AFFORDABL
PO BOX 2350 HOUSING
BATTLE GROUND,WA 98604 6380 SW CAPITOL HWY, STE 151
PORTLAND, OR 97239
PHONE: 360-687-3983
PHONE: 503-293-4038
FAX: 360-687-4494
FEES
Quantity Description Date Amount
5 ea Rain Drain Connector 01/13/2020 $93.80
Specifics: 1 ea Backflow Preventer 01/13/2020 $31.27
8 ea Clothes Washer 01/13/2020 $200.16
Type of Use: MF 48 ea Dishwasher 01/13/2020 $1,200.96
Class of Work: NEW 1 ea Drinking Fountain 01/13/2020 $25.02
Type of Const: 1 ea Ejectors/Sump 01/13/2020 $25.02
Occupancy Grp: 4 ea Expansion Tank 01/13/2020 $50.04
Stories: 4 9 ea Floor Drain/Floor Sink/Hub 01/13/2020 $225.18
5 ea Hose Bib 01/13/2020 $125.10
1 ea Ice Maker 01/13/2020 $12.51
g ea Primer 01/13/2020 $112.59
14 ea Roof Drain(Commercial) 01/13/2020 $175.14
107 ea Sink 01/13/2020 $2,677.14
48 ea Tub/Shower/Shower Pan 01/13/2020 5600.48
50 ea Water Closet 01/13/2020 $1,251.00
4 ea Water Heater 01/13/2020 $150.08
Total $9,803.24
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 th- rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You y ..tain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: _._. Permittee Signature: A gib
l
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, -w- -�.=w. .
L iT1CU :dl r(b(T •
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Building Fixtures FOR OFFICE USE ONLY
City of Tigard OCT 28 2019 Rcceivcd f /-?/- ram. PcnnitNy4U7�l9-9OL/35
• 13125 SW Hall Blvd.,Tigard,OR 97223 .. Date/By: '� 17
yy� Plan Review W B,g
a Phone 503.718.2439 Fax 503 598 i1?aul'' `�( 9 Ia:rF,-;' Datc/By:Rev Other Permit /S
ra-n-r� a-� -a03ryj
TIGARD Inspection Line: 503.639.41.75 i III '1lNG )OiVIC" DateReadyBy: rnris: WI Sec Page 2 Car
Internet: www.tigard-or.gov 4 Notified/Method: //d'j q Supplemental Information
TYPE OF WORK ,.,.csla 14....9-u- .t i_ AEE• SCHEDULE
El New construction ❑Demolition For special information use checklist.
Description I Qty. _j Ea. I Total
❑Addition/alteration/replacement ❑Other. New 1-2-family dwellings(includes 100 ft.for each utility connection)
' ""CATEGORY OF CONSTRUCTION SFR(I)bath 312.70
❑ I-and 2-family dwelling ElCommercialfmdustrial SFR(2)bath 437.78
CIAccessory building !J Multi-family SFR(3)bath 500.32
Each additional bath/kitchen 25.02
❑Master builder 0 Other:
Fire sprinkler( sq.ft.) Paget
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 11090 SW 6 8 t h Pkwy Catch basin or area drain 18.76
City/State/ZIP: Tigard OR 97223 Dmvel4 leach line,ar trench drain 18.76
Footing drain(no.linear ft.:_) Page 2
Suite/bldgJapt.no.: l Project name: Red Rock Creek Commons Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
i
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: /5/3 6, ais f}e) Lot no.: Fixture or item:
Tax map/parcel no.: Backflow preventer 1 31.27 31 . 27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 8 25.02 200 . 16
iumbinq System Installation for new 4-story, Dishwasher 48 25.02 1200. 96
48 units, housing complex. Drinking fountain 25.02
Ejectors/sump 25.02 25 . 02
IZI PROPERTY OWNER ❑TENANT Expansion tank 1 12.51 12 . 51
Name:
Community Partners for Affordable Housing Fixturelsewercap 25.02
Floor drain/floor sink/hub 20 25.02 500 . 40
Address: 6380 SW Capitol Hwy #151 Garbage disposal 25.02
City/State/ZIP: Portland OR 97239
Hose bib 5 25.oz 125 . 10
Phone:(5 0 3)2 93 . 4038 Fax:( ) Ice maker 1 12.51 12 . 51
' ''- (X APPLICANT ❑,CONTACT PERSON Interceptor/grease trap 25.02
Business name: Tapani Plumbing Inc Medical gas(value:S ) Paget
Primer 12.51
Contact name: Debbie Millerjord
Address:2103 SE 12th Avenue Roof drain(commercial) 7 12.51 87.57
Sink/basin/lavatory 107 25.02 2677 . 14
City/State/ZIP: Battle Ground/WA/98604 Solar units(potable water) 62.54
Phone:( 360)687.3983 Fax::( ) Tub/shower/shower pan 48 12.51 600 . 48
E-mail: debbiempa tapaniplumbing.com Urinal 25.02
CONTRACTOR Water closet 50 25.02 1251.00
Water heater 4 37.52 150 . 08
Business name: Tapani Plumbing Inc Waterpiping/DWV 56.29
Address: 2103 SE 12th Avenue Other. 25.02
City/State/ZIP: Battle Ground WA 98604 Subtotal
'ane:( 36Q 698-3983 Fax:( 360 687-4494 Minimum permit fee: 572.50
Plan review (25%of permit fee)
-.CB Lic.: 60958 � ���� Plumbing tic.no.: 37-269PB
/ ��t/'V"t State surcharge TAL2%of permit fee)
Authorized signature: •L} TOTAL PERMIT FEE
Printname- Debbie Miller jord Date:10/25/2019 Tbspermitapp cat on aspires if a permit is not obtained within ISO days
after it has:been accepted as complete.
*Fee methodology set by Tri-Comity Building Industry Service Board..
1:\nuilding)Permits\Pr.MU-PermitApp.doe 10/01/09 440-46161(10/071COMIWEn)
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- 1a 100' 50.03 0 to 2,000 $12I.90
Footing drain-each additional 100' 37.52 2.001 to 3,600 S 169.69
3,601 to 7,200 S233.20
Sewer- 1st 100' 62.54 7,201 and greater S327.54
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 S1.00 to S5,000.00 Minimum fee S72.50
Storm&Rain Drain-each additional t00' 37.52 S5,001.00 to S 10,000.00 S7250 for the first$5,000.00 and S L.52 for
Other Inspections or Fees Qty. Fee(ea) Total each additional S 100.00 or fraction thereof,to
and including S10,000.00.
Inspection of existing plumbing or for S 10,001.00 to S25,000.00 5148.50 for the fust S 10,000.00 and 51.54 for
which no fee is specifically indicated 90.00/hr each additional 5100.00 or fraction thereof,to
(minimum charge-1/2 hour) and including S25,000.00.
Inspections outside of normal business 90.00/hr S25,001.00 to S50,000.00 S379.50 for the first S25,000.00 and S 1.45 for
hours(minimum charge-2 hours) each additional S 100.00 or fraction thereof,to
Reinspection Fees 90.00/hr and including S50,000.00.
Additional plan review for revisions 90.00/hr S50,001.00 and up 5742.00 for the first S50,000.00 and S 1.20 for
(minimum charge-1/2 hour) each additional S 100.00 or fraction thereof.
Subtotal:
Commercial Fixture Work:
Arc 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
Baptistry/Font ❑ Any new commercial building with water service 2"and
greater,except systems designed and stamped by licensed
Bath: -Tub/Shower 4 8
-Jacuzzi/Whirlpool engineer.
Car Wash: -Each Stall ❑ New exterior plumbing site utilities for any complex structure
-Drive Thm as defined in OAR9l8-780-0040.
Cuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities.
Dishwasher: Commercial ❑ Any multipurpose fire sprinkler system.
-Domestic 4 8 0 Any complex structure as defined in OAR9I8-780-0040.
Drinking Fountain
Eye Wash Submit 2 sets of plans with any of the above.
Floor Drain/sink: -2" 20
3" Isometric or Riser Diagram
4 ❑ 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 MachiRefrig.Drains 1 Comments regarding fixture work:
Oil Separator(Gas Station)
Rec.Vehicle Dump Station
Shower: -Gang
-Stall
Sink: -[av/Bar non-food related 5 8
-Bradley
-Com/Serv/Util food related 4 9
-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 8 fees assessed for the sewer increase must be paid before the
Water Extractor
Water Closet-Toilet 5 0 plumbing permit can be issued.
Urinal
Other Fixtures:
I:1Building\Permits\PLMF_PetmitApp.doc 08/04/20 1 1 2
Plumbing Permit Application
Building Fixtures FOR OFFICE USE ONLY
City of Tigard Received PLMaOI`�_ s'
i g Permit No.:
• 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By:
= Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Other Permit No.:
Date/By: 1�.Il-/� Oki
1. R.D Inspection Line: 503.639.4175 Date Ready/By: :kris: Bi See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK FEE* SCHEDULE
KNew construction ❑Demolition For special information use checklist.
Description l Qty. I Ea. f Total
❑Addition/alteration/replacement ❑ Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(I)bath 312.70
❑ I-and 2-family dwelling Elm Comercial/industrial SFR(2)bath 437.78
❑Accessory building ,Multi-family SFR(3)bath 500.32
Each additional bath/kitchen 25.02
❑ Master builder 0 Other.
Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: f ICAO S,(4). tn fi +t' p k wy Catch basin or area drain 18.76
City/State/ZIP: Drywell,leach line,or trench drain 18.76
�iY..tek 0R. q9 �j13_ 'J Footing drain(no.linear ft.:_) Page2
Suite/bldg./apt.no.: V Project name: RlQ Rock Cfe4'( �Wt s Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
Rain drain connector 5 18.76 q3,80
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 r 31.27 (e2r
DESCRIPTION OF WORK Backwater valve 12.51
( � Clothes washer 8 25.02 b�dCa lb
Ziti'[ . air ? 1(_v.4r.b1 wG Ter ��t4J 4- StOry 1 Dishwasher 4S 25.02 zgeo.C�4
its (i. `S I r act.S t As C 4� p l t Drinking fountain / 25.02 'a5.as
I Ejectors/sump / 25.02 a5' 61
❑ PROPERTY OWNER I ❑ TENANT Expansion tank Lif 12.51 55 0,O el
Name: Fixture/sewer cap 25.02
Address: Floor drain/floor sink/hub q 25.02 .as, I A
Garbage disposal 25.02
City/State/ZIP: Hose bib 5 25.02 (15,
/6
Phone:( ) Fax:( ) Ice maker / 12.51 i2,51
❑ APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02
Business name: Medical gas(value:$_) Page 2
Contact name: Primer 9 12.51 ad,5 y
Address: Roof drain(commercial)4'00 e r F1010/4 12.51 /75. i 4
Sink/basin/lavatory /()17 25.02 6 ri n/e/4
City/State/ZIP: Solar units(potable water) 62.54
Phone:( ) Fax::( ) Tub/shower/shower pan 48 12.51 AD0,18
E-mail: Urinal 25.02
Water closet SO 25.02 iffl5i,a0
CONTRACTOR
Water heater 11 37.52 /se,,op
Business name: Water piping/DWV 56.29
Address: Other:
ilElC.puat10_y ryt,p), l Vtl+t:- t.! 25.02 'a[)O. Ip
City/State/ZIP: .� Subtotal gts5, is
Phone:( ) Fax:( ) Minimum permit fee: $72.50
Plan review (25%of permit fee) i 7 E,y I
CCB Lie.: Plumbing Lic.no.:
State surcharge(12%of permit fee) r856,6 8
Authorized signature: TOTAL PERMIT FEE 9,g03.d4
This permit application expires if a permit is not obtained within 180 days
Print name: Date: after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
I:\BuildingTe,mits0PLM[7-PernaitApp.doc 10/01/09 440-4616T(I 0/02/COM/WEB) `Jr `QUS ' SO
5,nlu= 59
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-I"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 Tor Replace/ Please check all that apply.
Work Performed: Capped Added Relocate
❑ Any new commercial building with water service 2"and
Baptistry/Font L greater,except systems designed and stamped by licensed
Bath: -Tub/Shower 4 e engineer.
-Jacuzzi/Whirlpool
Car Wash: -Each Stall ❑ New exterior plumbing site utilities for any complex structure
as defined in OAR918-780-0040.
-Drive Thm
Cuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities.
❑ Any multipurpose fire sprinkler system.
Dishwasher: -Commercial
-Domestic 4A ❑ 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" Q
3" Isometric or Riser Diagram
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
-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: -LavBar non-food related
-Bradley
-Com/Serv/Util food related
-Service ry r p S i nix 'f *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 r,L; plumbing permit can be issued.
Urinal
Other Fixtures:
I:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2