Permit CITY OF TIGARD PLUMBING PERMIT
lla '� COMMUNITY DEVELOPMENT Permit#: PLM2020-00414
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/20/2020
TIGARD Parcel: 1 S 136DC00300
Jurisdiction: Tigard
Site address: 11600 SW 72ND AVE
Project: 72nd&Baylor Apartments Subdivision: Lot: 19
Project Description: Site utilities for a new six-story affordable housing apartment building with 81 units.
Contractor: BREMIK CONSTRUCTION INC Owner: CDP DEVELOPERS LLC
1026 SE STARK ST ATTN PAINE, ERIC
PORTLAND, OR 97214 126 NE ALBERTA ST STE 202
PORTLAND, OR 97211
PHONE: 503-688-1000
PHONE: 347-218-0242
FAX:
FEES
Quantity Description Date Amount
6 ea Catch Basin or Area Drain 10/20/2020 $112.56
Specifics: 1 ea Drywell,Leach Line or Trench 10/20/2020 $18.76
Drain
Type of Use: COM 695 If Footing Drain 10/20/2020 $275.15
Class of Work: ALT 2 ea Manholes 10/20/2020 $37.52
Type of Const: 2 ea Rain Drain Connector 10/20/2020 $37.52
Occupancy Grp: 13 If Sanitary Sewer 10/20/2020 $62.54
Stories: 528 If Storm Sewer 10/20/2020 $250.14
74 If Water Service 10/20/2020 $62.54
1 ea Backflow Preventer 10/20/2020 $31.27
25 Misc Other Fee 10/20/2020 $25.02
1 Plan Review 10/20/2020 $228.25
1 12%State Surcharge- 10/20/2020 $109.56
Plumbing
Total $1,250.83
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:
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 F:, _
Site Utilities = . 1_ { 1�v!�,1, FOR OFFICE USE ONLY
City of Tigard OCT 1 il 7.020 /0 1�t1/(b
Date/By:Received / - PermitNo.: p at O,mill
■ 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: /O-2a-2020 CD!' Other Permit No.:1111069011
trn1 et_ Atc)
Inspection Line: 503.639.4175 Date Ready/By: L tmis: 65 See Page 2 for
T I�'A R D Internet: www.ti and-or. ov �7 -
g $ Notified Me hod:�a(?7! }li r Supplemental Information
TYPE OF WORK re4" ,Ls/I d-(,✓�j,,er 'EE* SCHEDULE
El New construction El Demolition For specialeO 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
El1-and 2-family dwelling ElCommercial/industrial SFR(2)bath 437.78
SFR(3)bath 500.32
❑Accessory building ®Multi-family
Each additional bath/kitchen 25.02
❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: il)SW 72nd Ave Catch basin or area drain 2 18.76 37.52
Drywell,leach line,or trench drain 1 18.76 18.76
City/State/ZIP: Tigard, OR 97223 Footing drain(no.linear ft.:575) Page 2 237.63
Suite Bldg./apt.no.:iy/A I Project name: SW 72nd Ave& SW Baylor St Manufactured home utilities 50.03
Cross street/directions to job site: SW 72nd Ave&SW Baylor St Manholes 2 18.76 37.52
Rain drain connector 2 18.76 37.52
Sanitary sewer(no.linear ft.: 73 ) Page 2 62.54
Storm sewer(no.linear ft.: 12) Page 2 147.58
Water service(no.linear ft.:270) Page 2 62.54
Subdivision: l Lot no.: Fixture or item:
Tax map/parcel no.:Tax No's. IS 136DC00300. 181360000301.and 15136DC00400 Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 25.02
itNew on site utilities for new Construction Building. Application for Site Dishwasher 25.02
Utilities Only fountain 25.02
Ejectors/sump 25.02
! CI PROPERTY OWNER ❑ TENANT Expansion tank 12.51
,[ Name: Community Development Partners-Attn: Wendy Klein Fixture sewer cap 25.02
Floor drain/floor sink/hub 25.02
1."
Address: 126 NE Alberta St, Suite 202
Garbage disposal 25.02
City/State/ZIP: Portland, OR 97211 Hose bib 25.02
Phone:( 407)929.8694 Fax:(NIA ) Ice maker 12.51
till CDAPPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02
Business name: Scott Edwards Architecture Medical gas(value:$_) Page 2
Primer 12.51
Contact name:Dave Mojica
Roof drain(commercial) 12.51
Address: 2709 SE Ankeny St. Sink/basin/lavatory 25.02
City/State/ZIP: Portland, OR 97214 Solar units(potable water) 62.54
Phone:(503 )896-5378 Fax: :(N/A ) Tub/shower/shower pan 12.51
E-mail:dmojica o@seal/p.com Urinal 25.02
Water closet 25.02
CONTRACTOR
Water heater 37.52
Business name: Bremik Contruction-Attn:Paul Delsman Water piping/DWV 56.29
Address: 1026 SE Stark St Other: 25.02
City/State/ZIP: Portland, OR 97214
Subtotal 641.61
Phone:(503 )688.1000 Fax:(N/A ) Minimum permit fee: $72.50
Plan review (25%of permit fee) 160.40
CCB Lic.:160383 Plumbing Lic.no.:
State surcharge(12%of permit fee) 76.99
Authorized signature: ./tr-'- TOTAL PERMIT FEE 879.00
Print name:Dave Mojica Date:10.14.2020 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.
1:1BuildingU'ermits\PLMU-PermitApp.dnc 10/0IN9 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 Square Footage: Permit Fee:
Footing drain-1"100' 1 50.03 50.03 0 to 2,000 $121.90
Footing drain-each additional 100' 5 37.52 187.60 2,001 to 3,600 $169.69
3,601 to 7,200 $233.20
Sewer-1st 100' 1 62.54 62.54 7,201 and greater $327.54
Sewer-each additional 100' 37.52
Water Service- 1st 100' 1 62.54 62.54 Medical Gas Systems:
Water Service-each additional 100' 37.52 Valuation: Permit Fee:
Storm&Rain Drain-1st 100' 1 62.54 62.54 $1.00 to$5,000.00 Minimum fee$72.50
Storm&Rain Drain-each additional 100' 2 37.52 75.04 $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
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*.
Quantity by Fixture Type Plan Review for Plumbing Installations
Fixture Type for Replace/ anyof follo
wing.Plan review is required for
Work Performed: Capped Added Relocate 9theflli
g.
Baptistry/Font Please check all that apply.
Bath -Tub/Shower ❑ Any new commercial building with water service 2"and
Jacuzz/Wh rlpool greater,except systems designed and stamped by licensed
Car Wash -Each Stall engineer.
-Drive Thru ❑ New exterior plumbing site utilities for any complex structure
Cuspidor/Water Aspirator as defined in OAR918-780-0040.
Dishwasher -Commercial ❑ Medical gas and vacuum systems for health care facilities.
-Domestic ❑ Any multipurpose fire sprinkler system.
Drinking Fountain ❑ Any complex structure as defined in OAR918-780-0040.
Eye Wash
Floor Drain/sink -2" Submit 2 sets of plans with any of the above.
-3"
4" Isometric or Riser Diagram
Car Wash Drain Garbage -Domestic-non-foodEl Isometric or riser diagram is required for new buildings
Disposal -Domestic-food related that meet the qualifications above.
-Commercial-food related
-Industrial-food related
Ice Mach./Refrig.Drains
Oil Separator(Gas Station) Comments regarding fixture work:
Rec.Vehicle Dump Station
Shower -Gang
-Stall
Sink/Lav -Non-food related-Bradley
-Commercial-food related
-Service
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
Urinal plumbing permit can be issued.
Other Fixtures:
I:1Building\Permits\PLMU_PermitApp.doc 2
N Site Utilities — Plumbing Permit Application
Plan Submittal Requirements
TIGARD
A plumbing permit for site utility plumbing work is required for sanitary sewer, storm sewer
and potable water systems on private property.
1. SITE PLAN and vicinity map showing the geographic location (fully dimensional, drawn
to scale) labeled with:
A. ❑ map &tax lot# ❑ project name ❑ site address ❑ suite number
❑ zoning ❑ applicant name ❑ phone number
B. North arrow.
C. Scale (architectural or engineering only).
D. Street names.
E. Building pads with project location.
2. PLUMBING PLANS -Two (2) complete sets, civil only.
All details listed below shall be incorporated into the plumbing plans:
A. Storm drainage plan showing:
1) Finish elevations throughout the developed site.
2) Grade breaks determining area serving each catch basin.
3) Location of catch basins.
4) Pipe size.
5) Type of material.
6) Slope of piping.
7) Manholes and field drains.
8) Cleanouts provided for each 100 feet or fraction thereof.
9) Roof drain laterals specifying cleanouts at each upper terminal.
10) Location of existing or proposed connection to a public sewer line.
B. Utilities plan showing:
1) Sanitary sewer line location,pipe size, type of material, slope of piping, manholes
and cleanouts provided as required for storm.
2) Size and location of domestic water piping and drainage.
3) Proposed location of connection to a public water or sanitary sewer line.
I:\Building\Pernuts\PLMF-PemritApp.doc 12/30/05
'Plumbing Permit Application
. Site Utilities FOR OFFICE USE ONLY
Cityof Tigard Received il` �
13125•III 0 SW Hallg Blvd.,Tigard,OR 97223 Date/By: %V/nhU 4'J 17- Permit No.: Tl.l r a�0„/Y1g/4
Phone: 503.718.2439 Fax: 503.598.1960
Plan te/By: w (0 O-,`10,10 CA l 7
(late/By: Other Permit No.:
Inspection Line: 503.639.4175
T IC A A D Date Ready/By: kris Hi See Page 2 for
Internet: www.ligard-or.gov Notified/Method:it) iiI�� Supplemental Information
TYPE OF WORK FEE* SCHEDULE
%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(I)bath 312.70
❑ 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
ElAccessory building Multi-family SFR(3)bath 500.32
Each additional bath/kitchen 25.02
❑Master builder ❑Other:
Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
1 J 00 { t� Catch basin or area drain18.76
Job site address: lS Sid /dNt�i • 6 �02.56
i Drywell,leach line,or trench drain i 18.76 /8,f76
City/State/ZIP: --rf currk O R u ci yt
1 g Footing drain(no.linear ft.:69s ri Page 2 a75 is
Suite/bldg./apt.no.: I Project name: I) KAC^sU., 54.1.1l `r' Manufactured home utilities 50.03
Cross street/directions to job site: Manholes d 18.76 39,5a
Rain drain connector a 18.76
3 ,s
Sanitary sewer(no.linear ft.: %J ) 1 Page 2 gi,Set
Storm sewer(no.linear ft.:c28) 6 Page 2 9..56,jl/
Water service(no.linear ft.:17q) / Page 2 as,/
Subdivision: I Lot no.: Fixture or item:
Tax map/parcel no.: Backflow preventer / 31.27 'Al
DESCRIPTION OF WORK Backwater valve 12.51
1 I Clothes washer 25.02
`S i* (L l'; tt e s Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
❑ PROPERTY OWNER I ❑ TENANT Expansion tank 12.51
Fixture/sewer cap 25.02
Name:
Floor drain/floor sink/hub 25.02
Address:
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
Business name: Medical gas(value:S_) Page 2
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
E-mail: Urinal 25.02
Water closet 25.02
CONTRACTOR Water heater 37.52
Business name: Water piping/DW V 56.29 rrtl Address: Other:L/i a r 4rd Linr( Sin to / 25.02 5-,Qol
City/State/ZIP: c1CII42"-t;Ori Sy54$6.k= l Subtotal G13r Oaa.
Phone:( ) Fax:( ) Minimum permit fee: $72.50
Plan review (25%of permit fee) 'dav,,
CCB Lie.: Plumbing Tic.no.: State surchargejog,5 6(12%of permit fee)
Authorized signature: TOTAL PERMIT FEE 050,RY
Print name: Date: This permit application expires if a permit is not obtained with' 180 days
after it has been accepted as complete.
'Fee methodology set by Tri-County Building Industry Service Board.
I:Building\Permils\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WBB)
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-1°100' f 50.03 50 (:3 0 to 2,000 $121.90
Footing drain-each additional 100' 37.52 pa5,19, 2,001 to 3,600 $169.20
3,601 to 7200 69
$233.20
Sewer-1st 100' / 62.54 b2,5e/ 7,201 and greater $327.54
Sewer-each additional 100' 37.52
Water Service-1st 100' / 62.54 6a,54, Medical Gas Systems:
Water Service-each additional 100' 37.52 Valuation: Permit Fee:
Storm&Rain Drain-1st 100' / 62.54 ea,514
$1.00 to$5,000.00 Minimum fee$72.50
Storm&Rain Drain-each additional 100' y 37.52 f k rJ CC' $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for
Other ec Ins tions 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$120 for
(minimum charge-1/2 hour) each additional$100.00 or fraction thereof.
Subtotal: 8 56,311
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*.
Quantity by Fixture Type Plan Review for Plumbing Installations
Fixture Type for Replace/
Work Performed: Capped Added Relocate Plan review is required for any of the following.
Baptistry/Font Please check all that apply.
Bath Tub/Shower El Any new commercial building with water service 2"and
-Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed
Car Wash -Each Stall engineer.
-Drive Thru ❑ New exterior plumbing site utilities for any complex structure
Cuspidor/Water Aspirator as defined in OAR918-780-0040.
Dishwasher -Commercial ❑ Medical gas and vacuum systems for health care facilities.
-Domestic ❑ Any multipurpose fire sprinkler system.
Drinking Fountain ❑ Any complex structure as defined in OAR918-780-0040.
Eye Wash
Floor Drain/sink -2" Submit 2 sets of plans with any of the above.
-3„
4" Isometric or Riser Diagram
Car Wash Drain ❑ 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 MachJRefrig.Drains
Oil Separator(Gas Station) Comments regarding fixture work:
Rec.Vehicle Dump Station
Shower -Gang
-Stall
Sink/hv -Non-food related
-Bradley
-Commercial-food related
-Service
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
Urinal plumbing permit can be issued.
Other Fixtures:
1:\Building\Permits\PLMU_PermitApp.doc 2
•
1111 Site Utilities — Plumbing Permit Application
Plan Submittal Requirements
TIGARD
A plumbing permit for site utility plumbing work is required for sanitary sewer, storm sewer
and potable water systems on private property.
1. SITE PLAN and vicinity map showing the geographic location (fully dimensional,drawn
to scale) labeled with:
A. ❑ map& tax lot# ❑ project name ❑ site address ❑ suite number
❑ zoning ❑ applicant name ❑ phone number
B. North arrow.
C. Scale (architectural or engineering only).
D. Street names.
E. Building pads with project location.
2. PLUMBING PLANS -Two (2) complete sets, civil only.
All details listed below shall be incorporated into the plumbing plans:
A. Storm drainage plan showing:
1) Finish elevations throughout the developed site.
2) Grade breaks determining area serving each catch basin.
3) Location of catch basins.
4) Pipe size.
5) Type of material.
6) Slope of piping.
7) Manholes and field drains.
8) Cleanouts provided for each 100 feet or fraction thereof.
9) Roof drain laterals specifying cleanouts at each upper terminal.
10) Location of existing or proposed connection to a public sewer line.
B. Utilities plan showing:
1) Sanitary sewer line location, pipe size,type of material, slope of piping,manholes
and cleanouts provided as required for storm.
2) Size and location of domestic water piping and drainage.
3) Proposed location of connection to a public water or sanitary sewer line.
1:\Building\Peanits\PLMF-PermitApp.doc 12/30/05
Branden Taggart
From: Branden Taggart
Sent: Tuesday, October 20, 2020 10:59 AM
To: dmojica@seallp.com
Cc: Wendy Klein; Dianna Ornelas
Subject: 72nd & Baylor Apartments Site Utilities Permit: PLM2020-00414 - 1600 SW 72nd Ave.
Attachments: Invoice.pdf
Hello Dave,
The Site Utilities Plumbing permit for 72' & Baylor Apartments is ready to issue now. The balance due is$1,250.83, and
I have attached an invoice above for you to reference. The permit fees can be paid online through our
website: https://aca.accela.com/tigard/Default.aspx. From there, click on the Building tab, enter the permit number
(PLM2020-00414) in the Record Number field,and click Search. Once paid, please notify us at
TigardBuildingPermits@tigard-or.gov, and I will place the permit and plans in our open Permit Center conference room
for you to pick up between the hours of 8:00 a.m. and 5:00 p.m., Monday through Thursday. We are closed on Fridays.
Thank you,
Branden Taggart
t City of Tigard
E ■_;, Senior Permit Technician
Community Development
13125 SW Hall Blvd
Tigard,OR 97223
(503)718-2449
bra ndent@tigard-or,gov
1