Permit 11114 CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2020-00497
Date Issued: 12/16/2020
T r G A R T7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S101BB01300
Jurisdiction: Tigard
Site address: 11952 SW GARDEN PL
Project: BKM CAPITAL PARTNERS Subdivision: CROW PARK 217 Lot: 1
Project Description: Interior plumbing:Capping(1)dishwasher,(5)2"floor drains/sinks, (1)4"hub drain,(1)garbage disposal,(9)
sinks,(6)water closets, (3)urinals,and(1)water heater;Adding(12)sinks and(8)water closets.
Contractor: POWER PLUMBING CO Owner: BKM PARK BC 252 LLC
PO BOX 19418 1701 QUAIL ST STE 100
PORTLAND, OR 97280 NEWPORT BEACH, CA 92660
PHONE: 503-244-1900 PHONE:
FAX: 503-244-8825
FEES
Quantity Description Date Amount
12 ea Sink 12/16/2020 $300.24
Specifics: 8 ea Water Closet 12/16/2020 $200.16
12 ea Water Heater 12/16/2020 $450.24
Type of Use: COM 27 ea Fixture/Sewer Cap 12/16/2020 $675.54
Class of Work: ALT 1 12%State Surcharge- 12/16/2020 $195.14
Type of Const: Plumbing
Occupancy Grp:
Stories:
Total $1,821.32
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: ` l „`\� 1 q�, � 1 C Permittee Signature: „ r Ac p1 •t c 4 u�
t�() V Call`ll 503.639.417550 by 7:00 a.m.for the next available inspectionv 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 Applicatky l Ec F IvE 1 .- 1242(2c.)
• Building Fixtures � 2 rnit (Hilt i. 1 si ()Nil()NI
City of Tigard DEC 2020 Received Permit No.:
Date/By: / y, ,pMy,
• C U 13125 SW Hall Blvd.,Tigard,OR 9 I � 7� /" �f) Ly ��YZK��
C: OF TIGA� Plan R'i".
Phone 503.718.2439 Fax: 503 9 0 �0 Other Permit No..-R i�\yo,
Inspection Line: 503.639.4175 3l l i t DING D I V 1 S l I Rite /B ]iris: is See ■ e 2 for
TIGARD Y Y: e
Internet: www.tigard-orgov NotifiediMethod:/y ,/,s/7-r) Ix, Supplemental Information
TYPE OF WORK 01Y .'t 1 k✓+S e- FEE" SCHEDULE
❑New construction ❑Demolition For special information use checklist
Description I Qty. I Ea. I Total
®Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(I)bath 312.70
I-and 2-familydwelling SFR(2)bath 437.78
0 ®Commercial/industrial .
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: 11952 SW GARDEN PLACE Catch basin or area drain 18.76
Drywell,leach line,of trench drain 18.76
City/State/ZIP:TIGARD, OR 97223
Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: Project name:20-301/3 Qs4M
o. anuFactured 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.: c9510 J/2 O ff)i,2Ct L Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 25.02
BKM BUILDING 7 TENANT IMPROVEMENT Dishwasher 25.02
TIE TO BUILDING PERMIT BUP2020-00208 Drinking fountain 25.02
Ejectors/sump 25.02
0 PROPERTY OWNER ❑ TENANT Expansion tank 12.5]
Name: Fixture/sewer cap 27 25.02 6,7,-.s-Ij
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 0 CONTACT PERSON Interceptor/grease trap 25.02
Business name:POWER PLUMBING CO. Medical gas(value:S_) Page 2
Primer 12.51
Contact name: JOSH CRUME Roof drain(commercial) 12.51
Address: P.O. BOX 19418 Sink/basin/lavatory 12 25.02 , 3,-
City/State/ZIP: PORTLAND, OR 97280-9418 Solar units(potable water) 62.54
Phone:( 50)3-244-1900 Fax::( 503-244-8825 Tub/shower/shower pan 12.51
E-mail:SERVICE@POWERPLUMBINGCO.COM Urinal 25.02
Water closet 8 25.02 �O, j
CONTRACTOR 2
Water heater 12 37.52 /15-01.J
Business name:POWER PLUMBING CO. Water piping/Dwv 56.29 f
Address:6611 SW MULTNOMAH BLVD Other: 25.02
City/State/ZIP:PORTLAND, OR 97223 Subtotal 46 , l is
Phone:( 503-244-1900 Fax:( 503-244-8825 Minimum permit fee: $72.50
CCB Lic.:52378 Plumbing Lic.no.: 34-150PB Plan review (25%of permit fee) ew /,
6.1..e
. �� State surcharge(12%of permit fee) . el 1, J'I
Authorized signature: f, `..e 131 ae TOTAL PERMIT FEE/J 1 gai,3a
Print name:KRISTI BRAMWELL eee///Ill Date:12-2-2020 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.
P\Buildingwennas\PLMU.PernutApp.dor 10.,01,09 440-4616T(10!02KOM/WED)
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 $12190
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
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 Reps Please check all that apply.
Work Performed: Capped Added Relocate 0 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 ❑ Medical gas and vacuum systems for health care facilities.
Dishwasher: -Commercial ❑ Any multipurpose fire sprinkler system.
-Domestic 1 ❑ 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" 5
3" Isometric or Riser Diagram
4" 1 tti-ain ❑ 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 PLEASE CALL JOSH CRUME WITH QUESTIONS 503-936-5669
Shower. -Gang
-Stall
Sink. -Lay/Bar non-food related -R y 12 tit) ""`✓G&ZeiIA/ iu.e1 � -
-Bradley _ �t/t Art nl..,re Ct- -ei Pty A f IV( 7,., i :Y-1
f5 L. e-
-Com/Serv/lJtil food related ✓VJ uJTCSC d oYi q r rvw/ • l/
-Service *Note: If the fixture work udder this rmit r su in n
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 6 8 plumbing permit can be issued.
Urinal 3
Other Fixtures: itArkr l *er' I
1:\Building\Permits\PLMF_PetmitApp.doZ 8/04/201I 2
Accumulative Sewer Tally
IN _ Tenant Name: BKM CAPITAL PARTNERS SWli# N/A
TIcnRI) Site Address: 11952 SW GARDEN PI. PLM# 2020-00497
Parcel#: 1 S 1 01 BB01300
Fixture Value Previous Previous Credits Capped Fixture Fixture New New
# value count capped#s value count added# added value total#s total values
Baptisery/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 1 2 0 -1 -2
Drinking Fountain 1 0 0 0 0 0
F,ye Wash 1 0 0 0 0 0
Floor Drain/Sink: -2 inch 2 0 5 10 0 -5 -10
-3 inch 5 0 0 0 0 0
-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 HP) 32 0 0 0 0 0
-Industrial(over 5 I IP) 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:
-Lav/Bar-Non-Food Related 2 0 8 16 12 24 4 8
-Bradley 5 0 0 0 0 0
-Com/Scrv/Util-Food Related 3 0 1 3 0 -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 6 36 8 48 2 12
Urinal 6 0 3 18 0 -3 -18
Previous EDU Count 0 0
Capped EDU Credit 0
TOTALS 0 0 24 85 20 72 -4 -13
Current Fixture Value -13 divided by 16= -0.813 Current EDU 1 EDU= $5,800.00
Previous Fixture Value 0 divided by 16= 0.000 Previous EDU
Change -13 divided by 16= -0.813 over (under) $ (4,698.00)
Enter EDU Change Here -0.810 *
*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: ***CREDIT*** (1)4"HUB DRAIN AND(1)GARBAGE DISPOSAL DID NOT RECEIVE CREDITS AS SDC FEES WERE NOT
ORIGINALLY ASSESSED.
Authorized Name/Signature: BRANDEN TAGGART X2449 Date: 12/16/2020
Building Division
Note: 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.
1:\Building\Sewer Tally\SewerTallyShcct_5800_070119.xlsx