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Permit IL CITY OF TIGARD PLUMBING PERMIT 1111 COMMUNITY DEVELOPMENT Permit#: PLM2020-00511 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/22/2020 Parcel: 1S136CD02000 Jurisdiction: Tigard Site address: 7805 SW DARTMOUTH ST Project: AutoZone Subdivision: None Lot: None Project Description: Interior plumbing for TI: Capping(4)sinks, (6)water closets,and(1)urinal;Adding(1)drinking fountain,(1)2"floor drain,(5)sinks,and (4)water closets. Installing(1)hose bib and(1)water heater. Contractor: MD PLUMBING LLC Owner: 7805 SWD LLC 939 SW WILLOW CREEK DR BY ALSTON& BIRD LLP BEAVERTON, OR 97006 BANK OF AMERICA PLAZA 101 SOUTH TRYON ST STE 4000 CHARLOTTE, NC 28280 PHONE: 503-267-3914 PHONE: FAX: FEES Quantity Description Date Amount 1 ea Drinking Fountain 12/21/2020 $25.02 Specifics: 1 ea Fixture/Sewer Cap 12/21/2020 $25.02 1 ea Floor Drain/Floor Sink/Hub 12/21/2020 $25.02 Type of Use: COM 1 ea Hose Bib 12/21/2020 $25.02 Class of Work: ALT 5 ea Sink 12/21/2020 $125.10 Type of Conet: 4 ea Water Closet 12/21/2020 $100.08 Occupancy Grp: 1 ea Water Heater 12/21/2020 $37.52 Stories: 1 12%State Surcharge- 12/21/2020 $43.53 Plumbing Total $406.31 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. ,� permit Application ng Fixtures RECEIVE I FOR OFFICE iSF. ONLY City of Tigard Recalved Permit No.: r�r f < DEC 15 20YD DnteB : , Ar ;,. a 13125 SW Hall ,2439 Tigard,OR 9759 .l Plan Review Oilier permit No.: >� _ Inspection Phone: 5n Line:.5 3 . Fax: 503.59R.196A'TY OF TIGARD Date/0yr j L!!.. - Interneton Line: 503.639.4175 ll�� Date Ready/By: twit: H Sea Page 2 for C,ARfS B&JtLDINe , ` '•.1 ,r Supplemental Information Internet: www.tigar(1-or.gov IY Notified/Method: -� TYPE OF WORK FEE* SC1IEAULE iiiimarizz � / Q Demolition �a ga. Total 0 New construction Descti.tion Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each)utili conne ' CATEGORY OF CONSTRUCTION ,70 r (]1•and 2-family dwelling ►.+ Commeroiallindostrial 5U0.32 Accessory building Q Muki-family❑Master builder Q Other: Each additional bath/kitchen 25.02 Nitril JOB SITE INFORMATION AND LOCATION Catch basin or area drain ®= 7 �c �D `/l n/ t� Dryw Job site address: L ell,leach line,or trench drain City/State/ZIP: ��^'�� (�r`" 1 ( ----'-'-'-"' �lirmill 40.03 IMIIIIIIIIIII Suite/bldg.lapt.no.: I Project name: ,ytP�G_ � 111111111 Cross meet/directions eeddirections to job site: _. min drain connector �� g=TMSMOff 13� IIIIIIIIIIII /� �t Lot nv.: Fixture or item: ®_ lSubdivision: S i3lY�.11r"la czk J ---no:"' Bature or ro:ter Tax map/parcel no.. -'-".'-""'- �� aa DESCRIPTION OF WORK 25.02 fl s ( ` � Dishwasher 25.02 ,Lr j I�(...001__T_���V •.'1.. Drinking Fountain IIIIIIMM � ^tr , 25.02 c� {`-�r.C�P \Yt1F-- w .-_. � t l Ejectors/sump ir. 5102 \�� .lam:` r'[i�j ---- -` 1 MOM Expansion tank 1. NMI [j TENANT 25.02 FIVEll o PROPERTY OWNER 25.02 „� r1 ——, (/r1� Name: �` 25A2 III _,___ __.�.-- -' _ Garbage disposal 25.02 Address: _ - Bose bill Phone: etate!'LIP: Ice maker 11111111111193111111111111 Fax:( ) emincomamIate[cepledgruasc trap miumum Phone:( ) 11113311111.11111 ❑ CONTACT PERSON _ ❑ APPLICANT L G ®� g -I t lI d f ri (_ /_ Primer t Contact tname:ss : (1/i 0 1,../ "ftL-L-ok) C. �6_1_4_---2 Roofdmin(commercial) 3 W "c-f-- �/IC � 25.02 Contact name: a J Sink/basin/lavatory 25.02 ISZIA //j/ - --- table water) Solar units(po �_ Mini illiM _.._------------- Tub/shower/shower pan City/State/ZIP: � ' Fex::(_) _____-_ 25A2 tt +j le AL r�1 7"' _ Urinal 25.02 '� 1, Phone:(. atilt- �'r a 1( .0 - Walar closet - 11rC me (A E-maiC 37.52 'TRACTOR �._y Water heater 56.29 ` ` , G _ WaterpipingffiWV v 25.02 '1� Business name: r )/'�y�-. . y / ✓l Other: %,`.,�ir�/{i NMI LL-/"� :.. /'� subtotal �%i_.�15 Address: s ZtP�r/�/�''''r� / I L Minimum permit fec: 572.50 City/State/Z • (/ /mil Plan review (25%ofpermitfee) , �1 )ii . J/ Fait:( ) -�' �'"� State surcharge(l2%of permit fee) J Plumbing Lic.no.: J .7, �' CCB Ltc.: L _ TOTAL PERMIT FEE ����,� _ - b `•il `„ Authorized Signature: �Q This permit application expires ita permit b oat obtained 1:0 ditys:`rt� y Date fps /, after❑has been accepted as complete, •J}I r'W rp il) ��/ e. *Pee methodology net by Tri-County Building Industry SerVlee Board. Iii r i, Print name: L� � — l kc� ptp.g644T(ION2ILOAUwE81 WtmdtsU'LMU-y�nuVyrp.doc IWal/D9 • to permit Application - City of Tigard Supplemental Information Schedule: Residential Fire Suppression Systems: to utilities Qty. Fee(ea) Square Footage: Permit Fee: ,xnngddrain-1"100' 50.03 0 to2,000 $121.90 I;,.sing drain-each additional 100' -" — 37.52 2,001 to 3,600 $169.69 9cwcr-1st 100' 62.54 3,601 to 7,200 $233.20 7,201 and greater $327.54 sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Water Scry cc-each additional 100' Medical Gas Systems: 37.s2 Valuation: Permit Fee: Storm&Rain Drain-1st 100' 62.54 r $I.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' Ill 37.52 $5,001.(!0 to${O,000.W 572.50 for the first$5,000.g0 sell$1.52 for .cr. Other Inspections or Fees Qty. Fee(ea) 11 such additional$100.00 or fraction thcrcnf,to _ and including$10,000.00. Inspection of existing plumbing or for $I Q0t1 LW to$25,000;I10 $14(i.50 for the Pint B 10,000.1)0 and 51.54 for which u fcc is specifically indicated 90.(10Por each additirtrtal S 100.00 or fraction lhcreof,to (minimum charge-Il2 hour) und'utetudin $25,000.00. Inspections outside of normal twines!: 90.Ixl/hr $25,001.00 to$50,0(x).l)tl $379.50 for the first$25,000.00 and$445 for hours minimum charge-2 hours) each additional$100.00 or fraction thereof;to \: fos 9(1.00/br , upeach additional 5100.00 or fraction thereof. (minimum charge-1/2 hour _ Sahlolal: it Commercial Fixture Work: x Are you capping,adding or replacing fixtures? if"yes", please indicate work performed by fixture. Failure to ti s, accurately report fixtures could result in increased sewer fees*. Plan Review for Plumbing Installations tomtit b Fixture 9' Plan review is required for any of the following. Fixture Type for MI it Please check all that apply. Added nelorate Work Performed: 0 Any now commercial budding with water service 2"and Its twit !Cunt greater,except systems designed and stamped by licensed Daily, ;fob/Shower engineer. Daourti/WhlrtLtxd 0 New exterior plumbing site utilities for any complex structure Car Wash -Each Slut Illa as cdieat g in nd vacuum -780 systems0040. .Drive Tito: 0 Medical gas and vacuum for health care facilities. ('ux ridnrlWulccAx tutor ❑ Any multipurpose lire sprinkler system. DixbwnxhcK: -Commercial lam 0 Any complex structure as defined in OAR9ll-7im-0040. -Domestic Thinking FountainII MI Submit a sets of plans with any of the above. p, cWash Fluor Drain/sink: •2" OMNI 3" Isometric or Riser Diagram 4„ I. I ❑ Isometric or riser'diagram is required for new buildings -Cur Wash Uruin thut meet the qualifications above. Glirbugc -Dunwstie numfmal Dixpnsaft -Domestic Bard related -Conmierclal food Mated -Inxuatriul food related lee Meuh.11iefri:.Drains C nimt�nts regarding fixture r'ork: Oil separator(Iles Station) $:•'" i V �qq l., Itla, e.':Vehicle Dump Station V J -�b 7 v 1�� f t t" Shower: -Iinug t •Stan -------_- Sink: -I av/flux twlrforal related fl� fr.AI -Bradley s /c/C�'" 1i31,9tt.JZ) •Cundtiervllllil list-related service *Note: If the fixture work under this permit resultsin an Washer .('Pain Pntm Increase of sewer EDps a sewer permit will be issued and Wusl+cr-Clothes r Water 1 xtructorininsi fees assessed for the sewer increase must be paid before the Water('inset-'toilet plumbing permit can be issued. linnet 1111111111111111111111111111111111 Other Fixtures I:U3adding\Pcrmil5\PLMF_YemtitApp.doc 0X104/201 I 2 Accumulative Sewer Tally p 'Tenant Name:AUTOGONE SWR# N/A TIGARD Site Address: 7805 SW DARTMOUTH ST PLM# 2020-00511 Parcel#: 1S136CD02000 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 0 0 0 0 Drinking Fountain 1 0 0 1 1 1 1 Eye Wash 1 0 0 0 0 0 Floor Drain/Sink: -2 inch 2 0 0 1 2 1 2 -3inch 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 IIP) 16 0 0 0 0 0 -Commercial(to 5 HP) 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 (1 0 0 0 0 -Stall 2 0 0 0 0 0 Sink: -Lav/Bar-Non-Food Related 2 0 4 8 5 10 1 2 -Bradley 5 0 0 0 0 0 -Com/Serv/Util-Food Related 3 0 0 0 0 0 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 4 24 -2 -12 Urinal 6 0 1 6 0 -1 -6 Previous EDU Count 0 0 Capped EDU Credit 0 TOTALS 0 0 11 50 11 37 0 -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 he rounded up to.01,and a count ending in.014 or less shall be rounded down to.01. Notes: ***CREDIT**' Authorized Name/Signature: BRANDENTAGGARTX2449 Date: 12/21/2020 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. I:\Building\Sewer Tally\SewcrTallyShcet_5800_070119.xlsx • Branden Taggart From: Branden Taggart Sent: Monday, December 21, 2020 5:02 PM To: logrecomark@gmail.com Subject: FW: [Scan] Revised permit application for Md P6: PLM2020-00511 - 7805 SW Dartmouth St. Attachments: Invoice.pdf Importance: High Mark, Please see my email below to Teresa regarding the AutoZone permit. Thanks, Branden Taggart .:a City of Tigard ■: Senior Permit Technician . rq Community DeveFopment 13125 SW Hall Blvd Tigard, OR 97223 (503)718-2449 brandent@tigard-or.gov From: Branden Taggart Sent: Monday, December 21, 2020 4:56 PM To: TERESA MAJERUS<tmajerus@comcast.net> Subject: RE: [Scan] Revised permit application for Md P6: PLM2020-00511 -7805 SW Dartmouth St. Importance: High Hi Teresa, The interior Plumbing permit for AutoZone, located at 7805 SW Dartmouth Street, is ready to issue now. The balance due is$406.31, 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(PLM2020-00511) in the Record Number field, and click Search. Once paid, please notify us at TigardBuildingPermits@tigard-or.gov, and we will email the permit paperwork to you. Thanks, 1 Branden Taggart 4 City of Tigard Senior Permit Technician Community Development t'E'Dfsitll 13125 SW Hall Blvd Tigard,OR 97223 (503)718-2449 b€andent©tigard-or,gov From: Branden Taggart Sent: Monday, December 21, 2020 3:43 PM To:TERESA MAJERUS<tmajerus@comcast.net> Subject: FW: [Scan] Revised permit application for Md P6-7805 SW Dartmouth St. Hi Teresa, Thank you for revising the application. I will work on processing this permit tonight for you, and I will send you another email with the fees due when this permit is ready to issue. Thanks, Branden Taggart ■ City of Tigard ■ C. Senior Permit Technician Community Development eT WARD 13125 SW Hall Blvd Tigard, OR 97223 (503)718-2449 brandent@tigard-or,gov From:tmajerus<tmaierus@comcast.net> Sent: Monday, December 21, 2020 1:00 PM To: Branden Taggart<brandent@tigard-or.gov> Subject: [Scan] Revised permit application for Md P6 Caution!This message was sent from outside your organization. Allow sender I Block sender Hi Branden, Mark had been working with you on this revised application. Please let me know if you need anything else. Thank you, Teresa MD Plumbing Sent with Genius Scan for Android https://dl.tglapp.com/genius-scan 2 Sent from my Galaxy 3