Permit Al CITY OF TIGARD PLUMBING PERMIT
3 , COMMUNITY DEVELOPMENT Permit#: PLM2020-00519
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 1/12/2021
Parcel: 2S114DB00100
Jurisdiction: Tigard
Site address: 17005 SW 92ND AVE
Project: Cook Park Subdivision: None Lot: None
Project Description: Site Utilities for Cook Park baseball field improvements: (4)catch basins,719 ft.of footing drain,and 197 ft.of
storm sewer.
Contractor: FIELDTURF USA INC Owner: TIGARD, CITY OF
7445 COTEDELIESSE SUITE 200 13125 SW HALL
MONTREAL, QU UN H4T1G2 TIGARD, OR 97223
PHONE: 514-375-2570 PHONE:
FAX:
FEES
Quantity Description Date Amount
4 ea Catch Basin or Area Drain 01/12/2021 $75.04
Specifics: 719 If Footing Drain 01/12/2021 $312.67
197 If Storm Sewer 01/12/2021 $100.06
Type of Use: COM 1 Plan Review 01/12/2021 $121.94
Class of Work: ALT 1 12%State Surcharge- 01/12/2021 $58.53
Type of Const: Plumbing
Occupancy Grp:
Stories:
Total $668.24
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 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: y
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.
P!t'mbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Site Utilities Qty. Fee(ea) Total Square Footage: Perp tFee:
Footing drain-1"100' 50.03 0 to 2,000 $121.90
2,001 to 3,600 $169.69
Footing drain-each additional 100' 37.52 3,601 to 7,200 $23320
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 u pp• Pit Fee'
Storm&Rain Drain-1st 100' 62.54 s1.00 to S5,000.00 Minimum fee$72.50
Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the fust$5,000.00 and$1.52 for
rr:. tt, �>,a•"` , _ Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to
Othernspectlo�ns'o"r`' ees 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 S50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for
each additional$100.00 or faction thereof.
(minimum charge-1/2 hour)
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*. P��
Quantify` y ixlure Type Plan review is required for any of the following.
Fixture Type for Replace/ Please check all that apply.
Work Performed: Capped Added Relocate
El Any new commercial building with water service 2"and
Baptistry/Font greater,except systems designed and stamped by licensed
Bath: -Tub/Shower engineer.
-Jacuzzi/Whirlpool 0 New exterior plumbing site utilities for any complex structure
Car Wash: -Each Stall as defined in OAR918-780-0040.
-Drive Thru ❑ Medical gas and vacuum systems for health care facilities.
Cuspidor/Water Aspirator 0 Any multipurpose fire sprinkler system.
Dishwasher: -Commercial ❑ Any complex structure as defined in OAR918-780-0040.
-Domestic
Drinking Fountain Submit 2 sets of plans with any of the above.
Eye Wash
Floor Drain/sink: -2"
3., Isometric or Riser Diagram
0 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 Comments regarding fixture work:
Ice Mach./Refrig.Drains
Oil Separator(Gas Station)
Rec.Vehicle Dump Station
Shower: -Gang
-Stall
Sink: -LavBar non-food related
-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 plumbing permit can be issued.
Water Closet-Toilet
Urinal
Other Fixtures:
I:\Building\Permits\PLMF PermitApp.doc 08/04/2011 2
Plumbing Permit Application
. . Site Utilities FOR OFFICE USE 0AL1 E
City of Tigard Received >/ //� _
ll PlanRe Date/By: / (�/f dF-js Permit No.: D,M a�e f 9
Ill • 13125 SW Hall Blvd.,Tigard,OR 97223 an Review l/``��� T6'�O/ ! H t 7
a Phone: 503.718.2439 Fax: 503.598.1960 Date/By: I-it. )011 04 Other Permit No.:
I.I L.A R f) Inspection Line: 503.639.4175 Date Ready/By: t/t1-41.1/4...W1,1y-'
Inns: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK VEP"Y..- • FEE* SCHEDULE
grNew construction ❑Demolition For special information use checklist
Description I Qty. I Ea. I Total
El Addition/alteration/replacement 0 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 %Commercial/industrial
SFR(2)bath 437.78
IDAccessory 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: t ,\ Catch basin or area drain 18.76 75•0q
1 v Drywell,leach line,or trench drain 18.76
City/State/ZIP: g ( I g g 312. LI
ark p ii t Footing drain no.linear ft.:� 9`) Page 2
Suite/bldg./apt.no.: l Project name: K (irk Jkzi([i etJ. Manufactured home utilities 50.03
Cross street/directions to job site: :T-tvv F.ry_9Lbp_v,,• { S Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.:_) Page 2
Storm sewer(no.linear ft.:/4?I 2. Page 2 (00.06
Water service(no.linear ft.: ) Page 2
Subdivision: I Lot no.: Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
0 PROPERTY OWNER I ❑ TENANT Expansion tank 12.51
Name: Fixture/sewer cap 25.02
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
❑ APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02
Business name: Medical gas(value:$_) 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/DWV 56.29
Address: Other: 25.02
City/State/ZIP: Subtotal 4187, 707
Phone:( ) Fax:( ) Minimum permit fee: $72.50
Plan review (25%of permit fee) /A I.g g
CCB Lic.: Plumbing Lic.no.:
State surcharge(12%of permit fee) 5-8.S3
Authorized signature: TOTAL PERMIT FEE 668.2 c/
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.
1:\Buddiug1PermitePLMU-PermitApp.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 Utilities Qty. Fee(ea) Total Square Footage: Permit Fee:
Footing drain-1"100' 50.03 50.05 0 to 2,000 $121.90
Footing drain-each additional 100' 37.52 2.41•4 y 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' f 62.54 62,5y $1.00 to S5,000.00 Minimum fee$72.50
Storm&Rain Drain-each additional 100' 1 37.52 3?• 51 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for
Other ect Ins ions 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
each additional$100.00 or fraction thereof.
(minimum charge-1/2 hour) Subtotal: qla..�t l3
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/ Plan review is required for anyof the following.
Work Performed: capped Added Relocate �1
Baptistry/Font Please check all that apply.
Bath Tub/Shower ❑ 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 Mach./Refrig.Drains
Oil Separator(Gas Station) Comments regarding fixture work:
Rec.Vehicle Dump Station
Shower -Gang
-Stall
Sink/Lay -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
'PI " Site Utilities — Plumbing Permit Application
■
Plan Submittal Requirements
TIGARID
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. ❑x map&tax lot# 0 project name ❑x site address ❑ suite number
❑x zoning ❑x applicant name j] 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. Please make sure
your plans incorporate
2) Grade breaks determining area serving each catch basin.
the minimum
3) Location of catch basins. requirements listed
4) Pipe size. in the box.
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.
1:1Building\Pennits\PLMF-PennitApp.doc 12/30/05
City of Tigard RECEIVED
13125 SW Hall Blvd
•
�� Tigard OR 97223 DEC 2 9 2020
Ph• one (503) 639-4171
Fax: (503) 684-7298 CITY OF TIGARD
T I GARD BUILDING DIVISION
Letter of Transmittal
Date December 23, 2020 Transmitted By:
Project: Cook Park Ball Field Improvements:SLR 2020-00007 ❑ Mail
File No. CIP NO. 92062 ❑ Will Call
To: Permit Center ® Other
Address: City of Tigard, Building Department
13125 SW Hall Blvd
Tigard, OR 97223
We are Sending you..
n Drawings ❑ Prints ® For Approval
❑ Specifications /1 Plans ® As Requested
❑ Copy of Letter ❑ Samples ❑ For Your Use
❑ Change Order ® Other (Site Utility Permit)) ❑ Comment
#of Copies Description
1 Site Utility Permit Anolication
2 Sets of Plans (22"x34"
Items Are... ® Attached ❑ Under Separate Cover via
Remarks:
Building Department,
Included are requested PFI document for review and approval. Please contact me if you have
questions or require additional information.
Thank you.
Jeff Peck, Project Manager
Branden Taggart
From: Branden Taggart
Sent: Tuesday, December 29, 2020 4:38 PM
To: Jeff Peck
Subject: Cook Park Field Improvements - 17005 SW 92nd Ave.
Jeff,
We received the Site Utilities Plumbing permit submittal for Cook Park, but we have not received an erosion control Site
Work permit submittal for the synthetic turf infields. Will you be submitting one soon?
Thanks,
Branden Taggart
of City of Tigard
c Senior Permit Technician
Community Development
13125 SW FialI Blvd
Tigard, OR 97.223
(503)718-2449
brandent@tigard-o r,g ov
1
Branden Taggart
From: Branden Taggart
Sent: Wednesday, December 30, 2020 7:35 AM
To: Joe Wisniewski;Jeff Peck
Cc: Mark VanDomelen;Jeremy Tamargo
Subject: RE: Cook Park Field Improvements - 17005 SW 92nd Ave.
Okay,great. It's settled then --erosion control will be part of the PFI. Thank you all.
Thanks,
Branden Taggart
INM City of Tigard
u Senior Permit Technician
0
Community Development
13125 SW Hall Blvd
Tigard, OR 97223
(503}718-2449
brandent@tigard-cir.gov
From:Joe Wisniewski<joew@tigard-or.gov>
Sent:Tuesday, December 29, 2020 6:17 PM
To:Jeff Peck<JeffP@tigard-or.gov>; Branden Taggart<brandent@tigard-or.gov>
Cc: Mark VanDomelen <markv@tigard-or.gov>;Jeremy Tamargo<jeremyt@tigard-or.gov>
Subject: RE: Cook Park Field Improvements- 17005 SW 92nd Ave.
Hi Jeff,
I am ok with it being part of the PFI. I have copied Jeremy to include him on the conversation as well.
Joe Wisniewski, P.E.
14 II City of Tigard
t Assistant City Engineer
T t+;A fit;
(971)271-4772
Joew@tigard-or.gov
13125 SW Halt Blvd.
Tigard,OR 97223
From:Jeff Peck<JeffP@tigard-or.gov>
Sent:Tuesday, December 29, 2020 6:12 PM
To: Branden Taggart<brandent@tigard-or.gov>
Cc: Mark VanDomelen <markv@tigard-or.gov>;Joe Wisniewski<ioew@tigard-or.gov>
Subject: RE: Cook Park Field Improvements- 17005 SW 92nd Ave.
Hi Branden,
Joe W (Engineering) and Mark decided to put the EC on the PFI for the project.
1
I am going to copy them in so they can respond.
If I am incorrect here, I will make sure I get a site works app in for EC.
Thank you.
Jeff
From: Branden Taggart<brandent@tigard-or.gov>
Sent:Tuesday, December 29, 2020 4:38 PM
To:Jeff Peck<JeffP@tigard-or.gov>
Subject:Cook Park Field Improvements- 17005 SW 92nd Ave.
Jeff,
We received the Site Utilities Plumbing permit submittal for Cook Park, but we have not received an erosion control Site
Work permit submittal for the synthetic turf infields. Will you be submitting one soon?
Thanks,
Branden Taggart
r• City of Tigard
2,a Senior Permit Technician
Community Development
13125 SW Flail Blvd
Tigard, OR 97223
(503)718-2449
brandent@tigarci-or.gov
DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail
may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retained
by the City of Tigard in compliance with the Oregon Administrative Rules"City General Records Retention Schedule."
2