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Permit CITY OF TIGARD PLUMBING PERMIT 41 1111 I COMMUNITY DEVELOPMENT Permit#: PLM2021-00043 T E C;A I J) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 3/3/2021 Parcel: 2S 112AC01900 Jurisdiction: Tigard Site address: 14945 SW 72ND AVE Project: FD Project Subdivision: FANNO CREEK ACRE TRACTS Lot: 47 Project Description: Interior plumbing for new kitchen:Adding(1)2"floor drain/sink,and(3)sinks; Installing(1)grease trap, (1)primer, and(1)water heater. Contractor: ELITE PLUMBING INC Owner: HONEY LLC 6023 SE NEHALEN STREET LGH II LLC PORTLAND, OR 97206 9400 SW BARNES RD STE 400 PORTLAND, OR 97225 PHONE: 503-788-4746 PHONE: FAX: FEES Quantity Description Date Amount 1 ea Floor Drain/Floor Sink/Hub 02/26/2021 $25.02 Specifics: 1 ea Interceptor/Grease Trap 02/26/2021 $25.02 1 ea Primer 02/26/2021 $12.51 Type of Use: COM 2 ea Sink 02/26/2021 $50.04 Class of Work: ALT 1 ea Lavatories 02/26/2021 $25.02 Type of Const: 1 ea Water Heater 02/26/2021 $37.52 Occupancy Grp: 1 Plan Review 02/26/2021 $43.78 Stories: 1 12%State Surcharge- 02/26/2021 $21.02 Plumbing Total $239.93 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: k\r)k, \ � ' C��--° � ;� •CU� 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 ...r/ Building Fixtures FOR OFFICE USE ONLY City of Tigard ewed IN . �rPermit No.: 't 13125 SW Hall Blvd.,Tigard,OR 97223 RE _ _ N a vJ/ J2i /� j Phone: 503.718?439 Fax: 503.598.1960 C.l Other Permit No.: �y%,� j Inspection Line: 503.639.4175 Date/By: ;2.-Ci-,/6d1 taJ 54 19 FEBq ii Date Ready/By: torn: EI See Page 2 for TIGARD Internet: www.tigazd-or.gov FLQL3s Notified/Method: , ,, 1 Supplemental information TYPE OF WORK CITY OF TIGARD FEE* SCHEDUi.E t For special information use checklist. ❑New construction D Dem QUlLDING DIVISION Description l Qty. I Ea. i Total - Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 R.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ❑ 1-and 2-family dwelling Commercial/industrial SFR(2)bath 437.78 AccessorySFR(3)bath 500 32 building❑ ❑Multi-family ❑Master builder - Each additional bath/kitchen 25.02 0 Other. __ Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: /17/ l 1�!-' s C '7 r7.•. ./. /f u Catch basin or area drain 1 g•76 City/State/ZIP: l J y' -4.S._ 0 2 CI 7 �/�y Drywell,leach line,or trench drain 18.76 1 9 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: Project name: �+ D k�� '-. Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 . - . _ ta - r Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) ./13111 Page 2 � ✓d1t - S ANC-t,../e-47 p=-e`S l aR.r.t Storm sewer(no.linear ft.: ) Page 2 `' Water service(no.linear ft.:_) Page 2 Subdivision: 1 Lot no.: Fixture or item: Tax map/parcel no.: 251IA"ICJ i 04) Backtlow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 � l Clothes washer 25.02 //�,) /�// 54141/ /411-C461-, Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 y PROPERTY OWNER - 1 )4TENANT Expansion tank 12.51 Name: Ta/(-,, / /ta Fixture sewer cap 25.02 Address: 1� "7 � & tA.y Garbage Floor disposal j 25.02 025•02 -- Garbage disposal 25.02 City/State/ZIP: l- ( R Y O Cl / Bose bib 25.02 Phone:( ,3 LI 5 0 -- /q 3 Fax:( ) Ice maker 12.51 APPLICANT 'CONTACT PERSON Interceptor./greasetrap / 25.02 as,02 Business name: cL j•._e Pi u / .. C Medical gas(value:$ j Page 2 !ta i�+.rt -,F ti Primer Contact name: L ikA' i4 I i__ 12.51 l•Z•5 f Roof drain(commercial) 12.51 Address: / i 3 7/ S .. 6/`( 4,J4,; /2 S- • Sink/basin/lavatory 3 25.02 75.0 6 City/State/ZIP: 0 C / 0 � . e: -� 0'-j S Solar units(potable water) 62.54 Phone:(S.D3) -1 '3 _.Li 7 b Fax::( ) ZV /A Tub/shower/shower pan 12.51 E-mail: L ! 6., A 1-f I q z. r/ i, Urinal 25.02 i �-__ 7 r a c� C ca".- CONTRACTOR water closet 25.02 Water heater J 37.52 37,SZ Business name: R.,/I C l(_,I ill Ljpt./ C ._. ,� `) �/`-� • Water piping/DWV 56:L9 Address: / -7 3 7 / 5-, 0-d e v /2 Other: 25.02 City/State/ZIP: O`C I 0't - - 91 V y S Subtotal f 75,/3 Phone:(5i.:.3) '7 y I y 7 le / Fax:( ) t J� Minimum permit fee: 572.50 CCB Lie.: 1 3 5 0 '-77 `4. i Plumbing Lie,no.: a 4, -4•7 3 p� Plan review (25°io of permit fee) �f�,is, State surcharge(12%of permit fee) .2 i,0 2 Authorized signature: �� i3 TOTAL PERMIT FEE Print name: Lv/ 1.� Date: _ I This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by-Fri-County Building industry Service Board. I:uBuilding\Pernxits/t'LMU-PnmitApp.doc IWO V09 440-46167(10/OZ/COM/WEB) j . 6 3 JU �'nk -ram 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 0 to 2,000 S 121.90 Footing drain-each additional 100' 37.57 2,001 to 3,600 $169.69 Sewer-1st 100' 62.543,601 to 7,200 $233.20 �" L 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 Drain6zsa-1st 100' $1.00 to$5,000.00 Minimum fcc$72.50 Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to S 10,000.00 S72.50 for the first S5,000.00 and$1.52 for Other Inspections or Fees Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to and including S10,000.00. Inspection of existing plumbing or for S 10,001.00 to$25,000.00 S 148.50 for the first S 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 S25,001.00 to$50,000.00 S379.50 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 S742.00 for the first S50,000.00 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 Replace/ Please check all that apply. Work Performed: Capped Added Relocate ❑ 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 ❑ New exterior plumbing site utilities for any complex structure Drive 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 ❑ Any complex structure as defined in OAR918-7R0-0040, Drinking;Fountain Eye Wash Submit 2 sets of plans with any of the above. Floor Drain/sink: -2" f -3" Isometric or Riser Diagram ❑ 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 Shower: -Gang -Stall Sink: -Lav/Bar non-food related / -Bradley -Com/Serv/Util food related / -Service / *Note: If the fixture work under this permit results in an Swimming Pool Filter Washer-clothes increase of sewer EDUs,a sewer permit will be issued and Water Extractor fees assessed for the sewer increase must be paid before the Water Closet-Toilet plumbing permit can be issued. Urinal Other Fixtures: I:'t.Building\Permits\PLMF_PermitApp.doc 08/04/2011 2 Accumulative Sewer Tally IN a 4 Tenant Name: FD PROJI CI' SWR# 2021-00034 TIGARD Site Address: 14945 SW 72ND AVI'- PLM# 2021-00043 Parcel#: 2S112AC01900 Fixture Value Previous Previous Credits Capped Fixture Fixture New New # value count capped#s value count added# added value total#s total values Baptiscry/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 0 0 0 I?ye Wash 1 0 0 0 0 0 floor Drain/Sink: -2 inch 2 0 0 1 2 1 2 -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 11P) 16 0 0 0 0 0 -Commercial(to 5 I IP) 32 0 0 0 0 0 -Industrial(over 5 UP) 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: -Lay/Bar-Non-Food Related 2 0 0 1 2 1 2 -Bradley 5 0 0 0 0 0 -Com/Serv/Util-Food Related 3 0 0 2 6 2 6 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 0 0 0 0 Urinal 6 0 0 0 0 0 Previous EDU Count 0 0 Capped 1?DU Credit 0 TUTA],S 0 0 0 0 4 10 4 10 Current Fixture Value 10 divided by 16= 0.625 Current EDU 1 EDU= $5,800.00 Previous Fixture Value 0 divided by 16= 0.000 Previous EDU Change 10 divided by 16= 0.625 over (under) S 3,654.00 Enter EDU Change Here 0.630 * *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: Authorized Name/Signature: BRANDEN TAGGART X2449 Date: 2/18/2021 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:ABuilding\Sewer Tally\SewerTallySheet_5800_070119.xlsx _, . Accumulative Sewer Tally i III m Tenant Name: FD PROJECT SWR# 2021-00034 TIGARD Site Address: 14945 SW 72ND AVE PLM# 2021-00043 Parcel#: 2S112AC01900 Fixture Value I'rc\ious 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 0 0 0 Eye Wash 1 0 0 0 0 0 Floor Drain/Sink: -2 inch 2 0 0 1 2 1 2 -3 inch 5 0 0 0 0 0 -4inch 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 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 0 _ 0 0 0 0 -Stall 2 0 0 0 0 0 Sink: -Lav/Bar-Non-Food Related 2 0 0 1 2 1 2 -Bradley 5 0 0 0 0 0 -Com/Serv/Util-Food Related 3 0 0 2 6 2 6 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 0 0 0 0 Urinal 6 0 0 0 0 0 Previous EDU Count 0 0 Capped EDU Credit 0 TOTALS 0 0 0 0 4 10 4 10 Current Fixture Value 10 divided by 16= 0.625 Current EDU 1 EDU= $5,800.00 Previous Fixture Value 0 divided by 16= 0.000 Previous EDU Change 10 divided by 16= 0.625 over (under) $ 3,654.00 Enter EDU Change Here 0.630 * *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: Authorized Name/Signature: BRANDEN TAGGART X2449 Date: 2/18/2021 Building Division o 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\SewerTallySheet_5800_070119.xlsx Branden Taggart From: Branden Taggart Sent: Thursday, February 18, 2021 1:56 PM To: lynhill42@yahoo.com Subject: FD Project Permits: PLM2021-00043 & SWR2021-00034 - 14945 SW 72nd Ave. Attachments: Invoices &Sewer Tally.pdf Hy Lyn, The Plumbing and Sewer permits for FD Project are ready to issue now. I have attached invoices above for you to reference, and the fees due are as follows: FD Project Permit# Fees Due PLM2021-00043 $ 239.93 SWR2021-00034 $ 3,654.00 Total: $ 3,893.93 The above 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 numbers in the Record Number field, and click Search. Once paid online, please notify us at tigardbuildingpermits@tigard-or.gov, and we will issue these permits and place them together with the approved plans in our open Permit Center conference room for someone to pick up between the hours of 8:00 a.m. and 5:00 p.m., Monday through Thursday. We are closed on Fridays. Furthermore,the permit fees for both permits will need to be paid before we can issue either of them. Per our phone conversation, the renewal fee for your plumbing license will need to be paid through the state before we can issue these permits. Please let us know if you have questions. Thank you, Branden Taggart 14e City of Tigard' Senior Permit Technician Community Development "MAIM 13125 SW I-fall Blvd Tigard, OR 97223 (503)718-2449 b ra n d e nt@tig a rd-ear.g ov 1