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Permit
CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT Permit#: PLM2020-00451 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 3/2/2021 Parcel: 2S108CC00100 Jurisdiction: Tigard Site address: 15600 SW RIVER TERRACE BLVD Project: Art Rutkin Elementary Subdivision: None Lot: None Project Description: Site utilities for a new two-story elementary school. Contractor: P&C CONSTRUCTION CO Owner: TIGARD-TUALATIN SCHOOL DISTRICT 2133 NW YORK ST 6960 SW SANDBURG ST PORTLAND, OR 97210 TIGARD, OR 97223 PHONE: 503-665-0165 PHONE: FAX: FEES Quantity Description Date Amount 18 ea Catch Basin or Area Drain 03/02/2021 $337.68 Specifics: 5 ea Drywell, Leach Line or Trench 03/02/2021 $93.80 Drain Type of Use: COM 2853 If Footing Drain 03/02/2021 $1,100.59 Class of Work: NEW 12 ea Manholes 03/02/2021 $225.12 Type of Const: 23 ea Rain Drain Connector 03/02/2021 $431.48 Occupancy Grp: 481 If Sanitary Sewer 03/02/2021 $212.62 Stories: 4323 If Storm Sewer 03/02/2021 $1,675.90 534 If Water Service 03/02/2021 $250.14 2 ea Backflow Preventer 03/02/2021 $62.54 8 ea Backwater Valve 03/02/2021 $100.08 1 ea Hose Bib 03/02/2021 $25.02 1 Plan Review 03/02/2021 $1,128.74 1 12%State Surcharge- 03/02/2021 $541.80 Plumbing Total $6,185.51 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 ApplicationQ E - 013o 0 Site Utilities ( EI E 1 (,l: r,i I i( 1 1 .I ()\1 City of Tigard Received jj /, �) /�� /►� •� y� / 2020 Dow/13Y, // l/l%t/ , .-- Pamir No.: /_Gn' 1vG��--00 S 13125 SW Hall Blvd..Tigard,OR' Plan Review /� I Phone: 503.7182439 F �8 or G© ) Date/By: -17-22 Q1 Othcr Permit No./j� � 11}_�t)I.5',3 Inspection Line: 503.639a1 1S' ° t `-"° `�t^' y yPage a • t I.,t l [t r Date Rcad R•: kr lu�Iotcruet: 4v.,vw.ligard-or. NotifiedMethod:V. fY � SupplementalInformation TYPE OF WORK "°' , , FEE* SCHEDULE ®New construction 0 Demoliti6n i 6/;3 OM 7 a For special information use checklist Description [ Qty. I Ea. I Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 II.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 0 I-and 2-family dwelling alCommercial/industrial SFR(2)bath 437.78 El Accessory buildingSFR(3)bath 500.32 ❑Multi-family - - Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.11) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Catch basin or area drain 16 18.76 3 0.16 Job site address: 15600 SW River Terrace Boulevard 0 City/State/ZIP: Tigard, OR 97224 Drywcll,leach line,or trench drain 18.76 p Footing drain(no.linear ft.: 1625) 1625 Page 2 Suitc/bldg.apt.no.: Project name: I . -1/ ,. j / Iery Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 10 18.76 187.60 Temporary access to the site is from Taylor Lane. Future access will be from Rain drain connector 18 18.76 337.68 the future River Terrace Boulevard. Sanitary sewer(no.linear ft.: 332 ) 332 Page 2 Storm sewer(no.linear ft.: 39 ) 3908 Page 1 Water service(no.linear ft:2tuz) 2162 Page 2 Subdivision: Lot no.: Fixture or item: Tax map/parcel no.:WCTM 2S108CC00,Tax Lot 100,western half Rackflow preventer 2 31.27 62.54 DESCRIPTION OF WORK Backwater valve 5 12.51 62.55 .5 k ))I' •'p), Clothes washer 25.02 vefk for new elementary school. Dishwasher 25.02 a� thinking fountain 25.02 Ejectors/sump 25.02 al OWNER �❑ TENANT Expansion tank 12.51 25.02 + Name: Fixture/sewer cap Tigard Tualatin School District Floor drain/floor sink/hub 25.02 Address: 6960 SW Sandburg St. Garbage disposal 25.02 City/State/ZIP: Tigard,OR 97223 . Bose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 ❑ APPLICANT $:4 CONTACT PERSON Interceptor/grease trap 25.02 Business name: DayCPM/Otak Medical gas(value:S ) Page 2 Primer 12.51 Contact name: Debbie Pearson Roof drain Iconmercial) 12.51 Address: 6960 SW Sandburg St. Sink/basin/lavatory 25.02 City/State/ZIP: Tigard,OR 97223 Solar units(potable water) 62.54 Phone:( 503)969-5454 Fax::( ) Tub/showerishower pan 12.51 E-mail: Debbie.Pearson@otak.com Urinal 25.02 Water closet 25.02 CONTRACTOR Water heater 37.52 Business name: P&C Construction Water piping/DWV 56.29 Address: 2133 NW York Street Other: 25.02 City/State/ZIP: Portland, OR 97210 Subtotal 4045.33 Phone:( 503 )665-0165 Fax:( ) Minimum permit fee: S72.50 Plan review (25%of permit fee) 1011.33 CCB Lie.: 38619 Ilumbing Lie.no.: State surcharge T 2% ERMf T fee) 485.44 Authorized signature: ?1,71/14./ . TOTAL PERMIT FEE 5542.10 Print name: Debbie Pearson Date:111, 1 ZQ/.0 . This permit application expires if a permit is not obtained within I80 days after it has been accepted as complete. *Fee methodology set by Tri-ounty Building Industry Service Board. imiuiding PcrmiosnAiU-germitAimMis tom.W 440-4616T(10/02/COM/WEB) Plumbing Permit Application Site Utilities FOR OFFICE USE ONLI City of Tigard ReceivedDate PL( ,2olo-DO ifs/ • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan R v By: Permit No.: ill = Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: 1e.`19-a,Ue11`^ .st Other Permit No.: T l G A R D Inspection Line: 503.639.4175 Date Ready/By: Juris: 10 See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE , New construction ❑ Demolition For special information use checklist. Description Qty. Ea. 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 ❑ I-and 2-family dwelling Commercial/industrial SFR(2)bath 437.78 building - SFR(3)bath 500.32 0 Accessory ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Catch basin or area drain Job site address: 15600 SLi M�.,l/t'IL Mug..8 luck• �8 18.76 3326 City/State/ZIP: Drywell,leach line,or trench drain 5 18.76 93.80 T► atdl c - gr13.2.k 4.Q3 act PageMOO.Set l Footing drain(no.linear ft.: 2 Suite/bldg./apt.no.: Project name: A k Rut k:\ €f QrnQP yttl Manufactured home utilities 50.03 Cross street/directions to job site: 5 ci_ ( Manholes a 18.76 j)S,11 Rain drain connector A 3 18.76 Lfm y8 Sanitary sewer(no.linear ft.:Wit S Page 2 ;211,(a 1 Storm sewer(no.linear ft.V23 ei y Page 2 4475,10 Water service(no.linear ft.:519) 4 Page 2 ago. /y Subdivision: Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer a. 31.27 61,sy - DESCRIPTION OF WORK Backwater valve 8 12.51 160,0g Clothes washer 25.02 5 i T2. u.k: l:-�:ti Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 0 PROPERTY OWNER I 0 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 i 25.02 25,01 Phone:( ) Fax:( ) Ice maker 12.51 0 APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name: Medical gas(value:$ ) Page 2 Contact name: Primer 12.51 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 CONTRACTOR Water closet 25.02 Water heater 37.52 Business name: Water piping/DWV 56.29 Address: Other: 25.02 City/State/ZIP: Subtotal (s/y 97 Phone:( ) Fax:( ) Minimum permit fee: $72.50 Plan review (25%of permit fee) I/.$•7 9 CCB Lic.: Plumbing Lic.no.: State surcharge(12%of permit fee) Slj/,80 Authorized signature: TOTAL PERMIT FEE 6/85•Sl This permit application expires if a permit is not obtained within`180 days Print name: Date: after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU-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 50,03 0 to 2,000 $I21.90 Footing drain-each additional 100' AS 37.52 1050.56 3,601 to 7,200 $233.20 • 3,601 to 7,200 $ 33.20 Sewer-1st 100' , 62.54 fiats(! 7,201 and greater $327.54 Sewer-each additional 100' 4 37.52 150.06 Water Service-1st 100' 1 62.54 tastl Medical Gas Systems: Water Service-each additional 100' S 37.52 ,p9 `d • Valuation: Permit Fee: Storm&Rain Drain-1st 100' 62.54 62,stf $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' y3 37.52 1613.34 $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 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 (minimum charge-1/2 hour) each additional$100.00 or fraction thereof. Subtotal: 3)31eat5 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/ d f Plan review is required anyofthe following. Performed: Capped Added Relocate qlli g. 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. 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/Iav -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 . I IN 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\Permits\PLMF-PermitApp.doc 12/30/05