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Permit
CITY OF TIGARD PLUMBING PERMIT III3:� ` COMMUNITY DEVELOPMENT Permit#: PLM2021 00044 T f G An n 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 3/2/2021 Parcel: 2S111ACO2700 Jurisdiction: Tigard Site address: 14650 SW 97TH AVE Project: Twality Middle School Subdivision: None Lot: None Project Description: Site Utilities for a synthetic turf sports field. Contractor: BENCHMARK CONTRACTING INC Owner: UNION HIGH SCHOOL DISTRICT 5809 JEAN ROAD NO. 3 JT LAKE OSWEGO, OR 97035 00000 PHONE: 503-780-9760 PHONE: FAX: 503-649-1170 FEES Quantity Description Date Amount 3 ea Catch Basin or Area Drain 03/02/2021 $56.28 Specifics: 1298 If Storm Sewer 03/02/2021 $512.78 1 Plan Review 03/02/2021 $142.27 Type of Use: COM 1 12%State Surcharge- 03/02/2021 $68.29 Class of Work: ALT Plumbing Type of Const: Occupancy Grp: Stories: . Total $779.62 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: `— s , 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 a? / al -/3 Site Utilities City of Tigard r� Received ;�/ 'Q /1 L® DateBy: / Permit No.: 13125 SW Hall Blvd.,Tigard,OR 9 1l F G U �6°2L � �'Ulk�ly Plan Review ^ Phone: 503.718.2439 Fax: 503.59 I DateBy: d`;L3.1/�� Other Permit No.:�/.LN3a fi'.©6,03, Inspection Line: 503.639.4175 ® See Page 2 for I I G A li I> Date Ready/By. runs. Internet: www.tigard-or.gov 'TE ' 7!a„ Notified./Method:3 :, Supplemental Information TYPE OF WORK- " "' FEE* SCHEDULE .., , OF TIGAF3 1 ref >..c n 0 New construction I 0 Defnohtion .lr special information use checklist 1 �NG Description I Qty. I En. I Total ®Addition/alteration/replacement .❑i3ther: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION '"': ''.... .:°:;I. i SFR(1)bath 312.70 ❑ 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building ❑Multi-family Each additional bath/kitchen 25.02 0 Master builder ®Other: Synthetic Turf Field Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 14650 SW 97th Ave. _Catch basin or area drain 3 18.76 56.28 Drywell,leach line,or trench drain 18.76 City/State/ZIP: Tigard,OR 97224 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name: Twality MS Athletic Field Manufactured home utilities 50.03 Cross street/directions to job site: SW Murdock St./From I-5 south take exit 294 Manholes 18.76 to merge onto HWY 99 S.Turn Left onto Hall Blvd and travel 1 mile.Turn left Rain drain connector 18.76 onto SW McDonald St.,travel 0.5 miles and turn left onto SW 97th. Sanitary sewer(no.linear ft.:_) Page 2 Destination on Left. Storm sewer(no.linear ft.: 12913 13 Page 2 512.78 Water service(no.linear ft.:_) Page 2 Subdivision: I Lot no.: 2700 Fixture or item: Tax map/parcel no.: 2S111AC Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 roposed synthetic turf field.Includes trench drain with in-line catch Dishwasher 25.02 fy7.basins,and two storm pipes. Driniang fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER ❑ TENANT Expansion tank 12.51 Name: Tigard-Tualatin School District C/O David Moore Fixture/sewer sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: 69605W Sandburg St. ,,s.si Garbage disposal 25.02 City/State/ZIP: Tigard,OR 97223 Hose bib 25.02 .,� Phone:( 503) 431-4000 Fax:( ) Ice maker 12.51 I.Y. APPLICANT ® CONTACT PERS° Interceptor/grease trap 25.02 Business name: Cardno Medical gas(value:$_) Page 2 Primer 12.51 Contact name: Mary Wiser Roof drain(commercial) 12.51 Address: 6720 S Macadam Ave.,Suite 150 Sink/basin/lavatory 25.02 City/State/ZIP: Portland,OR 97219 Solar units(potable water) 62.54 Phone:( 503)419-2500 Fax: :( 503)419-2600 Tub/shower/shower pan 12.51 Urinal 25.02 E-mail: mary.wiser@cardno.com Water closet 25.02 CONTRACTOR Water heater 37.52 Business name: TBD /;/�.it% z✓If Ge ..>Y1 Water piping/DWV 56.29 Address: 5' j .1„, Other: 25.02 City/State/ZIP: v 1 6)4 S i0,3C" Subtotal 569.06 Phone:(93 ) ZHj_ ix0 Fax:( ) Minimum permit fee: $72.50 o Plan review (25%of permit fee) 142.27 CCB Lic.: (qS f 76-7 Plumbing Lic.no.: Poi a d Date:2021.01.27 State surcharge(12/o of permit fee) 68.29 Authorized signature: Mary Wiser 18:33:27.O8'00' TOTAL PERMIT FEE 779.61. Print name: Mary Wiser Date: 01/27/2021 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. I:`Buildivg\Permits•PLMU-PeradiApp.doc 10/01/09 440-4616T(la/02V'COM/WEB) y • 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 $121.90 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 6a,51f $1.00 to$5.000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' (a 37.52 y.SO.a[( $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for each additional$100.00 or fraction thereof to Other Inspections or Fees QtJ' Fee(ea) Total 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 S25,000.00 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$1.20 for (minimum charge 1/2 hour) each additional$I00.00 or fraction thereof. Subtotal: 5/178 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/ Work Performed: Capped Added Relocate Plan review is required for any of the following. 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 El New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780-0040. Dishwasher -Commercial El Medical gas and vacuum systems for health care facilities. -Domestic ❑ Any multipurpose fire sprinkler system. Drinking Fountain El 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" Isometric or Riser Diagram Car Wash Drain Garbage -Domestic-non-food El Isometric or riser diagram is required for new buildings 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/Lav -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:\Building\Permits\PLMU_PermitApp.doc 2 (f) Cardno 6720 S Macadam Ave. Suite 150 Portland, OR 97219 (503)419-2500 I Fax(503)419-2600 www.cardno.com Transmittal Date: 02/01/2021 From: Mary Wiser To: City of Tigard Project Number: 22015500 Permit Services 13125 SW Hall Blvd. Project Name: Twality Middle School Athletic Tigard, OR 97223 Field Re: Site Utilities Permit We are sending you: ❑ Attached ❑ Under Separate Cover Via Permit Drop Box ® Drawings El Contracts ❑ Plans ® Report ❑ Copy of Letter ❑ Aerials ❑ Proposal ❑ Other QUANTITY DESCRIPTION 2 Twality MS Athletic Field Plan Set 2 Storm Memo 2 CWS Service Provider Letter These are transmitted as checked below: ® For approval ❑ For your use ❑ As requested ❑ For review and comment ❑ For signature ❑ Call me ❑ Return ❑ For your information REMARKS: Please email Matt Lewis at matt.lewis cardno.com or call 503-419-2540 with any questions. P , Clean Watei Services SENSITIVE AREA PRE-SCREENING SITE ASSESSMENT Clean Water Services File Number 20-003172 1. Jurisdiction: Tigard 2. Property Information(example: 1S234AB01400) 3. Owner Information Tax lot ID(s): Name: David Moore 2S1 1 1ACO2700 Company: Tigard-Tualatin School District Address: 6960 SW Sandburg OR Site Address: 14650 SW 97th Ave. City,State,Zip: Tigard,Oregon,97223 City, State,Zip:Tigard,Oregon,97224 Phone/fax: 503-431-4000 Nearest cross street: SW Murdock St. Email: 4. Development Activity(check all that apply) 4. Applicant Information ❑ Addition to single family residence(rooms,deck,garage) Name: Mary Wiser ❑ Lot line adjustment 0 Minor land partition Company: Cardno ❑ Residential condominium CICommercial condominium Address: 6720 S.Macadam Ave.,Suite 150 ❑ Residential subdivision 0 Commercial subdivision City State,Zip: Portland,OR,97219 j Single lot commercial ❑ Multi lot commercial Phone/fax: 503-200-3221 Other Email: mary.wiser@cardno.com 6. Will the project involve any off-site work? ❑Yes 0 No 0 Unknown Location and description of off-site work: 7. Additional comments or information that may be needed to understand your project: Replacing existing grass athletic field with artificial turf and resurfacing the track surface. This application does NOT replace Grading and Erosion Control Permits,Connection Permits,Building Permits,Site Development Permits,DEQ 1200-C Permit or other permits as issued by the Department of Environmental Quality, Department of State Lands and/or Department of the Army COE. All required permits and approvals must be obtained and completed under applicable local,state,and federal law. By signing this form,the Owner or Owner's authorized agent or representative, acknowledges and agrees that employees of Clean Water Services have authority to enter the project site at all reasonable times for the purpose of inspecting project site conditions and gathering information related to the project site. I certify that I am familiar with the information contained in this document,and to the best of my knowledge and belief,this information is true,complete,and accurate. Print/type name Mary Wiser Print/type title Civil Project Designer Signature ONLINE SUBMITTAL Date 12/2/2020 FOR DISTRICT USE ONLY ❑ Sensitive areas potentially exist on site or within 200'of the site.THE APPLICANT MUST PERFORM A SITE ASSESSMENT PRIOR TO ISSUANCE OF A SERVICE PROVIDER LETTER. if Sensitive Areas exist on the site or within 200 feet on adjacent properties,a Natural Resources Assessment Report may also be required. ❑ Based on review of the submitted materials and best available information sensitive areas do not appear to exist on site or within 200'of the site.This Sensitive Area Pre-Screening Site Accecsrnent does NOT eliminate the need to evaluate and protect water quality sensitive areas if they are subsequently discovered.This document will serve as your Service Provider Letter as required by Resolution and Order 19-5,Section 3.02.1,as amended by Resolution and Order 19-22.All required permits and approvals must be obtained and completed under applicable local,State and federal law. X Based on review of the submitted materials and best available information the above referenced project will not significantly impact the existing or potentially sensitive area(s)found near the site.This Sensitive Area Pre-Screening Site Assessment does NOT eliminate the need to evaluate and protect additional water quality sensitive areas if they are subsequently discovered.This document will serve as your Service Provider Letter as required by Resolution and Order 19-5,Section 3.02.1,as amended by Resolution and Order 19-22.All required permits and approvals must be obtained and completed under applicable local,state and federal law. ❑ THIS SERVICE PROVIDER LETTER IS NOT VALID UNLESS CWS APPROVED SITE PLAN(S)ARE ATTACHED. ❑ The proposed activity does not meet the definition of development or the lot was platted after 9/9/95 ORS 92.040(2).NO SITE ASSESSMENT OR SERVICE PROVIDER LETTER IS REQUIRED. Reviewed by Date 12/7/2020 Once complete,email to:SPLReviewldeanwaterservices.org • ax (503) 681-4439 OR mail to: SPL Review,Clean Water Services,2550 SW Hil sboro Highway, Hillsboro,Oregon 97123 Main Office • 2550 SW Hillsboro Highway • Hillsboro,Oregon 97123 • p:503.681.3600 f:503.681.3603 • cleanwaterservices.org a�.+.^.�+I L k — .— �F'.�——F..,, -••,— ��r£T�pp S^? CONSTRUCTION NOTES 6 R Ky © 4 hj� "9'� 0 �nu Ismaew rew Srxr.xv wn evixM `vVIll 9 J O r wrxLrnuu.a.ww.acmn.xwaa1Gn. pyi ' rem. �i d P•014/ M.1WVAWKNGIAiLL.YKKxION ` BMf/.WZMawwxmr�aa u�io.xw Y1 J I /f\\\ ; Min GYM VM'AD WXUIIRME HELEl4�w ./�1 fA`11Ctl1 �„ `. NSW MEWL '�� a QIf.R'tG•�1a R1IiaNIEW1FICR S � Oi m,\ \ 1 '. �p MUM az V 1: x, *4<:'-'-'--„.„.7 p �� 11s ME `ONV area art ST8 c 11QJ U ❑' mre.x mwaw rwCwm m+wxEwra.PM t / ❑' wnu.maTcruewasrww„aa. T` —I 0 l > : PROPOSED LEGEND 0- 4.4 U -I �- �wwa H 0 ak 0 I MAIM MIDDLE 111 60; = 0. PP, nmacausraxo o_ h— co rwn. 1. W Q Z I vf � d u »SOF jc� 6Q�� ¢ aA ,; Yl i : ll ' fil IIIIIIl l wT o +s� I co F- F + f 1 AUXILIARY t 4 e' I I ff h i T' h 1 1 I . e a arr' 1 I I -- * t t � ldFto ...wiuA_ �r(Am: T o— 1Ji{L o R z 0 1 a 11 w t h I :> W: z ; ® . II 2 SITE 6 GAME LINES x! VEJ C2.00 Ela a o a s wa�sr Branden Taggart From: Branden Taggart Sent: Monday, March 1, 2021 6:05 PM To: 'Mary Wiser' Cc: Matthew Lewis Subject: RE:Twality MS Athletic Field: PLM2021-00044 - 14650 SW 97th Ave. Attachments: Invoice.pdf Hi Mary, The Site Utilities Plumbing permit for the Twality Middle School athletic field is ready to issue now. The balance due is $779.62, and I have attached an invoice above for you to reference. Please let me know if the school district intends to pay from their Trust Account. If not, the fees can be paid online now at https://aca- prod.accela.com/TIGARD/Welcome.aspx by searching for the permit record number PLM2021-00044 under the Building tab. There is a 3% service fee for credit cards, but e-checks do not have a service fee. If paid online, please email the Permit Technicians at TigardBuildin,;Permits@tigard-or.gov so that we may issue this permit and make it available for pick up.We will send you another email when this permit has been issued. Lastly, we will need contractor license information prior to issuing this permit. Thanks, Branden Taggart 1114 City of Tigard Senior Permit Technician Community Development 'FFCAtto 13125 SW Hall Blvd Tigard, OR 47223 (503)718-2449 brandent@tigard-or.gov From: Mary Wiser<mary.wiser@cardno.com> Sent:Thursday, November 12, 2020 4:57 PM To: Branden Taggart<brandent@tigard-or.gov> Cc: Matthew Lewis <Matt.Lewis@cardno.com> Subject: Twality MS Athletic Field Caution!This message was sent from outside your organization. Allow sender I Block sender Branden TTSD is looking to replace the existing grass field with an artificial turf field at Twality Middle School.The complete scope includes storm drainage, track resurfacing, landscape restoration and electrical utility relocation. I would like to confirm that a site permit and plumbing permit would be the only two permits needed for this scope of work. Please let me know, thanks! 1 ) Mary Wiser CIVIL PROJECT DESIGNER CARDNO ( arence Office+1 503 419 2500 Direct+1 503 200 3221 Address 6720 S Macadam Ave Suite 150, Portland, Oregon 97219 Email mary.wiserecardno.com Web www.cardno.com CONNECT WITH CARDNO to,- 11 Ia art ork Making a difference. rl � sixssai yak tyat+n 7 YEARS GOLD CERTIFIED r\, This email and its attachments may contain confidential and/or privileged information for the sole use of the intended recipient(s).All electronically supplied data must be checked against an applicable hardcopy version which shall be the only document which Cardno warrants accuracy.If you are not the intended recipient, any use,distribution or copying of the information contained in this email and its attachments is strictly prohibited.If you have received this email in error,please email the sender by replying to this message and immediately delete and destroy any copies of this email and any attachments.The views or opinions expressed are the author's own and may not reflect the views or opinions of Cardno. 2