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Permit
CITY OF TIGARD PLUMBING PERMIT 11. COMMUNITY DEVELOPMENT Permit#: PLM2021-00062 Date Issued: 5/3/2021 T I G A R.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S111ACO2901 Jurisdiction: Tigard Site address: 9550 SW MURDOCK ST Project: Templeton Elementary School Subdivision: None Lot: None Project Description: Site Utilities for renovation of core building. Contractor: CAT WORKS Owner: TIGARD-TUALATIN SCHOOL 3501 THOMPSON AVE DISTRICT 23J VANCOUVER,WA 98660 6960 SW SANDBURG ST TIGARD, 97223 3 PHONE: 360-666-1113 PHONE: FAX: FEES Quantity Description Date Amount 4 ea Catch Basin or Area Drain 05/03/2021 $75.04 Specifics: 1 ea Rain Drain Connector 05/03/2021 $18.76 784 If Storm Sewer 05/03/2021 $325.18 Type of Use: COM 126 If Water Service 05/03/2021 $100.06 Class of Work: ALT 1 Plan Review 05/03/2021 $129.76 Type of Const: 1 12%State Surcharge- 05/03/2021 $62.28 Occupancy Grp: Plumbing Stories: Total $711.08 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: • tge 477i /srl-s M 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. 1 umbing Permit Application Site Utilities RECEIVE , FOR.OFFICE USE ONLY 1 Received Permit No.: pD City of Tigard Date By: p1�1(0 B�- / l'ezU6? 13125 SW Hall Blvd.,Tigard,OR 97223 plan Review Other Permit No.: Il Phone: 503.718.2439 Fax: 503.598.1960 FEB 1 C. 2021 Date/By: 3- (-202 _Inspection Line: 503.639.4175 T 1C A fi D Date Ready/By:: .794: ® Sec Page 2 of r Internet: www.tigard-or.gov iTY F Notified/Method: 1 3 supplemental Information '�; 7 ,: >? 1 FEE* SCHEDULE. For special information use checklist. El New construction D Demolition Description I Qty. I Ea. I Total ®Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) °_ i'111 (I i'' � �tW1RUCTION SFR(I)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 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: J SW Murdock Street (Old Elementary School Catch basin or area drain 4 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard, OR 97224 Yd„rze 1'Y'' &,LW ,b'.4 Doting drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: Project nam es Manufactured home utilities 50.03 Cross street/directions to job site: 96th & Murdock Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.: 778) 7 Page 2 Water service(no.linear ft.: 127) 1 Page 2 Subdivision: I Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 Backwater valve 12.51 DESCRIPTION OF WORK p Clothes washer 25.02 Renovation of old elementary school in to a Pre-K Center, Dishwasher 25.02 District Training Center and District Resource Center. Drinking fountain 25.02 Ejectors/sump 25.02 ❑ PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name:Tigard-Tualatin School District Fixture/sewer cap 25.02 Floor drain floor sink/hub 25.02 Address:6960 SW Sandburg Street Garbage disposal 25.02 City/State/ZIP:Tigard, OR 97223 Hose bib 25.02 Phone:( ) 503-431-4000 Fax:( ) Ice maker 12.51 k� _ ❑ APPLICANT :❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name:Day CPM/Otak Medical gas(value:$_) Page 2 Primer 12.51 Contact name:Shawn Christensen Roof drain(commercial) 12.51 Address:14650 SW 97th Street Sink/basin/lavatory 25.02 City/State/ZIP:Tigard, OR 97224 Solar units(potable water) 62.54 Phone:( ) 971-727-4168 Fax: :( ) Tub/shower/shower pan 12.51 Urinal 25.02 t E-mail:shawn.christensen@otak.com Water closet 25.02 !`y . . CONTRACTOR � ��- Water heater 37.52 '�' Business name:1p4 4t_WRIlman CarjcterS 441 tiLX/vkd 2. WaterpipingfDWV 56.29 Address'a71-7 Mt Jofforcon Avc 3 c _ '. Other: 25.02 '� City/State/ZIP:'Wuudbttr►�, OR 971471 L/yy�y.uC272, q,140 Subtotal Phone:( ) Fax:( ) / Minimum permit fee: $72.50 CCB Lic.:45416 " (iy 5 Plumbing Lic.no.: 451 , Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days Print name: Shawn Christensen Date:01/18/2021 after it has been accepted as complete. *Fee methodology set by-Fri-County Building Industry Service Board. 1\Building\Permils`PLMU-PemtilApp.doc 10/01/09 440-4616T(10/02/CAM/VEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Su ression Systems: Site Utilities Q Fee(ea) Total S uare Foo'tt" ` � q g0•! r1,1i �'t= Footing drain-1''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' 0 62.54 7,201 and greater $327.54 Sewer-each additional 100' 0 37.52 Water Service-1st 100' 1 62.54 Medical Gas Systems: Water Service-each additional 100' 0 37.52 Valuation: Permit Fee: Storm&Rain Drain-1st 100' 1 62.54 S1 00 io tispOD_00Minimum fee$72.50 Storm&Rain Drain-each additional 100' 6 37.52 $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 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: 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 any of the following. Work Performed: Capped Added Relocate Baptistry/FontPlease 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„ Isometric or Riser Diagram Car Wash Drain Garbage -Domestic-non-food ❑ 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: 1:1Building\Pennits\PLMU_PermitApp.doc 2 i .Plumbing Permit Application Site Utilities FOR OFFICE USE ONLY ��//��.t nM City of Tigard Received/ PermitNo.:�LM. 02t-��62 III • 13125 SW Hall Blvd.,Tigard,OR 97223 Dan/v f�I}� �'✓ • Phone: 503.718.2439 Fax: 503.598.1960 Plan Review Datel ^�J Other Permit No.: By: .3- �-�Z.t � 1.I G A it D Inspection Line: 503.639.4175 Date Ready/By: Avis: EtSee 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. J 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 • El1-and 2-family dwelling .,KI Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler(_sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address:145 SO S.W.(YlUYdock St. Catch basin or area drain y 18.76 ��Q�/ Drywell,leach line,or trench drain 18.76 City/State/ZIP: Tia 0,:rit I OR.q 9 2211 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: I Project name:T .ra Ip t.''r)rs. E l..MeK 11 0.Y 1 Manufactured home utilities 50.03 Cross street/directions to job site: Sc..Lnal (n(a Elelnnanfwty&Ltoal) Manholes 18.76 Rain drain connector / 18.76 /8,?6 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.!715) g Page 2 315.18 Water service(no.linear ft.:(IL) 2 Page 2 /00.0 4 Subdivision: I Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 '.zr. Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ❑ 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 0 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 511.0y Phone:( ) Fax:( ) Minimum permit fee: $72.50 CCB Lic.: Plumbing Lic.no.: Plan review (25%of permit fee) j 2 q.1 . State surcharge(12%of permit fee) 61.a 8 Authorized signature: TOTAL PERMIT FEE 11it,08 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.\Budding\Permits\PLMU-PermitApp.doc 10/'01/09 440-4616T(10/02/COM/WBB) 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' t 62.54 61,5y Medical Gas Systems: Water Service-each additional 100' 37.52 37 52 Storm&Rain Drain-1st 100' 1 62.54 62.,5 y Valuation: Permit Fee: $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 't 37 52 AU..Lti $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 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: 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 Jacu��i/Whvlpool 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 0 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„ Isometric or Riser Diagram Car Wash Drain ❑ Isometric or riserdiagram is required for new buildings Garbage -Domestic-non-foodq g Disposal -Domestic-food related that meet the qualifications above. -Commercial-food related -Industrial-food related Ice MachJRefrig.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: I:\Building\Permits\PLMU_PermitApp.doc 2 f 11111 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:1Building\Pennits\PLMF-PermitApp.doc 12/30/05 Branden Taggart From: Branden Taggart Sent: Wednesday, March 3, 2021 3:35 PM To: 'Shawn Christensen' Subject: Templeton Elementary Pre-K Site Utilities Permit: PLM2021-00062 - 9550 SW Murdock St. Attachments: Invoice.pdf Hi Shawn, The Site Utilities Plumbing permit for the Templeton Elementary Pre-K building is ready to issue now. The balance due is $711.08, and I have attached an invoice above for you to reference. Would you like to pay from the trust account? If not, the fees can be paid online at https://aca-prod.accela.com/TIGARD/Welcome.aspx by searching for the permit record number PLM2021-00062 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 TigardBuildingPermits@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. Thanks, Branden Taggart 1111 • City of Tigard a Senior Permit Technician Community Development 13125 SW Flak Blvd Tigard, OR 97223 (503)718-2449 bra ndent©tlga rd-o r.gov 1