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Permit
CITY OF TIGARD PLUMBING PERMIT IIII. COMMUNITY DEVELOPMENT Permit#: PLM2021-00236 Ti G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 7/15/2021 Parcel: 2S112AB00100 Jurisdiction: Tigard Site address: 7330 SW LANDMARK LN Project: TVT Die Casting Subdivision: None Lot: None Project Description: New storm water treatment system:(1)catch basin,(1)rain drain connector,243 If of storm sewer,and(1) ejector pump. Contractor: BRUNER PLUMBING Owner: SUMMIT PROPERTIES INC PO BOX 23985 4380 SW MACADAM BLVD STE 330 TIGARD, OR 97281 PORTLAND, OR 97239 PHONE: 503-484-5105(CELL) PHONE: FAX: 503-624-2173 FEES Quantity Description Date Amount 1 ea Catch Basin or Area Drain 07/14/2021 $18.76 Specifics:, 1 ea Rain Drain Connector 07/14/2021 $18.76 24$ If Storm Sewer 07/14/2021 $137.58 Type of Use: COM 1 ea Ejectors/Sump 07/14/2021 $25.02 Class of Work: ALT 1 Plan Review 07/14/2021 $50.03 Type of Const: 6 ea Info Process/Archiving-Lg 07/14/2021 $12.00 Occupancy Grp: $2.00(over 11x17) Stories: 1 12%State Surcharge- 07/14/2021 $24.01 Plumbing Total $286.16 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 Issued By: Permittee Signature: Holly VavtiDe/ Vetle vt.,arrrl.;r.arn-vt 1 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. r Piimbin! Permit Application r Building-FEtures ) /42✓' r C FOR OFFICE USE ONLY City of Tigard Received (�-` ` Permit No.: L/r� J M6 III ''''''yyy "I 13125 SW Hall Blvd.,Tigard,OR 9722 C E I V E D Date/By: A= Date/By: r�Plan Review Phone: 503.718.2439 Fax: 503.598.19 y n_r1_irA) ( Other Permit No.: Inspection Line: 503.639.4175 TIGARD JUN 2 2021 Date Ready/By: Z �Id .i-orn-sr. El See Page2for Internet: www.tigard-or.gov Notifiedd//Method:.7// / 1 1a Supplemental Information TYPE OF WORK vAT,'Y OF TIGARD �"'47� ((/97Lj) FEE* SCHEDULE ❑New construction ❑ trLU'wG DIVISION For special information use checklist Description Qty. Fa. 1 Total .ddition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(l)bath 312.70 Ell 1-and 2-family dwelling tommercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: 7D,0 l Job site address 7 - 3© S(A) f cA b-0 Catch basin or area drain f 18.76 �j i7� V Drywell,leach line,or trench drain 18.76 City/State/ZIP: ---77�6 r� J Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: Project name: 1`/ ' W,t- 54,r Manufactured home utilities 50.03 Cross street/directions to job site: 5'tr� 7 2... 2 �� Manholes 18.76 I A-'D 27--H -o- ,/-3i( � p / /000 ' Rain drain connector 1 18.76 /X.76 /merit Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear It.: ) Page 2 Subdivision: I Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 m ei /,�� / � �.��,p Clothes washer 25.02 n //t it rill I�t/GC t r r !/ LQ� �u-r Dishwasher 25.02 5 5-r(�- Gt.eciz"1a., -tt e- �Q4 (i.i r r Drinking fountain 25.02 Y 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 25.02 Phone:( ) Fax:( ) Ice maker 12.51 0 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: E a el rf Ul/n2 J/4 4 67 � Water tin W V 56.29 ,��`' qr J p p g� Address: c C i (3 03 ( $s Other: 25.02 City/State/ZIP: � a - d g. c17Z- /^ ,3e: 's Subtotal ( 37,S1 Phone:(503)(oL fi- f<frd'(7 Fax:ScO 6,2�0.-/ 7? Minimum permit fee: $72.50 CCB Lic.: �/9>-7 Plumbing Lic.no.:G4-�f j`c P3 - Plan review (25%of permit fee) If(�'. State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE Print name: 1g�.vim�i- Date; This permit application expires if a permit is not obtained within 1 days �(�lrG� after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. Sr kJ pit-KSh ,-i r/ -6. i:1Building\Permits0PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) ar .22,F-6 / nO ' 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-l"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' !'p ) 62.54 6jZ,P" $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' /p o 37.52 .S7,y'j, $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) n each additional$100.00 or fraction thereof. Subtotal: f 0 p,V b 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 engineer. -Jacuzzi/Whirlpool ,. New exterior plumbing site utilities for any complex structure Car Wash: -Each Stall as defined in OAR918-780-0040. -Drive Thru Cuspidor/Water Aspirator ElMedical gas and vacuum systems for health care facilities. Dishwasher Commercial El Any multipurpose fire sprinkler system. Domestic El Any complex structure as defined in OAR918-780-0040. Drinking Fountain Eye Wash Submit 2 sets of plans with any of the above. Floor Drain/sink: -2" 3" Isometric or Riser Diagram -4" ❑ 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 -Oil Mach./Refrig.Drains Comments regarding fixture work: 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 WaterCloset-Toilet plumbing permit can be issued. Urinal Other Fixtures: 1:1Building\Permits\PLMF-PermitApp.doc 08/04/2011 2 • S Plumbing Permit Application Site Utilities FOR OFFICE USE ONL1. City of Tigard Received pLMaoa i-On,� b.� Date/By: Permit No.: • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: CAZi 0 rt Other Permit No.: I.1 CARD Inspection Line: 503.639.4175 Date Ready/By: Jude: ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE El New construction ❑Demolition For special information use checklist Description I Qty. I Ea. Total 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 ❑ 1-and 2-family dwelling Commercial/industrial SFR(2)bath 437.78 ❑Accessory building ❑Multi-family SFR(3)bath 500.32 El Master builder Each additional bath/kitchen 25.02 ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 93`��w �O t1� Catch basin or area drain / 18.76 lg.`Il, Ir10.t ( UVIe Drywell,leach line,or trench drain 18.76 City/State/ZIP: Tt r S a rt o(�• Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: O1 Project name: TVT Die_ cets{6„4 r m�� Manufactured home utilities 50.03 Cross street/directions to job site: U Manholes 18.76 Rain drain connector / 18.76 /8,74 Sanitary sewer(no.linear ft.: ) Page 2 - Storm sewer(no.linear ft.:2q 1) 3 Page 2 /39,58 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 asher 25.02 _-rv'S'tLU 0. ttorwe L..JL.1.ttir ±rec'i-4-rvtQnt SyStEtw1. Dishwash 25.02 si-e,r Gl4ryrt I S 0.�V2.r S-et v k..es Di g fo tain 25.02 Ej or-' / 25.02 2 S,O Z ❑ PROPERTY OWNER ❑ TENANT l Ex anion tank 12.51 Name: \ xture/sewercap 25.02 Floor floor sink hub 25.02 Address: Gara disposal 25.02 City/State/ZIP: bib 25.02 Phone:( ) Fax:( ) I) ce er 12.51 0 APPLICANT 0 CO 1\ T,PEREON / eptor/g < e trap 25.02 Business name: \, Medical g:.(value:$_) Page 2 Contact name: \` Primer 12.51 ` Rot drain(commercial) 12.51 Address: L .asinflavatory 25.02 City/State/ZIP: \---\ r /✓ Solar units(potable water) 62.54 Phone:( ) ax:.( ) \V Tub/shower/shower pan 12.51 E-mail: ^ Urinal 25.02 1 ) / Water closet 25.02 CT R \�f Water heater 37.52 Business name: Water r m DWV 56.29 PP Address: Other 25.02 Ill City/State/ZIP: Subtotal a00.j . Phone:( ) Fax:( ) Minimum permit fee: $72.50 CCB Lic.: Plumbing Li no.: Plan review (25%of permit fee) .50,03 State surcharge(12%of permit fee) g Ci,0 Authorized signature: TOTAL PERMIT FEE 2 vt !6 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. Idauilding'Permitts\PLMU-PermitApp.doc 10,009 440-4616T(10/02/COMMBB) 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 rS a•5[{ $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 not/ $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to Other Inspections or Fees 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: 137,58 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 El Any new commercial building with water service 2"and Jacuzzi/Whirlpool 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/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:\Building\Permits\PLMU_PermitApp.doc 2