Permit CITY OF TIGARD PLUMBING PERMIT
1,1
' ' COMMUNITY DEVELOPMENT Permit#: PLM2021-00297
Date Issued: 8/5/2021
T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S109AC00400
Jurisdiction: Tigard
Site address: 14635 SW 133RD AVE
Project: Schmitz Subdivision: None Lot: None
Project Description: 80 lin ft of sanitary sewer to connect existing dwelling to public sewer.
Contractor: SUPERIOR UNDERGROUND LLC Owner: SCHMITZ, NATHAN J
6400 SE 101ST AVENUE SUITE 3 PALMANTEER, DEVON J
PORTLAND, OR 97266 14635 SW 133RD AVE
TIGARD, OR 97224
PHONE: 503-750-0020 PHONE:
FAX:
FEES
Quantity Description Date Amount
80 If Sanitary Sewer 07/16/2021 $62.54
Specifics: 1 12%State Surcharge- 07/16/2021 $8.70
Plumbing
Type of Use: SF 10 ea Minimum Fee Adjustment- 07/16/2021 $9.96
Class of Work: ALT Plumbing
Type of Const:
Occupancy Grp:
Stories:
Total $81.20
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: ^✓ f� 3 Permittee Signature: /eaL./
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.
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Plumbing Permit Applicati RECEIVED E,. .7 i l2
Building Fixtures Jul. 1 Z071
Cityof Tigard °� y h q�; Received
III 111 131 SW Hall Blvd.,Tigard,OR 972 3I -Y OF I IGFINU Date/By: 7/L. Jz, L' PermitNoPG1 is 4-( ) 00177
Plan Review
Phone: 503.718.2439 Fax: 503.5 pang Other Permit N Xi
/i }
Inspection Line: 503.639A175 AMONG DIVISION y 'P� �L�'ut' /�'
l V A ti D Date Ready By: / /"� 1 Iuris: El See Page 2 for
Internet www.tigard-or.gov No iRede McthodlJ I 13 fi/ '``Sr✓f TIF.. Supplemental Information
TYPE OF WORK G+' t -ram �j t7 FEE* SCHEDULE
❑New constnlction ❑Demolition For special information use checklist.
Description Qty. Fa. 1 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
E 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 500.32
❑Accessory building 0 Multi-family
--------- Each additional bath/kitchen 25.02
0 Master builder ❑Other:
Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Catch basin or area drain 18.76
Job site address: ,�(p 35 5w 1.3�.� .,..I..- t�V C...
/Statc!Z1P: Drywell,leach line,or trench drain �,,,. 18.76
Ci
�t i e IQ- Footing drain(no.linear ft.: ) ( ' r f(Kge 2
Suite(bldg.lapt.no.: Project name: Manufactured home utilities r,e_2 p,�¢,,�i)'� 5'50.03
Cross street/directions to job site: j 0,) tk)i t G }� Manholes �( � 18.76
SC() etti�, li 1 .. LLi.t Ad f' Rain drain connector �' 18.76
l� V v`t Sanitary sewer(no.linear ft.:2O 1 Page 2
Storm sewer(no.linear ft.: ) Page 2
Water service(no.linear ft.: ) Page 2
Subdivision: J Lot no.: Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
_ r r Clothes washer 25.02
.(t'lr'ee',C�AB
'1 t✓t C"- S{-rr`J ah.OK. t tf4, `"''/ Dishwasher 25.02
[r Vt�r.L(� rtl�5jj 303c{ ✓C�, �(p�ir-tn..A..St et t1 'Setall C. Drinking fountain 25.02
Ti 1( . .-�Yt 5.1 t1 O 0,1e- i r �:e/( - Q r etc;<,,^ '3/.gyp, *tS. F,jectors/sump 25.02
Elf PROPERTY OWNER ✓ ❑ TENANT q 4u t7(-Expansion tank 12.51
Name: 1 drex Fixture/sewer cap 25.02
.?t.1 1 tivl4 Floor drain/floor sink/hub 25.02
Address:
Garbage disposal 25.02
City/State/Z1P: Hose bib 25.02
k,/Phone:( ) 7,.4 73(, 4 Fax:( die-kV ,/,./,-6.-/) ice maker 12.51
/M )r 53 APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02
Business name: / Medical gas(value:$ ) Page 2
Bus
5l .. i0 in. Ukw- U.3 i'_0 c•u4%l L c
1 L_ Primer 12.51
Contact name: ! G�.H- i7a_-S( -,
Y -� Roof drain(commercial) 12.51
Address: (a,./0 0S e 767 4:----.. d� Ste;+e #. Sink/basin/lavatory 25.02
City/State/ZIP: 12U t-;f-4 c1_,,,.,,A. 1 (di 4 7 26,e... Solar units(potable water) 62.54
/Phone:(5 3) PO&-3 3 J Fax::( ) Tub/shower/shower pan 12.51
V E-mail:St-t pe;Y',u`-i.t. d"1 ,.4^r' - c- 67, r {• Urinal 25.02
( G i t`"y ��� Water closet 25.02
rONTRACTOR
Water heater 37.52
Business name: Water piping/DWV 56.29
Address: Other: 25.02
City/State/ZiP: Subtotal
Phone:(3-G3) 75-0 --p3 2.� Fax:( ) Minimum permit fee: $72.50 2_, S0
CCB Lic.: 2.i Gi ‘(0 Plumbing Lic.no.: jl a 2.,:„2_� Plan review (25%of permit fcc)
State surcharge(12%of permit fee) 6p a 740,
Authorized signature: /, TOTAL PERMIT FEE ei, ,2-
Print name: '( /f / Date: 7 0 i 2 Z1 This permit application expires if a permit is not obtained within 180 days
J-ic ice ( after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
1:tRuildineermits1PLM13-PermitApp.doc MO i09 440-1616T(I0/02"COM/WER) 7/4/L. / S (,, je-- '- /Z..0
SW
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' t 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' t 62.54 $I.00 to$5,000.00 Minimum fee$72.50
Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 S72.50 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*. 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 Perforated: 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
as defined in OAR918-780-0040.
-Drive Thru
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 OAR918-780-0040.
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
that meet the qualifications above.
Garbage -Domestic non-food
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: -Lay/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 increase of sewer EDUs,a sewer permit will be issued and
Washer-Clothes
Water Extractor fees assessed for the sewer increase must be paid before the
Water closet-Toilet plumbing permit can be issued.
Urinal
Other Fixtures:
1:Aluilding\Pennits\PLMF PermitApp.doe 08/04/2011 2
Dianna Ornelas
From: #Building Permit Technicians
Sent: Tuesday,July 13, 2021 12:51 PM
To: Superior Underground
Subject: FW: 14635 SW 133rd Ave - PLM2021-00297 & SWR2021-00192 - Schmitz
Attachments: 14635SW133rdAvePlumbingPermit1.pdf; 14635SW133rdAvePlumbingPermit2.pdf
Hello Jeff,
In processing this permit application for sanitary sewer connection I noticed that the description includes "install one dry
well for down spouts,40 fee of drain pipe". Unfortunately,drywells are no longer part of the plumbing code and you
will need to contact DEQ for information regarding permitting and inspection of the drywell. See Oregon plumbing code
1101.6.3 for more information.
The permits to connect to sewer are ready to issue and the balance due is shown below(see attached invoices):
• PLM2021-00297-$81.20
• SWR2021-00192 -$6,120.00
The fees can be paid online at https://aca-prod.accela.com/TIGARD/Welcome.aspx by searching for each permit record
number under the Building tab. Payment can be made by'card'for a 3%service fee or select the 'check' payment
option and there is no service fee.
Please note that the sewer permit SDC fee must be paid prior to issuance of the plumbing permit.
Please email the permit technicians at TigardBuildingPermits@tigard-or.gov once the fees are paid so that we can
issue the permit and email a copy to you.
Thank you.
Dianna L. Ornelas
Building Division Services Supervisor
City of Tigard I Community Development
13125 SW Hall Blvd I Tigard, OR 97223
503-718-2430 Direct 1503-718-2439 Permits
From:Superior Underground <superiorundergroundllc@gmail.com>
Sent:Thursday,July 1, 2021 10:32 AM
To:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Subject: 14635 SW 133rd Ave- Plumbing permit
Caution!This message was sent from outside your organization.
Please see attached permit. Let me know if you have any questions! Thanks
Thank you,
1
Superior Underground, LLC
503-750-0020
SUPERIOR
MI MI
111 .
UNDER,iRt.)11,11)
Dianna Ornelas
From: #Building Permit Technicians
Sent: Monday,July 26, 2021 3:23 PM
To: 'Superior Underground'
Subject: RE: 14635 SW 133rd Ave - PLM2021-00297 & SWR2021-00192 - Schmitz
Attachments: SWR2021-00192.pdf
Hello Jeff,
Per request of property owner Nathan Schmitz,the building official has agreed to adjust the sanitary sewer SDC fee to
$5,800 that was in effect prior to 7/1/2021 when the plumbing permit application was submitted by Superior
Underground.
The new balance due on the sewer connection permit is$5,835.00, including the inspection fee (see revised invoiced
attached).
The fees can be paid online at https://aca-prod.accela.com/TIGARD/Welcome.aspx by searching for the permit record
number under the Building tab. Payment can be made by'card'for a 3%service fee or select the 'check' payment
option and there is no service fee. Please share this information and forward the link to the property owner.
Please note that the sewer permit SDC fee must be paid prior to issuance of the plumbing permit.
Please email the permit technicians at TigardBuildingPermits@tigard-or.gov once the fees are paid so that we can
issue the permit and email a copy to you.
Thank you.
Dianna L. Ornelas
Building Division Services Supervisor
City of Tigard ( Community Development
13125 SW Hall Blvd I Tigard, OR 97223
503-718-2430 Direct 1503-718-2439 Permits
From:#Building Permit Technicians
Sent:Tuesday,July 13, 2021 12:51 PM
To:Superior Underground <superiorundergroundllc@gmail.com>
Subject: FW: 14635 SW 133rd Ave- PLM2021-00297 &SWR2021-00192-Schmitz
Hello Jeff,
In processing this permit application for sanitary sewer connection I noticed that the description includes "install one dry
well for down spouts,40 fee of drain pipe". Unfortunately, drywells are no longer part of the plumbing code and you
will need to contact DEQ for information regarding permitting and inspection of the drywell. See Oregon plumbing code
1101.6.3 for more information.
The permits to connect to sewer are ready to issue and the balance due is shown below(see attached invoices):
• PLM2021-00297-$81.20
• SWR2021-00192-$6,120.00
1
dairemosisammimmemor
The fees can be paid online at https://aca-prod.accela.com/TIGARD/Welcome.aspx by searching for each permit record
number under the Building tab. Payment can be made by'card'for a 3%service fee or select the'check' payment
option and there is no service fee.
Please note that the sewer permit SDC fee must be paid prior to issuance of the plumbing permit.
Please email the permit technicians at TigardBuildingPermits@tigard-or.gov once the fees are paid so that we can
issue the permit and email a copy to you.
Thank you.
Dianna L. Ornelas
Building Division Services Supervisor
City of Tigard I Community Development
13125 SW Hall Blvd I Tigard, OR 97223
503-718-2430 Direct 1503-718-2439 Permits
From: Superior Underground <superiorundergroundllc@gmail.com>
Sent:Thursday,July 1, 2021 10:32 AM
To:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Subject: 14635 SW 133rd Ave- Plumbing permit
Caution!This message was sent from outside your organization.
Please see attached permit. Let me know if you have any questions! Thanks
Thank you,
Superior Underground, LLC
503-750-0020
S11=R•R2
2