Permit CITY OF TIGARD PLUMBING PERMIT
= COMMUNITY DEVELOPMENT Permit#: PLM2021-00325
Date Issued: 8/4/2021
Ti G A R r) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S113AB01201
Jurisdiction: Tigard
Site address: 16505 SW 72ND AVE
Project: Good Feet Subdivision: None Lot: None
Project Description: Interior plumbing for TI:CAPPING(2)sinks;ADDING(3)sinks;REPLACING(1)shower,(6)sinks,(4)water
closets,and(1)urinal.
Contractor: POWER PLUMBING CO Owner: PACIFIC REALTY ASSOCIATES LP
PO BOX 19418 ATTN: N PIVEN
PORTLAND, OR 97280 15350 SE SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-244-1900 PHONE:
FAX: 503-244-8825
FEES
Quantity Description Date Amount
2 ea Fixture/Sewer Cap 08/02/2021 $50.04
Specifics: g ea Sink 08/02/2021 $225.18
1 ea Tub/Shower/Shower Pan 08/02/2021 $12.51
Type of Use: COM 2 ea Urinal 08/02/2021 $50.04
Class of Work: ALT g ea Water Closet 08/02/2021 $225.18
Type of Const: 1 12%State Surcharge- 08/02/2021 $67.55
Occupancy Grp: Plumbing
Stories:
Total $630.50
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: Houy vavii/De/wege Permittee Signature: OYV A cft'tov�
ppl%c
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 Applica�igµ�CEIVED 21
Building Fixtures �rjjC 1.-olz ,),....h: 1-si.: ci'�1�-7v
City of TigardReceived
ate?B: 7/2 F / 0 Pf6 iS oos,k S-
IIIu 13125 SW Hall Blvd.,Tigard,OR 9722 JUL�� ��
Plan Review
Phone: 503.718.2439 Fax: 503.5 ,/7 '- ( '`1't' !*---6W�07)
G81' °OF TIGARD Date By: (/
Inspection Line: 503.639.4175 Date Ready/By: FI See Page 2 for
T1G.ARD Internet: www.tigard-or.gov DUILDING DIVISION 71.Zd�( ( g
'riified'Method SultplementalInfo- ion
TYPE OF WORK 7,4 `Z. FEE* SCHEDULE
0 New construction ❑Demolition For special information use checklist.
Description I Qty. I Ea. I 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
SFR(3)bath 500.32
❑Accessory building 0 Multi-family
Each additional bath/kitchen 25.02
❑Master builder 0 Other: Fire sprinkler( sq.ft) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 16505 SW 72ND AVE Catch basin or area drain 18.76
Drywell,leach line,or trench drain 18.76
City/State/ZIP:TIGARD, OR 97223
Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: Project name:21-445 Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.:_) Page 2
Storm sewer(no.linear ft.:_) Page 2
Water service(no.linear ft.:_) Page 2
Subdivision: Lot no.: Fixture or item:
Tax map/parcel no.: a s 1 1 3 ( 66 i 2 0/ Backflow preventer 31.27
DESCRIPTI N OF WORK Backwater valve 12.51
Clothes washer 25.02
TENANT IMPROVEMENT, GOOD FEET OREGON INC. Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
0 PROPERTY OWNER 0 TENANT Expansion tank 12.51
Name: Fixture/sewer cap 2 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:POWER PLUMBING CO. Medical gas(value:$ ) Page 2
Primer 12.51
Contact name: MIKE WARREN Roof drain(commercial) 12.51
Address: P.O. BOX 19418 Sink/basin/lavatory 9 25.02
City/State/ZIP: PORTLAND, OR 97280-9418 Solar units(potable water) 62.54
Phone:( 503-244-1900 Fax: :( 503.244-8825 Tub/shower/shower pan 1 12 51
E-mail:SERVICE@POWERPLUMBINGCO.COM Urinal 2 25.02
Water closet 9 25.02
CONTRACTOR
Water heater 37.52
Business name:POWER PLUMBING CO. Water piping/DWV 56.29
Address:6611 SW MULTNOMAH BLVD Other: 25.02
City/State/ZIP:PORTLAND, OR 97223 subtotal
Phone:( 503 244 1900 Pax:( 503)-244 8825 Minimum permit fee: $72.50
52378Plumbing 34-150PB Plan review (25%of permit fee)
CCB l.ic.: Lic.no
t� / ,' / State surcharge(12%of permit fee)
Authorized signature: ,4 f r.e. C j l z-6,,f- TOTAL PERMIT FEE
Print name:KRISTIE BRAMWELL Date:7-(21-21 This permit application expires if a permit is not obtained eithin 180 days
after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
f\BuildingU'ermits\PLMU-PermitAppdoc 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-l"100. 50.03 0 to 2,000 $121.90
Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69
S3,601 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
Storm&Rain Drain-I st 100' 62.54 Valuation: Permit Fee:
$1.00 to$5,000.00 Minimum fee$72.50
Storm&Rain Drain-each additional 100' 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
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:
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
0 Any new commercial building with water service 2"and
Baptistry/Font
Bash Tub/Shower greater,except systems designed and stamped by licensed
-Jacuzzi/Whirlpool engineer.
Car Wash: Each Stall ❑ New exterior plumbing site utilities for any complex structure
Drive as defined in OAR918-780-0040.
ElCuspidor/Water Aspirator Medical gas and vacuum systems for health care facilities.
Dishwasher Commercial 0 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
❑ 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
Ice Mach./Refrig.Drains Comments regarding fixture work:
Oil Separator(Gas Station)
Rec.Vehicle Dump Station PLEASE CALL MIKE WARREN WITH QUESTIONS 503-936-5929
Shower: -Gang
-Stall t
Sink: -lav/Bar non-food related 2 3 6
-Bradley
-Com/Serv/IJtil 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 5 4 plumbing permit can be issued.
Urinal t t
Other Fixtures:
1:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2
4
Accumulative Sewer Tally
711 Tenant Name: GOOD FEET SWR# SWR2021-00200
Site Address: 16505 SW 72ND AVENUE PLM# PLM2021-00325
IIGARD
Parcel#: 2S 113AB01201
Fixture Value Previous Previous Credits Capped Fixture Fixture New New
# value count capped#s value count added# added value total#s total values
Baptisery/Font 4 0 0 0 0 0
r
Bath: -Tub/Shower 4 0 0 0 0 0
-Jacuzzi/Whirlpool 4 0 0 0 0 0
Car Wash: -Each Stall 6 0 0 0 0 0
-Drive through 16 0 0 0 0 0
Cuspidor/Water Aspirator 1 0 0 0 0 0
Dishwasher: -Commercial 4 0 0 0 0 0
-Domestic 2 0 0 0 0 0
Drinking Fountain 1 0 0 0 0 0
Eye Wash 1 0 0 0 0 0
Floor Drain/Sink: -2 inch 2 0 0 0 0 0
-3 inch 5 0 0 0 0 0
-4 inch 6 0 0 0 0 0
-Car Wash 6 0 0 0 0 0
Garbage Disposal:
-Domestic(to 3/4 HP) 16 0 0 0 0 0
-Commercial(to 5 HP) 32 0 0 0 0 0
-Industrial(over 5 HP) 42 0 0 0 0 0
Ice Machine/Refrigerator Drain 1 0 0 0 0 0
Living Unit 16 0 0 0 0 0
Oil Sep(Gas Station) 6 0 0 0 0 0
Rec.Vehicle Dump station 16 0 0 0 0 0
Shower: -Gang(per head) 1 0 0 0 0 0
-Stall 2 0 0 0 0 0
Sink:
-Lav/Bar-Non-Food Related 2 0 2 4 3 6 1 2
-Bradley 5 0 0 0 0 0
-Com/Serv/Util-Food Related 3 0 0 0 0 0
Swimming Pool Filter 1 0 0 0 0 0
Washer-Clothes 6 0 0 0 0 0
Water Extractor 6 0 0 0 0 0
Water Closet-Toilet 6 0 0 5 30 5 30
Urinal 6 0 0 1 6 1 6
Previous EDU Count 0 0
Capped EDU Credit 0
TOTALS 0 0 2 4 9 42 7 38
Current Fixture Value 38 divided by 16= 2.375 Current EDU 1 EDU= $6,085.00
Previous Fixture Value 0 divided by 16= 0.000 Previous EDU
Change 38 divided by 16= 2.375 over (under) S 14,482.30
Enter EDU Change Here 2.380
*Round EDUs to the nearest 1/100th: a count ending in.005 shall be rounded up to.01,and a count ending in.014 or less shall be rounded down to.01.
Notes: t
I,
Authorized Name/Signature:JULIE DRINKWATER X2804 Date: 7/28/2021
Building Division d
Note: The property owner shall retain the ORIGINAL sewer tally record. If credits exist,this document will serve as a voucher which must be
submitted to the City of Tigard Building Division to redeem credits towards future system development charges.
I:\Building\Sewer Tally\SewerTallySheet_6085_070121.xlsx
P
r
Julie Drinkwater
From: #Building Permit Technicians
Sent: Wednesday,July 28, 2021 3:12 PM
To: service@powerplumbingco.com
Subject: PLM2021-00325 & SWR2021-00200, 16505 SW 72, Good Feet
Attachments: Invoices and Sewer Tally.pdf
Hello Kristie
The Plumbing and Sewer permits for Good Fees are ready to issue now. I have attached invoices above for you to
reference, and the fees due are as follows:
Good Feet
Permit# Fees
PLM2021-00325 $ 630.50
SWR2021-00200 $ 14,482.30
Total $ 15,112.80
The above fees can be paid online through our website: https://aca.accela.com/TIGARD/Default.aspx. From there,click
on the Building tab, enter the permit numbers in the Record Number field, and click Search. Once paid, please notify us
at tigardbuildingpermits@tigard-or.gov so that we may issue these permits and place them in our open Permit Center
conference room for someone to pick up between the hours of 8:00 a.m. and 5:00 p.m., Monday through Thursday. We
are closed on Fridays. Furthermore,the permit fees for both permits will need to be paid before we can issue either of
them.
Thank you
Julie Drinkwater
Permit Technician
City of Tigard Building Department
13125 SW Hall Blvd
Tigard, OR 97223
503-718-2804
Due to an increased demand for services, please expect longer wait times for responses to emails,voice messages and building
inspections. Requests for permit status may not be responded to until the permit is ready to issue. Other requests deemed non-
essential,such as fee estimates, may take longer to respond. In the meantime, please view this quick guide on how to submit
common service requests.
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