Permit CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2021-00340
Date Issued: 12/1/2021
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S126DC00901
Jurisdiction: Tigard
Site address: 9650 SW GREENBURG RD
Project: Terrace Glen Apartments Subdivision: TERRACE GLEN APARTMENTS Lot: None
Project Description: Site utilities for(2)new affordable housing apartment buildings located at 9650&9660 SW Greenburg Rd.
Contractor: WALSH CONSTRUCTION CO/OREGON Owner: GETHSEMANE EVANGELICAL
2905 SW 1ST AVE LUTHERAN CHURCH
PORTLAND, OR 97201 9640 SW GREENBURG RD
PORTLAND, OR 97223
PHONE: 503-222-4375 PHONE:
FAX: 503-274-7676
FEES
Quantity Description Date Amount
g ea Catch Basin or Area Drain 10/28/2021 $168.84
Specifics: 2 ea Drywell, Leach Line or Trench 10/28/2021 $37.52
Drain
Type of Use: MF 677 If Footing Drain 10/28/2021 $275.15
Class of Work: NEW 2 ea Manholes 10/28/2021 $37.52
Type of Const: 33 ea Rain Drain Connector 10/28/2021 $619.08
Occupancy Grp: 646 If Sanitary Sewer 10/28/2021 $287.66
Stories: 2787 If Storm Sewer 10/28/2021 $1,075.58
648 If Water Service 10/28/2021 $287.66
2 ea Backflow Preventer 10/28/2021 $62.54
2 ea Backwater Valve 10/28/2021 $25.02
50 Misc Other Fee 10/28/2021 $50.04
1 Plan Review 10/28/2021 $731.65
1 12%State Surcharge- 10/28/2021 $351.19
Plumbing
Total $4,009.45
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:
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.
.d _.- ., _ _ .. ..
'Plumbing Permit ApplicationRECEIVE
Site Utilities ir FOR OFFICE USE ONLY
City of Tigard AUG 1 0 2021 Received Permit No,p
■ 13125 SW Hall Blvd.,Tigard,OR 97223 y: g/r�/�.� �0f lil L(f 2/ 003 yo II Phone: OF 71GARD Date/By: /0_a 5- i (e�'Phone: 503.718.2439 Fax: 503.598.1Plan Review //��i� Other Permit No.:
Inspection Line: 503.639.4175 Date Ready/By: Juris: See Page 2 for
1 I(,AKD Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: `a/r,� , Supplemental Information
TYPE OF WORK b FEE* SCHEDULE
XNew construction ❑Demolition For special information use checklist.
Description 1 Qty. I Ea. I 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
❑ 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 500.32
❑Accessory building EX Multi-family
Each additional bath/kitchen 25.02
0 Master builder El Other: Fire sprinkler( sq.ft.) Page 2
fit
7 A 5v r?,,,,OB SITE INFORMATION AND LOCATION Site utilities:
Job site address SW Greenburg Rd 414, 50 'i" B ch basin or area drain 9 18.76 $168.84
ell,leach line,or trench drain 18.76
City/State/ZIP: Tigard, OR 97223 ?to 0d e4.s-r'I Dom'
ting drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: Project name: Terrace Glen Apartments Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 2 18.76 $37.52
Directly East of SW Washington Sq. Rd. & Rain drain connector 21 18.76 $393.96
& North of SW Lehamn St Sanitary sewer(no.linear ft.:_) 721 Page 2 $287.66
Storm sewer(no.linear ft.:_) 2445 Page 2 $963.02
Water service(no.linear ft.: ) 1485 Page 2 $587.82
Subdivision: 1S126DC00901/R238291 I Lot no.: Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
Backwater valve 12.51 $25.02
DESCRIPTION OF WORK
Clothes washer 25.02
Construction of 144 affordable housing apartments to be spread Dishwasher 25.02
between two new buildings. Drinking fountain 25.02
Ejectors/sump 25.02
El PROPERTY OWNER ❑ TENANT Expansion tank 12.51
Name: Related NW Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address: 208 5W 1st Ave., Suite 240
Garbage disposal 25.02
City/State/ZIP: Portland/OR/97204 Hose bib 25.02
Phone:( ) Fax:( ) Ice maker 12.51
23 APPLICANT [XI CONTACT PERSON Interceptor/grease trap 25.02
Business name: C2K Architecture Inc. Medical gas(value:$ ) Page 2
Primer 12.51
Contact name: Kevin Grant Roof drain(commercial) 12.51
Address: 1645 NW Hoyt St Sink/basin/lavatory 25.02
City/State/ZIP: Portland/Oregon/97209 Solar units(potable water) 62.54
Phone:(503)444.2211 Fax::( ) Tub/shower/shower pan 12.51
E-mail: kgrant@c2karch.com Urinal 25.02
Water closet 25.02
CONTRACTOR
Water heater 37.52
Business name: Walsh Construction Co. Water piping/DWV 56.29
Address: 2905 SW 1st Ave Other: 25.02
City/State/ZIP: Portland, OR 9720 Subtotal
Phone:( 503)222.4375 Fax:( ) Minimum permit fee: $72.50
CCB Lie': Plumbing Lic.no.: Plan review (25%of permit fee)
ORCCB 147267 State surcharge(12%of permit fee)
Authorized signature: TOTAL PERMIT FEE' link{?gc
Print name: Kevin Grant Date: 08.06.2021 This permit application expires if a permit is not obtained within1180 days
after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
1:\Building\Permits\PLMU-PermitApp.doc 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- 100' 100 50.03 $500.30 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
Storm&Rain Drain-1st 100' 62.54 Valuation: Permit Fee:
$1.00 to S5,000.00 Minimum fcc$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
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 forof the following.
Work Performed: Capped Added Relocate 9 any ow g
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 ❑ 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 CI 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
plumbing Permit Application
Site Utilities FOR OFFICE USE ONLY
City of Tigard Receivyd ,,,„0„, �IJ Permit No.: p .) l_60340l
II/ 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By:
Phone: 503.718.2439 Fax: 503.598.1960 Plan Review f q 1 e Other Permit No.:
Date/By: !U"rt S)U.Cq( k [t1
Inspection Line: 503.639.4175 Date Ready/By: lur s: ® See Page 2 for
I I�i It D Internet: www.ti and-or. ov t Yd j("l �/f nn••__ g
g g Notified/Method/ � J/S1a" Supplemental Information
TYPE OF WORK ��''��``//FEE* SCHEDULE
New construction ❑Demolition For special information use checklist
Description Qty. Ea. 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
❑ 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 500.32
❑Accessory building id 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: %5U (lb 60 5: < Cs r ,burl Catch basin or area drain q 18.76 j4.e '(f
Drywell,leach line,or trench drain 2 18.76 5Z.
City/State/ZIP:
I ti tLrt I O R, q l; 3 Footing drain(no.linear ft.:6?') Page 2 95,i5
Suite/bldg./apt.no.: I Project name:Terr4(ji_ iQti Apcol-iMe4S Manufactured home utilities 50.03
Cross street/directions to job site: Manholes a '3
18.76 ',52
Rain drain connector 33 18.76 6/t Og
Sanitary sewer(no.linear ft.: 1 Page 2 $s•L 64
1 Storm sewer(no.linear ft.S127 a s _ Page 2 (O75 S8
Water service(no.linear ft.:cutl 9 Page 2 2gi,LL
Subdivision: I Lot no.: Fixture or item:
Backflow preventer A 31.27 0.5 f
Tax map/parcel no.:
DESCRIPTION OF WORK Backwater valve a 12.51 .25r0
Clothes washer 25.02
S:-6 (i,--};(i t t�s „c4ar kw U YZe.w 13 S, Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
0 PROPERTY OWNER 0 TENANT Expansion tank 12.51 __
Name: Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address:
Garbage disposal 25.02
City/State/ZIP: Hose bib 25.02
Phone:( ) Fax:( ) Ice maker 12.51
f 0 APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02
Business name: Medical gas(value:$ ) 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
CONTRACTOR Water closet 25.02
Water heater 37.52
Business name: Water piping/DWV 56.29
Address: Other:Matt ivh 5ysfe w► a 25.02 so,OY
City/State/ZIP: Subtotal 'agaci6i
Phone:( ) Fax:( ) Minimum permit fee: $72.50
Plan review (25%of permit fee) (131,(3
CCB Lic.: Plumbing Lic.no.: State surcharge(12%of permit fee) 35It 11
Authorized signature: TOTAL PERMIT FEE LiaOR,4.S
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.
I:\Building\Permits\PLMU-PermitApp.doc 10/O1/09 440-4616T(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-1"100' 1 50.03 .0.03 0 to 2,000 $121.90
Footing drain-each additional 100' 6 37.52 45.12 2,001 to 3,600 $169.69
3,601 to 7,200 $233.20
Sewer-1st 100' 62.54 0..54 7,201 and greater $327.54
Sewer-each additional 100' 6 37.52 12512
Water Service-1st 100' 62.54 0.S1f Medical Gas Systems:
Water Service-each additional 100' 37.52 2 Valuation: Permit Fee:
Storm&Rain Drain-1st 100' 1 62.54 61 ST $1.00 to$5,000.00 Minimum fee$72.50
Storm&Rain Drain-each additional 100' VI 37.52 it)13.014 $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: I:116.05
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 anyof the followin=.
Work Performed: Capped Added Relocate 9
Baptistry/Font Please check all that apply.
Bath Tub/Shower El 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/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
Dianna Ornelas
From: Kevin Grant <kgrant@c2karch.com>
Sent: Tuesday, August 10, 2021 3:52 PM
To: #Building Permit Technicians
Subject: RE:Terrace Glen Apartments - 9650 &9660 SW Greenburg Rd - Plumbing Site Utilities
Attachments: Terrace Glen Apartments - Site Work Plumbing Permit Application.pdf
Follow Up Flag: Follow up
Flag Status: Completed
Categories: Dianna
i 1
Warning!This message was sent from outside your organization and we are unable to verify the sender.
Hi Dianna,
See attached for updated application for the plumbing site utilities with the requested information omitted.
In regards to your observation of a 'fire plan' listed alongside of the 'sewer' & 'water', it is on there for reference only.
We aren't applying for the fire protection system and understand it to be a separate permit application as you clearly
stated in your email from June 22, 2021. That portion of the project would be expected to be reviewed and approved at
that time.
Please let me know if I can get you any further information for this.
Thanks,
-k
KEVIN GRANT AIA•NCARB•LEED AP
PRINCIPAL
C2K ARCHITECTURE INC
P 503 444 2200 D 503 444 2211 C 503 502 9037
From:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Sent:Tuesday,August 10, 2021 3:32 PM
To: Kevin Grant<kgrant@c2karch.com>
Subject:Terrace Glen Apartments-9650&9660 SW Greenburg Rd - Plumbing Site Utilities
Hello Kevin,
The application submitted for the plumbing site utilities also listed all interior plumbing fixtures (see attached
application). The site utilities plumbing and interior plumbing are two separate applications (see attached) and (2) sets
of plans for each application for review. Please email a corrected form for just site utilities, and interior fixtures
removed from the application.
I also noticed that one of the plan pages mentions 'fire plan'. The fire sprinkler supply lines are to be submitted under a
fire protection system permit application (see attached)with (3) sets of plans.
The above instructions were provided in my email dated June 22, 2021.
Thank you and please let me know if you have any questions.
1
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
x3
DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail
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2