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Permit
III CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT Permit#: PLM2021-00408 Date Issued: 12/9/2021 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S102DB09600 Jurisdiction: Tigard Site address: 8803 SW OMARA ST Project: Tigard Senior Housing Subdivision: TIGARD SENIOR HOUSING Lot: 1 Project Description: Site utilities for a new 58-unit senior affordable housing building. Contractor: WALSH CONSTRUCTION CO/OREGON Owner: TIGARD, CITY OF 2905 SW 1ST AVE 13125 SW HALL BLVD PORTLAND, OR 97201 TIGARD, OR 97223 PHONE: 503-222-4375 PHONE: FAX: 503-274-7676 FEES Quantity Description Date Amount 10 ea Catch Basin or Area Drain 12/02/2021 $187.60 Specifics: 6 ea Manholes 12/02/2021 $112.56 2 ea Rain Drain Connector 12/02/2021 $37.52 Type of Use: COM 351 If Sanitary Sewer 12/02/2021 $175.10 Class of Work: NEW 724 If Storm Sewer 12/02/2021 $325.18 Type of Const: 362 If Water Service 12/02/2021 $175.10 Occupancy Grp: 1 ea Backflow Preventer 12/02/2021 $31.27 Stories: 25 Misc Other Fee 12/02/2021 $25.02 532 If Footing Drain 12/02/2021 $237.63 1 Plan Review 12/02/2021 $326.75 1 12%State Surcharge- 12/02/2021 $156.84 Plumbing Total $1,790.57 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: 4 „c"* — 4:r4; - Permittee Signature: / ..c. ' 7 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 Application S..d 23 2- Site Utilities FOR OFFICE USE ONLY City of Tigard RECEIVED Received Permit No.: INr 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: /3644i J" /��Mp j-� � 44- L Phone: 503.718.2439 Fax: 503.598.196 3 °�0 Plan Review l ^ /� Other Permit No.:E� Date/By: ,!'�-o10af. inspection Line: 503.639.4175 Date Ready/By: fur'4 r See Page 2 for TIGARD Internet: www.ti ard-or.gov ,,� rl 'Tl; ,aj f t g r r , + Notificd�icthod: /� `" �' Supplemental information TYPE OF WORK t l,i �.),,I {(`; Div!sio!, ,6 p(„,,,,1 , .0/ , FEE* SCHEDULE New construction ❑ Demolition For special information use checklist. Description I Qty. I la. 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 ❑Commercialiindustrial 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: 8803 SW OMARA ST Catch basin or area drain 10 18.76 City/State/ZIP: TIGARD,OR 97223 Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft_:_) 530 Page 2 Suite/bldg./apt.no.: I Project name:Tigard Senior Housing Manufactured home utilities 50.03 Cross street/directions to job site: Site is shared with Tigard Senior Center. Manholes 6 18.76 Site is on a flag lot. Rain drain connector 3 18.76 Sanitary sewer(no.linear ft.:_) 323 Page 2 Storm sewer(no.linear ft.:_) 693 Page 2 Water service(no.linear ft.:_) 680 Page 2 Subdivision: I Lot no.. Fixture or item: Tax map parcel no.:2S102DB09600 Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 N: -.. Clothes washer 25.02 N. New construction for 58-units of affordable senior housing. Dishwasher 25.02 >r, Drinking fountain 25.02 Ejectors/sump 25.02 ❑ PROPERTY OWNER ad TENANT Expansion tank 12.51 Fixture/sewer cap 25.02 h' Name: Northwest Housing Alternatives Floor drain/floor sink%hub 25.02 =`g. Address: 2316 SE Willard Street g Garba edisP disposal 25.02 V�` City/State/ZIP: Milwaukie, OR 97222 Hose bib 25.02 tt,, Phone:( 503)654-1007 Fax 1503)654-1319 Ice maker 12.51 rN ® APPLICANT ❑ CONTACT PERSON Interceptor,/grease trap 25.02 iiBusiness name: SERA Architecture and Design Medical gas(value:$ ) Page 2 Primer 12.51 Contact name: John Cline and Ariel Chavarria Roof drain(commercial) 12.51 Address: 338 NW 5th Avenue Sink'basin/lavatory 25.02 City/State/ZIP: Portland, OR 97209 Solar units(potable water) 62.54 Phone:( 503)445-7372 Fax: :( 503)445-7395 Tub/shower/shower pan 12.51 F-mail• johnc@seradesign.com: arielc@seradesign.com Urinal 25.02 Water closet 25.02 CONTRACTOR Water heater 37.52 Business name:Walsh Construction Company Water piping/DWV 56.29 Address:2905 SW 1st Avenue Other: 25.02 City/State/ZIP: Portland, OR 97201 Subtotal Phone:( 503)222-4375 Fax:( 503)274-7676 Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lie.: 147267 l '5 Plumbing Lic.no.: State surcharge(12%of permit fee) Authorized signature: f^/ TOTAL PERMIT FEE � 7 Print name: J N^ Ve ) hD Date: el, •2 1 ' This permit application expires if a permit is not obtained sr�t �O days Q l I L Z �h after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I.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-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' 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 S 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 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 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 El 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 Washer-Clothes *Note: If the fixture work under this permit results in an 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 ONE\ Received City of Tigard PermitNo.: 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: G//�d��f Al ��M a� � Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: J( 6_ j24 AO GI- Other Permit No.: T I G A R D Inspection Line: 503.639.4175 Date Ready/By: 144 ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: >i i Supplemental Information TYPE OF WORK FEE* SCHEDULE KNew construction ❑Demolition For special information use checklist Description Qty. 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 0 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: 803 S.W. ©tflAR A Si-. Catch basin or area drain 18 18.76 l87 Ga Drywell,leach line,or trench drain 18.76 City/State/ZIP: 'Ti yolk O tk.- q r))..`,.3 i Footing drain(no.linear ft.:S n) 6 Page 2 ;23 6 3 Suite/bldg./apt.no.: Project name: Manufactured home utilities 50.03 , Tio� Setnid� �oGtSih� _. Cross street/directions to job site: Manholes b 18.76 /0,5(, Rain drain connector oZ 18.76 31)M Sanitary sewer(no.linear ft.:"3 61) '/ Page 2 J'Is,'0 , Storm sewer(no.linear ft.: 8 Page 2 3)5,18 Water service(no.linear ft.: ) Y Page 2 195,n Subdivision: I Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 1 31.27 3i,al DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 Csi - U4 ► i i*tS .f t 5 8-ur.:i s O f Dishwasher - 25.02 S Z i/\.i®tf h 0 ct S i rs. Drinking fountain 25.02 J 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 ❑ 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: Dertertf.tov‘ SySh2w. i 25.02 2S.od. City/State/ZIP: Subtotal J Mt,.i g Minimum permit fee: $72.50 Phone:( ) Fax:( ) Plan review (25%of permit fee) 324, IS CCB Lic.: Plumbing Lic.no.: State surcharge(12%of permit fee) I5G 8y Authorized signature: i TOTAL PERMIT FEE IIl9Q,5'1 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. l:\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-1"100' ( 50.03 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' S 37.52 l el.40 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer-1st 100' 1 62.54 t Z,5 y 7,201 and greater $327.54 Sewer-each additional 100' 3 37.52 1 11.51: Water Service-1st 100' 62.54 67;64 Medical Gas Systems: Water Service-each additional 100' 3 37.52 1 ja.5L1 Valuation: Permit Fee: Storm&Rain Drain-1st 100' 62.54 t:�•Sy $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' ri 37.52 aLz.Gi/ $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for Other ec Ins tions 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: 611101 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 0 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 0 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 ❑ 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 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 . . , g 11,1 . 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. i 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:\Building\Permits\PLMF-PennitApp.doc 12/30/05