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Permit
p CITY OF TIGARD PLUMBING PERMIT '�'! "` COMMUNITY DEVELOPMENT Permit#: PLM2021-00521 Date Issued: 1/4/2022 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S113BA00400 Jurisdiction: Tigard Site address: 7632 SW DURHAM RD 100 Project: Avamere Home and Hospice Subdivision: None Lot: None Project Description: Interior plumbing for TI in suite 100:Adding(1)dishwasher, (1)lavatory,and(1)ejector pump; Installing(1)water heater. Contractor: POWER PLUMBING CO Owner: PORTLAND SW CENTER LLC PO BOX 19418 BY FELTON PROPERTIES INC PORTLAND, OR 97280 ATTN: FELTON, MATT 520 SW 6TH AVE, STE 610 PORTLAND, OR 97204 PHONE: 503-244-1900 PHONE: FAX: 503-244-8825 FEES Quantity Description Date Amount 1 ea Dishwasher 01/03/2022 $25.02 Specifics: 1 ea Ejectors/Sump 01/03/2022 $25.02 1 ea Sink 01/03/2022 $25.02 Type of Use: COM 1 ea Water Heater 01/03/2022 $37.52 Class of Work: ALT 1 12%State Surcharge 01/03/2022 $13.51 Type of Const: Plumbing Occupancy Grp: Stories: i Total $126.09 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. Plumbing Permit Applicaha1t-`EI V ELF0 Building Fixtures ICEC 16 2021 roR orrlf h: t si. ONLY City of Tigard OF TIGAHU Receised1) Date'By: ( 36 lit 477- Permit\o iN r fl1 4 / 1111 • 13125 SW Hall Blvd.,Tigard,OR 97 Plan Review C Phone. 503 718.2439 Fax: 503.54 (©LNG DIVISION Other Pennii 4r i J-„1)_O,�g6� Inspection Line: 503.639.4175 Date By: W` "O 1,G A R t� Internet: nys�.ti and-or. ov Date Ready B q J 65 See age 2 or g S r;otified.Mcthod. /��` 6I/! Supplemental Information TYPE OF WORK t FEE* SCHEDULE ❑Nets construction ❑Demolition For special information use checklist Description I Qty. I Fa I Total ®Addition/alteration/replacement 0 Other: New I-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(I 1 bath 312.70 I-and 2-family dwellin SFR(2)bath 437.78 ❑ g ®Commercial/industrial SFR(3)bath 500.32 0 Accessory building 0 Multi-family Each additional bath/kitchen 25.02 ❑Master budder 0 Other Fire sprinkler(_sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 7632 SW DURHAM RD 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.:_1 Paget_ Suite/bldg./apt.no.:100 Project nattle.i.21.426 Avvyleire. J,,,,,,,, e r cw e" Manufactured home utilities 50.03 Cross street/directions to job site: ffalie IN Manholes 18.76 Rain drain connector 18.76 - - Sanitary sewer(no.linear ft.: 1 Page 2 Storm sewer(no.linear ft:_) Page 2 Water service Inn.linear ft.:_1 Page 2 Subdivision: Lot no.: Fixture or item: _ Tax map/parcel no.: 157/3Merokk Back flow preventer 3127 DESCRIPTION OF WORK Backwater _ 12.51 Clothes washer 25.02 AVAMERE BRIDGEPORT CENTER T.I. Dishwasher 1 25.02 as o 2 Drinking fountain 25.02 Ejectors/sump 1 25.02 r y'y ❑ PROPERTY OWNER 0 TENANT Expansion tank 12.51 Name: Fixture/sewer cap 25.02 Address: Floor drain/floor sink/hub 25.02 Garbage disposal 25.02 City/State/ZIP: !lose bib 25,02 ----- ------ ---- Phone:( ) Fax ( ) Ice maker 12.51 0 APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name:POWER PLUMBING CO. Medical gas(value:$ ) Page 2 Primer 1251 Contact name: MIKE WARREN Roof drain(commercial) 12 51 Address: P.O. BOX 19418 sink/basin/lavatory 1 2502 h -,),`,.. 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 12 51 E-mail•SERVICE@POWERPLUMBINGCO.COM Urinal 25.02 Water closet 25.02 CONTRACTOR Water heater 1 37.52 3-2-te).. Business name:POWER PLUMBING CO. Water piping/UWV 56.29 Address:6611 SW MULTNOMAH BLVD Other. 25.02 City/State/ZIP.PORTLAND, OR 97223 Subtotal //),,51 Phone:( 503-244-1900 Fax:( 503L244-8825 Minimum permit fey: $72.50 Plan review (25%of permit fee) CCB Lie:52378 Plumbing Iic no.: 34-150 B - �- ) State surcharge(12%of permit fey) 1 5 7 Authorized signature "(l a,e->'.+�z- TOTAL.PERMIT FEE+ /1 Of Print name.KRISTIE BRAMWELL Date. 12-16-2021 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee tnethodology set by Tri-County Building lndustn Service Board i..Burtdrnv,permilsTLsfij-Perrn0App dot 10.oi.09 440-1616T(10'02-CONIAVEB) 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 (1 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 10(1' 62 54 7,201 and greater _ $32754 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- I st 10(1 62 54 $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 l 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 sshich 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 O0/hr .S25.001.00 to S50,000.00 $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.((0/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. r 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 re',iet', is required for any of the following. Fixture Type for Replace/ Please check all that apply. Work Performed: Capped Added Relocate Baptista/Font ❑ Any new commercial building with water service 2"and greater,except systems designed and stamped by licensed Oath -Tub/Shower engineer. -Jacuzzinuhirlpool CICar Wash Each Stall New exterior plumbing site utilities for any complex structure Drive tall as defined in OAR918-780-0040. Cuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities. Dishwasher: Commercial DI Any multipurpose fire sprinkler system. -Domestic J ❑ 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 IceMach./RcGig.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 Sink: -Lav/Bar non-food related -Bradley -Com/Serv/Util food related -Service _ Note: It 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 Water Closet-Toilet plumbing permit can be issued. Urinal Other Fixtures: e�et`f i'+ �Jt[i0 l 1:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 , Branden Taggart From: #Building Permit Technicians Sent: Thursday, December 30, 2021 4:30 PM To: 'Kristie Bramwell' Subject: RE:Avamere Home and Hospice: PLM2021-00521 & SWR2021-00323 - 7632 SW Durham RD Suite 100 Attachments: Untitled_12162021_033811.pdf; Invoices & Sewer Tally.pdf Hi Kristie, The Plumbing and Sewer permits for Avamere Home and Hospice are ready to issue now. I have attached invoices above for you to reference, and the fees due are as follows: Avamere Home and Hospice Permit# Fees Due PLM2021-00521 $ 126.09 SWR2021-00323 $ 1,521.25 Total: $ 1,647.34 The above fees can be paid online now 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. There is a 3%service fee for credit cards, but e-checks do not have a service fee. Once paid, please notify us at tigardbuildingpermits@tigard- or.gov, and I will email the permit paperwork to you. Furthermore, the permit fees for both permits will need to be paid before we can issue either of them. Please let me know if you have questions. Thank you, Branden Taggart illh0 City of Tigard a Senior Permit Technician :^ .q Community Development 13125 SW Hall Blvd Tigard, OR 97223 (503)718-2449 brandent©tigard-or.gov Original Message From: Kristie Bramwell<service@powerplumbingco.com> Sent: Thursday, December 16, 2021 3:58 PM To: #Building Permit Technicians<TigardBuildingPermits@tigard-or.gov> Subject: Plumbing Permit-Avamere Please see the attached plumbing permit application,thank you! i. Kristie Bramwell I service@powerplumbingco.com Service Department I Power Plumbing Co. 0 503.244.1900 I F 503.244.8825 2