Permit 14 4 ,,
CITY OF TIGARD PLUMBING PERMIT
2 , COMMUNITY DEVELOPMENT Permit#: PLM2022-00203
Date Issued: 6/9/2022
TEGAF.t.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S113AC01201
Jurisdiction: Tigard
Site address: 7329 SW BRIDGEPORT RD
Project: Bridgeport Village Subdivision: COUNCIL VIEW ACRES(LOTS 1-20) Lot: 18
Project Description: Site utilities associated with a new storm water detention system for modification of existing Bridgeport Village
Plaza. System located in the parking lot west of theatre building.
Contractor: ROBINSON CONSTRUCTION CO Owner: BV CENTERCAL LLC
8060 NE WALKER RD ATTN: FRED BRUNING
HILLSBORO, OR 97124-9321 7455 SW BRIDGEPORT RD
TIGARD, OR 97224
PHONE: 503-226-1285 PHONE:
FAX: 503-645-5397
FEES
Quantity Description Date Amount
2 ea Catch Basin or Area Drain 06/09/2022 $37.52
Specifics: 2 ea Manholes 06/09/2022 $37.52
173 If Storm Sewer 06/09/2022 $100.06
Type of Use: COM 1 Plan Review 06/09/2022 $43.78
Class of Work: ALT 2 ea Info Process/Archiving-Sm 06/09/2022 $1.00
Type of Const: $0.50(up to 11x17)
Occupancy Grp: 1 12%State Surcharge- 06/09/2022 $21.01
Stories: Plumbing
Total $240.89
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: .egt1< Permittee Signature: L L��^ 1
"L.,
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
Site Utilities
\I eceived /f c o�3
City of Tigard LC E I V ate/By: S/3i/}f} ��+� Permit No.: `✓
v 13125 SW Hall Blvd.,Tigard,OR 972 t/ I_ 1
Phone: 503.718.2439 Fax: 503.598.1960 Plan Review q
' �. q Date/By: b- '32.�J Other Permit No.:
TIGARIa Inspection Line: 503.639.4175 UAY 3 1 ZOZZ Date Ready/By: (��_�/9/ e Juris: Bf See Page 2 for
Internet: www.tigard-or.gov �1 Notified/Method: ` Supplemental Information
7!'il O f ,d l�� TYPE OF WOR io ,_i F�, ' - *-,s E.1 '1,�E
❑New construction ❑Degithl-�ING DIVISION For special information use checklist
Description I Qty. I Ea. I Total
®Addition/alteration/replacement ❑Other �ltjew 1-2-family dwellings(includes 100 ft.for each utility connection)
" RUCI'IQN �., `-'"iI r`s ' 4 SFR(1)bath 312.70
�ta,li,hinr ,....,,a `ATEPORY Or CONST
❑ 1-and 2-family dwelling ®Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 500.32
0 Accessory building 0 Multi-family
Each additional bath/kitchen 25.02
0 Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2
' 14111!1 ' iii40l SiTTEioORMATION A LOCATION IN„'::,I'''',- ,. Site utilities:
Job site adrtess: 74 W Bridgeport Rd Catch basin or area drain 2 18.76 37.52
/ Drywell,leach line,or trench drain 18.76
City/State/ZIP: Tigard, Oregon, 97223 Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: N/A Project name: Bridgeport Village Remodel Manufactured home utilities 50.03
Cross street/directions to job site:Off of SW Bridgeport Rd. Manholes 2 18.76 37.52
Rain drain connector 18.76
g
4 � Sanitary sewer(no.linear ft.:_) Page 2
�/I /1 G e1gr,Ai i-ic AJS,/j „ ✓�i`, Stormsewer(no.linearft.:173) 2 Page2 100.06
lJ 4 1 ir/ Water service(no.linear ft.:_) Page 2
Subdivision: ' Lot no.: /i/fi Fixture or item:
Tax map/parcel no.: 2S113DB01700 Br Backflow preventer 31.27
f^ii"`' "' DESCRIPTION OF'',VWWORK.„ j"` ' Backwater valve 12.51
'�� Clothes washer 25.02
Proposed (65) chamber ADS SC-740 Detention System Dishwasher 25.02
for modification of existing Bridgeport Village Plaza. Drinking fountain 25.02
(iv .1 . � lW 1 /t4 6- " { rectors/sump 25.02
4oyc"n"" � `x`/� � ' i �i tarp"F �'°�P. '`� Expansion tank 12,51
PROPERTY"�O WINEI# ,1` 0 TENANT . ,
Fixture/sewer cap 25.02
Name:
David Gildersleeve
Floor drain/floor sink/hub 25.02
Address: 7455 SW Bridgeport Rd#215 Garbage disposal 25.02
City/State/ZIP: Tigard, Oregon 97224 Hose bib 25.02
Phone:( 206)454-9575 Fax:( N/A) Ice maker 12.51
t ,,1, s/i"'li, , r4TACT PERSON dir°'i y;: Interceptor/grease trap 25.02
��� �. �"�� ',IBiI`fAPPLYCAI`�'l�` �I �.
Business name: Medical gas(value:$ ) Page 2
Humber Design Group, Inc.
Primer 12.5 I
Contact name: Andrew Xu
Roof drain(commercial) 12.51
Address: 110 SE Main Street, Suite 200 Sink/basin/lavatory 25.02
City/State/ZIP: Portland, OR 97214 Solar units(potable water) 62.54
Phone: 503-946-9533 Fax::( )
Tub/shower/shower pan 12.51
E-mail: (/J�� �, �ec I- -t Urinal 25.02
��." f�'/" Lt�.�CG� � � , , Water closet 25.02
a:ti'� i {r N i' 25.02
wifff , , �,rt 4 •44 Col�T12ACI ,, , I I'. "'ii Water heater
Business name: Robinson Construction Co. Water piping/DWV 56.29
Address: 8060 NE Walker Road Other: On site Detention System 25.02
Subtotal
City/State/ZIP: Hillsboro, OR 97124 Minimum permit fee: $72.50 175.10
Phone: 503-645-8531 Fax: 503-645-5357 Plan review (25%ot permit tee) 43.7g
CCB Lie.: #63147 Plumbing Lic.no.3t-iiy
State surcharge(12%of permit fee) 21.01
P
Authorized signature: 7 i TOTAL PERMIT FEE 239.8$
05-31-22 This permit application expires if a permit is not obtained within 180 days
after it has been accepted as complete. 7.31 Sq Print name:Andrew Xu Date:
*Fee methodology set by Tri-County Building Industry Service Board.
1:\Build ing\Permits\PLMU-PermitA pp.doc 10/01/09 440-4616T(1o/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' 1 62.54 62.54 $1.00 to$5,000 00 Minimum fee$72 50
Storm&Rain Drain-each additional 100' 1 37.52 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for
q"r t, _s-" each additional$100.00 or fraction thereof,to
�''``- Qty.- Fee(ea) Total
etherxtsptQT15Or'' ' eS'.`r 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: 100.06
i
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/
" yo, Capped Added Relocate Plan review is required for any of the following.
Work Performed: Please check all that apply.
Baptistry/Font pp y
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 0 Any multipurpose fire sprinkler system.
Drinking Fountain 0 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 0 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:
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