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Permit goCITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT Permit#: PLM2021-00500 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 5/17/2022Parcel: 1 S126CA01100 -7 Jurisdiction: Tigard Site address: 9009 SW HALL BLVD 100 Project: Target Subdivision: None Lot: None Project Description: Interior plumbing for TI:Adding (2)2"floor drains/sinks and(1)3"floor drain/sink; Replacing(5)sinks and(2) water closets.7/19/22:REPRINTED permit to add DWV. Contractor: PMSI LLC Owner: DAYTON HUDSON CORPORATION 8295 NW EVERGREEN PKWY#204 BY TARGET CORP T-0345 HILLSBORO, OR 97124 PROPERTY TAX DEPT/TPN-0950 PO BOX 9456 MINNEAPOLIS, MN 55440 PHONE: 503-466-2222 PHONE: FAX: 503-466-2211 FEES Quantity Description Date Amount 3 ea Floor Drain/Floor Sink/Hub 05/05/2022 $75.06 Specifics: 3 ea Sink 05/05/2022 $75.06 2 ea Lavatories 05/05/2022 $50.04 Type of Use: COM 2 ea Water Closet 05/05/2022 $50.04 Class of Work: ALT 05/05/2022 $30.02 1 12%State Surcharge- Type of Const: Plumbing Occupancy Grp: 1 ea Water Piping/DWV 07/20/2022 $56.29 Stories: 0 12%State Surcharge- 07/20/2022 $6.76 Plumbing 90 Additional Plan Review 07/20/2022 $90.00 Total $433.27 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. FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. IsCity of Tigard - COMMUNITY DEVELOPMENT DEPARTMENT - Transmittal Letter 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.ti rarg dor.2ov TO: Tom Hochstatter DAT +,.R E DEPT: BUILDING DIVISION § t l t FROM: Target(Agent-Leif) r - COMPANY: Lampert Group P, , t: F " :`';I?"?i I PHONE: (312)956-4092 By EMAIL: LRE@Lampertgroup.build RE: 9009 SW HALL BLVD,TIGARD, OR 97223 PLM2021-00500 (Site Address) (Permit Number) 2022 TARGET REMODEL-MECHANICAL REV (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: FC--op--ie—s—,—J Description: I Copies: Description: 2 Additional set(s)of plans. 2 Revisions: Plumbing Revision narrative Cross section(s)and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other (explain): REMARKS: Plumbing portion of the post approval revision to add a new fire pump room and address required changes to plumbing repair scope. FOR OFFICE USE ONLY Routed to Permit Technician: Date: 1-tjr-2022. Initials: Fees Due: Yes No Fee Description: Amount Due: 0, 00 $ _ -0 $ Special Instructions. Reprint Permit(per PE): es JE1 No I ❑ Done Applicant Notified: C�\e,, L Date: 97 12, Initials: i. Plumbing Permit Application a Building Fixtures 9, A. rIO'Lt, FOR OFFICE USE ONLY Cityof Tigard �� via Received g C-�¢�� Permit No.:PLM2021-00500 IIIII11 13125 SW Hall Blvd.,Tigard,OR 97223 v' 1��+t1 Date/By: ''�� �S ti�•11�' Plan Review n 04 Phone: 503.718.2439 Fax: 503.598 1960 LL )\ u C Date/By: !' f 8-2cs2Z Other Permit No.: Y TIGARD Inspection Line: 503.639.4175 Date Ready/By: Rau ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ❑New construction ❑Demoli V: 1. .A` �� :.J For special information use checklist. ;' Description Qty. Ea. Total ❑®Addition/alteration/replacement Other: ♦ Neww1 I-2-family dwellings(includes 100 ft.for each utility connection) il'5"' 1 CATEGORY OF CONSTRUCTIO SFR( )bath 312.70 ❑ 1-and 2-family dwelling ®Commercial/industrial SFR(2)bath 437.78 ❑Accessory buildingSFR(3)bath 500.32 ❑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:9009 SW Hall BLVD 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.: I Project name:2022 TARGET REMODEL Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Cross Street: SW Eliander Ln 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: I Lot no.: Fixture or item: Tax map/parcel no.: 1 S 126CA01 100 Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 Plumbing revisions Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER ( 0 TENANT Expansion tank 12.51 Name:Target Corporation Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:50 S 10th Street Suite 400 TP3-11 Garbage disposal 25.02 City/State/ZIP:Minneapolis, MN 55403 Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 ❑ APPLICANT 21 CONTACT PERSON Interceptor/grease trap 25.02 Business name:Lampert Group LLC Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Leif Erickson Roof drain(commercial) 12.51 Address:10061 Riverside Dr. #760 Sink/basin/lavatory 25.02 City/State/ZIP:Toluca Lake, CA 91602 Solar units(potable water) 62.54 Phone:(312) 956-4092 Fax: :( ) Tub/shower/shower pan 12.51 E-mail:LRE@Lampertgroup.build Urinal 25.02 CONTRACTOR Water closet 25.02 Water heater 37.52 Business name: PMSI, LLC Water piping/DWV / 56.29 S ,.2Y Address: 8295 NE Evergreen Parkway, Ste 204 Other: 25.02 City/State/ZIP: Hillsboro, OR 97124 Subtotal 56.2.9 Phone:(503) 466-2222 Fax:( ) Minimum permit fee: $72.50 'fl.$O CCB Lic.: 158286 Plumbing Lic.no.: 34-434PB Plan review (25%of permit fee) • State surcharge(12%of permit fee) w Authorized signature: TOTAL PERMIT FEE T.So Print name: Leif Er son Date:6/9/22 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. 1 A Building\PermitsVPLMU-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-Ist 100' 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52 Valuation. Permit Fee. Storm&Rain Drain-1st 100' 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 Q 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 1 (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 pp y Baptistry/Font ❑ Any new commercial building with water service 2"and greater,except systems designed and stamped by licensed Bath: -Tub/Shower -Jacuzzi/Whirlpool engineer. Car Wash: Each Stall 0 New exterior plumbing site utilities for any complex structure Drive Thru as defined in OAR918-780-0040. Cuspidor/Water Aspirator 0 Medical gas and vacuum systems for health care facilities. Dishwasher: Commercial El Any multipurpose fire sprinkler system. Domestic 0 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 4 0 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 Shower: -Gang -Stall Sink: -Lav/Bar non-food related -Bradley -Com/Serv/Util 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 plumbing permit can be issued. Urinal Other Fixtures: I:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2 T-0345 Tigard, OR 31 March 2022 Delta 4 JI/ CC 2833 , E �.�� .. D J U N 2 1 ?gl %. CITY OF TIGARD BUILDING D!V !ON CHANGES TO DRAWINGS PLUMBING • PMO1 - MECHANICAL SHEET INDEX OFFICE COPY• Revised sheet index to reflect addition of P322 and F351 P111 - OVERALL PLUMBING PLAN • 1/111 - OVERALL PLUMBING PLAN o Added callouts for new sanitary piping sheet P322 P311 - STARBUCKS PLUMBING PLANS • 3/311 - STARBUCKS UNDERFLOOR PLUMBING PLAN o Capped and abandoned existing sanitary piping through Starbucks area due to extensive repair needed o Added new piping to replace abandoned piping o Reconnected all fixtures and drains to new sanitary piping P322 - SANITARY MAIN REPLACEMENT PLUMBING PLAN • New sheet MECHANICAL M111 - HVAC PLANS • Added keynotes • 1/111 - HVAC PLAN o New callout for 2/111 • 2/111 - WATER SERVICE ROOM HVAC PLAN o New view for water service room o Added PRV-6 o Added GIV-1 o Added exhaust duct for fire pump o Added all keynotes o Added temperature sensor for PRV-6 M501 - MECHANICAL SCHEDULES AND DETAILS • 9/501 - SECTION AT DIESEL FIRE PUMP o New detail • 10/501 - FIRE PUMP EXHAUST THIMBLE o New detail • 11/501 - DUCTED POWER ROOF VENTILATOR o New detail FIRE PROTECTION F111 - FIRE PROTECTION PLAN • New callouts for 1/351 and 2/351 F351 - ENLARGED FIRE PROTECTION PLANS • New sheet ELECTRICAL ED111 - ELECTRICAL DEMOLITION PLAN • Revised relocated lighting for new water service room E111 - LIGHTING PLAN • Revised relocated lighting for new water service room E211 - OVERALL POWER& SYSTEMS PLAN • 1/E211 - POWER AND SYSTEMS PLAN o Added Callout 7/E321 to plan • 3/E211 - REAR ELECTRICAL ROOM 130 POWER &SYSTEMS o Added existing ATS2 panel to plan o Added CB for new TE-2 E221 - ROOF PLAN • Added PRV and GIV to roof plan E321 - FLEX FULFILLMENT POWER & SYSTEMS PLANS • 7/E321 - WATER SERVICE - FIRE PUMP o View added to plan • Added keynotes 296, 372, and 922 to plan E521 - ELECTRICAL DETAILS • Added view 17/E521 E551 - ELECTRICAL DETAILS • Added view 15/E551 E601 - ELECTRICAL DETAILS • Adjusted quantity of H7 fixtures • Added Electrical Jockey Pump Schedule to sheet • Added Electrical Power Roof Ventilator Schedule to sheet • Added Electrical Water Jacket Heater Schedule to sheet • Added fault current for new panel to sheet E611 - ELECTRICAL ONE-LINE DIAGRAM • Updated one-line diagram for added fire pump and appurtenances • Added Transformer schedule to sheet Page 2 of 3 E621 -PANELBOARD SCHEDULE • Added circuit 34 on panel LP-2 E622 - PANELBOARD SCHEDULE • Added new panel LPE-2 to sheet • Added circuits for ATS panel and JP-1 to panel HL-2 E911 - FIRE ALARM SYSTEM INITIATING & SIGNALING DEVICE PLAN • 4/E911 - RISER DIAGRAM o Updated views to show new fire alarms for water service room • 5/E911 - WATER SERVICE ROOM o Expanded view to add fire pump SOW E961 - INTRUSION SYSTEM FRONT AREA PLAN • Added 4/E961 to sheet Page 3 of 3 CITY OF TIGARD PLUMBING PERMIT s . COMMUNITY DEVELOPMENT Permit#: PLM2021-00500 TIC.;A R T) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 5/17/2022 Parcel: 1 S 126CA01100 Jurisdiction: Tigard Site address: 9009 SW HALL BLVD 100 Project: Target Subdivision: None Lot: None Project Description: Interior plumbing for TI:Adding(2)2"floor drains/sinks and(1)3"floor drain/sink;Replacing(5)sinks and(2) water closets. Contractor: PMSI LLC Owner: DAYTON HUDSON CORPORATION 8295 NW EVERGREEN PKWY#204 BY TARGET CORP T-0345 HILLSBORO, OR 97124 PROPERTY TAX DEPT/TPN-0950 PO BOX 9456 MINNEAPOLIS, MN 55440 PHONE: 503-466-2222 PHONE: FAX: 503-466-2211 FEES Quantity Description Date Amount 3 ea Floor Drain/Floor Sink/Hub 05/05/2022 $75.06 Specifics: 3 ea Sink 05/05/2022 $75.06 2 ea Lavatories 05/05/2022 $50.04 Type of Use: COM 2 ea Water Closet 05/05/2022 $50.04 Class of Work: ALT 1 12%State Surcharge- 05/05/2022 $30.02 Type of Const: Plumbing Occupancy Grp: Stories: Total $280.22 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: A f �j JJ Permittee Signature: '/ v ) r,Kl/VI - 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 , �� _ ///- j - r Building Fixtures FOR OFFICE ESE oNI.l' ��"''�`� Received City of Tigard C f V C 1 Date/B 1 / f�, Permit No )cov/,D-05� . • 13125 SW Hall Blvd.,Tigard,ORREC L"/ Y I Phone: 503.718.2439 Fax: 503.598.1960 Plan Review Date/By: Ail- Other PermitNo.�,A,4 r�Gal_C,✓-Slg Inspection Line: 503 639.4175 1 2071 Date Read/B ® See Page 2^Ifor TIGARD Ni1t� Y Y �j > Internet www.tigard-or.gov Notified/Method L / /�1 /`� supplemental Information illy "i1 .'' TYPE':OF WORIri # r+ E r ' FEE* SORE'llYTLP- 7 ❑New construction IlEllt91 DIVISION, For special information use checklist. Description I Qty. 1 Ea. I Total ®Addition/alteration/replacement ❑Other New 1-2-family dwellings(includes 100 ft.for each utility connection) , SFR(1)bath 312.70 � C/-�TROORY,OF CONSTRUCTION` .. ElI-and 2-family dwelling ®Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building ❑Multi-family Each additional bath/kitchen 25.02 0 Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 i r _ri i,ri l,,i, ;r, JOB SITE INFORMATION'AND LOCATION ,, Site utilities: Job site address:9009 SW Hall Blvd 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.: /da Project name:2022 TARGET REMODEL 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.: t5/ V/' 0 a o Back flow preventer 31.27 p tf dia Backwater valve 12.51 '' l}BSCRIPTION cr W{-Rk' ,$ r Clothes washer 25.02 PLUMBING MODIFICATIONS Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 1°�1' dllvllll'�. +=LPIIOPBRTY OWNER, © TENANT Expansion tank 12.51 Name: TARGET CORPORATION Fixture/sewer cap 25.02 Floor drain/floor sink/hub 3 25.02 75.06 Address: 50 S 10TH STREET SUITE 400 TP3-11 Garbage disposal 25.02 City/State/ZIP: M I N N EAPO L I S, MN 55403 Hose bib 25.02 Phone:( 612.761.5722 Fax:( ) Ice maker 12.51 0 APPLICANT El rCOr i ACT PERSON Interceptor/grease trap 25.02 Medical gas(value:$ ) Page 2 Business name:Lampert Group LLC Primer 12.51 Contact name:Alexander Lampert Roof drain(commercial) 12.51 Address:10061 Riverside Dr. #760 Sink/basin/lavatory 5 25.02 125.10 City/State/ZIP:Toluca Lake, CA 91602 Solar units(potable water) 62.54 Phone:( 312) 522-5835 Fax: :( ) Tub/shower/shower pan 12.51 Email aml@lampertgroup.build Urinal 25.02 p Water closet 2 25.02 50.04 r li ?s CONTRACTOR tF; ")art,„ r ,- Water heater 37.52 Business name: Q)' s k LI-C_ Water piping/DWV 56.29 Address: 8' c 5 OW Ev cceert R}'I,,-- di j.c,ti Other: 25.02 City/State/ZIP: 4.\\S ,(.3,1-0 4R c i t)ii Subtotal 250.20 Phone:(si;- ) 9("9L0• ) Fax:( ) Minimum permit fee: $72.50 CCB Lic.: � PlumbingLic.no.: L Plan review (25%of permit fee) t� � 3� 3 State surcharge(12%of permit fee) 30. t1, Authorized signature: ,R 4/,y Q/L L. TOTAL PERMIT FEE z?.Q�i�//� Print name:Alexander Lampert Date:1 1/18/21 This permit application expires if a permit is not obtained within IS0 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. 1:\Btu!ding\Permits\PLMU-PermitApp.doc 10/01/09 440.4616T(10/02/COM/WEB) ,,..---6 T'De-t- c =11,is 7 4 Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities: Q Fee(ca) 4 :=Total Square Footage: Permit Fee: Footing drain-Pt 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 �, e�il; Storm&Rain Drain-1st 100' 62.54 alttat�Qn ( Permit') ee; . �l`:4` $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 Inspe, Lions oz-.Fees Q ;, 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 accuratelyreport fixtures could result in increased sewer fees p Plan RevaevS for P16.41ling' stallatlOns 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 ❑ Any new commercial building with water service 2"and Baptistry/Font greater,except systems designed and stamped by licensed Bath: -Tub/Shower -Jacuzzi/Whirlpool engineer. Car Wash: Each Stall 0 New exterior plumbing site utilities for any complex structure Drive tallThr as defined in OAR918-780-0040. Cuspidor/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" 2 3" 1Isometric or�Riser-Diagram;_'`° 0 Isometric or riser diagram is required for new buildings -Car Wash Drain that meet the qualifications above. Garbage -Domestic non-food 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 Shower: -Gang -Stall Sink: -Lav/Bar non-food related 2 -Bradley -Com/Serv/Util food related 3 -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 2 plumbing permit can be issued. Urinal Other Fixtures: I:\Building\Permits\PLMF_PetmitApp.doc 08/04/2011 2 Accumulative Sewer Tally 111 o Tenant Name: '1'ARG1:1' SWR# 2021-00318 Site Address: 9009 SW I L\1.1,BI,VD PLM# 2021-00500 IIGARI) Parcel#: 1 S 126CA01100 Fixture Value Previous Previous Credits Capped Fixture 1 Fixture New New # value count capped#s value count added# added value total#s total values Baptisery/Font 4 0 0 0 0 0 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 2 4 2 4 -3 inch 5 0 0 1 5 1 5 -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: -I,av/Bar-Non-Food Related 2 0 0 0 0 0 -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 0 0 0 Urinal 6 0 0 0 0 0 Previous EDU Count 0 0 Capped EDU Credit 0 TOTALS 0 0 0 0 3 9 3 9 Current Fixture Value 9 divided by 16= 0.563 Current 1?DU 1 EDU= $6,085.00 Previous Fixture Value 0 divided by 16= 0.000 Previous EDU Change 9 divided by 16= 0.563 over (under) $ 3,407.60 Enter EDU Change Here 0.560 *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: Authorized Name/Signature: BRANDEN TAGGART X2449 Date: 12/8/2021 Building Division 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. 1 I:\Building\Sewer Tally\SewerTallySheet_6085_070121.xlsx