Permit CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2022-00220
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 6/21(2022
Parcel: 2S101 CA00400
Jurisdiction: Tigard
Site address: 7930 SW HUNZIKER RD
Project: Charter Mechanical Subdivision: 2007-064 PARTITION PLAT Lot: 1
Project Description: Interior TI:Adding(2)showers,and replacing(1)drinking fountain.
Contractor: CHARTER MECHANICAL CONTRACTORS INC Owner: MERITAGE FIVE LLC
7940 SW HUNZIKER ST FHA&ASSOC
TIGARD, OR 97223 155 B AVE#222
LAKE OSWEGO, OR 97034
PHONE: 503-691-1700 PHONE:
FAX: 503-691-1717
FEES
Quantity Description Date Amount
1 ea Drinking Fountain 06/15/2022 $25.02
Specifics: 2 ea Tub/Shower/Shower Pan 06/15/2022 $25.02
1 12%State Surcharge- 06/15/2022 $8.70
Type of Use: COM Plumbing
Class of Work: ALT 22 ea Minimum Fee Adjustment- 06/15/2022 $22.46
Type of Const: Plumbing
Occupancy Grp:
Stories:
Total $81.20
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: ermittee 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 Application 5c40-..02.2._ 76.
Building Fixtures FOR OFFICE USE ONLY
Cityof Tigard Received r/ ���/"�6)
M 131 SW Hall Blvd.,Ti ard,OR 97223 �� qq Date By: �� P
1 _ g 6 tY 1_ LQLL Plan Review �N�►,��9 W✓2e
„11 Phone: 503.718.2439 Fax: 503.598.1961� _ Date/By: � �//'� f
TIGARD Inspection Line: 503.639.4175 .i- {{ F (( Nli Date ReadyBy: �/ 22/!/ furs: H See Page 2 for
Internet: www.tigard-or.gov otified Method: [0• Supplemental Information
TYPE OF WORK FEE* SCHEDULE
For special information use checklist El New construction El Demolition
Description Qty. I Ea. Total
IR Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
El1-and 2-family dwelling M Commercial/industrial SFR(2)bath 437.78
buildingSFR(3)bath 500.32
❑Accessory ❑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:7" r S� KUh��� Catch basin or area drain 18.76
City/State/ZIP: �' �' i , Drywell,leach line,or trench drain 18.76
• Tt 0 kR�+l k 4N 7?Z3 Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: Project namC InG. Manufactured home utilities 50.03
Cross street/directions to job site:CO(AA...r O (Id( `` s+„c Manholes 18.76
QhC!) 4 VZk G I� t / 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: 1 Lot no.: Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
.�{. \ /� Clothes washer 25.02
A ` w O/ S��Q'� , �+�(u e-�J_ Dishwasher 25.02
E?l 55'�t n j d e-A n t..V%) A COmf�'v4.'.1. Drinking fountain I 25.02
J J Ejectors/sump 25.02
riii PROPERTY OWNER I 0 TENANT Expansion tank 12.51
�� C.1 Fixture/sewer cap 25.02
Name: ,.` J`e_ L.I C
Floor drain/floor sink/hub 25.02
Address: 'S- " ve- ,t 22 Z Garbage disposal 25.02
City/State/ZIP: Looe_e_ °caw O 'dric Q7o 3(i Hose bib 25.02
Phone:( ) Fax:( ) ! �� Ice maker 12.51
❑ APPLICANT ® CONTACT PERSON Interceptor/grease trap 25.02
Medical gas(value:$ ) Page 2
Business name: c‘. ` 4,C"4.'\ Primer 12.51
Contact name: '``,Cb' �O K
` .` j� Roof drain(commercial) 12.51
Address:-�q KO S C.) T`V Az .e r Sink/basin/lavatory 25.02
City/State/ZIP:Twit Al a> r en R . j Solar units(potable water) 62.54
Phone:( ?)3 2,141 COOS- Fax: :EZI3)69 i ^n i-7 Tub/shower/shower pan 2. 12.51
E-mail: K,,;Aby o.r4V Ktc.g . cow( Urinal 25.02
Water closet 25.02
CONTRACTOR
Water heater 37.52
Business name: kf"ev. Vt. A _ 1_ _ l Water piping/DWV 56.29
Address: 7 0 r""'y'"`a.{` Other: 25.02
c5 2
t� 1-l�n ��. r �
City/State/ZIP: '" h t a 1 1�223 Subtotal
Phone:�36i9..
.Z'''W) Fax: so3 6 5I_ ' - 7 Minimum permit fee: $72.50
CCB Lic.: 17 la Plumbing Lic.no.: zp Q Plan review (25%of permit fee)
V State surcharge(12%of permit fee)
Authorized signature: TOTAL PERMIT FEE
Print name: ktibx 0 Date:6./if.ZZ 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:BBuilding\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB)
P?umbing 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-15`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 $1.00 to$5,000.00 Minimum fee$72.50
Storm&Ram 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*. 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
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 ❑ New exterior plumbing site utilities for any complex structure
as defined in OAR918-780-0040.
-Drive Thru
Cuspidor/Water Aspirator El Medical gas and vacuum systems for health care facilities.
Dishwasher: -Commercial ❑ 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"
3" Isometric or Riser Diagram
4 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 2.
Sink: -Lay/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
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14
Accumulative Sewer Tally
i
Tenant Name: CHARTER MECHANCIAL SWR# SWR2022-00076
Site Address: 7930 SW 11l JN7JKER STREET PLM# PLM2022-0220
TIGARD
Parcel#: 2S 101 CA00400
Fixture I'rcvicxis Previous Credits Capped Fixture 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 0 0 0
-3 inch 5 0 0 0 0 0
-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 2 4 2 4
Sink:
-Lay/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 2 4 2 4
Current Fixture Value 4 divided by 16= 0.250 Current EDU 1 EDU= $6,085.00
Previous Fixture Value 0 divided by 16= 0.000 Previous EDU
Change 4 divided by 16= 0.250 over (under) $ 1,521.25
Enter EDU Change Here 0.250 *
*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: JULIE DRINKWATER X2804 Date: 6/15/2022
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.
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