Permit CITY OF TIGARD PLUMBING PERMIT
1111 COMMUNITY DEVELOPMENT Permit#: PLM2022-00231
Date Issued: 6/27/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S1126D00100
Jurisdiction: Tigard
Site address: 7520 SW BONITA RD
Project: Bonita Villa Apartments Subdivision: DURHAM ACRES Lot: 65
Project Description: Replacing 170 ft.of storm sewer.
Contractor: T OLSEN CONTRACTING LLC Owner: HOUSING AUTHORITY OF WASHINGTON COUN
12130 SE 162ND AVE 111 NE LINCOLN ST #200-L
HAPPY VALLEY, OR 97086 HILLSBORO, OR 97124
PHONE: 503-709-5387 PHONE:
FAX:
FEES
Quantity Description Date Amount
170 If Storm Sewer 06/27/2022 $100.06
Specifics: 1 12%State Surcharge- 06/27/2022 $12.01
Plumbing
Type of Use: COM
Class of Work: ALT
Type of Const:
Occupancy Grp:
Stories:
Total $112.07
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 th 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
(/& -1/1
Issued By: Permittee Signature: `C
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 Vtilities RECEIVE I FOR OFFICE USE ONLY
City of Tigard Received
i` 2f g // Permit No.:
14 13125 SW Hall Blvd.,Tigard,OR 97223 JUN �, Q DateBy: �y��71"� pith )g. 231
Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Other Permit No.: 2
Date/By:
e
'1'IC, .liD inspection Line: 503.639.4175 y y. l_ �
CITY OF TIGARD Date Read B Juris: ® See ge 2 for
i' Internet www.tigard-or.gov iy `A(�n`/�+ Notified/Method: �- Information
; t ,. 'I'XPE'.OF WORK8U1LDINO-D•I1�ISIVR �•+T^'c'� Supplementalnfor
FEE* SCHEDITLE
❑New construction LI Demolition For special information use checklist.
Description I Qty. I Ea. Total
Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
0 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78
0 Accessory building Multi-family SFR(3)bath 500.32
Each additional bath/kitchen 25.02
0 Master builder ❑Other:
Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
../
ill
ob site address: 7520 SW Bonita Road Catch basin or area drain 18.76
City/State/ZIP: Portland OR 97224 Drywell,leach line,or trench drain 18.76
Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: I Project name: Bonita Villa Apartments Manufactured home utilities 50.03
"e Cross street/directions to job site: SE corner of SW Bonita Manholes 18.76
Road and SW 76th Ave. Rain drain connector 18.76
Sanitary sewer(no.linear ft.: ) Page 2
ti
Storm sewer(no.linear ft.:1 7/l) a Page 2 ivo Jv
Water service(no.linear ft.: ) Page 2
44.
Subdivision: I Lot no.: Fixture or item:
Tax map/parcel no.: 2S 112BD00100 Backflow preventer 31.27
Backwater valve 12.51
Clothes washer 25.02
Replacing exsisting storm lines onsite Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
r3J1 ,f x ", PROPERTY O E [ 0 TENANT Expansion tank 12.51
Name: HAWC AHP4 LIMITED PARNTERSHIP Fixture/sewer cap 25.o2.02
25.02
Address: 111 NE LINCOLN ST. SUITE 200-L
Garbage disposal
City/State/ZIP: HILLSBORO, OR 97124 Hose bib 25 25.02
lFloor drain floor sink/hub
Phone:( ) 503-846-4794 Fax:( ) Ice maker 12.51
APPLICANT C CONTACT PERSON _° Interceptor/grease trap 25.02
°
Business nam - Medical gas(value:$ ) Page 2
eT-Olsen Contracting.LLC
Contact name: Tia Olsen Primer 12.51
r� Roof drain(commercial) 12.51
' . Address: 12130 SE 162nd Ave - Sink/basin/lavatory 25.02
3 City/State/ZIP: Happy Valley Oregon 97086 Solar units(potable water) 62.54
Phone:( 50)7095387 Fax::( ) Tub/shower/shower pan 12.51
( E-mail: Tolsencontracting@gmail.com Urinal 25.02
Water closet 25.02
CONTRACTOR
Water heater 37.52
„> Business name: T-Olsen Contracting,LLC
g Water piping/DWV 56.29
Address: 12130 SE 162nd ave Other: 25.02
City/State/ZIP: Happy Valley Oregon 97086 Subtotal Wci.,OS
Phone:( 5037095387 Fax:( ) Minimum permit fee: $72.50
Plan review (25%of permit fee)
CCB Lic.: 238599 Plumbing Lic.no.: PB2677
{r State surcharge(12%of permit fee) 1)..0 t
Authorized signature:TM OL-C)tiN TOTAL PERMIT FEE I J}.v
Print name: Tia Olsen Date: 06/25/2022 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.
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
Storm&Rain Drain-1st 100' ' 62.54 Valuation: Permit Fee:
(01.51'1 $1.00 to$5,000.00 Minimum fee$72.50
Storm&Rain Drain-each additional 100' 37.52 ;-7 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for
Other Inspections or Fees Qty. Fe e(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 PlumbingInstallations
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 ❑ 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/Lay -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\Pernvts\PLMU_PemutApp.doe 2
II g Site Utilities — Plumbing Permit Application
Plan Submittal Requirements
TIGARI)
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.
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-PermitApp.doc 12/30/05