Permit CITY OF TIGARD PLUMBING PERMIT
• COMMUNITY DEVELOPMENT Permit#: PLM2022-00280
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 8/22/2022
Parcel: 2S 113AC00102
Jurisdiction: Tigard
Site address: 7250 SW DURHAM RD
Project: JONES SPORTS Subdivision:COUNCIL VIEW ACRES(LOTS 21-44) Lot: 25-27,2c
Project Description: Interior plumbing for TI:Capping(2)2"floor drains,(1)sink,and(1)grease trap;Relocating(1)2"floor drain,(2)
sinks, (1)water closet and(1)urinal.
Contractor: ALWAYS FAITHFUL PLUMBING LLC Owner: PACIFIC REALTY ASSOCIATES
PO BOX 757 ATTN: N PIVEN
WILSONVILLE, OR 97070 15350 SE SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-780-9486 PHONE:
FAX:
FEES
Quantity Description Date Amount
1 ea Fixture/Sewer Cap 08/17/2022 $25.02
Specifics: 1 ea Floor Drain/Floor Sink/Hub 08/17/2022 $25.02
2 ea Sink 08/17/2022 $50.04
Type of Use: COM 1 ea Urinal 08/17/2022 $25.02
Class of Work: ALT 2 ea Water Closet 08/17/2022 $50.04
Type of Const: 1 12%State Surcharge- 08/17/2022 $21.02
Occupancy Grp: Plumbing
Stories:
Total $196.16
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 ar set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
Issued By: rmittee 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 Applicat I
Building Fixtures JUN 13 ZOZ
Z 16=10
City of Tigard Received
13125 SW Hall Blvd.,Tigard,OR 97zM Y OF 1 ICAHU Date/B
Permit No.: TO
Phone: 503.718.2439 Fax: 503. Plan Review
JIMING Date/By: Other PermitNo.:
DIVISIO
Inspection Line: 503.639.4175 !J V �7 l.� Date Rea B
Internet: www.tigazd-or.gov d/ y: � ® See Page 2 for
Notified Method: Supplemental Information
TYPE OF WORK IEEE* SCHEDULE
❑New construction ❑Demolition Fors ecial in ormation use checklist
® Ea.Addition/alteration/replacement Other: Description Total
New 1-249mily dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION, SFR(1)bath 312.70
❑ 1-and 2-family dwelling ®Commercial/industrial SFR(2)bath 437.78
❑Accessory building ❑Multi-family SFR(3)bath 500.32
❑Master builderEach additional bath/kitchen 25.02
❑Other: Fire sprinkler( sq.ft.) Page 2
JOB S]ITE IMFORMATION AND LOC TIO14 Site utilities:
Job site address: 7250 SW DURHAM RD Catch basin or area drain 18.76
City/State/ZIP:
Drywell,leach line,or trench drain 18.76
TIGARD OR 97224
Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: Project name: JONES SPORTS 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.: v Backflow preventer 31.27
Backwater valve 12.51
Clothes washer 25.02
RELOCATE 2 WATER CLOSETS, 1 URINAL, 2 LAVS ,1 F/D Dishwasher 25.02
DEMO 2 F/D, 1 GREASE TRAP AND 1 SINK Drinking fountain 25.02
Ejectors/sump 25.02
® PROPERTY OWNER ANT Expansion tank 12.51
Name: Pacific Realty Fixture/sewer cap 25.02
Floor drain/floor sink/hub 1 25.02
Address: 6650 SW Redwood Ln Ste 290
Garbage disposal 25.02
City/State/ZIP: Portland/ OR/ 97224 Hose bib 25.02
Phone:(503)624-6300 Fax:( ) Ice maker 12.51
APPLICANT t3 CONTACT MASON Interceptor/grease trap 25.02
Business name:Always Faithful Plumbing Medical gas(value:$ ) Page 2
Contact name: Corey Chamberlain Primer 12.51
Roof drain(commercial) 12.51
Address: PO Box 757 Sink/basin/lavatory 2 25.02
j pi
City/State/ZIP:Wilsonville OR 97070 Solar units(potable water) 62.54
Phone:(503)780-9486 Fax::( ) Tub/shower/shower pan 12.51
E-mail:alwaysfaithfulplumbing@yahoo.com Urinal 1 25.02
CONTRACTOR Water closet 2 25.02 fl1
Water heater 37.52
Business name: Always Faithful Plumbing Water heaterpipin
56.29
Address: PO Box 757 Other: 25.02
City/State/ZIP: Wilsonville, OR 97070 Subtotal
Phone:( 503)780-9486 Fax:( ) Minimum permit fee: $72.50
CCB Lie.: 217284 Plumbing Lie.no.:PB1940
Plan review (25%of permit fee)
State surcharge(12%of permit fee) va
Authorized signature: TOTAL PERMIT FEE ,j(,r,/&
Print name: Corey Chamberlain Date: 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:ABuildingVPermits\PLMU-PermilApp doc 10/0]A)9 440-4616T(10/02/C0M/WEB)
Plumbing Permit Application - City of Tigard
Page 2 -Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Site Utilities Q'r. Fa tti) Totut Square Footage: Permit Fee:
Footing drain-V 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-Ist 100' 62.54 7,201 and greater $327.54
Sewer-each additional 100' 37.52
Water Service- I st 100' 62.54 Medical Gas S stems:
Water Service-each additional 100' 37.52 Valuattort: Permit Fee:
Storm&Rain Drain-I st 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 Inspec
. IRee it&) TOW each additional$100.00 or fraction thereof,to
tions or Fees 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$100.00 or fraction thereof.
Subtotal:
Commercial Fixture Work:
Are you capping,adding or replacing fixtures? If"yes",
please indicate work performed by fixture. Failure to
accurately report fixtures could result in increased sewer fees*. Pian R&IOW(or P[ctillltbin 'x�1 l tio�3
hum uti 1trreTYW I Plan review is required for any of the following.
Fixture Type for Please check all that apply.
Work Performed: Capped Added El❑ Any new commercial building with water service 2"and
Baptistry/Font greater,except systems designed and stamped by licensed
Bath: -Tub/Shower engineer.
-Jacuzzi/Whirlpool
❑ New exterior plumbing site utilities for any complex structure
Car Wash: -Each Stall as defined in OAR918-780-0040.
-Drive Thru
Cuspidor/Water idor/Water As irator ❑ Medical gas and vacuum systems for health care facilities.
Dishwasher: Commercial El Any multipurpose fire sprinkler system.
❑ Any complex structure as defined in OAR918-780-0040.
Domestic
Drinking Fountain
Submit 2 sets of plans with any of the above.
Eye Wash
Floor Drain/sink: 2" 21
3" )�901netriC,or >t` 11n
4" ❑ Isometric or riser diagram is required for new buildings
-Car Wash Drain that meet the qualifications above.
Garbage -Domestic non-food
Disposal: -Domestic food related
-Commercial food related
-Industrial food related
iComments regarding fixture work:
Ice Mach./Refri .Drains
Oil Separator(Gas Station) RELOCATE 1 FD 2 WC 1 UR 2 LAV
Rec.Vehicle Dump Station CAP 1 SINK 2FD
Shower: -Gang
-Stall
Sink: -LavBar non-food related 2 ) r
-Bradley
-Com/Serv/Util food related V /$.
-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 fees assessed for the sewer increase must be paid before the
Water Extractor
Water closet-Toilet plumbing permit can be issued.
Urinal 1
Other Fixtures:
1:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2
Accumulative Sewer Tally
Tenant Name:JONES SPORTS SWR# N/A
Site Address: 7250 SW DURHAM RD PLM# 2022-00280
Parcel#: 2S113AC00102
Fixture Value Previous Previous Credits Capped Fixturc Fixture New New
# value count capped#s value count added# added value total#s total values
Ba tisc /Font 4 0 0 0 0 0
Bath: -Tub/Shower 4 0 0 0 0 0
jacuzzi/Whirlpool 4 1 0 0 1 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 2 4 0 -2 -4
3 inch 5 0 0 0 0 0
4 inch 6 0 0 0 0 0
Car Wash 6 0 1 1 0 0 0 0
Garbage Disposal:
Domestic to 3/4 IIP 16 0 0 0 0 0
-Co mercialto 5 llP 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 Se 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:
Lav/Bar-Non-Food Related 2 0 1 2 0 -1 -2
Bradley 5 0 0 0 0 0
Com/Sery/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 FDU Count 0 0
Capped F,DU Credit 0
TOTALS 0 1 0 1 3 1 6 1 0 1 0 1 -3 1 -6
Current Fixture Value -6 divided by 16= -0.375 Current 1?DU 1 EDU= $6,625.00
Previous Fixture Value 0 divided by 16= 0.000 Previous EDU
Change -6 divided by 16= -0.375 over (under) $ (2,517.50)
Enter EDU Change Here -0.380 *
*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:***CREDIT***
Authorized Name/Signature: BRANDEN TAGGART X2449 Date: 7/24/2022
Building Division
ote: 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:ABuilding\Sewer'l'ally\Se,ver-fallySheet_6625_070122.xlsx