Permit CITY OF TIGARD PLUMBING PERMIT
i VI CITY
DEVELOPMENT Permit PLUMBING
PLM2022-00221
Date Issued: 7/26/2022
T t GA R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 1 S136DC04000
Jurisdiction: Tigard
Site address: 11858 SW 72ND AVE
Project: Everbowl Subdivision: Lot: 3
Project Description: Interior plumbing for TI:Adding(2)2"floor drains/sinks and (4)sinks; Installing(1)grease trap and (1)primer.
Contractor: TAPANI PLUMBING Owner: DARTMOUTH PROJECT LLC
PO BOX 2350 222 SW COLUMBIA ST STE 700
BATTLE GROUND,WA 98604 PORTLAND, OR 97201
PHONE: 360-687-3983 PHONE:
FAX: 360-687-4494
FEES
Quantity Description Date Amount
2 ea Floor Drain/Floor Sink/Hub 07/25/2022 $50.04
Specifics: I ea Interceptor/Grease Trap 07/25/2022 $25.02
1 ea Primer 07/25/2022 $12.51
Type of Use: COM 4 ea Sink 07/25/2022 $100.08
Class of Work: ALT 1 Plan Review 07/25/2022 $46.91
Type of Const: 1 12%State Surcharge- 07/25/2022 $22.52
Occupancy Grp: Plumbing
Stories:
Total $257.08
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: r / Permittee Signature: �C i< 7�e 5-
!l1333��� ///// GC✓yj/
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
Building Fixtures -111.11116:11111111.111-
City of Tigard i/"�_ f F[ tReceived
41 g EC la:
` Date/By: y/l��D� - � Pemtit No.: 7_)9.)_'dew
13125 SW Hall Blvd.,Tigard,OR 9722 ,Dian Review q�OC/I% GN
S Phone: 503.718.2439 Fax: 503.598.1960 IN
Other Permit No.:/xs/�•�,n t /I r/
Inspection Line: 503.639.4175 U V 1 �G l' ma y' r 13 Z� e 7 OYr a
T 1 G A R[) Date Ready/By: hair: RI See Page2 for
Internet: www.tigard-or.gov .- .
Notified/Method: 7 . . .. 4371 - 7 i„ Supplemental Information
;, , 1, TYPE OF WORK rt,' <.. ., ,, . " FEE* SCHEDULE
%, 's rr-�' ;
ew construction ❑Demolition For special information use checklist
Description I Qty. I Ea. I Total
Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
❑ 1-and 2-family dwelling [A Commercial/industrial SFR(2)bath 437.78
❑Accessory building ❑Multi-family SFR(3)bath 500.32
❑ Master builderEach additional bath/kitchen 25.02
LI Other: Fire sprinkler( sq.ft.) Page 2
i(F r)- e-/ JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 1 58 SW 72nd Ave Catch basin or area drain 18.76
City/State/ZIP: Tigard OR Drywell,leach line,or trench drain 18.76
Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: I Project name: EverboWl TI Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
Rain drain connector 18.76
TI bldg permit # BUP2022-00118 Sanitary sewer(no.linear ft.: ) Page 2
main bldg plumb permit # PLM202-0153 (for reference) 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.: •- Backflow preventer 31.27
Backwater valve 12.51
DESCRIPTION OF WORK
underslab and rough in plumbing only for the Clothes washer 25.02
Dishwasher 25.02
fixtures listed.
Drinking fountain 25.02
Ejectors/sump 25.02
LAC PROPERTY OWNER ❑ TENANT Expansion tank
12.51
Name: Dartmouth Project LLC Fixture/sewer cap 25.02
Address:
222 SW Columbia St STE 700 Floor draia/floor sink/hub 2 25.02 50.04
Garbage disposal 25.02
City/State/ZIP: Portland OR 97201 Hose bib 25.02
Phone:( ) Fax:( ) Ice maker 12.51
❑ APPLICANT ❑ CONTACT PERSON Interceptor/grease hap 1 25.02 25.02
Business name: Tapani Plumbing, Inc Medical gas(value:$_) Page 2
Contact name:
Brian Ek Primer 1 12.51 12.51
Roof drain(commercial) 12.51
Address: PO Box 2350 Sink/basin/lavatory q. 25.02 100.08
city/state/zip: Battle Ground WA 98604 Solar units(potable water) 62.54
Phone:( 360)687-3983 Fax::( ) Tub/shower/shower pan 12.51
E-mail: briane@tapaniplumbing.com Urinal 25.02
CONTRACTOR Water closet 25.02
Water heater 37.52
Business name: Tapani Plumbing, Inc Water P tiPn WV
g� 56.29
Address: PO Box 2350 Other. 25.02
City/State/ZIP: Battle Ground WA 98604 Subtotal 1 87.65
Phone:(360)687-3983 i Fax:( ) Minimum permit fee: $72.50
CCB Lie.: 60958 Plumbing Lic.no.: 37-296 P B Plan review (25%of permit fee) if&.e{i
State surcharge(12%of permit fee) ,4.5?
Authorized signature: 41,,, G G� TT y-}t a 7 �1
TOTAL PERMIT
Print name: Brian Ek Date: 6-14-22 This permit application expires if a permit is not obtained thin 180 days
after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
1:1Building\Permtts\PLMU-Permi,App.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 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 Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to
Fand 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 CIAny new commercial building with water service 2"and
Bath: TublShower greater,except systems designed and stamped by licensed
-Jacuzzi/Whirlpool engineer.
Car Wash: Each Stall ❑ New exterior plumbing site utilities for any complex structure
Drive Thm as defined in OAR918-780-0040.
Cuspidor/Water Aspirator ❑ 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
❑ 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
IceMach./Refrig.Drains Comments regarding fixture work:
•
Oil Separator(Gas Station) .1f..,.
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 fees assessed for the sewer increase must be paid before the
Water Extractor
Water Closet-Toilet plumbing permit can be issued.
Urinal
Other Fixtures:
I: Building\Permits\PLMF_PemtitApp.doc 08/04/2011 2
Plumbing Permit Application
,
Building Fixtures FOR OFFICE USE ONLY
Received q q
City 5 SWHll Blvd.,
Tigard Date/By: ��i6M lift"''' Penni"No-. PL \ -Wa�.(
IN I 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review I t
Phone: 503.718.2439 Fax: 503.598.1960 Date/By. -'.t 1 C11 Other Permit No.:
T I G A RD Inspection Line: 503.639.4175 Date Ready/By: tuns: 10 See Page 2 for
Internet: www.tigard-or.gov Notified/Method 3-[. Supplemental Information
TYPE OF WORK FEE* SCHEDULE
New construction ❑Demolition For special information use checklist
_ Description Qty. Ea. Total
❑ Addition/alteration/replacement ❑Other: New 1-2-family dwellings(ittaides 100 ft.fpr each utility connection)
CA')IEGORY OF CONSTRUCTION SFR(1)bath 312.701
El -and 2-family dwelling ., Commercial/industrial SFR(2)bath 437.78
SFR:13)bath 500.32
❑Accessory building ❑Multi-family
Each additional bath/kitchen 25.02
❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 1 5Y`> S,. q' €
Catch basin or area drain 18.76
y �,� R. Drywell,leach line,or trench drain 18.76
City/State/ZIP: "(
19 2 A.3 Footing drain(no.linear R:_) Page 2
Suite/bldg./apt.no.: I Project name: E (it, t1L,( T I 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: I Lot no.: Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 25.02
‘...41%kr c{`d.k aid ,caulk 1, p(L..,h,,,y C'VVt,: Dishwasher 25.02
J} Drinking fountain 25.02
Ejectors/sump 25.02
0 PROPERTY OWNER I ❑ TENANT Expansion tank 12.51
Name: Fixture/sewer cap 25.02
Floor drain/floor sink/hub 2, 25.02 II'e,b of
Address:
Garbage disposal 25.02
City/State/ZIP: Hose bib 25.02
Phone:( ) Fax:( ) Ice maker 12.51
0 APPLICANT ❑ CONTACT PERSON Interceptor/grease trap l 25.02 ,Q 5.64
Business name: Medical gas(value:$ ) Page 2
Primer J 12.51 1.,61
Contact name:
Roof drain(commercial) 12.51
Address: Sink/basin/lavatory 4ri 25.02 160
City/State/ZIP: Solar units(potable water) 62.54
Phone:( ) Fax::( ) Tub/shower/shower pan 12.51
E-mail: Urinal 25.02
-� a Water closet 25.02
.- °, CONTRACTOR .--
, qe, Water heater l 37.52 ,52
Business name: Water pp P-/r m DW V 56.29
Address: Other: 25.02
City/State/ZIP: Subtotal 225t 07
Phone:( ) Fax:( )
Minimum permit fee: $72.50
CCB Lic.: Plumbing Lic.no.: Plan review (25%of permit fee) 54,taCt ,
State surcharge(12%of permit fee) a Q i o.),
Authorized signature: TOTAL PERMIT FEE 368 r 9 8
This permit application expires if a permit is not obtained within 180 days
Print name: Date: after it has been accepted as complete.
"Fee methodology set by Tri-County Building Industry Service Board.
I:ABuildingAPenuitsVPLMU-PermitApp.doc 10r01/09 440-4616T(10/02/COM/WEB)
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
•
Site Utiljties Qty. Fee(ea) Total Square Footage: : Permit Fee:
Footing drain-Is'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?00' 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 ec Ins tions or Fees Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to
11 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 nonnal 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
❑ 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
Car Wash: Each Stall ❑ New exterior plumbing site utilities for any complex structure
-Drive tall as defined in OAR918-780-0040.
Cuspidor/Water Aspirator ❑ 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
E e Wash Submit 2 sets of plans with any of the above.
Y
Floor Drain/sink: -2" ,
3" Isometric or Riser Diagram
-4" ❑ 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) 16.d1•eci- cans& a /-21%Haar Sink j c r"
Rec.Vehicle Dump Station SiKSk Caws, 5iwt4, and 3-Co w.p SivAt
Shower: -Gang
-Stall
Sink: -Lav/Bar non-food related �.
-Bradley
-Com/Serv/Util food related
-Service 1 *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
Other Fixtures:
l:l Building\Permits\PLMF_PennitApp.doc 08/04/2011 2