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Permit
111 CITY OF TIGARD PLUMBING PERMIT _ COMMUNITY DEVELOPMENT Permit#: PLM2022-00211 Date Issued: 10/19/2022 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 2S102DB09600 Jurisdiction: Tigard Site address: 8803 SW OMARA ST Project: Tigard Senior Housing Subdivision: TIGARD SENIOR HOUSING Lot: 1 Project Description: Interior plumbing for a new 58-unit senior housing building:Adding(58)tub/showers,(58)dishwashers,(13)3" Floor drains/sinks,(60)lavatories,(63)sinks,(5)clothes washers,and(60)water closets;Installing(7)rain drain connectors,(1)backflow preventer,(1)ejector/sump,(1)expansion tank,(7)hose bibs,(5)primers, (2)water Contractor: CORE MECHANICAL LLC Owner: TIGARD,CITY OF 9522 NE 322ND ST 13125 SW HALL BLVD LA CENTER,WA 98629 TIGARD,OR 97223 PHONE: 360-852-5761 PHONE: FAX: FEES Quantity Description Date Amount 7 ea Rain Drain Connector 09/20/2022 $131.32 Specifics: 1 ea Backflow Preventer 09/20/2022 $31.27 5 ea Clothes Washer 09/20/2022 $125.10 Type of Use: COM 58 ea Dishwasher 09/20/2022 $1,451.16 Class of Work: NEW 1 ea Ejectors/Sump 09/20/2022 $25.02 Type of Const: 1 ea Expansion Tank 09/20/2022 $12.51 Occupancy Grp: 13 ea Floor Drain/Floor Sink/Hub 09/20/2022 $325.26 Stories: 7 ea Hose Bib 09/20/2022 $175.14 5 ea Primer 09/20/2022 $62.55 63 ea Sink 09/20/2022 $1,576.26 60 ea Lavatories 09/20/2022 $1,501.20 58 ea Tub/Shower/Shower Pan 09/20/2022 $725.58 60 ea Water Closet 09/20/2022 $1,501.20 2 ea Water Heater 09/20/2022 $75.04 100 Misc Other Fee 09/20/2022 $100.08 1 Plan Review 09/20/2022 $1,954.67 Total $10,711.60 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules Issued By: 7 ' Permlttee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept In a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each Inspection. . plumbing Permit Application.. F �° Building Fixtures JUN 9 2022 FOR OFFICE USE. Oyi.l City of Tigard Jr), Ur- i fGHNi.i Reea"ya �+ 1 111,w 13125 SW Hall Blvd.,Tigard,OR 972 Date B / ZZ .....)174 ; P �J)ZZ�� l/ '�''I G+ Plan Review p .- Phone: 503.718.2439 Fax: 503.598.19fX-�,�G DIVISION- Date/By: a-ei-2_022 111. Other Permit No.:�11 13 Inspection Line: 503.639.4175 Date Rea /B a tart: ® See a e 2 for ✓� 1T t;A Kt3 Internet www.ti and-or. ov X I l" B S g Notified,Mtethod: f '( � �/ • Supplemental Information o- IA PE O6 RORK t ,,: , . . � Wit... �,. ' e".- ' t El New construction 0 DemolitionFor special information use checklist. Description I Qty. [ Ea. I Total 0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) r ` ARY OF r i ''Jii.SCTIQN --- SFR(I)bath 312.70 ❑ I-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building &Multi-family Each additional bath/lotchen 25.02 ❑Master builder El Other _ Fire sprinkler( sq.ft.) Page 2 iJ e° u A ass s Site utilities: Job site address: 9$b 3 Su..) 0/negr.R 51 , Drywe Catch basin or area drain 18.76 6 City/State/ZIP: '-'r\1,v(Z t 0 . 91 u3 - Footing 1,leach line,or trench drain 18. 2 J I Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: I Project name: T q th r-al s'.neor 11,1/3 tMn Manufactured home utilities 50.03 Cross street/directions to job site: J J Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 "S•.. Storm sewer(no.linear ft.:-) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision: Lot no.: Fixture or item: �°` Tax map/parcel no ,.- 1` r /ll ,y - !\, Backflow preventer 31.27 U Backwater vaKa 12.51 DESCRIPTIOI t + Clothes washer H 25.02 F L V rr\to t Rq Cod' n,ln) �j� U r1 4 }" Dishwasher se, 25.02 la SQL{)l u v J VI D ") S t ._C.". Drinking fountain 25.02 - Ejectors/sump I 25.02 i f. eft: Expansion tank ( 12.51 i ❑ PROPERTY OWNER i.� -apt .( ,�. ""', - - Fixture/sewer cap 25.02 t Name: - - Floor drain/floor sink/hub I I 25.02 Address: _ Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax I ) Ice maker 12.51 45;1-APPLICANT © CON I'AC£ PERSON Interceptor/grease trap 25.02 Core._L ✓ <_G 1 N 1.C a I (✓ Medical gas(value:$_) Page 2 Business name. LL ,I �'1i Primer '7 12.51 Contact name: ..3 toy 40 v., „HA,y -o `ti Roof drain(commercial) 12.51 Address: 1 S ZZ N ►- 3 2,-2,,,,,„rk, S Sink/basin/lavatory ('Z1 25.02 City/State/ZIP: L& fi" r 1n1 1 y _ Solar units(potable water) 62.54 Phone:(3(•b) ' i S 2,,` S-1(it,I Fax: :( ) Tub/shower/shower pan 52, 12.51 C FOR Urinal 25.02 E-mail: n dd1 Gm✓tfV�,t; 7aovL C ^ scRi�S}�. CxT•^ �, Water closet 40 25.02 E i' a � � Water heater 2. 37.52 Business name: Co( . +A VltA),‘ikn l.CCk u L.L. L. Water piping/DWV 56.29 Address: cis 22_ A.) E 3224ti4 5a . Other. 25.02 City/State/ZIP: L t vl(,,.e r w fJ 1 ez b 2 Subtotal C'Z.�5'�6 ( Fax:( ) Minimum permit fee: $72.50 Phone:(340) 7 , Plan review (25%of permit fee) CCB Lie.: Z33 3 7 ei Plumbing Lie.no.: Z419 /y 2 II�J State surcharge(12%of permit fee)iti'3g,21/ Authorized signature: .4_144,..-/-6-- TOTAL PERMIT FEII/a 7/A.,G6 This permit application expires if a permit Is not obtained within 180 days Print name: aySD . 1"10 ttK..Q 0,... Date:6 1q�2,p�,Z after It has been accepted as complete. / / *Fcc methodology set by Tri-County Building Industry Service Board. 440.4616T(lON2/COMlwBB) h\Boilding\Permits\PLMU-PermiIApp.doc 10/01/00 • . Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression S stems f _ % �$re Footage: Footing drain-1"100' 50.03 0 to 2,000 _ $121.90 Footing drain-each additional 100' 37.92 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 S stems: Water Service-each additional 100' 37.52 _ 9 ats. � Vinir Storm&Rain Drain-1st 100' 62.54 $1.00 to$5,000.00 Minimum fee$72.50 Storm&Ruin 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 Ind` t oI1s.o 'Fees QD• PttT") Total, i each additional$100.00 or fraction thereof,to PI 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 uiln �li5 Quantity by Fixture Type Plan review is required for any of the following. Fixture Type for ReplaceF. ' Work Performed. Added Relocate El Any.. . CappedPlease cyeck all that apply. new commercial building with water service 2"and Baptistry/Font Bath: Tub/Shower 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 as defined in OAR918-780-0040. Cuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities. Dishwasher: Commercial El Any multipurpose fire sprinkler system. -Domestic El Any complex structure as defined in OAR918-780-0040. Drinking Fountain Eye Wash Submit 2 sets of plans with any of the above. FloorDrain/sink: -2" d - 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) Rec.Vehicle Dump Station Shower: -Gang -Stall 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 fees assessed for the sewer increase must be paid before the Water Extractor Water Closet-Toilet plumbing permit can be issued. UrinalOther Fixtures: I:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2 Plumbing Permit Application Building Fixtures FOR OFFICE USE ONLY City of Tigard Received V / f I1111111. ll {/ / Permit No.: • 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: L tT PLM 2oa�-tea z 11 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: g-R-2021Q4) Other Permit No.:50 /LL•` C/',l " i 3A T I GA R D Inspection Line: 503.639.4175 Date Ready/By: lids: ® See Page for VD Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE LI New construction ❑ Demolition Fm'special information use checklist. --- Description I Qty. I Ea. Total ❑ Addition/alteration/replacement i ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(I)bath 312.70 El I-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 ElAccessory building aMulti-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: Job site address: 00pp Catch basin or area drain 18.76 03 S.Ll 0Yn0.ir0.5 Diywell,leach line,or trench drain 18.76 City/State/ZIP: -1-1 h, n�, gr223 .`i t Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: Project name: T j&-o. Se n. - t o.t st Manufactured home utilities 50.03 Cross street/directions to job site: �J Manholes 18.76 Rain drain connector 7 18.76 i v.32 Sanitary sewer(no.linear ft.: ) Page 2 Stone sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer j 31.27 31.21 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 5 25.02 /a s,!Q S....6,1.r PL .bie.j fo r 58 SerOor kous'.`J an:4s Dishwasher S$ 25.02 /.115l,16 Drinking fountain 25.02 Ejectors/sump / 25.02 .S,02_ 0 PROPERTY OWNER I 0 TENANT Expansion tank / 12.51 sir Fixture/sewer cap 25.02 Name: Address: Floor drain/floor sink/hub 825.02 32544 Garbage disposal 25.02 City/State/ZIP: Hose bib '7 25.02 I9S. Ai Phone:( ) Fax:( ) Ice maker 12.51 0 APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name: Medical gas(value:$_) Page 2 Contact name: Primer C 12.51 ea,5 5 Roof drain(commercial) 12.51 Address: r,Sink/basin/lavatory ;a3 25.02 kirtu6 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax::( ) Tub/shower/shower pan 58 12.51 92538 E-mail: Urinal 25.02 Water closet 66 25.02 (501,20 CONTRACTOR Water heater . 37.52 75.btf Business name: Water piping/DWV 56.29 Address: Other:C;r f>4ot=lt ll7Alr4 :/ 41 25.02 jOO,08 City/State/ZIP: PRV=2 Subtotal ' Phone:( ) Fax:( ) Minimum permit fee: S72.50 Plan review (25%of permit fee) CCB Lie.: Plumbing Lic.no.: � State surcharge(12%of permit fee)��,af Authorized signature: TOTAL PERMIT FEE 10424,rig 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. L\Building\Permita'PLMU-PetmitApp.doe 10/01/09 440-0616T(10/02/COM/WEB) \y�-CAA./ 44 5-ja'J 13g , "3Si PAS:63 T• - 0i711( ' 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 h and including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 S148.50 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 each additional$100.00 or fraction thereof. (minimum charge-1/2 hour) 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 58 greater,except systems designed and stamped by licensed Bath: -Tub/Shower engineer. -Jacuzzi/Whirlpool Car Wash: -Each Stall El New exterior plumbing site utilities for any complex structure as defined in OAR918-780-0040. -Drive Thru Wirator ❑ Medical gas and vacuum systems for health care facilities. Cuspidor/Water Asp-Commercial al El Any multipurpose fire sprinkler system. Dishwasher: -Domestic 58 ❑ 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" /3 Isometric or Riser Diagram 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 Ice Mach./Refrig.Drains Comments regarding fixture work: Oil Separator(Gas Station) ryai•e'. i% irut WASNt. = Owe. 3"Fl.00r Sitstc fat- Rec.Vehicle Dump Station ?res. rPlsea,tii.� S'1;at'ior+ Shower: -Gang -Stall Sink: -Lav/Bar non-food related /2D -Bradley -Com/Serv/Util food related -Service 3 *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 S fees assessed for the sewer increase must be paid before the Water Extractor Water Closet-Toilet 60 plumbing permit can be issued. Urinal Other Fixtures: I:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2