Permit CITY OF TIGARD PLUMBING PERMIT
IN _ COMMUNITY DEVELOPMENT Permit#: PLM2022-00403
T I G A RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/8/2022
Parcel: 2S110DB01500
Jurisdiction: Tigard
Site address: 11390 SW NAEVE ST
Project: Pacific Ridge Apartments Subdivision: PACIFIC RIDGE APARTMENTS Lot: 2
Project Description: Interior plumbing for a new apartment building with(40)dwelling units.
Contractor: WOLCOTT PLUMBING Owner: PACIFIC RIDGE APARTMENTS LLC
1075 W HISTORIC COLUMBIA RIVER HWY 5285 MEADOWS RD STE 171
TROUTDALE, OR 97060 LAKE OSWEGO,OR 97035
PHONE: 503-667-1781 PHONE:
FAX: 503-667-9891
FEES
Quantity Description Date Amount
5 ea Primer 11/21/2022 $62.55
Specifics: 40 ea Clothes Washer 11/21/2022 $1,000.80
40 ea Dishwasher 11/21/2022 $1,000.80
Type of Use: COM 1 ea Drinking Fountain 11/21/2022 $25.02
Class of Work: NEW 40 ea Expansion Tank 11/21/2022 $500.40
Type of Const: 5 ea Floor Drain/Floor Sink/Hub 11/21/2022 $125.10
Occupancy Grp: 40 ea Garbage Disposal 11/21/2022 $1,000.80
Stories: 1 ea Hose Bib 11/21/2022 $25.02
108 ea Sink 11/21/2022 $2,702.16
67 ea Tub/Shower/Shower Pan 11/21/2022 $838.17
68 ea Water Closet 11/21/2022 $1,701.36
40 ea Water Heater 11/21/2022 $1,500.80
1 Plan Review 11/21/2022 $2,620.75
1 12%State Surcharge- 11/21/2022 $1,257.96
Plumbing
Total $14,361.69
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION; Oregon law requires you to follow the rules—adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
Issued By: � Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Plumbing Permit Application
Building Fixtures FOR orricE rsi�- oyt,V
City of Tigard RECE�� Date/By:�ved Permit No.: Ltz"a,_�� 3
13125 SW Hall Blvd.,Tigard,OR 97223 q qq 1 J
/ • IIar 2UL-Plan Revie
■ Phone: 503.718.2439 Fax: 503.598.1960 pety. t7 a Other Permit No.
SEP H�i AGtn avaa- ao( 3
TIGARD Inspection Line: 503.639.4175 CM( OF `IC?N Ready Sy: 1t�/�r ' urr: ®See Page 2for
Internet: www.ttgard-or.gov shod: Supplemental$nfor non
'TYPE OF WORK BUILDING'11 - 2z imilF.;- st�l3E:Du1 't I.0 --
New construction ❑Demolition For special information use checklist
Description 1 Q . I Ea. j 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
❑ 1-and 2-family dwelling XCommercial/industrial
SFR(2)bath 437.78
11..�� SFR(3)bath 500.32
❑Accessory building 0 Multi-family Each additional bath kitchen 25.02
❑Master builder 0 Other: Fire sprinkler(_sq.ft.) Page 2
JOB TE INFORMATION AD E V•::1t'i11°` Site utilities:
Job site address: 11340 Sy..,•) Pea)IT: Sr Catch basin oarer drain 18.76
Drywall,teachh line,or trench drain 18.76
City/State/ZIP: "nChott p(Z. Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: &ocia.Project name: PA(,tF.L. IC-ALE 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.: Future or item:
Backflow preventer 31.27
Tax map/parcel no.: Z S 1 O fll3 ISOO. 12.51
DESCRII TIGN OF W'ORIi Clothes washer ,4CL 25.02 (f9CIDtskr
5‘..11.1--W r4A t P1..t]IM73►14.1( PiZM kr Dishwasher .,4t) 25.02 woo ebb
:21to 0LJ iiini Ulm Drinking fountain ) 25.02 2s.DI,
Ejectors/sump 25.02
PROPERTY OWNER 0 TENANT Expansion tank 12.51
FiNcArtt_ a !TC 6 " Fixture/sewer cap 25.02
Name: 21-64 5)4I-S
,� r� Floor drain/floor sinkflmb fj 25.02 1z Js,1p
Address: �js yy(p4pli ro S �v• 501 �1 t Garbage disposal 40 25.02 10012•Sfie
0City/State/ZIP: LA OSWe'tTrO 1OR g103S Hose bib I 25.02 25.01.
'- Phone:(50a) (c )-4,14 01_ Fax:( ) Ice maker 12.51
_ " ` Interceptor/grease25.02
PPLICANT G CONTACT PERSONtrap
Medical gas(value:$_) Page 2
Business name: ,..11••SC., i..1 L- 12.51
Primer
Contact name: .%o*'.1 (4-i t�a t./+rnt� Roof drain(commercial) 12.51
Address: 5 '5 ,m,tilrt�t.7s ! _,A1? . SY ITC in I Sink/basin/lavatory 109 25.02 4102,16
City/State/ZIP: 1,.A14.0 ( L Ci103t Solar units(potable water) 62.54
Phone:(5b )bc1-1402 Fax::( ) Tub/shower/shower pan _ 61 12.51 9St.(/
Urinal 25.02
E-mail: .31. -7L.0l+4'n e.c T' p►i. tTR-cb. Qsr
Water closet faS 25.02 not 36
CONTRACTOR Water heater _6"] 37.52 2S•C3e&4
Business name ,-�, r,bi.Y Waterpiping/DWV 56.29
Other: 25.02
Address: (O1S yJ, }h,S'(�.►L l�.lt)UIl- � Subtotal bf�x,07
City/State/ZIP: rjkgr��,b p(t. 1`(p(
Minimum permit fee: $72.50
Phone:( 66"1 ("t$ I Fax:( ) Plan review (25%of permit fee)
CCB Lie.: t 1,'L1'!A Plumbing Lic.no.: State surcharge(12%of permit fee)
Authorized signature: TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180 days
Print name: J C!4 W,1 t/Fa�n Date: t 3(ZIjZ?� after it has been accepted as complete.
`Fee methodology set by Tri-County Building Industry Service Board.
r:iBuilding\PermilsMLMl1-PermilApp.dor 10/01/09 440-4616T(10/02/COM/WEB)
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Su pression Systems:
• Qty. Fee(ea) Totat.. $ e` ._. " ;� er,PermitFee: '
Site Utilities '
Footing drain-I'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-tst 100' 62.54 Medical Gas S stems:
Water Service-each additional 100' 37.52
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
each additional$100.00 or fraction thereof,to
p `„ 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 bq,Fixture Type Plan review is required for any of the following. •
Fixture Type for 'Replace/ Please check all that apply.
Work Performed: Capped Added . Re1«ate
❑ 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 Aspirator ❑ Medical gas and vacuum systems for health care facilities.
Dishwasher. -Commercial ❑ Any multipurpose fire sprinkler'system.
Domestic 0 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"
o.
tt '' eia]Yl
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)
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:
1: Building\Permits\PLMF_PetmitApp.doc 08/04/2011 2
Plumbing Permit Application - City of Tigard
Page 2 -Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Sae
., r'''t.aea.R,r,1,ge!r.:•g';. Qty. Fee(ea) Total P.Squj Footage: P- i gee s...;:
SiteUfilitiel; ' -���
Footing drain-1°' 100' 50,03 0 to 2,000 $121.90
2,001 to 3,600 $169.69
Footing drain-each additional 100' 37.52 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 v;„ 'IF,. * '""
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
Qty. Fee tea) Total each additional$100.00 or fraction thereof,to
Other Inspections-orgies and including$10,000.00.
Inspection of existing plumbing or for S10,001.00 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
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, II1Stgllations ,
s Quantity by Fixture Type Plan review is required for any of the following.
Fixture Type for
Replace/ Please check all that apply.
r
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 ❑ New exterior plumbing site utilities for any complex structure
Car Wash: -Each Stall as defined in OAR918-780-0040.
-Drive Thru 0 Medical gas and vacuum systems for health care facilities.
Cuspidor/Water Aspirator 0 Any multipurpose fire sprinkler system.
Dishwasher: -Commercial 0 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"
3,. Isometric or-Riser Diagram
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 Comments regarding fixture work:
Ice Mach./Refrig.Drains
Oil Separator(Gas Station)
Rec.Vehicle Dump Station
Shower: -Gang
-Stall
Sink: -Lay/Bar non-rood 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 plumbing permit can be issued.
Water Closet-Toilet
Urinal
Other Fixtures:
1:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2
11111 - • Accumulative Sewer Tally
Tenant Name: PACIFIC RIDGE APARTMENTS SWR# 2022-00193
Site Address: 11390 SW NAEVP.S'I' PLM# 2022-00403
Ti(i A RD
Parcel#: 2S 110DB01500
Fixture Previous 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
-3inch 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
-Indusstrial(over 5 HP) 42 0 0 0 0 0
ice Machine/Refrigerator Drain 1 0 0 0 0 0
Living Unit 16 0 0 40 640 40 640
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 0 0 0
Sink:
-Lav/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 40 640 40 640
Current Fixture Value 640 divided by 16= 40.000 Current EDU 1 EDU= $6,625.00
Previous Fixture Value 0 divided by 16= 0.000 Previous EDU
Change 640 divided by 16= 40.000 over (under) $ 265,000.00
Enter EDU Change Here 40.000 *
*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: KAREN ABDILL EXT:2178/BT Date: 11/1/2022
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.
I:\Building\Sewer Tally\Sew erTally She e t_6625_070122.xls x
Branden Taggart
From: Branden Taggart
Sent: Thursday, November 17, 2022 9:09 AM
To: Jesse Nemec
Cc: 'John Wyland'
Subject: Pacific Ridge Apartments Sewer Permit Revision: PLM2022-00403, SWR2022-00193 -
11390 SW Naeve St.
Attachments: Invoices & Sewer Tally.pdf
Importance: High
Hi Jesse,
We revised the number of dwelling units associated with the Pacific Ridge Apartments Building permit at 11390 SW
Naeve Street from 36 to 40 dwelling units. Therefore,the sewer permit fees have increased to reflect the change in
dwelling units. I have attached the invoices and Accumulative Sewer Tally above for you to reference, and the fees due
are as follows:
Pacific Ridge Apartments
Permit# Fees Due
PLM2022-00403 $ 14,361.69
SWR2022-00193 $ 265,045.00
Total: $ 279,406.69
The above fees can be paid in person between the hours of 8:00 a.m. and 6:00 p.m., Monday through Thursday. We are
closed on Fridays. Permit fees for both permits will need to be paid before we can issue either of them.
Thank you,
Branden Taggart
Ilia City of Tigard
'R Senior Permit Technician
Community Development
Ti(ARD
13125 SW Hall Blvd
Tigard, OR 97223
(503)718-2449
brandent@tigard-or.gov
1
Karen Abdill
To: John Wyland
Subject: PLM2022-00403, SWR2022-00193, SWR2022-00185
Attachments: SKM_C65922110117540.pdf
Hi John. There are 3 permits ready to be paid for and issued:
PLM2022-00403 $ 14,361.69
SWR2022-00193 $238,545.00
SWR2022-00185 $238,545.00
The sewer permit fees need to be paid at the time of plumbing permit issuance. I failed to collect the sewer fees
for the plumbing permit I issued 10/27/22. Those fees are due as well as the plumbing and sewer fees for the
building at 11390 SW Naeve. There is a 3% fee for paying with your credit card on line or in the office, but no
fees for paying with a check.
I'm attaching fee details for all 3 permits. Let me know if you have any questions.
I apologize for the delays in getting these ready to issue. Thank you very much for your patience.
Karen
Karen Abdill
City of Tigard
Building Division Services Supervisor
503-718-2718
Karen.abdill@tigard-or.gov
1