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Permit (5) CITY OF TIGARD PLUMBING PERMIT .111 COMMUNITY DEVELOPMENT Permit#: PLM2023-00120 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 4/18/2023 Parcel: 2S102AB02100 Jurisdiction: Tigard Site address: 12547 SW MAIN ST Project: AVA Tigard Subdivision: AVA MIXED USE Lot: 15 Project Description: Site utilities:(1)catch basin,(2)trench drains,394 ft. of footing drain,(3)manholes,69 ft.of sanitary sewer,380 ft. of storm sewer,22 ft.of water service,(1)backflow preventer, and(1)backwater valve. Contractor: CALIBER PLUMBING AND MECHANICAL SERVICES Owner: AVA TIGARD DEVELOPMENT LLC 2615 NW SAINT HELENS ROAD PO BOX 213 PORTLAND, OR 97210 BEAVERTON, OR 97075 PHONE: 971-563-1672 PHONE: FAX: FEES Quantity Description Date Amount 1 ea Catch Basin or Area Drain 04/18/2023 $18.76 Specifics: 2 ea Drywell, Leach Line or Trench 04/18/2023 $37.52 Drain Type of Use: COM 394 If Footing Drain 04/18/2023 $162.59 Class of Work: NEW 3 ea Manholes 04/18/2023 $56.28 Type of Const: 380 If Storm Sewer 04/18/2023 $175.10 Occupancy Grp: 22 If Water Service 04/18/2023 $62.54 Stories: 1 ea Backflow Preventer 04/18/2023 $31.27 1 ea Backwater Valve 04/18/2023 $12.51 69 If Sanitary Sewer 04/18/2023 $62.54 1 Plan Review 04/18/2023 $154.78 1 12%State Surcharge- 04/18/2023 $74.29 Plumbing Total $648.18 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. Th se rulessaarre set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules Issued By: ( j / 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. Plunibin2 Permit Application :..Site Utilities FOR OFFICE USE ()NI.) City of Tigard Received /] �J g f n. .! Pernut No.:1✓/ j 'r1rl9 /Lsi n 13125 SW Hall Blvd.,Tigard,OR 9 C E I V E D Date'By: �" /W l PV/7 CN Plan Review Ill Phone: 503.718.2439 Fax: 503.5 I Date/By i3-23 41.,zi- other Permit No,: Inspection Line: 503.639.4175 I I i \R l7 Date Ready/By tt /1 ,' Juria El See Page 2 for Internet: www.tigard-or.gov MAR Q Notified/Method: 1 � 8 2023 Supplemental Information 6 TYPE OF WORK s`,�t3 7..•a :.", 9 ' e.=::,S . T a. " �...tszs..i: „s V°�' :^q. -xr �aas`-kla. Il All New construction ❑ 6 i For special information use checklist BMJLD'Y, G DIVISION 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 CONS CTION SFR(I)bath 312.70 ❑ I-and 2-family dwelling Commercial/indntitrial SFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building Multi-family Each additional bath/kitchen 25.02 ❑Master builder E Other � . I V" - Fire sprinkler( sq.II) Page 2 .P.M . ' ''I riE INFORMAT ON AND e 3 Site utilities: Job site address: 1 5L.� MAI n 34-r•,G_.•1L Catch basin or area drain I 18.76 18 r�1, -T Drywell,leach line,or trench drain � 18.76 Sri s . City/State/ZIP: i q .a T��� �1 Footing drain(no.linear ft.:/ 4 Page 2 /0 erect Suite/bldg./apt.no.: Project name: 09.vri TI� � r rf 1 Manufactured home utilities 50.03 Cross street/directions to job site: blE/ r a/ T'Manholes 3 18.76 5-6 �Ff 6 i .M ou n 3-fr / - I Rain drain connector 6" 18.76 77 _ .,/1 C _$- Sanitary sewer(no.linear ft.• -y' wT I Page 2 , �-��y /././��� f gG(J]�/Q(� J,[ t'1/1�� .q� Storm sewer(no.linear ft.: ►• /Lf 111 Page 2 /9 10 ICOr' ' N �i��f„ -. eir 7°2[/ Water service(no.linear ft.:;,a) i Page 2 6a S4 I(NO Subdivision: ? Lot no.: / Fixture or item: 111143 Tax map/parcel no.: Backflow preventer I 31.27 3i,19 DESCRIPTION OF WORK f �� Backwater valve 12.51 0,51 B_) .� 1 s. o a Clothes washer 25.02 3 Sfore( mtXed .. i '-''-'' V Dishwasher 25.02 �Vo3C�. 1nii.- i ialS1Td t((cw Drinking fountain 25.02 Ejectors/sump 25.02 PRf)PERTV OWNER CI TENANTa Expansion tank 12.51 Name: Is ll✓�k �„-AArc a y- iNO I Ale_ - Fixture/sewer cap 25.02 •` 6,-v an{Y L V J` Floor drain/floor sink/hub 25.02 Address: 33 13 $L j! ` �+aM bt6 14 ve'�- • Mein �)✓✓✓ Garbage disposal 25.02 City/State/ZIP: �QC�1�e,t-oe , [IQ cri- Hose bib I/fir .02 Phone:(ft-3) c1(A _ L_G 59 Fax ( ) Ice maker l 12.51 0 APPLICANT > ,I Interceptor/grease trap 25.02 Business name: J i �--'•` vt i iVe Medical gas(value:$_) Page 2 Primer 12.51 Contact name: ilbrq `� �t V a en g 1 l Roof drain(commercial) I / /`•�12.51 Address: 4.4f) /4- by Ave , 1)kl s-' Sink/basin/lavatory ++//i•E 25.02 City/State/ZIP: r8 � 0 1 ti 8 Solar units(potable water) 62.54 r Phone:f.9)3) (3/3 .- ((..6 5 0 I Fax: :( ) Tub/shower/shower pan 12.51 F-mail' r'+t b io. 1Lc 5 ,I0 j• ,.ke✓)1 • CIr� Urinal 25.02 CONTRA R r 4_ 'r'-c" -it Water closet 25.02 / 6 ,_ - a£ - A� Water heater 37.52 Business name: Cfs {.t- /�/alM�r' / ir �/� WaterpipingOWV 56.29 Address: 9616-`n/� St ./4 : Other: 25.02 City/State/ZIP: w `" ` �- _`1 r� . • Subtotal 6qy,/5 Phone:(s t. 't=Tj J Fax:( I ) - Minimum permit fee: $72.50 a Y' l/ ^ Plan review (25%of permit fee) J 93,53 CCB Lic.: 1'3 V - Plumbing Lic.no.: i #� l- I State surcharge(12%of permit fee) 03 49 Authorized signature. --�. - .7/;�t 3i TOTAL PERMIT FEE q50 97 Print name: J .t .c,5 n • Date:3/j�a /a3 This permit application expires if a permit is not obtained within ISO days , (/ after ft has been accepted as complete. IJE /a �'l `Fec methodology set by Tri-County Building Industry Service Board. l\Building\Pcrmiis\PLMU-PamitApp.doc 10i01/09 4404616T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard • Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: tilit es .n 'Footage. Permit Fee: Footing drain- I" 100 ! 50.03 rip 63 0 to 2,000 S121.90 Footing drain-each additional 100' 3 37.52 ifa 6 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer-1st 100' 1 62.54 41$t{ 7,201 and greater $327.54 Sewer-each additional 100' ' 37.52 r srvit--' Water Service-1st 100' i 62.54 6a,5tl Medical Gas Systems: Water Service-each additional 100' 37.52 ^�` -��r .,,-r Storm&Rain Drain-1st 100' 62.54 6a,5L� PCimum fee S72.50 Storm&Rain Drain-each additional 100' 37.52 //,'), ' $5,001.00 to$10,000.00 $72.50 for the trst$5,000.00 and$1.52 for Qty. Fee(ea) _Total each additional S 100.00 or fraction thereof,to � ees ota and including S 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 S25,000.00 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: 531.13`I 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 friitureType ri Review for Plumbing Installations ,.._ Fixture Type for Replace/ Plan review is required for anyof the following. Work Performed:. Capped Added Relocate tl g Baptistry/Font Please check all that apply. Rath fug/Shower El 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 Thm 0 New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780-0040. Dishwasher -Commercial 0 Medical gas and vacuum systems for health care facilities. -Domestic ❑ Any multipurpose fire sprinkler system. Drinking Fountain 0 Any complex structure as defined in OAR918-7&0-0040. Eye Wash Floor Drain/sink -2" Submit 2 sets of plans with any of the above. -3" Car Wash Drain r� � -� . ....,.,.�a ,uw .. -fat .. Garbage -Domestic-non-food 0 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 *Note: If the fixture work under this Washer-Clothes 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\Permits\PLMU_PermitApp.doc 2 FOR OFFICE USE ONLY— SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Transmittal Letter 1 1 G A It i 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: ©ON DATE R t C D DEPT: BUILDING DIVISION FROM: APR 10 1023 ` `'�' CP OF TI(iARD COMPANY: / t3U1LDLNG DIVISION PHONE: CSU3} 5-0 By: B-T EMAIL: RE: 1.4k5117 / / wiW /0 ,31--(.7000 (Site Address) (Permit Number) -(Project name or sul Ivisionname and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: 2 Additional set(s) of plans. Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: fcN t&iv C.e l FOR OFFICE USE ONLY Routed to Permit Technician: Date: Initials: Fees Due: ❑Yes g No Fee Description: Amount Due: $ -- Special Instructions: Reprint Permit(per PE): ❑ Yes ❑No ❑ Done Applicant Notified: ( Date: 4//x121 Initials: iS 7- I:\Building\Forms\TransmittalLetter-Revisions 073120.doc Branden Taggart From: Branden Taggart Sent: Tuesday, April 18, 2023 10:17 AM To: abes Cc: Karen Abdill Subject: AVA tgard Site Utilities Plumbing Permit: PLM2023-00120 - 12547 SW Main St. Attachments: Invoice.pdf Hi Abe, The Site Utilities Plumbing permit for AVA Tigard is ready to issue now. The balance due is$848.18, and I have attached an invoice above for reference. The permit fees can be paid online through our website https://aca.accela.com/TIGARD/Default.aspx by searching for the permit record number PLM2023-00120,or in person between the hours of 8:00 a.m. and 6:00 p.m., Monday through Thursday. We are closed on Fridays. If paid online, please have someone pick up the permit and the approved site copy set of plans. Thank you, Branden Taggart 11111 City of Tigard lr ; Senior Permit Technician Community Development TIGMU) 13125 SW Hall Blvd Tigard, OR 97223 (503)718-2449 brandent@tigard-or.gov 1