Permit (7) illw CITY OF TIGARD PLUMBING PERMIT
'' COMMUNITY DEVELOPMENT Permit#: PLM2022-00343
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/3/2022
Parcel: 2S 110AB00400
Jurisdiction: Tigard
Site address: 14260 SW 112TH AVE
Project: The Ridge Apartments,Office Subdivision: CANTERBURY PLACE,AMENDED Lot: PTS 1-4
Project Description: Site utilities: 100 ft.of storm sewer.
Contractor: LMC INC Owner: HOUSING AUTHORITY OF WASHINGTON COUN
19200 SW TETON AVE ATTN: HENRY ALVAREZ
TUALATIN, OR 97062 111 NE LINCOLN STE#200L
HILLSBORO, OR 97124
PHONE: 503-646-0521 PHONE:
FAX:
FEES
Quantity Description Date Amount
100 If Storm Sewer 08/31/2022 $62.54
Specifics: 1 12%State Surcharge- 08/31/2022 $8.70
Plumbing
Type of Use: COM 10 ea Minimum Fee Adjustment- 08/31/2022 $9.96
Class of Work: ALT Plumbing
Type of Const:
Occupancy Grp:
Stories:
Total $81.20
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: r b�^
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 6-3�;,
el
Site Utilities RECEIVE L. FOR OFFICE USE ONLY
City of Tigard eceived
VDateBy: F/31121' Permit No.: °H"1/z9,..'W3/3
■ 13125 SW Hall Blvd.,Tigard,OR 97223 I Phone: 503.718.2439 Fax: 503.598.1960 AUG 3 2022 Plan Review / _
Date/By: Other Permit No.Ie _Deiraot'" )
i[G A R t) Inspection Line: 503.639.4175 Date Ready/By: kris- la See Page Page
2 for
Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: il, Supplemental Information
TYPE OF WORK BUILDING DIVISION FEE* SCHEDULE
❑New construction 0 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
0 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath A37.78
SFR(3)bath
1 0 Accessory building Multi-family 500.32
❑Master builder Each additional bath/kitchen 25.02
❑Other: Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
.,�h,Job site address: 14260 SW 112th Avenue Catch basin or area drain 18.76
Iy�City/State/ZIP: Tigard,OR 97224 Drywell,leach line,or trench drain 18.76
Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: I Project name: The Ridge Apartments Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.:i iPage 2
Storm sewer(no.linear ft.:4) iPage 2 trilkyli
Water service(no.linear ft.: ) Page 2
Subdivision: I Lot no.: Fixture or item:
Tax map/parcel no.: 2S110AB00400 Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 25.02
NEW STORM DRAIN
Dishwasher 25.02
LINE Drinking fountain 25.02
Ejectors/sump 25.02
X❑ PROPERTY OWNER I ❑ TENANT Expansion tank 12.51
Name: HAWC AHP4 LIMITED PARNTERSHIP Fixture/sewer cap 25.02
Floor drain/floor sink/hub
Address: 111 NE Lincoln,Suite 200-L 25.02
Garbage disposal 25.02
`z City/State/ZIP: Hillsboro,OR 97124
Y► Hose bib 25.02
Phone:( 503) 846-4784 Fax:( ) Ice maker
12.51
® APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02
Business name:PINNACLE ARCHITECTURE Medical gas(value:$ ) Page 2
Contact name: RYAN CAIN
Primer 12.51
Roof drain(commercial) 12.51
Address:960 SW DISK DRIVE#101 Sink/basin/lavatory 25.02
City/State/ZIP:BEND,OR 97702 Solar units(potable water) 62.54
Phone:(541 )388-9897 X17 Fax::( ) tub/shower/shower pan 12.51
E-mail:RYAN@PARCH.BIZ Urinal 25.02
CONTRACTOR Water closet 25.02
Water heater 37.52
Business name:LMC CONSTRUCTION Water piping/DWV 56.29
Address:19200 SW TETON AVENUE Other: 25.02
City/State/ZIP:TUALATIN,OR 97062 Subtotal .;7
Phone:( 503 )646-0521 Fax:( ) Minimum permit fee: $72.50 ?Z.SQ
CCB Lic.:161282 Plumbing Lic.no.: Plan review (25%of permit fee)
State surcharge(12%of permit fee) p�70
Authorized signature: Ryan Cain° z ' of a,07 O
TOTAL PERMIT FEE
Print name: Date: This permit application expires if a permit is not obtained wittivi
80 days
after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
I:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COMJWEB)
W
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
Storm&Rain Drain-1st 100' Valuation: Permit Fee:
62.54 /a
wc $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
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: (4
,511
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 Fixture Type Plan Review for Plumbing Installations
Fixture Type for Replace/
Work Performed: Capped Added Relocate Plan review is required for any of the following.
Baptistry/Font Please check all that apply.
Bath -Tub/Shower ❑ 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 Thru 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 ❑ Any complex structure as defined in OAR918-780-0040.
Eye Wash
Floor Drain/sink -2" Submit 2 sets of plans with any of the above.
-3"
Isometric or Riser Diagram
Car Wash Drain
Garbage -Domestic-non-food ❑ 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/Lav -Non-food related
-Bradley
-Commercial-food related
-Service
Swimming Pool Filter
Washer-Clothes *Note: If the fixture work under this 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.
I:\Building\Permits\PLMU_PermitApp.doe 2
Site Utilities — Plumbing Permit Application
Plan Submittal Requirements
TIGARD
A plumbing permit for site utility plumbing work is required for sanitary sewer, storm sewer
and potable water systems on private property.
1. SITE PLAN and vicinity map showing the geographic location (fully dimensional,drawn
to scale) labeled with:
A. ❑ map&tax lot# ❑ project name ❑ site address 0 suite number
0 zoning ❑ applicant name ❑ phone number
B. North arrow.
C. Scale (architectural or engineering only).
D. Street names.
E. Building pads with project location.
2. PLUMBING PLANS-Two (2) complete sets, civil only.
All details listed below shall be incorporated into the plumbing plans:
A. Storm drainage plan showing:
1) Finish elevations throughout the developed site.
2) Grade breaks determining area serving each catch basin.
3) Location of catch basins.
4) Pipe size.
5) Type of material.
6) Slope of piping.
7) Manholes and field drains.
8) Cleanouts provided for each 100 feet or fraction thereof.
9) Roof drain laterals specifying cleanouts at each upper terminal.
10) Location of existing or proposed connection to a public sewer line.
B. Utilities plan showing:
1) Sanitary sewer line location,pipe size, type of material, slope of piping,manholes
and cleanouts provided as required for storm.
2) Size and location of domestic water piping and drainage.
3) Proposed location of connection to a public water or sanitary sewer line.
I:\Building\Permits\PLMF-PermitApp.doc 12/30/05