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Permit CITY OF TIGARD PLUMBING PERMIT " COMMUNITY DEVELOPMENT Permit#: PLM2022-00405 Date Issued: 10/5/2022 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S113A600600 Jurisdiction: Tigard Site address: 16160 SW UPPER BOONES FERRY RD Project: Spec Space Subdivision:COUNCIL VIEW ACRES(LOTS 21-44) Lot: 30 Project Description: Interior plumbing landlord work prior to TI: Capping(3)eye washes, (6)2"floor drains,and(11)sinks. Contractor: ALWAYS FAITHFUL PLUMBING LLC Owner: PACIFIC REALTY ASSOCIATES LP PO BOX 757 ATTN: N PIVEN WILSONVILLE, OR 97070 15350 SE SEQUOIA PKWY#300 PORTLAND, OR 97224 PHONE: 503-780-9486 PHONE: FAX: FEES Quantity Description Date Amount 17 ea Fixture/Sewer Cap 10/05/2022 $425.34 Specifics: 1 12%State Surcharge- 10/05/2022 $51.04 Plumbing Type of Use: COM Class of Work: ALT Type of Const: Occupancy Grp: Stories: Total $476.38 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 7 l ) _12- Building Fixtures RECEIVED FOR OFFICE USE ONLY Cityof Tigard Received gan ff r Permit No.: r Ili V 13125 SW Hall Blvd.,Tigard,OR 97223 JUL 2 7 2022 Date/By: dr'f� /L� / �'"� /f'�i/1') �- )�r�r ' _ Y Plan Revie V f Phone: 503.718.2439 Fax: 503.598.19 0 Date/By: f f� Other Permit No.:fj�� ),!*, t p Inspection Line: 503.639.4175 P /f ,2C.,` L,{v/P TIGARI7Date Ready/By: Juns 0 See Page 2 for Internet www.tigard-or.gov CITYOF TIGAR�7 / �,,,j �"`� Notified/Method: �� )��" Supplemental Information di . x, .,.�... . ,PINPi JON'. * .v1 9i,it - / lit r4 ui''"!:, d � �, Pam' �'��ir;(�� 1��u� '� � �IiH,�Wu�r n d�a� ❑New construction ❑Demolition r 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) f)F I! rR 7 ICE 7 itte,,- ' N SFR(1)bath 312.70 ❑ 1-and 2-family dwelling ©Commercial/industrial SFR(2)bath 437.78 0 Accessory building CI Multi-family SFR(3)bath 500.32 Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 �b*'-.�: , JOx r 'i '41�,ION'' ' ,x,! ATIC „1 Site utilities: 1 StV, Job site address: 16160 SW UPPER BOONES FERRY RD Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP: TIGARD, OR 97224 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: J Project name: PBC193-16160 SPEC 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.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK` Backwater valve 12.51 Clothes washer 25.02 Demo and cap 11 sinks, 3 emergency showers, 6 f/d Dishwasher 25.02 return to shell Drinking fountain 25.02 p Ejectors/sump 25.02 --ieiN 1�.iR N r it 5 iii NER ' ` )❑ TENANT , Expansion tank 12.51 Name: Pacific Realty Fixture/sewer cap 17 25.02 Floor drain/floor sink/hub 25.02 Address: 6650 SW Redwood Ln Ste 290 Garbage disposal 25.02 City/State/ZIP: Portland/ OR/ 97224 Hose bib 25.02 Phone:( 503) 624-6300 Fax:( ) Ice maker 12.51 ,' ® 'pucAN' 5,uI ❑ CONTA fllrr :--ON Interceptor/grease trap 6 Interce tor/ rease 25.02 Business name:Always Faithful Plumbing Medical gas(value:$ ) Page 2 Contact name: Corey Chamberlain Primer 12.51 Roof drain(commercial) 12.51 Address: PO Box 757 Sink/basin/lavatory 25.02 City/State/ZIP:Wilsonville OR 97070 Solar units(potable water) 62.54 Phone:(5 0 3)7 8 0-9 4 86 I Fax: :( ) Tub/shower/shower pan 12.51 E-mail:alwaysfaithfulplumbing@yahoo.com Urinal 25.02 mm lug it,,,,,„„, Water closet 25.02 - t:NI� .0 mi s,iu -' C+i}1NITRA FJ - i,ir111!lal=-- _x ' Water heater 37.52 Business name: Always Faithful Plumbing Water piping/DWV 56.29 Address: PO Box 757 Other: 25.02 City/State/ZIP: Wilsonville, OR 97070 Subtotal Phone:( 503)780-9486 Fax:( ) Minimum permit fee: $72.50 CCB Lic.: 217284 /frf/3 Plumbing Lic.no.:PB1940 Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: ( e- •_ TOTAL PERMIT FEE Print name: Corey Chamberlain Date: 7/27/22 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU-PernutApp.doc 10/01/09 440-4616T(10/02/COM/WEB) // . Plumbing Permit Application - City of Tigard • Page 2 - Supplemental Information Fee Schedule: Residential Fire Supression Systems: site Utilities a : Q )ii(l. Total SDI re:." .Oit Per Footing drain-1 s`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 u,.nu. xtatitl .atl , f)t21tt �: "IMP�a.', Storm et 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 ' l each additional$100.00 or fraction thereof,to err��Oth Inspect ons oriees- �� :. a oral. 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 Re ie4 I - luiT Bing Installations== a 4 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 ❑ Any new commercial building with water service 2"and greater,except systems designed and stamped by licensed Bath: -Tub/Shower -Jacuzzi/Whirlpool engineer. Car Wash: Each Stall ❑ New exterior plumbing site utilities for any complex structure -Drive Thr as defined in OAR918-780-0040. Cuspidor/Water Aspiator ElMedical 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 3 Submit 2 sets of plans with any of the above. Floor Drain/sink: -2" 6 Isomet �ti a Riser Diagram n 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 Maeh./Refrig.Drains Comments regarding fixture work: Oil Separator(Gas Station) Rec.Vehicle Dump Station Shower: -Gang -Stall Sink: -Lay/Bar non-food related 11 -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_PermitApp.doc 08/04/2011 2 Accumulative Sewer Tally ' III Tenant Name: SPEC SPACE SWR# N/A TI GARD Site Address: 16160 SW UPPER BOONES FERRY RD PLM# 2022-00405 Parcel#: 2S 113AB00600 Fixture Value 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 3 3 0 -3 -3 Floor Drain/Sink: -2 inch 2 0 6 12 0 -6 -12 -3 inch 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 -Industrial(over 5 HP) 42 0 0 0 0 0 Ice Machine/Refrigerator Drain 1 0 0 0 0 0 Living Unit 16 0 0 0 0 0 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: -Lay/Bar-Non-Food Related 2 0 11 22 0 -11 -22 -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 20 37 0 0 -20 -37 Current Fixture Value -37 divided by 16= -2.313 Current EDU 1 EDU= $6,625.00 Previous Fixture Value 0 divided by 16= 0.000 Previous EDU Change -37 divided by 16= -2.313 over (under) $ (15,303.75) Enter EDU Change Here -2.310 * *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: BRANDEN TAGGART X2449 Date: 10/5/2022 Building Division ote: 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. IN I:\Building\Sewer Tally\SewerTallySheet_6625_070122.xlsx