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Home My WebLink AboutPermit (31) CITY OF TIGARD PLUMBING PERMIT 11111 nil Ilt . COMMUNITY DEVELOPMENT Permit#: PLM2023-00335 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 8/17/2023 Parcel: 1 S135BC01100 Jurisdiction: Tigard Site address: 11105 SW GREENBURG RD Project: Apex Performance Rehab Subdivision: None Lot: None Project Description: Add(1)dishwasher,(1)sink,(1)clothes washer,(1)primer,and(1)floor drain. Contractor: BEAVERTON PLUMBING INC Owner: GREENBURG SPACE CENTER LLC 13980 SW TV HWY 4804 NW BETHANY BLVD STE 1-2#243 BEAVERTON, OR 97005 PORTLAND, OR 97229 PHONE: 503-643-7619 PHONE: FAX: 503-643-7620 FEES Quantity Description Date Amount 1 ea Clothes Washer 08/11/2023 $25.02 Specifics: 1 ea Dishwasher 08/11/2023 $25.02 1 ea Floor Drain/Floor Sink/Hub 08/11/2023 $25.02 Type of Use: COM 1 ea Primer 08/11/2023 $12.51 Class of Work: ALT 1 ea Sink 08/11/2023 $25.02 Type of Const: 1 12%State Surcharge- 08/11/2023 $13.51 Occupancy Grp: Plumbing Stories: Total $126.10 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: 1 `� / ��rC� Permittee Signature: 9—&,1 1f_ 1 i . C c i s U 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 - City of Tigard Page 2 -Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities QI Fee(ea) . Tate ' Square Footage: Permit~Fee: • O to 2,000 $121.90 50.03 $169.69 Footing drain-I"100' 2,001 to 3,600 Footing drain-each additional 100' 37.52 3,601 to 7,200 $233.20 Sewer-let 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 62.54 $1.00 to S5,000.00 Minimum fee$72.50 Storm&Ram Drain-e eachh additional 100' 37.52 $5,001 00 to$10,000.00 $72.each 0 for the first$50.00 and$1.52 for each additional$100.00 or fraction thereof,to Qty, Fee(ea ,-.'Dial` Other-Insgectplums or, Fees. 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 90.00/hr each additional$100.00 or fraction thereof,to which no fee chargee-1/2 hour)indicated and including$25,000.00. Inspections(minimum outside of n 90.0lhr S25.001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for hours m e-2 hours)business each additional$100.00 or fraction thereof,to hours(minimum charge-2 90.00/hr and including$50 000.00. Re Additi action Fees $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for Additional plan review for revisions 90.00/hr each additional S 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-Plulmbing InstallatiOlis" ,,,` Quantity by Fixture Type. Plan review is required for any of the following. Replace/ Please check all that apply. WorkTyor for Performed: Capped Added -Relocate- 0 Any new commercial building with water service 2"and ork greater,except systems designed and stamped by licensed Bath: -Tub/Showerengineer. -Jacuzzi/Whirlpool 0 New exterior plumbing site utilities for any complex structure Car Wash: -Each Stall as defined in OAR918-780-0040. -Drive Thin 0 Medical gas and vacuum systems for health care facilities. Cuspidor/Water Aspirator ❑ Any multipurpose fire sprinkler system. Dishwasher: -Commercial / ❑ Any complex structure as defined in OAR918-780-0040. -Domestic Drinking Fountain Submit 2 sets of plans with any of the above. Eyc Wash / _ .,. - o Floor Drain/sink: 2" ''-xsomteitite Or Rice Diagram, 3" 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: -Lav/Bar non-food related -Bradley -ConiServ/Uti1 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 WLMF_PennitApp.doc 08/04/2011 2 . Accumulative Sewer Tally q Tenant Name: Apex Performance Rehab SWR# 2023-00236 TIGARD Site Address: 11105 SW GREENBURG PLM# 2023-00335 Parcel#: 1S135BC01100 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 - Iacuzzi/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 1 2 1 2 Drinking Fountain 1 0 0 0 0 0 Eye Wash 1 0 0 0 0 0 Floor Drain/Sink: -2 inch 2 0 0 1 2 1 2 -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 3/4I1P) 16 0 0 0 0 0 -Commercial(to 5 I IP) 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: -Lav/Bar-Non-Food Related 2 0 0 0 0 0 -Bradley 5 0 0 0 0 0 -Com/Scrv/Util-Food Related 3 0 0 1 3 1 3 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 3 7 3 7 Current Fixture Value 7 divided by 16= 0.438 Current EDU 1 EDU= $6,824.00 Previous Fixture Value 0 divided by 16= 0.000 Previous EDU Change 7 divided by 16= 0.438 over (under) S 3,002.56 Enter EDU Change Here 0.440 * *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: Joe Bailey EXT 2763 Date: 8/3/2023 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:ABuilding\Sewer Tally\ScwcrTallyShret_6625_070122 xlsx