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Permit (2) - • I4 imbing 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 Valuation: Permit Fee: Storm&Rain Drain-1st 100' 62.54 $1.00 to S5,000.00 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 p Qty. Fee(ea) 1=to each additional$100.00 or fraction thereof,to Other Inspections 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 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 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/Whirlpoolengineer. ElCar Wash: Each Stall New exterior plumbing site utilities for any complex structure Drive as defined in OAR918-780-0040. Cuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities. Dishwasher: Commercial ❑ Any multipurpose fire sprinkler system. -Domestic ❑ 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" 2 2 3" 6 14 Isometric or Riser Diagram ❑ Isometric or riser diagram is required for new huildings -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) 3/C - CJi71 Rec.Vehicle Dump Station 3 Shower: -Gang -Stall Sink: -Lay/Bar non-food related 1 7 2 -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 5 / plumbing permit can be issued. Urinal 2 2 Other Fixtures: I:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2 Plos.A P ao3 - aolio 163-Cd S ku GI/Zc Jv.8ue62 /2o T-r,roi+m-e,1' -As- I c —1 — )_44;.t��✓�rsh`r1' s l,y/c s /CAS/N/1.-au - n Roar 5;1444 A o ' s /N,G.5 65.gyoG47--Efl) 4/• E A U -r - Sr-, I-aAIYQ s/NK IA 2-1 I ND to.c<_:- - - si - a pump 5 11(. - sw- / ,. - 514 -3 2- Gepr=^n =� /1 - ",.- aci_co _ S-IAwe 3It &I) e9-7 als 14,404 Eyi FI orz S'N1- 311 67, 4;67E , _TAO i r r-4- - 3 '` Fu. tb r/n x - s-k-- a �Js p+ r -.- 3 -, 7,.,,�w poorfik - D 14' Hi^•4s 14-4K_ `11) Accumulative Sewer Tally ■ III Tenant Name: DIOSA SWR# 2023-00052 Site Address: 10350 SW GREENBURG RD PLM# 2023-00110 I WARD Parcel#: 1S135AB01003 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 Dish'ashcr: -Commercial 4 0 0 2 8 2 8 -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 2 4 2 4 0 0 -3 inch 5 0 6 30 12 60 6 30 -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: -Lav/Bar-Non-Food Related 2 0 10 20 17 34 7 14 -Bradley 5 0 0 0 0 0 -Com/Serv/Util-Food Related 3 0 1 3 0 -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 5 30 7 42 2 12 Urinal 6 0 2 12 2 12 0 0 Previous EDU Count 0 0 Capped EDU Credit 0 TOTALS 0 0 26 99 42 160 16 61 Current Fixture Value 61 divided by 16= 3.813 Current EDU 1 EDU= $6,625.00 Previous Fixture Value 0 divided by 16= 0.000 Previous EDU Change 61 divided by 16= 3.813 over (under) $ 25,241.25 Enter EDU Change Here 3.810 * *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: INDIRECT WASTE OMISSIONS INCLUDE(5)DUMP SINKS,(I)'IWO-COMPARTMENT SINK,(5)DISHWASHERS,AND(2)3"- FLOOR SINKS. Authorized Name/Signature: BRANDEN TAGGART X2449 Date: 6/15/2023 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:\Builcling\Sewer Tally\SewerTallySheet_6625_070122.xlsx Branden Taggart From: Branden Taggart Sent: Thursday,July 6, 2023 4:46 PM To: Aaron Cub Gobel Subject: Diosa: PLM2023-00110 - 10350 SW Greenburg Rd. Hey Aaron, I spoke with Diosa,and they are trying to say that there are many more indirect waste fixtures—more than the (1) dump sink. They are saying the (7) dishwashers and more are indirect waste. I would think it could be possible, but I told them you would need to verify this. I also mentioned that this was not reflected in their submittal, and they would need to submit revisions. Can you please confirm the indirect waste at your earliest convenience? Thank you, Branden Taggart f r City of Tigard . Senior Permit Technician Community Development 13125 SW Hall Blvd Tigard, OR 97223 (503)718-2449 brand a nt©tigard-or,gov 1