Permit CITY OF TIGARD PLUMBING PERMIT
III * Permit#: PLM2023-00436
COMMUNITY DEVELOPMENT
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/11/2023
Parcel: 2S111 BB01301
Jurisdiction: Tigard
Site address: 14148 SW DRIFTWOOD CT
Project: Homestead Commons Apartments Subdivision: TIGARDVILLE HEIGHTS Lot: 9
Project Description: Adding(1)2"floor drain. Relocating(1)clothes washer,(1)dishwasher, (1)garbage disposal, (3)sinks,(2)
tub/shower, (2)water closets,(1)water heater.
Contractor: OASIS PLUMBING INC Owner: 10160 SW MCDONALD LLC
PO BOX 2533 1800 SW FIRST AVE STE 220
OREGON CITY, OR 97045 PORTLAND, OR 97201
PHONE: 503-351-0743 PHONE:
FAX: 503-212-0165
FEES
Quantity Description Date Amount
1 ea Clothes Washer 10/10/2023 $25.02
Specifics: 1 ea Dishwasher 10/10/2023 $25.02
1 ea Floor Drain/Floor Sink/Hub 10/10/2023 $25.02
Type of Use: MF 1 ea Garbage Disposal 10/10/2023 $25.02
Class of Work: ALT 3 ea Sink 10/10/2023 $75.06
Type of Const: 2 ea Tub/Shower/Shower Pan 10/10/2023 $25.02
Occupancy Grp: 2 ea Water Closet 10/10/2023 $50.04
Stories: 1 ea Water Heater 10/10/2023 $37.52
Total $287.72
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 agree sett forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
,.,---"r7
Issued By: Permittee Signature: ejt-,t' (.79(.9 I y c ‘-cfc o[
Call 503: 39.4175 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.
PlumbiniPermit APPUcatiaRECEIVE
Building Fixtures IOU nit It t 1*l r)vt 1
City or ilgard OCT 1 0 2023 l' Ito k Gild .)-3 .a > ft..0-A)C3•-A 1 -
1312SSv'Nall Rhi,Tigard,OR97221 NwNoes(
row e: 511-711L=431 " ass."v-C91tTY OF TIGARD tw.n• - c,.r.rjl rj �t i Gz ''
I;l Is i.0 htslrntisn Lire: S.li6.fikri75 BUILDING DIVISION 1R1ghlg ltnrd. (tVI V[J 1�� " s'PP.^."w' r
Isle rwPte�Rayon: www.fgard.x.pas
TITE OF WORK C14744 . :*.1prz. scitu ULE
❑Nen c m ocuun ❑Demolition F'or weld In(nrm rlon toe checklist.
D Lstxi kn f I_ ,( -1- I-- . Taal
ra/idditinna)tcratiore plaaeneru 0 Other. New 1-2-(amilr dwellings(includes I(I)P.foreach uufn rwvw't kin)
CATEGORY OF CONSTRUCTION SFR(I)bath 312.70
Q 1-and 2-comply dwelling 0 t..ommetdal/indtauial
SFR(2)bath 4A.70
SFR(3)bath 5tyt.-i2.
Q Acremoy building Multi-family 2SU2
Each additional bathAdtchen
❑Mann builder 0 Other: Fite sprinkler f sq.It.) Palle 2
JOBa Ljd�SITE INFORMATION AND LOCATION Site utilities_
Jab site address: t q 14• \S Yi--4-L.J S-,0 CR L.-(-i Catch basin to area torah 18.76
�d Drywel4leach lice,or trench train 10.76
CityStatd23P: j,9�rK r C) t7.- Footing drain(no.linear ft.: ) Page 2
Soitnf�d �gJJpL n Project came: Manufactured hone utilities 50.03
Crass sum/directions to job site: Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.:,) Page 2
Stone sewer(no.linear ft.:_) Page 2
Water service(no.linear It: ) Page 2
Subdivision: I Lot no.: Fixture or item:
Tax maplpartel no.:
Backflow prevnitn 31.27
Backwater valve 12.51
DESCRIPTION OF WORK
-
�f t 1 Clothes washer ` 25.02
✓L pc__c l w 1a7t`J 111 test L 1 �5 , 3 Dishwasher 25.0 2'
W�5 L , L a.-1--d i.s/ 4,4-e✓ ��u---eV- Drinking fountain 25.02
Ejectors/sump 25.02
0 PROPERTY OWNER l 0 TENANT Expansion tank 1251
Fixnrelsew r cap 25.02
Name:
Floor drain/floor si,lkAub 25.02
Addretar Garbage dispos.l 25.02
CatyrStatel7JP: _Hose bib 25.02Pho Moe:( ) Fax ( ) Ice maker 12.51
0 APPLICANT 0 CONTACT PERSON interceptor/grease crap 25.1r2 .
Httsinm!sane r 1 I V lit- 14 r I>�. -
Mcdicat&u(value:S_) Page 2
�Ct�jt 4 1 f.t�(,( �i Pry 12.51
Contact name: ^7 J c- e.7O 1. .- / t -P Q C ". ` oni
Ad ,J Roof drain(commercial) 1251
dress: /!t' I.1 `J 414-t w C C . Sink/basin/lavatory "")j 25.02
/SiaoeraP: 0V.4 Ol.L. -( O Solar units(potable water) 6254
e' Fax ( Tub/shower/shower pan - 1251
Phony- _ d ( ) I/
3� 1 �'a
�� e 25.02
-..-- Urinal
Irtrsail• In24k--�0 t e? •- rs.1GLt�f W1, -
J� w riAcr6R waxrck,srt 25.IG
• water heater St 3752
Buirtess male: �C�,� `7 'v t,.�W' i-""'� ..a`-._. warn pipiagtJDwv Sfx29
Address: s t V a Otter: 25.tu
CiryStadZJP. Subtotal
Phone:( ) Fax:( ) ---yyv Miniarrn permit Ire: 372.50
CCB 1JL 11� J Z � Plumbing lJc.no.: V to Pion review (15 of permit fee)
St"loathe/Se e/Se(1 TN
of permit lee)
Authorized signature: I OTAL PERMIT FEE
Print fume: ei1 � �7pw 7 I Per sppticat ill a noires permit is mot elwa{wd within IM dare
1 ,eL� Ifate: a -/ Mr es elm is kw Men staryW am umpleta.
l •FK oustusakkagy W b7 TO Cows BmSling ley Scnkx Doted.
Yrr,plia(PenwarP4nlPenuawa< t4414.01 40.1410(1441.01144.1riei)
CarnScanner
PIumbing Permit Application - City of Tigard
Page 2-Supplemental Information
Fee Schedule: Residential Fire Sup r ression Systems:
Site Utilities Qty. Fee(ea) Total Square Footage: Permit Fee:
Footing drain-1'WO' 50.03 0 to 2,0110 $12190
Footing drain-each additional 100' 37.52 2,00110 3,6600 S1E0.69
3,601 to 7,200 5233.20
Sewer-1st 100' 62.54 7,201 and greater S32754
Sewer-cacti additional 100' 37.52
Water Service-1st 100' 62.54 Medical Gas Systems:
Water Service-cast additional 100' 37.52 Valuation: Permit Fee:
Storm&Rain Drain-1st 100' 62.54 S 1.00 to S5,000.00 Minimum fee S72.50
Storm&Rain Drain-each additional 100' . 37.52 $5,001.00 to S10,000.00 S72.50 for the lust S5,000.00 and 51.52 far
Qty. Fee(N) Total each additional S100.00 or fraction thereof,to
Other Inspections or Feesand Including S10,000.00.
Inspection of existing plan _bing or for S10,W 1.00 to 525,000.00 $14850 for the fast 510,000.00 and S 154 for
which no fee is specifically indicated 90.00/hr each additional S100.00 or fraction thereof,to
(minimum charge-1R buc) and including 525.000.00.
hsspemwa outside of menial bhp 90.00/hr S25,001.00 to S50,000.00 S37950 for the first S25,000.00 and S1 A5 for
hours(minimum charge-2 bouts) each additional$100.00 or fraction thereof,to
Rtinspecum Fees 90.001hr and including S50,000.00.
Additional plan review krs revision 90.03,hu S50,001.00 and up $742.00 for the fuse S50,030.00 and S120 for
each additional S100.00 or fraction thereof.
(minimum charge--112 Mac)
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
Quantii by Fixture Type Plan review is required for any of the following.
Future Type for Replace, Please check all that apply.
Work Performed: - Capped Add Macao ❑ Any new commercial building with water service 2"and
Baptistry/Font greater,except systems designed and stamped by licensed
Badr TuldSMwer `- engineer.
-.1anizzi,Whirlpool 0 New exterior plumbing site utilities for any complex stnshue
Car Waste -Fad)Stall as defined in 1:AR918-780-OO4O.
-Drive Thry ❑ Medical gas and vacuum systems for health care facilities-
CospidodWater Aspirator , 0 Any multipurpose foe sprinkler system.
Dishwasher -Commercial . 0 Any complex structure as defined in OAR918-780.0040_
-Domestic I
Drinkiug Fousuain Submit g sets of plans with any of the above.
Eye Wash
Floor Dtai let„lc -2- 1
3^ Isometric or Riser Diagram
-4- ❑ Isometric or riser diagram is required for new buildings
-Car Wash Drain that meet the qualifications above.
Garbage -Domestismr-food I
Disposal: -Domenic' food related
-Commercial food related
-Industrial food related Comments regarding fixture wok:
Ice MacthJRefrig.Drains t/ ( l `.
Oil Separator(Gas Station) VI-Yr 1 (-NC-t,-."-r( 1 ;U- t�
Rec.vehicle Dump Station .�.1\
Shower. -Gang
-Stall
Side -lav/Ba ono-food related -15
-Bradley
.:om/Sev/Util food related
-Service 'Note: If the fixture work under this permit results in an
Swimming Pool Filter increase of sewer ED Us,a sewer permit will be issued and
Washer-Clothes I fees acsecced for the sewer increase must be paid before the
Water Extractor Water Closet-Toilet plumbing permit can be issued.
Urinal
Other Fixtures:
l:iBuildinglPermitAAPLMP.YermitApp.doc 08/04/2011 2
CS CamScanncr
Accumulative Sewer Tally
11111 • Tenant Name: Homestead Commons Apartments SWR# 2023-00338
Site Address: 14148 SW Driftwood PLM# 2023-00436
'PIGAIEi)
Parcel#: 2S111 BB01301
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
Dishwasher: -Commercial 4 0 0 0 0 0
-Domestic 2 0 0 0 0 0
Drinking Fountain 1 0 0 0 0 0
ISve 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 3/4 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 0 0 0 0
-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 0 0 1 2 1 2
Current Fixture Value 2 divided by 16= 0.125 Current EDU I EDU= $6,824.00
Previous Fixture Value 0 divided by 16= 0.000 Previous EDU
Change 2 divided by 16= 0.125 over (under) $ 887.12
Enter EDU Change Here 0.130
*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 2673 Date: 10/10/2023
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:\Building\Sewer Tally\SewcrTally Sheet_6625_070122.xlsx