Permit (17) CITY OF TIGARD PLUMBING PERMIT
l ® COMMUNITY DEVELOPMENT Permit#: PLM2023-00308
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 9/7/2023
Parcel: 2S 101 BA00500
Jurisdiction: Tigard
Site address: 7600 SW DARTMOUTH ST
Project: Walmart Subdivision: HERMOSO PARK
Lot: 8
Project Description: Site utilities fora 5,050 sq.ft.addition and TI:(5)catch basins,(1)manhole, 173 ft.of sanitary sewer,and 354 ft.
of storm sewer.
Contractor: DEACON CONSTRUCTION LLC Owner: WAL-MART REAL ESTATE BUSINESS TRUST
901 NE GLISAN ST STE 100 ATTN PROPERTY TAX DEPT
PORTLAND, OR 97232 PO BOX 8050 MS 0555
BENTONVILLE,AR 72716
PHONE: 503-297-8791 PHONE:
FAX:
FEES
Quantity Description Date Amount
5 ea Catch Basin or Area Drain 08/16/2023 $93.80
Specifics: 1 ea Manholes 08/16/2023 $18.76
173 If Sanitary Sewer 08/16/2023 $100.06
Type of Use: COM 354 If Storm Sewer 08/16/2023 $175.10
Class of Work: ALT
1 Plan Review 08/16/2023 $96.93
Type of Const:
1 12%State Surcharge- 08/16/2023 $46.53
Occupancy Grp: Plumbing
Stories:
Total $531.18
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 is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to"foll the rules adopted by the Oregon
Utility Notification Center. rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. Yoi may lain a copy of the rules
Issued By: // • Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available iOpection date.
This permit card shall be kept in a conspicuous place on the job sit `until completion of the project.
Approved plans are required on the job site at the ti of each inspection.
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:
O to 2,000 $121.90
Footing drain-1 100' 50.03 2,001 to 3,600 $169.69
Footing drain-each additional 100' 37.52 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$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
each additional$100.00 or fraction thereof,to
s OC Fees Q(3- Fee(ea) Total and including$10,000.00.
i:Other,Insptn plumbing
r .F. .s,
Inspection of existing plumg 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 S1.45 for
hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to
Reinspection Fees 90.00/hr and including$50,000.00.
$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$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*.Quantity by Fixture Type Plan Review for Plumbing Installations
_..__..
Fixture Type for Replace/
Work Performed: Capped Added Relocate P
lan review is required for any of the following.
Please check all that apply.
Baptistry/Font ❑ Any new commercial building with water service 2"and
Bath -Tub/Shower greater,except systems designed and stamped by licensed
-Jacuzzi/Whirlpool engineer.
Car Wash -Each Stall ❑ New exterior plumbing site utilities for any complex structure
-Drive ohru as defined in OAR918-780-0040.
Di Cuspidor/Water Comma ❑ Medical gas and vacuum systems for health care facilities.
Dishwasher -Commercial ❑ Any multipurpose fire sprinkler system.
-Domestic El 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"
-4" Isometric or Riser Diagram' '
Car Wash Drain ❑ Isometric or riser diagram is required for new buildings
Garbage -Domestic-non-food that meet the qualifications above.
Disposal -Domestic-food related
-Commercial-food related
-Industrial-food related
Ice Mach./Refrig.Drains Comments regarding fixture work:
Oil Separator(Gas Station)
Rec.Vehicle Dump Station
Shower -Gang
-Stall
Sink!Lav -Non-food related
-Bradley
-Commercial-food related
-Service
Swimming Pool Filter *Note: if the fixture work under this permit results in an
Washer-Clothes increase of sewer EDUs,a sewer permit will be issued and
Water Extractor fees assessed for the sewer increase must be paid before the
UWater rinal loser-Toilet plumbing permit can be issued.
Urinal
Other Fixtures:
l:\Building\Permits\PLMU_PermitApp.doc 2