Permit CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2023-00380
Date Issued: 9/21/2023
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 1 S133AC14500
Jurisdiction: Tigard
Site address: 13285 SW HAWKS BEARD ST
Project: Sygnii Subdivision: HAWKS BEARD TOWNHOMES Lot: 63
Project Description: Interior plumbing for TI:Add(2)tubs,cap(1)sink and(2)water closets.
Contractor: MD PLUMBING LLC Owner: SYGNII HB 1 LLC
939 SW WILLOW CREEK DR BY WATT PROPERTIES INC.
BEAVERTON, OR 97006 2716 OCEAN PARK BLVD STE 2025
SANTA MONICA, CA 90405
PHONE: 503-267-3914 PHONE:
FAX:
FEES
Quantity Description Date Amount
2 ea Tub/Shower/Shower Pan 09/14/2023 $25.02
Specifics: 1 12%State Surcharge- 09/14/2023 $8.70
Plumbing
Type of Use: COM 47 ea Minimum Fee Adjustment- 09/14/2023 $47.48
Class of Work: ALT Plumbing
Type of Const:
Occupancy Grp:
Stories:
Total $81.20
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. T e rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. (You may obtain a copy of the rules
•
Issued By: M'rnslIV
1:
1 Permittee Signature: \ tL � /�yt
/( t i
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.
Ptambin_Per'wtit .k pticatmn - City of Tigard
Paler : - Supplempeittil loft ittatir t lgi 8 a3SR
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Fee Scbediak: Rrsidentiai Fire cu�pre inn S�'si ins:
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Twat
!Site Utilities 1 c>c � t Square Ftxita�e,• _ Permit Fee•
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neTae arum•earl as=Naa I:- - --• - ._ S 1 CO ru-
�.n'; a�'.\tit Sii_p --- -- .. --
• Sew-caitasatii'fa:-
1 `'Q vice- taf- °=" , Medical Gas Systems:
`"a'Q'�= •'a x I-1 aluation• Permit Fee:
t:�
SarezA]tit:>ca- 's 'X' S: 0.)a•55.N000 MinimumivS '50
Siam fi fs=Wiz--,,,,...1.a7�*�,ai 't\' .-.-- 5.:,,iY'•iV:o S 10,000.00 S-2.50 for the first S5,000.00 and SI.52 fix -
OtkT Inspections or FeesQt.. Meal T. each additional 5l t><l al or via non thereof.to
Y Y_'1: -_ .T RT ; and including S10.000.00.
- I ; S10.001.00 to V. ,000.00 Sl4S 50 for the first S I0,000.00 and St s-1 for
.ks.e :. __._ 1 aln.tt
eadh additional S100.00 or traction thereof,to
tt®on we-; 'N`�‘ and including S25,000.00.
'=-.- dte .N'r-i -nc�s OO b- S��,OOIOp IO SS0.0t10110 S_iv,t t
the, ( t for lost S_s,000.00 and S1,45 for
bagni=iorhours` '— =�R-'xx:.. each additional 5100.00 or fraction thereof,to
' R�� :e:ees 1 .xv_m br
' t S_SO-fOI.ODaid and;ixhadmgS50,000.00.
moo:pts Terra kir rrecocas I •201.1 erg` S 4_-00 for the fist S50.000.00 and S1.20 for
_____rs doer-;=pa' I each additional 5I00.00 or fraction thereof.
SaWrat
Commercial Fixture Rork:
Are you capping.adding or replacing fixtures? If"yes-.
please indicate work performed by fixture. Failure to
accurately report futures could resuh in increased sewer fees*. Plan Review for Plumbing Installations
Quantity by Fixture Type Plan review is required for any of the following.
Floe Type fat Replace' Please check all that apply.
Work Perfume& Capped Added Iteirate y'
�� Fct 0 Any new commercial building with water service 2"and
Bain - gabs �� greater,except systems designed and stamped by licensed
-d,�,�yt l engineer.
Car µ Stall ❑ New exterior plumbing site utilities for any complex structure
pnve�„ as defined in OAR918-780-0040,
Cuspidor A'.:ex Aspirator ❑ Medical gas and vacuum systems for health care facilities.
Dishwasher. -Commercial 0 Any multipurpose fire sprinkler system.
Ibmz2ic ' 0 Any complex structure as defined in OAR918-780-0040.
Dorking Fountain
Eye Wash , Submit 2 sets of plans with any of the above.
Floor D ruia'rink: -2" 1
=4 1 Isometric or Riser Diagram
Car wash Drain 0 Isometric or riser diagram is required for new buildings
Crarbage -Domestic non-food that meet the qualifications above.
Disposal -Domestic food related
Commercial food related
-Industrial food related
Ice Mach/RefriS•Drains Comments regarding fixture work:
Oil Separator(Gas Station) •
Rec.Vehicle Dump Station
Shower. -Gang
-Stall
Sink: -Lav/Bar non-food related i -
-Bradley
-Com/Serv/Util 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
Water Closet-Toilet plumbing permit can be issued.
Urinal
Other Fixtures:
islBuildinglpertnitslPLNIF_PermitApp.doc 08/04/2011 2
Plumbint Permit Apulicati ECEIVED
Building Fixtures
kr.n.ed -
City of Tigard 3 0 2023 , ,,a3 rt1a �00 3
Ill w 13125 SW Hail Blvd-Tigard.OR 97223 AUG Ilan Kr.,er 7
• ' Phone: 503.718.2439 Fax: 503 5911.1960 `(Lee tn. r�y 3- oc.?--) L
! I, A r n Inspection Line: 503.63Q 4175 CITY OF TIGARD 1).11.N..-'mh IN ,mw B See Piste 2 for
Internet: wva.t'ga TYPE OF WO tNG DIVISION hMtl4r1.\Ie1Md 14 Su Irmrot,,luformar/ea
(elq 72retI4EE• SCHEDULE
❑New construction 0 Demolition For'pedal information age checlR.¢ -
Dcsrtpuon -L V' iv
Addition/aheration'teplacemem 0 Other New 1-2-family dwellings(includes 1tei ft for each unlit connection/
CATEGORY OF CONSTRUCTION SFR(I)bath 3122.70
ElI-and 2-family dwelling „Ff CommerciaVindustrial SFR(2)bath 437 7850132
SFR(3)bath
❑Accessory building 0 Multi-family 25.02
Each additional bath/kitchen
❑Master builder 0 Other. Fire sprinkler(_sq.ft.) Page 2
JOB SITES INFORMATION AND LOCATION Site utilities:
Job site address: ` 3?x 3 ) S 1+�lSO/�l Catch basin or area drain 18.76
pt.�, � � !./""^� - Orywell,leach line,or trench drain 18.76
City/State/ZIP: t lS kC -J (.9 2 3 Footing drain(no.linear ft.: 1 li
Page 2
SuitelbldgJapt.no.: Project name: Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
tRain drain connector 18.76
�/L.c Sanitary sewer(no.linear ft.: 1 Page 2
Storm sewer(no.linear ft.: ) Page 2
Water service(no.linear ft.:-1 Page 2
Subdivision: Lot no.: Fixture or item:
Backflow preventer 31.27
Tax map/parcel no.: 12.51
DESCRIPTION OF WORK Backwater valve
Clothes washer 25.02
Dishwasher 25.02
14.4019. k,V) I r�ll Ct J £s (Y Dtinldng fountain 25.02
25.02
'f l Ejectors/sump
❑ PROPERTY OWNER I ❑ TENANT Expansion tank 12.51
SN/(C�N t 1 C.D f5 Sf�' Fixture/sewer cap 25.02
Name: /"
2 2ig5 �,Q W es isI-A'� + Floor dge dispoorsal
sink/hub 25.02
Address: q S Garbage disposal 25.02
City/State/ZIP: '�`I(-Pr(Zp O I 2 33 Hose bib 25.02
Phone:( ) Fax:( ) Ice maker 12.51
❑ APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02
M p r7 L.)Wl 61 h r_ Medical gas(value:$_) Page 2
Business name: s t5 Primer 12.51
Contact name: / t_t/ �C Roof drain(commercial) 12.51
Address: 9 3 41 rji0 to ( ((( -
L„ L 0 t�O t�IZ &V-- Di- Sink/basin/lavatory `. 25.02
City/State/ZIP: 13 `�' -7-`" �/ L'I 003 Solar units(potable water) 62.54
�7 �y12.51 G6f I,),'
Phone:( ell ) Gib 7 i C Fax::( ) Tub/shower/showerpsn Urinal 25.02
E-mail: � * �� Water closet 25.02
lr_eaCONTRACTOR Water heater 37.52
t
Business name: y/� C�/ �- Water pipingJDWV 56.29
Address: • 9.- (r�/ W r tt 1 DO) aser L. •f r Other: 25.02 }�
ili
City/State/ZIP. �wy1 �� 7�:U`�7 Subtotal j�► .v
Fax: )
Minimum permit fee: $72.50 12 r ,
Phony(y0 ) 7 ?j `� y
Plan review (25%of permit fee) •
Lie.: Plumbing Lie.no.: V
tk
C460 S {�k3[53 0
t�. 3 �� --.----- � State surcharge(12/°of permit fee) • t
1 rg
Authorized signature: TOTAL PERMIT FEE
J
[Print name: •c Date: 9 This permit applicadon expires if a permit is not obtained within . dos after it has been accepted as compkte.
*Fee methodology set by TO-County Building Industry Service Board.
I 0.mswigueawiulPLAW-ParaaApp.doc 10101/09 440A616T(10N2/COM/WFB)
I.
Accumulative Sewer Tally
111111 C ' Tenant Name: Sygnii ow 03 7. t'R# 2023 00277
Site Address: 13285 SW I lawks Beard PLM# 2023-00380
TIGARD
Parcel#: 1S133AC14500
Fixture Previous Previous Credits Capped Fixture Fixture New New
# value count capped#s value count added# added value total#s total values
Baptiserv/Font 4 0 0 0 0 0
Bath: -Tub/Shower 4 0 0 2 8 2 8
-Jacuzzi/Whirlpool 4 0 0 0 0 0
Car Wash: -I?ach 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 0 0 0 0
Floor Drain/Sink: -2 inch 2 0 0 0 0 0
-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 3/411P) 16 0 0 0 0 0
-Commercial(to 5 HP) 32 0 0 0 0 0
-Industrial(over 5 I IP) 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 1 2 0 -1 -2
-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 2 12 0 -2 -12
Urinal 6 0 0 0 0 0
Previous EDU Count 0 0
i
Capped EDU Credit 0 I
TOTALS 0 0 3 14 2 8 -1 -6
Current Fixture Value -6 divided by 16= -0.375 Current EDU 1 EDU= $6,824.00
Previous Fixture Value 0 divided by 16= 0.000 Previous EDU
Change -6 divided by 16= -0.375 over (under) S (2,593.12)
Enter EDU Change Here -0.380
*Round 1;DUs 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:Created SWR2023-0027 based on first application,then a revised app was submitted on 9/8/23 with sewer tally seen here.SWR2023-00277 VOIDED.
Authorized Name/Signature:Joe Bailey EXT 2763 Date: 9/11/2023
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:A Building\Sewer Tally\Sewer t allyShect_6625_070122.xlss
Accumulative Sewer Tally
ill C " 'Tenant Name Sygnii SWR# 2023-00277
Site Address: 13285 SW Hawks Beard PLM# 2023-00380
TIGARD
Parcel#: 1S133AC14500
Fixture Previous Previous Credits Capped Fixture Fixture New New
# value count capped#s value count added# added value total#s total values
Baptiscry/Font 4 0 0 0 0 0
Bath: -Tub/Shower 4 0 0 2 8 2 8
-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 0 0 0 0
Floor Drain/Sink: -2 inch 2 0 0 0 0 0
-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 5 111') 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 0 0 0 0
-Bradley 5 0 - 0 0 0 0
-Com/Scrv/Util-Food Related 3 0 1 3 0 -1 -3 I
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 I1DU Count 0 0
Capped MU Credit 0
TOTALS 0 0 1 3 2 8 1 5
Current Fixture Value 5 divided by 16= 0.313 Current ISDU 1 EDU= $6,824.00
Previous Fixture Value 0 divided by 16= 0.000 Previous EDU
Change 5 divided by 16= 0.313 over (under) S 2,115.44
Enter EDU Change Here 0.310
*Round I?DUs 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: 8/30/2023
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.
1:A Building\Sewer Tally ASewed'allySheet_6625_070122.x1sx