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Permit (14) CITY OF TIGARD SEWER CONNECTION PERMIT ' a.. COMMUNITY DEVELOPMENT Permit#: SWR2023-00104 Date Issued: 5/8/2023 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S101AB01605 Jurisdiction: Tigard Site address: 7460 SW HERMOSO WAY Project: Hermoso Apartments Subdivision: Lot: 10 Project Description: 38 EDU increase for a new mixed use apartment building. Contractor: Owner: HERMOSO BUILDING LLC&OREGON PO BOX 96 TUALATIN, OR 97062 PHONE: PHONE: FAX: FEES Description Date Amount Specifics: Sewer Connection Fee 05/08/2023 $251,750.00 Sewer Inspection-Commercial 05/08/2023 $45.00 Type of Use: COM Class of Work: NEW Install Type: Line Tap and Building Sewer Fixture Units: Number of Dwelling Units: 38 Total $251,795.00 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 ru s are set fort, in OAR 952-S s 1-0010 through OAR 952-001-0090. You may obtain a copy of the rules Issued By: ! Permittee Signature: ClJ 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. 1114 Accumulative Sewer Tally Tenant Name: HERMOSO APARTMENTS SWR# 2023-00104 TIGARD Site Address: 7460 SW HERMOSO WAY PLM# 2023-00064 Parcel#: 2S101AB01605 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 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 HP) 42 0 0 0 0 0 Ice Machine/Refrigerator Drain 1 0 0 0 0 0 Living Unit 16 0 0 38 608 38 608 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 38 608 38 608 Current Fixture Value 608 divided by 16= 38.000 Current EDU 1 EDU= $6,625.00 Previous Fixture Value 0 divided by 16= 0.000 Previous EDU Change 608 divided by 16= 38.000 over (under) $ 251,750.00 Enter EDU Change Here 38.000 * *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: BRANDEN TAGGART X2449 Date: 5/2/2023 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\SewerTallySheet_6625_070122.xlsx CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT Permit#: PLM2023-00064 Date Issued: 5/8/2023 T t G R:O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S 101 AB01605 Jurisdiction: Tigard Site address: 7460 SW HERMOSO WAY Project: Hermoso Apartments Subdivision: Lot: 10 Project Description: Interior plumbing for a new 34,524 sq.ft.mixed use building with 38 units. Contractor: SMITH CONTRACTING GROUP LLC Owner: HERMOSO BUILDING LLC&OREGON PO BOX 5243 PO BOX 96 SALEM, OR 97304 TUALATIN, OR 97062 PHONE: 971-600-5240 PHONE: FAX: FEES Quantity Description Date Amount 1 ea Backflow Preventer 05/08/2023 $31.27 Specifics: 38 ea Clothes Washer 05/08/2023 $950.76 38 ea Dishwasher 05/08/2023 $950.76 Type of Use: COM 1 ea Ejectors/Sump 05/08/2023 $25.02 Class of Work: NEW 38 ea Expansion Tank 05/08/2023 $475.38 Type of Const: 4 ea Floor Drain/Floor Sink/Hub 05/08/2023 $100.08 Occupancy Grp: 3 ea Hose Bib 05/08/2023 $75.06 Stories: 4 ea Primer 05/08/2023 $50.04 38 ea Sink 05/08/2023 $950.76 51 ea Lavatories 05/08/2023 $1,276.02 50 ea Tub/Shower/Shower Pan 05/08/2023 $625.50 51 ea Water Closet 05/08/2023 $1,276.02 39 ea Water Heater 05/08/2023 $1,463.28 1 Plan Review 05/08/2023 $2,062.49 1 12%State Surcharge- 05/08/2023 $989.99 Plumbing Total $11,302.43 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: Permittee Signature: 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. 0 Plumbing Permit Application Building Fixtures RECEIVED City of Tigard Received 14 al g Permit No.: 13125 SW Hall Blvd.,Tigard,OR 9722f B 2 7 2023 Date/By: d/).7/D1'5 - fi-IV?(90 3-0(3t)L,al Plan Review e Phone: 503.718.2439 Fax: 503.598.19 f�.4 Other Permit No.:3l. ]2) If,. Inspection Line: 503.639.4175 Date By: y- - Z 3 "tlt7�oh" (XV°1 TIGARD Date Ready/By: Ju is: ® See Page 2 for Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: q >�1 �,� � Supplemental Information ar % IlDING DIVISION , ice* scaEDV E po New construction ❑Demolition For special information use checklist. Description I Qty. I Ea. I Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) IC,A"t'EGORY OF LONSTRO nON , SFR(1)bath 312.70 ❑ 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 El Accessory buildingSFR(3)bath 500.32 '�]Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 70/""SnZ,INFWMA'11ON,AND"LOCA` ION" Site utilities: Job site address: (jL o C,,...3 r'I e- q l u 5.,�j Catch basin or area drain 18.76 l Drywell,leach line,or trench drain 18.76 City/State/ZIP: 7 l 44 ie D C(< t 1 7 Z Z Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: 11 Project name:HeQ,.,nc;o Ai2'L:.A"4( 4LI„l'7r'247ct c)".Manufactured home utilities 50.03 Cross street/directions to job site: rivyjsu . r- Manholes 18.76 CJ !-(Eta A4 c`>4) CO A Y 5 i.'-= 7 Z i'' A OE Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: I Lot no.: (,0 Fixture or item: Tax map/parcel no.: ,Z 5(Ca I A i o( 605 Backflow preventer j 31.27 3/ 3-7 Backwater valve 12.51 Clothes washer 3 25.02 gS C 76 fit_'i L,D i 1-J(7 1'f C 7"0(2 t> v1 5 JCC 1 V1 1C j) Ls->t 7 t( Dishwasher 3 25.02 c $L VC"K.✓Lt(r' i3(.617 2.w 2 e-c x x ()L Drinking fountain 25.02 3 T P ,. T3 Ejectors/sump ( 25.02 Z j(7 L fl ERn 1ZNAter Expansion tank 3s 12.51 `ir 7 t t Fixture/sewer cap 25.02 Name: F!ei; J✓tdci6 T4UILpi,i,e7 L(_L t Oe&CI0,41 Floor drain/floor sink/hub l.( 25.02 I 0 0'2 Address: Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 2.S "" Phone:( ) Fax:( ) Ice maker 12.51 A jc: 1 'A N"', Interceptor/grease trap 25.02 Business name: r'z pc-pc-4 A4 1 r> Medical gas(value:$ ) Page 2 Primer 4 12.51 50 Contact name: 64„q vpC-e Ile Roof drain(commercial) 12.51 Address: Sink/basin/lavatory O q 25.02 2, ZZ& - Cit City/State/ZIP: i t Y Solar units(potable water) 62.54 Phone:(c 3) tl/3 ._ ... Ei(t Fax::( ) Tub/shower/shower pan -TO 12.51 6 Zy y` E-mail: tSfq,�}t1Lc- F S 1ei� er,c Nt t75<e vM Urinal 25.02 " a. Water closet S 1 25.02 jZ7E °�- ` Water heater 3 g 37.52 l`(Z 5-. Business name: C;MI CatA�tac .it1c CjRou i 1 C. Water piping/DWV 56.29 Address: boy, t3243 1 ` Other: 25.02 City/State/ZIP: 1_ei- y ( .. cvl3cyvSubtotal ;='/t 2.LL Phone:( ) Fax: Minimum permit fee: $72.50 �.1.1 Geo. ( ) Plan review (25%of permit fee) CCB Lic.: 243252_ Plumbing Lic.no.:1:7i389 State surcharge(12%of permit fee) signature: _ / y TOTAL PERMIT FEE 'r "�-'- This permit application expires if a permit is not obtained within 180 days name: �liU�lf JZicl^vl�.;.C( �. �,` �/�� after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(I0/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 -Supplemental Information Fee Schedule: Residential Fire Suppression Systems. Site Utilities t 1. Total , Square Footage ge `. Permit e ,.. Footing drain-15t 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 4.4 Storm&Rain Drain-1st 100' 62.54 iaollauell: Kermit reer $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 Other -Otty ' each additional$100.00 or fraction thereof,to 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 !>r! 11�"� � r i , lk ` Qnxnity by Fixture Type Plan review is required for any of the following. ' Fixture Type for C�PP� AddedPlease check all that apply. Work Performed: 0 Any new commercial building with water service 2"and Baptistry/Font greater,except systems designed and stamped by licensed Bath: -Tub/Shower engineer. -Jacuzzi/Whirlpool ElCar Wash: -Each Stall New exterior plumbing site utilities for any complex structure as defined in OAR918-780-0040. -Drive Thai Cuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities. Dishwasher: Commercial ❑ Any multipurpose fire sprinkler system. D- omestic ❑ 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" Isometric or, ilsl' 1 4" 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 Ice Mach./Refrig.Drains Comments regarding fixture work: Oil Separator(Gas Station) Rec.Vehicle Dump Station Shower: -Gang -Stall Sink: -Lav/Bar non-food related -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 plumbing permit can be issued. Urinal Other Fixtures: I:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2 Plumbing Permit Application Building Fixtures FOR UFF►(I; 1'SII I/y1.1 City Tigard Tl and Received PlanRe Date/By: Permit No.: p 2.1 66 q 13125 SW Hall Blvd.,Tigard,OR 97223 a.l t��}d e Plan Review Phone: 503.718.2439 Fax: 503.598.1960 y `l_2/-2 G 2 3 Other Permit No.: Date/By: 16 A R p Inspection Line: 503.639.4175 Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE krNew construction 0 Demolition For special information use checklist. Description I Qty. I Ea. I Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ❑ 1-and 2-family dwellin SFR(2)bath 437.78 g ❑Commercial/industrial ['Accessory building ,Multi-family SFR(3)bath 500.32 Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: � cc) 1+ Catch basin or area drain 18.76 Job site address: t `� � l'lv MC w Drywell,leach line,or trench drain 18.76 City/State/ZIP: --I-i caS 0k. gj1t23 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: Project name: j..2V.,has( /1__"-, Manufactured home utilities 50.03 Cross street/directions to job site: Tf'a Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: I Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 3/.217 DESCRIIPTION OF WORK Backwater valve 12.51 +� Clothes washer 3 g 25.02 75(J g it -rr 9'fe V i c / p Iu wm/1 e�taj Jae J 8 &t.tl I ft Dishwasher 3e 25.02 5t51) t) Drinking fountain 25.02 6 Ejectors/sump / 25.02 of 5',ol. © PROPERTY OWNER 0 TENANT Expansion tank 3 e 12.51 915 3 Name: Fixture/sewer cap 25.02 Floor drain/floor sink/hub q 25.02 %d(jt(1 e Address: Garbage disposal 25.02 City/State/ZIP: Hose bib 3 25.02 rises() Phone:( ) Fax:( ) Ice maker 12.51 ❑ APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name: Medical gas(value:$ ) Page 2 Primer 12.51 SO,Ci' Contact name: Roof drain(commercial) 12.51 Address: (4 Sink/basin/lavatory p 25.02 4126.1e City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax::( ) Tub/shower/shower pan S 0 12.51 415r S C E-mail: Urinal 25.02 CONTRACTOR Water closet 25.02 (a9g,bi.. - Water heater -39 37.52 ;t/63,20 Business name: Water piping/DWV P WV 56.29 ig� Address: Other: 25.02 City/State/ZIP: Subtotal 4 J 4Qr IT Phone:( ) Fax:( ) Minimum permit fee: $72.50 Plan review (25%of permit fee) 10424 y 8 CCB Lic.: Plumbing Lic.no.: I State surcharge(12%of permit fee) /Kqq Authorized signature: TOTAL PERMIT FEE ,,'oo.y2 Print name: Date: This permit application expires if a permit is not obtained within 480 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\BuildingiPermits\PLMU-PermitApp.doc 10/01/09 440-4616T(I0/02/COM/WEB) t 0,v' 31 $;nksr 38 4, Plumbing Permit Application - City of Tigard Page 2 -Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities COY. Fee(eat) Total Square Footage: Permit Fee: Footing drain-1s`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$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 Other Inspections or Fees ' Fee� � Totaleach additional$100.00 or fraction thereof,to pand 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$100.00 or fraction thereof.Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. Plan Review for Plumbing Installations Quantity by Fixture Type Plan review is required for any of the following. Fixture Type for Replace/ Please check all that apply. Work Performed: Capped Added Relocate 0 Any new commercial building with water service 2"and Baptistry/Font greater,except systems designed and stamped by licensed Bath: -Tub/Shower SO engineer. -Jacuzzi/Whirlpool Car Wash: -Each Stall El New exterior plumbing site utilities for any complex structure as defined in OAR918-780-0040. -Drive Thru Wrator 0 Medical gas and vacuum systems for health care facilities. Cuspidor/Water AspiratorEl Any multipurpose fire sprinkler system. Dishwasher: Domestic 3 El Any complex structure as defined in OAR918-780-0040. Drinking Fountain Eye Wash Submit 2 sets of plans with any of the above. 4 Floor Drain/sink: -2" r 3" et Isometric;or Riser Diagram 4" 0 Isometric or riser diagram is required for new buildings -Car Wash Drain that meet the qualifications above. Garbage -Domestic non-food Disposal: -Domestic food related -Commercial food related -Industrial food related Ice Mach./Refrig.Drains Comments regarding fixture work: Oil Separator(Gas Station) s.»d.v.fc.t C s tti fe T. �� 'a hub c1 r tee.. f cr tP Rec.Vehicle Dump Station f z C+cl en S d_1`t t:%a.. Shower: -Gang �tJ -Stall t'- '3N l��,r dt-�.w.. r tYa$k ��r�sH Sink: -Lay/Bar non-food related ei a 3' C/,,v:- ,4 w J,:i.s .-cis 1a.Jr:.'t`a.r Ngc.1.-ar -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 3 4ti fees assessed for the sewer increase must be paid before the Water Extractor Water Closet-Toilet g j plumbing permit can be issued. Urinal Other Fixtures: I:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2