Permit (5) CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2021-00197
TIGAR.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 5/11/2021
Parcel: 1 S136DD05300
Jurisdiction: Tigard
Site address: 11850 SW 67TH AVE, STE#110
Project: Thrive Athletics Subdivision: WEST PORTLAND HEIGHTS Lot: 9
Project Description: Interior plumbing for TI:Adding (4)sinks and(1)water closet; Replacing(1)sink.
Contractor: DP PLUMBING INC Owner: PNWP LLC#2
15825 NE SPRINGBROOK PNWP LLC
NEWBERG, OR 97132 6600 SW 105TH AVE#175
BEAVERTON, OR 97008
PHONE: 503-537-9492 PHONE:
FAX:
FEES
Quantity Description Date Amount
5 ea Sink 05/10/2021 $125.10
Specifics: 1 ea Water Closet 05/10/2021 $25.02
1 12%State Surcharge- 05/10/2021 $18.01
Type of Use: COM Plumbing
Class of Work: ALT
Type of Const:
Occupancy Grp:
Stories:
Total $168.13
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
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
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.
Plumbing Permit Application
`� _ , 123
Building Fixtures RECEIVED _ FOR OFFICE USE ONLY
City of Tigard Received ///JJJ
APR 2 3 2021 Date/By: $77 i Permit No.: v /yt )
• 13125 SW Hall Blvd.,Tigard,OR 97223 y' /� ty7!!! I t ,
Phone: 503918.2439 Fax: 503.598.1q6p,� Plan Review
el I Y OF TIGARD Date/By:
�� Other Perm No.:�J.o�.1]/�a`'��7
Inspection Line: 503.639.4175 age 2_LL//LLPP V
TIGARD Date Ready/By. Atria. ® See Page2for
Internet: www.tigard-or.gov t 1 Notified/Method 1A.
1!I lot, �4 ,'_' /,/ 1+ Supplemental Information
TYPE OF WOR ,4 .- y `;' 3`. EDULE
For special,njormation use checklist.
❑New construction 0 Demolition
- Description Qty, I Ea. I Total
l Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
0 1-and 2-family dwelling ®Commercial/industrial SFR(2)bath 437.78
ElAccessory building El Multi-familySFR(3)bath 500.32
Each additional bath/kitchen 25.02
❑Master builder ❑Other:
Fire sprinkler( sq.ft.) Page 2
OB SITE INFORMATION/ AND LOCATION Site utilities:
Jobsite a/Z PSsTI h l!is?) rSt.� to 74J� Catch basin or area drain 18.76
y Tigard, OR Drywelk leach line,or trench drain 18.76
Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.:11 0 I Project name:Thrive +Ated-i-S Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.: ) Page 2
'� Storm sewer(no.linear ft.: ) Page 2
Water service(no.linear It:_) Page 2
Subdivision: I Lot no.: Fixture or item:
Tax map/parcel no.: (S t 3 CP /11)6 3 3 w Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 25.02
Install plumbing for 5 sinks and 1 toilet Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
❑ PROPERTY OWNER ❑ TENANT Expansion tank 12.51
Name: Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address:
Garbage disposal 25.02
City/State/ZIP:
Hose bib 25.02
Phone:( ) Fax:( ) Ice maker 12.51
0 APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02
Business name: Medical gas(value:$_) Page 2
Primer 12.51
Contact name:
Roof drain(commercial) 12.51
Address: Sink/basin/lavatory 5 25.02 125.10
City/State/ZIP: Solar units(potable water) 62.54
Phone:( ) Fax::( ) Tub/shower/shower pan 12.51
E-mail: Urinal 25.02
Water closet 1 25.02 25.02
CONTRACTOR
Water heater 37.52
Business name:DP Plumbing Inc Water PP 1 mg/D WV 56.29
Address:15825 NE springbrook Rd Other: 25.02
City/State/ZIP:Newberg, OR 97132 Subtotal 150.12
Phone:( 5035197448 Fax:( ) Minimum permit fee: $72.50
Plan review (25%of permit fee)
CCB Lic.: 224685 ,L//,03 Plumbing Lic.no.:PB2171
Q- � / State surcharge(12%of permit fee) ,j$,ed- ix U I
Authorized signature:DaL�� �1 TOTAL PERMIT FEE ,$.671'
Print name: Darren Placek Date:04/14/2021 This permit application expires if a permit is not obtained within ISO days/ ��
after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
11Building\PermitstPLMU-PermitApp.doc 10/01/09 440-4616T(10/021COMM'EB)
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression S stems:
Site Utilities Qty. Fee(ea) Total Square Footage: Permit
Footing drain-l" 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 $5,001.00 to$I0,000.00 $72.50 for the first$5,000.00 and$1.52 for
Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to
Qt per. nspections 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'fii Plumbing InstallationM
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
® 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
❑ New exterior plumbing site utilities for any complex structure
Car Wash: -Each Stall as defined in OAR918-780-0040.
-Drive Thru
Cuspidor/Water Aspirator 0 Medical gas and vacuum systems for health care facilities.
Dishwasher:W -Commercial al ❑ Any multipurpose fire sprinkler system.
Commer ❑ Any complex structure as defined in OAR918-780-0040.
-DDrinking Fountain
Eye Wash Submit 2 sets of plans with any of the above.
Floor Drain/sink: -2"
3" Isometric or Riser Diagram
❑ 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 Adding 4 sinks with 1 existing.Adding 1 toilet.
Shower: -Gang
-Stall
Sink: -Lay/Bar non-food related 4 I [ ,Q
-Bradley •`\� >-C.r �i r rz.) ,�/1) 1 V"f
-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 1 plumbing permit can be issued.
Urinal
Other Fixtures:
I:1Building\Permits\PLMF_PermitApp.doc 08/04/2011 2
Branden Taggart
From: Branden Taggart
Sent: Monday, May 10, 2021 12:00 PM
To: dplumbingguy@gmail.com
Subject: RE:Thrive Athletics: PLM2021-00197 & SWR2021-00120 - 11850 SW 67th Ave
Attachments: Invoices.pdf
Daren,
The Plumbing and Sewer permits for Thrive Athletics are ready to issue now. I have attached invoices above for you to
reference, and the fees due are as follows:
Thrive Athletics
Permit# Fees Due
PLM2021-00197 $ 168.13
5WR2021-00120 $ 5,104.00
Total: $ 5,272.13
The above fees can be paid online now through our website: https://aca.accela.com/TIGARD/Default.aspx. From there,
click on the Building tab, enter the permit numbers in the Record Number field, and click Search. Once paid, please
notify us at tigardbuildingpermits@tigard-or.gov so that we may is issue the permits and email you the
paperwork. Please note that the fees for both permits will need to be paid before we can issue either of them.
Thank you,
Branden Taggart
11111 a. City of Tigard
. $. ,, Senior Permit Technician
Community Development
TIoriRD
13125.SW Hall Blvd
Tigard,OR 97223
(503)718-2449
brandent@tgard-or.gov
From: #Building Permit Technicians
Sent: Friday, May 7, 2021 11:21 AM
To: dplumbingguy@gmail.com
Cc:Tina Escalera <tinae@tigard-or.gov>
Subject: FW: Thrive - 11850 SW 67th Ave
Hi Darren,
We apologize, plans are not required for this scope of work. Regarding the address,The Building permit for Thrive is
located at 11850 SW 67`h Ave Suite 110 not 12115 SW 70`h Ave Suite 110. Also,you have (5) sinks listed on the first page
of the application, but (4) sinks listed on the second page. Are you replacing or relocating(1) existing sink? Please
confirm.
1
Thanks,
Branden Taggart
City of Tigard
._, Senior Permit Technician
Community Development
7WARD
13125 SW Hall Blvd
Tigard, OR 97223
(503)718•-2449
brandent@tigard-or.gav
From: Darren Placek<dplumbingguv@gmail.com>
Sent: Friday,April 23, 2021 12:10 PM
To:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Subject: Fwd: Thrive
Caution!This message was sent from outside your organization.
FYI
Forwarded message
From: Shannon Kluss<shannon@norwestgc.com>
Date:Thu,Apr 22, 2021, 4:46 PM
Subject: RE:Thrive
To: Darren Placek<dplumbingguv@gmail.com>
Cc: George Shrader<gshrader@norwestgc.com>
Darren,
See attached for revised plans.
Let us know if you need anything else from us for the permit.
Thank you,
2
Shannon Kluss
Project Associate
0 503.291.6986
shannon(Dnorwestgc.com • norwestqc.com
From: Darren Placek<dplumbingguv@gmail.com>
NORWEST CON
TRAC
ORS,INC. a BETTER FROM SMART TO FINISHSent:Wednesday, April 21, 20217:17 AM
To: George Shrader<gshrader@norwestgc.com>;
Shannon Kluss<shannon@norwestgc.com>
Subject:Thrive
Ya'll I need updated plans ASAP. The city is requiring this for processing my permit. Thanks
3