PLM2022-00421 CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2022-00421
Date Issued: 9/12/2023
TWA GA Ft 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 1S136DD03100
Jurisdiction: Tigard
Site address: 6835 SW CLINTON ST
Project: Dartmouth Crossing Apartments Subdivision: DARTMOUTH CROSSING Lot: 22
Project Description: Interior plumbing for a new 4-story apartment building with plaza.
Contractor: TAPANI PLUMBING Owner: REACH COMMUNITY DEVELOPMENT INC
PO BOX 2350 4150 S MOODY AVE
BATTLE GROUND, WA 98604 PORTLAND, OR 97239
PHONE: 360-687-3983 PHONE:
FAX: 360-687-4494
FEES
Quantity Description Date Amount
6 ea Rain Drain Connector 09/07/2023 $112.56
Specifics: 3 ea Backflow Preventer 09/07/2023 $93.81
20 ea Clothes Washer 09/07/2023 $500.40
Type of Use: COM 86 ea Dishwasher 09/07/2023 $2,151.72
Class of Work: NEW 1 ea Drinking Fountain 09/07/2023 $25.02
Type of Const: 2 ea Ejectors/Sump 09/07/2023 $50.04
Occupancy Grp: 4 ea Expansion Tank 09/07/2023 $50.04
Stories: 18 ea Floor Drain/Floor Sink/Hub 09/07/2023 $450.36
13 ea Hose Bib 09/07/2023 $325.26
7 ea Primer 09/07/2023 $87.57
9 ea Roof Drain(Commercial) 09/07/2023 $112.59
196 ea Sink 09/07/2023 $4,903.92
92 ea Tub/Shower/Shower Pan 09/07/2023 $1,150.92
97 ea Water Closet 09/07/2023 $2,426.94
9 ea Water Heater 09/07/2023 $337.68
100 Misc Other Fee 09/07/2023 $100.08
Total $17,644.11
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 f the rules
c` " � 7�
Issued By: — Permittee Signature:
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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.
► -
t Plumbing Permit Application ' / , - . ,
Building Fixtures RECEIVED FOR OFFICE USE ONLY
4 Received 7 r 20�� ZI
4 202t DR eBy:/0/3.2022 .J' Permit No.:
City of Tigard T �y�
• 13125 SW Hall Blvd.,Tigard,OR 97223 OCT Q plan Review /� Other Permj ���-W)77
1 i Phone: 503.718.2439 Fax: 503.598.1960 Date/By:By: fa 30 ZUZZ(kJ�
Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready By Q� kris: I ® See Page 2 for
�;TIGARD BUILDING DIVISION Notified/Method:`/l,1)3 `-r, Supplemental Information
,,,, Interact: www.tigazd-or.gov f
TYPE OF WORK
FEE* SCHEDULE
„AC v
_®New construction El Demolition or special information use checklist
Description I Qty. I Ea I Total
❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70437 78
ID 1-
(2)bath 1-and 2-family dwelling IE Commerciallindustrial 500.32
SFR(3)bath
❑Accessory building 0 Multi-family Each additional bath kitchen 25.02
❑Master builder 0 Other: Fire sprinkler(_sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Catch basin or area drain 18.76
Job site address: 6835 SW Clinton Street Drywell,leach line,or trench drain 18.76
City/State/ZIP: Tigard. OR 97223 Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: I Project name: Dartmouth Crossing Manufactured home utilities 50.03
Manholes 18.76
Cross street/directions to job site: 18 76
North of SW Clinton Street between SW 68th & SW 69th Rain drain connector
Sanitary sewer(no.linear ft.: Page 2
Avenues Storm sewer(no.linear ft.: ) Page 2
BLDG PERMIT BUP2022-00177 Water service(no.linear ft.:_) Paget
Subdivision: is
i 34,0D0314)0 1 Lot no.: Fixture or item:
Backflow preventer 3 31.27
Tax map/parcel no.:WGTM t S136DD.Tax lots 2600.3001,3100(Land Use file LLA2021-00007) Backwater valve 12.51
DESCRIPTION OF WORK Clothes washer 20 25.02
New 4 story muit_tamily affordable housing, 85 apartments Dishwasher 86 25.02
Drinking fountain 1 25.02
Ejectors/sump 2 25.02
tiO PROPERTY OWNER 1 0 TENANT
Expansion tank 4 12.51
Fixture/sewer cap 25.02
Name: REACH CDC Floor drain/floor sink/hub 15 25.02
Address: 4150 SW Moody Ave Garbage disposal 25.02
city/state/zIP:Portland, OR 97239 Hose bib 13 25.02
12.51
Phone:(503)231 0682 Fax:( ) Ice maker
1:1 APPLICANT 0 CONTACT25.02
PERSON Interceptor/grease trap Medical gas(value:$ ) Page 2
Business name:Tapani Plumbing. Inc Primer 7 12.51
Contact name: Jacgui Cockerill Roof drain(commercial) 9 12.51
Address:2103 SE 12th Avenue Sink/basin/lavatory 196 25.02
city/stare/ZIP Solar units(potable water) 62.54
:gattle Ground WA 98604 lzsl 92
Phone:(360)687 3983 Fax::(360)687 4494 Tub/shower/shower pan 12.51
Urinal
02
E-maa:jacquic@tapaniplumbing.com Water closet 97 25.02
CONTRACTOR Water heater 9 37.52
Business name: Tapani Plumbing, Inc Waterpiping/DWV 56.29
Address: 2103 SE 12th Avenue Other: 25.02
554 Subtotal
City/State/ZIP: Battle Ground, WA 98604 Minimumpelmitfee: $7 al
Phone:(360)687 3983 Fax:(360)687 4494 Plan review (25%of permit fee)
CCB Lie.: 60958 Plumbing Lic.no.:37-269 P B State surcharge(12%of permit fee)
TOTAL PERMIT FEE I
Authorized signature:
I of U Iaoa a This permit application expires if a permit is not obtained within 180 days
1 Print name:Jacqui ockerill Date: after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
t':Buildineermits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB)
/ ,
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Site Utilities 1.44.= Qty. Fee(ea) Total Square Footage: Permit Fee:
Footing drain-1"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
Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to
Other Inspections 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 fast$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
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*. Plan Review for Plumbing Installations
Quantity by Fixture Type Plan review is required for any of the following.
Fixture Type fur 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/Whiripool D New exterior plumbing site utilities for any complex structure
Car Wash: -Each Stall as defined in OAR918-780-0040.
-Drive Thru ❑ Medical gas and vacuum systems for health care facilities.
Cuspidor/Water Aspirator
Dishwasher. -Commercial ❑ Any multipurpose fire sprinkler system.
-Domestic
❑ Any complex structure as defined in OAR918-780-0040.
Drinking Fountain Submit 2 sets of plans with any of the above.
Eye Wash
Floor Drain/sink: -2"
3„ 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)
Rec.Vehicle Dump Station
Shower. -Gang
-Stall
Sink: -Lav/Bar non-food related 1
-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 - City of Tigard e
Page 2 - Supplemental Information r
Fee Schedule: Residential Fire Suppression Systems:
a) Total Fe
e ee(e Square Footage: Perml ,Fee:
Site Utilities 9 g ' `
Footing drain-1"100' 50.03 0 to 2,000 $121 90
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 S stems:
Water Service each additional 100 37.52 tj'y'it.;..„iit`- :�� rg !-r!.'.'= M2 .F,.'4'
Storm&Rain Drain-1st 100' 62.54 $1.00 to$5,000.00 Minimum fee$72.50
Stone&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
Qty. Fee(ga Totat each additional$100.00 or fraction thereof,to
jrl_e InspectlORS.Or CCS w'.: 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 90.00/1v 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
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*. Plan Review,for Plumbing,Ing*a11ations ,5;
•
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 i,;+ engineer.
-Jacuzzi/Whirlpool D New exterior plumbing site utilities for any complex structure
Car Wash: -Each Stall as defined in OAR918-780-0040.
-Drive Thru ❑ Medical gas and vacuum systems for health care facilities.
Cuspidor/Water Aspirator ❑ Any multipurpose fire sprinkler system.
Dishwasher: -Commercial ❑ Any complex structure as defined in OAR918-780-0(140.
-Domestic $I,
Drinking Fountain Submit 2 sets of plans with any of the above.
Eye Wash
Floor Drain/sink: -2" ii
3" 'Li Isometric or Riser Diagram •
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 Comments regarding fixture work:
Ice Mach./Refrig.Drains
Oil Separator(Gas Station) �dr 41asf2 = /- FkorSih if-Po'-
Rec.Vehicle Dump Station L. uie,• I}2aif<r (claw of f
Shower: -Gang �1
-Stall /- 3�f1ae Sink •fd� RP &,r.k .f/CwtLe.j,-s clr&ivk
Sink: -LavBar non-food related 19�
-Bradley
-Com/Serv/Util food related
-Service 3 *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 ao fees assessed for the sewer increase must be paid before the
Water Extractor plumbing permit can be issued.
Water Closet-Toilet q 9
Urinal
Other Fixtures:
l:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2
111 . Accumulative Sewer Tally
Tenant Name: DARTMOUTH CROSSING SWR# 2023-00002
Site Address: 6835 SW CLINTON STREET PLM# 2022-00421
TIGARD
Parcel#: 1S136DD03100
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 85 1360 85 1360
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 85 1360 85 1360
Current Fixture Value 1360 divided by 16= 85.000 Current EDU 1 EDU= $6,625.00
Previous Fixture Value 0 divided by 16= 0.000 Previous EDU
Change 1360 divided by 16= 85.000 over (under) $ 563,125.00
Enter EDU Change Here 85.000 *
*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: 1/4/2023
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\SewerTallySheet_6625_070122.xlsx