HomeMy WebLinkAboutPLM2024-00399 CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2024-00399
T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/10/2024
Parcel: 2S 115BA02500
Jurisdiction: Tigard
Site address: 16200 SW PACIFIC HWY S
Project: America's Best Contacts and Eyeglasses Subdivision: 2004-015 PARTITION PLAT Lot: 1
Project Description: Interior plumbing for TI:Capping(9)sinks and(2)water closets; Installing 30 ft.of sanitary sewer underground
piping only to new restroom.SEPARATE PERMIT IS REQUIRED FOR THE INSTALLATION OF PLUMBING
FIXTURES IN NEW RESTROOM.
Contractor: MSI MECHANICAL SYSTEMS INC Owner: SN PROPERTIES PARTNERSHIP
8295 NE EVERGREEN PARKWAY STE 201 1121 SW SALMON ST
HILLSBORO, OR 97124 PORTLAND, OR 97205
PHONE: 503-466-2222 PHONE:
FAX: 503-466-2211
FEES
Quantity Description Date Amount
30 If Sanitary Sewer 10/10/2024 $62.54
Specifics: 11 ea Fixture/Sewer Cap 10/10/2024 $275.22
1 12%State Surcharge- 10/10/2024 $40.53
Type of Use: COM Plumbing
Class of Work: ALT
Type of Const:
Occupancy Grp:
Stories:
Total $378.29
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.
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Plumbing Permit Applica 1VED
Building Fixtures y Me 1 oR urrir r I F ()NI
Cityof Tigard OCT Fd ZI,4$1 Received Permit No.: ^^ �„
Ilh ,- g Date/By: to l� .Il"t, d/,�-- / �'1 % Qt _ .��
13125 SW Hall Blvd.,Tigard,OR 97 -y ( "✓//
Phone: 503.718.2439 Fax: 503.59i10 OF TIGARD Plan Review
/�A4
ilikf Other Permit No.:n /�;}�! y��1!'",�
Inspection Line: 503.639.4175 BUILDING !DIVISION Date Ready/By: luny Ed sec Page 2 for L��
Internet: www.tigard-or.gov Notified/Method: b Supplemental Information
TypE kw W
0 New construction 0 Demolition For special information use checklist
Description I Qty. I Ea. I Total
►IAddition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONETRUCTRIN SFR(1)bath 312.70
❑ 1-and 2-family dwelling pCommercial/industrial SFR(2)bath 437.78
11 SFR(3)bath 500.32
❑Accessory building 0 Multi-family
Each additional bath/kitchen 25.02
❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2
SITE"11 FORATATOON 7" Site utilities:
'::7:'::::,,,
� 'A , �r. Catch basin or area drain 18.76
Job site address: 1, L ZOC� D vV .5c- r . h� ( �jt(
City/State/ZIP: -1-14\�,i kC ' O �` C/"7 1 'I ' FootingDrowe drain
line,linear trench drain 1 ge 2
�"' drain(no. ft.:_) Page 2
Suite/bldg./apt.no.: Project name: !. J /QJ f /--,f..,-, Manufactured home utilities 50.03
Cross street/directions to job site: G_.�c9t scy-c-j'. Manholes 18.76
® Rain drain connector 18.76
r f _ (_:‘,/,:✓ Sanitary sewer(no.linear ft.: ,3 ) t Page 2 cri.czi
eivf,) ` ,,,i , „,h,. - Storm sewer(no.linear ft.:_) Page 2
f eA..) /)/V U'/ ' "�
etc) k.h...ne . Water service(no.linear ft.:_) Page 2
Subdivision: e,` -, Lot no.: Fixture or item:
Backflow preventer 31.27
Tax map/parcel no.: 2,-3-/l���� dt?. ,
'Iselin TION , W • Backwater valve 12.51
4j Clothes washer 25.02
C:a,I)t (6.)1i1r5 (2-)�� I �)C,A tJ C 1 tv1o4)`n Ylk 0nd Dishwasher 25.02
r j f7 -1-(.., 1l-e Jt t-C'fr- ( crc '-hd /out-1 jt"s Cr7_c r`t riPG --1a Drinking fountain --1 LJ.UL A .C4.
° ,r)l"'it �Li 0 lil(LLy L2) 4JJc( 2�i - "t� I,) D 7" U 61 L) Ejectors/sump 25.02
R °w 13'MAW t Expansion tank 12.51
Name: --1- Fixture/sewer cap /) 25.02 ,-73-. ).2
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
:014 . Interceptor/grease trap 25.02
Medical gas(value:$ ) Page 2
Business name: S 1 rye f�ta,,ti C a j Svsi-P-roc r;tic Primer 12.51
Contact name: s i rL�'4,e ,„,
Si lib Roof drain(commercial) 12.51
Address: -;ci tj !V G [ ey=J, eei, (2 tiicL.J - Z
gj1 Sink/basin/lavatory 3 25.02 Sv .L
City/State/ZIP: r IS�7
1Uy-) ' DI`Z G-7i2 cf. JJ Solar units(potable water) 62.54
Phone:(505) l 0&".-Z;ZZ-Z Fax::(-j9 !a(Q c,i-z Z if Tub/shower/shower pan 12.51
E- Urinal 25.02
(l Si,c Eto (0 167)t,t S \iei'\S ,L-6YY`'
`���f Water closet r a 25.02 S-27) .iJ
coOv 1►CTttt
r. Water heater 37.52
Business name: Si'.1,rk,- Water piping/DWV 56.29
Address: Other: 25.02
City/State/ZIP: Subtotal `4j,). 3J-
Phone:( ) Fax:( ) Minimum permit fee: $72.50
CCB Lie.: 7 ?u 3 Z,. Plumbingi V Plan review (25%of permit fee)
67,4
Lic.no.:�' L � �' State surcharge(12%of permit fee) 1 cotAuthorized signalJq ��� ��J�1te t �'�ii/� U`�'t-'(,•"1/ TOTAL PERMIT FEE
�r/ jn 6((c S 70, �'} yf/� "7 L/ This permit application expires If a permit is not obtained within 180 days
Print name: (/ll /t i� l/ Date:l LJ !- / after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
I:'Building\Permits\PLMU-PermitApp.doc 10/tl/09 440-4616T(l0/02/CUM/WEB)
•
Plumbing Permit Application - City of Tigard
Page 2-Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Footing drain- 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
Water Service-each additional 100' 37.52 Medical Gas Systems:
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
:01W1110‘ettbuOi or Fool Or. Fee 00 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 $14R.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*ow for Phu***insiallations
{meaty by nour!TYPO Plan review is required for any of the following.
Metre Type for litaplitte/ Please check all that apply.
wort F ° £ Added Relocate ❑ Any new commercial building with water service 2"and
Baptistry/Font greater,except systems designed and stamped by licensed
Bath: -Tub/Shower
-Jacuzzi/Whirlpool engineer.
Car Wash: Each Stall ❑ New exterior plumbing site utilities for any complex structure
Drive Thr as defined in OAR918-780-0040.
Cuspidor/Watcr Aspirator 0 Medical gas and vacuum systems for health care facilities.
Dishwasher: Commercial ❑ Any multipurpose fire sprinkler system.
Domestic El Any complex structure as defined in OAR918-780-0040.
Drinking Fountain
Eyc Wash Submit 2 sets of plans with any of the above.
Floor Drain/sink: -2"
3„ It Or_Aker
-4 U 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 MachiRefrig.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 i *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
Water Extractorfees assessed for the sewer increase must be paid before the
Water Closet-Toilet plumbing permit can be issued.
Urinal
Other Fixtures:
I:\Building\Permits\PLMF_PermitApp.doe 08/04/2011 2
114 Accumulative Sewer Tally
■ Tenant Name: AMERICA'S BEST CONTACTS AND EYEGLASSES SWR# N/A
T 1 G A R D Site Address: 16200 SW PACIFIC HWY SUITE S PLM# 2024-00399
Parcel#: 2S115BA02500
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
-3inch 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 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 8 16 0 -8 -16
-Bradley 5 0 0 0 0 0
-Com/Serv/Util-Food Related 3 0 1 3 0 -1 -3
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
Capped EDU Credit 0
TOTALS 0 0 11 31 0 0 -11 -31
Current Fixture Value -31 divided by 16= -1.938 Current EDU 1 EDU= $7,009.00
Previous Fixture Value 0 divided by 16= 0.000 Previous EDU
Change -31 divided by 16= -1.938 over (under) $ (13,597.46)
Enter EDU Change Here -1.940 *
*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:***CREDIT***
Authorized Name/Signature: BRANDEN TAGGART X2449 Date: 10/10/2024
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_070124.xlsx
✓-
(.503) 2222
(503)642-1234
Fax(503)466-2211
MECHANICAL SYSTEMS, INC. 8295 NE Evergreen Parkway,Ste 201
(Osbert,,,,OR 97124
Scope of Work
CONTRACTOR: Walen DATE: 8/8/2024
ATTN: Jarrod FROM: Kody Kosters
kkosters(a)msi-systems.com
PROJECT: Tigard Town Center Suite S
QUOTE INCLUDES:
c-----
*Disconnect(6)Sinks, (2)Toilets,(2)Lavatories,(1)Mop Sink and cap waste and water to
nearest concealed location
*Connect to existing sanitary sewer and route piping over to new restroom
f' layout,(2)WC, (2)LAV, (1)DF, underground only
*All waste,drain,and vent pipe and fittings to be PVC DWV
*Plumbing Permits
*Excavate and backfill using native soil
\ *Only listed above is included in the quote
JOB CONDITIONS:
*Plumbing quote based off plumbing drawings dated 5/3/2024
*All work done during normal business hours.No overtime,Weekend, Holiday or
off hour rates included in this quote.
*This quote only includes underground plumbing, rough-in and finish to be done by others
*Waste&water lines existing must be of sufficient size to accommodate new
fixtures
*Waste lines existing must be of sufficient depth to accommodate new fixtures
*Waste&water lines to be within 10'of location on drawings
QUOTE EXCLUDES:
SDC fees*Concrete cut/core/removal/patch*inspector required changes or additions*
Hard rock excavation*HVAC*electrical*PRV's*water meters*condensate drains*
engineered stamped design drawings*grab bars*all bathroom accessories*demo*
water heater venting*heat trace*Camera scope and locate*gas meters*gas piping*
ADD/ALTERNATES:
**QUOTE IS FIRM FOR 30 DAYS**
CCB#158286