Loading...
Permit CITY OF TIGARD PLUMBING PERMIT 2 COMMUNITY DEVELOPMENT Permit #: PLM2011 -00125 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/19/2011 Parcel: 2S102AD02900 Jurisdiction: Tigard Site address: 12780 SW ASH AVE Project: City of Tigard - Dog Park Subdivision: BURNHAM TRACTS Lot: 5 Project Description: (1) catch basin, (1) backflow device, (1) drinking fountain, (1) hose bib, 10 If sanitary sewer, 90 If water service. DEMO CREDIT apply from BUP2000- 00222. Contractor: KODIAK PACIFIC CONSTRUCTION Owner: CITY OF TIGARD PO BOX 886 13125 SW HALL BLVD TUALATIN, OR 97062 -0886 TIGARD, OR 97223 PHONE: 503 - 783 -4300 PHONE: FAX: 503 - 682 -3777 FEES Quantity Description Date Amount 1 ea Catch Basin or Area Drain 04/19/2011 $18.76 Specifics: 10 If Sewer Service 04/19/2011 $62.54 90 If Water Service 04/19/2011 $62.54 Type of Use: COM 1 ea Backflow Preventer 04/19/2011 $31.27 Class of Work: NEW 1 ea Drinking Fountain 04/19/2011 $25.02 Type of Const: 1 ea Hose Bib 04/19/2011 $25.02 Occupancy Grp: 1 12% State Surcharge - 04/19/2011 $27.02 Stories: 1 Plumbing Total $252.17 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 j OUNC by calling 503.232.1987 or 1.800.332.2344. /lY Issued By: if / Permittee Signature: G J . � J •./ � 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. ' Pin*bing.Permit El Applic C : "` " VV µt ) Building Fixtures FOR OFFICE USE ONLY City of Tigard APR 19 2011 Receivey. d r /9 /� I ! ,, Permit No.:P‘/y //- t • 13125 SW Hall Blvd., Tigard, O T Plan Review 1 i I Date/By: l I Other Permit No6�ee //� ] _ Phone: 503.718.2439 Fax: 50 Inspection Line: 503.639.4175 BUILDING DIVIS Date Ready/By: Juris: H SSee Pa e 2 for r 4 T I G:� 1,D Internet: www.tigard or.gov � Notified/Method: I g ' t' y e r & s € ., � w. FEE* SC HLLui,.. *c 4 r„ " a , 5 ns a ,t : d mo' . �'� 0 4f,n ` "4,u at% s :.‘2., ,:e h S4.. . x . ..., e , ., 74: sp * . � _. ® 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) CATEGORY OF CONSTRUCTION SFR (1) bath 312.70 ❑ 1- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 437.78 - SFR (3) bath 50032 ❑ Accessory building ❑ Multi- family Each additional bath/kitchen 25.02 111 Master builder N Other: Dog Park Fire sprinkler (_ sq. ft.) 1 Page 2 JOB SI I AND LOCATION Site utilities: Job site addresci.=.741 SW Ash Avenue 4 7tft� SGt,� Catch basin or area drain 1 18.76 18.76 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: Ash Avenue Dog Park Manufactured home utilities 50.03 Cross street/directions to job site: Intersection of Ash Ave and Burnham St Manholes 18.76 Rain drain connector 18.76 Sanitary sewer (no. linear ft.: Page 2 62.54 Storm sewer (no. linear ft.: ) Page 2 Water service (no. linear ft.: 90) Page 2 62.54 Subdivision: Lot no.: Fixture or item: Tax map /parcel no.: 2S102AD02900 Backflow preventer 1 31.27 31.27 -- Backwater valve 12.51 DESCRIPTION OF WORK Clothes washer 25.02 Installation of a backflow device, drinking fountain with hose bib, water spigot Dishwasher 25.02 near a sun shelter Drinking fountain 1 25.02 25.02 ....c-®t? o c , 2 t TS et P ©O© " a i Ejectors/sump 25.02 ® PROPERTY OWNER ❑ TENANT Expansion tank 12.51 Name: City of Tigard Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: 13125 SW Hall Blvd Garbage disposal 25.02 City/State/ZIP: Tigard, OR 97223 Hose bib 1 25.02 25.02 Phone: (503)718 -2466 Fax: (503)624 -0752 Ice maker 12.51 N APPLICANT ❑ CONTACT PERSON Interceptor /grease trap 25.02 Business name: City of Tigard Medical gas (value: $ ) Page 2 Primer 12.51 Contact name: Jeff Peck Roof drain (commercial) 12.51 Address: 13125 SW Hall Blvd Sink/basin/lavatory 25.02 City/State/ZIP: Tigard, OR 97223 Solar units (potable water) 62.54 Phone: (503) 718 -2466 Fax: : (503) 624 -0752 Tub /shower /shower pan 12.51 E -mail: jeffpCtigard- or.gov Urinal 25.02 Water closet 25.02 -; . Water heater 37.52 Business name: 1 a , _?, c l 1 Water piping/DWV 56.29 Address: .Pt 0 , B p Other: 25.02 City/ State/ZIP: U i i-.- _ i n �� 1 j ey rz„ 91 D (p Z _ Subtotal 225.15 - Phone: (5 g 783- 4 3 00 Fax: (5Q3 `8 2. .37 7 7 Minimum permit fee: $72.50 CCB Lie.: 5-3583 Plumbing Lic. no.: 3 44 -`l i 7 Po, - Plan review (25% of permit fee) State surcharge (12% of permit fee) 27.02 Authorized signature: ,gq cr TOTAL PERMIT FEE 440811Ir Print name: Q j'G h . g 8 Date: st .. 1 g . it This permit application expires if a permit is not obtained within 180 days after it bas been accepted as complete. 1 z.. 1 'Tee methodology set by Tri- County Building Industry Service Booard 1: 1Building \Permits\PLMU- PermitApp.doc 10/01/09 440- 4616r(10ro2/COM/WEB) pr S'^ • / 7 Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Su • • ression S stems: Sit re Footage: Per'e �.� Footing drain -1 a 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' 1 62.54 62.54 7,201 and greater $327.54 Sewer - each additional 100' 37.52 Water Service - 1st 100' 1 62.54 6254 Medical Gas S stems: Water Service - each additional 100' 37.52 - r 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 mgt °" r 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 * . t�°tili thy by Fide type ° ; ® `. y i ` : f or Plumbin' Installations Fixture Type for Replace/ Work Performed Capped, ; Relocate. Plan rev i s requ for any of the following Baptistry/Font Please check all that apply. Bath Tub /Shower ❑ Any new commercial building with water service 2" and Jacuzzi/Whirlpool greater, except systems designed and stamped by licensed Car Wash -Each Stall engineer. -Drive Thru ❑ New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918- 780 -0040. Dishwasher - Commercial ❑ Medical gas and vacuum systems for health care facilities. - Domestic ❑ Any multipurpose fire sprinkler system. Drinking Fountain ❑ Any complex structure as defined in OAR918- 780 -0040. Eye Wash Floor Drain/sink - 2" Submit 2 sets of plans with any of the above. - 3" Isometric or Riser Diagram _. Car Wash Drain Isometric or riser diagram is required for new buildings - Domestic- -non - food gT s q g Disposal - Domestic - food related that meet the qualifications above. - Commercial-food related - Industrial -food related Ice Mach./Refrig. Drains Oil Separator (Gas Station) Comments regarding fixture work: Rec. Vehicle Dump Station Shower -Gang -Stall Sink/Lav - Non -food related - Bradley - Commercial -food related {fi ❑fi - Service Swimming Pool Filter *Note: If the fixture work under this ermit results in an Washer - Clothes p Water Extractor increase of sewer EDUs, a sewer permit will be issued and 'Witter Closet - Toilet fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fixtures: C:\Documents and Settings\agirard\Local Settings \Temporary Internet Fill\ ContentOutlook\ MDM56K0G\Plumbing- PermitApp.doc Nun_ thin Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities 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' 1 62.54 62.54 7,201 and greater $327.54 Sewer - each additional 100' 37.52 Water Service - 1st 100' 1 62.54 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 Qty. Fee (ea) Total 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: Other Fixtures: 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 Quantity by Fixture Type Fixture Type for Replace/ Capped Plan- Rev><ew for Plumbing stallations C a Work Performed: pp Added Relocate - - Baptistry /Font Plan review is required for any of the following. Bath - Tub /Shower Please check all that apply. Jacuzzi /Whirlpool ❑ Any new commercial building with water service 2" and Car Wash - Each Stall greater, except systems designed and stamped by licensed - Drive Tim engineer. Cuspidor /Water Aspirator ❑ New exterior plumbing site utilities for any complex structure Dishwasher - Commercial as defined in OAR918- 780 -0040. - Domestic ❑ Medical gas and vacuum systems for health care facilities. Drinking Fountain ❑ Any multipurpose fire sprinkler system. Eye Wash ❑ Any complex structure as defined in OAR918- 780 -0040. Floor Drain /sink - 2" 3 " Submit 2 sets of plans with any of the above. - 4" Car Wash Drain Isometric or Riser Diagram Garbage - Domestic - non -food €+ Disposal - Domestic -food related ❑ Isometric or riser diagram is required for new buildings - Commercial -food related that meet the qualifications above. - Industrial -food related Ice Mach. /Refrig. Drains Oil Separator (Gas Station) Rec. Vehicle Dump Station Comments regarding fixture work: Shower -Gang -Stall Sink/Lav - Non -food related - Bradley - Commercial -food related - Service Swimming Pool Filter Washer - Clothes Water Extractor *Note: If the fixture work under this permit results in an Water Closet - Toilet increase of sewer EDUs, a sewer permit will be issued and Urinal fees assessed for the sewer increase must be paid before the I:\ENG \1 - Active Projects\Burnham Street Reconstruction File 0353 - CII009 -00001 - IFAS 97002\Permits \City of Tigard\Plumbing - PermitApp.doc Accumulative Sewer Tally Parcel # 2S102AD02900 Tenant Name: City of Tigard - Dog Park This SWR# N/A Site Address: 12780 SW Ash Ave. This PLM# PLM2011 - 00125 Fixture Value Previous Previous Credits Capped Fixture Fixture New New # value capped off value added added total total count off #s count # value #s values Baptistry/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 1 1 1 1 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 Drn 6 0 0 0 0 0 Garbage Disposal - Domestic (to 3/4 HP) 16 0 0 0 0 0 - Commercial (to 5 IIP) 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 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 - Bar /Lavatory 2 0 0 0 0 0 - Bradley 5 0 0 0 0 0 - Commercial 3 0 0 0 0 0 - Service 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 1 16 'TOTALS 0 0 0 0 1 1 1 -15 Current Fixture Value -15 divided by 16 = -0.9 Current EDU 1 EDU = $ 4,100 Previous Fixture Value 0 divided by 16 = 0.0 Previous EDU Change -15 divided by 16 = -0.9 over (under) $ (3,690.00) Enter EDU Change Here -0.9 Notes: DEMO CREDITS applied from residential structure demolished under BUP2000- 00222. Authorized Name /Signature: Dianna Howse Date: 4/19/2011 Building Division r ote: 'The property owner shall retain the ORIGINAL sewer tally record. If credits exist, this document will serve as a voucher which must be u bmittcd to the City of Tigard Building Division to redeem credits towards future system development charges. I: \Building \Sewer Tally \SewerTallySheet- 4100.xls 07/01/10 X ti D 0 cr ?0. ..e- c c t.. e « « r l , "`` /GGGG . 0" ', 1 °r L. U 'I V' I Eel- Asrl l / IA' ' / } r 1,g, ' / Cy ,a0 y1 / e1' 52 vu c r *--------1 ."/ w y ` L j/ re, , r on _■, -- Iv R `W - ~ ' _ 1. by Kodiak. • 27. 1 — < I - - - - I Stripping Area _4r ,A, �! — �t I I Asphalt Sloping Areo £xtg. SS Line 0/041 ` i ` VV M f ix _ 6" Engineered Wood 0 6 ) W a� `f�' / fit 4 4 t 4, li Fiber . (215 CY) �� Point of Connectioq / -,r, „`' to Q� q " " h Install Cleonout `' �b V ��� 2 I Clean Agg.: • Connect to - I 4 ►�Ir1�� ! _r.Z!�! (50 CY) Instal! T h Water Meter Existing ros ate eee Nonwoven oe Link Receptacle and Bock W Con ,S \, l Ceolexti /e Fabric Ch I / Q Fence w /Bogs Flow Device , Con on lob. See ' A y 4 U e L ,.\ ' l Boxes 'v , 1 I .. (8.700 SP) ' a s Dog Pork Section 0 Toll . Block +a�i+ril•i� N.T.S. . _ N." / ADA Parking Stoll I �- Concrete Walk: \ Vinyl - Coaled ` °�� 4 Conc. . Scoring Per Detail Chain -Link Fence (1,200 SF) ®era ■ a w a , = r ill \` • _ .\ I rr • 1r ta m \' `'� T f1 T% - \ , I, ro c -, , .. , 2" of =0 Fiber Directl Over � �� �� !: .� 1, 171/004, aa Rock Remaining Aggregate 9regate ; � (8 CY) 99.: �_ _ _ _ 4a �... � �aa a Ba se Cif t0 / . i 1 11 �� }a�aa LNonwoven Ceote Fobrc fA - I - - - - �. , �fn J � aa + r I �._ Install •- . � � e� � s �aa � I ( Ouonify included in Dog ' • ` e s � •4 ° .' Dog Pork — — �. 1 � 4 " l #i !1 � 0 1 Pork Section) �� ' iwi -- .t f0' Wide _ ., . ML; 0 ` � ',� \!a e_t ` , Slob /Wolk Section . 4 Mointenonce �' •' � . ' sa ; .;i r a i i 'b ea , : °' Si: N.T.S. • Access IL stall 2 - - - - - - �� 1 , 4 • ' 41 � / , ii. Toll,- 4- de � �;;: , - ►���' ,� Abbreviations: (Double Gate) a / Gg ( �� � . a ,l �a be , Gates - _ I _ �_ *ii +a ; � + Ei= ll Z pi i a,� ! \, .- Agg. - Aggregate r Conc. - Concrete - - - 20 - . - , W b 4 z t &\ ' • • 1 � fxtg- Exsting on • e Foui►toin •rid ^• SS - S Install. F e c in • _ .Ii I \, .� rY • Remain. Ci Assembly 1 Copper r r " �ll0 - ■ R - Ri hl -of -Wo 'N Line 10 —i A" il 9 Y Tubing to (28 LP) 1 �- r.� 11.‘,14•1 �� � a � aa CS - fxtg. Ground Shot Elev to Trim Shrub Line Prior to ap ' . Fountain - . - . , .. " , r , - . . . '. Asphalt `' � �W'�` t�ai i 4 a TC - £xtg. Top Curb £lev . 0 Surface Groin with Go/v: feel Staging r �` �� '`� # aa a � #e AC - Extg. Asphalt Elev Restorotion - lnstoll i Grote..lnstoll 10 ' ° q , - - Hydrant - • 4 " -PkC -3034 to Ex' - . r i . '' 4 Dog Pork Areo (13.020 SF2 .Amenity Service Line � a — _ - . \ F., 0 `, Cross A Areo: 8,170 SF 4850 SF A 0 , , _ • _ . ® . °!� �, �, �. / Benches w/o Boc % k. / ;� y o Y �`" a A' 1 r Benches to be Bench w Bock. P. Bench w/ Bock GS- l3Z�y f .I All' ��� i�s d GS Gross Areo - 2" . ' - S - ' a * „ ! :_ ill Provided by City • � � Notes; 2 2' O\ 1. .Concrete - Strip - Depth. — — =' '� . Sun Shelter to 0.1 2. City De toil No. Concrete Slob 10and Walk Per kr - 8 170- SF (51- Yf) - - ' - . - _ "d11k- be Installed by 1 .q% 4) ,� . 2. Staging Area AC Removal Others .. , -- $,,\ . `�.• 0 . ** Not -A -Port of this Change • l am - ` ,-.0. i i i Oider. s G' ® 4� _ .'' * , � 3 , _ � � Property �� - —�� �����.�i���• �� �`�` ` �.. :1 7 Line +' 0 '� +ty. • . , T _ 3 O ;_ ... : : - . , ��Ias 4. Trash Receptacles to be Approved E O ■ Provided by City and Installed Equal u ••...!; ' ” " " to be Planted by Shelter Slob. See Wall _• - rani: i� o. PUBLIC Kodiak This Sheet for in 5. Bench Structures to be a Manhole Riser o S ections. Bu Half Boulders to be + Assembled by City and Provided N WORKS Bury Section Remainin 0 of the Section P/oced along Edge o/ 1 �� to Kodiak fo Instal %lion _ YARD Kiosk for Fl ers �c N City q prior to with P Transplanted from 1���1 6. City to Install "No o q Donation Box to be Trans l z , Installed by City p p Ash Ave �1: Perimeter Smoking/No Food" Signs on 0 W i ° Prow 3 18" 4' -4" r z 1-18" . Bench Notes; Note: Dog Pork Layout Revised on March 16, 2011 Per City Comments 1. 39 SF or 0.7 CY W 6" 6" 6" C o crete�er Slob ` NEW BURNHAM STREET FIGURE Slob F r /3125 SW. rau avo. FIG- 1 Z � 3. Red -H Benches SCALE 1 = 20 ■ - > OREGON 97223 Z C F-- 9 ' -1 " into Slabs ■ VOICE: so3- e66 -sre� a 4 50 Series Bench Pod Detail 4. Bench Foot pint: 2' -4 "x8' -1 " �■ FA . 503 -624 -0752 FILE NO N .s. p 20 10 0 20 +�� - DOG PARK LAYOUT