Permit il li CITY OF TIGARD PLUMBING PERMIT
a • .• C OMMUNITY DEVELOPMENT P ermit #: PLM2013 -00187
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/22/2013
Parcel: 2S102BD00100
Jurisdiction: Tigard
Site address: 12520 SW GRANT AVE
Project: St Anthony Subdivision:RTH TIGARDVILLE ADDITION, AMENC Lot: 52
Project Description: Site utility work for new community center. Install (5) catch basins, 794' of footing drain, 179' of sanitary sewer
service, 960' of storm sewer service and 72' of water service.
Contractor: KONELL CONSTRUCTION CO Owner: ST ANTHONY CATHOLIC CHURCH TIGAR
36000 SE INDUSTRIAL WAY 9905 SW MCKENZIE ST
SANDY, OR 97055 TIGARD, OR 97223
PHONE: 503 - 668 -3516 PHONE:
FAX: 503 - 668 -3518
FEES
Quantity Description Date Amount
5 ea Catch Basin or Area Drain 07/03/2013 $93.80
Specifics: 794 If Footing Drain 07/03/2013 $312.67
179 If Sewer Service 07/03/2013 $100.06
Type of Use: COM 960 If Storm and Rain Drain 07/03/2013 $400.22
Class of Work: NEW 72 If Water Service 07/03/2013 $62.54
Type of Const: 1 Plan Review 07/03/2013 $242.32
Occupancy Grp: 1 12% State Surcharge - 07/03/2013 $116.31
Stories: Plumbing
Total $1,327.92
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, • • « • is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility ■ •tification Cente . Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or dir •ct questions to OUNC a I • 51 .232.1987 or 1.800.332.2344.
Iss Jed By: i 'ke444■14--kj P ermittee Signature: (� , I • ,
,�:- Li I I ii tali _ / • 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.
Plumbin Permit A lication
Site Utilities RECEVED OFFICE USE ONLY
III City of Tigard Received / No.: A
° /1 2 n 7
= .. Date/By: 6' / j G / ?4 - �l i
13125 SW Hall Blvd., Tigard, 9773 N 3 213 y ' �3
Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: I � 7V/rJ' aUl 3 Other Permit No47 _ /
�5 7
TIGARD
Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready Juris: 121 See Page 2 for
Internet: www.tigard Notified/Method: Notified/Method: , Supplemental Information
.. - TYPE OF In f1V'' C DIVISION FEE* SCHEDULE
❑ 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
building SFR (3) bath 500.32
❑ Accessory g ❑ Multi- family
Each additional bath/kitchen 25.02
❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2
JOB SITE INFORMATION AND LOCATION ' • . . Site utilities:
� S � W / 1-1 Catch basin or area drain 5 18.76 93.80
Job site address: 9905�VV �}
Drywell, leach line, or trench drain 18.76
City /State /ZIP: Tigard, OR
Footing drain (no. linear ft.: 794) Page 2 312.67
Suite/bldg. /apt. no.: I Project name: St Anthony's Manufactured home utilities 50.03
Cross street/directions to job site: SW Grant Ave Manholes 18.76
Rain drain connector 18.76
Sanitary sewer (no. linear ft.: 179) Page 2 100.06
Storm sewer (no. linear ft.: 960) Page 2 400.22
Water service (no. linear ft.: 72) Page 2 62.54
Subdivision: I Lot no.: Fixture or item:
Tax map /parcel no.: Backflow preventer 31.27
• ' . • - .: DESCRIPTION OF WORK • •, Backwater valve 12.51
Clothes washer 25.02
Underground Utilities
Dishwasher 25.02
Drinking fountain 25.02
Ejectors /sump 25.02
- . ,i - ,EI PROPERTY. OWNER I ❑ . TENANT .. Expansion tank 12.51 •
Name: St Anthony's Catholic Church Fixture /sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address: 9905 SW McKenzie St
Garbage disposal 25.02
City /State /ZIP: Tigard, OR Hose bib 25.02
Phone: ( ) Fax: ( ) Ice maker 12.51
®_ APPLICANT , . ® CONTACT PERSON • Interceptor /grease trap 25.02
Business name: Konell Construction Co Medical gas (value: $ ) Page 2
Primer 12.51
Contact name: Khara Hillis
Roof drain (commercial) 12.51
Address: 36000 SE Industrial Way Sink/basin/lavatory 25.02
City /State /ZIP: Sandy, OR 97055 Solar units (potable water) 62.54
Phone: (503) 668 -3516 Fax: : (503) 668 -3518 Tub /shower /shower pan 12.51
E -mail: khara@konell.net Urinal 25.02
Water closet 25.02
�. -_ '
', • CONTRACTOR =
' Water heater 37.52
Business name: Konell Construction Co Water piping/DWV 56.29
Address: 36000 SE Industrial Way Other: 25.02
City /State /ZIP: Sandy, OR 97055 Subtotal 969.29
Phone: (503) 668 -3516 Fax: (503) 668 -3518 Minimum permit fee: $72.50
CCB Lic.: 48586 "A.4l Plumbing Lic. no.: 3 - 524pb I I t4 Plan review (25% of permit fee) 242.32
fiatritc1.-WL:i• State surcharge permit fee) 1 16.31
Authorized signature: TOTAL TAL PERMIT RMIT FEE 1327.92
Print name: Khara Hillis Date: 6/13/13 This permit application expires if a permit is not obtained within 180 days
after it has been accepted as complete.
"Fee methodology set by Tri -County Building Industry Service Board.
l:\Building\PermitsWLMU- 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 Qty. Fee (ea) Total Square Footage: Permit Fee:
Footing drain - 1 100' 1 50.03 50.03 0 to 2,000 $121.90
Footing drain - each additional 100' 7 37.52 262.64 2,001 to 3,600 $169.69
3,601 to 7,200 $233.20
Sewer - 1 st 100' 1 62.54 62.54 7,201 and greater $327.54
Sewer - each additional 100' 1 37.52 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' I 62.54 62.54 $1.00 to $5,000.00 Minimum fee $72.50
Storm & Rain Drain - each additional 100' 9 37.52 337.68 $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:
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 Plan Review for Plumbing Installations
Fixture Type for Replace/ d for review is required an of the following.
Performed: Capped Added Relocate q any lli
g'
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
Garbage - Domestic - non -food
Disposal - Domestic -food related that meet the qualifications above.
- Commercial -food related
- Industrial-food related
Ice MachiRefrig. 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
- Service
Swimming Pool Filter *Note: If the fixture work under this permit results in an
Washer - Clothes
Water Extractor increase of sewer EDUs, a sewer permit will be issued and
Water Closet Toilet fees assessed for the sewer increase must be paid before the
Urinal plumbing permit can be issued.
Other Fixtures:
C: \Users\khara \Downloads\PLMU - PermitApp.doc 2
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
12520 SW GRANT AVE, TIGARD, OR, 97223
Commercial - Plumbing
399 Plumbing final
2013-12-19 00:00:00
PLM2013-00187
FAIL
1. Expose/uncover all cleanouts, back water valves, area drains, catch basins.
2. Provide camera of sanitary sewer, storm sewer.
3. Provide approved thread sealant on all cleanout plugs
4. Clean/pump, all debris from area drains, catch basins
Please try to have someone on jobsite for inspection.
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
12520 SW GRANT AVE, TIGARD, OR, 97223
Commercial - Plumbing
399 Plumbing final
2014-01-16 00:00:00
PLM2013-00187
PASS - No C of O
Violation Summary:
Inspector Contractor