Permit (28) CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2015 00390
T[G.ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/02/2016
Parcel: 2S102AD02900
Jurisdiction: Tigard
Site address: 12850 SW ASH AVE
Project: Burnham&Ash Apartments Subdivision: BURNHAM TRACT Lot: 5
Project Description: Building 1 -Interior plumbing for 139 apartment units.
Contractor: WOLCOTT PLUMBING Owner: TIGARD, CITY OF
1075 W HISTORIC COLUMBIA RIVER HWY 13125 SW HALL BLVD
TROUTDALE, OR 97060 TIGARD,OR 97223
PHONE: 503-667-1781 PHONE:
FAX: 503-667-9891
FEES
Quantity Description Date Amount
2 ea Backflow Preventer 03/02/2016 $62.54
Specifics: 1 ea Backwater Valve 03/02/2016 $12.51
139 ea Clothes Washer 03/02/2016 $3,477.78
Type of Use: MF 139 ea Dishwasher 03/02/2016 $3,477.78
Class of Work: NEW 1 ea Drinking Fountain 03/02/2016 $25.02
Type of Const: 1 ea Ejectors/Sump 03/02/2016 $25.02
Occupancy Grp: 2 ea Expansion Tank 03/02/2016 $25.02
Stories: 10 ea Floor Drain/Floor Sink/Hub 03/02/2016 $250.20
12 ea Hose Bib 03/02/2016 $300.24
10 ea Primer 03/02/2016 $125.10
13 ea Roof Drain(Commercial) 03/02/2016 $162.63
142 ea Sink 03/02/2016 $3,552.84
174 ea Lavatories 03/02/2016 $4,353.48
176 ea Tub/Shower/Shower Pan 03/02/2016 $2,201.76
177 ea Water Closet 03/02/2016 $4,428.54
1 Plan Review 03/02/2016 $5,667.02
Total $31,075.25
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 ques s to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued y: ' I + • 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 6to Aoi5 0017 q
Building Fixtures ffECEtVEP FOR OFFICE. I SI. 0yI.1
Received _
City of Tigard /_/ y Permit No.:
q 13125 SW Hall Blvd.,Tigard,OR 9� Qp Date/By: /�/�6 �'� � s�t��t7 ' ),S�" 1
O 015
Plan Review nn
IN 111 Phone: 503.718.2439 Fax: 503.59819'60 DateBy:/a Q=/ Other Permit No.:/�(,l fl (i 97-00 l ,3
Inspection Line: 503.639.4175 Date Read /B lens ® See Page 2 for
rIGAlttl - Ig p� Ready/By: g
Internet: www tigard or.gov (. J 1 Y OF U RV Notified/Method •4 Supplemental Information
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'New construction ❑Demolition For special information use checklist
Description I Qty. Ea. 1 Total
❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY,OFCQIN S U trLON .,, SFR(1)bath 312.70
❑ 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 500.32
❑Accessory building Multi-family
Each additional bath/kitchen 25.02
❑Master builder 0 Other:
Fire sprinkler( sq.ft.) Page 2
JOINFORMATION D LOCATION Site utilities:
.S
Job site address: \a aO S l� I."\ te, (��, Catch basin or area drain 18.76
DrCity/State/ZIP: `� � Ock_ ,a2.i Footing
dll, rain
line,linearor trench drain 1 Page 2
Footing drain(no. ft.:_) 2
Suite/bldg./apt.no.: 1 Project name:Quc4\kneaw\,b-\5\' Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
3' S 1.o -D d 3000 Rain drain connector 18.76
C? P io,Ai s Sanitary sewer(no.linear ft.:_) Page 2
D } Storm sewer(no.linear ft.: ) Page 2
Pt-ON ` ) J Water service(no.linear ft ti Page 2 P,----
Subdivision: riXeC Ls i 1 Lot no.: t �/i���� Fixture or item:
Tax map/parcel no.: 7I `(_`� 110,1
1"l • Backflow preventer / 31.27 tea sy
c, fit iikiBackwater valve / , 12.51 fja,S 1
t Clothes washer i \3C-1 25.02 SLe fl 37
�L'�`.. S�''CPx-vg-<- � --,,1, r s‘-1, Dishwasher 0"\3C1 25.02 3111 ),7
�, -' t- Cia:. UI (r' µ/ ` Drinking fountain „v• s �I 25.02 a , 'L Ejectors/sump / 1 25.02 2 , 02_
.0 -ROPE . R 0r TENANT Expansion tank 12.51 ,b
Fixture/sewer cap 25.02 ---
Name:
Floor drain/floor sink/hub / I () 25.02 c�C),2's
Address:
Garbage disposal -- 25.02 ---
City/State/ZIP: Hose bib ‘ 2 25.02 3r_xD a
Phone:( ) Fax:( ) Ice maker -- 12.51 ---
fAr r 'CONTACT PERSON '' Interceptor/grease 25.02
Medical gas(value:$ ) Page 2
_
Business name: uudCS..
Contact name. Primer I O 12.51 VaS,I•
•e'-'�� 4•N.s. \ �� � Roof drain(commercial) 1 3 12.51 k(6,2...4.
Address:ksick• ‘,,-vcoC1LC.p\mow,bk4,f lgi-K" \ Sink/basin/lavatory 1Q:2 25.02 '"1C(p(p.'2
City/State/ZIPr�-a�� ps_i CR, C\710(00 Solar units(potable water) 62.54 --
Phone:( 3) (,)(47-7.-`�g x 1j2 Fax::(6p3)(o( -\ l Tub/shower/shower pan /f itp 12.51 �.a_st `,
E-mail:A- ` Urinal - 25.02
t`�� �� , Water closet ✓ V1, 25.02 LIZ-1..2e il
, ) y.r ; • e' ' Water heater I/ S 37.52 ('Zi,
Business name: ``sc Water piping/DWV 56.29
Address: �` �� C �- ` Other: 25.02 �a 4,4,(5." '
City/State/ZIP: (� Subtotal - / -a
Minimum permit fee: $72.50 0R
Phone:( ) Fax:( ) 54497.
CCB Lie.:`\aa�O Plumbing Lic.no.:a(p-824-i Plan review (25%of permit fee) .54,Z
r State surcharge(12%of permit fee) a--1-•:•2-- -.
� "
Authorized signature: `- - TOTAL PERMIT FEE �,
iii
Print name ` -� Date:!`t3-1This permit application expires if a permit is not obtained within 186 days
after it has been accepted as complete.
'Fee methodolos.y set by Tn--CCounty(Building Industry Service Board.
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RECEIVED
OCAPSTONE FEB 2 9 2016
Partners
CITY OF TIGARD
BUILDING DIVISION
February 24,2016
Mark VanDomelen
13125 SW Hall Blvd.
Tigard,OR 97223 Sent via email
RE: Deferred Sewer Permit fees
Dear Mark:
This letter is to confirm our understanding of an agreement with the City of Tigard to allow us to
defer the payment of the balance of our sewer connection fees(i.e.,sanitary sewer system
development charges)for the Burnham and Ash project until after the meeting with CWS(Clean
Water Services)to determine the correct fee amount_We've already paid these fees for Building
2 (26 units)and still owe the fees for Building 1 (139 units).
Under this agreement,the City of Tigard will issue the plumbing permit for Building I without the
issuance of the sewer connection permit to allow the project construction to continue on schedule.
We acknowledge that you are doing so outside of your normal practice with agreement from Nora
Curtis from CWS on a one time exception.
The meeting with CWS to determine the correct fee is scheduled for Tuesday March 1 We agree
to pay the sewer connection fees within three business days following the determination of the
ultimate fee.Based on the$128,000 paid to date for Building 2,the ultimate net fee due for
Building 1 will likely be in the range of$661,000 to$705,000 depending whether CWS requires
calculation at June 30,2015 rate or current rate.
We further understand that if the sewer fees are not paid in full by the deadline above that the
City of Tigard will revoke the plumbing permit and no further inspections will be performed until
the issue is resolved.
egards,
'1i
Jeff Sackett
Principal
Cc:Kenny Asher,City Center Development Agency
Marty Wine,City of Tigard
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City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12850 SW ASH AVE, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Plumbing PLM2015-00390
Inspection Type: Inspector:
399 Plumbing final Don Sylvester
Result:
PASS - NoCofO
Comments:
1 . Corrections for interior plumbing are complete - plumbing final approved.
2. Bacteria lab report - approved
3. 6" watts D C model 757, serial#PI 0341 for bldg. supply, located in riser room - ok with
test.
4. 2" watts DC model LF007M1 QT, serial# 023372, for irrigation , located in riser room
left of door - ok with test.
5. 1/2" RP watts model LF009QT, serial# 109558, for garbage Shute located in riser
room back wall - ok with test.
Violation Summary:
Inspector Contractor