Permit (98) CITY OF TIGARD PLUMBING PERMIT
li I COMMUNITY DEVELOPMENT
Permit#: PLM2018 00061
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/15/2018
P f � � Parcel: 2S1116602101
Jurisdiction: Tigard
Site address: 10450 SW MCDONALD ST 1
Project: Brighton Hill Apartments Subdivision: TIGARDVILLE HEIGHTS Lot: 1
Project Description: Replacing rain drain connectors: 130 ft.of storm sewer.
Contractor: HILLCREST CONSTRUCTION& DEVELOPMENT LLC Owner: SKYNAT LTD PARTNERSHIP
13200 SE MCLOUGHLIN BLVD 4000 SW CORBETT AVE
MILWAUKIE, OR 97222 PORTLAND, OR 97239
PHONE: (503)307-6449 PHONE:
FAX:
FEES
Quantity Description Date Amount
1 ea Rain Drain Connector 02/15/2018 $18.76
Specifics: 130 If Storm Sewer 02/15/2018 $100.06
1 12%State Surcharge- 02/15/2018 $14.26
Type of Use: MF Plumbing
11 Class of Work: ALT
Type of Const:
Occupancy Grp:
Stories:
Total $133.08
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 forthn--OAR 952:001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by callin 503.232.1987 or 1‘88G.312 2. __
Issued By: z.. 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
Building Fixtures
City of Tigard Received
III .11 13125 SW Hall Blvd.,Tigard,OR 972 Date/By: f+ 11.37r" Permit No.: . o i
= Phone: 503.718.2439 Fax: 503.598.1960 9SACVANIVA
Plan Review -r)tjl�.
T 1 G A R D Inspection Line: 503.639.4175 1 �� Date/By: Other Permit No.:
Internet: www.tigard-or.gov
g�
ate Ready/By:
�,Tk ottfied/Mehod: See Page 2i for
-Jurris�
TYPE OF WO a-io7,�. Supplemental Information
RK �F <O, _ FEE* SCHEDULE'
❑New construction ❑D- .,; G Forsinformation
tR tpedal use checklist
Q Addition/alteration/replacementDescription
0 O i er: Qty. I Ea. ( Total
New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF';CONSTRLCTION SFR(1)bath
312.70
❑ 1-and 2-family dwelling ,Commercial/industrial SFR(2)bath 437.78
❑Accessory building Multi-family SFR(3)bath 500.32
❑Master builder Each additional bath/kitchen
0 Other: 25.02
JOB SITE INFORMATION Fire sprinkler( sq.ft.) Page 2
, RMATION AND LOCATION' Site utilities:
Job site address: //)4757) ,l
�LJ 4474,24_ / S� Catch basin or area drain 18.76
City/State/ZIP: Drywell,leach line,or trench drain 18.76
Suite/bldg./apt.no.: / I Project name: ,x� / Footing drain(no,linear ft: ) Page 2
�'S �` r``' itr "� n '��,'' Manufactured home utilities
Cross street/directions to job site: 50.03
Manholes
r 18.76
JQ'- - 4 J4 X.Iy , r. `- d 1 1/ Rain drain connector 18.76
Sanitary sewer(no.linear ft.: ) Page 76,
Sanitary 2
Storm sewer(no.linear ft.:f 70) t, Page 2 iiiJri`)Li/
l3
Subdivision: Water service(no.linear ft.:_) Page 2
J Lot no.: Fixture or item:
Tax map/parcel no.:
Backflow preventer 31.27
u.., { u A v. :D ION'OF WORK * '0- 4 ;T Backwater valve
� ' ' ,,,, a r 12.51
C P n��c r` /�- Clothes washer
/`CA-'2 Kit,PI K- H.p�; f�.ti / 1 ", 25.02
/ Dishwasher 25.02
r;/I ti `,,.ii-',/f6; /-,-.4,-71 Drinking fountain
/ . ro� z t✓{ 25.02
ti,
r Ejectors/sump 25.02
`"` ti;; ROIPERTY O NER, : , ., .1` .4 s; .4 11TE IA T' Expansion tank
Name: 12.51
Fixture/sewer cap 25.02
Address: Floor drain/floor sink/hub 25.02
City/State/ZIP: Garbage disposal 25.02
Phone:( ) Hose bib 25.02
J Fax:( ) Ice maker 12.51
�
,.
Ql PERSON J "" Interceptor/grease trap 25.02
Business name: Medical gas(value:$
Page 2
Contact name: Primer 12.51
Address: Roof drain(commercial) 12.51
City/State/ZIP: Sink/basin/lavatory 25.02
Solar units(potable water) 62.54
Phone:( ) I Fax:
( ) Tub/shower/shower pan 12.51
E-mail: Urinal
25.02
*` - ;` '_� � ,CONTRACTOR . * � Water closet 25.02
, Water heater
Business name: ,Z 2,Z„-s.4„„1,-, Z4 ..-
5
, ...� �� 37.52
��� �,� �_>S ��� 'T�.a 4 -/ vc�tr - r' �� Water piping/D\ '
Address: /?26,67 -- J47e _ 55.02
`Jl� �� / Other:
City/State/ZIP:/4 7,/(v«G i d (,,)� ' 72Z.
22 L. 25A2
Phone: `� Subtotal //r •f9'
/ IL
(� A?7 /yy7 Fax:c� )4 7,4/ Minimum permit fee: $72.50
CCB Lic.: /11.Iv 77- Plumbing Lic-no.: Plan review (25%of permit fee)
Authorized signature: .'_ State surcharge(12%of pennit fee) /11..
TOTAL PERMIT FE s
I Print name: /�/ ''" E , Y Z i'
�,r I �G I Date: -/j--":701?- I 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.
I:\Building\Permits\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:
Qty. Fee(() To#al;;A :Square footage:, ., „, ermit> ee• _v . Y ,
Site Utilities - � 0 to 2,000 $121.90
Footing drain l'100' 50.03 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 Systems:
Water Service-each additional 100' 37.52 Valuation: rerniit Fee: ,
Storm&Rain Drain-1st 100'
i 62.54 �,A_51.j $1.00 to$5,000.00 Minimum fee$72.50
37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for
Storm&Rain Drain-each additional 100' ( 7.��' each additional$100.00 or fraction thereof,to
-Other Inspections or Fees
Qty Fce{ga) Total, 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
90.00/hr each additional$100.00 or fraction thereof,to
which no fee is specifically indicated and including$25,000.00.
(minimumnpchargeoutside of- t hour)
Inspections normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for
each additional$100.00 or fraction thereof,to
hours(minimum charge-2 hours) 90.00/hr and including$50,000.00.
Reinspection Fees
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: 1'aa
Commercial Fixture Work:
Are you capping,adding or replacing fixtures? If"yes",
please indicate work performed by fixture. Failure to
e . ti fOr 'lub hg In to tl<ons r ,
accurately report fixtures could result in increased sewer fees*. <, Pi e ' '
Quantity by Fixture Type Plan review is required for any of the following.
Replace! Please check all that apply.
Fixture Worker Type for Capped Added Relocate 0 Any new commercial building with water service 2"and
ptt /Fonmed:
Baptistry/Font greater,except systems designed and stamped by licensed
Bath: -Tub/Shower engineer.
-Jacuzzi/Whirlpool 0 New exterior plumbing site utilities for any complex structure
Car Wash: -Each Stall as defined in OAR918-780-0040.
-Drive Thru 0 Medical gas and vacuum systems for health care facilities.
Cuspidor/Water Aspirator 0 Any multipurpose fire sprinkler system.
Dishwasher: -Commercial 0 Any complex structure as defined in OAR918-780-0040.
-Domestic
Drinking Fountain Submit 2 sets of plans with any of the above.
Eye Wash
Floor Drain/sink: -2" �,
-3"
.,. it oinetr1C=or S r 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 Comments regarding fixture work:
Ice Mach./Refrig.Drains
Oil Separator(Gas Station)
Rec.Vehicle Dump Station
Shower: -Gang
-Stall
Sink: -Lav/Bar non-food related
-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 plumbing permit can be issued.
Water Closet-Toilet
Urinal
Other Fixtures:
I:\Building\Permits\PLMF PermitApp.doc 08/04/2011 2
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10450 SW MCDONALD ST 1 , TIGARD,
OR, 97224
Record Type: Record ID:
Commercial - Plumbing PLM2018-00061
Inspection Type: Inspector:
399 Plumbing final Don Sylvester
Result:
PASS - NoCofO
Comments:
1 . Final for rain drains and storm sewer- approved
Violation Summary:
Inspector Contractor