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Permit (169) Plumbing Permit Application Site Utilities L. --,-,' i -,,il.„„,,,IIEL , FOR OFFICE USE ONLN City of Tigard Received d•-•, 4 TIrisr gr,-- Permit No.: o 38 A., „zdiff.._c -- 1111 . 13125 SW Hall Blvd.,Tigard,OR 97 5 Date/By: /1N 1 2 0 2018 Plan Review ,.icibi I Phone: 503.718.2439 Fax: 503.5981r960 Date/By: etw-m Other Permit No.: Inspection Line: 503.639.4175 ..„-,= ,‘c.. .4 i ,-i.vi- TIGARD k.j. t I y ,,,,A , -, -:-.- Date Ready/By: ..„4/- ", ,,,T....... Juns: 0 See Page 2 for Internet: www.tigard-or.gov Notified/Method?" /3 t r pg., Supplemental Information TYPE 0 z , a)ges14.4 ' ' ,Ps FEE*St1IED134, XNew construction 0 Demolition For special information use checklist. ,rwl Description Qty. 1 Ea. Total CI Addition/alteration/replacement EI Oth- . i,' =„, 4:111r New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTIRp I 1"4;1 4*, SFR(1)bath 312.70 4, = ip.4, ' ....' %,.. SFR(2)bath 437.78 p 1-and 2-family dwelling 0 Corn Irv. I trial SFR(3)bath 500.32 El Accessory building 0 Multi-family Each additional bath/kitchen 25.02 0 Master builder Other: t.1462,eitti;CY/01) Fire sprinkler( sq.ft.) Page 2 JOB SITE 14.6RmAfiiilLANDIEI:cAfigkru '''' -,.' ' ' Site utilities: ',44.,..,1, Catch basin or area drain 24 18.76 LO.24 Job site address: 6112&7 4'vv Di..t44.26,1411 )9.4 ,, Drywell,leach line,or trench drain 0 18.76 0 City/State/ZIP: ri'let,,,r-ek 612.. 41zLi- Footing drain(no.linear ft.:ieiii I-I_ Page 2 ust,"5c Suite/bldg./apt.no.: Project name: Eaet.4.-04 il.S koderipzetien Manufactured home utilities 0 50.03 c) Cross street/directions to job site: 61,v D,..„(11(€/m,„, kci X s.v„,civid Aye...Manholes 1 18.76 Rain drain drain connector , 18.76 61(-1 o Sanitary sewer(no.linear ft.0-67 4,, ç.- Page 2 zw, el c Storm sewer(no.linear ft.: ( 3)fl 014 Page 2 234 Zip.34 Water service(no.linear ft.:26 i Up Page 2 9 ie 3 c 2, Subdivision: Lot no.: Fixture or item: Tax map/parcel no.: 2 5 I ) ti AA pc) i oc, Backflow preventer 31.27 ilESCRIAON '14::d1: b•< ,,•4=.=, ',24-4 ' Backwater valve 12.51 i, bi L.8.6- '•- 52 ,, _ i'''4 . /,‘ Clothes washer 25.02 fi itrzti,r- zivi' aA e"---(-0e1 ' 4' 01-r cf-1 vt.t Dishwasher 25.02 1412r/W ° firr-17-1-41414 t15 ite.a../.471; 9-1,. Drinking fountain 25.02 Ejectors/sump 25.02 .0.4' ....t......7 .,;.,,,,:•71. , 7 PROMRTY OWNER ,, .,',‘V' -4. 1::,. ,..,,„le T , , ..,, Expansion tank 12.51 , , A t 4'. . - " 4"< Fixture/sewer cap 25.02 Name: Ti ,qa-S- --7Ciagett-e-n 5- attv 1 152, - • Floor drain/floor sink/hub 25.02 Address: v b q&,0 . -18- 61444 ,“.4.-5 5 1---. Garbage disposal 25.02 r City/State/ZIP: -r ,..7, / 0-g..., 0 7---2-7.- Hose bib 25.02 Phone:6.7 3) di- ..,i4 Fax:( ) Ice maker 12.51 '''P Mfr', .,.. , 'ir It Appt ---.. ,'„ ,', n-,co TiE. oN , Interceptor/grease trap 25.02 Business name:dit4,...61/10 /iktiXtt Li2„,(..A.;:s pE Medical gas(value:$ ) Page 2 i Primer 12.51 Contact name: Roof drain(commercial) 12.51 Address: 42 2- ) skA/ Mics-t Ave92,zoo Sink/basin/lavatory 25.02 - 4* City/State/ZIP: 0)/ are.-- q-":5Z-71 q Solar units(potable water) 62.54 I Phone:6,3; ) ut / ....,is-bp Fax::( ) Tub/shower/shower pan 12.51 E-mail: tv)44-1-,, ,„ Urinal 25.02sec.„,„1,. ,s,,,,, Water closet 25.02 CONTRACTOR..-,4 '''' Water heater 37.52 Business name: 1...C_L pe44,4,0_. Ctry) Water piping/DWV 56.29 Address: LL2i. 7- pe4,24,,,,_ Lar,p sE Other: 25.02 City/State/ZIP: 5-12i144,7 07z '] 'dz- Subtotal Minimum permit fee: $72.50 CCB Lic.: Phone: ) .3ci ei ..- -4_72,3 Fax:( ) Plan review (25%of permit fee) 7„ 6 1 3-s . surcharge(12%of permit fee) / Authorized signature: 0 11_ ,A. Plumbing Lic.no.: p State sTOTAL PERMIT FEE Print name: k 4r, AO .0":00.7. .411. __.diooppiollV" t.te: 6 tie Li g This permit application expires if a permit is not obtained within 1? after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service I:\13uildingTermits\PLMU-PamitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard s Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: . Qty. Ieeea ' talSite Utilities Square FFotag , remit Fee . Footing drain-151 100' I 50.03 6j.?^3 0 to 2,000 $121.90 Footing drain-each additional 100' 16 37.52 ,000,3 L 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer-1st 100' I 62.54 (v/,S4- 7,201 and greater $327.54 Sewer-each additional 100' 5.5 37.52 204, '3'0;' Water Service-1st 100' 62.54 Z Medical was S stems: Water Service-each additional 100' 37.52 Z't cfm 4 Valu s,sr:mit Fee: s , z s Storm&Rain Drain-1st 100' 62.54r,,-4 "'�` � f Z. $1.00.to-$.5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' ‘,?3 37.52 2,,31„9.0 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for . ;. 4" q each additional$100.00 or fraction thereof,to Other In pection ,ar'Fees `Fee(ea)< .., Total..z and including$10,000.00. o 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 1 Pl 1 '®evi 1 for 1 k ire illi istallatiQ ! , Fixture Type for Replace/ Plan review is required for any of the following. Work Performed: Capped Added Relocate Baptistry/FontPlease 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 0 New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780-0040. Dishwasher -Commercial 0 Medical gas and vacuum systems for health care facilities. -Domestic 0 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» - Ir.,„ s etre ,o '.Rim- tg m Car WasIrDrain Garbage Domestic-non-food 0 Isometric or riser diagram is required for new buildings 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 Service swimming Pool Filter Washer-Clothes Water Extractor *Note: If the fixture work under this permit results in an increase of sewer EDUs,a sewer permit will be issued and Water Closet-Toilet Urinal fees assessed for the sewer increase must be paid before the plumbing permit can be issued. Other Fixtures: I:\Building\Permits\PLMU_PermitApp.doc 2 o Site Utilities — Plumbing Permit Application Plan Submittal Requirements TIGARD A plumbing permit for site utility plumbing work is required for sanitary sewer, storm sewer and potable water systems on private property. 1. SITE PLAN and vicinity map showing the geographic location (fully dimensional, drawn to scale) labeled with: A. ❑ map&tax lot# ❑ project name ❑ site address ❑ suite number ❑ zoning ❑ applicant name ❑ phone number B. North arrow. C. Scale (architectural or engineering only). D. Street names. E. Building pads with project location. 2. PLUMBING PLANS-Two (2) complete sets, civil only. All details listed below shall be incorporated into the plumbing plans: A. Storm drainage plan showing: 1) Finish elevations throughout the developed site. 2) Grade breaks determining area serving each catch basin. 3) Location of catch basins. 4) Pipe size. 5) Type of material. 6) Slope of piping. 7) Manholes and field drains. 8) Cleanouts provided for each 100 feet or fraction thereof. 9) Roof drain laterals specifying cleanouts at each upper terminal. 10) Location of existing or proposed connection to a public sewer line. B. Utilities plan showing: 1) Sanitary sewer line location,pipe size, type of material, slope of piping,manholes and cleanouts provided as required for storm. 2) Size and location of domestic water piping and drainage. 3) Proposed location of connection to a public water or sanitary sewer line. I:\Building\Pennits\PLMF-PennitApp.doc 12/30/05 s Plumbing Permit Application Site Utilities FOR OFFICE USE ONLY City of Tigard 11�jj �T Received P e M Hall � rY�_ 7 'SIO Date/By: Permit No.: L1_` Q.,JiA 13g 13125 SW Hall Blvd.,Tigard, /1 997722113 u u(d _ Plan Review q Phone: 503.718.2439 Fax: 503.598.1960 / Other Permit No.: Date/By: C1--ii-/8 Ilc1 T 1 G A R D Inspection Line: 503.639.4175 Date Read/B y y Jur s: 0 See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information . , l x OF'WORK ✓ FEE* .-C.,� �-;��,,. ,. CKs _ , < .,„--,. � ,,_ pl;l New construction Demolition❑ For special information use checklist. // "' Description Qty. Ea. Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) '-e .,:' CATEGORY OF!,CONSTRUC CONSTRUCTION- ... -0, SFR(1)bath 312.70 ',-,0,6,-,,. r. 1,-E-, '_go,. " El1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 El Accessory building El Multi-family - Each additional bath/kitchen 25.02 El Master builder El Other: Fire sprinkler( sq.ft.) Page 2 40B SI kzs " ;)< �TIOTt)`AND LOCATION- Site utilities: A 1 Catch basin or area drain X� 24 18.76 45(1).4 Job site address: (4060 S S.L .. lo(.�r hGLVw (k6, Drywell,leach line,or trench drain 18.76 City/State/ZIP: Footing drain(no.linear ft.: ip,C 3 i r1 Page 2 Ei•35 Suite/bldg./apt.no.: Project name: 17i 034 14 S m0 d2.a:17(J A Manufactured home utilities 50.03 Cross street/directions to job site: Manholes �''y i 18.76 18 e el 6 Rain drain connector )(`►k 3q 18.76 73/.4 4 Sanitary sewer(no.lineae7 Page 2 a89.((a - Storm sewer(no.lin 00.4 b/ Page 2 , 3 JO.?¢ Water service(no.linear ft.:q i /0 Page 2 y00.2.2. Subdivision: 1 Lot no.: Fixture or item: ....1J7 ' Tax map/parcel no.: Backflow preventer .7a 31.27 62 s4 "" Backwater valve 12.51 .. Y . `.DESCRIPTION OF t ' ' .. ,,,,-,"1.7,, , Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 15"n 0 P s i o I 0 TENANTExpansion tank 12.51 Name: Fixture/sewer cap 25.02 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 k PLICANT ,'i tf-. .® Interceptor/grease 25.02 ,02. . ;.. _ . .;. ... ACT PEitSQI,v.. - trap / .`�S Medical gas(value:$ ) Page 2 Business name: Primer 12.51 Contact name: Roof drain(commercial) 12.51 Address: Sink/basin/lavatory 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax::( ) Tub/shower/shower pan 12.51 E-mail: Urinal 25.02 , : s .T , ,""..", Water closet 25.02 CONI!, .s, , -='-'-0 Water heater 37.52 Business name: Water piping/DWV / 56.29 Address: Other: .StorYh Filttlr Vault ,O 3 25.02 75.o(, City/State/ZIP: Subtotal 5019.0 3 t Phone:( ) Fax:( ) Minimum permit fee: $72.50 Plan review (25%of permit fee) 't2543,8 CCB Lic.: Plumbing Lic.no.: State surcharge(12%of permit fee) 64.1s3 Authorized signature: TOTAL PERMIT FEE Print name: Date: This permit application expires if a permit is not obtained wt hint180 da s after it has been accepted as complete. Q S *Fee methodology set by Tri-County Building Industry Seivtce�rd.' 7 I:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) I Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Qty tr Fee(ea) TotalAPvW; "MOP > are Footage: w 'ermit:Fe: Footing dram-151 100' t 50.03 50,0$ 0 to 2,000 $121.90 Footing drain-each additional 100' 1 37.52600,322,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer-1st 100' / 62.54 cot,51f 7,201 and greater $327.54 Sewer-each additional 100' 37.52 aot5.0 Water Service-1st 100' 62.54 6,a 64 Medical Gas S stems: Water Service-each additional 100' 37.52 339,48Permit Storm Stone&Rain Drain-1st 100' j 62.54gg ,54 $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' do 37.52 ,9,.5/40 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for ections or. F t'. Fee(ea) Total each additional$100.00 or fraction thereof,to ..� btu ,- 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: 3(.5/.91 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 it Review for i, I I rio in ITIS do s Fixture:Type for. Replace/ Capped , Added Relocate Plan review is required for any of the following. woxk Performed: Please check all that apply. Baptistry/Font 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 0 Medical gas and vacuum systems for health care facilities. -Domestic 0 Any multipurpose fire sprinkler system. Drinking Fountain 0 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" 4,> ` ' _". is or Riser # ram Car Wash Drain m g � . Garbage Domestic-non-food 0 Isometric or riser diagram is required for new buildings 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 -Service ;Swimming Pool Filter *Note: If the fixture work under this permit results in an h }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 Fiktures: I:\Building\Permits\PLMU PermitApp.doc 2 Site Utilities — Plumbing Permit Application Plan Submittal Requirements TIGARD A plumbing permit for site utility plumbing work is required for sanitary sewer, storm sewer and potable water systems on private property. 1. SITE PLAN and vicinity map showing the geographic location (fully dimensional, drawn to scale) labeled with: A. ❑ map&tax lot# El project name El site address ❑ suite number El zoning El applicant name ❑ phone number B. North arrow. C. Scale (architectural or engineering only). D. Street names. E. Building pads with project location. 2. PLUMBING PLANS-Two (2) complete sets, civil only. All details listed below shall be incorporated into the plumbing plans: A. Storm drainage plan showing: 1) Finish elevations throughout the developed site. 2) Grade breaks determining area serving each catch basin. 3) Location of catch basins. 4) Pipe size. 5) Type of material. 6) Slope of piping. 7) Manholes and field drains. 8) Cleanouts provided for each 100 feet or fraction thereof. 9) Roof drain laterals specifying cleanouts at each upper terminal. 10) Location of existing or proposed connection to a public sewer line. B. Utilities plan showing: 1) Sanitary sewer line location,pipe size, type of material, slope of piping,manholes and cleanouts provided as required for storm. 2) Size and location of domestic water piping and drainage. 3) Proposed location of connection to a public water or sanitary sewer line. I:\Building\Pelmits\PLMF-PermitApp.doc 12/30/05 Branden Taggart From: Branden Taggart Sent: Thursday, September 13, 2018 4:07 PM To: 'Deepa Bharatkumar' Cc: Joe Echeverri; Sarah Mehrabzadeh;#Building Permit Technicians Subject: Tigard High School Site Utilities Revision: PLM2018-00138; 9000 SW Durham Rd. Attachments: Branden Taggart.vcf Hi Deepa, We have reviewed the revised plans for the Tigard High School site utilities permit: PLM2018-00138. The balance due is $25.70, and the plans can be picked up between the hours of 8:00 a.m. and 4:30 p.m., Monday through Thursday. Would you like us to pay with the trust account? Thank you, Branden Taggart ISel City of Tigard 11 a Senior Permit Technician Community Development 13125 SW Hall Blvd Tigard,OR 517223 {5€13)7182449 brandent@tigard-or.gov 1 Branden Taggart From: Branden Taggart Sent: Wednesday, October 24, 2018 5:26 PM To: Kelly Youngberg Cc: Wesley Winship; 'Brooke De Freval'; #Building Permit Technicians Subject: Tigard High School Site Utilities Revisions: PLM2018-00138 - 9000 SW Durham Rd. Attachments: Branden Taggart.vcf Hi Kelly, I'm following up on the Tigard High School site utilities revisions for PLM2018-00138. The fees have been paid, but no one has picked up the plans for inspections. Can you send someone by to pick up the plans? Thanks, Brander!Taggart „,q City of Tigard M rs Senior Permit Technician Community Development TICARD 13125 SW Han Blvd Tigard,OR 97223 (503)718-2449 brandent©tigard-or.gov 1 6/20/18 Revisions Catch basins: 22 to 24 +$37.52 Footing drain: 1,670 ft.to 1,693 ft. No change in fees Manholes: 4 to 1 -$56.28 Rain Drain Connector: 35 to 39 + $75.04 Sanitary Sewer: 658 to 645 No change in fees Storm Sewer: 6,030 ft. to 6,056 ft. No change in fees Water Service: 1,092 ft.to 919 ft. - $37.52 CITY OF TIGARD PLUMBING PERMIT 1111 ■ COMMUNITY DEVELOPMENT Permit#: PLM2018-00138 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/27/2018 T►c y A 1 i7 g Parcel: 2S 114AA00100 Jurisdiction: Tigard Site address: 9000 SW DURHAM RD Project: Tigard High School Subdivision: None Lot: None Project Description: Site utilities for modernization project. Contractor: LCG PENCE CONSTRUCTION LLC Owner: TIGARD-TUALATIN SCHOOL DISTRICT 2720 SW CORBETT AVENUE 6960 SW SANDBURG ST PORTLAND, OR 97201 TIGARD, OR 97223 PHONE: 503-252-3802 PHONE: FAX: 503-256-3684 FEES Quantity Description Date Amount 22 ea Catch Basin or Area Drain 06/27/2018 $412.72 Specifics: 4 ea Manholes 06/27/2018 $75.04 35 ea Rain Drain Connector 06/27/2018 $656.60 Type of Use: COM 658 If Sanitary Sewer 06/27/2018 $287.66 Class of Work: ALT 6030 If Storm Sewer 06/27/2018 $2,313.74 Type of Const: 1092 If Water Service 06/27/2018 $437.74 Occupancy Grp: 2 ea Backflow Preventer 06/27/2018 $62.54 Stories: 1 ea Interceptor/Grease Trap 06/27/2018 $25.02 75 Misc Other Fee 06/27/2018 $75.06 1 Plan Review 06/27/2018 $1,249.12 11 12%State Surcharge- 06/27/2018 $599.58 Plumbing 1670 If Footing Drain 06/27/2018 $650.35 Total $6,845.17 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 ••-gon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of e rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: 7 Permittee Signature: / 1 AMOK Call 503.639.4175 by 7:00 a.m.for the next available inspe tion • -. This permit card shall be kept in a conspicuous place on the job site until completion of the , oject. Approved plans are required on the job site at the time of each inspection. Plumbing Permit Application Site Utilities FOR OFFICE USE ONLY City of Tigard t Received t 'c.1j,fi-� )x,331 Ate/By: Permit No.: q 13125 SW Hall Blvd.,Tigard,OR 97223 1 a P n R view �� � - ���` Phone: 503.718.2439 Fax: 503.598.19611' ' bateBy ,5-a L-18 Lc Other Permit No.:rf't e, -l tglo Inspection Line: 503.639.4175 TIGARD £ Ready/By: Date Read/B y: /„ ���� kris: �. Bi See Page 2 for Internet: www.ti and-or. ov •.r,�, er � sNotifed/Method: Lf / .p7, .' 1Supplemental Inf ormati on : /f< !„/ .f , f /?" e :fti"gfl' ' ,_��r �I.07/f/;` � ��r ' `'�/�yf � * .4,(' ''''" ; / '�!�� f, rJ�1�f0/ ��i �� ��1/l�/1/�� h. /✓ °ii, �r � � „�a/ J�.! , s , ra i/�fiio ��rr .� ❑New construction ❑Demolition 'r For special information use checklist. Description Qty. Ea. Total ddition/alteration/replacement ❑ tltei.,'Y ,c, r_ "_- New 1-2-family dwellings(includes 100 ft.for each utility connection) 'V'',/,''''77/4/4" r/ �t�',f`/'J��,f///�j�j�' ����,�,/�i��/. ���f/fir r �J/J/��i. o� v��� ��/�j�� � /%�/,'J�ff ��fJ //if / . *.,*/0/// 1r tre-f ',9/0/�F a a,/.. / 4frf //'%/ , SFR(1)bath 312.70 ❑ 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 buildingSFR(3)bath 500.32 ❑Accessory ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder Other: Fire sprinkler (_sq.ft.) Page 2 /� ` ®# ��Jr ; �Jiai f � / � % � /� Site utilities:!„ > /2.. 1.7 !f.„ i/,// !., /iJx. / " Job site address:9000 SW Durham Rd. Catch basin or area drain 22 18.76 412.72 "40 Drywell,leach line,or trench drain 0 18.76 0.00 0 City/State/ZIP:Tigard,OR 97224 Footing drain(no,linear ft.:1670) 17 Page 2 650.35 •",,.-' Suite/bldg./apt.no.: Project name:Tigard HS Modernization Manufactured home utilities 0 50,03 0.00 f Cross street/directions to job site:SW Durham Road and SW 92' Ave. Manholes 4,d' 18.76 9yof.6e-28 --"P' Rain drain connector 56I 35 18.76 656.60 e r.,/ O h j Sanitary sewer(no.linear ft.:. 11 t)./ave Page 2 ,)' 'fin 46i Al/ " Storm sewer(no.linear ft yC -.1O it Page 2 t j'3 jJ.rf�}i,/' t Water service(no.linear ft. tOrj)t ii Page 2 f 3,7,74 i,/ C' Subdivision: Lot no.: Fixture or item: Tax map/parcel no.: 25 `14 OO t 0'D Backflow preventer a 31.27 6'd,tj g :/ /`1` %/ / J .:ems;,ao r/iiiJ /�/.f ,/,-/ / ,A 4,7;,e7://„...) Backwater valve 12.51 W iefrJ/ /i44,74 i'4-'4/444:,e/ Clothes washer 25.02 5‘c . `T``LTE5A :. 'E6rC,Q�P O ' `tM' 0VLDishwasher 25.02 tpt`W I Nr.›.. fOK 1TM. ITtGAZ, FeH C--c -- Drinking fountain 25.02 MOYE_\I ka)\T\Ot, P?O Ec Ejectors/sump 25.02 /,1 i '' , /f/#" %ic /,:45: /° �/2/1,77"4://4"% f��� Expansion tank 12.51 /, / nof% v/4/r,,//� i r /4, r ,�� � 4 Name: "t 7UIktAT1N t Ct-(OOL I/15-`� Fixture/sewer cap 25.02 ��++ c�• , x` Floor drain/floor sink/hub 25.02 Address: GctGd ‘,,j I�-p�t1) 5-KEET / Garbage disposal 25.02 City/State/ZIP: TIG,cp Dg. cm 273 Hose bib 25.02 Phone:("`. ' 31 -4E000 Fax:( ) Ice maker 12.51 % //' i � /iv/�� /%////3ff 1 % Sa-;�y/%�/ /i/1,1 !/ Interceptor/grease tra I 25.02 0 2 0 �;,���® �� / .,� �� ..� .:1/P// 4.:09',/,47":";,,,,,c;;,,,,,,rte,.``/,,/!',r' ii/.sin`���% P ` �5' rJ'`:�. /,rr, /✓��.��i//i �%%i/�r,�� L // /�k{��RO MA1T L VU S pe Medical gas(value:$ ) Page 2 Business name: OAK:17R° C.� ^ ` S Ar , m 1\J� Primer 12.51 Contact name: l� 2) ow M ,'td,` Roof drain(commercial) 12.51 Address: Sink/basin/lavatory 25.02 City/State/ZIP: ?Mk 1\‘,P Cfg.. CV12-Vi Solar units(potable water) 62.54 Phone:(5D3 4I(t_25 Le Fax: :( ) Tub/shower/shower pan 12.51 E-mail: # V lew6 , (DATA ,t) COIN) Urinal 25.02 ".04.0/. % %�� /1/ i'' x:// <, 0470//,/.,y,4,// /iJ Water closet 25.02 Water heater 37.52 Business name: LCG PeiN1Ce coR513k310N Water piping/DWV 56.29 Address: 2_147 ?Ewe LOOP SE Other:sf or w) f./4t V044+:3 3 25.02 95.0 6 ✓`" City/State/ZIP: A M O . CkTloO2 Subtotal 17ie_,,4'7 i Phone:(5-Q5 ,36161 r 16 - '(223Fax:( ) Minimum permit fee: $72.50 CCB Lic.: n3Plumbing Lic.no.: epts 3 Plan review (25%of permit fee) /a4ir I elk110-t . � State surcharge(12%of permit fee) '5,;(1.5e- 1 Authorized signature: t J TOTAL PERMIT FEE 6iF/5.,q - l/ A� Date:3 � '� � This permit alicationafterit exhaspiresbeen if a permitaccepted isas notcomplete.obtained within1180 days Print name: � A e• 1T^v Tjpp *Fee methodology set by Tri-County Building Industry Service Board. 1 t'Building\Permits\PLMU-PermitApp.doc 10/Ol/09 440-46161(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Su pression Systems: ,ter ,� �,� Cr] � „r� � „ ,,,;, 1:077, � ,�,. .+1/"," " �`_�'',ii/ ,"��,,,,�r0 "!/:.,/,.�6/ �, ';,, � ''.��i�.ry�r°srry��.„J� ,�/�.�",'�'%�"�';�////�v ,.,����' /��" Y i � � `, ,, /' i,!� ,�.��///es, % 4.4q1.,3 ,Fii 4 .J4;.,f„!AA/4A, !,^�, i ,ei/„ A Footing drain-I"100' 1 50.03 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 16 37.52 600.32 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' „Pr 37.52 24712 ;;/...),54a Water Service-1st 100' 1 62.54 62.54 Medical Gas Systems Water Service-each additional 100' f( 37.52 315,20 ! ,^/."./1 Storm&Rain Drain-1st 100' 1 62.54 62.54 `", $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' iC 37.52 gl,' C: $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for ` ��, �� r � / -(7:<; ///` 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: *tall 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*. i /.%/ /�;//,!/ :, tity'IY1y 'ilCllEfB'ryt{'C%r„ ,. r 9 "�•a,`J, ,e.�/? ,..w 8, „ '3,�4. 'Typ/e fob � t'etl/' A.410,‘ ReRepIa Plan review is required for any of the following. erformed.,,'/',/!//r�/,�,r'�./ ,.,,,,�/,'r' �' aPP-r,�,„r- Please check all that apply. Baptistry/Font El 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" Car Wash Drain ,,,. / ',,, , fr �, „fi,a; Garbage Domestic-non-food ❑ Isometric or riser diagram is required for new buildings 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 -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: W:\21712810\Permit\Site Utilities-Plumbing Permit-2018-03-28\PLMU2yermitApp.doc 1 , ' FOR OFFICE USE ONLY-SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT IN Transmittal s ttal Letter TI C,A R n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Li/ DATE , " i E t j..— DEPT: BUILDING DIVISION JUN 2 0 2018 CITY fk GA1 Ij FROM: LDINGDMS ii OF COMPANY: Art j PHONE: 0' q IT—ZQO0 By:2 RE: QM SW 0 wham-, led "441 - $' -- i 3r (Site Address) (Permit ► imber) Sc / / /'' ' (Projett name or subdiffsion name and lot number) \ ," ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copie 1 escription: 4 Additional set(s) of plans. Revisions: ___1,-",,,,,, i:-.".<-4%----` Cross section(s) and details. t Wall bracing and/or lateral analysis. Floor/roof framing. ' Basement and retaining walls. Beam calculations. r u,�` , ) Engineer's calculations. Other(explain): REMARKS: / / / ei 1 ,/ t4:0' -' P4 Von b` rerri,i;tt 'lithifitt; FOR OFFICE USE ONLY Routed to Permit T chnici. • OW 9//_/✓ ,1/ Fees Due: es ❑ ,1 o Fee Description: Amount DI-K S-1 i f,... s87: Special Instruct'ons: Reprint Permit(per PE): ❑ Yes ❑No 1 ❑ Done Applicant Notified: Date: q 13 hi Initials: • I:\Building\Forms\TransmittalLetter-Revisions 061316.doc