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Permit (189) CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT Permit#: PLM2018-00303 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/19/2018 f � Parcel: 1S136DC03200 Jurisdiction: Tigard Site address: 11740 SW 72ND AVE Project: 72nd Avenue Apartments Subdivision: 72ND AVE APARTMENTS Lot: 8 Project Description: Site utilities for new five-story apartment building. Contractor: KEYWAY CORP Owner: 72ND AVENUE PROPERTY LLC 7275 SW HERMOSO WAY BY CASSINELLI, RICHARD TIGARD, OR 97223 11720 SW 72ND AVE TIGARD, OR 97223 PHONE: 503-684-5100 PHONE: 503-545-5217 FAX: 503-684-5500 FEES Quantity Description Date Amount 10 ea Catch Basin or Area Drain 09/19/2018 $187.60 Specifics: 1 ea Drywell, Leach Line or Trench 09/19/2018 $18.76 Drain Type of Use: MF 600 If Footing Drain 09/19/2018 $237.63 Class of Work: NEW 20 ea Rain Drain Connector 09/19/2018 $375.20 Type of Const: 66 If Sanitary Sewer 09/19/2018 $62.54 700 If Storm Sewer 09/19/2018 $287.66 Occupancy Grp: Stories: 50 If Water Service 09/19/2018 $62.54 2 ea Backflow Preventer 09/19/2018 $62.54 1 Plan Review 09/19/2018 $323.62 18 ea Info Process/Archiving-Lg 09/19/2018 $36.00 $2.00(over 11x17) 1 12%State Surcharge- 09/19/2018 $155.34 Plumbing Total $1,809.43 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 OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: ,r Air 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_ Site Utilities HEI --° FOR OFFICE USE ONLY City of Tigard 9 7 018 Date/By:Reced ���t / Permit NqO) 2 )I 13125 SW Hall Blvd.,Tigard,OR 9722 _ l ; I ' � � Jt/� Plan Review /� Phone: 503.718.2439 Fax: 503. TIGARD Date/By: f9 p` 1_ 466, Other Permit No.: Inspection Line: 503.639.4175 ) W11 TIGARD BUILDING rh Date Read B t� G / - Juris: fid See Page 2 for Internet: www.tigard-or.gov BUILDING IVIS,§-� °'` y y % �v �C//V g Notified/Method: Supplemental Information ..+t-f # i! te. Oi Pi -41:1! ( +►/ a -.. ( i Ul 'mg' „ , ' r , ®New construction 0 Demolition For special information use checklist Description Qty. I Ea. I Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) {1' .mint , " alp,-'''-7,: ;4:1110"CAT i �,'0---ON '� ao! d' 111 , T SFR(1)bath 312.70 ❑ 1-and 2-family dwelling ®Commercial/industrial SFR(2)bath 437.78 buildingSFR(3)bath 500.32 0 Accessory ®Multi-family Each additional bath/kitchen 25.02 ❑Master builder ®Other:Mixed Use Fire sprinkler( sq.ft.) Page 2 ' i.. u..'QBSIFI -�-0 O� AemirDs- ' 161 h diUir Site utilities: Zk70fv 0 Job site address: W 72nd Avenue Catch basin or area drain Ll --Jr' 18.76 Drywell,leach line,or trench drain 1 18.76 18.76 City/State/ZIP:Tigard,OR 97223 Footing drain(no.linear ft.:600) - Page 2 237.63 Suite/bldg./apt.no.: I Project name:72nd Avenue Apartments Manufactured home utilities 0 50.03 Cross street/directions to job site:Between SW Clinton Street and SW Baylor Manholes 0 18.76 Rain drain connector 20 18.76 375.20 Sanitary sewer(no.linear ft.:66) - Page 2 62.54 Storm sewer(no.linear ft.:700) - Page 22�u.8766 Water service(no.linear ft.:ikVf Sc - Page 2 ,-rou.--o Subdivision:Enola Heights Lot no.:3200 Fixture or item: 6.A,.S(' Tax map/parcel no.:WCTM 1S136DC Lot 3200 and 3300 Backflow preventer c,2 31.27 fv,/,S/ �'� . IEC PT.+t2 'kit 9.4 �� i'", �� Backwater valve 12.51 "� „ w T,,,`.., t Clothes washer 25.02 New five-story mixed-use building with commercial uses and parking , tiDishwasher 25.02 on the ground floor and 38 residential units on the upper floors. Drinking fountain 25.02 Ejectors/sump 25.02 ilk I:IN"i��ie i "� �s 1 ►1 'tPERTY R- � i,„ Expansion tank 12.51 4 Name:72nd Avenue Property,LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:4804 NW Bethany Boulevard Garbage disposal 25.02 City/State/ZIP:Portland,OR 97229 Hose bib 25.02 J� Phone:(503)545-5217 Fax:( ) Ice maker 12.51 + 11 1A A° c � i pTT p ® Interceptor/grease trap 25.02 Business name:72nd Avenue Property,LLC gas(value:$ ) Page 2 .- Primer 12.51 .:i Contact name:Richard Cassinelli Roof drain(commercial) 12.51 il Address:804 NW Bethany Boulevard Suite 1-2 Sink/basin/lavatory 25.02 City/State/ZIP:Portland,OR 97229 Solar units(potable water) 62.54 Phone:(503)545-5217 Fax::( ) Tub/shower/shower pan 12.51 E-mail:rec65@me.com Urinal 25.02 /, hiTR�� (� Water closet 25.02 ~ ) " CONTRA( 9 s. _ '',.� i."'i}' ,„�r -� Water heater 37.52 Business name:KeyWay Corp. Waterpiping/DWV 56.29 Address:7275 SW Hermosa Way Other: 25.02 City/State/ZIP:Tigard,OR 97223 Subtotal 1250.69 Phone:(503)684-5100 Fax:(503)684-5500 Minimum permit fee: $72.50 - Plan review (25%of permit fee) 312. CCB Lic.:127522 P1 bing Lic.no.: ��`/1 State surcharge(12%PERMf IT it fee) 1 .08 Authorized signature: �/ TOTAL PERMIT FEE 13.44 Print name:Richard Cassinelli Date 6/7/18 This permit application expires if a permit is not obtained within 1 0 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\BuildingPermits\PLMU-PermitApp.doc 10/01/09 440-4616T(l0/02/CAM/WEB) Plumbing Permit Application - City of Tigard r Page 2 - Supplemental Information Fee Schedule: } Residential Fire Suppression Systems: 111:1MS yi i e 1',1.1M# r Ji il�I�✓ I" ��'� ,? Footing drain-1"100' 1 50.03 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 5 37.52 187.60 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' 1 37.52 37.52 Storm&Rain Drain-1st 100' 1 62.54 62.54 j f i"111 Fee., __ $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 6 37.52 225.12 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for peach additional$100.00 or fraction thereof,to SN e I""" 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 b btture ype Work Perform d Capped' Atic�ed Ttdl ate a al n e r`P 9 t � irlallo1€>s Plan review is required for any of the following. Baptistry/Font 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 Thru 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 0 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 etrt` i ]+ rim Garbage -Domestic-non-food � �'" '°° � � " • �- Disposal -Domestic-food related 0 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 https://dciengineers-my.sharepoint.com/personal/dsmith_dci-engineers_cop/Documents/Active Projects/72nd Avenue Apartments-Tigard/Permit Applications/PLMU_PermitApp with Completed Fee Schedule.doc plumbing permit can be issued. I:\Building\Permits\PLMF-PermitApp.doc 12/30/05 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\Permits\PLMF-PermitApp.doc 12/30/05 , ' Plumbing Permit Application //--1 / "/ 2'J (4.10/Zf .S Site Utilities FOR OFFICE USE ONLY Received City of Tigard Permit No. 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: No.:pun a 0/8- 0 d 3[>3 _ Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Fj-a C/-is 64 Other Permit No.: Date/By: T I G A R D Inspection Line: 503.639.4175 Date Ready/By: Juris. Ea See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information FEE* SCHEDULE YPE OF Wok ❑New construction ❑Demolition For special information use checklist Description Qty. Ea. Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) GORY Fa STRUCTiON wn: SFR(1)bath 312.70 0 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 0 Accessory building ❑Multi-family Each additional bath/kitchen 25.02 0 Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB S 'INFORMA ® " T1ON Site utilities: Job site address: Catch basin or area drain /0 18.76 197,SO /17t/o SW 72 A-ue City/State/ZIP: Drywell,leach line,or trench drain / 18.76 /g , 76 Footing drain(no.linear ft.:6) Page 2 237,/3 Suite/bldg./apt.no.: 1 Project name: 7v'2 t-^-4 Ava ,Apartill."4C Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector o2 C) 18.76 3 73-.'o=C Sanitary sewer(no.linear ft.:L) Page 2 6 2 .Sy Storm sewer(no.linear ft.:7ct) Page 2 ag7, 16 Water service(no.linear ft.:re)) Page 2 6 2,,ry Subdivision: 1 Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 2 31.27 62, 5'1 t to Backwater valve 12.51 „"g f i a 'ION OF WORK Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ANT ' Expansion tank 12.51 f�.Pleb :t a 1°i :' � ���� �"`�` �`�]. .� ,, �� . ., Fixture/sewer cap 25.02 Name: 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 1 APPLICANT ❑ C©NTAPERSON Interceptor/grease trap 25.02 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 ;v :: Water closet 25.02 ,;.,17.41,1,t1;..,„ CONTRACTOR: .. Water heater 37.52 Business name: Water piping/DWV 56.29 Address: Other: 25.02 City/State/ZIP: Subtotal i;'q q.`17 Minimum permit fee: $72.50 Phone:( ) Fax:( ) Plan review (25%of permit fee) 323.6 a, CCB Lic.: Plumbing Lic.no.: State surcharge(12%of permit fee) /3-s-, 3 q Authorized signature: TOTAL PERMIT FEE 1773.y3 Print name: Date: 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 10/01/09 440-4616T00/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty Fee notal s 1,„ 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' 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 aluatio ,w {s Pernul 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 each additional$100.00 or fraction thereof,to ©. !.,peAtions or,fees ,,F> m Qty. Fee tea) .; 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 i ® lu bin 9• Fixture Type for Replace/ • ;'' t� ,4,Pgr ,,.x. .h x Capped Added Relocate Plan review is required for any of the following. Work 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" 2 t Isometric or Riser Diagram Car Wash Drain 0 Isometric or riser diagramis required for new buildings Garbage -Domestic-non-food 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 -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: I:\Building\Permits\PLMU PermitApp.doc 2