Permit (188) CITY OF TIGARD PLUMBING PERMIT
II:L' COMMUNITY DEVELOPMENT Permit#: PLM2018-00179
T[ AR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/24/2018
Parcel: 2S 114AA00100
Jurisdiction: Tigard
Site address: 9000 SW DURHAM RD
Project: Tigard High School Subdivision: None Lot: None
Project Description: Site utilities for softball field renovation:
Contractor: BENCHMARK CONTRACTING INC Owner: TIGARD-TUALATIN SCHOOL DISTRICT
3155 SW 234TH AVE STE A 6960 SW SANDBURG ST
HILLSBORO, OR 97123 TIGARD, OR 97223
PHONE: 503-780-9760 PHONE.
FAX: 503-649-1170
FEES
Quantity Description Date Amount
2004 If Storm Sewer 09/20/2018 $812.94
Specifics: 1 12%State Surcharge- 09/20/2018 $97.55
Plumbing
Type of Use: COM 3 ea Info Process/Archiving-Lg 09/20/2018 $6.00
Class of Work: ALT $2.00(over 11x17)
Type of Const:
Occupancy Grp:
Stories:
Total $916.49
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.
7-9X/
Issued By: Permittee Signature:
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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 pr. .. .
Approved plans are required on the job site at the time of each inspection.
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Plumbing Permit Application
Site Utilities tir„ '''H. ',-,,1
, "i FOR OFFICE USE ONLY
Cityof Tigard
N Receive
g Date/By: t /j.�,•.,,..- Permit No.: �/�-�'�c'yt,[l,..r y:Ji 7
ii 13125 SW Hall Blvd.,Tigard,OR 97223 Ll� v'�• P t L
= Phone: 503.718.2439 Fax: 503.598.1S!60'' ,: Plan Review _
c� A len Other Permit No.: /q r
tV Date/By: /l �l X1 2 for ICY f.Y.E�1
Inspection Line: 503 639 4175 !C �
1 I U A R D s 4 Date Ready/By: Juns H See Page 2 for
Internet: www.tigard-or.gov N. 'fied/Method:
Supplemental. �Y✓ Inf
omatt
Information
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❑New construction t erriolition For special information use checklist
Description I Qty. I Ea. 1 Total
®Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
v fii:i` t F ,% efF !3 1,:t F li, , l; rfv s
SFR(1)bath 312.70
0 1-and 2-famil y dwellin SFR(2)bath 437.78
g ®Commercial/industrial
ElAccessory building 0 Multi-family SFR(3)bath 500.32
Each additional bath/kitchen 25.02
❑Master builder 0 Other:
,/Jr ' '
Fire sprinkler( sq.ft.) Page 2
F ; ' yx r r/,/ ff r1 . riO4 Ff% Site utilities:
Job site address:9000 SW Durham Rd. Catch basin or area drain 3 18.76 56.28
Drywell,leach line,or trench drain 18.76
City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: I Project name:Tigard HS Softball Field Manufactured home utilities 50.03
Cross street/directions to job site:SW Durham Rd.and SW 92nd Ave. Manholes 1 18.76 18.76
c -t y' c c7-- i p fvr n- 1 ef7�i) f.s Rain drain connector 18.76
Sanitary sewer(no.linear ft.: ) Page 2
)' 14.7d Storm sewer(no.linear fl,./0‘.24' ate, Page 2 77f.zf'.
Water service(no.linear ft.: ) Page 2
Subdivision: I Lot no.: 100 Fixture or item:
Tax map/parcel no.:2S114AA Backflow preventer 31.27 .
.iiiIKAf44f44;',10.401 f i '� "'�74,17414 Backwater valve 12.51fi " l #
Clothes washer 25.02
Proposed renovation to existing Softball Field by installing synthetic turf Dishwasher 25.02
infield and outfield.Additional storm line and fixtures are proposed to aid Drinking fountain 25.02
in drainage of proposed field improvements. Ejectors/sump 25.02
r , , f, { , -144.1
'''''';;:=4;;;7/".
-�f " Expansion tank 12.51r,i tifie*vr4 , a13;t;- x,45 A:?f : s , 4:ri/r,v:'u,,,r ' .,.s'I/lj,, % f
Name:Tigard-Tualatin School District Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address:6960 SW Sandburg St. Garbage disposal 25.02
City/State/ZIP:Tigard,OR 97223 Hose bib 25.02
Phone:(503)431-4000 Fax:( ) Ice maker 12.51
f4-A4 ,18 ; ArrJtlmfrG44 ® %`/ f'.7'" , ' ",, '
Interceptor/grease trap 25.02i, ,0lF /f , , „
Business name:Cardno Medical gas(value:$ ) Page 2
Primer 12.51
Contact name:Kelly Youngberg
Roof drain(commercial) 12.51
Address:6720 SW Macadam Ave,Suite 200 Sink/basin/lavatory 25.02
City/State/ZIP:Portland,OR 97219 Solar units(potable water) 62.54
Phone:(503)419-2500 Fax::(503)419-2600 Tub/shower/shower pan 12.51
E-mail:kelly.youngberg@cardno.com Urinal 25.02
itr tf � rp'v;ir r , Tl"ll Ifif fs sm
Water closet 25.02
� '.:: ,� W-t,f ,,Pi✓ : Vy�,nP,i4
Water heater 37.52
Business name:TBD {x -,,/i/r)4 y Y. (u,1-,,-.4_,.., Water piping/DWV 56.29
Address: �,j i� ,c,;.,4:,) "..!/./,'1"` it, . ./r .,�/ Other: 25.02
City/State/ZIP: /6/JJ' a„-L x /Jf Subtotal a f v,L f(-
Phone:(E>;-,-s ) r E-1 C4 Fax: Minimum permit fee: $72.50
t�
' Plan review (25%of permit fee) .)/2, (y
CCB Lic t(i) .7.5- 7 , Plumbing Lic.no.: /' j.-1 ' 7
_ State surcharge(12%of permit fee) )0).06,
Authorized signature: / � TOTAL PERMIT FEE /163
Print name:Kelly Youngberg Date:04/18/2018 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)
a 4
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Su 1 s ression S stems:
$ l :-,,,,,,,e4: ! !!./✓ !0 lir yj✓!. �+ ..0 ,,t'
as�r . „ .r , in:r ✓£'! ,l. r,!-.
Footing drain-Pt 100' 0 50.03 0 0 to 2,000 $121.90
Footing drain-each additional 100' 0 37.52 0 2,001 to 3,600 $169.69
3,601 to 7,200 $233.20
Sewer-1st 100' 0 62.54 0 7,201 and greater $327.54
Sewer-each additional 100' 0 37.52 0
Water Service-1st 100' 0 62.54 0 Medical Gas Systems:
Water Service-each additional 100' 0 37.52 0 tai!!fKMif lr/211 rill/,- ,,rls'f�!;/!il�/"�`' jll,
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' f r 37.52 712 0 t $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for
t,! l;�!! ! 4�) ! 4 each additional$100.00 or fraction thereof,to
`" Ks ° , ., 1.. .! r fl �!!, 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: 7 7s`s-0-
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*.
r, Quantity by Fixture Type- sf;% e l° -:,/1',..4,11,==4,11J!..04yeQ4. ° F° ° r .
1! 9
u tixtute"l ! . ,. RepLleet
. r4 � / Plan review is required for any of the following.
Workife or e . Capped..;; Q
Baptistry/Font Please check all that apply.
Bath Tub/Shower
0 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 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.
c !!' r ,FF `ie, iii®;-7,"-4:,;: '.! !!':ume �,!!/,`!!!:
4" `,lir!! /fr.0 „
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1 " 49°4:444,-WNAQ
Car Wash Drain
0 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 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
Urinalplumbing permit can be issued.
Other Fixtures:
W:\21712810\Permit\SOFTBALL FIELD\2018-04-18-Softball Site PerrIts\Site Utilities Plumbing Permit\2018-04-18-PLMU_PermitApp.doc
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