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Permit
CITY OF TIGARD PLUMBING PERMIT SINCOMMUNITY DEVELOPMENT Permit#: PLM2020-00131 Date Issued: 03/30/2020 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S113AB01400 Jurisdiction: Tigard Site address: 7374 SW DURHAM RD Project: Spec Space Subdivision: None Lot: None Project Description: Landlord work prior to TI: Contractor: ALWAYS FAITHFUL PLUMBING LLC Owner: PACIFIC REALTY ASSOCIATES LP PO BOX 757 ATTN: N PIVEN WILSONVILLE, OR 97070 15350 SW SEQUOIA PKWY#300 PORTLAND, OR 97224 PHONE: 503-780-9486 PHONE: FAX: FEES Quantity Description Date Amount g ea Fixture/Sewer Cap 03/27/2020 $225.18 Specifics: 1 12%State Surcharge- 03/27/2020 $27.02 Plumbing Type of Use: COM Class of Work: ALT Type of Const: Occupancy Grp: Stories: Total $252.20 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: 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 EGOV FOR OFFICE USE ONLY City of Tigard Received - 2 b Dale/B Permit No.: /M /Yl • 13125 SW Hall Blvd.,Tigard,OR 97223 M AK y` r/ Q W Plan Review Phone: 503.718.2439 Fax: 503.598.1960 DateiBy, Other Permit No.: TIGARD Inspection Line: 503.639.4175 "l. Y /`�F. k- Date Ready/By: luris: RI See Page 2 for Internet www.t:gard-or.gov - Notified/Method Supplemental Information E ''', TYPE OF WORK - '. FEE* SCHEDULE ❑ New construction El Demolition For special information use checklist. Description Qty. Ea. I Total ® Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) F SFR(1)bath 312.70CATEGORY OF CONSTRUCTION C ❑ I-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 JOB SITE INFORMACION AND LOC! e, Site utilities: Job site address: 7374 SW Durham Rd Catch basin or area drain 18.76 City/State/ZIP: Tigard OR 97224 Drywell,leach line,or trench drain 18.76 /15, Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: Project name: Spec B Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: Lot no.: Fixture or item: Tax map/parcel no.: 4s1134.6 H • Backflow preventer 31.27 93 ats -I� 6 ,4K " �$ Backwater valve 12.51 '-` ' '' ' Clothes washer 25.02 Demo And Cap 2 W.C. , 2 lays, 3 sinks and Dishwasher 25.02 2 showers Drinking fountain 25.02 Ejectors/sump 25.02 " y W,t,ti• _ i itNANT . Expansion tank 12.51 Name: Pacific Realty Fixture/sewer cap 9 25.02 01,,,.,.5, re Floor drain/floor sink/hub 25.02 Address: 6650 SW Redwood Ln Ste 290 Garbage disposal 25.02 City/State/ZIP: Portland/ OR/ 97224 Hose bib 25.02 Phone:(503) 624-6300 Fax:( ) Ice maker 12.51 ®. APPLICANT ❑ CO\TACT PERSON Interceptor/grease trap 25.02 Business name:Always Faithful Plumbing Medical gas(value:$_) Page 2 - - Primer 12.51 Contact name: Corey Chamberlain Roof drain(commercial) 12.51 Address: PO Box 757 Sink/basin/lavatory 25.02 City/State/ZIP:Wilsonville OR 97070 Solar units(potable water) 62.54 Phone:(503)780-9486 Fax: :( ) Tub/shower/shower pan 12.51 E-mail: alwaysfaithfulplumbing@yahoo.com Urnal 25.02 -a. Water closet 25.02 coNTRAC! Water heater 37.52 Business name: Always Faithful Plumbing Water piping/DWV 56.29 Address: PO Box 757 Other: 25.02 City/State/ZIP: Wilsonville, OR 97070 Subtotal '45,(f Phone:(503)780-9486 Fax:( ) Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lie.: 217284 Plumbing Lic.no.:PB1940 / State surcharge(12%of permit fee) Authorized signature: _-/� C�z, TOTAL PERMIT FEF a rj7a Print name: Corey Chamberlain Date: 3/25/2020 This permit application expires ifapermit is nut obtained wit in 180 days after it has been accepted as complete. "Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU-PermitApp.doe 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: Site Utilities Qty. Fee(ea) Total Square Footage: Permit Fee: Footing drain-l' 100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 Sewer-1st 100' 62.54 3,601 to 7,200 $233.20 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: Permit - Storm&Rain Drain-1st 100' 62.54 - .,a i ) 9 $1.00 to$5,000.00 Minimum fee S72.50 Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for Other Inspections or Fees Qty. Fee(ea)' Total each additional$I00.00 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: 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*. Plan Review for Plumbing Installations Quantity by Fixture Type Plan review is required for any of the following. Fixture Type for Replace Please check all that apply. Work Performed: Capped Added Relocate Baptistry/Font ❑ Any new commercial building with water service 2"and Bath: Tub/Shower greater,except systems designed and stamped by licensed -Jacuzzi/Whirlpool engineer. Car Wash: -Each Stall ❑ New exterior plumbing site utilities for any complex structure Drive Thru as defined in OAR918-780-0040. Cuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities. Dishwasher: Commercial ❑ Any multipurpose fire sprinkler system. Domestic ❑ Any complex structure as defined in OAR918-780-0040. Drinking Fountain Eye Wash Submit 2 sets of plans with any of the above. Floor Drain/sink: -2" 3" Isometric or Riser Diagram ❑ Isometric or riser diagramis required for new buildings -Car Wash Drain q Garbage Domestic non-food that meet the qualifications above. Disposal: -Domestic food related -Commercial food related -Industrial food related Ice Mach./Refrig.Drains Comments regarding fixture work: Oil Separator(Gas Station) Rec.Vehicle Dump Station Shower: -Gang -Stall 2 Sink: -Lay/Bar non-food related 5 -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 Water Extractor fees assessed for the sewer increase must be paid before the Water Closet-Toilet 2 plumbing permit can be issued. Urinal Other Fixtures: I:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2 Accumulative Sewer Tally 111 >t Tenant Name: SPEC SPACE Accumulative # N/A Site Address: 7374 SW DURILAM RD PLM# 2020-00131 TIGARD Parcel#: 2S113AB01400 Fixture Value Previous Previous Credits Capped Fixture Fixture New New # value count capped#s value count added# added value total#s total values Baptisery/Pont 4 0 0 0 0 0 Bath: -Tub/Shower 4 0 0 0 0 0 -Jacuzzi/Whirlpool 4 0 0 0 0 0 Car Wash: -Each Stall 6 0 0 0 0 0 -Drive through 16 0 0 0 0 0 Cuspidor/Water Aspirator 1 0 0 0 0 0 Dishwasher: -Commercial 4 0 0 0 0 0 -Domestic 2 0 0 0 0 0 Drinking Fountain 1 0 0 0 0 0 Eye Wash 1 0 0 0 0 0 Floor Drain/Sink: -2 inch 2 0 0 0 0 0 -3 inch 5 0 0 0 0 0 -4 inch 6 0 0 0 0 0 -Car Wash 6 0 0 0 0 0 Garbage Disposal: -Domestic(to 3/4 HP) 16 0 0 0 0 0 -Commercial(to 5 HP) 32 0 0 0 0 0 -Industrial(over 5 HP) 42 0 0 0 0 0 Ice Machine/Refrigerator Drain 1 0 0 0 0 0 Living Unit 16 0 0 0 0 0 Oil Sep (Gas Station) 6 0 0 0 0 0 Rec.Vehicle Dump station 16 0 0 0 0 0 Shower: -Gang(per head) 1 0 0 0 0 0 -Stall 2 0 2 4 0 -2 -4 Sink: -Lay/Bar-Non-Food Related 2 0 5 10 0 -5 -10 -Bradley 5 0 0 0 0 0 -Com/Serv/Util-Food Related 3 0 0 0 0 0 Swimming Pool Filter 1 0 0 0 0 0 Washer-Clothes 6 0 0 0 0 0 Water Extractor 6 0 0 0 0 0 Water Closet-Toilet 6 0 2 12 0 -2 -12 Urinal 6 0 0 0 0 0 Previous EDU Count 0 0 Capped EDU Credit 0 TOTALS 0 0 9 26 0 0 -9 -26 Current Fixture Value -26 divided by 16= -1.625 Current EDU 1 EDU= $5,800.00 Previous Fixture Value 0 divided by 16= 0.000 Previous EDU Change -26 divided by 16= -1.625 over (under) $ (9,454.00) Enter EDU Change Here -1.630 *Round EDUs to the nearest 1/100th: a count ending in.005 shall be rounded up to.01,and a count ending in.014 or less shall be rounded down to.01. Notes: ***CREDIT*** Authorized Name/Signature: BRANDEN TAGGART X2449 Date: 3/27/2020 Building Division Note: The property owner shall retain the ORIGINAL.sewer tally record. If credits exist,this document will serve as a voucher which must be submitted to the City of Tigard Building Division to redeem credits towards future system development charges. I:A Building\Sewer Tally\SewerTallySheet_5800_070119.xlsx