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Permit
CITY OF TIGARD PLUMBING PERMIT 44 ' COMMUNITY DEVELOPMENTIN Permit#: PLM2020-00250 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/23/2020 Parcel: 1 S 136AD04102 Jurisdiction: Tigard Site address: 10735 SW 69TH AVE 1 Project: Gettysburg Apartments, Building 1 Subdivision: VILLA RIDGE Lot: 2 Project Description: 50 ft.of water service and interior plumbing for units 1-4: (4)Clothes Washers,(8)sinks, (4)tub/showers,(4)water closets,and(4)water heaters. Contractor: FORBES PLUMBING Owner: CHATTANOOGA LLC PO BOX 565 14250 NW MCNAMEE RD DALLAS, OR 97338 PORTLAND, OR 97231 PHONE: 503-623-8595 PHONE: FAX: FEES Quantity Description Date Amount 50 If Water Service 06/23/2020 $62.54 Specifics: 4 ea Clothes Washer 06/23/2020 $100.08 4 ea Sink 06/23/2020 $100.08 Type of Use: COM 4 ea Lavatories 06/23/2020 $100.08 Class of Work: ALT 4 ea Tub/Shower/Shower Pan 06/23/2020 $50.04 Type of Const: 4 ea Water Closet 06/23/2020 $100.08 Occupancy Grp: 4 ea Water Heater 06/23/2020 $150.08 Stories: 1 12%State Surcharge- 06/23/2020 $79.56 Plumbing Total $742.54 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: v v4-�G M 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. Y"r xr 'tt t _. plumbing Permit Applicat ,. Building Fixtures rOR nt t I( F (SI o�E,1 City of Tigard n,t�By �: �' .. .✓`. 7 n 13125 SW Hall 131v3 Tigard,OR 97223 PLAIT Rcview �f ^ � i e - Phone 503.716.2439 1 ae 50'+.5SSa460 I),e/By _ ^t' I 2'�" ^''` '' '` tnsrcclion Gee, 503,639 4175 1]ats lLcudYr Ay. Fd See Page 2 tor TIGARD P a) s NottnicdiMvllu d Supplemental Ldo rural lon In1 root svww.Iigdrd-or gor r' 1 VPr or W. 's FEE* SCHEDULE _,.._. I - - .a+ --_ For:vela!141+,1rar(on use i•he< .. Q Dam Iititan - - [j Nuv wnsh-uehmi , _ Drwruin3on Qty.�[—En. C Tttal t Vi ._ CA_EGORY`OF CONSTRUCTION a t ,," `" '. SER(2t bath Y 6 437 312.708 tr� �ddmon.ahe'at ot4t laccntuit [j 01,t.�r axi a 11rw t 2-fnnl dwellings(includes 100 ft.For each utility co iggiiro t !-and 2-limn:).dwelling E Co nunercr t tadtistrial --- .3 SFR(31 bath 500.32 Mule Fmntl - -'--� Q.- E. Ac.caoery building Y _Each additional balhlki(ehon 25.02 7 ❑AI ,nr builder .,...I CI 0111cr; Fire sprinkler( sq.ft.) _ Page2 ' Ri<1ATION AND LOAT CIO' Site utilities: _ ,. `—- 1 Catch basin or area drain 18.76 Job site address.' � "` i _— i / ►'s-•-r t Y'�-+ + � tG. -- — 1 , Drywcll,leach line,or trench drain 18.76 City/State/ZIP: "} 1 - yF�� Footing drain(no.linear ft.: Page 2 Suite Bldg./apt.no.. E'roject name: p "i � Manufactured;tome utilities 50.03 , Crossss{street/directions to job site: 6,-^?" 47C(7,5U.7.L a' e rr, Manhoics• 18."76 (..f- —.' C 1.. C'-:+ (1 i1 I. ' `° ..`• Rain drain connector -- Page i r J ....., ._ arysewer(no_linear ft: ) Page2 eel,} $ ,J - r 1 L. r , , Sand ' Storm sewer,Mo linear it: ) Page2 Water service(no.linear ft.:s$U} �'(� Page 2 2..5 Subdivision: IAA no.: Fixture or item: Tax map/parcel nci.: Uackflow presenter 31.27 • .. . Backwater valve 'I 12.51 DE5CRIPTi()N of ivoFtK Clothes washer •t- Y..25.02 04.0 , --V Cr- Y'G`I l�� f//_,�'�`r,-•" `> 4 Dishwasher 25.02 I T ___. _. Drinking fountain 25.02 I . ,i, t t (jectors?sump 25.02 x0 PF.to'E `TY OW'tER ° • "(j=3"ENA,-12 ' - Fx illVeian tank __- 12.51 - Ftxfurelscwctcap 25.02 )42 6 N ` Floe,drain/flourosl nkrhub 25.02 Address: '! �,{„) N .{ Garbage disposal 25.02 CityIState,Z1P:P4✓t7'L,p J ) k . /773 / Hose bib 25.02 iI Phone.(j'7,y ) Uu— 7 32 , Fax:( ) ''.' 1cc maker12.51APPLICAN€' / ; CONTACT pFRsON 1 tntecceptorlgreasctrop 25.02 r n Business name: ea"'/ J / f t L V 6 ' gas(vaue: ) Page 2 'Jtfli-A1 di" �eq Primer 12.51 Contact name: i Roof dram(commercial) 12.51 .Address: S /D, d, Sae_ Ls-40��'• Sink;basinnavatoiy s' 25.02 ��JJ��/� !J + �^ /LI! L[ City/State/ZIP: f)y1-L -f" a GJ J y� ' Solar units(potable water) 62.54 Phone ( 3) (o"1,,�;.4'5'ys' Fax:.( ) Tub/shower/shower pan �-' 12.51 ' ^6�,,, E-mail: .,,, , 1}it..ftrfl E� -fdr'hGS ,7 urinal 2502 / y�t, La_ ' (( Et}NT'i2,t(TOR .J� Waterclasct i4- 75.(YL ,/�.V Zy Business name: ,.r i ttJ ES PL ..AJ — Water heater.. . 3 i.S2 y �.� }�7, 45'aterpipingiDWV 56.29 ! Address: p,( .' 81)„k, C•,S tR..7 Other: 25.02 CitylStatc/ZIP: bff" 'ts 4 4733e Subtotal 642, l Pone:(' ,)4023—k6/5" Fax:( ) rr , Minimumpctmit fee: S72.50 CCU t.ic: PlumbingLie nn.: Plan.review (25%ofpermit.fee) + �. State surcharge(12%of pencil fee) AWhdi7S" sziL'hiNt ,_f'C TOTAL PERMIT FEE ! Print name. l- Dale: 4 This permit application expires ira permit Is not obtained within 186 days atter it has been accepted as complete. 'Fee methodology set by Tri-County Building Industry Service Board e ii.M'air Petrie,'Pt ll i t's, 440--616I.l li (70hs t, it7 'Plumbing Permit Application'- City of Tigard Page 2-Supplemental Information Fee Schedule: Residential Fire Su ression Systems: Site utilitiestitv. I ee teal rdt if S care Foota e. Permit Fee: Pouting drain-1'"iDD' 5'0_03 00,2.000 S t_I.10 -i 6_.54 7 6[71 to 7 1.60t) ¶233$169 69 20 37.53 '.t10 Footing drain-each additional 100' �I to c00 $233.20 Sewer-1st 100' 01 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st100' o/.. ti2.54 1i2 her Medical Gas Systems: Water Service-each additional 100' 27.52 Valuation:: Permit Feet Storm&Rain Drain-1st 100' 02.54 $1(10 t7i`I'S,000.00 Minimum fee$72.50 Storm&Rein Drain•each additional 100' 17,52. $5,001 00 to$l0,O110 OU $72.50 for the test S5;000.00 and$1.52 for each addilional$100 00 or fraction thereof,to Other Ins i ecttonS,or Fees fin'" fee tea) Pond and including 5I0,000,00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $141 50 for the first$10.000.00 and SI 54 for which no fee is specifically indicated 90.0041r each additional S 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 S379.50 for the first S25,000.00 and S 1.45 for hours(minimum charge—2 hours) i each additional S100.00 or fraction thereof,to Reinspection Fees 90.000hr. and including$50,000.00. Additional plan review for revisions 90.00.4rc $50,001.00 and up - $242.00 for the first$50,000,00 and S 1,20 for (minimum charge—122 hour) _ each additional$100.00 or fraction thereof. Subtotal:: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture, Failure to accurately report fixtures could result in increased sewer fees*. Plan Review'for Plumbing astallati:ons° Quantity by Fixture Type Plan review is required for any of the following. Fixture Type for Naptae/ Please check all Mat apply. Work Performed: C.piu:d Added Relocate © Any new commercial building with water service 2"and Bapusuv/Font greater,except systems designed and stamped by licensed Bath: -Tub/Shower engineer. -)acuzzilW'hirPpaol Car Wash: -Each Stall 0 Nesv exterior plumbing site utilities for any complex structure _ as defined in OAR418-DSO-0040. -Drive Thru Cu pidor'Watca.4spirator , ❑ Medical gas and vacuum systems for health care facilities. Dishwasher: -Commercial a Any multipurpose fire sprinkler system. -Domestic ElAny complex structure as defined in OARS 1$-7$0-0440. Drinking Fountain Eye Wash Submit 2 sets of plans with any of the above, I ourDrain/sink. -2 - - ', Isometric or Riser Diagram 4 El Isometric or riser diagram is required for new buildings -Car Wash Drain re 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 i Shower:`. -Gang -Stall Sink: -Lav/Bannon-food related -Bradley Cotn,ServiUtil food related ,Peel l *Note: It the fixture work under this permit results'in an ;': Swnntning Poo!Filter oi Washer-Clothes increase of sewer EDUs,a sewer permit will be issued and Water Extractor fees assessed for the sewer increase must be paid before the _ NuterCloset-Toilet plumbing permit can be issued. Unnal Clint Fixtures: I. .Itul-sang\Pcrmtts',PLMI: PcnnitApp.doe OS104i2011 2 Julie Drinkwater From: Julie Drinkwater Sent: Monday,June 22, 2020 5:33 PM To: stephanie@forbesplumbing.com Subject: PLM2020-00250, 10735 SW 69, Gettysburg Apartments, Building 1- 4 Attachments: Invoice.pdf Hello Stephanie The permits for the Gettysburg Apartments, Building 1- 4, are ready to be issued. The balance due is $742.54. Attached please find the invoice for your review. To pay the fees online, you can go to our website: https://aca.accela.com/TIGARD/Default.aspx. From there, click on the Building tab, enter the permit number in the Record Number field, and click Search. Please let us know once the fees have been paid so that we can email the permits to you. Thank you Julie Drinkwater Permit Technician Assistant City of Tigard I Building Department 13125 SW Hall Blvd Tigard, OR 97223 503-718-2804 • DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retained by the City of Tigard in compliance with the Oregon Administrative Rules"City General Records Retention Schedule." 1