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Permit
w I CITY OF TIGARD =Alai PLUMBING PERMIT a COMMUNITY DEVELOPMENT Permit#: PLM2013-00420 Date Issued: 12/09/2013 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S101AC00800 Jurisdiction: Tigard Site address: 7148 SW GONZAGA ST Project: The Adrienne Subdivision: BEVELAND NO.2 Lot: 14 Project Description: Interior plumbing for new 10,900 square foot mixed-use building(2,600 ground floor commercial and 8 residential units-8,300 square feet).5/29/2014: REPRINT permit to add roof top garden and convert(1)residential unit on_ 2nd floor to office space. Contractor: RELIANT PLUMBING&MECHANICAL Owner: ROGERS, ROY R 11575 SW PACIFIC HWY SUITE 219 13690 SW TWELVE OAKS CT TIGARD, OR 97223 TIGARD, OR 97224 PHONE: 503-246-1201 PHONE. FAX: 503-246-1205 FEES Quantity Description Date Amount 7 ea Clothes Washer 11/27/2013 $175.14 Specifics: 7 ea Dishwasher 05/29/2014 $175.14 1 ea Ejectors/Sump 11/27/2013 $25.02 Type of Use: COM 2 ea Floor Drain/Floor Sink/Hub 11/27/2013 $50.04 Class of Work: NEW 8 ea Roof Drain(Commercial) 11/27/2013 $100.08 Type of Const: 8 ea Sink 11/27/2013 $200.16 Occupancy Grp: 19 ea Lavatories 11/27/2013 $475.38 Stories: 14 ea Tub/Shower/Shower Pan 11/27/2013 $175.14 1 ea Urinal 11/27/2013 $25.02 11 ea Water Heater 05/29/2014 $412.72 18 ea Water Closet 11/27/2013 $450.36 1 12%State Surcharge- 05/29/2014 $271.70 Plumbing Total $2,535.90 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: /`�r v�L� Permittee Signature: e / Ce-7 l0 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. Nov. 25. 2013 1 : 39PM , ;. i', ti of Dand Mechani 1 ' No. 9680 P. 2 Plumbing Permit Applic'i h., Site Utilities 1•01t OFFICE USE ONO.' City of Tigard NOV 2 5 2013 Daces t/ As-/3 Permit No: iLC,/,,z/3-z,e) ,2-p ligi V 13125 SW Nall Blvd„Tigard,OR 97223 Plan Review C/ Phone: 503.718.2439 Fax.@ITSI TIGARD Date/By OttlerPermitNo.,6tL:,t2a0/3-� I'liiAh l) Inspection Line: 503.639.4 Date Read/B kris. RI See Page 2 for Internet. www.tigard-or gn �IILDING DIVISION Not,fted/tethyoe- 1/ Supplcmeoralloformation i De• molition For special l,jornralfon use checklist C�_ New construction ❑ Description 1 Q . j Ea. I Total X� ❑Addition/alteration/replacement ❑Other. New 1-2•fanuty dwellings(includes 100 ft.for each utility connection) . U :-{i3t eel f17 ltT.t_glIh� •: 7 SFR(1)bath 312.70 w r b S S FR(2)bath 437.78 ❑1•and 2-family dwelling .. ommcrcial/induelrial SFR(3)bath 500.32 Q Li Accessory building [11 multi-family Each additional bath/kltchen 25.02 ❑Master builder ❑Other. Fire sprinkler( sq.It.) Page 2 =-j) ■_Itfiltli,►:Vjt(e1RP1RU]arf.O.1AV e)tiD r1.- - ! Site utilities: Catch basin or area drain - Ilk l 1 Job site address �7�'� - • > > Drywell,leach line,or trench drain 18.76 r��J>rA\ •.a. Footing drain(no.linear ft.: ) Page 2 Suite/bldgJapt.no.: Project name: I'k f J A: Manufactured home utilitica 50.03 Cross street/directions to job ste: Manholes 18.76 ' Rain drain connector 18.76 _ Sanitary sewer(no.linear ft.:_) Page 2 Stone sewer(no.linear ft.: ) - Page 2 Water service(no linear ft ) _ _ Page 2 Subdivision: G Lot no.: Fixture or Item; Tax map/parcel no.: A 6 161 A-(2.,D p t5O Backflow preventer 31.27 r Backwater valve 12.51 I- xe3lCYu1(3Tt1.C+J: e ' 'c5 25 02 .- yy,, ..-_.++ . -- 'nr�n- .. Clothes washer ��4j i sl�d.1� r h" 1 5 ` CM CJ\ L ) 1/1 •• r ��1 1'w •s Dishwasher .672,,,1/y '' 25.02 i7 ' \ ± &. Cr 'Ii Drinking fountain 25.02 Ejectors/sump t 25.02 AS in, i ir,fsltNilFfel:i.r 3 0;:-.L'' , _ 1i......_ Expansion tank - Fixture/sewer cap _ 25.02 _ = - Floordrain/lloorsink/hub r� 25.02 ,64 Address: _ Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 is Phone: • Fax Ice maker 12.51 ' c,,var[chr►-_ R Ka)YC � A;1.^falf-: Interceptor/grease trap 25.02 Medical gas(value:$_) Page 2 Business name: 1 a 1 il . ' '��. V r Primer 12.51 1 Contact name: ` ',d- . Roof drain(commercial) 12.51 `; Address:I67 1W tL ! Sink/basin/lavatory gi 25.02 75r'.1 City/State/ZIP: Tt cu r , i 7 • - 1 Solar units(potable water) 62,54 4 Phone:(5Y-,i) , - I , 01 Fax::(43) a , ),0 . Tub/shower/shower pan .r 1 f n 12.51 400,I Nt r A `,l% •o� , ,CQ Water)closet ex 25.02 460 r3(p• ... - - ....:_. � - Water boat +- 3 f 37.52 7, Business name: 1 ` �4 i�U 16% _, y,'_ ,i WaterpipinDWY r 56.29- Address: 41 �k Other: 25.02 �� Si /, `r 3? 7 City/State/ZIP: ' o 0 a, Subtotal„ 1q�2). Is wear Phone,(5Q3) `�A - 1 a,O Fax:C:6)', (�(:p^ i a U j Minimum permit fee: 572.50 ii Z Plumbing Lic.no.: 9 Plan review (25%of permit fee) ��y��E CCBLic- Cps�t�t! 'r 7 Statesurcharge(12%ofpermitfee) N V r,, Authori2edsignature: ( n� TOTAL PERMIT FEE x" rte^_ I This permit applicanoe exptrai if a permit It not obtained within 180 days c.,ry, !p►P S Print name: :Ern Date: `1 1 a�/. after It has been rity Building of lndu;le. 17`�1�1 ` *Fee methodology set by Tri-County Budding Indunry Service Board. p.1 1/Duildueerm4ewPLMU-PamiiAppdoc 10/01/09 460-.i i6T(INONCOWWEB) �/Z7 /y /JO�/�/�j� / SuZA-'�E EL 1pr CITY OF TIGARD PLUMBING PERMIT a • COMMUNITY DEVELOPMENT Permit #: PLM2013 -00420 TIGARD 13125 SW Hall Blvd , Tigard OR 97223 503.718 2439 Date Issued: 12/09/2013 Parcel: 2S 101 AC00800 Jurisdiction: Tigard Site address: 7148 SW GONZAGA ST Project: The Adrienne Subdivision: BEVELAND NO.2 Lot: 14 Project Description: Interior plumbing for new 10,900 square foot mixed -use building (2,600 ground floor commercial and 8 residential units - 8,300 square feet) (8) clothes washers, (1) ejector pump, (2) floor drains, (8) sinks, (19) lays, (16) tub /showers, (1) urinal, (18) water closets & (9) water heaters Contractor: RELIANT PLUMBING & MECHANICAL Owner: ROGERS, ROY R 11575 SW PACIFIC HWY SUITE 219 13690 SW TWELVE OAKS CT TIGARD, OR 97223 TIGARD, OR 97224 PHONE: 503 - 246 -1201 PHONE: FAX: 503 - 246 -1205 FEES Quantity Description Date Amount 8 ea Clothes Washer 11/27/2013 $200 16 Specifics: 1 ea Ejectors /Sump 11/27/2013 $25 02 2 ea Floor Drain /Floor Sink/Hub 11/27/2013 $50 04 Type of Use: COM 8 ea Sink 11/27/2013 $20016 Class of Work: NEW 19 ea Lavatories 11/27/2013 $475 38 Type of Const: 16 ea Tub /Shower /Shower Pan 11/27/2013 $200 16 Occupancy Grp: 1 ea Urinal 11/27/2013 $25 02 Stories: 18 ea Water Closet 11/27/2013 $450 36 g ea Water Heater 11/27/2013 $337 68 1 12% State Surcharge - 11/27/2013 $235 68 Plumbing 8 ea Roof Drain (Commercial) 11/27/2013 $100 08 0 12% State Surcharge - 11/27/2013 $12 01 Plumbing Total $2,311 75 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 dire uestions ; OUNC by calling 503.232.1987 or 1 800 332 2344. lss ed By: /Ad' / Permittee Signature: i 4 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. Nov. 25. 2013 1:39PM 1 ,. , F��t,: and cal No. 9680 P. 2 Plumbing Permit Apnli ' h. `. L Site Utilities FOR OFFICE USE ON!.\' City of Tigard NOV 2 5 2013 Received permit No u 13125 SW Hall Blvd., Tigard, OR 97223 Date/By // 6-i 3 �o�/� „,240 Phone: 503.7182439 Fax. Date/By. �I I 1 TIGARD Review Other Permit No.,5�4 ev ap 4/ U { i 1 Inspection Line: 503.639.4 � r Data Ready /B : , ' / , forts. 61 See Page 2 for I i �3 r Internet www.trgardorgo UILDING DIVISION NotifiedlMethoe - ' i "71� supplemental Information % New construction ❑ Demolition For special informullo r use checklist Description I Qt I Ea. I Total 0 ❑ Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) (ra {c {o1(1 (0) ttic(oJ fati i fe"ht FR (1) bath 312.70 S .)--N ❑ 1- and 2- family dwelling ,- ommcrcial/induetrial SFR (2) bath 437.78 t SFR. (3)bath 500.32 Q ❑ Accessory building ❑ Multi - family Q Each additional bath/lutchen 25.02 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 S.-) - k 0:Ydiht(1Ic} +V1 f07 t: 'E.. -- --,..- --- ,_-- ,,. : -i Site utilities: Job site address: - • � Catch basin or aces drain 18.76 �\ l�� r Drywell, leach line, or trench drain 18.76 - City /State/ZIP: �` t , Al ( / c�a, Footing (no. Pee 2 Footin drain no. ]inoar ft.: J ) g Suite/bldgJapt. no.: Project ,tame: �� 1 • t J i : Manufactured home utilities 50.03 Cross street/directions to job ste: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear It : _) Page 2 Water service (no linear ft _) I Page 2 Subdivision: r, Lot no.: Fixture or item: Tax maplparcel no.: A 6 l 6 / PiL 6 p tOC) Backflow preventer 31.27 -- 12.51 :... - ^ _::,- Backwater iJ5,,Vgi1:18"(11:d' 1i i .1'. B k valve - . Clothes washer 1(m .� i=.1 / 25.02 ab0 .1(p .r . S, i l« r • J 14 •% Dishwasher 25.02 - 1� 6r:I r MI Drinking fountain - 25.02 Ejectors /sump t 25.02 as (0a igt302.05111. wFil+',7,`I4tr , ,51iR-E-gr Expansion tank 12.51 - . - Fixture/sewer cap 25.02 - Floor drain/floor sink/hub 25.02 ,(j.-' Address: _ Garbage disposal 25.02 City/Statc /ZIP: -' -� Hose bib 25.02 Phone: , Fax: Ice maker 12.51 ,1 a,li`, (0.4,11t - A ical ;(Cl --4 tr(owl, Interceptor/gieasetrap 25.02 Business name, t Y. • e, I, ."_ hI I ' Medical gas (value: $ _) Pag 2 - r r Prime 12.51 Contact name: E1(� f . L t Roof drain (commercial) 12.51 Address: I \ r C r. 25.02 A...4.1 I Sink/basinllavatory `x (07554 ,, 7 • Solar units (potable water) 62.54 Phone: ( )) ., ki.M1 WM Fax:: (55'3) a(.-1 ( -a Q t Tub /shower /shower pan i 1 co 12.51 a0() i 1 (D r 14 Vi + ' , CO Urinal / \ 25.02 a(5 - . 0 ' - Water closet .i 25.02 t 37.52 4 Business name: / i 1 t,O t b 4. •■ lit'. .1$ t Water piping/DWV 56.29 Address: 'a .. r - LC. -J - MIUM.UM Other: _ 25.02 c4r Subtotal -- 1 Ct /StatelZlP: q(P ry � Phone: (S 0) '45-.\ v ^ l - I Fax: C6 ) `,) ' - i a 05" Minimum pennit fee: 572.50 / CCB Lie : I Cog 8L-IL-1 Plumbing Lie, no.: -' &` `7 2 ,725 Plan review (25% of permit fee) u . State surcharge (12% of permit fee) Authorized signature: e I . n�, TOTAL PERMIT FEE `� Print name: r r It, (((. 3 � " Date: ( I 1 a / 13 Thi per app lication expi res it a permit I9 not obtained within 180 days e , IP 49 after It has been accepted as complete. '� 1 17 *Fee methodology st by Tri- County Building Induilry Service Board. on 1 1 :16uilduecnn1151PLMt1- Penuiinpp duo 10/01/09 440- 4616T(10/02/COWWEB) l_.; iNov. ■ 26_ _ 2013 1 2 :59P li lent Plumbing and Mechanical No. 9692 P. 2 Building Fixtures FOR oi'i'i 'P, USE ONI.l' City of Tigard �v�j Received PennitNo., PLh12ot3 -00420 IIIIII - 'I 13125 SW Hall Blvd,, Tigard, OR 97 ' Plan C� J Date/By; Review Ph one: 503.718.2439 Fax: 503.598, i ' ■ 1 n Re DaleJBy. Other Permit No., Inspection Line: 503.639.4115 Date Read /B r la Sec Page x for l IG RD 1 '� Ready /By. 6 Internet. www.tigard or.goV i , 20 Notilied/Methed. Supplementallnformanon ® New construction ❑ Aga .•, For speciall,tfor,aarfon use checklls,. DIVISION Description 1 Qty. I Ea. L Total ❑ Addition/alteration/replacement ilr ::.DIN New 1- 2 - family dwellings (includes 100 ft. for each utility connection) F V dDirfo)01'14ol -1Ki)t`iNI llf = SFR(1 " ) bath 1 312.70, ❑ I- and 2- family dwelling ® rn Comerciallindustrial SFR (2) bath 437.78 El Accessory building ❑ Mulli- family Each ad E bath 500.32 Each additional bath /kitchen 25.02 ❑ Master builder ❑ Other: Fitz sprinkler ( sq. ft.) Page 2 e rtiial;t rojlv(Ort 1�i�1�t11)yfr siteutilitios: lob site address: 7148 SW Cronzaga - Catch basin orarca drain 18.16 Drywall, leach line, or trench drain 18.76 City/State /ZIP: Tigard, Oregon 97223 Pooling drain (no. linear 1t.• ) Page 2 Suite/bldg. /apt. no.: I Project name: Adrienne Manufactured home utilities 50.03 Cross street/directions to job sic: Manholes 18.76 Rain drain connector 18.76 1 Sanitary sewer (no. linear ft.: _) Page 2 Storm sewer (no. linear ft.: _) Page 2 Water service (no. linear ft.: _) Page 2 Subdivision: I Lot no.: Fixture or Item: Tax map /parcel no.: Backflow preventer 31.27 _ _ _ _ _ _ ......................... Baekwatervalve 12.51 _ ..:.._ ... .... Clothes washer 25.02 Adding (8) roof drains to our scope of work; (2) Over -flow roof drains, (2) roof Dishwasher 25.02 drains and (4) canopy drains Drinking fountain 25.02 Ejectora/sump 25.02 _ cj i i a l!)a?a4 ta': ='l fir ... Expansion tank I 12.51 , s - ::I vaarta+mnron Name: Fixture/sewercap 25.02 Floor drain/floor sink/hub 25.02 Address; Garbage disposal 25.02 City /State /ZIP: Hose bib 25.02 Phone: ( ) Pax: ( ) Ice maker 12.51 Interceptor /grease trap 25.02 Business name: Reliant Plumbing & Mechanical, Inc. Medical gas (value $ ) Page 2 Primer 12.51 Contact name; Ernie Beasley Roof drain (commercial) 8 12.51 Address; 11575 SW Pacific Hwy, #219 Sink/basin/lavatory 25,02 City /State/ZIP; Tigard, OR 97223 Solar units (potable water) 62.54 Phone: (503) 246.1201 I Fax: : (503) 246 -1205 Tub /shower /shower pan 12,51 E -mail: ernie@reliantplumbing.com reliantplumbing.com Urinal 25.02 Water closet 25.02 Water heater 37.52 Business name: Reliant Plumbing & Mechanical, Inc. Water t WV _ 56 29 _ i P�PR� Address: 11575 SW Pacific Hwy, #219 Other 25.02 City/State /ZIP; Tigard, OR 97223 Subtotal 100.08 Phone: (503) 246-1201 Fax: (503) 246-1205 Minimum permit fee: $72.50 CCB Lic.; 169844 Plumbing Lic. no.; PB117 Plan review (25% of permit fee) State surcharge (12% of permit fee) 12.01 Authorized signature: s TOTAL PERMIT FEE 112.09 I Print name: Ernie Beasley Date; 1 This permit application aver it expires If a ac epted not complete. within 180 days *Fee methodology set by TA-County Building ladustry Service Board. I•\ Building \Prnnits\PLMU- PcrmitAppdoe 10/01/09 410- 1616T(10/02/COMAVEB) Nov. 26. 2013 2:59PM Relient Plumbing and Mechanical No. 9692 P. 1 • • el PLUMBING & MECHANICAL, INC. MBE #4738 CCB #169844 WA# RELIAPM928DG FAX To; City of Tigard From; Ernie Beasley Phone: Date: November 26, 2013 :lath l,aM2111134.i.ai'd - ___ ( - Please add the attached, additional (8) plumbing fixtures to permit PL82013 -00420 Total amount to be charged to Credit card should be $2,311.75 Sewer connection fees of $85,245.00 will be passed onto the General Contractor to pay. Thank you. 11575 SW Pacific Hwy, Suite 219 Tigard, Oregon 97223 Office (503) 246 -1201 Fax (503) 246 -1205 Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 7148 SW GONZAGA ST, TIGARD, OR, 97223 Commercial - Plumbing 399 Plumbing final FAIL PLM2013-00420 George Heimos 220 T&P strap 1. Corrections #5 and #7 dated 11/07/14 not completed. (#3 inspection dated 11/07/14'passed * 11/07/14 #9- Shower pan, remove 1-square of tile to verify grade of sub-pan is a minimum 1/4" per foot * 11/07/14 #5 plan review required. * 11/07/14 #8 fixture count, received, but not verified. * 11/07/14 #7 provide site plumbing approval Received backflow device,test,results, 1-2" watts model 007M1QT, serial no. 004735. 1-1" watts model 007M1QT, serial no. 020335 All else ok Violation Summary: Inspector Contractor 1C1:111 CENTREXCONSTRUCTION, INC, AVIATION • COMMERCIAL • INDUSTRIAL W W W.CENTREXCONSTRUCTION.NET 8250 SW HUNZIKER STREET TIGARO,OREGON 97223 PHONE:503.684.0443 FAX:503.620.6692 Date: 11/19/2014 City of Tigard Address: 13125 SW Hall Blvd Tigard, OR 97223 Attn: George Heimos/Chip Barnett RE: The Adrienne ADA shower installation To whom it concerns, The ADA shower pan installed at "The Adrienne" project located at 7148 SW Gonzaga St in Tigard is completed using methods that meet or exceed OPSC 2008 section 411.7 under the direct supervision of Centrex Construction Inc. Centrex guarantees the work In place to be professional and complete per the plans and specifications as drawn by SEA architecture and will perform as intended. Please do not hesitate to contact me should you have any further questions. Best, P 1-hi )0 a - ,C) 60(2 Tom Severson Principle Centrex Construction Inc. 503.476.7470 Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 7148 SW GONZAGA ST, TIGARD, OR, 97223 Commercial - Plumbing 399 Plumbing final FAIL PLM2013-00420 George Heimos Inspected rooms: 380/360/320. All ok for those rooms except numbers one and two below. 1. All water heaters (7) provide drain pans to drain to floor drain. 508.4 2. Provide washers 4-ea on all water heater earth quake straps: all rooms. (Plbg Code Interp 08/12/05) 3. Rest of building to come, no inspection made. 4. 1" roof double check to be installed on 1st floor rm? With drain back. 5. Items 1,3,5 and 8, on inspection dated 5/22/14 need to be completed. 6. Complete 1" double check for rooftop fixtures. 7. Provide site plumbing approval. 8. Provide 2" double check test results. 603.3.3 9. Remove tile from handicap shower floor and on walls 8" above floor. For inspection. ( note there were two failed corrections for the shower pan and an rough inspection was never called in) mattd@reliantplumbing.com Violation Summary: Inspector Contractor CITY OF TIGARD PLUMBING PERMIT _ • COMMUNITY DEVELOPMENT Permit#: PLM2013 00420 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/09/2013 Parcel: 2S 101 AC00800 Jurisdiction: Tigard Site address: 7148 SW GONZAGA ST Project: The Adrienne Subdivision: BEVELAND NO.2 Lot: 14 Project Description: Interior plumbing for new 10,900 square foot mixed-use building(2,600 ground floor commercial and 8 residential units-8,300 square feet). 5/29/2014: REPRINT permit to add roof top garden and convert(1)residential unit on 2nd floor to office space. 11/19/14: REPRINT permit for change to 2"water service and additional fixtures Contractor: RELIANT PLUMBING&MECHANICAL Owner: ROGERS, ROY R 11575 SW PACIFIC HWY SUITE 219 13690 SW TWELVE OAKS CT TIGARD, OR 97223 TIGARD, OR 97224 PHONE: 503-246-1201 PHONE: FAX: 503-246-1205 FEES Quantity Description Date Amount 7 ea Clothes Washer 11/27/2013 $175.14 Specifics: 7 ea Dishwasher 05/29/2014 $175.14 ea Ejectors/Sump 11/27/2013 $25.02 Type of Use: COM 2 ea Floor Drain/Floor Sink/Hub 11/27/2013 $50.04 Class of Work: NEW 8 ea Roof Drain(Commercial) 11/27/2013 $100.08 Type of Const: 8 ea Sink 11/27/2013 $200.16 Occupancy Grp: 19 ea Lavatories 11/27/2013 $475.38 Stories: 14 ea Tub/Shower/Shower Pan 11/27/2013 $175.14 1 ea Urinal 11/27/2013 $25.02 11 ea Water Heater 05/29/2014 $412.72 18 ea Water Closet 11/27/2013 $450.36 1 12%State Surcharge- 05/29/2014 $271.70 Plumbing 688 Plumbing Permit 11/19/2014 $688.04 806 Plan Review-Plumbing 11/19/2014 $805.99 83 12%State Surcharge- 11/19/2014 $82.56 Plumbing Total $4,112.49 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. Issued By: Permittee Signature: • D/1/- '/°L/C',1-770ti1 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 ''' Z/Se Building Fixtures FOR OFFICE USE ONE) Received City of Tigard Permit No.: Iii • 13125 SW Hall Blvd.,Tigard,OR 97223 Dan Review '///f i� r /�LJ�2O 49/....2104420 ' Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit No.: T I G A R D Inspection Line: 503.639.4175 Date Ready/By: orris: ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ❑New construction ❑Demolition For special information use checklist Description I Qty. I Ea. I Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ❑ 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: lob site address: Catch basin or area drain 18.76 City/State/ZIP: Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name: 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: I Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer e2 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer '7 25.02 Dishwasher 7 _,!-- / ? 25.02 Drinking fountain 25.02 Ejectors/sump / 25.02 ❑ PROPERTY OWNER 1 ❑ TENANT Expansion tank / 12.51 Name: Fixture/sewer cap 25.02 Address: Floor drain/floor sink/hub `/ '- 3 /Q 25.02 Garbage disposal 25.02 City/State/ZIP: Hose bib (p 25.02 Phone:( ) Fax:( ) Ice maker 7 .4" / ef. 12.51 ❑ APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name: Medical gas(value:$ ) Page 2 Primer L 12.51 Contact name: p Roof drain(commercial) 6 12.51 Address: Sink/basin/lavato 25.02 rY 9 SINK /8 LRt/ oZ`/ City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax: :( ) Tub/shower/shower pan /y 12.51 E-mail: Urinal / 25.02 CONTRACTOR Water closet /1/ -A- 9 a 25.02 Water heater 7 t y // 37.52 Business name: Water piping/DWV 56.29 Address: Other: /°/Ifs, /1irp, (/tc✓E / 25.02 City/State/ZIP: Subtotal Phone:( ) Fax:( ) Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lic.: Plumbing Lic.no.: State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE 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 4404616r(10/02/COM/WEB) ,/Y�itQ /...;o2- 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-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 Valuation: Permit 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 Other Inspections or Fees Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to P 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 ❑ Any new commercial building with water service 2"and Baptistry/Font greater,except systems designed and stamped by licensed Bath: -Tub/Shower engineer. -Jacuzzi/Whirlpool • Car Wash: Each Stall ❑ New exterior plumbing site utilities for any complex structure Drive Stall 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 4" ❑ Isometric or riser diagram is required for new buildings -Car Wash Drain 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 Sink: -LavBar non-food related -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 fees assessed for the sewer increase must be paid before the Water Extractor WaterCloset-Toilet plumbing permit can be issued. Urinal Other Fixtures: I:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2 CENTREX CONSTRUCTION INCORPORATECa 8250 S.W Hunziker Road Tigard,Oregon 97223 Ph: 503.684.0443 Fx: 503.620.6692 www.centrexconstruction.net LETTER OF TRANSMITTAL Date: 11/13/14 City of Tigard Subject: The Adrienne Centrex Construction Inc.is sending you the following: Attachment X Under Separate Cover COPIES DATE DESCRIPTION 1 11/13/14 Plumbing set 1 11/13/14 Revised building architectural set These are transmitted as checked below: For Approval _ Approved as Submitted _ Resubmit for Approval X For Your Use _ Approved as Noted _ Submit for Distribution As Requested Returned Return Signed Change Orders For Bids Due Prints Returned after Loaned to Us — Remarks Copy To File Signed: Mark Kliewer x,3 '707-y. /7 CCI LETTER OF TRANSMITTAL 1 Øeiia ii t PLUMBING & MECHANICAL,INC. MBE#4738 CCB#169844 WA#RELIAPM928DG THE ADRIENNE 7148 SE GONZAGA ST, TIGARD, OR 97223 FIXTURE LIST QUANTITY FIXTURE ,/ 18 Water Closets It' ✓ 18 Lavatories Ti ✓ 9 Kitchen Sinks 0lY (7) Re-s (z) QeeaK2000-is /y 5 Showers --(4g ( y14.65 7 DuPu cerl Lavatories �-�`J 8 Ice Makers C 2ES * (/) Cv M — u,°s'rq/As 42E• /442.oo'-r ✓ 8 Dish Washers ® (7) #2 f- (i) ee y� "7 C.. 1 2"Double Check 67 4- 1 1" Double Check • 6 Hose Bibbs I/ 1 Urinal l�/5 4— A o FI X714-2-‘ S — 5 Er- fp P LiCRrn O N '4244- ////7//y 11575 SW Pacific Hwy,Suite 219 Tigard,Oregon 97223 Office(503)246-1201 Fax(503)246-1205 1/4 6 ApNL `l ---fY ti P r. °4 6°)..pii-jzi-4 .,../.!.'5,_,c -1140er- CGo'r�ln- WAs�F .S - _ --J1 ? �i - '/ ,0 7 ✓- L7) s 7 c7-02.Sr ?_ - / 1 0 i" / Wr o -'- _op,-1_tia /70 o A Una/d/FlrLd-s hk//iv — Ay AO ..2 ,6 ffol v 3 alr�,7 _ / S/ s - �S�( 1I]U g `- 7 ✓ col ✓ 1 24,✓Aro 21-c:s _ _ „/iv P III t� fia '1 '1 /g ✓ T/Efr.pL-/5f 1 Y2/ 1i1 - / I rHJ lid /`l ICP. 0 /y u n►ry4 t- I I 0 r / -Q ✓ —1 14.A 9 erl- - im 1V I" (0 V 2' `-/ - -7 ✓ co IA / I )940w-A4 MI all _ 7 '- / _ 7 v kc�c. -P 02.4i.�s - 1N- 1JL — s 611 ✓ g 0 ■ 1 pki-9.1y✓Lf /?1 D ti c./N Gt ye-14L, `- - I- 0 4,0 ._v / 0 ✓ q /-?t r k ret2 S — Mill I o 0 7 ir /3,4 C i4 rc a w PP G vt_-=- rz-1,2 S — / / 0 ✓ 0 (i Ha, et6b. - ` IIUI o 0„ C 0 2c c '1 a G� 1'�A u�-►�, 0 1 ? ,B' ) 7 - ✓ K PA-rJS-to t.► -1.114- lL.4-I/1R5v 1 c• __FL'ir 02 ? • r , 6e0r- t 5 6111 V C oW1vn P/2 C SAL l;r -t-- S VVI l . ; Vir 1.L el-TS / 1/I v/ ✓ ✓ S I k(Cs / 1 ✓ e-e e&-crf-`.S Lea v, 11/1 q D - i 1,( ✓ 10-F4,004.-; 62.) 44—ms + 0) or `NJ WI. anti sy fvaR% G ) /� $q�1l�2ooelt F r+ tm•.1:2' A 1- ,23 - /111 'r i.�'- F,te:t :_ (- ON-A #.+tmii! �a R 9R'r'wr� wc__i BRsna.ne.4i ✓ Chat 434t. -7 J V ✓ re,,--- M 7-tcA.,-lz - l ✓ �� UL�Taf"�R�3 ✓ Ocr 5 f o N T K-- l 10 *"/-A- fit s C c - ita-e,c*ZS✓ a /1 _ S//-e- , i R S ,044,-•0 ex/«/, Accumulative Sewer Tally Tenant Name: The Adrienne SWR# 2013-00204_REV2 Site Address: 7148 SW Gonzaga St PLM# 2013-00420 Parcel#: 2S101AC00800 Fixture \'.iluc Previous Previous Credits Capped Fixture Fixture New New # value count capped#s value count added# added value total#s total values Baptisery/Font 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 1 2 1 2 Drinking Fountain 1 0 0 0 0 0 Eye Wash 1 0 0 0 0 0 Floor Drain/Sink: -2 inch 2 0 0 3 6 3 6 -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 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 0 0 0 0 Sink -Lav/Bar-Non-Food Related 2 0 0 6 12 6 12 -Bradley 5 0 0 0 0 0 -Com/Sery/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 0 4 24 4 24 Urinal 6 0 0 1 6 1 6 Previous EDU Count 0 0 Capped EDU Credit 0 TOTALS 0 0 0 0 15 50 15 50 Current Fixture Value 50 divided by 16= 3.125 Current EDU 1 EDU= $4,800.00 Previous Fixture Value 0 divided by 16= 0.000 Previous EDU Change 50 divided by 16= 3.125 over (under) $ 48,624.00 Enter EDU Change Here 10.130 Notes: REVISED: This building is a 3-story mixed use building. Lower level is office space and upper levels are(7)apartments plus(1)office space. Residential apartments=7 EDU's,plus commercial=3.13 EDU's,for a total of 10.13 EDU's. Authorized Name/Signature: Dianna Howse Date: 11/17/2014 Building Division rote: The property owner shall retain the ORIGINAL sewer tally record. If credits exist,this document will serve as a voucher which must be ubmitted to the City of Tigard Building Division to redeem credits towards future system development charges. I:\Building\Sewer Tally\SewerTalySheet_4800._070113.xlsx CITY OF TIGARD - Community Development 5/28/2014 Revised: 11/18/2014 Prepared by: Dianna Howse, Building Division Services Supervisor-503-718-2430 Project: The Adrienne -7148 SW Gonzaga St full 2.0 ` 3-c qLc Revision: Add rooftop garden and convert (1) residential unit on 2nd floor to commercial office area for total of(7) residential units. Increase commercial - business square footage by 1,025 from 2,865 to 3,890 square feet. Decrease residential - multi-family square footage by 1,025 from 8,970 to 7,945 square feet. Changes affect permit and SDC fees for building, electrical, plumbing and sewer permits as outlined below. BUP2013-00225 Original Fees Adjusted Fees Assessed Fee Description Quantity Each Fees Paid Quantity Each New Fee Refund 9/9/2013 Permit Fee -COM - New 1 7,095.42 $ 7,095.42 1 7,095.42 $ 7,095.42 $ - 9/9/2013 State Surcharge 1 12% $ 851.45 1 12% $ 851.45 $ - 9/9/2013 Plan Review- Structural 1 65% $ 4,612.02 1 65% $ 4,612.02 $ - 9/9/2013 Plan Review- Fire Life Safety 1 40% $ 2,838.17 1 40% $ 2,838.17 $ - 11/5/2013 TDT-Transportation Dev Tax 1 53,757.00 $ 53,757.00 1 55,175.00 $ 55,175.00 $ 1,418.00 11/5/2013 Parks Commercial/Industrial 1 3,068.85 $ 3,068.85 1 4,312.98 $ 4,312.98 $ 1,244.13 11/5/2013 Parks Multi-Family Unit 8 4,793.04 $ 38,344.32 7 4,793.04 $ 33,551.28 $ (4,793.04) 11/5/2013 DC Provision Review - COM - Pln 1 139.00 $ 139.00 1 139.00 $ 139.00 $ - 11/5/2013 DC Provision Review- COM - Bld 1 139.00 $ 139.00 1 139.00 $ 139.00 $ - 11/5/2013 DC Provision Review- COM - LRP 1 41.00 $ 41.00 1 41.00 $ 41.00 $ - 11/5/2013 Metro Const Excise Tax -Com 1 1,800.00 $ 1,800.00 1 1,800.00 $ 1,800.00 $ - 11/5/2013 Info Proc/Arch - Sm (up to 11x17) 225 0.50 $ 112.50 233 0.50 $ 116.50 $ 4.00 11/5/2013 Info Proc/Arch - Lg (over 11x17) 48 2.00 $ 96.00 64 2.00 $ 128.00 $ 32.00 12/5/2013 School Const Excise Tax -Com 2,865 sf 0.55 $ 1,575.75 3,890 sf 0.55 $ 2,139.50 $ 563.75 12/5/2013 School Const Excise Tax- Res 8,970 sf 1.11 $ 9,956.70 7,945 sf 1.11 $ 8,818.95 $ (1,137.75) 5/20/2014 Add'I Plan Review for Plan Revisions $ - 4 hrs 90.00 $ 360.00 $ 360.00 5/20/2014 Add'I Plan Review for Permit Revisions $ - 5 hrs 90.00 $ 450.00 $ 450.00 Total Refund: $ 124,427.18 $ 122,568.27 $ (1,858.91) ELC2014-00008 Original Fees Adjusted Fees Assessed Fee Description Quantity Each Fees Paid Quantity Each New Fee Due 1/28/2014 Permit Fee (per dwelling unit) 8,300 sf 677.34 $ 677.34 7,945 sf 643.42 $ 643.42 $ (33.92) 1/28/2014 Limited Energy- residential 8 75.00 $ 600.00 7 75.00 $ 525.00 $ (75.00) 1/28/2014 Service or Feeders-200 or less 2 100.70 $ 201.40 3 100.70 $ 302.10 $ 100.70 1/28/2014 Service or Feeders-over 1000 1 552.26 $ 552.26 1 552.26 $ 552.26 $ - 1/28/2014 Branch circuits w/service 37 7.42 $ 274.54 37 7.42 $ 274.54 $ - 1/28/2014 Limited Energy-commercial 1 75.00 $ 75.00 2 75.00 $ 150.00 $ 75.00 Sub-Total: $ 2,380.54 $ 2,447.32 1/28/2014 Plan Review 25% $ 595.14 25% $ 611.83 $ 16.69 1/28/2014 State Surcharge- Electrical 12% $ 285.66 12% $ 293.68 $ 8.02 Total Due: $ 3,261.34 $ 3,352.83 $ 91.49 PLM2013-00420 Original Fees Adjusted Fees Additional Fees 11/17/2014 Assessed Fee Description Quantity Each Fees Paid Quantity Each New Fee Due Quantity Each Due 11/26/2013 Clothes Washer 8 25.02 $ 200.16 7 25.02 $ 175.14 $ (25.02) $ - 11/26/2013 Ejectors/Sump 1 25.02 $ 25.02 1 25.02 $ 25.02 $ - $ - 11/26/2013 Floor Drain/Floor Sink/Hub 2 25.02 $ 50.04 2 25.02 $ 50.04 $ - 8 25.02 $ 200.16 11/26/2013 Sink 8 25.02 $ 200.16 8 25.02 $ 200.16 $ - 1 25.02 $ 25.02 11/26/2013 Lavatories 19 25.02 $ 475.38 19 25.02 $ 475.38 $ - -1 25.02 $ (25.02) 11/26/2013 Tub/Shower/Shower Pan 16 12.51 $ 200.16 14 12.51 $ 175.14 $ (25.02) $ - 11/26/2013 Urinal 1 25.02 $ 25.02 1 25.02 $ 25.02 $ - $ - 11/26/2013 Water Closet 18 25.02 $ 450.36 18 25.02 $ 450.36 $ - $ - 11/26/2013 Water Heater 9 37.52 $ 337.68 11 37.52 $ 412.72 $ 75.04 $ - 5/20/2014 Dishwasher $ - 7 25.02 $ 175.14 $ 175.14 1 25.02 $ 25.02 Sub-Total: $ 1,963.98 $ 2,164.12 $ - 11/26/2013 12%State Surcharge 1 0.12 $ 235.68 1 0.12 $ 259.69 $ 24.01 $ - 11/26/2013 Roof Drain (Commercial) 8 12.51 $ 100.08 8 12.51 $ 100.08 $ - $ - 11/26/2013 12%State Surcharge 1 0.12 $ 12.01 1 0.12 $ 12.01 $ - $ - Total Due: $ 2,311.75 $ 2,535.90 $ 224.15 $ - 11/17/2014 Pressure Reducing Valve (other) 1 25.02 $ 25.02 11/17/2014 Primers 9 12.51 $ 112.59 11/17/2014 Backflow preventers 2 31.27 $ 62.54 11/17/2014 Hose bibs 6 25.02 $ 150.12 11/17/2014 Ice Makers 8 12.51 $ 100.08 11/17/2014 Expansion tank 1 12.51 $ 12.51 Sub-Total: $ 688.04 11/17/2014 12%State Surcharge 1 0.12 $ 82.56 11/17/2014 Plan Review(25%of all plumbing permit fees$3,161.40) 1 0.25 $ 805.99 Total Due: $ 1,576.59 Note: 11/26/2013: Removed from residential unit: (2)lays,(1)tub/shower,(1)shower,(2)water closets,(1)clothes washer,(1)water heater&(1)sink. Added to commercial office: (2)lays,(2)water closets,(1)break room sink&(3)water heaters. Dishwashers for all residential units were inadvertently left off original plumbing permit application and(7)have been added in the revised fees. Note: 11/17/2014: Plumbing plan review required as water service was increased from a 1-1/2"to a 2"line. Plan review identified additional fixtures added to revised fees above. 1st floor commercial office space contains(2)bathrooms and(1)breakroom with(1)water heater and(1)hub drain for bathrooms and breakroom. 2nd floor commercial office space contains(2)bathrooms and(1)breakroom with(3)on-demand water heaters for bathrooms and breakroom. SWR2013-00204 Original Fees Adjusted Fees Additional Fees 11/17/2014 Assessed Fee Description Quantity Each Fees Paid Quantity Each New Fee Due Quantity Each Due 12/3/2013 Sewer Connection Fee 9.75 4,800 $ 46,800.00 9.88 4,800 $ 47,424.00 $ 624.00 0.25 4,800 $ 1,200.00 11/26/2013 Sewer Inspection-Commercial 1 45 $ 45.00 1 45 $ 45.00 $ - $ - Total Due: $ 46,845.00 $ 47,469.00 $ 624.00 $ 1,200.00 Note: (7)residential units @$4,800.00=$33,600.00+commercial fixtures of 2.88 @$4,800.00=$13,824.00 for a total of$47,424.00. Note: 11/17/2014: Plumbing plan review identified additional commercial fixtures that increased the sewer EDU by.25 for a total count of 10.13 EDU's as follows: (7)residential units @$4,800.00=$33,600.00+commercial fixtures of 3.13 @$4,800.00=$15,024.00 for a total sewer connection fee of$48,624.00 II Sewer Tally 11111 _ Tenant Name: The Adrienne S 2013-00204 REVISED TIGARD Site Address: 7148 SW Gonzaga St PLM# 2013-00420 Parcel#: 2S101AC00800 Fixture Value Previous Previous Credits Capped Fixture Fixture New New # value count capped#s value count added# added value total#s total values Baptisery/Font 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 2 4 2 4 -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 11P) 42 0 0 0 0 0 Ice Machine/Refrigerator Drain 1 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 0 0 0 0 Sink: -Lav/Bar-Non-Food Related 2 0 0 6 12 6 12 -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 0 4 24 4 24 Urinal 6 0 0 1 6 1 6 Previous EDU Count 0 0 Capped EDU Credit 0 TOTALS 0 0 0 0 13 46 13 46 Current Fixture Value 46 divided by 16= 2.875 Current I?DU 1 EDU= $4,800.00 Previous Fixture Value 0 divided by 16= 0.000 Previous EDU Change 46 divided by 16= 2.875 over (under) $ 47,424.00 Enter EDU Change Here 9.880 Notes: REVISED: This building is a mixed use building,lower level is commercial,upper level are(7)apartments plus(1)commercial office. Upper level(apts) =7 DU's+lower level 2.88 DU's=9.88 DU's for total fee of$47,424.00. Authorized Name/Signature: Dianna Howse Date: 5/20/2014 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:\Building\Sewer Tally\Sewer I'allySheet_4800._070113.xlsx c • � 1 8'-10 1/2" 4�2'-5 3/4"]1 8'-2 1/4" I ; HEN 4,. . 42 3/4I v I FOYER 7'-8 1'2 HALL b�1 _ _ Aill ao` ►�j� 3 1/2" -- 3 1/2"'- _ k03 3 1/2.. alli N J3c r -----' OFE lao - - - - - A53 v I i t W 61 FOB] X01 c1) + tl__ .. _.-1 Irbil _ — — _=NI 111*-11N OM I -�- ,� IwA i % ' 7,' �s�J --' O-1 Al I-- ^ (201 D� - --- ■ — — — - . • . / / ?. '/ /IV I lact ,y ,/,/ Le,/ „ ,' ," (0\1 1 i•.) rn m•- ` ///RR'/-- / NI 1r/ IR �,`� . ' {I OFFICE r B ___ ____ I I a WORKROOM 1 :�'��, ' MIN, ' _ �' _ ,_ . 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