Permit CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2016-00063
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/22/2016
Parcel: 2S104AB00900
Jurisdiction: Tigard
Site address: 13335 SW CHIMNEY RIDGE CT
Project: Bassine Subdivision: MORNING HILL NO.1 Lot: 8
Project Description: Installation of dry well.
Contractor: PRESTIGE DESIGN&GENERAL CONTRACTING INC Owner: BASSINE, GREGREY A&CHARLENE G
12302 NE MARX ST 13335 SW CHIMNEY RIDGE CT
PORTLAND, OR 97230 TIGARD, OR 97223
PHONE: 503-477-5550 PHONE:
FAX:
FEES
Quantity Description Date Amount
1 ea Catch Basin or Area Drain 02/22/2016 $18.76
Specifics: 1 Plan Review 02/22/2016 $18.13
1 12%State Surcharge- 02/22/2016 $8.70
Type of Use: SF Plumbing
Class of Work: ALT 54 ea Minimum Fee Adjustment- 02/22/2016 $53.74
Type of Const: Plumbing
Occupancy Grp:
Stories:
Total $99.33
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 ApplicatioRECE' D
Building Fixtures
City of Tigard FEB 4 2016 Received /� PermitNo.: (�
13125 SW Hall Blvd.,Tigard,OR 97 Date/By:
, Adk Z&
TY OF TIGARD Plan Review
Phone: 503.718.2439 Fax: 503.5 R8+ �, � Other Permit No.:
Inspection Line: 503.639.4175 Du� DING DIVISION-Date/By:
p Date Ready/By: Jur s: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
;T
u
1,12
❑New construction ❑Demolition For special information use checklist.
Description I Qty. I Ea. Total
Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
., •`- w SFR(1)bath 312.70
1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78
❑Accessory building ElMulti-family
SFR(3)bath 500.32
Each additional bath/kitchen 25.02
❑ Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2
B Sii 1C1TV�(imAmN ANv LmAnoN Site utilities:
Job site address: 3-3 J SW C Ht1✓t+I Iles( R. .� e C-j- Catch basin or area drain 18.76 f ,-7
City/State/ZIP: `f`j�Gtr� O q� cf 7-LZ 3 Drywell,leach line,or trench drain 18.76
Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: Project name: SS�',� Manufactured home utilities 50.03
Cross street/directions to job site: S W Cyt; 14
(,t 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.: Backflow preventer 31.27
r Backwater valve 12.51
� G 11 Clothes washer 25.02
vc� Q 1iN u ) TO 5D i eed TU Dishwasher 25.02
CAA A- bQ.4 rl- Dunking fountain 25.02
Ejectors/sump 25.02
Expansion tank 12.51
Name: re c, v/�S,
Fixture/sewer cap 25.02
Floor Address: �3.3 3q' 5 vv C Wvv�.we_ ( V_ e C'} Garbage disposal
sink hub 25.02
Garbage disposal 25.02
City/State/ZIP: --ft rk c r cy-7 Z 2-3 Hose bib 25.02
Phone:( ) Fax: Ice maker 12.51
Interceptor/grease trap 25.02
at VIA
Business name: CeSkl'Git° P4,,,Kc\. Medical gas(value:$ ) Page 2
Contact name: Y f aiq IOL.,V- Y r- Primer 12.51
Roof drain(commercial) 12.51
Address: 1-2 720 Z Y1 ti A-' f V/ �j{ Sink/basin/lavatory 25.02
City/State/ZIP: 'P041A r'.L o r -7- d Solar units(potable water) 62.54
Phone:(1;,o 1-7 85- 1 q 2V Fax: :( ) Tub/shower/shower pan 12.51
E-mail: e___:T3 a(Cer� ` e%}.CLIt° 0C •('Ot- Urinal 25.02
Water closet 25.02
Water heater 37.52
Business name: �e5
Water piping/DW V 56.29
Address: , U&f J16 Other: 25.02
City/State/ZIP: Pot �1 ow ik p C -?-1 0 Subtotal /f Z
Phone:(r�;o3 4/77-1515T50 Fax:( ) Minimum permit fee: $72.50 72 Sa
CCB Lic.: ������ (� /� Plumbing Lic.no.: Plan review (25%ofpermit fee) , J
State surcharge(12%of permit fee) -70
Authorized signature: TOTAL PERMIT FEE
Print name: ec( P_v Date: "Z y �6 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.
(:%Building\Permits,PLMU-PermitApp.doc 1001,09 440-4616T(10,02,COM,WEB)
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Dote e: 1p' it ee;
Footing drain- I" 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- I st 100' 62.54 7,201 and greater $327.54
Sewer-each additional 100' 37.52
Water Service- 1 st 100' 62.54 Medical Gas Systems:
Water Service-each additional 100' 37.52f 1
Storm&Rain Drain-I st 100' 62.54 A
$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
" � Fee.tca)' ( each additional$100.00 or fraction thereof,to
' OS or°"Fees and including$10,000.00.
Inspection of existing plumbing or for $10,001.00 to 525,000.00 $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-I/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 tinction 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 Plumbin installations
Quantity by Fixture TVDe 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 El Any new commercial building with water service 2"and
greater,except systems designed and stamped by licensed
Bath: -Tub/Shower
-Jacuzzi/Whirlpool engineer.
Car Wash: -Each Stall ❑ New exterior plumbing site utilities for any complex structure
Drive T tall as defined in OAR918-780-0040.
Cuspidor/Water idor/Water As ire El Medical gas and vacuum systems for health care facilities.
Dishwasher: -Commercial ElAny 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" , jOij
-
-Car Wash Drain El Isometric or riser diagram is required for new buildings
Garbage -Domestic non-food that meet the qualifications above.
Disposal: -Domestic food related
-Commercial food related
Industrial food related
Ice Mach./Refri .Drains Comments regarding fixture work:
Oil Separator(Gas Station)
Rec.Vehicle Dump Station
Shower: -Gang
-Stall
Sink: -Lav/Bar 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
Water Closet-Toilet plumbing permit can be issued.
Urinal
Other Fixtures:
1:\Building\Permits\PLMF_PennitApp.doc 08/04/2011 2
ENGINEERING DEPARTMENT RECEIVED
�ICIE, O
6101 SEJohnson CneekBlvd 4 2016
zMilmukic
OR 97" FEB
INSPECTIONS: 503-786-7575 CITY OF 1 iOARD
PHONE: 503-787606 BUILUt ()!`JISi®N
OUNDE9 _% -MAIL: engiaeeringQacimfhvauHe.acus D rywe I I Sizes
DRAINAGE AREA 2.33' Diameter* 2.5' Diameter 3.0' Diameter 4.0' Diameter
(square feet) (28 inches) (30 inches) (36 inches) (48 inches)
Depth shown in feet Depth shown in feet Depth shown in feet Depth shown in feet
<550 5.00* 5.00* 5.00* 5.00*
550 5.16 "
600 5.63 "
700 6.57 5.70 "
800 7.50 6.52 "
900 8.44 7.33 5.09 "
1000 9.38 8.15 5.66 "
1100 10.32 8.96 6.22 "
1200 11.26 9.78 6.79 "
1300 12.20 10.59 7.36 "
1400 13.13 11.41 7.92
1500 14.07 12.22 8.49 "
1600 413 nA n 5.09
1700 13.85 9.62 5.41
1800 10.18 5.73
1900 .4 10.75 6.05
2000 11.32 6.36
2100 11.88 6.68
2200 12.45 7.00
2300 13.01 7.32
2400 13.58 7.64
2500 14.14 7.96
2600 14.71 8.27
2700 15.28 8.59
2800 15.84 8.91
2900 16.41 9.23
3000 16.98 9.55
3100 17.54 9.87
3200 18.11 10.19
3300 10.51
3400 10.83
3500 11.15
The above chart indicates the depth of drywell required to serve a specified drainage area. Diameters shown
are those generally available from suppliers.
DEPTH = (A x 0.04 feet) NOTE:
[(% diameter)2 x R] Preferred Maximum
Depth = depth, in feet, of drywell excluding thickness of cover depth to diamater
A = total drainage area in square feet ratio is 6:1
0.04 = constant for depth of water covering the drainage area
diameter = the diameter, in feet, of the drywell to be installed
n = 3.1416
Oregon P.S.C. requires minimum inside diameter of 28" and min. depth of 5.0 ft of reinforced concrete rings.
From the State of Oregon Plumbing Specialty Code (Effective April 1, 2000)
Section 1107.0 Dry Wells; Construction, Use and Limitations
1107.0 Dry Wells; Construction, Use and cm). This type of dry well shall have a brick arched
Limitatlons top or an arched top of other approved materials.
1107.1 Construction. Where permitted by the 1107.2 Location.No dry well shall be located closer
Administrative Authority, dry wells may be used. than five (5) feet(1.5 m)of a property line nor closer
The Administrative Authority may require soil than ten (10) feet (3 m) to any building unless
percolation tests.When authorized,dry wells may be approved by the Administrative Authority. Each
of reinforced concrete rings with an inside diameter drainage connection to a dry well shall be made at
of not less than twenty-eight(28)inches(0.7 m)with the top center of the lid by the use of an approved
a minimum depth of five (5) feet (1.5 m), measured ninety (90) degree waste fitting. Support of piping
from the bottom to the top of the reinforced concrete shall be as required by Chapter 3 of this Code.
cover and set on undisturbed soil.All dry wells shall Special permission may be granted to enter the side
be covered with at least two (2) feet (0.6 m) of of the dry well when grade and structural conditions
compacted earth when measured from the top of the make top entrance impractical.
lid to the finished grade. When first approved by the 1107.3 Backfill. The particle size of the backfill
Administrative Authority, dry wells may be surrounding a dry well shall be of sufficient size to
s constructed of brick or other approved material in of prevent its incursion into the interior of the dry well.
noi" ,than four (4) inches (0.1 m) thickness. Brick The backfill shall form a continuous layer around the
br block may be assembled with or without dry well not less than six (6) inches (150 mm) in
R gs, provided the openings on the outside of thickness and shall extend to the full height of the
W well arqVLXreater than three (3)inches.(7.5 day wgtl.
j' Exception: nthe��d�ory V 11 is installed in
r. • ♦ �y_ sK.ar ;a 31"lt►ed. ter material shall
betpid'ced of the liner to
• prevent infiltration of sand. The backfill shall be
Of veac
1107.4 AbandorMeit. SVhenjequired by the
Administrative Authority, every drywell which has
b `AbAh Or has been otherwise discontinued
hfiu�itttst shall be completely filled with
eart'h,'sand, gravel, concrete, or other approved
material.