Permit (181) CITY OF TIGARD 11/174S1111 PLUMBING PERMIT
1142 . COMMUNITY DEVELOPMENT Permit#: PLM2016 00472
-r[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/21/2016
Parcel: 2S102BD01503
Jurisdiction: Tigard
Site address: 12800 SW PACIFIC HWY
Project: Storquest Self Storage Subdivision: FREWING'S ORCHARD TRACTS Lot: 1
Project Description: Site utilities for a new 3-story self storage facility.(4)catch basins,(1)manhole,(9)rain drain connectors,63'of
sanitary sewer service,770'of storm sewer,55'of water service.5/31/17,revised to add 392'of footin dg rain45)
rain drain connectors, 125'of storm&(2)backflow preventers.
Contractor: CAMPBELL DEVELOPMENT Owner: 12740 SW PACIFIC SP LLC
23026 N 16TH LANE SUITE 101 BY THE WILLIAM WARREN GROUP INC.
PHOENIX,AZ 85027 201 WILSHIRE BLVD STE 102
SANTA MONICA, OC 90401
PHONE: 623-434-8500 PHONE:
FAX:
FEES
Quantity Description Date Amount
4 ea Catch Basin or Area Drain 11/16/2016 $75.04
Specifics: 1 ea Manholes 11/16/2016 $18.76
g ea Rain Drain Connector 11/16/2016 $168.84
Type of Use: COM 83 If Sanitary Sewer 11/16/2016 $62.54
Class of Work: NEW 770 If Storm Sewer 11/16/2016 $325.18
Type of Const: 55 If Water Service 11/16/2016 $62.54
Occupancy Grp: 1 12%State Surcharge- 11/16/2016 $114.06
Stories: Plumbing
524 If Footing Drain 11/16/2016 $237.63
392 If Footing Drain 06/05/2017 $162.59
5 ea Rain Drain Connector 06/05/2017 $93.80
125 If Storm Sewer 06/05/2017 $100.06
2 ea Backflow Preventer 06/05/2017 $62.54
0 12%State Surcharge- 06/05/2017 $50.28
Plumbing
Total $1,533.86
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
Utilit 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 irect questions to •UNC by calling 503.232.1987 or 1.800.332.2344.
I
Iss ed By: n , •
/ Permittee Signatures .�/ �j��
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. (J
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.
, . 01(, ..__ _b_ rc:_, 7---._
ilL I Fl CITY OF TIGARD
S.-. COMMUNITY DEVELOPMENTPLUMBING P
T f <;: :f-t. '� 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
0.7 8.24 PERMIT
39 Permit#: PLM2016_
Date Issued: 00472
11/21/2016
Site address: 12800 SW P Parcel: 2S102BD01503
Pro' PACIFIC HWy Jurisdiction:
Tigard
Project Description: Siteelf f Storage ora 3-story self storage facility. ORCHARD
sate utilities Subdivision: FREW)rain
TRACTS
sanitary sewer service,770'of storm sewer,55' (4)watcer
sh basins,(1)manhole,(9)rain drain connectors,
ofwater service.
Lot: 1
63'of
Contractor: CAMPBELL DEVELOPMENT
23026 NL 16TH LANE SUITEM101
PHOENIX, Owner: 12740 SW PACIFIC SP LLC
AZ 85027 01BY 7 EIL WILLIAM WARRENGROUPINC.
201 WILSHIRE BLVD STE 1p2
SANTA MONICA, OC 90401
PHONE: 623-434-8500es
F ' PHONE: '
Quantity Description FEES
S ecifim Date
4 ea Catch Basin or Area Drain Amount
Type of Use: COM ' 1 ea Manholes 11/16/2016
$785.7046
8.76
Class of Work: NEW *• 3 f Rain Drain Connector 11/16/2016 $168.84
$18.76
Type of Const: 63 if Sanitary Sewer 11/16/2016
Occupancy Grp: 11/16/2016 $114.06
1 12%State Surcharge-770 if Storm Sewer $62.54
Stories: 55 If Water Service 11/16/2016 $32
11/16/2016 .5
$62.54
Plumbing
.8,24-0 Footing Drain 11/16/2016
$237.63
Total
$1,064.59
Required Items and Reports(Conditions)
This permit is issued
Jaw. subject to the regulations
issuance,e, All work willebe done ricontained in
er
or if work is suspended for accordance the Tigard Municipal Code,
applicableli Notification Center, more the with approved plans. This State of OR Specialty
s direct questions to OUNC Those f180 days. ATTENTION: Oregon law req icesll yo if ll Codes and all
are set forth in OAR 452-001-0010 throughexpirework is not started within 180 daysofby callingserules are
seor th in OAR 952 0010090follYouthe rules
or
Issued By; 2344. adopted by the Oregon
may obtain a copy of the rules
1111111. Permittee Signature:
410,00
Call 503.639.4175 by 7:00 a,m.for the next available ins
This permit card shall be3. kept In a conspicuous inspection date.
Approved plans are ae p cuous place on the Job site until completion of the r
required on the job site at the time of each Inspection. P eject
LETTER OF TRANSMITTAL
FDE CIVIL LAND USE PLANNING SURVEY �,�„-IVCD
fiE
9503.643.8286 F84gton Square 3 Suite 1-grp.com r p
9020 SW Washington Square Rd Suite 170 l L 8 2017
PIONEER DESIGN GROUP, INC. Portland,Oregon 97223
et rY
February 8'", 2016 * � �� 320-001 1r ,
mss
Debbie Adamski
Storquest Self-Storage Facility(SIT2016-00013& PLM2016-00472)
f e - City of Tigard—Engineering Dept.
13125 SW Hall Blvd.
Tigard, OR 97223
WE ARE SENDING YOU VIA: ® Messenger 0 U.S. Mail 0 Overnight Courier 0 Hand Deliver
O Shop Drawings ❑ Prints 0 Samples ❑ Specifications ® Plans
O Copy of Application 0 Change Order ❑ Calculations
2 Letter of Transmittal(for Plan Revisions)
4 Revised Plan Sets(dated 12/15/16—On Site Improvements)
THESE ARE TRANSMITTED as checked below:
O For your use 0 Approved as submitted ❑ Resubmit copies for approval
® For your approval 0 Approved as noted ❑ Submit copies for distribution
❑ As requested ❑ Returned for corrections 0 Return corrected prints
❑ For review&comment ❑
❑ For BIDS DUE ,20_ PRINTS RETURNED AFTER LOAN TO US
Debbie—
Please see the enclosed revised plan sets for the Storquest Self Storage project on 99W. These plan
sets depict the on-site grading and utility revisions and noted by the revisions clouds.
Please feel free to contact me with any questions, thank you,
s m
file a Luke Lappin, P.E.
e
Plumbin Per
Plum
n mit A lication
g Fixtures LL)�:k S��
City of Tigard
ill
SW Hall Blvd.,Ti
Phone: 503.718. Tigard,OR 97223 Received FOR OFFICE USE
T I G A R D Inspection Line:.71 2439 Fax. 503.598.1960 DateBy; E ONL Y
)11
Internet: 03.71gard-or.gov 503.639.4175 DPlan ate/By: Permit No.:i�(
Date Mo�v��l-^C"�t'7'7�
T]p) OF WO Ready/By: Other Permit No.:
0 4 New construction RK Notifiedethod:
❑Addition/ ® u See Page 2 for
alteratlOtl/1 e 0 Demolition Supplemental Information
Addition/alteration/replacement
FEE*
0 Other: SCHEDULE
CATEGORY OF CONS Descri•tion For special informahou
❑1-and 2-family TRUther: use checklisx
Y dwelling New 1-tion
❑Accessory SFR(1 bath 2-family dwellings(includes 100 ft.for
ry ,41 Commercial/industrial ) each utilityQty aalli Total
❑MasterSFR(2)bath all connection)
builder ❑ erciMulti-family 312.70 _
MIN
❑Other: SFR(3)bath ���
Job site address: JOB SITE INFORMATION Each additional ba _
AND LOCATION bath/kitchen
500.32 _
City/State/ZIP; �����i � (,),,Acs: Fire sprinkler( aill
`�� ." ,� � ; sq.11.) 25.02
t ®_
Suite/bldg./apt. •``�{ �'` �'• Catch basin
no.: or area drain
Cross street/directions to ' Project name: t o 1C'Ying leach line, alli
or trench drain 18.76 MIMI
lob site: r F ., • Footing drain1111111
(no.linear ft,:(Ilk) 18.76 NMI
' Manufactured home Utilities ��
5te :
IIIIII50.03IMS RIM
Subdivision: en.linear II: ) 111111k18.76 MEI
Tax map/parcel no.: Storm sewer(no,linear ft:�y;; )
Lot no.: Water service ``Y 2 '� ®®
Fixture ori (no.linear ft.: ) Inilleal
DESCRIPTION tem:
WORK
OE " Backflow preventer `'
Cloth ®®�
Clothes washer EMOZIal _®�
Dishwasher111111 lila
PR ER {O 25.02 allill
�'�kR
Drinking fountain
'TENANT Electors/sump i25M2
Address: 25.02 _
Expansion tank all25.02
MN
allin
City/State/ZIp: Fixture/sewer ca _®
Floor p alli _
Phone:( ) drain/floor sink/hub 25.02IIIIII _
Garbage disposal 25.
02
' ��I�LI Hose biball
Business name: 25.02 _
"GONIA _
Contact „PE NT 2
name: Interceptor/grease tra _®_
Address: Medical pNMI
gas(value:$ ) 25.02 _
City/State/ZIP: _
Phone:( Roof drain(commercial) _®-
mmercial) -
Srnk/basin/lavatory 1111111®_
Solar units(potable water) MN 25.02 _
Tub/shower/showerpan 6254 _
Olt. _®
Address:
MIMMIN
Water heater
Water closet -
25.02 NMI_ 25.02
Water piping/D ®_
Phone:( ) -
56.29
Other:
Mill MIN
25.02
Authorized signature:
Plumbing Lic.no.: Minimum
Permit f
Subtotal ratra
Plan review (25% • $72.50Ma
ofpermit fee)
State surcharge(12%of permit fee)
MEI
Date:
I:1BuildinglPermits�PLMj7_p This
erm;tq perm .plication expires if TOTAL PERMIT FEE i
Pp.doc 10/01/09 18 G L,
•iter it has been a permit is not obtained r
44O 4616Tt1e/02/CpnywEB 'Fee methodolo_' accepted as complete. within 180 days
t by Tri-County Building
Industry Service Board.
plumbin Permit A lication - City of Tigard
, ,cession S stems:
Page 2 -Supplemental Information Residential Fire Su pert Fee:'
S$uare Foota_e: $121.90
Total $169.69
Qty, ® 0 to 2,000 $233.20
Fee Schedule: A 50 03 �d(�5 2,,60 03,,20
1111111111611116S" 600
3,601 to 7,200
Footing drain ls'each a00' 7,201 and greater
additional 100' 6 �
Footing drain" ® _
_ Medical Gas S stems:
Sewer-1st loo' ® permit Fee:
62'54 fee$72.50
Sewer-each additional 100' um® Valuation: Minimum 000.00 and$1.52 for
Service 1st 100' ® 000.00 $72.50 for first$5, ereof,to
Storm Set` ® 62 54 $1.00 to$5> 000.00
Service-each additional EMIEI $5,001.00 to$10, each additional$100.00 fraction $1.54 for
Water ®® and i0 for
then_$10,000.00.000.00 an and
&Rain Drain-1st 100'
Storm each additional 100' � 1111
Total $25,000.00 $148.50 for the first$10,
StormDrain- 001.00 to each additional$100.00 fraction thereof,to
&iRain Qty. $10, $25,000.00. $1.45 forr
p cifc ori Fees and iadditi0 000.00 and
Qther Ins plumbing or for 90.00/lii' 000.00 $379.50 for the first$25,
(m inimun careexisting P specifically indicatedIII $25,001.00 to$50, each additionaldint 5 000 OOr fraction thereof,to
is mec 1111 and
and i 000.00 ander$1.20 for
which no fee e–112 hour) 10
(minimum char_ al business $742.00 for the first$5 '
Reinspection
outside of normal
90.00/lu' $50,001.00 and up each additional$100.00 or fraction thereof.
Inspe
hours onaimum chane
ReiiisP
ecrion Fees 90.00/hr Additional plan reviewh revisions
(minimum chane– Subtotal: _
11111111100
ork: , Instt�l�at�°�'
ture W fixtures? If"Yes", fot bin
Commercial Fix or replacing Failure to I'la £V�e ' �lud►
ac you capping,adding fixture.in i required for any of the following•
Axeperformed by plan review is 2"and
please indicate work p i b Fixture T e commercial building with water service
byce licensed
e uant R tact) Please check all that apply ed and stamp
fixtures could result in increased sewer ees new
accurately report Rc ❑ Anyt systems design
Added g.eater,excep y lex structure
e for =— comp
Fixture TYP engines• site utilities for any
_ ❑ New exterior plumbing 0040.
BarkFer[orme-Tub/Shower
—_— OAR918 780
Ba•tis /Font as definedsystems for health care facilities.
-Each oitW rl.00l 0 is defined in and vacuum y 0040.
Bad'' As s ira —_— ose fire sprinkler system. 91 g e f a
111111111111111111111111111111111111111 ❑ My multipurpose defined in OAR
Car Wash: Each Stall Any complex structure as
Drive Ihru _-- 0 of the above.
,irator _-- Submit 2 sets of plans with any
Cus.idor/Water As
Dishwasher: -Domestic —11111111111-111111111111111111111111111 �_� ""
Drinlc;n_Fountain _-111111111111 is requo'ed for new buildings
�ww,Isome e or riser diagram
Drain/sink. -2„ meet the s Ualifications above.
Floor Dra IIIIIIIIthat
WIIIIIIICOIIIIIIIIIIIIIIIIII
-Car Wash Drain
— Comments regarding facture work:
Garbage -Com er non-food _
Disposal: Domestic food related __-
-Commercial food related 1.1111111111111111111111111111111111111111111
__Industrial food related —_—
ins
Ice c.V h isle Gas tion) _—_
Oil S arator( Station
Rec.Vehicle Dump -_-
11111111111111111111
Gang t results in an
Shower: Stall -
--_ work under this permit
issued and
IServic non-food related before the
Sink: *Note: If the fixture w a sewer perms paid
11111111
Bradley —__ he sewer must be
Com/Serv/Util food related increase of sewer ED-Us,
Service fees assessed ocan be issued,increase
Washer n.Pool Fiber --- plumbing permit
II
Washer-ClothesIIIIIIIIIIIIIIIII _
Water Extractor _—_
Water Closet Toilet __
Trial 2
er Fixtures:
•lding�Pe its\PLMF peTmitApp•doc 08/04/201
CITY OF TIGARD PLUMBING PERMIT
I1: COMMUNITY DEVELOPMENT Permit#: PLM2016-00472
and OR 97223 503.718.2439
13125 SW Hall Blvd.,Ti Date Issued: 11/21/2016
TfC��'�fd.� 9
Parcel: 2S102BD01503
Jurisdiction: Tigard
Site address: 12800 SW PACIFIC HWY
Project: Storquest Self Storage Subdivision: FREWING'S ORCHARD TRACTS Lot: 1
Project Description: Site utilities for a new 3-story self storage facility.(4)catch basins,(1)manhole,(9)rain drain connectors,63'of
sanitary sewer service,770'of storm sewer,55'of water service.
Contractor: CAMPBELL DEVELOPMENT Owner: 12740 SW PACIFIC SP LLC
23026 N 16TH LANE SUITE 101 BY THE WILLIAM WARREN GROUP INC.
PHOENIX,AZ 85027 201 WILSHIRE BLVD STE 102
SANTA MONICA, OC 90401
PHONE: 623-434-8500 PHONE:
FAX:
FEES
Quantity Description Date Amount
4 ea Catch Basin or Area Drain 11/16/2016 $75.04
Specifics: 1 ea Manholes 11/16/2016 $18.76
g ea Rain Drain Connector 11/16/2016 $168.84
Type of Use: COM 63 If Sanitary Sewer 11/16/2016 $62.54
Class of Work: NEW 770 If Storm Sewer 11/16/2016 $325.18
Type of Const: 55 If Water Service 11/16/2016 $62.54
Occupancy Grp: 1 12%State Surcharge- 11/16/2016 $114.06
Stories: Plumbing
524 If Footing Drain 11/16/2016 $237.63
Total $1,064.59
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 1.81 s 32.2344.
....
Issued By: , Permittee Signature: p
L.`._ i
//
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
Site Utilities RECEIVED FOR OFFICE USE ONLY
City of Tigard Received Q 7
Date/By:el ! /0 .i Permit No.: PL��/1,-� p
13125 SW Hall Blvd.,Tigard,OR 97p 7 Plan Renew �r
■ Phone: 503.718.2439 Fax: 503.59 0 2016 PlanDateRe: /V Other Permit No.:TYPE O FEEk .5.11:P0/
/
6
6/3Inspection Line: 503.6394175T1GARD Internet: www.tigard-or.gov CITY OF ilaND Date Ready: �
Noted/Method: EtV [3/� iz"�- See Page 2 for
Supplemental Information&QIND VtSt to ' P
-
►1 New construction 0 Demolition For special information use checklist
Description I Qty. I Ea. I Total
0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCT UON SFR(1)bath 312.70
0 1-and 2-family dwelling ®Commercial/industrial SFR(2)bath 437.78
0 Accessory building 0 Multi-family SFR(3)bath 500.32
❑Master builderEach additional bath/litchen 25.02
0 Other: Fire sprinkler( sq.ft.) Page 2
JOB SITE;INFORMATION MD'LOCATION Site utilities:
Job site address:12800 SW PACIFIC HIGHWAY Catch basin or area drain 4 18.76 $75.04
City/State/ZIP:TIGARD,OR 97223 Drywell,leach line,or trench drain 18.76
Footing drain(no.linear ft.:524) Page 2 $237.63
Suite/bldg./apt.no.: I Project name:STORQUEST SELF STORAGE Manufactured home utilities
50.03
Cross street/directions to job site:Southwest corner of SW Pacific Hwy and Manholes 1 18.76 $18.76
SW McKenzie St. Rain drain connector 9 18.76 $168.84
Sanitary sewer(no.linear ft.:63) Page 2 $62.54
Storm sewer(no.linear ft.:770) Page 2 $325.18
Water service(no.linear ft.:55) Page 2 $62.54
Subdivision: I Lot no.: Fixture or item:
Tax map/parcel no.:2S102BD01503 Backflow preventer 31.27
DESCRIPTIC31q,OFI3RK;" """"" Backwater valve 12.51
Clothes washer 25.02
Installation of private utilites and site work related to the construction of a
Dishwasher 25.02
new,3-story over partial basement self-storage facility. Drinking fountain 25.02
Ejectors/sump 25.02
ra PROPERTY OWNER I cm TENANT Expansion tank 12.51
Name:12740 SW Pacific Hwy SP,LLC(attn:Jon Suddarth) Fixture/sewer cap 25.02
Address:5301 DTC Blvd. Floor drain/floor sink/hub 25.02
Garbage disposal 25.02
City/State/ZIP:Greenwood Village,CO 80111 Hose bib 25.02
Phone:(303)759-7008 Fax:( ) Ice maker 12.51
APPLICANT ►e CONTACT PERSON Interceptor/grease trap 25.02
Business name:Magellan Architecture Medical gas(value:$ ) Page 2
Contact name:Dirk McCulloch
Primer 12.51
Roof drain(commercial) 12.51
Address:8383 158th Ave NE,Suite 280 Sink/basin/lavatory 25.02
City/State/ZIP:Redmond,WA 98052 Solar units(potable water) 62.54
Phone:(425)885-4300 Fax: :(425)885-4303 Tub/shower/shower pan 12.51
E-mail:dirk@magellanarchitects.com Urinal 25.02
Water closet
CONTRACTOR; 25.02
Water heater 37.52
Business name:Campbell Development(attn:Vince Parravano)
Water piping/DWV 56.29
Address:23026 N.16th Lane,Suite 101 Other: 25.02
City/State/ZIP:Phoenix,AZ 85027 Subtotal $950.53
Phone:(623)434-8500 x109 Fax:(623)434-9020 Minimum permit fee: $72.50
CCB Lic.: �w -`" �'° Plan review (25%of permit fee)
e.),.03 7/ Plumbing Lic.no.:
- State surcharge(12%of permit fee) iiii.. ('
Authorized signature: Yd.:' TOTAL PERMIT FE
c. Sg1
Print name: Jon C Suddarth Date: August 8, 2016 This permit application expires if a permit is not obtained hid 180 days
after it has been accepted as complete.
4$ /(f g- 5 P1.-/N
L, . ./^�s ,q ^ - 5 612,,(l�o *Fee methodology set by Tri-County Building Industry Service Board.
IABuilding\Permits\PLMU-PermitApp.doc 10/01/09 l� /'O�" W 1' 0-4661'6'T 110/02/ N �-G
( COM/WEB)
FOR OFFICE USE ONLY—SITE ADDRESS: / goO 6u) Pi4e/I;e._- ALA,/
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Transmittal Letter
r i G,1 R t) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: i 7o-vL_ d-. DATE RECEIVED:
DEPT: BUILDING DIVISION r
RECEIVED
FROM: Luke Lappin FEB 8 2017
CD
COMPANY: Pioneer Design GroupBUILDINGID►EVOF 11-?O
�f�l�l�
B 0
PHONE: 503-643-8286
/ j )
RE: SW Pacific hwy (99W) PLM2016-00472
(Site Address) (Permit Number)
Storquest Self Storage
(Project name or subdivision name and lot number)
4-- 1,-4-PP i n(' P —a rw6 , ezir-1
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: N ' Copies: I Description:
Additional set(s) of plans. 2 Revisions: dated 12/15/2016
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):
REMARKS: Included are the revised On-site improvement plans for the Storquest Self Storage project
on 99W. Revisions include adjusting grades on the drive in the south eastern drive aisle and amending
the building exit sidewalk, gate location and amending site utilities and account for change in grades.
- : FOF,OFFICE USE ONLY
Routed to Pe ' Technician: Date: 5//o//7 Initials r�-�l
Fees Due: Yes ❑ No Fee Description: Amount Due:
,,rw $
$
$. 41/-• a7
Special _
Instructions:
Reprint Permit (per P : M Yes ❑No ,j Done
Applicant Notified: . f Le,„ zep/ 7 Initials(
1
.\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012
S r
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' 1 50.03 50.03 0 to 2,000 $121.90
2,001 to 3,600 $169.69
Footing drain-each additional 100' 5 37.52 187.60 3,601 to 7,200 $233.20
Sewer-1st 100' 1 62.54 62.54 7,201 and greater $327.54
Sewer-each additional 100' 37.52
Water Service-1st 100' 1 62.54 62.54 Medical Gas Systems:
Water Service-each additional 100' 37.52 Valuation: Permit Fee:
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' 7 37.52 262.64 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for
Feed. Total each additional$100.00 or fraction thereof,to
Other aspect ons or Fees " Qtand 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
each additional$100.00 or fraction thereof.
(minimum charge-1/2 hour)
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*.
Quantity by Fixture Type Plan Review for Plumbing Installations
Fixture T for Replace!
ype Plan review is required for any of the following.
Work Performed: Capped Added Relocate
Please check all that apply.
Baptistry/Font ❑ Any new commercial building with water service 2"and
Bath -Tub/Shower greater,except systems designed and stamped by licensed
-Jacuzzi/Whirlpool
Car Wash -Each Stall engineer.
-Drive Thru ❑ New exterior plumbing site utilities for any complex structure
Cuspidor/Water Aspirator as defined in OAR918-780-0040.
Dishwasher -Commercial ❑ 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.
isometric or Riser Diagram
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 increase of sewer EDUs,a sewer permit will be issued and
Water Extractor
Water Closet-Toilet fees assessed for the sewer increase must be paid before the
Urinal plumbing permit can be issued.
Other Fixtures:
G:\Projects-Current\15\15-133 StorQuest Tigard OR\Forms&Documents21-Permit\3-Building Permit\Application Materials\PLMU PermitApp.doc
INSite 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
yagejan TEL 425-885-4300
FAX 425-885-4303
ARCHITECTS RECEIVED WA 98 52#280
SEP 7 2016 mageltanathlsects.com
CITY O AR DIVISION
Transmittal RUILDI
To: DEBBIE ADAMSKI From: Dirk McCulloch
Company: City of Tigard—Community Devel. Pages: As noted below
Address: 13125 SW Hall Boulevard Date: 8/31/2016
Tigard,Oregon 97223
Phone: 503-718-2450 Project Name: StorQuest Tigard
CC: File Project Number: 15-133
❑ Mail ❑ Express Delivery ❑ Courier El Fax ❑ Other
❑ Urgent El For Approval ❑ For Review ❑As Requested ❑ Please Reply
•
Quantity: Date: Description:
1 Site Utility Application form - completed/signed
2 sets Civil Plans for Site Utility Application
S5e1S `3011/4.1 t*AINdior PARVir - i716 - oeS9, q °
Comments:
Debbie—as discussed her is the Site Utility application for this StorQuest project(related Site Work
permit is SIT2016-00013 and Building is BUP2016-00261). Thanks for allowing me to mail these to you
for intake. Please contact me with any questions. If you can email me the related permit number at
dirk@magellanarchtitects.com that would be great!
Privileged and Confidential Information: The information in this transmittal is intended only for the use of the recipient above
named.Any wrongful review,dissemination,distribution or copying of this communication is strictly prohibited.If errors occur in
transmission,or enclosures are not as noted,please notify us at once.
G:\Projects-Curtest\15\15-133 StorQuest Tigard OR\Forms&Documents\4-Permit\6-Site Utility Permit\2016-08-31_TR_DebbieAdamski_Tigard_SiteUtilityPermitApp_StorQuestTigard_15-133.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12800 SW PACIFIC HWY, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Plumbing PLM2016-00472
Inspection Type: Inspector:
399 Plumbing final Don Sylvester
Result:
PASS - NoCofO
Comments:
1 . Correction's are complete, plumbing final for site utilities-Approved
Violation Summary:
Inspector Contractor