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Permit (43) CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT Permit#: PLM2017-00178 T E GAR 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/21/2017 Parcel: 1 S 135AD01303 Jurisdiction: Tigard Site address: 8920 SW OAK ST Project: Oak Street Apartments Subdivision: ASHBROOK FARM Lot: 13 Project Description: Site utilities(2)5-story apartment buildings. Install(5)catch basins,(8)manholes,(2)rain drain connectors,288' of sanitary sewer,981'of storm sewer,652'of water service&(1)backflow preventer.Fire supply line under separate FPS permit. Contractor: THE SPANOS CORPORATION Owner: DBG OAK STREET LLC 10100 TRINITY PARKWAY, 5TH FL 2164 SW PARK PL STOCKTON, CA 95219 PORTLAND, OR 97205 PHONE: 209-478-7954 PHONE: FAX: FEES Quantity Description Date Amount 5 ea Catch Basin or Area Drain 09/11/2017 $93.80 Specifics: 8 ea Manholes 09/11/2017 $150.08 2 ea Rain Drain Connector 09/11/2017 $37.52 Type of Use: COM 288 If Sanitary Sewer 09/11/2017 $137.58 Class of Work: NEW 981 If Storm Sewer 09/11/2017 $400.22 Type of Const: 652 If Water Service 09/11/2017 $287.66 Occupancy Grp: 1 ea Backflow Preventer 09/11/2017 $31.27 Stories: 1 Plan Review 09/11/2017 $284.53 1 12%State Surcharge- 09/11/2017 $136.58 Plumbing Total $1,559.24 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 o,tain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: � � Permittee Signature: 4, • Call 503.639.4175 by 7:00 a.m.for the next available inspecti• 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. i C ! Plumbin Permit A Site Utilities V t , FOR OFFI('C USE ONLY City of Tigard y y Received 5 T 14 .. 13125 SW Hall Blvd.,Tigard,\p72135 2017DateBy: /5 ( /( Permit No.: '/ M7/7!7 7Q • Phone: 503.718.2439 Fax: 503.598.1960 Plan Review v� v v V d Date/By: ��I7 • Other Permit No.: 6,Tao/7_06009 Inspection Line 503.639 1 F 'o I1(,ARll Internet www.ttgard-or. ov �i - DateReady/By: / q�y (.& -J Juris See Page 2 for Notified/Me od GX�v b /7 11 Supplemental Information FEE* sCIIEIIIII,B. ®New construction 0 Demolition For special information use checklist ❑Addition/alteration/replacement 0 Other: Description I Qty. Ea. Total New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION ,` SFR(1)bath 312.70 0 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building ®Multi-family SFR(3)bath 500.32 ❑Master builderOther: Each additional bath/kitchen 25.02 ❑Other Fire sprinkler( sq.ft.) Page :: .JOB SITE,INFORMATION;AND LOCATION 2 -• . � ,'� Site utilities: ;,r4 4310* Job site address:S o mt.o i`;y ®�� Catch basin or area drain 1�j 18.76 56.28 + City/State/ZIP:Tigard,OR,97223 Q � p�/ Drywell,leach line,or trench drain 0 18.76 0 Suite/bldg./apt.no.:4 6 I I / ` Footing drain(no.linear ft.:_) 0 Page 2 0 Project name:Oak Street Apartments Manufactured home utilities 0 50.03 0 Cross street/directions to job site:SW 90th Ave Manholes 8 18.76 150.08 Rain drain connector 2 18.76 37.52 1,* Sanitary sewer(no.linear ft.: /44 1 Page 2 130.10 1` TL 4000,4100,4200,4300, and 1303 Storm sewer(no.linear ft.:MS)q$l 1 Page 2 400.22 Water service(no.linear ft.:jrl$ij,.. 1 Page 2 475.26 Subdivision: Lot no.: Fixture or item: yi Tax map/parcel no TM 1N1W35AC,1N1W35 AD Backflow preventer ! 31.27 NA ! DESCRIPTION O WORK' N Backwater valve 12.51 NA Install private storm water,water, re water, sanitary sewer Clothes washer 25.02 NA 1 fi Dishwasher 25.02 NA infrastructure for two 5 story mulit family buildings. (J Drinking fountain 25.02 NA Ejectors/sump 25.02 NA # -+;PROP TY CHER$ ; ❑ ENANT Expansion tank 12.51 NA 1 Name:AG Spanos Companies-Jared Mauch Fixture/sewer cap 25.02 NA i, Address:10220 SW Greenburg Rd,BLDG 2 Suite 350 Floor drain/floor sink/hub 25.02 NA ' Garbage disposal 25.02 NA 3 t. . City/State/ZIP:Tigard,OR 97223 Hose bib 25.02 NA 1. l'1, Phone:(503)272-8833 Fax:( ) Ice maker 12.51 NA " 1, .0 fAPPLICAI T' i '` 0 CONTACT PERSON Interceptor/grease trap 25.02 NA .- Business name:Otak Medical gas(value:$ ) Page 2 NA s x Contact name: Kyle Childers Primer 12.51 NA 6i '*.i Roof drain(commercial) 12.51 NA ret Address:808 SW Third Ave Suite 300 a, Sink/basin/lavatory 25.02 NA tti City/State/ZIP:Portland,OR Solar units(potable I1 water) 62.54 NA } Phone:(503)287-6825 Fax::( ) Tub/shower/shower pan 12.51 NA I• E-mail:kyle.childers@otak.com � Urinal 25.02 NA t � ' Vii t'7 4' Water closet 25.02 NA CONTRACTOR Water heater Business name:TBD 14 c. CUs cc �A 56.29 NA r rC7 c"" Water piping/DWV 56.29 NA ( Address: /n X50 T(L(N I-I`y Y eyikt ,-_ Ft",e Other: 25.02 NA `'° •. City/State/ZIP:Sx�n� Subtotal 1249.46 Phone:(6)a2_ f593 3 Fax:( ) Minimum permit fee: $72.50 1249.46 CCB Lie.: 201 la e 9 Plumbing Lic.no.: Plan review (25%of permit fee) 312.37 Authorized sign : //IL State surcharge(12%of permit fee) 149.94 TOTAL PERMIT FEE 1711.77 Pont name: I Date: 5/3/, I 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\P nuts\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 ieaJ .T'otaL¢- I' q Tare Footage: permit,F e Footing drain-1'100' 0 50.03 0 0 to 2,000 $121.90 Footing drain-each additional 100' 0 37.52 0 2,001 to 3,600 $169.69 Sewer-1st 100' 1 62.54 62.54 3,601 to 7,200 $233.20 7,201 and greater $327.54 Sewer-each additional 100' 1.8 37.52 67.54 Water Service-1st 100' 1 62.54 62.54 Water Service-each additional 100' 11 37.52 412.72 Medical Gas Systems: x a,illi IQ$ 4 Storm&Rain Drain-1st 100' tt'1! @ 1 32 54 62.54 $1.00 Storm&Ram Drain-each additional 100' 9 37.52 337.68 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for Fey a Other Ins ections or Fees, Q" a' each iadditional$100.00 or fraction thereof,to andincluding$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*. Quantity by Fixture Type r' '`�: i*` Fizture�'ype for Replaeet ' -§� _1.7?lan ` )le :�oi'�I[>tTtE11n��A!«�pt�1� 125��� .a:, Work Performed: Capped Added • Relocate Plan review is required for any of the following. Baptistry/Font Please check all that apply. Bath -Tub/Shower 0 Any new commercial building with water service 2"and -Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed Car Wash -Each Stall engineer. -Drive Thru 0 New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780-0040. Dishwasher -Commercial 0 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. -3" ,Isometric ora Car Wash Drain a1>1I'::; Garbage Domestic-non-food 0 Isometric or riser diagram is required for new buildings 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 Fixture work to be submitted with Shower -Gang Stall building plans and not included in this Sink/Lav -Non-food related application. -Bradley -Commercial-food related -Service Swimming Pool Filter Washer-Clothes *Note: If the fixture work under this permit results in an Water Extractor increase of sewer EDUs,a sewer permit will be issued and Water Closet-Toilet fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fixtures: L:\Project\18000\18056\ArchiveCorresp\Outgoing\CityofTigard\20170501-SiteUtilities\PLMU PermitApp.doc Plumbing Permit Application Building Fixtures FOR OFFICE USE ONLY' City of Tigard Received Date/By: Permit No.:PLM Aon ill 13125 SW Hall Blvd.,Tigard,OR 97223i'lPg 111 l_co�7� Phone: 503.718.2439 Fax: 503.598.1960 Plan Review Date/By: G .„2 1_01.0 P1esi Other Permit No.: T I G A R D Inspection Line: 503.639.4175 Date Read/B Internet: www.tigard-or.gov Ready/By: Juris: la See Page 2 for Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE New construction 0 Demolition For special information use checklist Description 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 CONSTRUCTION SFR(1)bath 312.70 0 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 0 Accessory building Multi-family SFR(3)bath 500.32 0 Master builderEach additional bath/kitchen 25.02 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: - S.I0` a�A.l{ Catch basin or area drain 5 18.76 Cl'� City/State/ZIP: �' '02e ( /0Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name: Ooak S+ ee ia/)pa-I-m pK Manufactured home utilities 50.03 Cross street/directions to job site: S W QOM At, Manholes 6 18.76 c. Rain drain connector a 18.76 39, Sanitary sewer(no.linear ft.:Iii. Page 2 137♦Se Storm sewer(no.linear ft.:c(E v 4 0 Page 2 4of,, Z Water service(no.linear ft.:6:S2). rr Page 2r 7,e3(._.., Subdivision: Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer / 31.27 3 j,xi ,,, „[ DESCRIPTION IOF.WOR -10t it, Backwater valve 12.51 Clothes washer . 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 PROPERTY O1:)''''' a,. � - IVY , u © TEN 1V .`. Expansion tank 12.51 Name: Fixture/sewer cap 25.02 Address: Floor drain/floor sink/hub 25.02 Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 P .411 [ "C ACT pasoir T Interceptor/grease trap 25.02 Business name: Medical gas(value:$ ) Page 2 Contact name: Primer 12.51 Roof drain(commercial) 12.51 Address: Sink/basin/lavatory 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax::( ) Tub/shower/shower pan 12.51 E-mail: Urinal 25.02 0, O CTOR,, k ( , Water closet 25.02 Tx Water heater 37.52 Business name: Water piping/DWV 56.29 Address: Other: 25.02 City/State/ZIP: Subtotal p i 3 ; 13 Minimum permit fee: $72.50 Phone:( ) Fax:( ) CCB Lic.: Plumbing Lic.no.: Plan review (25%of permit fee) ( State surcharge(12%of permit fee) i- b i S8 Authorized signature: TOTAL PERMIT FEE 15 Set,214 This permit application expires if a permit is not obtained within 180 days Print name: Date: after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(l0/02/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 2,001 to 3,600 $169.69 Footing drain-each additional 100' 37.52 3,601 to 7,200 $233.20 Sewer-1st 100' i62.54 64,54 7,201 and greater $327.54 Sewer-each additional 100' ) 37.52 04 Water Service-1st 100' i 62.54 4,,; ,54. Medical Gas Systems: Water Service-each additional 100' , 37.52 . , 5.1a Valuation: Permit Fee: Storm&Rain Drain-1st 100' i 62.54 Z154 $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' Ct 37.52 33'7.6 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to Other Inspections or Fees 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 each additional$100.00 or fraction thereof. (minimum charge-1/2 hour) Subtotal: E}S,24, 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 PiunI`bing Iasta at s Quantic!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 0 New exterior plumbing site utilities for any complex structure Car Wash: -Each Stall as defined in OAR918-780-0040. -Drive Thru ❑ Medical gas and vacuum systems for health care facilities. Cuspidor/Water Aspirator Dishwasher: Commercial ❑ Any multipurpose fire sprinkler system. Commer ❑ Any complex structure as defined in OAR918-780-0040. Drinking Fountain Submit 2 sets of plans with any of the above. Eye Wash Floor Drain/sink: -2" =,„„. ; � 3" IslInactrioFilafir Plagtalti 0 Isometric or riser diagram is required for new buildings -Car Wash Drain that meet the qualifications above. Garbage -Domestic non-food 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: -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 plumbing permit can be issued. Water Closet-Toilet Urinal Other Fixtures: I:\Building\Permits\PLMF PermitApp.doc 08/04/2011 2 Letter of Transmittal Transmitted By... Date: May 15, 2017 Project No.: 18056-001-100-001 ❑ Mail Project: Oak Street Apartments ❑ Courier: #hour To: Jonny Gish ❑ UPS: Casefile No. PDR 2016-00017 ❑ Will Call Address: City of Tigard • Hand Deliver Public Works—Engineering 13125 SW Hall Blvd. Tigard, OR 97223 0 a We Are Sending You... Transmitted... ❑ Drawings ❑ Prints ■ For Approval `` f ❑ Specifications ■ Plans ❑ As Requested 808 SW 3''Avenue Suite 300 ❑ Copy of Letter ❑ Samples ❑ For Your Use Portland, OK 97204 ❑ Change Order ■ Other ❑ For Comment Phone(503)287-6825 Fax(503)415-2304 Copies Page No. Description 2 Full Size 22x34 Oak Street Apartments Improvement Plan Set "Site Works/Site Utility Submittal—May 4, 2017"per sheet index 1 City of Tigard Plumbing Permit Application—Site Utilities form Items Are... ■Attached Remarks From Kyle Childers,PE 503-415-2408 kyle.childersaotak.com CC A.G. Spanos Companies Project files Architects Engineers Landscape Architects Planners Surveyors & Mappers Urban Designers L:\Project\18000\18056\Admin\Corresp\Tigard_Utility_Submittal_T01_05-15-17.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8920 SW OAK ST, TIGARD, OR, 97223 May 29, 2019 at 11 :44:41 AM Record Type: Record ID: Commercial - Plumbing PLM2017-00178 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor