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Permit (20) CITY OF TIGARD PLUMBING PERMIT 1114I COMMUNITY DEVELOPMENT Permit#: PLM2017-00437 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/29/2018 T[c"�R 17 9 Parcel: 1S136DD02300 Jurisdiction: TIG Site address: 11799 SW 69TH AVE Project: HAMPTON INN&SUITES Subdivision: Lot: Project Description: Site utilities for a new five-story, 152 room hotel with parking structure. 12/31/2018: REPRINT permit for change of contractor. Contractor: WRIGHT HOTEL DEVELOPMENT Owner: DVKOCR TIGARD, LLC 3214 NE 42ND ST 1419 W MAIN STREET,SUITE 110 VANCOUVER,WA 98663 BATTLEGROUND,WA 98604 PHONE: 360-723-0024 PHONE: 503-484-1103 FAX: FEES Quantity Description Date Amount 3 ea Catch Basin or Area Drain 01/12/2018 $56.28 Specifics: 980 If Footing Drain 01/12/2018 $387.71 g ea Manholes 01/12/2018 $168.84 Type of Use: COM 2 ea Rain Drain Connector 01/12/2018 $37.52 Class of Work: NEW 401 If Sanitary Sewer 01/12/2018 $212.62 Type of Const: 1544 If Storm Sewer 01/12/2018 $625.34 Occupancy Grp: 422 If Water Service 01/12/2018 $212.62 Stories: 3 ea Backflow Preventer 01/12/2018 $93.81 1 Plan Review 01/12/2018 $448.69 1 12%State Surcharge- 01/12/2018 $215.37 Plumbing Total $2,458.80 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:4,12?9(476, 7-‹, Permittee Signature: �L/� / , ���� 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 City of Tigard DateBed /� -1f /�C ^✓V Permit No.pL'� 01 7..fa/1'/y7 51 u 13125 SW Hall Blvd.,Tigard,OR 9722tE C 3 1 2018 y' v!1 • Phone: 503.718.2439 Fax: 503.598.1960 Plan Review Other Permit No.: Date/By: I I c t n I:I) Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready y'/B 7uris: ® See Page 2 for Internet: www.tigard-or.gov DIVISION_G t1IIIl f1INSION Notified/Method: Supplemental Information TYPE OF O l� LJ • FEE* SCHEDULE ❑New construction 0 Demolition For special information use checklist Description 1 Qty. I Ea. I Total ❑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 ❑ 1-and 2-family dwellingSFR(2)bath 437.78 ❑Commercial/industrial ❑Accessory building 0 Multi-family SFR(3)bath 500.32 Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address:11795 SW 69th Ave Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97223 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name:Hampton Inn&Suites 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 31.27 DESCRIPTION Or:` oR Backwater valve 12.51 Clothes washer 25.02 Change Contractor on existing Permit#PLM2017-00437 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 1:., OWNER 1 0 TENANT Expansion tank 12.51 Name:DVKOCR Tigard,LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:1419 W Main St.,Suite 110 Garbage disposal 25.02 City/State/ZIP:Battle Ground,WA 98604 Hose bib 25.02 Phone:(360)723-0024 Fax:( ) Ice maker 12.51 :4 APPLICANT a CONTACT PERS. Interceptor/grease trap 25.02 Business name:DVKOCR Tigard,LLC Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Alkesh Patel Roof drain(commercial) 12.51 Address:1419 W Main St.,Suite 110 Sink/basin/lavatory 25.02 City/State/ZIP:Battle Ground,WA 98604 Solar units(potable water) 62.54 Phone:(360)723-0024 Fax::( ) Tub/shower/shower pan 12.51 E-mail:apatel@evergreenhdg.com Urinal 25.02 CONTRACTOR Water closet 25.02 Water heater 37.52 Business name:Wright Hotel Development WaterPIP In WV 56.29 Address:3214 NE 42"Street Other: 25.02 City/State/ZIP:Vancouver,WA 98663 Subtotal Phone:(503)484-1103 Fax:(503)484-1119 Minimum permit fee: $72.50 CCB Lic.:188427 A.//9a&a„ed ol:Plumbing Lic.no.: Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: a &e 4 gar*/ TOTAL PERMIT FEE Print name:Alkesh Patel 1CC088D76B3B452... Date:12/18/18 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 10/01/09 440-4616T(10/02/COM/WEB) CITY OF TIGARDt' { PLUMBING PERMIT '91 11 COMMUNITY DEVELOPMENT Permit#: PLM2017-00437 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/29/2018 T I ''�p g Parcel: 1S136DD02300 Jurisdiction: TIG Site address: 11799 SW 69TH AVE Project: HAMPTON INN&SUITES Subdivision: Lot: Project Description: Site utilities for a new five-story, 152 room hotel with parking structure. Contractor: CONSTRUCT ONE LLC Owner: DVKOCR TIGARD, LLC PO BOX 1467 1419 W MAIN STREET, SUITE 110 RIDGEFIELD,WA 98642 BATTLEGROUND,WA 98604 PHONE: 503-932-1152 PHONE: 360-723-0024 FAX: FEES Quantity Description Date Amount 3 ea Catch Basin or Area Drain 01/12/2018 $56.28 Specifics: 980 If Footing Drain 01/12/2018 $387.71 9 ea Manholes 01/12/2018 $168.84 Type of Use: COM 2 ea Rain Drain Connector 01/12/2018 $37.52 Class of Work: NEW 401 If Sanitary Sewer 01/12/2018 $212.62 Type of Const: 1544 If Storm Sewer 01/12/2018 $625.34 Occupancy Grp: 422 If Water Service 01/12/2018 $212.62 Stories: 3 ea Backflow Preventer 01/12/2018 $93.81 1 Plan Review 01/12/2018 $448.69 1 12%State Surcharge- 01/12/2018 $215.37 Plumbing Total $2,458.80 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: „//f mak 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. 114 CITY OF TIGARD PLUMBING PERMIT N . COMMUNITY DEVELOPMENT Permit#: PLM2017-00437 -f-l(3 Rr, 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/29/2018 erf i Parcel: 1S136DD02300 Jurisdiction: TIG Site address: 11799 SW 69TH AVE Project: HAMPTON INN&SUITES Subdivision: Lot: Project Description: Site utilities for a new five-story, 152 room hotel with parking structure. Contractor: CONSTRUCT ONE LLC Owner: DVKOCR LLC PO BOX 1467 1419 W MAIN ST#100 RIDGEFIELD,WA 98642 BATTLEGROUND,WA 98604 PHONE: 503-932-1152 PHONE: FAX: FEES Quantity Description Date Amount 3 ea Catch Basin or Area Drain 01/12/2018 $56.28 Specifics: 980 If Footing Drain 01/12/2018 $387.71 g ea Manholes 01/12/2018 $168.84 Type of Use: COM 2 ea Rain Drain Connector 01/12/2018 $37.52 Class of Work: NEW 401 If Sanitary Sewer 01/12/2018 $212.62 Type of Const: 1544 If Storm Sewer 01/12/2018 $625.34 Occupancy Grp: 422 If Water Service 01/12/2018 Stories: $212.62 3 ea Backflow Preventer 01/12/2018 $93.81 1 Plan Review 01/12/2018 $448.69 1 12%State Surcharge- 01/12/2018 $215.37 Plumbing Total $2,458.80 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. e12-e - ‘041.....,e__ �\ TM 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. CITY OF TIGARDr III. PLUMBING PERMIT . COMMUNITY DEVELOPMENT Permit#: PLM2017-00437 T f(iA R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/29/2018 Parcel: 1 S136DD02300 Site address: 11799 SW 69TH AVE Jurisdiction: TIG Project: HAMPTON INN&SUITES Project Description: Site utilities for a new five-story, 152 room hotel with parking structure.n ttucturen Lot: Contractor: CONSTRUCT ONE LLC Owner: SPECHT DEVELOPMENT PO BOX 1467 RIDGEFIELD,WA 98642 15400 SW MILLIKAN WAY BEAVERTON, OR 97006 PHONE: 503-932-1152 PHONE: FAX: FEES Quantity Description Date Amount 3 ea Catch Basin or Area Drain 01/12/2018 $56.28 Specifics: 980 If FootingDrain 01/12/2018 $387.71 Type of Use: COM 9 ea Manholes 01/12/2018 $168.84 Class of Work: NEW 2 ea Rain Drain Connector 01/12/2018 $37.52 Type of Const: 401 If Sanitary Sewer 01/12/2018 $212.62 Occupancy Grp: 1544 If Storm Sewer 01/12/2018 $625.34 Stories: 422 If Water Service 01/12/2018 $212.62 3 ea Backflow Preventer 01/12/2018 $93.81 1 Plan Review 01/12/2018 $448.69 1 12%State Surcharge- 01/12/2018 $215.37 Plumbing Total $2,458.80 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires es your to Iffollot ow the ork isnrules ad pt dtedthby 180 days of the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090 You or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. obtain a copy of the rules Issued By: ermittee Signature: ";',1"--( Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. 1 Plumbing Permit Application .. .�_ 1-�' Site Utilities Et -i FOR OFFICE USE ONLY Cityof Tigard Received ! U4,2„ 2( /7 A /7 g L Permit No.: q 13125 SW Hall Blvd.,Tigard,OR 9 -017 Plan y: }$"1 Plan Review Phone: 503.718.2439 Fax: 503.5 60 Date/By: !- 4-a.0 I e, , 4 Other Permit No.. "C ece.5314N Inspection Line:g 03.63 8.4175 ® � (� T C G A K D 1 LJ Date Ready By: Iuris: See Page 2 for j� Internet wwwti and�o3r ov Notified/Method: 1 jI 13 a Supplemental Information ALARd 4 ,__-_,,,7,47_u_4 C�•s $srm4�a +'- aa,. '�' IliifxS�-�-. El New construction 0 Demolition For special information use checklist Description j Qty. I Ea. I Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)_ _ • Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Siret* t 4I ' - ;;- e, '`-Total > *404 trxtu-�f e�` 3 * .c • Footing drain-l' 100' 100 50.03 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 880 37.52 330.18 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer-1st 100' 100 62.54 62.54 ./ 7,201 and greater $327.54 Sewer-each additional 100' t ,24a.• 37.52 ..gg ezt t50c,, Water Service-1st 100' 100 62.54 62.54 i Water Service-each additional 100' ; 9 5�ti Medical Gas Systems: 2y37.52 Storm&Rain Drain-1st 100' 100 62.54 62.54 ✓ i�rtualo 1„,--� a ^ Storm&Rain Drain-each additional 100' $1.00 to$5,000.00 Minimum fee$72.50 37 52 gsgg4 s%,�.yc $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for © h Ins @ I1S 11` e y 31 -Fe al 4-4-TO#L-4 each additional$100.00 or fraction thereof,to Inspection of existing plumbing or for and including$10,000.00. $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 (minimum charge-1/2 hour) each additional$100.00 or fraction thereof,to Inspections outside of normal business 90.00/hr and including$25,000.00. hours(minimum charge-2 hours) $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for 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$100.00 or fraction thereof. Subtotal: II13t;,`1` Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. Quantity byFixture Type Fixture Type for - s Rep aee! `t lE�j s y t cats p$ Work Performed: Capped Added Relocate Plan review is required for any of the following. Baptistry/Font Please check all that apply. Bath Tub/Shower sz El 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 ❑ 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 ❑ Any multipurpose fire sprinkler system. Drinking Fountain El Any complex structure as defined in OAR918-780-0040. Eye Wash Floor Drain/sink -2" 20 Submit 2 sets of plans with any of the above. -3" Car Wash Drain Garbage Domestic-non-food 1:1 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 4 Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Gang -Stall Sink/Lav -Non-food related 152 -Bradley -Commercial-food related 49 -Service Swimming Pool Filter i Washer-Clothes 2 *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 152 fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fixtures: \\vncvrl.hdjengineers.com\L\70976\Civil\Permits\Site Work Permit Appli2ation\PLMU PermitApp.doc 'IL . , -, , RECEIVED \ a OCT242017 CITY OF TIGARD IN Site Utilities - Ply vait 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. 0 map&tax lot# ❑ project name 0 site address 0 suite number 0 zoning 0 applicant name 0 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. j '2s fO , lf. 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