Permit CITY OF TIGARD PLUMBING PERMIT
7 a . ' COMMUNITY DEVELOPMENT Permit#: PLM2019-00177
T I(;A iz 1) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/29/2019
Parcel: 1S135AC04100
Jurisdiction: Tigard
Site address: 8920 SW OAK ST
Project: Oak Street apartments Subdivision: ASHBROOK FARM Lot: 15
Project Description: Backflow preventer for landscape irrigation.
Contractor: DESANTIS LANDSCAPES INC Owner: OAK STREET AGS LLC
7907 SW STATE ST 10100 TRINITY PKWY 5TH FLOOR
SALEM,OR 97317 STOCKTON, CA 95219
PHONE: 503-364-8376 PHONE: 503-821-0052
FAX:
FEES
Quantity Description Date Amount
1 ea Backflow Preventer 04/29/2019 $31.27
Specifics: 1 12%State Surcharge- 04/29/2019 $8.70
Plumbing
Type of Use: MF 41 ea Minimum Fee Adjustment- 04/29/2019 $41.23
Plumbing
Class of Work: OTR
Type of Const:
Occupancy Grp:
Stories:
Total $81.20_
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 ru adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: '2441c
Pgrmittee 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 Application
Building Fixtures = FOR OFFICE LSE ONLY
Received l �� �.
City of Tigard Dace/sy: , Pe 'A '.: l G/,7
w 13125 SW Hall Blvd.,Tigard,OR 97223 ^ Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit No.:
T I G AR D Inspection Line: 503.639.4175 Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
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®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)
7SFR(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 builde ❑Other: Fire sprinkler( sq.ft.) Page 2
: as 3 i s t • Site utilities:
/w A Catch basin or area drain 18.76
Job site address:848A..SW Oak St �(�
City/State/ZIP:Tigard,OR 97223 Drywell,leach line,or trench drain 18.76
Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: Project name:Oak Street Apartments Manufactured home utilities 50.03
Cross street/directions to job site:SW 90TH Ave 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 1 31.27 31.27
Backwater valve 12.51
Clothes washer 25.02
Back-flow device installation for landscape irrigation
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
s f Expansion tank 12.51
Name:AG Spanos Companies(General Contractor) Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address:10220 SW Greenburg Road
Garbage disposal 25.02
City/State/ZIP:Portland,OR 97223 Hose bib 25.02
Phone:(503)821-0052 Fax:( ) Ice maker 12.51
�� 11 # / Interceptor/grease trap 25.02
Business name:DeSantis Landscapes Inc Medical gas(value:$ ) Page 2
Primer 12.51
Contact name:
Roof drain(commercial) 12.51
Address:7907 State St Sink/basin/lavatory 25.02
City/State/ZIP:Salem,OR 97317 Solar units(potable water) 62.54
Phone:(503)364-8376 Fax: :(503)364-8064 Tub/shower/shower pan 12.51
E-mail: Urinal 25.02
. Water closet 25.02
Water heater 37.52
Business name:DeSantis Landscapes Water piping/DWV 56.29
Address:7907 State St Other: 25.02
City/State/ZIP:Salem,OR 97317 Subtotal
Minimum permit fee: $72.50 72.50
Phone:(503)364-8376 Fax:(503)364-8064
CCB Lic.: 146197 Plumbing Lic.no.:5876 Plan review (25%of permit fee)
State surcharge(12%of permit fee)
Authorized signature: TOTAL PERMIT FEE 81.20
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.
C\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB)
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Su a a ression S stems:
Footing drain-l'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 treater $327.54
Sewer-each additional 100' 37.52
Water Service-1st 100' 62.54 Medical Gas S stems:
Water Service-each additional 100' 37.52
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
each additional$100.00 or fraction thereof,to
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 char_e-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 char_e-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 char_•a 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*.
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� �r Plan review is required for any of the following.
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Baptistry/Font Please check all that apply.
Bath Tub/Shower ❑ 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 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"
Car Wash Drain
Garbage Domestic-non-food
0 Isometric or riser diagram is required for new buildings
Disposal -Domestic-food related that meet the •ualifications 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
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:
C:\Users\JuanM\Downloads\Oak St Apts-Backflow Permit.doc 2
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
8920 SW OAK ST, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Plumbing PLM2019-00177
Inspection Type: Inspector:
399 Plumbing final Don Sylvester
Result:
PASS - NoCofO
Comments:
1 . 1 1/2" Febco DC model 850, serial #38842, for irrigation, located at front right corner
of Bldg A by vaults- Approved with test.
Violation Summary:
Inspector Contractor