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Permit (2) I� , CITY OF TIGARD PLUMBING PERMIT °'i 2 ; COMMUNITY DEVELOPMENT Permit#: PLM2019-00107 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/01/2019 Parcel: 2S111 ACO2700 Jurisdiction: Tigard Site address: 14650 SW 97TH AVE Project: Twality Middle School Subdivision: None Lot: None Project Description: Interior plumbing for a new two-story school. Contractor: HYDRO-TEMP MECHANICAL INC Owner: UNION HIGH SCHOOL DISTRICT 28465 SW BOBERG RD NO. 3 JT WILSONVILLE, OR 97070 00000 PHONE: 503-582-8525 PHONE: FAX: 503-582-1914 FEES Quantity Description Date Amount 20 ea Rain Drain Connector 10/01/2019 $375.20 Specifics: 2 ea Backflow Preventer 10/01/2019 $62.54 3 ea Clothes Washer 10/01/2019 $75.06 Type of Use: COM 1 ea Dishwasher 10/01/2019 $25.02 Class of Work: ALT 17 ea Drinking Fountain 10/01/2019 $425.34 Type of Const: 1 ea Ejectors/Sump 1 0/01/201 9 $25.02 Occupancy Grp: 4 ea Expansion Tank 10/01/2019 $50.04 Stories: 192 ea Fixture/Sewer Cap 10/01/2019 $4,803.84 46 ea Floor Drain/Floor Sink/Hub 10/01/2019 $1,150.92 24 ea Hose Bib 10/01/2019 $600.48 1 ea Ice Maker 10/01/2019 $12.51 1 ea Interceptor/Grease Trap 10/01/2019 $25.02 7 ea Primer 10/01/2019 $87.57 28 ea Roof Drain(Commercial) 10/01/2019 $350.28 71 ea Sink 10/01/2019 $1,776.42 24 ea Lavatories 10/01/2019 $600.48 Total $17,541.24 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 obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.;on 932 2344. Issued By: Permittee Signature: '-'7" ' .-Liii:!------- .„....k7:2 / — Call 03.639.4175 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. P in Permit A• i lication ;.tom : ing Fixtures Q"i FOR OFFICE l sE O\L) Cityof Tigard CIV ` Received g ' + Date/By: . Permit No.: '- 7.1) II ■ 13125 SW Hall Blvd.,Tigard,OR 97RECEIVED 2 plan Review �l /� � � f� ' Phone: 503.718.2439 Fax: 503.598.196(' y �} Other Permit No.:8642e)/ti, 1 1 2019 Date/By: 1-'j..11 ....el ` T I G a R ll Inspection Line: 503.639.4175 i"Im"= Date Read B lop ® See Page 2 for Internet: www.tigard-or.gov y o .- �.. r Notified/Method:7 ,��, 1 / /I,',•; Supplemental Information TYPE OF WOM , 4; .. /itd C) J FEE* SCHEDULE 9�rla 1q� '>f ®New construction 0 Demolition For special information use checklist Description I 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 ❑ I-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 0 Accessory building 0 Multi-family SFR(3)bath 500.32 Each additional bath/kitchen 25.02 ❑Master builder ®Other:School Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address:14650 SW 97th Street Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name:Twality Middle School Manufactured home utilities 50.03 Cross street/directions to job site:97th and Murdock 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.:2S111ACO2700 Backflow preventer 2 31.27 62.54 DESCRIPTION OF WORK Backwater valve 0 12.51 0 Clothes washer 2 25.02 50.04 All plumbing work associated with the remodel and construction of the school Dishwasher 1 25.02 25.02 Drinking fountain 6 25.02 150.12 Ejectors/sump 1 25.02 25.02 ® PROPERTY OWNER 0 TENANT Expansion tank 4 12.51 50.04 Nam -TuaSchool District Fixture/sewer cap 0 25.02 0 Address:6960 SW Sandburg Street Floor drain/floor4 sink/hub 27 25.02 675.54 Garbage disposal 0 25.02 0 tCity/State/ZIP:e:Tigard Tigarlatind,OR 97223 Hose bib 10 25.02 250.2 Phone:(503)431-4000 Fax:( ) Ice maker 1 12.51 12.51 ® APPLICANT 0 CONTACT PERSON Interceptor/grease trap 1 25.02 25.02 Business name:Day CPM Medical gas(value:$ ) 0 Page 2 0 Primer 6 12.51 75.06 Contact name:Shawn Christensen ''te Roof drain(commercial) 18 12.51 225.18 Address:6960 SW Sandburg Street Sink/basin/lavatory 11 25.02 2977,38 City/State/ZIP:Tigard,OR 97223 Solar units(potable water) 0 62.54 0 , Phone:(971)727-4168 Fax::( ) Tub/shower/shower pan 5 12.51 62.55 E-mail:shawn.christensen@otak.com Urinal 8 25.02 200.16 Water closet 63 25.02 1576.26 CONTRACTOR Water heater 4 37.52 150.08 Business name:' ( t,l;v-,, -y "r,, 0 /y1.:, I.,C;_.,1c� .,, Water piping/DWV 1 56.29 56.29 Address: 2bL1‘6_--S i.- Rt. 6-er3 e.ck Other: 25.02 City/State/ZIP:"IN;ISuiv;U I OP- T70-70 Subtotal Phone:( So 3 S ` 'EES2S Fax:( ) Minimum permit fee: $72.50 < Plan review (25%of permit fee) CCB Lic.: �j 3 of Plumbing Lic.no.: 2(o--3TC--/Pi3 - State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE Print name:Shawn Christensen Date:03/11/2019 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) P :. ing Permit Application - City of Tigard4 P - Suppri lemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee(ea) Total Square Footage: Permit Fee: Footing drain-1"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 greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52 Valuation: Permit Fee: 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 Other Inspections or Fees Qty. Fee(ea) Total 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 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 Plan Review for Plumbing Installations Fixture Type for Replace/ Work Performed: Capped Added Relocate Plan review is required for any of the following. 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 1 1 0 0 Medical gas and vacuum systems for health care facilities. -Domestic 0 Any multipurpose fire sprinkler system. Drinking Fountain 6 6 0 0 Any complex structure as defined in OAR918-780-0040. Eye Wash 2 2 0 Floor Drain/sink -2" Submit 2 sets of plans with any of the above. 3" 22 25 3 a" 2 2 0 Isometric or Riser Diagram Car Wash Drain ® Isometric or riser diagram diis required for new buildings Garbage -Domestic-non-foodq g Disposal -Domestic-food related that meet the qualifications above. -Commercial-food related -Industrial-food related Ice Mach./Refrig.Drains 1 1 0 Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Gang -Stall 8 5 -3 Sink/Lav -Non-food related 89 119 30 -Bradley -Commercial-food related 5 5 0 -Service 4 4 0 Swimming Pool Filter Note: If the fixture work under this permit results in an Washer-Clothes 2 2 0 Water Extractor increase of sewer EDUs,a sewer permit will be issued and Water Closet-Toilet 42 63 21 fees assessed for the sewer increase must be paid before the Urinal 8 8 0 plumbing permit can be issued. Other Fixtures: https://otakinc-my.sharepoint.com/personal/shawn_christensen_otak com/pocuments/Documents/TMS Permitting/PLMF_PermitApp.doc Plumbing Permit Application Building Fixtures FOR OFFICE USE ONLY City of Tigard Received / - g Date/By: // j.'C _Permit No.: pot '10 N'00 10 11 41 13125 SW Hall Blvd.,Tigard,OR 97223 d � ` .l l Plan Review ��77 V ^�� Phone: 503.718.2439 Fax: 503.598.1960 Date/By: '�j-3 s/� Lim` Other Permit No.:84,6-20/7 >�- T I G A R D Inspection Line: 503.639.4175 Date Ready/By: 1�ris: WI See Page 2 for Internet: www.tigard-or.gov Notified/Method: ��,}35�j /95",---- 6 Supplemental Information TYPE OF WORK FEE* SCHEDULE XNew construction ❑ Demolition For special information use checklist. Description Qty. I En. 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 dwelling 0 Commercial/industrial SFR(2)bath 437.78 0 Accessory building 0 Multi-family SFR(3)bath 500.32 Each additional bath/kitchen 25.02 ❑Master builder Other: . C`_Roo i Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: l41SSO S,L4 j crt i' Si--. Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP: 1^, k, 0&, Ct'1 t 54 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: Project name: Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Zw k Rain drain connector 'oto 18.76 3r15,20 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear IL:_) Page 2 Subdivision: 1 Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer ca 31.27 6 .54 DESCRIPTION OF WORK Backwater valve 12.51 ^, Clothes washer 3 25.02 115.()(,r.irc - ' t✓`,1 V l .0,i :1 Dishwasher / 25.02 S ,Col Q Drinking fountain /7 25.02 %15.34 Ejectors/sump / 25.02 15.0a 0 PROPERTY OWNER 0 TENANT Expansion tank 12.51 SO,04 Name: Fixture/sewer cap /R'a 25.02 4603.&4 Floor drain/floor sink/hub 4‘ 25.02 /"j/,SQ,V. Address: Garbage disposal 25.02 City/State/ZIP: Hose bib ,21 25.02 600.48 Phone:( ) Fax:( ) Ice maker / 12.51 19, 5/ 0 APPLICANT 0 CONTACT PERSON Interceptor/grease trap / 25.02 )5„0 . Business name: Medical gas(value:$ ) Page 2 Primer 7 12.51 87.57 Contact name: Roof drain(commercial) Outt 4Iw a8 12.51 350.28 Address: r,Sink/basin/lavatory q5 25.02 .2376.q0 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax: :( ) Tub/shower/shower pan 12.51 Ca.$S E-mail: Urinal /0 25.02 a SQ,ao Water closet ,5a 25.02 {301,04 CONTRACTOR Water heater 5 37.52 1?7.60 Business name: f Water piping/DWV / 56.29 56,,2 ot Address: Other: See othttr tc{w•c 020�; � 25.02 500,40 City/State/ZIP: Sk,e..et, Subtotal i 0,$03,8 a Phone:( ) Fax:( ) Minimum permit fee: $72.50 Plan review (25%of permit fee) law,etb CCB Lic.: Plumbing Lic.no.: State surcharge(12%of permit fee) f5 36 eV, Authorized signature: TOTAL PERMIT FEE /7)541,2 et Print name: Date: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set byy{Tri-County Building Industry Service Board. l:\BuildingiPetmits\PLMU-PennitApp.doc 10/01/09 440-4616T(l0/02/COM/WEB) AM-I Sinks=71 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' 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 greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52 Valuation: Permit Fee: 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 Other Inspections or Fees Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to p 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 (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*. Plan Review for Plumbing Installations Quantity 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 Si engineer. -Jacuzzi/Whirlpool Car Wash: -Each Stall III New exterior plumbing site utilities for any complex structure as defined in OAR918-780-0040. -Drive Thru 0 Medical gas and vacuum systems for health care facilities. Cuspidor/Water Aspirator Dishwasher: -Commercial I / ❑ Any multipurpose fire sprinkler system. Domestic ❑ Any complex structure as defined in OAR918-780-0040. Drinking Fountain 4 /7 Eye Wash a Submit 2 sets of plans with any of the above. Floor Drain/sink: -2" 3" 2a 44 Isometric or Riser Diagram 3 a ❑ 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 q c Sink: -lav/Bar non-food related g'9 8 c -Bradley -Com/Sery/Util food related 5 $ -Service 4 5 *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 4 a sl plumbing permit can be issued. Urinal S. 10 Other Fixtures: I:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2 41-m1v -Al4 509 o 101 -d 9 aon :9-'" sI-i sl' ,) a ai oo, -? -A?-z-? 9J 5"0-f 1 ; �97°� `Fa 19-I = arpli ys)q �5-1 = 51PP) 1°i-) 171-C 4,1-C S -.71/P7-1.1s-op, ani tmlx:L,,44 j-/11.Ud3 sa.ifyq-73F: gAti 114.1.6 MS u74, Loi 00 -b1.Ot 1,4-id ) XJV 5 ri rr tA. 41147± Branden Taggart From: Branden Taggart Sent: Tuesday, July 23, 2019 11:04 AM To: Shawn Christensen Cc: #Building Permit Technicians Subject: Twality Middle School Plumbing &Sewer Permits: PLM2019-00107 & SWR2019-00229 Attachments: Twality Invoices & Sewer Tally.pdf Hi Shawn, The plumbing and sewer permits for Twality Middle School are ready to issue now. I have attached invoices above for you to reference, and the fees due are as follows: Twality Middle School Permit# Fees Due PLM2019-00107 $ 17,541.24 SWR2019-00229 $ 68,195.00 Total: $ 85,736.24 Triplett Wellman was listed on the plumbing application as the plumbing contractor. Prior to issuing these permits, we will need the license information of the plumber who will be completing this work. Also,the fees for both permits will need to be paid before we can issue either of them. Please let me know if you have questions. Thanks, Branden Taggart o .� City of Tigard . : .. Senior Permit Technician Community Development 13125 SW 1-fall Blvd Tigard, OR 97223 (503)718-2449 bra nd a nt©tig a rd-o r,g ov 1