Permit CITY OF TIGARD PLUMBING PERMIT
1114
COMMUNITY DEVELOPMENT Permit#: PLM2021-00084
Date Issued: 8/11/2021
T I c,;1 i?D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S113B000600
Jurisdiction: Tigard
Site address: 16580 SW 85TH AVE
Project: Clean Water Services Subdivision: None Lot: None
Project Description: Site Utilities for O&M Building addition of a new covered maintenance storage facility: (2)catch basins,78 ft.of
storm sewer,and 50 ft.of water service.
Contractor: COMPLETE PLUMBING SYSTEMS Owner: CLEAN WATER SERVICES
PO BOX 187 2550 SW HILLSBORO HWY
ALBANY, OR 97321 HILLSBORO, OR 97123
PHONE: 541791-2100 PHONE:
FAX:
FEES
Quantity Description Date Amount
2 ea Catch Basin or Area Drain 04/05/2021 $37.52
Specifics: 78 If Storm Sewer 04/05/2021 $62.54
50 If Water Service 04/05/2021 $62.54
Type of Use: COM 1 Plan Review 04/05/2021 $40.65
Class of Work: ALT 1 12%State Surcharge- 04/05/2021 $19.51
Type of Const: Plumbing
Occupancy Grp:
Stories:
Total $222.76
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
Issued By: /� Permittee Signature: C S 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.
tl
Plumbing Permit Application „ 2 j-� j
Site Utilities FOR OFFICE USE ONLY
eceived //��
City of Tigard RECEIV� y: �,ra, �i Permit No.:AA/7�ie/I�,,,OW;
ate. r�r'' llJ///(�b
+� 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: 3 f i�/.2/ AL4-7 Other Permit No.:
Inspection Line: 503.639.4175
TIGARD x Iuri See Page 2 for
Internet: www tiaard or.gov 1 `� 2 teq L� Date Ready/By: 1
Notified Method:,7� ,I ''t s H.1 ;r7- 17( Supplemental Information
TYPE or WORK ,) - 0Ii• TIGARD t` +7 f`, �> /t° i FEE'' SCHEDULE
53 New construction ❑DeillabiltDING DIVISION 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)
CATEGORY OF CONSTRUCTION SFR(1)bath 312.70
❑ 1-and 2-family dwelling rzi Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 500.32
❑Accessory building 0 Multi-family
Each additional bath/kitchen 25.02
❑ Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address:
16580 SW 85th Ave Catch basin or area drain 2 18.76 37.52
Drywell,leach line,or trench drain 18.76
City/State/ZIP: Tigard, OR 97224
g ' Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: I Project name:O&M Parking Lot& Maintenance Storc,-manufactured home utilities 50.03
Cross street/directions to job site: SW 85th Ave / Durham Road Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.: ) Page 2
Storm sewer(no.linear ft.:78 ) Page 2 62.54
Water service(no.linear ft.: 500) Page 2 62.54
Subdivision: Lot no.: Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
-
Addition of a new covered maintenance storage facility and repaving Clothes washer 25.02
of the parking lots on the east and west sides of the Durham O&M - Dishwasher 25.02
Building. _ Drinking fountain 25.02
Ejectors/sump 25.02
N1 PROPERTY OWNER ❑ TENANT Expansion tank 12.51
Name: Clean Water Services Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address: 16060 SW 85th Ave Garbage disposal 25.02
City/State/ZIP: Tigard, OR 97224 Hose bib 25.02
Phone:(503) 547-8043 Fax:(503) 547-8196 Ice maker 12.51
0 APPLICANT [4 CONTACT PERSON Interceptor/grease trap 25.02
Medical gas(value:$ ) Page 2
Business name: Clean Water Services
Contact name:
Dan GarbelyPrimer 12.51
Roof drain(commercial) 12.51
Address: 16060 SW 85th Ave Sink/basin/lavatory 25.02
City/State/ZIP: Tigard, OR 97224 Solar units(potable water) 62.54
Phone:(503) 547-8043 Fax: :(503) 547-8196 Tub/shower/shower pan 12.51
E-mail: garbelyd@cleanwaterservices.org Urinal 25.02
Water closet 25.02
CONTRACTOR
Water heater 37.52
Business name: Tag CO ,,,te_ rokos,62.... 6j{ s Water piping/DWV 56.29
Address: 1422. G l_e✓�44,,,,e _ 7ycet-�S L Other: 25.02
City/State/ZIP:44bdp,y Oi ,?3 A/ Subtotal
77I- 2toO Fax:( ) 7//
Phone:(cj -/� /l3 Minimum permit fee: $72.50 !`�, �Q
cY 5 3 Z & f���� g 0 1 7//� Plan review (25%of permit fee) Lip. f
CCB Lic.: ` Plumbin Lic.no.:
State surcharge(12%of permit fee) qsl
Authorized signature: __ -'` `r: }".._
g � -` � TOTAL PERMIT FEE
Daniel Garbely2/18/21 This permit application expires if a permit is not obtained in 180 days
Print name: Date: after it has been accepted as complete. ,
# *Fee methodology set by Tri-County Building Industry Sery e 8o'arg.
i is1BuildingiPermits,PLMU-PermitApp.doc 1001/09 440-4616T(10'02/COM/WEB)
'Plunibin2 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
I 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' 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
1� 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/ Plan review is required for anyof the following.
Work Performed: Capped Added Relocate q
Baptist y'Font Please check all that apply.
Bath Tub/Shower 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 0 Medical gas and vacuum systems for health care facilities.
-Domestic 0 Any multipurpose fire sprinkler system.
Drinking Fountain ❑ 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„
1 Isometric or Riser Diagram
r Car Wash Drain
i Garbage -Domestic-non-food ❑ 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 Relocation of fire sprinkler system (refer to
Shower -Gang sheet FP2.1)will be submitted as a separate
-Stall
Sink/Lav -Non-food related permit application.
-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:
I:\Building\Pern its\PLMU_PermitApp.doc 2
Branden Taggart
From: Branden Taggart
Sent: Tuesday, March 30, 2021 1:41 PM
To: Agnes Lindor
Subject: RE: Kiddie Academy
Correct. Borris and Engineering have been at least been waiting for CWS approval the majority of the time before they
sign off. I think this change will be a big improvement.
Thanks,
Branden Taggart
q City of Tigard 114
a Senior Permit Technician
Community Development
TFR. AFD
13125 SW Hall Blvd
Tigard, OR 97223
(503)718-2449
brandent@tigard-or,gov
From: Agnes Lindor<agnesl@tigard-or.gov>
Sent:Tuesday, March 30, 2021 1:32 PM
To: Branden Taggart<brandent@tigard-or.gov>
Subject: RE: Kiddie Academy
Yes,that's what I am hoping.They should still do their review because the PFI shouldn't hold up review of the building
permit. But I think now Boris doesn't even review it until the PFI is approved.Thanks,
Agnes
I
From: Branden Taggart<brandent@tigard-or.gov>
Sent: Tuesday, March 30, 2021 1:27 PM
To: Agnes Lindor<agnesl@tigard-or.Rov>
Subject: RE: Kiddie Academy
Okay, will do. So when they are waiting for CWS approval, like they normally do, what will happen? Will they sign off as
Approved not Released in the system and then the permit will be placed on the shelf?
Thanks,
I.
'
^
'
Branden Taggart
City of Tigard
zj� Senior Permit Technician
Community Development
13125 SW Hall Blvd
Tigard, OR 97223
'
From: Agnes Undor<agnea|(@tigard'or.Xov>
Sent:Tuesday, March 3U, ZU2l1:16PM
To: Branden Taggart<brandentV@dRanj-or.Anv>
Subject: Kiddie Academy
Hi8randen'
YoucanroutethistoBo/is.]eremywiUta|ktotheinspectorsattheirMondaymeetin8. Thankyou!
Agnes Undor | Associate Planner
� City ofTigard Community Development
l3l26SVV Hall Boulevard
Tigard, Oregon 972Z3
Phnne: 5097I8.24Z9
Emai|: AAnesL@dgard-or.gov
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