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Permit CITY OF TIGARD PLUMBING PERMIT Y1 COMMUNITY DEVELOPMENT Permit#: PLM2021-00511 Date Issued: 6/30/2022 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S113B000600 Jurisdiction: Tigard Site address: 16620 SW 85TH AVE Project: Clean Water Services Subdivision: None Lot: None Project Description: Solids Building: New cured-in-place-pipe liner in an existing building drain line. Contractor: SPARTAN ENVIRONMENTAL SERVICES LLC Owner: CLEAN WATER SERVICES PO BOX 15027 2550 SW HILLSBORO HWY SALEM, OR 97309 HILLSBORO, OR 97123 PHONE: 971-600-3983 PHONE: FAX: FEES Quantity Description Date Amount 25 Misc Other Fee 02/03/2022 $25.02 Specifics: 1 Plan Review 02/03/2022 $18.13 1 12%State Surcharge- 02/03/2022 $8.70 Type of Use: COM Plumbing Class of Work: ALT 47 ea Minimum Fee Adjustment- 02/03/2022 $47.48 Type of Const: Plumbing Occupancy Grp: Stories: Total $99.33 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: - • 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. 4 . Plumbing Permit Application BuildingFixtures ! r FOR OFFICE USE ONLY RECEIVE' � City of Tigard E`' .ceived g s ate/B / yr Permit No.:P j i, ,.- 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review � �� '7J/ !J '�O J�' �� al '� : 11 Phone: 503.718.2439 Fax: 503.598.1960 DEC 1 6 2029 Date/By: /i/L .2. /4 e. Other Permit No.: b Inspection Line: 503 639.4175 1Ready/By: Bl See Page 2 for 1 I t.A R[) Date Q Jul i Internet: www.tigard-or.gov 4"Li i�'t Tr, N tified Metho - )/ ?,Ze Supplemental Information TYPE'OF WORK (., 00,1?., � 11C , ' �' FEE* SCHEDULE ❑New construction 0 Demolition For special information use checklist Description I Qty. I Ea. I Total 0 Addition/alteration/replacement ®Other: Rehabilitation New 1-2-family dwellings(includes 100 ft.for each utility connection) 1 C4C CATEGORY OF CONSTRUCTION SFR(I)bath 312.70 ❑ 1-and 2-family dwelling NISFR2 Commercial/industrial ( )bath 437.78 ['Accessory building ❑Multi-family SFR(3)bath 500.32 Each additional bath/kitchen 25.02 0 Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 16620 SW 85th Ave Catch basin or area drain 18.76 City/State/ZIP: Tigard, Oregon, 97224 Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.:_) Page 2 -•% Suite/bldg./apt.no.: I Project name: Durham WRRF Solids Bldg Manufactured home utilities 50.03 Cross street/directions to job site: Drain Improvements-CIPP Repair Manholes 18.76 Durham Rd and 85th Ave 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: 1 cF4 Tax map/parcel no.: Backflow preventer 31.27 1 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 lInstall cured-in-place-pipe (CIPP) liner in an existing building drain line Dishwasher 25.02 Drinking fountain 25.02 41/4 Ejectors/sump 25.02 ® PROPERTY OWNER I 0 TENANT Expansion tank wL 12.51 NI Name: Clean Water Services Fixture/sewer cap 25.02 Floor drain/floor sink hub 25.02 Address: 2550 SW Hillsboro Hwy Garbage disposal 25.02 ttaCity/State/ZIP: Hillsboro, Oregon 97123 Hose bib 25.02 Phone:(503 ) 681-3600 Fax:( ) Ice maker 12.51 © APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Al Business name: Clean Water Services Medical gas(value:$ ) Page 2 4 Contact name: Michael Idehara Primer 12.51 Roof drain(commercial) 12.51 ti Address: 16060 85th Ave Sink/basin/lavatory 25.02 City/State/ZIP: Tigard, Oregon 97224 Solar units(potable water) 62.54 Phone:(503) 547-8152 Fax: :( ) Tub/shower/shower pan 12.51 E-mail: ideharam@cleanwaterservices.org Urinal 25.02 CONTRACTOR Water closet 25.02 Water heater 37.52 \\Business name: TBD r5 G1( &j ii J/v\o � Zf 1,14 Water piping/DWV 56.29 Address: P &.yr C5---D2-7 Other: 1 25.02 25.02 City/State/ZIP: 55: e q7 Subtotal 25.02 Phone:(s 71) 401) X etir3 Fax:( ) Minimum permit fee: $72.50 $72,50 CCB Lic.: 1_`9/q�? Plumbing Lic.no.: A/h- Plan review (25%of permit fee) $18.12 Ga l'< J f/' State surcharge(12%of permit fee) $3.00 Authorized signatw�:'����ff" TOTAL PERMIT FEE $93.62 Print name: �f�r 11,,fit Date: This permit application expires if a permit is not obtained within 180 days ��` J�' �� "" �" j 1 I 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) 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'Inspeetions or Fees Qfy Fee tea) 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 1 90.00/hr $90 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 S50,001.00 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: 1 $90 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 Baptistry/Font ❑ Any new commercial building with water service 2"and greater,except systems designed and stamped by licensed Bath: -Tub/Shower engineer. -Jacuzzi/Whirlpool Car Wash: Each Stall ❑ New exterior plumbing site utilities for any complex structure Drive as defined in OAR918-780-0040. Cuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities. Dishwasher: Commercial ❑ Any multipurpose fire sprinkler system. Domestic ❑ Any complex structure as defined in OAR918-780-0040. Drinking Fountain Eye Wash Submit 2 sets of plans with any of the above. Floor Drain/sink: -2" 3" Isometric or Riser Diagram 0 Isometric or riser diagram is required for new buildings -Car Wash Drain Garbage Domestic non-food that meet the qualifications above. 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 Water Extractor fees assessed for the sewer increase must be paid before the Water Closet-Toilet plumbing permit can be issued. Urinal Other Fixtures: I:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2 Specialist in Cured-In-Place-Pipe Rehabilitation Technology FAST PIPE LININGJ RECEIVED 'JUN 2 2 ZOZZ May 21,2020 CITY OF TIGARD BUILDING DIVISION To whom it may concern: Pursuant to your request,this letter certifies that all polyester felt cured-in-place pipe lining tubes manufactured by Fast Pipe Lining, Inc. meet or exceed all applicable industry and ASTM standards,including ASTM D638,ASTM D790,ASTM D-5813,ASTM F-1216 and ASTM F-1743. Fast Pipe Lining,Inc. polyester felt cured-in-place pipe lining tubes are manufactured by Liner Products and are compatible with polyester,vinyl ester,and epoxy resins manufactured by leading resin suppliers to the cured-in-place pipe industry,including Interplastic Corporation. Fast Pipe Lining, Inc.purchases thermosetting resin through Interplastic and catalyst through North American Composites. Fast Pipe Lining is designed to be light reflective to allow inspection cameras to pick up any irregularities. Fast Pipelining also has product markings along the entire length of the lining. Fast Pipe Lining has a fifty year design life. Fast Pipe Lining, Inc.certifies that all resins used in cured in place pipelining tubes meet or exceed all applicable standards. Fast Pipe Lining,Inc. has been a supplier of cured-in-place pipe since 2006. Fast Pipelining has over 4 million feet of liner installed. The following Contractors are licensed Fast Pipe installers and have been through our training program. ALLIED TRENCHLESS,Washington RON SMILEY 509-699-9912 ALLSTATE POWER VAC(EQIS), New Jersey MIKE DELLO 973-418-3160 ELITE PIPELINING, Michigan JOHN COMPTON 616-644-5507 ELLINGSON COMPANIES, Minnesota SCOTT OTTING 507-259-6889 FAST PIPELINING EAST,Delaware FRANK IMPOLOZZIO 856-816-4200 LAKE COUNTY SEWER,Ohio FRANK KLIMA 440-585-5757 LEAK ELIMINATORS, Kentucky RICHARD LAWRENCE 502-803-5570 PRISM ENGINEERING,Virginia DAVID REEVE 757-876-1021 MC CANN'S UNDERGROUND,Wisconsin KELLY MC CANN 608-279-2299 PERFORMANCE PIPELINING INC, Illinois CHAD WILSON 815-579-8016 PESCISION PIPELINING INC, Illinois SHAUN FLANERY 815-482-4877 PIPEVISION PRODUCTS INC-Illinois LEROY DOWNEY 815-441-6183 ROD RODDER, Puerto Ricco BEN QUINTANA 787-644-1370 SPRAY-COM UTILITIES,Missouri SCOTT JORGENSEN 660-281-7950 8111111111111111111111111 MINIM STANDARD PIPE, Delaware MARK SCHNEIDER 302-286-0701 TRANSTATE, North Carolina MATT REEVES 704-268-2915 UVT, Kentucky&Tennessee DAVID JOHNSON 205-966-4715 Please contact me at(815)482-0169 if you have any questions or require additional information. Sincerely, Richard Fast President Cell:815-482-0169 FASTPIPE LININGsi 320 Raccuglia Drive,LaSalle,Illinois 61341 - P:815-220-1919 - F:815-220-1918 - https://fastpipelining.com/