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Permit CITY OF TIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT Permit#: PLM2018-00240 TGAR 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/18/2018 1. Parcel: 2S113B000600 Jurisdiction: Tigard Site address: 16060 SW 85TH AVE Project: Clean Water Services Subdivision: None Lot: None Project Description: TPS Building:Replacing approximately 600 FT of existing 4-inch storm water sewer piping and area drains with new 10-inch diameter storm water sewer piping and area drains. Contractor: RWM CONSTRUCTION INC Owner: CLEAN WATER SERVICES 3939 OLD SALEM RD SUITE 200 2550 SW HILLSBORO HWY ALBANY, OR 97321 HILLSBORO, OR 97123 PHONE: 971-304-5661 PHONE: FAX: FEES Quantity Description Date Amount 12 ea Catch Basin or Area Drain 06/28/2018 $225.12 Specifics: 778 If Storm Sewer 06/28/2018 $325.18 1 Plan Review 06/28/2018 $137.58 Type of Use: COM 1 12%State Surcharge- 06/28/2018 $66.04 Class of Work: ALT Plumbing Type of Const: Occupancy Grp: Stories: Total $753.92 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 44. 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. Plumbing Permit Applicat' 1 VED Site Utilities FOR OFFICE USE ONLY "' City of Tigard MAY 16 2018 Received .. DateBy: c/l. /FP` Permit No.:A4/12/ r0021(C) n 13125 SW Hall Blvd.,Tigard,OR 9. y VL(� l V OF 9 IG, Plan Review Phone: 503.718.2439 Fax: 503.5 ..i V Date/By: C-6-/8 a Other Permit Not/40a TIGARD Inspection Line: 503.639.4175 �� ®��� ' DIVISION DateReadyBy: /'. 1� ,Q� Juris: ® See Page 2for Internet: www.tigard-or.gov Notified Method: hi /, iffy/ Supplemental Information t '` P. i1 r, F 4#ORK ,ft ' Irill,iI .' Ftp I'EE SGHEDR SII I , i 0 New construction 0 Demolition For special information use checklist Description Qty. I Ea. I Total ®Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) �'a, oI iy0' ' tr II OT€ 1 10)Y 3_ SFR(1)bath 312.70 a. t iii 0i. } . ❑ 1-and 2-family dwelling ®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 0 Other: Fire sprinkler( sq.ft.) Page 2 1 ,i} . m l,�1 i ORM " I.;:.:-.7.OCATION " • ,�, Site utilities: Job site address:16060 SW 85th Ave Catch basin or area drain 12 18.76 225.12 City/State/ZIP:Tigard,OR 97224 Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: 1 Project name:TPS fi I i/d i Manufactured home utilities 50.03 Cross street/directions to job site: Improvements ,` c ‘ Manholes 18.76 Durham Rd and SW 85th Ave ,v Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft. 1.113' 8 Page 2 3.23. / Water service(no.linear ft.: ) Page 2 Subdivision: Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 k o� hu,��� Backwater valve 12.51 - h l,i,I'i° F tAR O'1?WORK . ., Clothes washer 25.02 Replacement of approximately 660 ft of existing 4-inch stormwater sewer piping Dishwasher 25.02 and area drains with new 10-inch diameter stormwater sewer piping and area Drinking fountain 25.02 drains. Ejectors/sump 25.02 O.\P)PER ,:: ! _ k 1,,4yrz ©,j , ? 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:( ) Ice maker 12.51 x� a ►t a f'PL -..`t!� ":.,, 4�❑;C 14- � N* Interceptor/grease trap 25.02 -� ��>�' x.�x ..�fi�r� • ��waN'�a4t��iitl hill,,,,nM�ii -W.,-:-.i, - - Business name:Clean Water Services Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Michael Idehara 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: Tub/shower/shower pan 12.51 Urinal 25.02 E-mail:ideharam@cleanwaterservices.org Water closet 25.02 Water heater 37.52 Business name: AtAe4 i.;7 ,..rm.A), /NC.,. Water piping/DWV 56.29 Address: 3c1:3 ar,..D S4 � Sv,N." 2-et, Other: 25.02 City/State/ZIP: Subtotal ,SSOj.30 Minimum permit fee: $72.50 Phone:(c;•./ )-sad- .-,6/ Fax:(Sfe/)`/4--Z fG; ., CCB Lic.: /(,y[pPlumbing Lic.no.: Plan review (25%of permit fee) /}7,S State surcharge(12%of permit fee) 6t;.04 Authorized signature �___.-- TOTAL PERMIT FEE 753.q,j Print name: /1.//G/t fi j 2 c--ehDate: /A/// This permit application expires if a permit is not obtained within 180 days 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: S Total �I' � x c (11I!i1.1 �+ di��,�i sr" Y'�nIt �'. Footing drain-Pt 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' 37.52Fe . ,� ������� � Storm&Rain Drain-1st 100' 1 62.54 62.54 $1.00 # � $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' ni 37.52 ,2t,),.0 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for 1 � ; 1 each additional$100.00 or fraction thereof,to � ! ° i .� 'sir hi�1imr a 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: US.1t Other Fixtures: 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' -Fixture Type for Replace/ Pl Reviewlniaiumbin'irations_ Work, erfar ed 'Capped Added • Relocate Baptistry/Font Plan review is required for any of the following. Bath Tub/Shower Please check all that apply. -Jacuzzi/Whirlpool 0 Any new commercial building with water service 2"and Car Wash -Each Stall greater,except systems designed and stamped by licensed -Drive Thru engineer. Cuspidor/Water Aspirator 0 New exterior plumbing site utilities for any complex structure Dishwasher -Commercial as defined in OAR918-780-0040. -Domestic 0 Medical gas and vacuum systems for health care facilities. Drinking Fountain 0 Any multipurpose fire sprinkler system. Eye Wash 0 Any complex structure as defined in OAR918-780-0040. Floor Drain/sink -2" 3" Submit 2 sets of plans with any of the above. -4,' Car Wash Drain : oine iii. a a i e Ii 451tV401.a. l Garbage -Domestic-non-food Disposal -Domestic-food related 0 Isometric or riser diagram is required for new buildings -Commercial-food related that meet the qualifications above. -Industrial-food related Ice Mach./Refrig.Drains Oil Separator(Gas Station) Rec.Vehicle Dump Station Comments regarding fixture work: Shower -Gang -Stall Sink/Lav -Non-food related -Bradley -Commercial-food related -Service Swimming Pool Filter Washer-Clothes *Note: If the fixture work under this permit results in an Water Extractor Water Closet-Toilet increase of sewer EDUs,a sewer permit will be issued and Urinal fees assessed for the sewer increase must be paid before the W:\TPS\Projects\02-CAPITAL IMPROVEMENT\DURHAM PROJECT1\6368-DM Misc Umbrella Projects\6368.080-DM TPS Drainage Improvements\760 Permits\10 City\6368.080_PLMB_Site PermitApp.doc Branden Taggart From: Branden Taggart Sent: Tuesday,June 12, 2018 4:39 PM To: 'ideharam@cleanwaterservices.org' Cc: #Building Permit Technicians Subject: TPS Building Site Utilities Permit: PLM2018-00240; 16060 SW 85th Ave Hi Michael, Your site utilities permit for the TPS building is ready to issue. The balance due is$753.92, and the permit fees can be paid online now at https://aca.accela.com/TIGARD/Default.aspx or in person between the hours of 8:00 a.m. and 4:30 p.m., Monday through Thursday. We are closed on Fridays. If you pay online, please notify us at tigardbuildingpermits@tigard-or.gov. Also, we will need contractor information prior to issuing this permit. If you have any questions, please let me know. Thanks, Branden Taggart Rilki q City of Tigard Senior Permit Technician Community Development TICARD 13125 SW Hall Blvd Tigard,OR 97223 (503)718-2449 brandent t'tigard-or.gov DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retained by the City of Tigard in compliance with the Oregon Administrative Rules"City General Records Retention Schedule." 1 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16060 SW 85TH AVE, TIGARD, OR, 97224 Record Type: Record ID: Commercial - Plumbing PLM2018-00240 Inspection Type: Inspector: 399 Plumbing final Don Sylvester Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor