Permit CITY OF TIGARD PLUMBING PERMIT
II/ 44
' COMMUNITY DEVELOPMENT Permit#: PLM2018-00278
Tf OAi D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/19/2018
Parcel: 2S 113B000600
Jurisdiction: Tigard
Site address: 16580 SW 85TH AVE
Project: Clean Water Services Subdivision: None Lot: None
Project Description: 0&M Building-Phase 2: Main Building and New Conference Building: interior plumbing fixtures.
Contractor: HYDRO-TEMP MECHANICAL INC Owner: CLEAN WATER SERVICES
28465 SW BOBERG RD 2550 SW HILLSBORO HWY
WILSONVILLE, OR 97070 HILLSBORO, OR 97123
PHONE: 503-582-8525 PHONE:
FAX: 503-582-1914
FEES
Quantity Description Date Amount
2 ea Clothes Washer 07/19/2018 $50.04
Specifics: 1 ea Dishwasher 07/19/2018 $25.02
1 ea Drinking Fountain 07/19/2018 $25.02
Type of Use: COM 2 ea Expansion Tank 07/19/2018 $25.02
Class of Work: NEW 3 ea Floor Drain/Floor Sink/Hub 07/19/2018 $75.06
Type of Const: 2 ea Hose Bib 07/19/2018 $50.04
Occupancy Grp: 3 ea Primer 07/19/2018 $37.53
Stories: 20 ea Roof Drain(Commercial) 07/19/2018 $250.20
6 ea Sink 07/19/2018 $150.12
g ea Lavatories 07/19/2018 $225.18
12 ea Tub/Shower/Shower Pan 07/19/2018 $150.12
2 ea Urinal 07/19/2018 $50.04
7 ea Water Closet 07/19/2018 $175.14
2 ea Water Heater 07/19/2018 $75.04
225 Misc Other Fee 07/19/2018 $225.18
1 Plan Review 07/19/2018 $397.19
Total $2,176.59
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 1.800.332.2344.
Issued By: :% r� 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 Applicatio
lECEIVE t
Building Fixtures FOR OFFICE USE ONLY
City of Tigard
and Received Permit1,1041-1747/6e---610
131 5 S W Hall Blvd.,Tigard,OR 97223 `JDate By: � �� ��'
Plan Review (�
Phone: 503.718.2439 Fax: 503.598 �` ���y g�{� Date/By: tl-� i-1 t k,Jct Other Permit N 46 j7 '0/ .f 17/3"3
Inspection Line: 503.639.4175 !i i E9 F IGAi�ih Date Read/B -7//1/ / _ pis: gf See Page 2 for
TIGnK[) Ready/By: d
Internet: www.tigard-or.gov Notlfied/Method: Supplemental Information
aP .� �r TMVIS.IO tI , -
,,,,2,,..„7::04.°,,,5.:5,,,o,' `WO A' f ' FEE*1SCHEAULE
0 New construction 0 Demolition For special information use checklist.
►-scription Qty. Ea. Tota
®Addition/alteration/replacement El Other: Ne -2-family dwellings(includes 100 ft.for each utility conn- ion)
CATEdQRY'OF CONSTRUCTION ' SFR(1) ,.th 312.70 6
El ® SFR(2)bath 437.7'1-and 2-family dwelling
Commercial/industrial �4 q
SFR(3)bath :1- ' g
0 Accessory building El Multi-family
Each additional ba ': hen 2
I=1 Master builder ❑Other: Fire sprinkler( sq. S. Page y„�11 I
OB-SFT ORMATI4 iD 7.00ATI N •, Site utilities: (�ll 4'
Job site address:16580 SW 85th Street Catch basin or area drain 5 I /1 v 18.76
Drywell,leach line,or trench• .in ? 18.76
City/State/ZIP:Tigard / OR / 97224
Footing drain(no.linear P. Page 2
Suite/bldg./apt.no.:O&M Project name:CWS Durham O&M Phase 2 Manufactured home rliti ' 50.03
Cross street/directions to job site:Drive to address 16060 SW 85th Street. Manholes \)N, :.76
Hit Call Button then Dial 1 at the entrace Gate Rain drain . ector 18 18. . 337.68
Drive through facility to the O&M Building Sani.., sewer(no.linear ft.:270) 2 Page 2 100.06
St. sewer(no.linear ft.:20) Page 2
ater service(no.linear ft.:665) 6 Page 2 250.1-
Subdivision: Lot no.: Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
; liSCRIPTION OF 4'ORK
Backwater valve 12.51
Clothes washer ,), ✓ 25.02 5 C',.,t.`4
O&M Main Building:Replacement of Fixtures and Equipment
Dishwasher I ✓ 25.02 d$:L,
Drinking fountain 1 ,7 25.02 25.02
New Conference Building:New Fixtures and Equipment Ejectors/sump 25.02
1 1!
„4 PROP R TY OWNER .;'' z" >a 5�'i.N!': T ' , Expansion tank 5k.. ,� 12.51 a 5-,e.ti
JName:Clean Water Services Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02 175.f?C
Address:2550 SW Hillsboro Hwy
Garbage disposal 25.02
City/State/ZIP:Hillsboro / OR / 97123 Hose bib 2 , 25.02 50.04
Phone:(503)681-3600 Fax:( ) Ice maker 12.51
El trap
APPLICANT 11 CONTACT' PERSON ` P
Business name:Hydro-Temp Mechanical
Interceptor/grease tor/ ease Medical gas(value:$ 25.02
) Page 2
Primer 3 / 12.51 37.53
Contact name:Warren Mead -
Roof drain(commercial) �d ✓ 12.515c,. 0
Address:28465 SW Boberg Road ,
Sink/basin/lavatory 7 �/ 25.02 3'r�;jt.l
City/State/ZIP:Wilsonville / OR / 97070 Solar units(potable water) 62.54
Phone:(503)582-8525 Fax::( ) Tub/shower/shower pan i- 12.51 / ,i,
E-mail:WarrenM@HydroTempMech.com Urinal 2 ✓ 25.02 50.04
Water closet q 25.02 /17 S./4
m J � CO(11TRACTOR"
„.. _ ,r , Water heater :7;1 ✓ 37.52 '/5,Ct'(. -
Business name:Hydro-Temp Mechanical Water piping/DWV 56.29
Address:28465 SW Boberg Road Other:(JZitsarr � Kca i ,- 25.02 .�2�;ff'.1
City/State/ZIP:Wilsonville / OR / 97070 ( Subtotal ir 'jy'yr�j,I,
tY �vt��r�t:>.a�:- t s,�'�.Ic cfr+:~�x.�-
Phone:(503)582-8525 Fax:( ) ix+>t i 1 J wls�-=t Minimum permit fee: $72.50
Plan review (25%of permit fee) -392,i .
CCB Lic.:63907 Plumbing Lic.no.:26-357PB
State surcharge(12%of permit fee) , ,i PC„e
Authorized signature: 1 /� /� TOTAL PERMIT FEE s,4IIt,£cii
Print name:Warren 'ead Date:6/1/18 This permit application expires if a permit is not obtained withinT80 days
after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
I:ABuilding\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) c- �‘�
4.- .$*mks ✓'
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression S stems:
-eaj" Tatar)
Footing drain-151 100' 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' 1 62.54 62.54 7,201 and greater $327.54
Sewer-each additional 100' 1 37.52 37.52
Water Service-1st 100' 1 62.54 62.54 Medical Gas Systems:
Water Service-each additional 100' 5 37.52 187.60f, °
'ernut,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
of each additional$100.00 or fraction thereof,to
t;;;„i t� I e�, )'r g., d . _ .. 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*.
w u nti y by Fixture Tyke 1 e r unibing'`Installations ,,
Fixture 'ype for Replace/ Plan review is required for anyof the following.
Performed,vCapped.:. Added Relocate-`. q
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 0 Any multipurpose fire sprinkler system.
Drinking Fountain 1 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.
-
4„ - - Isometric or.:Riser Diagram
Car Wash Drain ❑ Isometric or riser diagramis required for new buildings
Garbage -Domestic-non-food q g
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
Shower -Gang
/2 \ Si 4/74-_,S L 47/3
-Stall pit? ( J
Sink/Lav -Non-food related to' 2 I3_
-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 2 _ 5 _ fees assessed for the sewer increase must be paid before the
Urinal 2 plumbing permit can be issued.
Other Fixtures:
J:\1803026 CWS Durham O&M Bldg\FIELD Folder-Durham O&M\Pertiiits\PLMF_PermitApp.doc
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
16580 SW 85TH AVE, TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Plumbing PLM2018-00278
Inspection Type: Inspector:
399 Plumbing final Don Sylvester
Result:
PASS - NoCofO
Comments:
1 . Correction's are complete for Interior plumbing for O&M Bldg and new conference
Bldg. Plumbing final approved.
Violation Summary:
Inspector Contractor