Permit n CITY OF TIGARD PLUMBING PERMIT
11111- a COMMUNITY DEVELOPMENT Permit#: PLM2013 00250
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/09/2013
Parcel: 2S114AA00500
Jurisdiction: Tigard
Site address: 16375 SW 85TH AVE
Project: Clean Water Services Co-Generation Facility Subdivision: 1993-078 PARTITION PLAT Lot: 2
Project Description: Cogeneration and brown grease. Install(7)catch basins,(1)trench drain,(6)manholes,(12)rain drain
connectors,420'of sanitary line,440'of water line,(2)backflow preventers,(17)floor drains,(2)hose bibs,(1)
grease trap,(1)primer,(12)roof drains and(2)sinks.
Contractor: BRYAN R GREEN CONSTRUCTION&PLUMBING Owner: CLEAN WATER SERVICES
1336 NE 73RD AVE ATTN:ACCOUNTS PAYABLE
PORTLAND, OR 97213 2550 SW HILLSBORO HWY
HILLSBORO, OR 97123
PHONE: 503-253-2521 PHONE:
FAX:
FEES
Quantity Description Date Amount
7 ea Catch Basin or Area Drain 08/01/2013 $131.32
Specifics: 1 ea Drywell,Leach Line or Trench 08/01/2013 $18.76
Drain
Type of Use: COM 6 ea Manholes 08/01/2013 $112.56
Class of Work: NEW 12 ea Rain Drain Connector 08/01/2013 $225.12
Type of Const: 420 If Sewer Service 08/01/2013 $212.62
Occupancy Grp: 440 If Water Service 08/01/2013 $212.62
Stories: 2 ea Backflow Preventer 08/01/2013 $62.54
17 ea Floor Drain/Floor Sink/Hub 08/01/2013 $425.34
2 ea Hose Bib 08/01/2013 $50.04
1 ea Interceptor/Grease Trap 08/01/2013 $25.02
12 ea Roof Drain(Commercial) 08/01/2013 $150.12
2 ea Sink 08/01/2013 $50.04
1 12%State Surcharge- 08/01/2013 $201.13
Plumbing
Total $1,877.23
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 N !cation - -r. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or dire questions to OU ■ by c. ling 503.232.1987 or 1.800.332.2344.
Issue y: / Permittee Signature: •diPil , / •
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 Application .
Building Fixtures RECEIVED
City of Tigard • Deceived Permit No.
q 13125 SW Hall Blvd.,Tigard,OR 9722
Date/By: 7 °3 1 3 p�d�j t�0o��
C Phone: 503.718.2439 Fax: 503.598.1 WL 0 3 2013 Plan Review
Date/By: Other Permit No.:
T I G A R D Inspection Line: 503.639.4175 Date Ready/By: kris: ® See Page 2 for
• Internet: www.tigard-or.gov TIGARD Notified/Method: Supplemental Information
. TYPE OF �,p]NGDPIISION FEE* SCHEDULE .
®New construction ❑ Demolition For special information use checklist.
Description I Qty. I Ea. 1 Total
❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(I)bath 312.70
❑ I-and 2-family dwelling ®Commercial/industrial SFR(2)bath 437.78
• SFR(3)bath 500.32
❑Accessory building ❑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:16375 SW 85th Avenue Catch basin or area drain 7 18.76
City/State/ZIP:Tigard,OR 97224 Drywell,leach line,or trench drain i 18.76
o.linear ft.: Page 2
Suite/bldg:/apt.no.: Project name:Co-Gen 5D2 Manufactured home utilities 50.03
Cross streeUdirections to job site: Manholes 6 18.76
Rain drain connector 12 18.76
Sanitary sewer(no.linear ft.:420) Page 2
Storm sewer(no.linear ft.:_) Page 2
Water service(no.linear ft.:440) Page 2
Subdivision: I Lot no.: Fixture or item:
Tax map/parcel no.: Backflow preventer 2 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 25.02
Construct a Brown Grease Receiving facility,a new Cogeneration Facility to
Dishwasher 25.02
house two 848 kW generators,a gas purification system and gas storage. Drinking fountain . 25.02
• Ejectors/sump 25.02
® PROPERTY OWNER I ❑ TENANT Expansion tank • 12.51
Name:Clean Water Services Fixture/sewer cap 25.02
Floor drain/floor sink/hub 17 25.02
Address:2550 SW Hillsboro Highway
Garbage disposal 25.02
City/State/ZIP:Hillsboro,OR 97123 Hose bib 2 25.02
Phone:(503)547-8177 Fax:( ) Ice maker 12.51
® APPLICANT ❑ CONTACT PERSON Interceptor/grease trap I 25.02
Business name:Clean Water Services Medical gas(value:$ ) Page 2
Primer 1 12.51
Contact name:Joel Borchers
Roof drain(commercial) 12 • 12.51
Address: 16060 SW 85th Avenue
Sink/basin/lavatory 2 25.02
City/State/ZIP:Tigard,OR 97224 Solar units(potable water) • 62.54
Phone:(503)547-8177 Fax: ( ) Tub/shower/shower pan 12.51
•E-mail:borchersj @cleanwaterservices.org Urinal _ 25.02
Water closet 25.02
CONTRACTOR g-D,
n 9 Water heater 37.52
. Business name: (.�i� ,t iJ ��C CnlJST`t f L.V.tF-(/7I1d.
WateF-piping/Hi#V - --- 56.29
Address: 1 37j(p /3 7g'-`243 ALA, Other: 25.02
City/State/ZIP: Pr LTD O/Z_ 9 7 -1 2. 'Subtotal
Phone:(/),3) `32)-9s-g I Fax:( ) •, • Minimum permit fee: $72.50
CCB Lic.: a70(0 ' .3 RS 17� Plumbing Lic.no.: 2(p-ci 39Pg Plan review (25%of permit fee)
State surcharge(12%of permit fee)
Authorized signature: �( / 7///t y TOTAL PERMIT FEE il g 7-7•,),
.y
This permit application expires if a permit is not obtained within 1IO days
Print name: Date:
after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
1:\Building\Permits\PLMU-PermitApp.duc 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 l Qty. Fee(ea) Total Square Footage: Permit Fee:
Footing drain- I" 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:
Other Fixtures: I
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! Plan Review for Plumbing Installations
Work Performed: Capped Added Relocate
Baptistry/Font Plan review is required for any of the following.
Bath -Tub/Shower Please check all that apply.
-Jacuzzi/Whirlpool ❑ 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 ❑ New exterior plumbing site utilities for any complex structure
Dishwasher -Commercial as defined in OAR918-780-0040.
-Domestic ❑ Medical gas and vacuum systems for health care facilities.
Drinking Fountain ❑ Any multipurpose fire sprinkler system.
Eye Wash ❑ 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 Isometric or Riser Diagram
Garbage -Domestic-non-food
Disposal -Domestic-food related ❑ 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
Water Extractor *Note: If the fixture work under this permit results in an
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\647I -DM Cogen\Phe 5D2\50 Design&Engineering\760 Permits\10
City\647 I.5D2.50.760.10.PlumbingPermitApp.doc
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
16375 SW 85TH AVE, TIGARD, OR, 97224
Commercial - Plumbing
399 Plumbing final
FAIL
PLM2013-00250
George Heimos
1. Provide stamped plumbing plans for inspection and someone on jobsite to pull
manhole covers, cleanout covers, etc.
kevino@jwfowler.com
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
16375 SW 85TH AVE, TIGARD, OR, 97224
Commercial - Plumbing
399 Plumbing final
Scheduled
PLM2013-00250
George Heimos
1. 2014 OPSC 601.1/ 601.1.1/ 601.1.2, code sections for the FOG building that has
potable and non-potable water.
2. 2014 OPSC 601.1.2.1/ 1613.0/ 1617.0/ 1617.1/ 1617.2/ 1618.0 (A)
code sections for the co-gen building that has reclaimed and potable water.
3. Corrections dated 02/17/15 not completed: #5 and #6 Co-Gen building, color (purple/
black) and marking for piping and hose bibbs not allowed.
4. Corrections dated 2/17/15 not completed: #7, caulking on Fog Building sink and color
(green/white) and marking of piping Potable and non-potable.
5. Recall inspection when corrections have been completed. Re-inspection required.
103.5.6.1
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
16375 SW 85TH AVE, TIGARD, OR, 97224
Commercial - Plumbing
399 Plumbing final
FAIL
PLM2013-00250
George Heimos
1. 2014 OPSC 601.1/ 601.1.1/ 601.1.2, code sections for the FOG building that has
potable and non-potable water.
2. 2014 OPSC 601.1.2.1/ 1613.0/ 1617.0/ 1617.1/ 1617.2/ 1618.0 (A)
code sections for the co-gen building that has reclaimed and potable water.
3. Corrections dated 02/17/15 not completed: #5 and #6 Co-Gen building, color (purple/
black) and marking for piping and hose bibbs not allowed.
4. Corrections dated 2/17/15 not completed: #7, caulking on Fog Building sink and color
(green/white) and marking of piping Potable and non-potable.
5. Recall inspection when corrections have been completed. Re-inspection required.
103.5.6.1
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
16375 SW 85TH AVE, TIGARD, OR, 97224
Commercial - Plumbing
399 Plumbing final
PASS - No C of O
PLM2013-00250
George Heimos
Violation Summary:
Inspector Contractor