Permit (24) CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2018-00201
T f C ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/11/2018
Parcel: 2S1136000600
Jurisdiction: Tigard
Site address: 16320 SW 85TH AVE
Project: CLEAN WATER SERVICES Subdivision: None Lot: None
Project Description: Site utilities for the Secondary Treatment System expansion.
Contractor: MCCLURE&SONS INC Owner: CLEAN WATER SERVICES
15714 COUNTRY CLUB DR 2550 SW HILLSBORO HWY
MILL CREEK,WA 98012 HILLSBORO, OR 97123
PHONE: 425-316-6999 PHONE:
FAX:
FEES
Quantity Description Date Amount
10 ea Catch Basin or Area Drain 06/08/2018 $187.60
Specifics: 15 ea Manholes 06/08/2018 $281.40
2100 If Storm Sewer 06/08/2018 $812.94
Type of Use: COM 1 Plan Review 06/08/2018 $320.49
Class of Work: ALT 1 12%State Surcharge- 06/08/2018 $153.83
Type of Const: Plumbing
Occupancy Grp:
Stories:
Total $1,756.26 I
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may •stain a cop of the rules
or direct questions to OUNC by calling 503.232.1987 or = • 32.2344.
Issued By: /41101011 Permittee Signature: fr
/.
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Plumbing Permit Application ,t 1 --
c Site Utilities FOR OFFICE USE ONLY
Cityof Tigard and A`��� 1 ' t) Received ,,j
- g Date/By: 4 �'7 r Permit No.: ,Q/� y1�
a 13125 SW Hall Blvd.,Tigard,OR 97223 y `�' ' O
Phone: 503.718.2439 Fax: 503.598.194d , ' DPlan Review _ig Other Permit No.:
TIGARD Inspection Line: 503.639.4175 -,t €1 , DateRead B y Juris: See Page�or
Internet www ti and or ov Ready
y 7//t" -- 7r 7
g g Notified/Method: / ty /�-1^�J Supplemental Information
�� TYPEQ , I `', s ,_ IQ IL „
®New construction 0 Demolition For special information use checklist
Description Qty. Ea. Total
❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
,.._h ATEGQ YOk` Q STK[,1 ,ON -AE SFR(1)bath 312.70
❑ 1-and 2-family dwelling ®Commercial/industrial SFR(2)bath 437.78
❑Accessory building 0 Multi-family SFR(3)bath 500.32
Each additional bath/kitchen 25.02
❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2
B'3S11J v14611:MA QNPbOc$T1O �" ; Site utilities:
Job site address:16320 SW 85th Ave Catch basin or area drain p 18.76 7.j,0
Drywell,leach line,or trench drain 18.76
City/State/ZIP:Tigard,OR 97224
Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: 1 Project name:Phase 5 Secondary Manufactured home utilities 50.03
Cross street/directions to job site: Treatment System Expansion Manholes 15 18.76 1,8)40
Durham Rd and SW 85th Ave Rain drain connector 18.76
Sanitary sewer(no.linear ft.:_) Page 2
Storm sewer(no.linear ft.:2100) 2100 Page 2 812.94
Water service(no.linear ft.:_) Page 2
Subdivision: 1 Lot no.: Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
fi1 yz Backwater valve 12.51
'.= g� xa 01 -= s`; W011l�jJi :.::::'' .,, €�
Clothes washer 25.02
Expansion of the secondary treatment system,including new aeration basin,new
Dishwasher 25.02
1 secondary clarifier,electrical building,odor control and expansion of Drinking fountain 25.02
titunnels Ejectors/sump 25.02
it ill i IEli i�' ,Y ii'�; ` I -- �hii' EN ' _ Expansion tank 12.51
' I ��� i(�,i .iia a
q(; ;1 Name:Clean Water Services Fixture/sewer cap 25.02
` Address:16060 SW 85th Ave Floor drain/floor sink/hub 25.02
Garbage disposal 25.02
City/State/ZIP:Tigard,OR 97224 Hose bib 25.02
Phone:(503)547-8043 Fax:( ) Ice maker 12.51
' A1`LA 14 T ❑ CNF -- ERoI Interceptor/grease trap 25.0211iio3 . N _ J ' oS
Business name:Clean Water Services Medical gas(value:$ ) Page 2
Primer 12.51
Contact name:Dan Garbely
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::( ) Tub/shower/shower pan 12.51
E-mail:garbelyd@cleanwaterservices.org Urinal 25.02
- i, Water closet 25.02
Water heater 37.52
Business name: /t� (
k /
Ate. (lHre 6litil,1 •7Cs`- � Waterpiping/DWV 56.29
Address: 1- 7114 (-,.,t c- ot. • -I Other: 25.02
City/State/ZIP:
Y Cite[C t Lik (‘‘CG`f 7- Subtotal 1,018!•/4
Phone:(.( ) 41 6 c 1 c, Fax:4 5 ) .7j l(-6 1 Minimum permit fee: $72.50
CCB Lic.: 71('T 7 Plumbing Lic.no.: '?.3 t7Lf Plan review (25%of permit fee) .t#9
State surcharge(12%of permit fee) 153,83
Authorized signature:
TOTAL PERMIT FEE tjr'/ter-E;S a dj
Date: This permit application expires if a permit is not obtained within 180 days
Print name:
iK/Gg/Ari 'i{, K�- � � 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:
Zt line ii iiri �f2 F ea} Total 'i4,14100k
Footing drain-161100' 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 i
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' 20 37.52 750.40 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for
e ea vital each additional$100.00 or fraction thereof,to
"Q r XTpe ioT rM e e Q '' 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: tit .`
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 plat .evi617y- i )r PIu m l# g stallatioeu'
Fixture Type for Replace! Plan review is required for anyof the following.
Work Performed: Capped 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 0 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.
4" Iso trr 2 ' �r � g.,a n
Car Wash Drain
Garbage Domestic-non-food
0 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
Shower -Gang
-Stall
Sink/Lav -Non-food related
-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:
C:\Users\ideharam\Desktop\6757_PLMB_Site PermitApp.doc 2
Branden Taggart
From: Branden Taggart
Sent: Thursday, June 7, 2018 6:59 PM
To: 'Dan Garbely'
Cc: #Building Permit Technicians
Subject: Clean Water Services Secondary Treatment System Permits: PLM2018-00200, 201,
SWR2018-00151
Hi Dan,
Your plumbing and sewer permits for the Secondary Treatment System expansion are ready to pick up now. The fees
due are as follows:
Secondary Treatment System
Permit# Fees Due
PLM2018-00200(Building Fixtures) $ 796.91
SWR2018-00151 $ 24,420.00
PLM2018-00201 (Site Utilities) $ 1,756.26
Total: $ 26,973.17
The permit fees can be paid online through our website: 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 license information prior to issuance of these permits. If you have any questions, please
let me know.
Thanks,
Branden Taggart
INv City of Tigard
p , Senior Permit Technician
Community Development
13125 SW Hail Blvd
Tigard,OR 97223
(503)718-2449
hrandent@tigard-or.gov
1
CleanWaterServices
April 19, 2018
TO: City of Tigard
Building Department
RE: Plumbing Permit-Site Utilities
Application for BUP2018-00087
For Jobsite Address: 16320 SW 85th Avenue
Tigard, OR 97224
For Durham Secondary Treatment Expansion project 6757.
We are sending you:
Two sets of Site Civil Drawings.
Mike Idehara, Senior Engineer
Clean Water Services
16060 SW 85th Avenue
Tigard, OR 97224
w:\tps\projects\02-capital improvement\durham projects\6757-dm ph5b3 secondary exp\50 design&engineering\760 permits\10 city\6757-
bu2018-00087 trans plumbing permit site utility dwgs.dotx
16060 SW 85th Avenue,Tigard,Oregon 97224 p:503.547.8150 f:503.547.8151 cleanwaterservices.org