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PLM2024-00171 Permit
Permit NO.: PLM2024-00171 ei. . City of Tigard Project Name:Carts on Broadway 13125 SW Hall Blvd. ic 1 L1 Tigard,OR 97223 Permit Type:Plumbing T Work Classification: Commercial Issue Date:11/19/2025 Permit Status:Permit Issued Expiration: 05/17/2026 Location Address Parcel Number 11847 SW PACIFIC HWY,TIGARD,OR 97223 15135D000800 , _... .m.. .._ _ .. ..ii Contacts Denise Shleifer,Tigers carts on Broadway Applicant West Coast Plumbing Solutions Contractor I 2087 Bay Meadows DR,West Linn,OR 97068 (503)866-1902 denise.slootmans@gmail.com (458)206-8944 • Description:Carts on Broadway-Site utilities for food cart pod: Valuation: $0.00 Inspection Requests: REVISED based on Planning approval of 3 carts only.200 ft.of tsanitary sewer,200 ft.of water service,(1)backflow preventer, Total Sq Feet: amenerdor- rgovweb.tylerhost.net/apps/Self$er (3)yard hydrants,and(1)grease trap. eneardor- rgovweb.tylerhost.net/apps/SelfSer— ' vice#/home II -- Fees Amount Payments Amt Paid Inspections: Water Service 100.06 Total Fees $454.12 Inspection Type M:Sanitary Sewer 100.06 CHECK $454.12 Plumbing Rough M:Backflow Preventer 31.27 PlumbingFinal Amount Due: $0.00 M:Plan Review-Plumbing 82.87 M:12%State Surcharge Plumbing 39.78 Final Inspection M:Hose Bib 75.06 M:Interceptor/Grease Trap 25.02 Total: $454.12 For questions,please contact: -Building and/or trade permits:Tigardbuildingpermits@tigard-or.gov or(503)718 2439 -Engineering permits or services:rowpermits@tigard-or.gov or 503 684 4977 LZAIIr t November 19, 2025 Issued By: Date CoT Permit Staff CoT Permit Staff Date November 19,2025 Page 1 of 1 Plumbing Permit Application ..1 pro lc«erb Amps-,), I//l� - Ae6 Site Utilities RECEIVE i ,,,, , ,, , I :, f)NI.l• City of Tigard Apt ri �2 3 I�at-` 4A� Permit No.:eLff v3LA _GU 1I 14i 13125 SW Hall Blvd.,Tigard,OR 97223 J Plan eview Phone: 503.711.2439 Fax: 503.598.1960 , a,_wg 7��y/�J ACL Other Permit No.:e"t1�" -' Inspection Line: 503.639.4175 OF I -. Y: ` Iagg !;;.• CITY ` . ReadyBy: 1 he's: B See Page 2 for Internet: www.tigard-or.gov 8 otifled/Method- j'/t'( 1 Supplemental information ''' TYPE OF WORK r� 1111 ♦♦♦♦ y, FEE" SCHEDULE , ❑New construction ❑Demolition s Da For special information use checklist.cription ; Qty._a.�EL I Total ❑Addition/allerationheplaccment ®Other: Food Cart Pods New 1-2-family dwellktsja(includes 100 ft.for each util' connection _ CATEGORY OF CONSTRUCTION SFR(1)hath 312.70 1 SFR(2)bath 437.78 - - ... El 1-and 2-family dwelling 14 Commercial/industrial _.._� _ _ --_ -., SFR(3)bath 500.32 ©Accessory building ❑Multi-family Each additional bath/kitchcn 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: 3ob site address: 11847 SW Pacific Hwy Catch basin or area drain 18.76 __ __ __ __...__ - Drywell,leach line,or trench drain 18.76 city/state/ZTP: Tigard, OR 97223 ...__.. -_., Footing drain(no.linear ft.: ) r Page 2 Suite/bldgapt.no.: Project name: Carts on Broadway Manufactured home utilities 50.03 Cross strectldirections to job site: Manholes 18.76 NE Corner of intersection of Hall Blvd and SW Pacific Hwy Ram drain connector 18.76 ' Sanitary sewer(no.linear ft.:ZQQ Page 2 !1 c,O 06,t Storm sewer(no.linear ft.: ) Page 2 ---._.._..___._..._..._.._.._....--•-••--•-----.__ -_ Water service(no.linear ft.:20D' ( Page 2 'CO .et„ Subdivision: `_-- I Lot no.: Fixture or Items_ Tax map/parcel no.: 1 S135DD 00800 Backflowpreventer e. 31.27 ,7 7 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 Food Cart Pod _ - .-- -__-_._ .,..._......,.. _.. Dishwasher 25.02 __ __ Drinking fountain - 25.02 Ejectors/sump 25.02 fej PROPERTY OWNER l 0 TENANT Expansion tank __ _.12.51 �Fixture/sewer cap 25.02 -Name: Shleifer Broadway LLC ____ Floor drain/floor sink/hub 25.02 - Address: -- Garbage disposal 25.02 City/State/ZIP: Hose bib Yard Hydrants 111 25.02 (7 O- Phone:( ) Fax:( ) lee maker 12.51 I J APPLICANT 0 CONTACT PERSON Interceptor/grease trap 1 25.02 S. • Medical gas(value:$ ) Page 2 Business name: 7 Pln@S Plumbing, LLC Contact name: Jana Wingate/Derick Garcia Primer -' Mil 12.51 Roof drain(commercial) 12.51 Address: 109 6th St MI -_ ___ _ Sink/basin/lavatory25.02 City/State/ZIP: Tigard, OR 97223 Solar units(potable water) 62.54 Phone:971-381-0157 (0) Fax::( )971-387-6230(D) Tub/shower/shower pan 12.51 E-mail: spplumbingllc@outlook.com;sevenpinesplumbing@icloud.com Urinal 25.02 r-----•-- ,-Water closet 25.02 CONTRACTOR Water beater 37.52 MEI Business name: 7 Pines Plumbing LLC -water piping/DWv 56.29 _._-__ Address: 109 6th St Other: 25.02 City/State/ZIP: Carlton, OR 97223 Subtotal •33 L Phone:( )971-381-0157 Fax:( ) I Minimum permit feu: $72.50 �CCB Lie.: 288879 Plumbing Liz,no.: PB2527 ` rl Plan review (25"/0 of permit fee) ?, l State surcharge(12%of permit fee) t � 1 Authorized signature: TOTAL PERMIT FEE 'Lr5 Li. Print name: Jana n e ate: -4/2rj/2024 1 Thls permit application expires If•a permit Is not obtained within 18o days after k has been accepted as complete. •Fee methodology set by Tri-County Building Industry Service Bonrd, 1:113uildin0ermiulPI%tU-PrrmuApp doe 1001IU9 440.1616T(IeuV 7oMJWED) a v Plumbing Permit Application - City of Tigard Page 2-Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qts'• -- Pee0-0 '.Ted 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' 1 62.54 7,201 and greater '$327.54 Sewer-each additional 100' 1 37.52 Water Service-1st 100' 1 62.54 Medical Gas Systems: Water Service-each additional 100' 1 37.52 -Valaation' ' `Permit Fee:- Storm&Rain Drain-1st 100' 62.54 $l.00 to S5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional I00' 37.52 $5,001-00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for >foe(ea}' Total' each additional$100.00 or fraction thereof,to Llt .Other spections or.Fees P ' i and including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first S10,000.00 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 S100.00 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 S50,000.00 and$1.20 for (minimum charge-1/2 hour) _ each additional S 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*. Quantity by Fixture Type, Plan Review. for Plumbing Installations FirdmreType for ltcpt ref Plan review is required for any of the following. Work Performed: ' Capped Added Relocate Baptistry/FontPlease check all that apply. TublShowcr 0 Any new commercial building with water service 2"and Bath -Tub/S i/Whirlpool greater,except systems designed and stamped by licensed acuzCar Wash -Each Stall engineer. -Drive Thni ❑ 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 ❑ Any multipurpose fire sprinkler system. Drinking Fountain ❑ Any complex structure as defined in OAR918-780-0040. Eve Wash Floor Drain/sink -2" Submit a sets of plans with any of the above. 3,, , Isometric or Riser Diagram 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/Lay -Non-food related -Bradley -Commercial-food related -Service Swimming Pool Filter *Note: If the fixture work under this permit results in an Washer-Clothes increase of sewer EDUs,a sewer permit will be issued and Water Extractor Water Closet-Toilet fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fixtures: 1:1BuildingWermits\PLMU_PerrnitApp.doc 2 w